Community Supports for Rural Aging in Place and Independent Living – Resources
Selected recent or important resources focusing on Community Supports for Rural Aging in Place and Independent Living.
In Support of Family Caregivers: A Snapshot of Five States
Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Unmet Need for Personal Care Assistance among Rural and Urban Older Adults
Policy brief exploring the unmet need for personal care help across 11 activities, such as self-care, household chores, and mobility-related tasks, with breakdowns by urban and rural location.
Author(s): Carrie Henning-Smith, Zhengtian Wu, Megan Lahr
Date: 06/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief exploring the unmet need for personal care help across 11 activities, such as self-care, household chores, and mobility-related tasks, with breakdowns by urban and rural location.
Author(s): Carrie Henning-Smith, Zhengtian Wu, Megan Lahr
Date: 06/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Older Americans Act: HHS Could Help Rural Service Providers by Centralizing Information on Promising Practices
Focuses on services and resources authorized by the Older Americans Act to help older adults age in place in rural communities. Addresses challenges accessing home and community-based services in rural areas and information on strategies for addressing those challenges. Covers home-delivered meals, congregate meals, transportation, family caregiver services, case management, and homemaker services. Research included interviews with ACL officials, rural area agencies on aging (AAA) in 8 states, rural health experts, and stakeholder groups; a literature review; and site visits.
Additional links: Full Report
Date: 05/2019
Sponsoring organization: Government Accountability Office
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Focuses on services and resources authorized by the Older Americans Act to help older adults age in place in rural communities. Addresses challenges accessing home and community-based services in rural areas and information on strategies for addressing those challenges. Covers home-delivered meals, congregate meals, transportation, family caregiver services, case management, and homemaker services. Research included interviews with ACL officials, rural area agencies on aging (AAA) in 8 states, rural health experts, and stakeholder groups; a literature review; and site visits.
Additional links: Full Report
Date: 05/2019
Sponsoring organization: Government Accountability Office
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Rural-Urban Disparities in Access to Home- and Community-based Services and Supports: Stakeholder Perspectives from 14 States
Examines rural-urban differences in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
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Examines rural-urban differences in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
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Disability in America: People with Disabilities (2017)
Displays general disability rates on the county level using data from the 2013-2017 American Community Survey (ACS).
Date: 01/2019
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Displays general disability rates on the county level using data from the 2013-2017 American Community Survey (ACS).
Date: 01/2019
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Aging in Appalachia
Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Sponsoring organization: West Virginia Public Broadcasting
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Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Sponsoring organization: West Virginia Public Broadcasting
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Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
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Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
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Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population
Results of a study using Medicare Current Beneficiary Survey data to profile rural and urban Medicare beneficiaries ages 85+ in terms of their demographic and socioeconomic characteristics, residential settings, health and functional status, and healthcare use. Features statistics on these topics with breakdowns by rural and urban location.
Author(s): Nathan Paluso, Zachariah Croll, Deborah Thayer, Jean A. Talbot, Andrew F. Coburn
Date: 03/2018
Sponsoring organization: Maine Rural Health Research Center
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Results of a study using Medicare Current Beneficiary Survey data to profile rural and urban Medicare beneficiaries ages 85+ in terms of their demographic and socioeconomic characteristics, residential settings, health and functional status, and healthcare use. Features statistics on these topics with breakdowns by rural and urban location.
Author(s): Nathan Paluso, Zachariah Croll, Deborah Thayer, Jean A. Talbot, Andrew F. Coburn
Date: 03/2018
Sponsoring organization: Maine Rural Health Research Center
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Rural Long-Term Services and Supports: A Primer
Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Vermont Care Network Advocates for Behavioral Health and Developmental Disability Agencies
Highlights the work of the Vermont Care Network, which supports 16 non-profit agencies that provide behavioral health and developmental disability services in the state. Discusses cross-sector collaboration and integration of mental health, substance use, and developmental disability services with primary care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Sponsoring organization: Rural Health Information Hub
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Highlights the work of the Vermont Care Network, which supports 16 non-profit agencies that provide behavioral health and developmental disability services in the state. Discusses cross-sector collaboration and integration of mental health, substance use, and developmental disability services with primary care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Sponsoring organization: Rural Health Information Hub
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Aging and aging-related services
- Elderly population
- Home and community-based services
- Informal caregivers
- People with disabilities
Last Updated: 10/6/2025

