LTSS Focus Areas

LTSS Focus Areas
Tribal Nursing Home

People who need long-term care require different types of LTSS. For example, those nearing the end of life may need hospice care. Caregivers may also need support while providing long-term care, which can cause stress that affects their wellbeing.

To help you navigate these needs, the LTSS Focus Areas section offers research on LTSS for specific groups or needs.

Traditional Foods in LTSS

Providing access to traditional foods in long-term care settings may improve elders’ physical, mental, emotional, and spiritual health. Traditional foods, including salmon, venison, squash, and beans, can provide nutrition and cultural connection. They can also help bring elders back into the larger community and support sustainable hunting, gathering, and agriculture.

Learn more about traditional foods in LTSS


Hospice and palliative care

Providing compassionate care for those nearing the end of life is a growing LTSS need. Learn more about end-of-life care and review examples of hospice programs that serve Indian Country.

Learn more about hospice and palliative care


Caregiver support

Promoting the health and wellbeing of caregivers is an important part of long-term care. Learn more about supporting caregivers in Indian Country, including examples of successful tribal caregiver support programs.

Learn more about caregiver support


LTSS for Native Veterans

Native Veterans often face challenges accessing care. Tribal LTSS programs can help connect Native Veterans with long-term care. See how other tribes are addressing this need.

Learn more about LTSS for Native Veterans


Elder abuse prevention

By raising awareness and engaging the community in preventing elder abuse, tribes can help ensure elders are honored and protected. Read more about tribal elder abuse prevention efforts.

Learn more about elder abuse prevention


Tribal nursing homes

Tribal nursing homes can provide culturally appropriate long-term care for AI/AN people while keeping them close to home. See best practices from tribal nursing homes on a variety of topics, from providing trauma-informed care to incorporating traditional foods. Also, learn more about Uniting Nursing Homes in Tribal Excellence (U.N.I.T.E.), a tribal nursing home collaborative.

Learn more about tribal nursing homes



Providing LTSS for people with dementia requires special considerations. Learn more about diagnosing dementia and providing care for those with dementia in Indian Country.

Learn more about dementia


Emerging LTSS issues

Find research on several key LTSS issues, including LTSS for people with disabilities and funding for home- and community-based services.

Learn more about emerging LTSS issues


Program examples

Profiles of tribal LTSS programs offer real-life examples of how tribes successfully provide LTSS in their communities through diverse tribal and intertribal programs.

View program profiles



Page Last Modified:
04/15/2024 02:37 PM