April 25, 2018

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The Shared Vision of Connecting Individuals and Families to Services and Supporting Family Caregivers

Accessing long-term services and supports (LTSS) at the community level for people with disabilities and older adults can be daunting. In response, states continue to refine their access system for all populations regardless of age, income or disability. The ADRC/No Wrong Door (NWD) system addresses the existing fragmentation and supports the need for early community-based interventions. A state NWD System is a network of community-based organizations and state agencies that manage access functions and processes for many of the services older individuals, people with disabilities and caregivers, including Veterans, need to maintain quality living in the community. The Lifespan Respite approach is fully aligned with this philosophy – to promote collaboration among stakeholders with the goal of improving access to respite services for family caregivers.

Joseph Lugo, Administration for Community Living, provided an overview of the No Wrong Door system, its evolution, and upcoming next steps. He discussed where NWD intersects with Lifespan Respite Care Program and the opportunities for collaboration. Presenters from two state Lifespan Respite grant programs provided examples of how their grant activities have been embedded in or interact in collaboration with their No Wrong Door systems, with concrete examples for implementation.


Administration for Community Living (ACL)

  • Joseph Lugo, Manager of ADRC/NWD, Office of Consumer Access and Self-Determination, Administration for Community Living, Washington, D.C.


  • Cheyenne Pasquale, Planning Chief I – Planning, Advocacy, and Community Services Unit, Aging and Disability Services Division, Nevada Department of Health and Human Services, Las Vegas, NV

New York

  • Jennifer Rosenbaum, Assistant Director, Division of Policy, Planning, Program, and Outcomes, New York State Office for the Aging, Albany, NY
  • Deana Prest, Aging Services Program Analyst 3, Division of Policy, Planning, Program, and Outcomes, New York State Office for the Aging, Albany, NY
  • Doris Green, New York State Caregiving and Respite Coalition, Rochester, NY


No Wrong Door Website

VideoPerson-Centered vs System-Centered With Beth Mount (referenced in Joseph Lugo’s Presentation)

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