Describe some long-term care trends that have resulted in older people receiving services outside of nursing homes. What societal and policy factors have contributed to these shifts? Discuss the options for a client who does not want to move to retirement housing and instead prefers to remain in the large, mortgage free home she has lived in for 40 years but can no longer maintain. What are some of the options available to this client? Consider these alternatives in light of the various socioeconomic factors.