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American Indian Elderly And Long-Term Care : Interorganizational Barriers To The Use Of Oregon's Home And Community-Based Medicaid Waiver, Jo Lynn Isgrigg

Dissertations and Theses

Developing culturally supportive long-term care services for Native American elderly has gained increasing attention on the federal level. On the state level, Oregon's Senior and Disabled Services Division (SDSD) possesses a federal Medicaid waiver that allows for the development of home and community-based long-term care services. While this waiver is culturally neutral, its value is that it would allow tribal governments within Oregon to develop their own culturally supportive home- and community-based services, yet none have done so.

The purpose of this study was to determine why senior service agencies of tribal governments within Oregon have not participated in the …