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Efforts need to be made to recruit, train and retain a broad range of health care workers, including physicians, nurses, home care workers, and direct support professionals. Efforts to provide a livable wage for home care workers should be supported. We need to work with employers, state policy-makers, and legislators to improve the recruitment, training, and retention of this critical workforce.

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Website Links

(25) MapNH: http://citizenshealthinitiative.org/ mapnh-health

(26) Accountable Care Project: http://

citizenshealthinitiative.org/accountable-care-project

(27) NH Falls Reduction Task Force: http://www. nhfallstaskforce.org/wordpress/

(28) American Academy of Home Care Medicine:

http://www.aahcm.org

(29) Better Choices, Better Health Workshop: http:// www.snhahec.org/BetterChoicesBetterHealth.cfm

(30) Patient Aligned Care Team:www.manchester. va.gov/features/HPDP.asp

(31) NH AHEC: http://nhahec.org/

(32) New Hampshire J-1 Visa Waiver Program: https:// www.raconline.org/funding/3413

(33) Referral Education Assistance and Prevention

(REAP) Program: http://www.smhc-nh.org/services/ reap/

(34) NAMI NH: http://www.naminh.org/

(35) A New Perspective on living: http://www. dartmouth-hitchcock.org/palliative_care/new_ perspective.html

(36) Project Enable: http://promotingexcellence.org/ dartmouth/index.html

(37) POLST: http://www.healthynh.com/provider- orders-for-life-sustaining-treatment-polst.html

(38) NH Hospice and Palliative Care Organization:

http://www.nhhpco.org/

(39) Massachusetts Association of Community Health Workers: http://www.machw.org

(40) Penn Center for Community Health Workers:

http://chw.upenn.edu/collaborate

(41) Dartmouth Centers for Health and Aging: http:// prc.dartmouth.edu/car/

(42) San Diego Technology and Aging Coalition: http:// www.agetechsd.org/

(43) Respecting Choices:

Success across the other five Elder Health domain areas will rely heavily on the activation of effective advocacy for elder issues. Advocacy helps inform and educate policy makers, allows individuals to have their voices heard, builds stronger communities, and allows people to live more fulfilling lives. Successful advocacy helps build and maintain social movements. The hallmark of successful social movements is that they are broad based, have support from constituents who are representative of the vulnerable population, and garner support from individuals and/or organizations focused on the same specific political or social issue.

While each generation of Americans face a different set of economic, political, and social conditions, the “Traditional” generation (1922–1945) and the “Baby Boomers” (1946 –1964) witnessed and participated in some of the greatest social changes in the country’s history, including the Civil Rights, Anti-War, Disability Rights, Women’s

Rights, and LGBT Rights movements. Despite these revolutionary civil rights movements, advocacy related to seniors’ issues has not kept pace with the changes needed for our aging population. As the baby boom generation ages, the time is right for the development of a social movement to support the rights of older adults. However, without a strong grassroots advocacy network for older adults, a social movement will never get off the ground, making reform less likely. The need for strong advocacy related to aging issues is of particular importance for New Hampshire, because it is one of the oldest and fastest aging states in the nation (US Census, 2014).

Despite pervasive age discrimination, older adults have not engaged in a collective action that could be labeled as a rights-based movement. Rather, advocacy efforts have been led by service providers and professionals and have, therefore, focused on obtaining benefits and services. While

ADVOCATES FOR ELDER ISSUES