Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services

Ombudsman Program Advocacy

Responding to Allegations of Abuse: Role and Responsibilities of Long-Term Care Ombudsmen Technical Assistance (TA) Guide (April 2014)
This technical assistance (TA) guide discusses how LTC Ombudsmen can respond to allegations and observations of abuse, neglect and exploitation when the resident does not or cannot give consent to pursue the complaint. In the absence of resident consent, ombudsmen can take other actions to adhere to disclosure requirements and work to ensure the resident receives quality care and is protected from harm. This guide reviews the federal requirements regarding complaint investigations and disclosure, highlights statements from the Administration on Aging, and provides advocacy strategies and additional resources. 
 
State LTCO Program Policies, Procedures and Practices (April 2014)
This resource supplements the TA Guide titled “Responding to Allegations of Abuse: Role and Responsibilities of Long-Term Care Ombudsmen” and provides examples of statewide LTCO program policies, procedures and practices regarding responding to complaints involving abuse.

Ombudsman Advocacy in Assisted Living/Board and Care: Past, Present and Future (October 2013)
This session from the 37th annual Consumer Voice conference asks and answers the questions: Ombudsman programs are required to provide services in assisted living and board and care facilities, but how fully engaged are they in that setting? What are the barriers for those programs that are not as active? What strategies are used by LTCO programs that are more active? How can ombudsman programs be present and effective in this setting?

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Role and Responsibilities of Long-Term Care Ombudsmen Regarding Systems Advocacy (Quick Reference Guide) (March 2013)
The Older Americans Act (OAA) outlines the responsibilities of the State and their Long-Term Care Ombudsman Programs (LTCOPs), clearly stating that the primary role of Long-Term Care Ombudsmen is to serve as resident advocates. Ombudsmen are charged with serving as the resident advocate in response to individual complaints as well as advocating for the concerns of residents and need for change on a systems level. This quick reference guide will briefly define systems advocacy, review the federal mandate and support for systems advocacy work by Ombudsmen, define several systems advocacy strategies, share examples of Ombudsmen involved in systems advocacy and provide resources for additional information.

Ombudsman Best Practices: Using Systems Advocacy to Improve Life for Residents (June 2002)
This paper provides a framework for engaging in systems advocacy on behalf of long term care residents. It discusses the LTCOP’s responsibility and role in changing systems on behalf of residents in the Guidance for Systems Advocacy section. The Tips for Sanity and Success section describes basic principles for systems advocacy, i.e. strategies and approaches, and key questions for each stage in the process. Real World Examples gives “real life” examples of systems advocacy and discusses program policies and requirements that support such advocacy. A final list of reminders of decision points which can make or break systems efforts is the Essential Elements section.

Strategy Brief: The Ombudsman Program and Caregiver Support
The information presented in this document is based on promising practices identified by state ombudsmen in response to an email sent to all programs in May, 2006 and information provided during the National Dialogue Forum. The National Dialogue Forum consisted of two teleconferences held on May 16 and 18, 2006.

Strategy Brief: Ombudsman Program Advocacy in Guardianship (May 2006)
This report presents promising practices and strategies used by ombudsmen concerning guardianship and alternatives to guardianship for nursing home residents with limited decision-making capacity and no surrogate decision-maker. Included are discussion highlights from National Dialogue Forum #4 convened by the National Association of State Units on Aging (NASUA) on the topic in June 2005. This was the fourth in a series of Forums NASUA convened on challenging issues facing State Long-term Care Ombudsmen. Also included is information gathered from an email solicitation to all programs in May 2005 in preparation for two conference calls. (This is a large file - 800 KB. It may take a few moments to download.)

Strategy Brief: Ombudsman Program Responses to Diversity (September 2005)
This report presents promising practices and strategies used by ombudsmen serving diverse resident populations. Included are discussion highlights from National Dialogue Forum #3 convened by the National Association of State Units on Aging (NASUA) on the topic. This is the third in a series of Forums NASUA has convened on challenging issues facing State Long-Term Care Ombudsmen.

The Consumer Guide for Advancing Excellence in America’s Nursing Homes
The Advancing Excellence in America’s Nursing Homes Campaign has released a new resource to helps consumers get involved in improving the quality of nursing homes; the guide contains ideas and resources to help residents, family members, citizen advocacy group members, ombudsmen and others get involved and increase their participation in the campaign at both nursing home and state levels.

Click here to visit the NORC Systemic Advocacy Webpage

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