Home support services for the aged are emerging as a primary concern in the Title XX planning proposals put forth by states and localities. This is not surprising when one considers that Title XX guidelines require the setting of priorities among non-cash benefit programs that help insure the individual's self-sufficiency within his or her normal environment.

All services under Title XX must relate to one or more of five objectives for the individual client: economic independence; self care; prevention or remedy of neglect, abuse or other conditions which lead to dependence; intermediate community based care and, as a last resort if all else fails, assistance in obtaining institutional care. Title XX, however, will support only the referral function for the latter, not the institutional care itself. These five objectives constitute an unequivocal cost benefit policy mandate against higher levels of care.

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