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Report

Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

Report

Groundwater and Urban Growth in the San Joaquin Valley

By Andrew Ayres, Ellen Hanak, Henry McCann, David Mitchell ...

As the San Joaquin Valley addresses groundwater overdraft under the Sustainable Groundwater Management Act (SGMA), its urban utilities face unique challenges. Learn how to ensure a smooth transition for the region’s residents.

blog post

Bay Area Tops in Population Growth Rates

By Hans Johnson

For the first time since the 1860s, the Bay Area—long the slowest-growing urban region—is experiencing faster growth rates than any other region of the state.

blog post

What’s Next for California’s K–12 Enrollment?

By Julien Lafortune, Emmanuel Prunty, Vicki Hsieh

The statewide decline in K–12 enrollment is projected to accelerate over the next decade, though with significant variation across counties.

Policy Brief

Policy Brief: Factors and Future Projections for K–12 Declining Enrollment

By Julien Lafortune, Emmanuel Prunty, Stephanie Barton

California counties serving higher shares of low-income, English Learner (EL), and Asian, Black, and Latino students expect greater enrollment losses in coming years. In the past, schools that closed due to falling enrollment had more low-income and EL students as well as lower test scores than the rest of the district.

blog post

California’s Plunging Birth Rates

By Hans Johnson

The birth rate in California is at its lowest level in more than 100 years. We examine what is driving this trend and discuss some of the implications for our state’s future.

blog post

California’s Multilingual Population Is Driving TK–12 Enrollment Declines

By Laura Hill, Julien Lafortune

Amid ongoing overall enrollment declines in California's public school system, the trend for students who speak a language other than English at home is diverging from that for other students. This has significant implications for the funding and programs available to support English Learners.

Report

Key Factors in California’s Jail Construction Needs

By Magnus Lofstrom, Brandon Martin

Now that California has shifted responsibility for many criminal offenders to the counties, county jail systems face greater capacity challenges. This report highlights two important factors in addressing jail capacity constraints: aging jail facilities and long-term needs. We show that a number of facilities are old and likely in need of costly updates or replacement and that growth in the state’s population is likely to exert significant pressure on the county jail system. Our analysis suggests that a thoughtful combination of further jail construction and decreased reliance on incarceration is needed, given the magnitude of the current and future jail needs.

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