Bridging network divides: Building capacity to support aging with disability populations through research

Abstract

Federal and state efforts to rebalance long-term services and supports (LTSS) in favor of home and community-based over institutional settings has helped create structural bridges between the historically separated aging and disability LTSS networks by integrating and/or linking aging and disability systems. These changes present new opportunities to study bridging mechanisms and program related outcomes at national and local levels through federally sponsored LTSS initiatives termed Rebalancing programs. Rebalancing programs also offer opportunities to explore and understand the capacity of LTSS networks (age integrated or linked aging and disability systems) to serve aging with disability populations, persons who live with long-term chronic conditions or impairments such as multiple sclerosis, spinal cord injury, intellectual or developmental disabilities. To date, there is limited evidence-based LTSS program and practice knowledge about this heterogeneous population such as met and unment need or interventions to support healthy aging. Efforts that center on bridging the larger fields of aging and disability in order to build new knowledge and engage in knowledge translation and translational research are critical for building capacity to support persons aging with disability in LTSS. Generating the investment in bridging aging and disability research across stakeholder group, including researchers and funders, is vital for these efforts.

A scoping review to characterize bridging tasks in the literature on aging with disability

“…The implemented search resulted in an initial 12,562 articles being identified with 49 ultimately being included for analysis [3,7,8,. Fig.…”

“…The literature on aging with a disability has called for bridging activities to address separated knowledge bases, service systems, and policies, for individuals living with disability and older adults [7], and there are examples of policy changes, particularly in the US, spurring bridging of aging and disability networks. In 1999, the Olmstead decision of the US Supreme Court supported the rights of individuals of all ability levels to live in the community.…”

“…In 1999, the Olmstead decision of the US Supreme Court supported the rights of individuals of all ability levels to live in the community. Bridging in this scenario was the policy change, where age-and disability-related groupings were disassembled to create policies reflecting needs of all individuals [7]. Additionally, the formation of the Administration on Community Living in the United States represented a clear example of changing organizational structures that may contribute to the degradation of silos separating aging and disability services [7].…”

“…Bridging in this scenario was the policy change, where age-and disability-related groupings were disassembled to create policies reflecting needs of all individuals [7]. Additionally, the formation of the Administration on Community Living in the United States represented a clear example of changing organizational structures that may contribute to the degradation of silos separating aging and disability services [7]. This led to other bridging initiatives in the US, including the expansion of shared resources through centers such Aging and Disability Resources Centers [8].…”

The Relationship between Institutional Environment and Enterprise’s Technology Innovation Performance——The Visual Angle Based on MOA Theoretical Model

“…It has created a good interactive environment for enterprise technological innovation and economic and talent exchange [23]. Social capital includes social trust, social organization, social participation and so on.…”