The Lasting Impacts of COVID-19 on Long-Term Care Expectations and Outcomes for High-Need Older Adults

Yulya Truskinovsky
Assistant Professor, Wayne State University


  • Emily Wiemers, Syracuse University


Documenting changes related to the pandemic in long-term services and supports and family care is crucial in understanding the immediate impact of COVID-19 on vulnerable older adults and for establishing a nationally representative baseline to study longer-run effects.  This pilot project will use data from the Health and Retirement Study to examine the effect of the COVID-19 on long-term services and supports and care decisions among older adults who need help with at least two activities of daily living (ADLs) or with probable dementia (high need older adults). 


  • Yulya Truskinovsky, Emily E Wiemers, Paid care among older adults with long-term care needs declined in the first year of COVID-19 while families stepped in, Health Affairs Scholar, Volume 1, Issue 4, October 2023, qxad040,
  • Truskinovsky, Yulya and Emily Wiemers. The Lasting Impacts of Covid-19 on Long-Term Care Expectations and Outcomes for High-Need Older Adults. Demography of Family Caregiving Network Meeting. May 2, 2022, Ann Arbor, MI.
  • National Institute on Aging. R01AG080583. The Effects of the COVID-19 Pandemic on Long-Term Care for High-Need Older Adults with and without Alzheimer’s Disease and Related Dementias. Role: PI