Found clientele of two comprehensive sociomedical home care programs to be similar to clientele of a traditional medical nursing program. The comprehensive programs did not have clientele with more problems and less adequate social supports. To serve their target clientele, these programs need more homemaker and personal services. (Author/ABB)

Describes the Canadian government's New Horizons program which sponsors projects begun and run by older adults. Shows how policy can assist the evolution of seniors' activities and can help seniors play active parts in society. Discusses the cost and benefits of such a program. (Author/ABB)

Alternatives to long-stay patient back-ups include building more beds of all types, changes in placement policies, and continuing hospital care for older adults. Manitoba's policies have resulted in redistributing the health dollar towards the geriatric patient. (JAC)