Beyond Parental Leave: Paid Family Leave for an Aging America

Wolff, Jennifer L.; Drabo, Emmanuel Fulgence; Houtven, Courtney Harold Van

doi:10.1111/jgs.15873

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…Public health attention to healthy aging and the older adult population has increased in recent years, largely due to the COVID-19 pandemic's disproportionate impact on older adults 2. S/THOs are well positioned to champion and support population-level actions that provide all people with the opportunity to age healthily and achieve equitable health and social outcomes through older adulthood.…”

Section: Discussionmentioning

confidence: 99%

“…Paid family leave and sick leave are benefits that address economic security and health for employed people, including family caregivers, as well as care recipients of all ages. Evidence suggests that paid family leave is beneficial to child and infant health, reduces older adults' risk of nursing home admission, 2 and improves parents' and family caregivers' economic security, a well-established social determinant of health. 3 Jurisdictions can expand access to leave through several mechanisms.…”

Section: Expand Paid Family and Sick Leavementioning

confidence: 99%

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Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Pendergrast

Bethune

Shah

et al. 2023

Journal of Public Health Management and Practice

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S tate and territorial health agencies are well positioned to support healthy aging and health equity by addressing social determinants of health and promoting healthy behaviors across the life course from childhood to older adulthood. As the number of US older adults increases, health agencies also have an opportunity to achieve population health impacts and health care savings by supporting policies, programs, and services that address older adults' health care needs and social determinants of health. Improving health equity in later life requires joint attention to healthy aging by addressing both the early-life health and social factors that affect health across the life course and in older adulthood, and older adult health specifically by promoting equitable access to preventive health, long-term care, social supports, and healthy community environments for all older adults. This article summarizes key public health interventions to address healthy aging and older adult health that health agencies are equipped to champion or support. We bundle these interventions into a "technical package," or a set of recommendations to the field to guide healthy aging and older adult health-focused public health activities. Association of State and Territorial Health Officials (ASTHO) technical packages are based on evidence-based interventions, promising practices, and subject matter expert recommendations. They are not intended to be comprehensive; rather, they serve as tools to prioritize efforts toward what works to address a particular public health problem and establish a proactive approach to technical assistance. The ASTHO technical package to support healthy aging and older adult health comprises 5 categories: paid family and sick leave; healthy

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Section: Discussionmentioning

confidence: 99%

Section: Expand Paid Family and Sick Leavementioning

confidence: 99%

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Pendergrast

Bethune

Shah

et al. 2023

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

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“…Working caregivers may be further disadvantaged in the U.S. context by both high long-term care costs that prohibit wider access to paid care services and by incentives that may lock in workers to jobs to maintain access to healthcare benefits (Schulz, 2020;Schulz & Eden, 2016). Moreover, in the United States, public and private policies designed to help families balance the two commitments have been relatively limited in scope, and policies such as the Family Medical Leave Act (FMLA) do not apply to all workers and are typically unpaid (Schulz, 2020;Wolff et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Work as overload or enhancement for family caregivers of older adults: Assessment of experienced well‐being over the day

Patterson

Freedman

Cornman

et al. 2023

J of Marriage and Family

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This study examines work and care patterns and their association with experienced well-being over the course of the day and tests a moderating effect of gender. Background: Many family and unpaid caregivers to older adults face dual responsibilities of work and caregiving. Yet little is known about how working caregivers sequence responsibilities through the day and their implications for well-being. Method: Sequence and cluster analysis is applied to nationally representative time diary data from working caregivers to older adults in the United States collected by the National Study of Caregiving (NSOC) (N = 1005). OLS regression is used to test the association with well-being and a moderating effect of gender. Results: Among working caregivers, five clusters emerged, referred to as: Day Off, Care Between Late Shifts, Balancing Act, Care After Work, and Care After Overwork. Among working caregivers, experienced well-being was significantly lower among those in the Care Between Late Shifts and Care After Work clusters relative to those in the Day Off cluster. Gender did not moderate these findings. Conclusion:The well-being of caregivers who split time between a limited number of hours of work and care is comparable to those who take a day off. However, among working caregivers balancing full-time work-whether day or night-with care presents a strain for both men and women. Implications: Policies that target full-time workers who are balancing care for an older adult may help increase wellbeing.

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“…In addition, a handful of states now offer modest tax credits for caregivers, and up to ten states are implementing paid family leave in the near future, which can cover caregiving duties for up to 12 weeks. Some in this population are eligible for unpaid family leave 42 . Other state‐level supports are family caregiver training and respite services, including those funded through the ACL‐administered FCSP.…”

Section: Introductionmentioning

confidence: 99%

COVID‐19: The Time for Collaboration Between Long‐Term Services and Supports, Health Care Systems, and Public Health Is Now

et al. 2021

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Policy Points To address systemic problems amplified by COVID‐19, we need to restructure US long‐term services and supports (LTSS) as they relate to both the health care systems and public health systems. We present both near‐term and long‐term policy solutions. Seven near‐term policy recommendations include requiring the uniform public reporting of COVID‐19 cases in all LTSS settings; identifying and supporting unpaid caregivers; bolstering protections for the direct care workforce; increasing coordination between public health departments and LTSS agencies and providers; enhancing collaboration and communication across health, LTSS, and public health systems; further reducing barriers to telehealth in LTSS; and providing incentives to care for vulnerable populations. Long‐term reform should focus on comprehensive workforce development, comprehensive LTSS financing reform, and the creation of an age‐friendly public health system. Context The heavy toll of COVID‐19 brings the failings of the long‐term services and supports (LTSS) system in the United States into sharp focus. Although these are not new problems, the pandemic has exacerbated and amplified their impact to a point that they are impossible to ignore. The primary blame for the high rates of COVID‐19 infections and deaths has been assigned to formal LTSS care settings, specifically nursing homes. Yet other systemic problems have been unearthed during this pandemic: the failure to coordinate the US public health system at the federal level and the effects of long‐term disinvestment and neglect of state‐ and local‐level public health programs. Together these failures have contributed to an inability to coordinate with the LTSS system and to act early to protect residents and staff in the LTSS care settings that are hotspots for infection, spread, and serious negative health outcomes. Methods We analyze several impacts of the COVID‐19 pandemic on the US LTSS system and policy arrangements. The economic toll on state budgets has been multifaceted, and the pandemic has had a direct impact on Medicaid, the primary funder of LTSS, which in turn has further exacerbated the states’ fiscal problems. Both the inequalities across race, ethnicity, and socioeconomic status as well as the increased burden on unpaid caregivers are clear. So too is the need to better integrate LTSS with the health, social care, and public health systems. Findings We propose seven near‐term actions that US policymakers could take: implementing a uniform public reporting of COVID‐19 cases in LTSS settings; identifying and supporting unpaid caregivers; bolstering support for the direct care workforce; increasing coordination between public health departments and LTSS agencies and providers; enhancing collaboration and communication across health, LTSS, and public health systems; further reducing the barriers to ...

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Beyond Parental Leave: Paid Family Leave for an Aging America

Abstract: This editorial comments on the article by https://doi.org/10.1111/jgs.15869

Cited by 8 publications

References 13 publications

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Work as overload or enhancement for family caregivers of older adults: Assessment of experienced well‐being over the day

COVID‐19: The Time for Collaboration Between Long‐Term Services and Supports, Health Care Systems, and Public Health Is Now

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