TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Kaitlyn Friedman A2 - Joe Alper A2 - Laurene Graig TI - Building the Workforce We Need to Care for People with Serious Illness: Proceedings of a Workshop SN - DO - 10.17226/25789 PY - 2020 UR - https://nap.nationalacademies.org/catalog/25789/building-the-workforce-we-need-to-care-for-people-with-serious-illness PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The United States faces a significantly aging population as well as a growing share of the population that is living longer with multiple chronic conditions. To provide high-quality care to people of all ages living with serious illness, it is critical that the nation develop an adequately trained and prepared workforce consisting of a range of professionals, including physicians, nurses, social workers, direct care workers, and chaplains. To explore some of the key workforce-related challenges to meeting the needs of people with serious illness, the National Academies of Sciences, Engineering, and Medicine hosted a workshop on November 7, 2019. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Laurene Graig A2 - Joe Alper TI - Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness: Proceedings of a Workshop SN - DO - 10.17226/24908 PY - 2018 UR - https://nap.nationalacademies.org/catalog/24908/models-and-strategies-to-integrate-palliative-care-principles-into-care-for-people-with-serious-illness PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Palliative care is the interdisciplinary specialty focused on improving quality of life for people with serious illness and their families. This interdisciplinary care is provided by doctors, nurses, social workers, chaplains and others who work together with the patient's other doctors to provide an extra layer of support. Such care is appropriate for people at any age and at any stage in a serious illness, and can be provided together with curative treatment to address clinical, emotional, psychosocial and spiritual concerns of the patient and their family. To better understand how the principles of palliative care can be integrated into the overall provision of care and services to those facing serious illness, the Roundtable on Quality Care for People with Serious Illness held a public workshop in April 2017. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine TI - Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health SN - DO - 10.17226/25467 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25467/integrating-social-care-into-the-delivery-of-health-care-moving PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend – at least in part – on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council A2 - Kathleen M. Foley A2 - Hellen Gelband TI - Improving Palliative Care for Cancer SN - DO - 10.17226/10149 PY - 2001 UR - https://nap.nationalacademies.org/catalog/10149/improving-palliative-care-for-cancer PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - In our society’s aggressive pursuit of cures for cancer, we have neglected symptom control and comfort care. Less than one percent of the National Cancer Institute’s budget is spent on any aspect of palliative care research or education, despite the half million people who die of cancer each year and the larger number living with cancer and its symptoms. Improving Palliative Care for Cancer examines the barriers—scientific, policy, and social—that keep those in need from getting good palliative care. It goes on to recommend public- and private-sector actions that would lead to the development of more effective palliative interventions; better information about currently used interventions; and greater knowledge about, and access to, palliative care for all those with cancer who would benefit from it. ER - TY - BOOK AU - National Research Council AU - Institute of Medicine A2 - David H. Wegman A2 - James P. McGee TI - Health and Safety Needs of Older Workers SN - DO - 10.17226/10884 PY - 2004 UR - https://nap.nationalacademies.org/catalog/10884/health-and-safety-needs-of-older-workers PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Industry and Labor AB - Mirroring a worldwide phenomenon in industrialized nations, the U.S. is experiencing a change in its demographic structure known as population aging. Concern about the aging population tends to focus on the adequacy of Medicare and Social Security, retirement of older Americans, and the need to identify policies, programs, and strategies that address the health and safety needs of older workers. Older workers differ from their younger counterparts in a variety of physical, psychological, and social factors. Evaluating the extent, causes, and effects of these factors and improving the research and data systems necessary to address the health and safety needs of older workers may significantly impact both their ability to remain in the workforce and their well being in retirement. Health and Safety Needs of Older Workers provides an image of what is currently known about the health and safety needs of older workers and the research needed to encourage social polices that guarantee older workers a meaningful share of the nation’s work opportunities. ER - TY - BOOK AU - Transportation Research Board AU - National Academies of Sciences, Engineering, and Medicine A2 - Elizabeth Ellis A2 - Sue Knapp A2 - Jason Quan A2 - Will Sutton A2 - Marsha Regenstein A2 - Tariq Shafi TI - Dialysis Transportation: The Intersection of Transportation and Healthcare DO - 10.17226/25385 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25385/dialysis-transportation-the-intersection-of-transportation-and-healthcare PB - The National Academies Press CY - Washington, DC LA - English KW - Transportation and Infrastructure AB - Medical literature has identified transportation as a factor in missed and shortened dialysis treatments, which leads to negative health outcomes. These adverse outcomes include, among others, increased hospitalizations because patients do not receive their scheduled treatments. For public transportation agencies, dialysis transportation has become a critical concern as increasing numbers of individuals with end stage renal disease turn to their community’s public transit service for their six trips each week for dialysis.TCRP Research Report 203: Dialysis Transportation: The Intersection of Transportation and Healthcare responds to major concerns of public transportation agencies about the rising demand and costs to provide kidney dialysis trips and about experiences showing these trips require service more specialized than public transportation is designed to provide.The report documents the complicated relationship of two different industries—public transportation and healthcare, each with its own perspective and requirements—to highlight problems, identify strategies addressing concerns, and suggest options that may be more appropriate for dialysis transportation.The following additional materials accompany the report:• A Supplemental Report that includes, among other material, the literature review and results of the project’s surveys, as well as an assessment of the comprehensive data provided through the U.S. Renal Data System, which underlies the project’s forecasting tool.• A forecasting tool, which is the community data tool referred to in the report. The Excel forecasting tool enables communities to estimate (1) current and projected demand for public sector trips to kidney dialysis facilities, (2) current and projected costs for this transportation, and (3) potential decreases in the demand for, and cost of, public sector trips if home dialysis increases.• Info Brief 1 of 2 and Info Brief 2 of 2 capture the key findings of the research project. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Laurene Graig A2 - Kaitlyn Friedman A2 - Joe Alper TI - Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop SN - DO - 10.17226/26411 PY - 2022 UR - https://nap.nationalacademies.org/catalog/26411/integrating-serious-illness-care-into-primary-care-delivery-proceedings-of PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Approximately five percent of Medicare beneficiaries (2.2 million Americans) are living with serious illness, as are many other non-Medicare eligible individuals. This number is expected to grow rapidly as the population ages and the prevalence of progressive illness increases. In many communities, particularly urban and rural underserved communities, primary care clinicians are the main workforce caring for people with serious illness, which underscores the need to integrate high quality serious illness care into primary care delivery. To better understand the challenges and opportunities for integrating serious illness care into primary care settings, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Quality Care for People with Serious Illness hosted a virtual workshop on June 10 and 17, 2021. The workshop, titled Integrating Serious Illness Care into Primary Care Delivery, explored the shared principles of primary and serious illness care, the interdisciplinary teams that power both disciplines, the policy issues that can act as barriers to or incentives for integration, and best practices for integrating primary care and serious illness care. This Proceedings of a Workshop summarizes the presentations and discussions that occurred during the workshop. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council A2 - Tara Mainero TI - Strategies for Scaling Tested and Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop in Brief DO - 10.17226/21718 PY - 2015 UR - https://nap.nationalacademies.org/catalog/21718/strategies-for-scaling-tested-and-effective-family-focused-preventive-interventions-to-promote-childrens-cognitive-affective-and-behavioral-health PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Behavioral and Social Sciences AB - On April 1-2, 2014, the Board on Children, Youth, and Families of the Institute of Medicine and the National Research Council held a 2-day workshop to discuss the successes and challenges of scaling family-focused interventions. A range of settings involved in preventive family-focused interventions were highlighted, including primary care settings, schools, homes, and on the Web. Collectively this knowledge will be used to explore new and innovative ways to broaden the reach of effective programs and to generate alternative paradigms for strengthening families. This brief summary of the workshop highlights topics raised by presenters and participants. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Patricia A. Cuff A2 - Erin Hammers Forstag TI - A Design Thinking, Systems Approach to Well-Being Within Education and Practice: Proceedings of a Workshop SN - DO - 10.17226/25151 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25151/a-design-thinking-systems-approach-to-well-being-within-education-and-practice PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Education AB - The mental health and well-being of health professionals is a topic that is broad, exceptionally relevant, and urgent to address. It is both a local and a global issue, and affects professionals in all stages of their careers. To explore this topic, the Global Forum on Innovation in Health Professional Education held a 1.5 day workshop. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - Institute of Medicine A2 - Marilyn J. Field A2 - Richard E. Behrman TI - When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families: Summary DO - 10.17226/10845 PY - 2003 UR - https://nap.nationalacademies.org/catalog/10845/when-children-die-improving-palliative-and-end-of-life-care PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - This document is a brief summary of the Institute of Medicine report entitled When Children Die: Improving Palliative and End-of-Life Care for Children. Better care is possible now, but current methods of organizing and financing palliative, end-of-life, and bereavement care complicate the provision and coordination of services to help children and families and sometimes require families to choose between curative or life-prolonging care and palliative services, in particular, hospice care. Inadequate data and scientific knowledge impede efforts to deliver effective care, educate professionals to provide such care, and design supportive public policies. Integrating effective palliative care from the time a child's life-threatening medical problem is diagnosed will improve care for children who survive as well as children who die-and will help the families of all these children. The report recognizes that while much can be done now to support children and families, much more needs to be learned. The analysis and recommendations reflect current knowledge and judgments, but new research and insights will undoubtedly suggest modifications and shifts in emphasis in future years. ER - TY - BOOK AU - Institute of Medicine TI - Working Together: We Can Help People Get Good Care When They Are Dying DO - 10.17226/9798 PY - 2000 UR - https://nap.nationalacademies.org/catalog/9798/working-together-we-can-help-people-get-good-care-when PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Many people fear dying, many accept it as a simple fact of life, and many are unsure how to feel about death. Like our births, our deaths are unique to us but we should all feel loved and cared for when facing the end of life. It's clear that many dying people do not get good care simply due to the mindset of "they're dying, why bother?". It's important that we create a health care system that assures the dying not too little and not too much care. Working Together: We Can Help People Get Good Care When They Are Dying outlines the necessity of this health care system, how we should approach the development of said system, the current forms of care for dying people, as well as the issues with our current system. The book also features suggestions to ameliorate the situation. ER - TY - BOOK AU - Institute of Medicine A2 - Margie Patlak A2 - Laura Levit TI - Ensuring Quality Cancer Care Through the Oncology Workforce: Sustaining Care in the 21st Century: Workshop Summary SN - DO - 10.17226/12613 PY - 2009 UR - https://nap.nationalacademies.org/catalog/12613/ensuring-quality-cancer-care-through-the-oncology-workforce-sustaining-care PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The American Society of Clinical Oncology (ASCO) predicts that by 2020, there will be an 81 percent increase in people living with or surviving cancer, but only a 14 percent increase in the number of practicing oncologists. As a result, there may be too few oncologists to meet the population's need for cancer care. To help address the challenges in overcoming this potential crisis of cancer care, the National Cancer Policy Forum of the Institute of Medicine (IOM) convened the workshop Ensuring Quality Cancer Care through the Oncology Workforce: Sustaining Care in the 21st Century in Washington, DC on October 20 and 21, 2008. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Steve Olson TI - Training the Future Child Health Care Workforce to Improve Behavioral Health Outcomes for Children, Youth, and Families: Proceedings of a Workshop--in Brief DO - 10.17226/24789 PY - 2017 UR - https://nap.nationalacademies.org/catalog/24789/training-the-future-child-health-care-workforce-to-improve-behavioral-health-outcomes-for-children-youth-and-families PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - Childhood diagnoses of cognitive, affective, and behavioral disorders are increasing in both absolute numbers and as a proportion of the total childhood population in the United States, and they are imposing a large and growing burden on children, youth, and families. However, the adoption of evidence-based interventions that have proven effective in preventing and treating behavioral health disorders in children has been slow. A contributing factor for this slow adoption may be that current training in many fields involving the behavioral health of children is falling short of meeting their needs. To examine workforce development across the range of health care professions working with children and families, as well as to identify innovative training models and levers to enhance training, the National Academies of Sciences, Engineering, and Medicine held a workshop in November 2016. The main objective of the workshop was to examine the development and training of an integrated health care workforce that can promote family-focused behavioral health care for children and their families. This publication briefly summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Steve Olson A2 - Sarah M. Tracey TI - Training the Future Child Health Care Workforce to Improve the Behavioral Health of Children, Youth, and Families: Proceedings of a Workshop SN - DO - 10.17226/24877 PY - 2017 UR - https://nap.nationalacademies.org/catalog/24877/training-the-future-child-health-care-workforce-to-improve-the-behavioral-health-of-children-youth-and-families PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Behavioral and Social Sciences AB - Increasing numbers of evidence-based interventions have proven effective in preventing and treating behavioral disorders in children. However, the adoption of these interventions in the health care system and other systems that affect the lives of children has been slow. Moreover, with few exceptions, current training in many fields that involve the behavioral health of children falls short of meeting the needs that exist. In general, this training fails to recognize that behavioral health disorders are among the largest challenges in child health and that changing cognitive, affective, and behavioral health outcomes for children will require new and more integrated forms of care at a population level in the United States. To examine the need for workforce development across the range of health care professions working with children and families, as well as to identify innovative training models and levers to enhance training, the Forum on Promoting Children’s Cognitive, Affective, and Behavioral Health held a workshop in November 2016. Workshop panelists and participants discussed the needs for workforce development across the range of health care professions working with children, youth, and families, and identified innovative training models and levers for change to enhance training. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - Institute of Medicine A2 - Margie Patlak A2 - Erin Balogh A2 - Sharyl J. Nass TI - Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care: Workshop Summary SN - DO - 10.17226/13155 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13155/patient-centered-cancer-treatment-planning-improving-the-quality-of-oncology PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Each year approximately 1.5 million people are diagnosed with cancer in the United States, most of whom inevitably face difficult decisions concerning their course of care. Recognizing challenges associated with cancer treatment, the National Coalition for Cancer Survivorship (NCCS) and the National Cancer Policy Forum (NCPF) of the Institute of Medicine (IOM) hosted a public workshop in Washington, DC on February 28 and March 1, 2011, entitled Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care. This workshop summary includes an overview of patient-centered care and cancer treatment planning, as well as subject areas on shared decision making, communication in the cancer care setting, and patient experiences with cancer treatment. Best practices, models of treatment planning, and tools to facilitate their use are also discussed, along with policy changes that may promote patient-centeredness by enhancing patient's understanding of and commitment to the goals of treatment through shared decision-making process with their healthcare team from the moment of diagnosis onward. Moreover, Patient-Centered Cancer Treatment Planning emphasizes treatment planning for patients with cancer at the time diagnosis. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Margie Patlak A2 - Cyndi Trang A2 - Sharyl J. Nass TI - Establishing Effective Patient Navigation Programs in Oncology: Proceedings of a Workshop SN - DO - 10.17226/25073 PY - 2018 UR - https://nap.nationalacademies.org/catalog/25073/establishing-effective-patient-navigation-programs-in-oncology-proceedings-of-a PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with care coordination and access. Patient navigation is a community-based service delivery intervention designed to promote access to timely diagnosis and treatment of cancer and other chronic diseases by eliminating barriers to care, and has often been proposed and implemented to address these challenges. However, unresolved questions include where patient navigation programs should be deployed, and which patients should be prioritized to receive navigation services when resources are limited. To address these issues and facilitate discussion on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop on November 13 and 14, 2017. At this workshop, a broad range of experts and stakeholders, including clinicians, navigators, researchers, and patients, explored which patients need navigation and who should serve as navigators, and the benefits of navigation and current gaps in the evidence base. ER - TY - BOOK AU - Institute of Medicine A2 - Diana E. Pankevich A2 - Theresa M. Wizemann A2 - Patricia A. Cuff A2 - Bruce M. Altevogt TI - Strengthening Human Resources Through Development of Candidate Core Competencies for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa: Workshop Summary SN - DO - 10.17226/18348 PY - 2013 UR - https://nap.nationalacademies.org/catalog/18348/strengthening-human-resources-through-development-of-candidate-core-competencies-for-mental-neurological-and-substance-use-disorders-in-sub-saharan-africa PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - One of the largest treatment gaps for mental, neurological, and substance use (MNS) disorders in the world can be seen in Sub-Saharan Africa (SSA). According to the World Health Organization (WHO), about 80% of people with serious MNS disorders living in low- and middle-income countries do not receive needed health services. A critical barrier to bridge this treatment gap is the ability to provide adequate human resources for the delivery of essential interventions for MNS disorders. An international workshop was convened in 2009, by the .S. Institute of Medicine (IOM) Forum on Neuroscience and Nervous Systems Disorders and the Uganda National Academy of Sciences (UNAS) Forum on Health and Nutrition, to bring together stakeholders from across SSA and to foster discussions about improving care for people suffering from MNS disorders and what steps, with potential for the greatest impact, might be considered to bridge the treatment gap. Due to the broad interest to further examine the treatment gap, the IOM forum organized a second workshop in Kampala, Uganda on September 4 and 5, 2012. The workshop's purpose was to discuss candidate core competencies that providers might need to help ensure the effective delivery of services for MNS disorders. The workshop focused specifically on depression, psychosis, epilepsy, and alcohol use disorders. Strengthening Human Resources Through Development of Candidate Core Competencies for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa: Workshop Summary outlines the presentations and discussions by expert panelists and participants of the plenary sessions of the workshop. This summary includes an overview of challenges faced by MNS providers in the SSA, perspectives on the next steps, the 2009 workshop, and more. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council A2 - Louise Flavahan TI - Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences SN - DO - 10.17226/21756 PY - 2015 UR - https://nap.nationalacademies.org/catalog/21756/preventing-intimate-partner-violence-in-uganda-kenya-and-tanzania-summary PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Globally, between 15-71 percent of women will experience physical and/or sexual abuse from an intimate partner at some point in their lifetime. Too often this preventable form of violence is repetitive in nature, occurring at multiple points across the lifespan. The prevalence of intimate partner violence is on the higher end of this spectrum in East Africa, with in-country demographic and health surveys indicating that approximately half of all women between the ages of 15-49 in Uganda, Kenya, and Tanzania having experienced physical or sexual abuse within a partnership. It is now widely accepted that preventing intimate partner violence is possible and can be achieved through a greater understanding of the problem; its risk and protective factors; and effective evidence-informed primary, secondary, and tertiary prevention. To that end, on August 11-12, 2014, the Institute of Medicine's Forum on Global Violence Prevention, in a collaborative partnership with the Uganda National Academy of Sciences, convened a workshop focused on informing and creating synergies within a diverse community of researchers, health workers, and decision makers committed to promoting intimate partner violence-prevention efforts that are innovative, evidence-based, and crosscutting. This workshop brought together a variety of stakeholders and community workers from Uganda, Kenya, and Tanzania to engage in a meaningful, multidirectional dialogue regarding intimate partner violence in the region. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania summarizes the presentations and discussion of the workshop. ER - TY - BOOK AU - Institute of Medicine TI - Retooling for an Aging America: Building the Health Care Workforce SN - DO - 10.17226/12089 PY - 2008 UR - https://nap.nationalacademies.org/catalog/12089/retooling-for-an-aging-america-building-the-health-care-workforce PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Industry and Labor AB - As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs. ER - TY - BOOK AU - Institute of Medicine A2 - Jill Eden A2 - Katie Maslow A2 - Mai Le A2 - Dan Blazer TI - The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? SN - DO - 10.17226/13400 PY - 2012 UR - https://nap.nationalacademies.org/catalog/13400/the-mental-health-and-substance-use-workforce-for-older-adults PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - At least 5.6 million to 8 million--nearly one in five--older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all. ER -