Generations Journal

Generations Journal

Spring 2023

Looking in the Rearview Mirror and to the Road Ahead on Dementia & Living Well

Spring 2023

For persons living with dementia to live well throughout the course of the disease, we must embrace person-centered care.

By Douglas D. Pace

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Generations Journal

Spring 2023

The Power of Technology for Individuals Living with Dementia

Spring 2023

Ways to use technology have grown immensely across the past decades, and benefits for people with dementia are now being seen.

By Jack York

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Generations Journal

Spring 2023

Dementia-Friendly Initiatives for Individuals Living with Dementia, Care Partners, and Communities

Spring 2023

Prioritizing support and quality outcomes.

By Alice Bonner, Amy Walsh, Jody Shue, Grace Morton, and Terry Fulmer

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Generations Journal

Spring 2023

Promoting Healthy Aging to Reduce the Risk of Dementia: A Public Health Imperative

Spring 2023

A public health agenda that reduces dementia risk factors could yield governmental and healthcare savings and improve health and well-being.

By Janelle Gore, Benjamin Denno, John D. Omura, Matthew Baumgart, Lisa C. McGuire, and Kelly O'Brien

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Generations Journal

Spring 2023

Our Guest Editors: Dementia and Alzheimer’s Experts Share Varied Voices

Spring 2023

Deep experience with dementia and Alzheimer’s provide a perfect backdrop for how to live well with the conditions.

By Alison Biggar

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Generations Journal

Spring 2023

Direct Care Workers are the Foundation of a Dementia-Capable Workforce

Spring 2023

Offering four strategies for bolstering direct care workers’ contribution to dementia care.

By Kezia Scales and Laura M. Wagner

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Generations Journal

Spring 2023

Providing ‘Just Enough’ Support for Individuals to Live Well with Dementia

Spring 2023

One model addresses the interconnected concepts of person-centered care, living well, and well-being.

By Sam Fazio, Lauren Stratton, Chelsea Kline, and Sheila Molony

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Generations Journal

Spring 2023

Dementia Stigma: How to Stop Stymieing Solutions

Spring 2023

Eliminating misunderstandings will make it easier to support people’s ability to reduce their risk of dementia.

By Sarah Lenz Lock, Laura Mehegan, and Chuck Rainville

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Generations Journal

Spring 2023

Living Well as an Alzheimer’s Caregiver

Spring 2023

Lessons learned from a thoughtful and intensive approach to an Alzheimer’s diagnosis.

By Tom Allen

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Generations Journal

Spring 2023

Improving the Lives of People Living with Dementia and Their Caregivers

Spring 2023

Can you truly live well with dementia? This journal issue demonstrates that you can.

By Nora Super

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Generations Journal

Spring 2023

So, You Want to Build a Program?

Spring 2023

Guidance for caregiver service organizations to build and test translatable remote interventions.

By Kylie Meyer, Nancy McPherson, and Donna Benton

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Generations Journal

Spring 2023

Health Disparities in Long-Term Care for People Living with Dementia

Spring 2023

‘The changing demographics of older adults represents a unique opportunity to transform care for this cohort.’

By Lenise Cummings-Vaughn

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Generations Journal

Spring 2023

Early Detection of Dementia and the Goal of Population-based Care

Spring 2023

‘Practitioners need to know what and how to do early detection, and then how to add some simple, relevant next steps.’

By Soo Borson and Joshua Chodosh

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Generations Journal

Spring 2023

Trying My Best to Live Well with Dementia

Spring 2023

A first-person account of how Alzheimer’s disease has affected one woman’s life.

By Betsy Groves

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Generations Journal

Winter 2022–23

Our Guest Editor: Progressive Voice on Sexuality as We Age and in Long-Term Care

Winter 2022–23

Gayle Doll is never afraid to face the difficult questions head-on and find solutions.

By Alison Biggar

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Generations Journal

Winter 2022–23

Fifty Shades of Grey?

Winter 2022–23

Bringing clarity to a previously taboo topic.

By Gayle Doll

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Generations Journal

Winter 2022–23

Sexuality Has No Expiration Date

Winter 2022–23

‘We can’t solve the problems of aging and sexuality if we don’t address sexual injustices earlier in life.’

By Ricci Joy Levy

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Generations Journal

Winter 2022–23

The Times They Are A-Changin’ (Finally!)

Winter 2022–23

The Hebrew Home at Riverdale led the way with its 1995 sexual expression policy in LTC.

By Daniel Reingold

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Generations Journal

Winter 2022–23

The Sexual Consent Potential Model

Winter 2022–23

Describing an empowering view of sexual consent in people with dementia.

By Nathalie Huitema and Maggie Syme

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Generations Journal

Winter 2022–23

Sexuality in Australian Long-term Care

Winter 2022–23

A personal work journey and the road ahead to improve Australia’s approach to welcoming LGBTQI people in long-term care.

By Cindy Jones

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Generations Journal

Winter 2022–23

Older Black Women’s Narratives on Sexuality

Winter 2022–23

Recalling the lack of language for sexuality in the Black community and its impact on past experiences .

By Margaret Salisu

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Generations Journal

Winter 2022–23

Beyond the Binary: Bisexual Sexualities in Later Life

Winter 2022–23

The meaning and experience of bisexuality is unique across history and generations and may inform future understandings of sexuality.

By Sarah Jen

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Generations Journal

Winter 2022–23

I Saw it in the Movies: Accurate Representations of Older Adult Sexuality in Film

Winter 2022–23

Films may be becoming more realistic in their portrayals of elders in intimate relationships.

By Gayle Doll

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Generations Journal

Winter 2022–23

When Clinicians Have No Time, or Training, Sex Shops May Be the Answer

Winter 2022–23

Well-curated adult shops can serve as educational resources for older adults.

By Ellen Barnard

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Generations Journal

Winter 2022–23

Why We Need to Share Stories about Sex and Death

Winter 2022–23

Patients’ needs toward the end of life vary wildly, and without real knowledge of the person, healthcare interventions often fall very short.

By Elizabeth Anne Wood

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Generations Journal

Winter 2022–23

Death, Sex, and Older Partners: Moving to Pleasure

Winter 2022–23

Long experience with couples in therapy has led to decades’ worth of understanding of how sex works best for older adults.

By Stephen Duclos

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Generations Journal

Winter 2022–23

The Impacts of Social and Political Upheaval on Older Adults’ Sexuality: A Call to Action

Winter 2022–23

Longtime sex educator on why sexual pleasure can still be a radical, positive force.

By Jane Fleishman

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Generations Journal

Fall 2022

Social Connection in Older Age

Fall 2022

Interventions that can help older adults to remain connected and engaged.

By Edward Garcia

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Generations Journal

Fall 2022

Loss Beyond the Bedside

Fall 2022

Why palliative care is so much more effective toward the end of life than overmedicalized care.

By Christopher Kerr

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Generations Journal

Fall 2022

Advance Care Planning Among American Indian, Alaska Native, and Native Hawaiian Peoples

Fall 2022

Addressing uptake levels, barriers and potential solutions to ACP in Indigenous people.

By R. Turner Goins, Elizabeth Anderson, Emily Haozous, and Caitrin Doyle

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Generations Journal

Fall 2022

Prioritizing Health Equity in Palliative and End-of-Life Care

Fall 2022

Solutions for creating an equitable end-of-life experience for all elders, no matter their race, ethnicity, sexual identity, and socioeconomic status.

By Lisa Marsh Ryerson

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Generations Journal

Fall 2022

Does Faith Flourish or Falter at the End of Life?

Fall 2022

Earning the trust of African American elders in hospice and care at the end of life.

By Donna Gayles

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Generations Journal

Fall 2022

Resilience Through Retirement

Fall 2022

Connecting key aspects of resilience for a smoother transition into and through retirement.

By Tamara Statz

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Generations Journal

Fall 2022

The Intersection Between Substance Use in Older Adults and Palliative Care

Fall 2022

Answering the query ‘Why bother?’ treating substance use disorder at the end of life.

By Adam Rzetelny and Steven Passik

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Generations Journal

Fall 2022

The Therapeutic Potential of Psychedelic Medicine for Aging Populations

Fall 2022

Treating physical and mental health as the intertwined issues they are.

By Manish Agrawal

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Generations Journal

Fall 2022

Our Guest Editor: Laser-focused on Helping People Die With Meaning

Fall 2022

Guest Editor Carole Fisher’s mission to improve how we die and how we talk about death.

By Alison Biggar

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Generations Journal

Fall 2022

Finding Peace at the End of Life

Fall 2022

‘Our work is, in many ways, to come to terms with all that our life has been.’

By Mike Milward

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Generations Journal

Fall 2022

The Power of Intergenerational Connection

Fall 2022

Connecting to different generations can change how we approach death and dying.

By Maurya Cockrell

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Generations Journal

Fall 2022

The End-of-life Doula

Fall 2022

A primer on the role these professionals play at the bedside and for family members and caregivers.

By Merilynne Rush

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Generations Journal

Fall 2022

Death, Dying, and Grief Are More Than 5-Letter Words

Fall 2022

Grief is a universal experience that begs for conversation, but we have yet to normalize the discussion.

By Carole Fisher

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Generations Journal

Summer 2022

What’s Your Third Act?

Summer 2022

It’s time for elders to take action against the big money that supports fossil fuels.

By Bill McKibben

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Generations Journal

Summer 2022

The Give and Get of Climate Change Work

Summer 2022

How can older adults benefit from being involved and effecting real change?

By Richard Lent

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Generations Journal

Summer 2022

Living Faithfully on the Hinge of History

Summer 2022

Congregations can become a refuge for people processing grief over climate change and spur advocacy and action to halt it.

By Jim Antal

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Generations Journal

Summer 2022

Climate Change Hazards + Social Vulnerability = A Recipe for Disaster

Summer 2022

Climate justice must involve transgenerational, equitable action.

By Milanika S. Turner

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Generations Journal

Summer 2022

Why Aging Policy Must Include Climate Action

Summer 2022

ASA’s climate policy agenda will emphasize health policy and climate justice; emergency preparedness, response, and recovery; and volunteerism.

By Peter Kaldes

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Generations Journal

Summer 2022

How Do Climate Change Views Differ by Generation?

Summer 2022

‘Age differences in climate views loom large but need not pose a significant barrier to climate action.’

By Jennifer Marlon, Liz Neyens, Benjamin Everett-Lane, Seth A. Rosenthal, Edward Maibach, and Anthony Leiserowitz

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Generations Journal

Summer 2022

The Role of Elders in Saving Planet Earth

Summer 2022

Perspectives from a life-plan community.

By Robert M. Gettings

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Generations Journal

Summer 2022

Lessons from COVID-19: Improving Social Health to Build Community Resilience

Summer 2022

Local community relationships have proven to be a powerful protector during the pandemic and when disasters strike.

By Kasley Killam

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Generations Journal

Summer 2022

Reframing Aging and Climate Change

Summer 2022

Older adults are poised to contribute to climate change actions, but advocacy organizations need to step up recruitment and improve volunteer work.

By Manfred Diehl

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Generations Journal

Summer 2022

The Climate Crisis: What's Aging Got to Do With It?

Summer 2022

Recommendations on enticing older adults to join in solving the climate crisis instead of being its casualties.

By Mick Smyer

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Generations Journal

Summer 2022

Climate and Cultural Vulnerabilities of Indigenous Elders

Summer 2022

Nourishing futures of the golden age.

By Amelia AM Marchand

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Generations Journal

Summer 2022

Promoting Climate Change Activism Among Older People

Summer 2022

The barriers and opportunities facing older people who could be involved in climate change activism.

By Karl A. Pillemer, Julia Nolte, and Marie Tillema Cope

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Generations Journal

Summer 2022

Build to Last: Creating Age-Friendly, Eco-Friendly, and Climate Resilient Housing and Communities

Summer 2022

‘The concept of a 20-minute neighborhood illustrates an approach that is both age- and eco-friendly.’

By Ryan Frederick

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Generations Journal

Summer 2022

Combating Climate Change in an Era of Longevity

Summer 2022

How do we successfully rewrite the generational compact?

By Chenghao Wang, Jonas G. Miller, Robert B. Jackson, and Laura L. Carstensen

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Generations Journal

Summer 2022

Our Guest Editor: Clear-eyed but Positive Outlook on Affecting Climate

Summer 2022

Guest editor brings vast experience in aging to convince elders to act on climate causes.

By Alison Biggar

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Generations Journal

Spring 2022

The Media’s Response to COVID-19: Personal Reflections from the Frontlines

Spring 2022

‘Fair and balanced’ reporting can be anything but when non-experts are given platforms.

By Soledad O’Brien

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Generations Journal

Spring 2022

Reimagining and Transforming Long-Term Care

Spring 2022

The crucial link between equitable solutions and better outcomes for older adults and their families.

By Jean Accius and Edem Hado

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Generations Journal

Spring 2022

Geriatric Emergency Departments and Their Targeted Response to COVID

Spring 2022

GEDs responded with age-appropriate care in a model that can continue and hopefully replicate.

By Kevin Biese and Adrienne Lesser

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Generations Journal

Spring 2022

Mental Health Impacts of the COVID-19 Pandemic

Spring 2022

Suggestions for improving psychological care for older adults whose social isolation and loneliness skyrocketed.

By Katherine Ramos

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Generations Journal

Spring 2022

The COVID-19 Pandemic Crisis and its Impact on Long-term Care and Assisted Living

Spring 2022

Lessons learned from this public health crisis must bring about massive change in aging services.

By Ruth Katz and Katie Smith Sloan

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Generations Journal

Spring 2022

Older Adults Share Their Pandemic Experiences

Spring 2022

‘I have kids living in the area, but I couldn’t see them or touch them for five or six months.’

By Dr. Christine Himes Fordyce and Ginny Smith

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Generations Journal

Spring 2022

Elucidating Impacts, Navigating the New Normal in a Pandemic

Spring 2022

Exploring COVID-19 impacts via equity, diversity, and inclusivity lenses and proposing systemic solutions.

By Robin Mockenhaupt and Edna Kane Williams

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Generations Journal

Spring 2022

The Positive Impact of Public Health Engagement in Healthy Aging During the COVID-19 Pandemic

Spring 2022

One way to bolster any future public health response is coordination and collaboration between public health and age-friendly movements.

By Megan Wolfe, Jane Carmody, Nancy Wexler, Terry Fulmer, and J. Nadine Gracia

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Generations Journal

Spring 2022

The Economic Impact of the Pandemic on Older Adults

Spring 2022

Government response has been insufficient to mitigate the impact of a public health crisis that is compounding decades of exclusion and discrimination.

By Nikitra Bailey and Ashley Harrington

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Generations Journal

Spring 2022

COVID-19’s Impact on Community-based Long-Term Services and Supports

Spring 2022

‘Federal and many state public health responses to COVID-19 did not prioritize HCBS.’

By Susan C. Reinhard, Brendan Flinn, and Carrie Blakeway Amero

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Generations Journal

Spring 2022

The Political Determinants of Health and Health Equity in the Aging Population

Spring 2022

How does political action or inaction affect health outcomes and what can be done about it?

By Daniel E. Dawes, Michael Donnell, Christian Amador, Maisha Standifer, Mahia Valle, Sara Houston, Tonyka McKinney, and Nelson Dunlap

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Generations Journal

Spring 2022

View from the Nursing Frontline

Spring 2022

COVID-19 and the Acute Care of Older Adults

By Anne Schmidt

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Generations Journal

Spring 2022

Hard Lessons Learned and How to Move Forward as COVID-19 Persists

Spring 2022

These guest editors have the future firmly in mind and can envision a better one.

By Alison Biggar

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Generations Journal

Spring 2022

Covid-19 Vaccine Rollout for Elder Care Facilities: A Global Perspective

Spring 2022

Six lessons learned from 12 countries’ vaccine distribution to elder care staff and residents.

By Emi Kiyota

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Generations Journal

Spring 2022

The Impact of COVID-19 on Direct Care Workers

Spring 2022

Although deemed essential, the quality of direct care jobs falls short of their worth.

By Robert Espinoza

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Generations Journal

Spring 2022

The COVID-19 Pandemic in Midlife and Older Persons in Mississippi

Spring 2022

Multiple lessons learned in the state’s pandemic response can be used going forward.

By Dr. Chigozie Udemgba, Dr. Kina White, KenYada Blake-Washington, and Mary Shearrill

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Generations Journal

Spring 2022

Double Jeopardy: COVID-19 and Me

Spring 2022

One Black woman’s two-week hospital journey through COVID-19 and our healthcare system.

By Melanie L. Campbell

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Generations Journal

Winter 2021–22

Advocacy and the OAA: The Environment Is Very Different These Days

Winter 2021–22

‘Let’s not be ageist about the OAA!’

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Generations Journal

Winter 2021–22

Understanding the OAA’s Purpose and Role in the Modern Life of Older Adults

Winter 2021–22

New resources help state aging directors learn the history of the OAA and how it works.

By Martha Roherty

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Generations Journal

Winter 2021–22

Reflections on Title VII 30 Years Later

Winter 2021–22

A detailed, personal look at what’s in Title VII, what’s not, and what its funding covers.

By William F. Benson

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Generations Journal

Winter 2021–22

The Older Americans Act from the Inside: An Interview with Deputy Assistant Secretary for Aging Edwin Walker

Winter 2021–22

The OAA has never gotten the credit that it deserves.

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Generations Journal

Winter 2021–22

At Almost 60, It’s Time for a Life Review of the OAA as it Approaches Eligibility Age

Winter 2021–22

How will the OAA’s accomplishments match up to the increasing numbers of elders and lack of caregivers?

By Robert Applebaum and Athena Koumoutzis

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Generations Journal

Winter 2021–22

Doing Business: A Pathway to Coordination

Winter 2021–22

Why AAAs are busy contracting with community-based organizations, and how it's paying off.

By Sandy Markwood and Marisa Scala-Foley

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Generations Journal

Winter 2021–22

Title VI of the Older Americans Act: Past, Present, and Future

Winter 2021–22

‘In 2021, 282 Title VI grantees received more than $80 million in grant funding.’

By Cynthia LaCounte

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Generations Journal

Winter 2021–22

Vision: Meet Reality

Winter 2021–22

Elusive historical topic, combined with COVID-19 challenges meant a difficult shepherding of this edition.

By Richard Browdie

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Generations Journal

Winter 2021–22

The Older Americans Act: Looking Back and Thinking Forward

Winter 2021–22

The Act combines national policy aspiration and ambition in spreading services across America, plus optimism that our country can enable older adults age successfully in place.

By Richard Browdie

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Generations Journal

Winter 2021–22

Balancing Mission and Momentum

Winter 2021–22

Area Agencies on Aging address social determinants of health via healthcare contracting.

By Suzanne Kunkel

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Generations Journal

Winter 2021–22

Difficulties Demonstrating the Impact of OAA Programming and Glimmers of Hope

Winter 2021–22

Consumers, local providers, state agencies, and federal policymakers all want data about older adults being served.

By Heather L. Menne

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Generations Journal

Winter 2021–22

Success: An Original Area Agency on Aging at 50 Years

Winter 2021–22

SEVAMP embraced innovation as its guiding principle.

By John N. Skirven

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Generations Journal

Winter 2021–22

On the Older Americans Act and Why We Need to Pay Attention to History

Winter 2021–22

Nothing survives in public service without advocacy, maintaining a foundation, and learning what to do better.

By Alison Biggar

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Generations Journal

Fall 2021

Making it Work: Care, Blackness, and Generational Values

Fall 2021

For the second time in their generation, my aunts helped weave together a care plan that would become my inherited responsibility.

By Sade Dozan

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Generations Journal

Fall 2021

Care in the United States: Our Moment of Crisis

Fall 2021

One immigrant family’s story lays out the situation for many.

By Josephine Kalipeni

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Generations Journal

Fall 2021

Raising Revenue for Good Social Public Policy

Fall 2021

‘This is an opportunity to put people first through investments that are racially equitable, intentional, and moral.’

By Amanda Hollowell and Dominique Derbigny Sims

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Generations Journal

Fall 2021

Youth Caregivers: Before, During, and After the Pandemic

Fall 2021

The call to support care infrastructure as policy and practice presents a historic watershed moment for youth caregivers.

By Feylyn Lewis

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Generations Journal

Fall 2021

Altering the Narratives We Are Told to Benefit Caregivers and the Work They Perform

Fall 2021

Using story to divest ourselves from the American ideal of rugged individualism.

By Ishita Srivastava and Bridgit Antoinette Evans

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Generations Journal

Fall 2021

Pursuing Justice and Equity by Transforming How We Care

Fall 2021

‘Transforming care and caregiving will lead to a more just world, where everyone can age and thrive.’

By Alison Biggar

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Generations Journal

Fall 2021

Prison Is the Antithesis of Care: It’s Time to Invest in a Care Infrastructure Instead of a Carceral One

Fall 2021

'There are thousands of older adults in prison serving extensive sentences for crimes committed decades ago.’

By Ifetayo Harvey

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Generations Journal

Fall 2021

The Care Infrastructure: Building Across Movements

Fall 2021

Sustained advocacy could combat America’s short memory.

By Ai-jen Poo and Sade Moonsammy

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Generations Journal

Fall 2021

Centering BIPOC Voices Is the Only Way to Overhaul Our Care Infrastructure

Fall 2021

‘Paid family and medical leave could address many of the cultural and economic realities of today’s families.’

By Namatie Mansaray

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Generations Journal

Fall 2021

The Foundation of Care: Wages, Rights, Access, Equity, Housing and Safety

Fall 2021

As economic hurt hit the middle class, suddenly a new breed of activists were interested in issues that have always affected BIPOC women.

By Leng Leng Chancey and Erica Clemmons-Dean

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Generations Journal

Fall 2021

What’s Love Got to Do With It? An Argument Against Institutionalizing People with Severe Physical Disabilities

Fall 2021

Why does the bias remain toward placing severely disabled people in nursing homes, when community-based care is preferred, less expensive, and of better quality?

By Elaine Shelly

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Generations Journal

Summer 2021

Precarity in Later life: Understanding Risk, Vulnerability, and Resilience

Summer 2021

Aging in place may be the “ideal” held by the majority of older Americans, yet, for too many, it is an increasingly challenging, if not impossible, goal.

By Judith G. Gonyea and Amanda Grenier

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Generations Journal

Fall 2020

Partnering with Community Organizations to Address Older Adult Loneliness

Fall 2020

Introducing an effective, scalable, and sustainable approach to ameliorating loneliness

By Jeremy Nobel and Amy Poueymirou

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Generations Journal

Spring 2021

Care Management in Residential Settings: Added Benefit or Unnecessary Duplication?

Spring 2021

Does it make sense to require independent care management for individuals who live in residential settings such as assisted living and nursing facilities?

By Jennifer Heston-Mullins and Athena Koumoutzis

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Generations Journal

Fall 2020

Interventions that Work to Stem the Effects of Social Isolation and Loneliness

Fall 2020

Physical activity via social engagement can counteract decline in health caused by isolation.

By Dr. Sheldon Zinberg and Mike Merino

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Generations Journal

Spring 2021

Care Managers and Families: Providing the Right Support

Spring 2021

‘Family caregiving is so prevalent that often it is not recognized by society, nor by those providing the care.’

By Donna Benton

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Generations Journal

Fall 2020

Science into Practice: Effective Solutions for Social Isolation and Loneliness

Fall 2020

Being socially connected provides safety and security, buffers stress responses, aids emotion regulation, improves health behaviors, and improves access to resources.

By Julianne Holt-Lunstad, Ryan Layton, Bonnie Barton, and Timothy B. Smith

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Generations Journal

Spring 2021

What Do We (Still) Need to Know About Long-term Care Management?

Spring 2021

Evidence shows that care management programs have shifted the locus of care away from nursing homes and toward community settings.

By Howard B. Degenholtz

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Generations Journal

Winter 2020-21

Caring for Older Adults Post-incarceration

Winter 2020-21

Substance use disorders and multiple morbidities present a complex picture.

By Benjamin H. Han

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Generations Journal

Spring 2021

Care Management at 50: A Life Review

Spring 2021

‘Thinking about what care management can be is an important strategic step for the aging network.’

By Robert Applebaum

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Generations Journal

Summer 2020

Averting a Housing Crisis and Shining a Light on Inequities in Elder Housing

Summer 2020

‘I wanted to recognize the key role of the “shelters” in which most older adults live.’

By Alison Biggar

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Generations Journal

Winter 2020-21

What Can a Recovery Model for Alaska Natives Teach Us about Substance Use and Older Adults?

Winter 2020-21

The desire to be an Elder and pass on wisdom to the next generation could be a great motivator for maintaining sobriety.

By Jordan P. Lewis

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Generations Journal

Spring 2021

A Note of Appreciation to Two Women With Vision and Passion

Spring 2021

Imagining a different kind of long-term services system.

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Generations Journal

Summer 2020

Homelessness Among Older Adults: An Emerging Crisis

Summer 2020

Increasing affordable housing, using targeted prevention, and adding permanent supportive housing could decrease homelessness.

By Margot Kushel

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Generations Journal

Winter 2020-21

Caring for Aging Veterans with Alcohol Use Disorder and Multiple Morbidities

Winter 2020-21

Aging veterans with alcohol use disorder and multiple morbidities face a complex slate of needs.

By Aaron P. Greenstein, Haley V. Solomon, and Margo C. Funk

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Generations Journal

Summer 2021

Mitigating Homelessness Among Older Adults: Adapting the Permanent Supportive Housing Model

Summer 2021

Housing alone is not enough to address geriatric conditions in homeless older adults and improve their ability to age in place.

By Sonia Gupta Pandit and Rebecca T. Brown

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Generations Journal

Summer 2020

Building a Lifelong Community for All Ages

Summer 2020

How one Atlanta neighborhood banded together to support senior housing

By Kathryn Lawler and Cathie Berger

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Generations Journal

Winter 2020-21

Smokeless Tobacco Use in Older South and Southeast Asian Americans

Winter 2020-21

The need for screening and culturally responsive interventions is key with smokeless tobacco use.

By Benjamin H. Han

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Generations Journal

Summer 2021

Climate, Disasters, and Extreme Weather Events: Vulnerability, Resources, and Interventions for Lower-Income Older Adults

Summer 2021

Catastrophic disasters can be extremely disruptive and take months—if not years—to recover from.

By Alexis A. Merdjanoff

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Generations Journal

Summer 2020

Homeownership Among Older Adults: A Source of Stability—or Stress?

Summer 2020

Home ownership late in life can have financial and emotional benefits, thus policy that assists younger adults in home-buying should be developed and enacted.

By Christopher Herbert and Jennifer H. Molinsky

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Generations Journal

Winter 2020-21

Treating Substance Misuse in Older Adults Participating in PACE

Winter 2020-21

'The interventions seem to have improved Mr. F’s chances to live a full life, despite his tragic experiences.’

By Pamela Z. Cacchione

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Generations Journal

Summer 2021

The Crucial Role of Federal Nutrition Programs in Promoting Health Among Low-Income Older Adults

Summer 2021

‘Food insecurity is an issue of equity—significant disparities exist in the nation’s older population’s access to food.’

By Robert Blancato and Meredith Whitmire

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Generations Journal

Summer 2020

Can the Nation’s Housing Support a Population Seeking to Age in Place?

Summer 2020

A detailed overview of how America’s older adults are housed reveals significant challenges for this cohort’s ability to age in place—and to live safely, affordably, and well.

By Jennifer H. Molinsky and Christopher Herbert

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Generations Journal

Winter 2020-21

Training Future Leaders to Address Mental Health and Substance Use Issues in Older Adults—The Health and Aging Policy Fellows Program

Winter 2020-21

Fellows engage in policy work across a broad spectrum of fields, from elder abuse to community gardens to improving access to care for SUDs.

By Harold Alan Pincus, Kathleen M. Pike, and Brigitta Spaeth-Rublee

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Generations Journal

Summer 2021

An Opportune Moment for Socially Just Economic Strategies to Prevent Precarity

Summer 2021

‘It is poverty, disadvantage, and inequality that reveal how unequal aging is structured and experienced.’

Our Guest Editors
By Alison Biggar

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Generations Journal

Summer 2020

Averting a Housing Crisis and Shining a Light on Inequities in Elder Housing

Summer 2020

‘I wanted to recognize the key role of the “shelters” in which most older adults live.’

By Alison Biggar

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Generations Journal

Spring 2021

The Future of Care Management in the Aging Network: What Would Rosalie Say?

Spring 2021

The care manager’s mission was to do as much as a person needed without spending more than was required.

By Richard Browdie and Larry Polivka

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Generations Journal

Fall 2020

Battling Loneliness: The American Geriatrics Society’s CoCare: Hospital Elder Life Program

Fall 2020

Volunteers are a key component to the program, and it demonstrates a 95 percent satisfaction rate.

By Benjamin K. I. Helfand, Margaret Webb, Sharon K. Inouye, and Sarah L. Gartaganis

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Generations Journal

Spring 2021

Care Management in a World of Many Cultures

Spring 2021

‘Eye contact, spatial distance, touch, and non-touch are all important considerations when working across cultural and racial groups.’

By Norma D. Thomas and Raina León

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Generations Journal

Fall 2020

Designing a New Social Infrastructure to Combat Loneliness in Aging Adults

Fall 2020

Programs and designs for ameliorating loneliness need to match one of three specific varieties of the condition.

By Linda P. Fried

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Generations Journal

Spring 2021

Care Management in a Managed Care World: Can They Work in Concert?

Spring 2021

'Navigating services from two insurance plans and an assortment of LTSS providers can be very complicated, even for the most healthcare-savvy people.’

By Carrie L. Graham

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Generations Journal

Fall 2020

Seeking a Sense of Belonging

Fall 2020

Becoming an integral part of a community is a better solution for social isolation than many volunteer programs.

By Elena Portacolone, Julene K. Johnson, Jodi Halpern, and Ashwin Kotwal

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Generations Journal

Spring 2021

Straight from the Source: Consumers’ Take on Care Management

Spring 2021

‘Now I really believe in them and I really appreciate them.’

By Jennifer Heston-Mullins

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Generations Journal

Fall 2020

Healthcare’s Responsibility: Reduce Loneliness and Isolation in Older Adults

Fall 2020

Programming models from CareMore and Aspire Health, and many more.

By Robin Caruso, Shaden Marzouk, Serena Foong, and Vivek Garg

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Generations Journal

Spring 2021

The Demographics of Care Management

Spring 2021

Individuals with chronic conditions—congestive heart failure, diabetes, and COPD appear to be the best candidates for care management.

By Holly Dabelko-Schoeny and Sara A. Moss-Pech

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Generations Journal

Winter 2020-21

How Health Centers Engage Elders with Substance Use Disorder in Treatment

Winter 2020-21

Sharing wisdom with younger patients is a big part of the equation.

By Margaret Flinter

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Generations Journal

Spring 2021

A Tribute to Joan Litchfield Quinn (1937–2015)

Spring 2021

‘She didn’t covet her vision; she knew it was meant to be shared.’

By Molly Rees Gavin

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Generations Journal

Summer 2020

Our National Shame: Little to No Funding for Elder Abuse Prevention and Response

Summer 2020

By Kathy Greenlee

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Generations Journal

Winter 2020-21

Barriers Facing Older Adults with Substance Use Disorders in Post–Acute Care Settings

Winter 2020-21

Barriers facing older adults with opioid use disorder have only been exacerbated by the pandemic.

By Rossana Lau-Ng, Hollis Day, and Daniel P. Alford

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Generations Journal

Spring 2021

Researching, Reimagining How We Manage Care

Spring 2021

‘I experienced firsthand how difficult it is for older adults and those who support them to navigate the tangled web of aging policies and services, and to achieve positive outcomes.’

Our Guest Editors
By Alison Biggar

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Generations Journal

Summer 2020

Overcoming Inertia to Jumpstart Home Modifications for Aging in Place

Summer 2020

Improving timing and messaging around remodeling can help elders reap benefits and prevent further health issues.

By Louis Tenenbaum and Susan Kimmel

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Generations Journal

Winter 2020-21

Help for Primary Care Practitioners in Addressing Older Adult Alcohol and Opioid Use

Winter 2020-21

'From 2015 to 2016, 19 percent of older adults filled at least one opioid prescription.'

By Sebastian T. Tong, Elisabeth U. Kato, Mary P. Nix, and Arlene S. Bierman

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Generations Journal

Summer 2021

Addressing Health Equity for Older Adults at the Neighborhood Level

Summer 2021

‘Social determinants of health are strongly patterned by place.’

By Stephanie Robert and Meghan Jenkins Morales

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Generations Journal

Summer 2020

The Evolving Promise and Potential of the Granny Flat

Summer 2020

Accessory dwelling units, while evolving in design and use, continue to reshape communities to include older adults.

By M. Scott Ball and Kathryn Lawler

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Generations Journal

Winter 2020-21

Why Older Adults Should Quit Tobacco and How They Can

Winter 2020-21

Health improvements can be immediate, and multiple effective treatments exist.

By Lisa U. Nguyen and Timothy C. Chen

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Generations Journal

Summer 2021

The Diversity of Older Immigrants and Precarious Aging: Eligibility and Access to Public Benefits

Summer 2021

Immigrants have performed vital roles in building our nation and continue to be prominent contributors in strengthening America’s resilience and capacity.

By Trinh Phan and Gelila Selassie

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Generations Journal

Summer 2020

Falling Short: Federal Housing Assistance Is Failing Older Adults

Summer 2020

Federal housing assistance programs are not meeting the affordable housing needs of low-income elders: two potential solutions may mitigate this shortcoming.

By Linda M. Couch

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Generations Journal

Winter 2020-21

Something to Talk About: Reducing Risk in Alcohol Consumption Using Education and Conversation

Winter 2020-21

‘How much alcohol is too much alcohol for older adults?’

By Deborah S. Finnell

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Generations Journal

Summer 2021

The Importance of Social Security as an Equalizer

Summer 2021

Retirement wealth inequality is extreme—Black and Hispanic households have less than half the retirement wealth of White households.

By Wenliang Hou and Geoffrey T. Sanzenbacher

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Generations Journal

Summer 2020

The Meanings and Materialities of “Home” for Older People

Summer 2020

An exploration of the multiple ways in which home holds meaning and determines well-being as people age.

By Janine L. Wiles and Gavin J. Andrews

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Generations Journal

Winter 2020-21

Substance Use Is a Critical Health and Mental Health Issue for Older Adults

Winter 2020-21

Limited research on substance use among elders compromises uptake of evidence-based practices.

By Madeline A. Naegle and Benjamin H. Han

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Generations Journal

Fall 2020

Using Comedy Care to Curb Isolation and Loneliness Among Older Adults

Fall 2020

How laughter can crack the code to reaching elders with dementia.

By Dani Klein Modisett

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Generations Journal

Spring 2021

Care Management from the State Perspective: Issues, Challenges, and Improvements

Spring 2021

‘National estimates predict that 70 percent of people older than age 65 will need some form of LTSS in their lifetime.’

By Sonya Sanders and Bea Rector

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Generations Journal

Fall 2020

Preventing Social Isolation with Door-to-Door Transport

Fall 2020

Access to transportation is a vital prescription to stem the loneliness epidemic.

By Craig Puckett

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Generations Journal

Spring 2021

Care Management and Self-direction: Compatible?

Spring 2021

In self-direction, participants garner help from a counselor to think through ways to meet their needs for safely remaining in the community.

By Kevin J. Mahoney, Ellen K. Mahoney, and Susan Crisp

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Generations Journal

Fall 2020

Making That Critical Connection

Fall 2020

How Innovative Community Programs at Home and Abroad Address Food Insecurity and Social Isolation

By L. Carter Florence and Lowell Goodman

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Generations Journal

Spring 2021

How Does Care Management Interface with Behavioral Health?

Spring 2021

Substance misuse and use treatment admissions among older adults have steadily increased over the past decade.

By Namkee G. Choi and Nancy L. Wilson

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Generations Journal

Fall 2020

The Role of Early-Life Trauma in Social Isolation

Fall 2020

Reviewing risk factors in Black American caregiving families.

By Donna Benton and Elizabeth S. Avent

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Generations Journal

Spring 2021

A Day in the Life of a Care Manager—2020

Spring 2021

‘On the day of this diary entry, the care manager was serving a caseload of 124 clients.’

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Generations Journal

Fall 2020

Come Together—To Fight Social Isolation and Loneliness

Fall 2020

‘For most people social networks and support are also a foundational need.’

Our Guest Editors
By Alison Biggar

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Generations Journal

Spring 2021

The Core Elements of Care Management

Spring 2021

Care managers are responsive, skilled assessors of multiple domains of the client and family experience.

By Molly Rees Gavin

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Generations Journal

Winter 2020-21

Prevalence and Correlates of Methamphetamine Use Among Older Men Who Have Sex with Men in San Francisco

Winter 2020-21

This population’s needs are often overlooked given assumptions that older adults do not engage in substance use.

By Glenn-Milo Santos, Desmond Miller, Jennifer Jain, Akua Gyamerah, Erin Wilson, Willi McFarland, and Henry F. Raymond

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Generations Journal

Spring 2021

Remembering Rosalie A. Kane

Spring 2021

'She never ceased to press for improvement of both the quality of care and quality of life across settings.'

By Howard B. Degenholtz, Keren Brown Wilson, Larry Polivka, and Susan C. Reinhard

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Generations Journal

Summer 2020

Instead of Aging in Place, How About Trying to Age in the Right Place?

Summer 2020

From a financial and health perspective, aging near amenities in a safe house may trump aging in one’s longtime home.

By Karan Kaul, Laurie S. Goodman, and Alanna McCargo

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Generations Journal

Winter 2020-21

SBIRT-Plus: Adding Population Health Innovations to Enhance Alcohol Screening and Brief Intervention Effectiveness

Winter 2020-21

There is a rising prevalence of hazardous drinking among older adults, making them ripe for SBIRT-Plus programming.

By Thomas Babor

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Generations Journal

Summer 2021

Affordable Senior Housing Maintenance and Renovations, COVID-19, and the Precarity of Residents’ Health Safety

Summer 2021

Three case studies of protecting residents from COVID-19 during low-income senior building renovations.

By Tam E. Perry, Zach Kilgore, Michael Appel, Michele Watkins, Claudia Sanford, and Dennis Archambault

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Generations Journal

Summer 2020

A Solutions-Oriented Partnership Helps Metro Detroit Elders Stay Safe at Home

Summer 2020

Metro In-Home Solutions, a collaborative of four charitable organizations, accelerates home modifications for Detroit’s older adults.

By Yuliya Gaydayenko and Lynn Alexander

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Generations Journal

Winter 2020-21

Ethical Dilemmas in Counseling Older Adults on Cannabis Use: Less Science, More Quandaries

Winter 2020-21

‘Studies have shown the greatest increases in rates of cannabis use among older adults.’

By Arthur Robin Williams

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Generations Journal

Summer 2021

The COVID-19 Pandemic and Precarious Aging: The Importance of an Equity Response

Summer 2021

'Many in the media, as well as in government, resorted to politicizing the pandemic by placing the blame largely on individuals.’

By Marc A. Garcia, Adriana M. Reyes, and Catherine García

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Generations Journal

Summer 2020

Aging Better Together, Intentionally

Summer 2020

After independent living and senior housing, the third housing option could be cohousing, cooperative housing, or home sharing.

By Anne P. Glass and Lauretta Lawlor

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Generations Journal

Winter 2020-21

Can Innovative Technologies Improve Behavioral Health Care for Older Adults?

Winter 2020-21

Telehealth can benefit elders, but must be tailored to their needs.

By Alexis Kuerbis and Silke Behrendt

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Generations Journal

Summer 2021

A Tricky Balance: Medicare’s Affordability and Middle- and Lower-Income Beneficiaries’ Financial Stress

Summer 2021

‘Medicare beneficiaries’ needs have evolved more rapidly over the past six decades than has the Medicare program.’

By Amber Willink

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Generations Journal

Summer 2020

Financial Challenges at Older Ages—and the Implications for Housing Options

Summer 2020

Class, race, and education level can determine housing availability for older Americans, as income distribution demonstrates.

By Richard W. Johnson

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Generations Journal

Winter 2020-21

Substance Use Disorders in Older Adults: Overview and Future Directions

Winter 2020-21

Belonging to an older cohort decreased the probability of ever receiving treatment for a substance use disorder.

By Carlos Blanco and Isabella Lennon

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Generations Journal

Summer 2021

Precarious Aging: The Spatial Context of Racial and Ethnic Disparities in Economic Security

Summer 2021

The cost of remaining in one’s community intersects with life-course experiences and social identities to produce disparities in economic security at older ages.

By Jan E. Mutchler, Yang Li, and Nidya Velasco Roldán

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Generations Journal

Summer 2020

Housing: Often Overlooked but a Critical Pillar for Older Adults

Summer 2020

Why is housing a backburner issue, how does it determine health, what are the inequities and how might we fix it?

By Alisha Sanders

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Generations Journal

Winter 2020-21

Our Guest Editors

Winter 2020-21

Excess use of alcohol, use of tobacco and mind-altering drugs are poorly understood as health problems and highly stigmatized.

By Alison Biggar

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Generations Journal

Fall 2020

Staving off Loneliness, with a Social Robot?

Fall 2020

In trials, ElliQ tests well with users, who tend to bond with it.

By Danielle Ishak

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Generations Journal

Spring 2021

The Role of Care Management in a Changing Healthcare System

Spring 2021

Care management is one aspect of a multipronged approach needed to support individuals with complex care needs, including frail elders.

By Bonnie Ewald and Robyn Golden

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Generations Journal

Generations Journal is the quarterly journal of the American Society on Aging. Each issue is devoted to bringing together the most useful and current knowledge about a specific topic in the field of aging, with emphasis on practice, research, and policy.

Staff

Publisher: Peter Kaldes, Esq.
Editor-in-Chief: Leanne Clark-Shirley, PhD
Senior Editor: Alison Biggar

Editorial Advisory Board

Ruth E. Katz, Chair
Wendy Lustbader, Immediate Past Chair
Tobi Abramson
Orion Bell
Mary L. Flett
Sarah Galvan
Robyn L. Golden
Donna M. Lisi
Najja Orr
Winifred V. Quinn
Maaskelah Thomas
Laura Trejo

ISSN 2694-5126

Recent issues of Generations Journal

	Summer 2022 Aging and the Climate Crisis Guest Editor: Mick Smyer
	Spring 2022 Visions for Aging Post COVID-19 Guest Editors: Robin Mockenhaupt & Edna Kane Williams

Older Adults and Matters of Substance

Substance Use and Abuse Among Older Adults: Reality and Treatment Options

Substance Use: Implications for Health and Well-being

Tailoring Treatment and Recovery Programs to Older Adults

Inside Summer 2021 Generations Journal

Precarious Aging and Late-Life Poverty

Generations Journal