Pursuant to a legislative requirement, GAO provided information on
the Administration on Aging's (AOA) efforts to promote service
coordination for the elderly. GAO found that: (1) consistent with
the growth in the elderly population between 1980 and 1990, state
and federal programs serving the elderly grew rapidly, but AOA did
not keep pace with the growing coordination needs; (2) poor service
integration in many states hindered the elderly and their families
in obtaining services; (3) AOA substantially reduced information
dissemination and technical assistance activities, leaving state
and local governments on their own to develop ways to coordinate
services; (4) AOA did not maintain its knowledge base about state
and local advances in service coordination, resulting in a weakened
capacity to provide assistance; and (5) between 1981 and 1989, AOA
staff decreased from 252 to 162, travel funds decreased from
$238,000 to $45,000, and research and demonstration funding dropped
from $54 million to $26 million.
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