Describe some long-term care trends that have led to older people receiving services in places other than nursing homes. What societal and policy factors contributed to these changes? Discuss the options for a client who does not want to move to retirement housing but instead prefers to remain in the large, mortgagefree home she has lived in for 40 years but can no longer maintain. What alternatives might this client have? Think about these options in light of the various socioeconomic factors.