Estimates the proportion of service and nonservice expenditures within a state aging department. In Massachusetts the ratio was $0.70 to $0.30 (service to nonservice) both for the state's Home Care Programs and for all activities. (JAC)

Describes the Massachusetts Home Care Corporation network, which provides alternatives to institutional long-term care. This investigation confirms that home-based support service can be targeted to selected subgroups, that targeting can be maintained, and that the recipients of these services are indeed the individuals who risk…

Describes a diversified approach to delivering home care to vulnerable older people. This pilot program, funded by the Massachusetts Department of Elder Affairs, attempted to reduce the demand for scarce homemaker services. Results suggest homecare diversification did not alter consumer satisfaction but increased manager time. (Author/JAC)

This article describes how the Visiting Moms Program in Chelsea, Massachusetts, has taken the paraprofessional model one step further to respond to the needs of refugee and immigrant new mothers, by employing paraprofessional home visitors who are also immigrants or refugees themselves from countries in Central America, South America, and…