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0 individuals aged 85+ are the fastest growing segment of the population. 0 By the year 2020, 0% of our national population is expected to be age 65 or older. Baby boomers are increasingly joining the ranks of the senior population. This generation, accustomed to the values of choice and autonomy, will expect to have options from which to choose that enable thorn to continue living independently and in their own homes. 'fA1 The basic maintenance /custodial supports that can assist elders to continue living at home as they age are often unavailable or unaffordable in many communities — especially in rural areas. There is growing evidence that elders are at heightened risk for health problems due to increased social isolation and the grief and depression that results from the loss of physi- cal abilities and close relationships. • A recent Harvard University study found that elders who actively involve themselves in social activities live an average 2 1/2 years longer than more reclusive people and enjoy a reduced incidence of dementia. The study also noted that simply meeting with other people Haight offer as great a benefit as regular exercise. Studies at the national and state level indicate that 20 to 30 percent of eiders in nursing homes would not need to be there if appropriate supports were available in their homes. it Upon placement in a nursing home, the average elder's income and assets are depleted within 6 months. Assisted living facilities are becoming more popular: but the expense of these facilities its the number of people who can realistically gain access to quality care. Medicare restrictions limit health care reimbursement for seniors with moderate incomes and those with treatable chronic conditions, leaving significant 64gaps" in the system of care The health care system is designed to emphasize treatment of illness /injury and less on health maintenance /disease prevention. The importance of providing earl -are and intervention is minimized. By failing to acknowledge the benefits at is proactive and preventative, opportunities to support an elder's capacity rs o missed. Effective interventions that could have been implemented early h � � w Ling health problems from either occurring or worsening --are not done. Oftdn, a ar r: "'.suit r s:.P r..:.. health problem is then created that escalates costs and diminishes quality-of]