This graduate seminar provides a comprehensive overview of the philosophy, theory and practice of long-term care focusing on the manner in which such care is evolving in an aging society. The full range of long-term care options are considered including the design of supportive communities that support individual autonomy and reduce the need for long-term care, home and community based long-term care, family care, transitional options for long-term care support, and the full array of residential and institutional alternatives. Emphasis is placed on changing care recipient and caregiver needs along the long term care continuum. Critical perspective is provided on contemporary issues in long-term care including ethical and legal concerns, financing and public policy.