Childcare providers experience a variety of mental and physical challenges that impact their personal wellbeing as well as the quality of care they provide for children. Rural family childcare (FCCH) providers--an individual who professionally provides care to children within their home--may especially need resources to support their physical and…

Home care staff who provide housekeeping and personal care to individuals with dementia generally have lower levels of dementia care training compared with other health care providers. The study's purposes were to determine whether the professional role of home care staff in a predominantly rural region was associated with preferences for delivery…

Background: Previous research has indicated positive effects of early developmental intervention (EDI) on the development of children in developing countries. Few studies, however, have examined longitudinally when differential treatment effects may be observed and whether differential outcomes are associated with exposure to different risk…

Context: Availability of Medicare-certified home health care (HHC) to rural elders can prevent more expensive institutional care. To date, utilization of HHC by rural elders has not been studied in detail. Purpose: To examine urban-rural differences in Medicare HHC utilization. Methods: The 2002 100% Medicare HHC claims and denominator files were…

A training program taught community people to work with parents of rural preschool children at risk for handicaps. Paraprofessionals received nine days of preservice instruction and a weekly inservice session on such topics as child development, assessment, and teaching strategies. Results have shown positive signs in children, parents, and…

Community care-givers can be identified by social service agencies through their visibility in helping others in the community. Professionals must be aware of community needs through the continued identification of indigenous care-givers and the integration of these helpers into the service delivery system. (Author)

Readiness skills measured effects of no treatment, home based programs, formal preschool programs, and a combination of the latter two on 90 incoming kindergarteners. Conclusions indicate cooperative home/school bonds are important for improving preschool readiness skills and home based programs can provide important developmental experiences in…

This study identified specific access barriers to seven commonly used in-home and community-based services (CBS) and examined factors that were related to barriers to these services. The data used in this study were extracted from the 1999 National Long Term Care Survey and included 283 dyads of rural older adults and their caregivers. The CBS to…

Describes a program which addresses the needs of underserved handicapped children who live in isolated rural areas of Nevada. Covers the program's computer-assisted, home-based curricula and video-assisted, home-based assessment and instruction as well as evaluation methodology and results of preliminary child-progress data. (JHZ)

The Sensory Impaired Home Intervention (SKI*HI) Model provides services for rural, hearing impaired children at an average annual cost of $1,400 per child. Weekly home visits are provided by nearby or local part time parent advisors, thus minimizing travel costs and eliminating employment problems associated with long travel hours. (JHZ)

Describes a program that trains parents as support personnel in classrooms serving handicapped preschoolers, a program that combines computer technology and professional expertise to assist families without access to early intervention programs, and a program that uses parents to mediate an instructional program for handicapped children from birth…

Designed for rural areas in Washington state, the Early Childhood Home Instruction Program for Young Hearing Impaired Children (ECHI) provides an opportunity for hearing-impaired children and their families to receive individual training, acquire information, address concerns, and promote child development within the familiar surroundings of their…