Assessed service utilization and cost impacts of a consolidated model of long-term care for functionally impaired elders. Compared to traditional long-term care, this model reduces hospital and nursing home stays, redistributes funds to broad range of community-based services, and reduces overall cost of long-term care. (Author/NRB)

Offers proposed definitions of "frail elderly" and "range of institutional care", and argues that an active problem-solving, treatment-oriented approach can reduce unnecessary institutionalization and that the movement to deinstitutionalize the elderly can learn from the history of the deinstitutionalization of other groups.…

Investigated 288 persons admitted to nursing homes for problems and problem management before admission. Found that multiple problems existed; primary caregivers were close family members. Extended family and friends were helpful, community resources were rarely used. Men were caregivers for nearly two-thirds as many persons as were women.…