Connect & Follow Us

Behavioral Health Primary Care Integration


Learning Collaborative Members

An Integrated Care Playbook: Lessons from the Behavioral Health-Primary Care Integration Learning Collaborative

Center for Long-Term Care Reform

The Bridge Model

Center for Public Health Equity

Recent Work

Legislative Tracking

Quentin D. Young Equity Project

Partners & Collaborations


Chicago Area Schweitzer Fellows Program

Application Process

Supporters and Partners

Current Fellows

Fellows for Life

Schweitzer Newsletters

Chicago Area Schweitzer Advisory Council

The Tarik F. Ibrahim Fellow

Leslie Nickels Schweitzer Fellow

Chicago Area Health Education Center (AHEC)

Trainings for Professionals

Volunteer Opportunities

Helpful Resources for Health Career Seekers

Chicago AHEC Internship Program

Court-Involved Youth

Recent Work & Activities

Resource Guide for Community Health and Social Service Providers

Freestanding Birth Centers

Health Reform and Safety Net Transformation

Recent Work

Chicago Forum for Justice in Health Policy

Research: Strengthening the Safety Net in Illinois After Health Reform

Governor’s Office of Health Innovation and Transformation

Health Care Workforce Initiatives

State Workforce Policy and Planning

Illinois ACEs Response Collaborative

Policy Briefs & Reports

Environmental Scan

Findings from the Illinois 2013 BRFSS

ACEs and Trauma Resources

Members of the Illinois ACEs Response Collaborative

Trauma-Informed Care - Best Practices Toolkit for Providers

ACEs Resource Library

Building Trauma-Informed Health Departments

Webinar Archive

Supporting Community Resilience

Make a Donation and support this program

Donate Now
Go Back

Center for Long-Term Care Reform

The Center for Long-term Care Reform promotes a just system of long-term services and supports that enables people to live according to their own goals and values, without exploiting others.

  • Overview
  • News
  • Events
  • Publications


In 2001, Health & Medicine created its Center for Long-Term Care Reform to work specifically on policy to promote the rebalancing of Illinois’ long-term care system for older adults in favor of home and community-based care.

Through its Center for Long-Term Care Reform, Health & Medicine has been centrally involved in all aspects of Illinois’ long-term care reform process, working closely with legislators, state agency leadership, advocates and providers in support of a long-term care system for older adults that is affordable, accessible, high-quality, adequate to meet needs, and predominantly home and community based.

In 2001, the Center convened bipartisan study groups to inform and educate a broad base of Illinois’ legislators about the need and potential for long-term care reform. In response to legislators’ insistence that their constituents were not concerned about long-term care, the Center conducted community forums around the state with older adults and their family members. The final report, “Illinois Residents Speak Out on Long-Term Care” (May 2004), demonstrated unequivocally that long-term care is a significant concern and priority issue for Illinois’ older adults and their caregivers.

The Center’s work helped set the foundation for the development and passage in 2004 of SB 2880, the Older Adult Services Act (OASA), which inaugurated an unprecedented process of systems change in Illinois, intended to “promote a transformation of Illinois’ comprehensive system of older adult services from funding a primarily facility-based service delivery system to primarily a home-based and community-based system.” The legislation also created the Older Adults Services Advisory Committee (OASAC) paving the way for a $63 million increase in state spending to support older adults wishing to remain in their communities rather than moving to nursing homes.

The Center has remained centrally involved ever since, serving on all of the OASAC committees and working closely with providers, advocates, policymakers, and legislators to provide the analysis, information, and perspective needed to advance an informed and person-centered reform agenda that makes home and community-based care the first option for all older adults with long-term care needs in our state. In that capacity, we have served as an advisor to the Illinois Department of Aging and other state leaders on aging issues across several administrations.


  • Phyllis Mitzen to Receive Lifetime Achievement Award

    Feb 26, 2014

    Phyllis Mitzen, part of our Center for Long-Term Care Reform team, will receive the Lifetime Achievement Award from the Illinois Chapter of the National Association of Social Workers on March 31, 2014.

  • Social Security: A View From the Margins

    Mar 26, 2014

    Dr. Martha Holstein (Health & Medicine consultant to the Center for Long-Term Care Reform) was asked by the Governmental Accountability Office to present about the practical and moral importance of Social Security - including proposed modifications - to retirees, especially to women and minorities.