Date of Award


Document Type


Degree Name

Master of Public Administration (MPA)

Program Name

Public Administration

Capstone Instructor

Dr. Elizabeth Keavney


The purpose of this paper is to test the hypothesis that policy making decisions based on a holistic model of care such as HOPES programming will result in more effective standards than telehealth services in reducing mental health issues in the elderly in both rural and urban areas. The paper outlines the method in which this hypothesis was investigated, including an analysis of aging statistics, legislative behaviors that include budgetary trends after the passage of the Affordable Care Act, and industry standards on care models both in the United States and abroad that provide the most effective methods of reducing mental health issues in the elderly. A review of both HOPES programs and telehealth delivery systems was given, including the impact of Medicare and Medicaid reimbursement systems, and an analysis of the impact of reduced budgets in comparison to an increase in consumption among this population. This paper concludes with a discussion regarding the implications of HOPES policy implementation as the most effective and ethical means of policy decision making regarding mental health service delivery models for the elderly because of both the subsequent cost savings found through ongoing, preventative services within the HOPES model, and through the ethical standards of care within collaborative care models found to improve the quality of life for elderly patients.



*Please note that this citation may not be appropriate for your discipline.
To locate the correct citation style for APUS programs and receive citation help, visit