Data suggesting that cognitive-behavioral therapy (CBT) is efficacious for late-life anxiety are accumulating; however, effectiveness has not been well established. Incorporating CBT for anxiety into home care is needed to facilitate access to evidenced-based treatment for a growing population of community-dwelling, functionally impaired elderly…

Describes the Southeast-Bayview Mental Health Center Geriatric Services Unit, which provides a comprehensive mental health program for the elderly of San Francisco. The program emphasis is on crisis intervention, with reliance on home visits and follow-up services as well as screening and referral. (JAC)

Describes Block Nurse Program, in which existing resources and agencies are used to help keep elderly persons in their own homes with case management by public health nurses in community. Discusses external evaluation of program which documented that the neighborhood long-term care delivery model kept older adults in their homes at low cost and…

The Supportive Services Program for Older Persons is designed to demonstrate that a private market for home and community-based health related services can be developed in response to the demand expressed by older people and their families. The objective of the program is to expand the service options available to older people by letting market…

Describes the process of implementing the New York State Long-Term Home Health Care Program (LTHHCP) during its initial three years of operation. Sponsors of similar programs should be aware of the need for program flexibility and the length of time required for start-up and implementation. (JAC)

This document describes the Non-Technical Medical Care (NTMC) program, a personal care service offered by the Oklahoma Department of Human Services to eligible persons in their own homes. These NTMC program goals are listed: to provide personal care services to frail elderly and disabled persons, allowing them to remain in their homes; and to…

Respite and in-home services have been identified by caregivers as vital for maintaining a frail older person in the community. A program called The Alzheimer Support/Tender Loving Caregivers Project was undertaken in northwest Indiana to strengthen the informal support network of disabled elderly in the community. An interfaith coalition of…

A series of discussions between the Gloucester (England) Health Authority and a research team resulted in a 3-year project designed to support elderly people, and those who care for them, in their own homes. This paper is an updated version of a discussion paper prepared during the formative phase of the project. It was created to encourage…

This paper describes the Intergenerational Program, a high school volunteer program which matches students with older adults who receive help and companionship through the Independent Aging Program (San Jose, California). The history of the student program is reviewed, and the steps involved in establishing the program are outlined. Recruitment of…

A United States Senator advocates a national long-term home care program for the elderly and describes the proposed "Senior Citizens Independent Community Care Act." The Act would expand Medicare benefits to include individual assessment and treatment plans, homemaker/home health aid, adult day care services, interim care, and other…

Describes Homebound Learning Opportunities, innovative health promotion and educational outreach service for homebound older adults and their caregivers. Notes that program provides over 125 topics for individualized learning programs delivered to participants in homes, audiovisual lending library, educational television programing, and peer…

Describes a peer counselor training program for five older adult volunteers. Presents suggestions for advertising, screening, program format, and development of practica, and examines the role and helpfulness of the peer counselors who provided in-home counseling services. (JAC)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

This paper describes the Winnebago County (Wisconsin) Community Options Program, begun in January, 1982, which provides for a comprehensive assessment of all elderly persons within the target area who are at risk of becoming institutionalized. The paper focuses on the planning activities for the first year of the pilot program including community…

This paper summarizes the National Long-Term Care Channeling Demonstration Program, a project designed to test the feasibility and cost effectiveness of an alternative community-based long-term care service delivery concept for the frail elderly which integrated health and social services. Program management and early federal planning efforts are…