A series of 6- to 10-week programs in creative collage were given to disabled elderly residents within a special care facility. The program stressed choice, decision making, and personal autonomy in the design process. Participants were involved in all stages of the creative process including exploration, manipulation, establishing a unity,…

Interviews with a random sample of 1,598 persons aged 65 years and older in 1975 with followups in 1984 provide information about the distribution between community and institutional care of urban elderly in Cleveland (Ohio). Support factors that enable persons to remain in the community are identified. (SLD)

Reviews the limited outcomes research on residential and inpatient psychiatric treatment of conduct disorder in elementary school children. Considers the literature on outcomes studies of outpatient treatment in conduct-disordered children and discusses the implications of these studies for a model of residential treatment. Outlines a…

Private, unregulated residential care facilities have become an increasingly important component of the continuum of housing and care for frail older adults in Canada. To date, this growing segment of the older population has received very little research attention. This study involved an in-depth examination of the functional/health profile,…

Terminology in the Global Assessment of Functioning (GAF) Scale of DSM-IV often is irrelevant to the realities of nursing homes, assisted living centers, and similar facilities in which residents encounter stressors that are unique to their living environment and circumstances. As the mental health needs of long-term care residents are…

Purpose: The purpose of this study was to examine the decision-making abilities of residents in assisted living regarding abuse and neglect. Design and Methods: Twenty-seven residents in assisted living facilities were recruited for this descriptive study. Participants were administered an interview to assess baseline knowledge of support…

In this article, the author describes the intergenerational service-learning program at South Scranton Intermediate School in Scranton, Pennsylvania. Currently in its fifth year of operation, the program was originated by William King, a former principal, as an attempt to develop a working relationship between Oakwood Terrace, an Alzheimer's care…

For the past two decades, economic influences have significantly impacted the provision of health and welfare services for children, young people and their families in communities around the world. The dynamic of cost has reshaped both the nature and provision of group care services, promoting de-institutionalization and transforming the nature of…

Using prompting and reinforcement procedures, five severely retarded individuals were trained and employed as client care workers to provide verbal and physical interaction and leisure materials to nonambulatory, multiply=handicapped residents of a mental retardation facility. Levels of interaction equalled or exceeded those displayed by exemplary…

Changing client needs are reflected in the transition process as a residential institution serving mentally retarded older adults moves from a program designed for active client participation to one providing 24-hour nursing supervision and care. Issues such as certification requirements, physical plant adjustments, and staffing needs are…

Presents a brief overview of the development of Israel's heavy dependency on residential placement for child welfare. Recent trends reflect heavier reliance on community-based servcies for disadvantaged youth, but efforts to coordinate and improve such services are only beginning. (KH)

The impact of inservice generated staff knowledge changes on the behavior of 42 mentally retarded adults was assessed. Findings demonstrated an effective time-efficient means of collecting client behavior change data, as well as a 51 percent growth in measured staff knowledge, anD a decrease in each of nine targeted maladaptive behaviors.…

Results indicate equivalent levels of patient performance when contingent reinforcement in a residential token economy program was controlled by either patient peer groups or staff. Patients in a peer-managed program showed positive ward behavior, reductions in psychosocial problems, and increase in potential for adjusting to community life.…

Death rates among those referred to project services were lower within the first six months after enrollment, and the mortality rate difference was maintained throughout the first year. Death rate differences were related to specific long-term care services recommended and received, and to initial functional health status. (Author)

There is no accepted definition of "needs" of the elderly. Perceptions vary with age, professional role, relationships, and time. The wide range of methodologies presents problems. Research instruments are being refined. The use of index of incapacity measures offers the best data base for planning needed services. (Author/NRB)