Despite the growing proportion of older adults in the United States, federal and state funding for nonmedical supportive services remains limited. To meet increasing demand, some communities across the nation are exploring alternative funding sources for aging services. Although no systematic database exists to track such local programs, through an array of data sources including a national survey, telephone contacts, and a web review, we identified 15 states that are using local funding to support aging services. Communities are using a variety of local revenue streams, such as property tax levies, payroll, and sales taxes to provide services for older adults and/or their family or friend caregivers. There are considerable differences in community approaches including the following: amount of revenue generated, service eligibility criterion, type of services covered, and management infrastructure. Critical policy questions surrounding equity issues within and across states are raised as communities create these alternative funding mechanisms.

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Background and Objectives Research suggests that robust social networks have positive effects on peoples’ well-being. An instrumental methodology for studying networks is the social convoy model, a diagram of concentric circles that illustrate network size, structure, and satisfaction. Convoys have been described as dynamic. Specifically, as people age, their convoys become stronger and smaller due to focusing on what matters most and accumulating losses. Therefore, convoys only include meaningful, living persons. The continuing bonds model posits that it is normal for people to maintain connections with the deceased. The objective of the current study was to integrate the social convoy and continuing bonds models in order to examine the presence of deceased loved ones in convoys. Research Design and Methods Eighteen individuals (M = 66 years), recruited via fliers and snowball sampling, participated in one semistructured interview regarding the death of a loved one and their convoy. Participants also completed a convoy model, identifying where the deceased fit (if anywhere) when they were alive and at present. Interviews were transcribed, coded, and analyzed for themes. Results Three themes emerged: communication (i.e., writing or speaking to the deceased), continuity (i.e., a continuing relationship), and reciprocity (i.e., perceived exchange of support(s)). Eighty-nine percent of participants felt their loved one’s death did not change their convoy presence and 88% reported that their positioning in the convoy remained unchanged. Discussion and Implications This research offers a new way to think about convoys and may prompt the development of supportive interventions for bereaved individuals.

Despite the growing number of older adults in the U.S., federal and state funding for non-medical supportive services remains limited. Recent work reports that states with a more generous supply of supportive services, including home delivered meals and personal care, have fewer low care residents in nursing homes. To boost this supply, some local communities across the nation are exploring alternative funding sources. Our review found 400 local communities across 15 states using voter-approved local revenue streams to fund aging services, such as property tax levies and payroll and sales taxes, and that this strategy has been politically popular. In this paper we provide results from the first national survey of these local communities. Study results found considerable variation by state in number and scope of local initiatives, with Ohio and Michigan each reporting about 70 communities with local property tax levies, while California and Washington had only one community each using this approach. Local programs ranged in size from generating less than $25,000 in annual revenue to more than $35 million. The organizational structure for these programs, and the administrative approaches, such as the use of care managers, varied by state and community. Programs provided an array of services, but typically included traditional social care services such as home delivered meals, homemaker/personal care, transportation, and home emergency response systems. Criteria for program participation also varied, but most were targeted to serve older adults with disability who did not meet Medicaid financial or functional eligibility criteria.

People receive support from a fluid convoy of individuals. Historically, convoy membership has been limited to meaningful, living persons. However, research incorporating the continuing bonds model suggests that individuals who have died can also be convoy members as relationships can be preserved through pictures, memories, and after death communication experiences. Building on this idea, this presentation uses a qualitative case study to explore whether (and if so, how) continuing bond relationships are influenced by the way that individuals die. Pauline, a 67 year-old widow, compares the “natural” deaths of her sister and father-in-law to the suicide of her husband. Careful readings of her interview transcript reveal that the unexpected way that her husband died became a salient part of her identity and the way she connects with others. Consequently, this case study provides insights for researchers who may consider cause of death as a potential contributing factor to convoy membership.