Alternative programs need to offer troubled and troubling students alternatives to punishment, expedient control, and rejection. This article demonstrates how the alternatives of building trusting relationships and effective, empathic communication can provide the re-education to improve a child's life.

A Ford Foundation demonstration project intended to improve the quality of work life and reduce turnover among homemakers/home health aides in the home care industry was evaluated. The project supported three separate work life demonstration at home care agencies in New York City and Syracuse, New York and in San Diego, California. The…

Describes model licensing proposals for residential services for pregnant and parenting adolescents. Developed from a federally funded project, these proposals highlight licensing rules in four areas: (1) staff and training; (2) staff-client ratio; (3) program and health requirements; and (4) services to fathers. The rules represent baseline…

Elements of the twentieth century care facility of state origin are enumerated as the reader hopefully gets some idea of the social milieu or ethos of that period and the management profile thought to be proper and expeditious for unfortunate, homeless and poorly adjusted citizens. The life of staff and patients within these state sponsored…

Cross-cultural residential placement of children and adolescents requires careful attention to the youth's culture of origin, so that the delivery of the treatment service is respectful of his or her way of life. Cultural protection in treatment facilities, as a principle, ensures that the traditions, symbols, values, norms, and the worldview, as…

This article explores uses for strengths-based assessment of gay, lesbian and bisexual youth in residential care. Gay, lesbian and bisexual (GLB) youth face unique challenges such as stigma management and disclosure. In addition, GLB youth are also at increased risk for drug use, suicide and unprotected sex. Consequently, the needs of GLB youth…

From October 1982 through May 1984, the Council for Community Services--a private, not-for-profit community planning council--carried out an Institutional Child Abuse and Neglect Prevention Project, in close cooperation with the state of Rhode Island's Office of the Child Advocate. The project approach relied heavily on monitoring teams of…

A format was devised for nursing home rounds that provides for discussion among staff members and specialists and is aimed at teaching and the resolution of specific patient-care and administrative issues. Many complex medical problems were handled without transferring the patients to an acute-care facility. (Author/MLW)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)

This paper explores historical and recent trends in the delivery of residential adolescent substance abuse treatment, looking specifically at the impact of managed care on the service delivery system. Three historical eras are conceptualized by the authors: (1) an era prior to managed care in which services were provided on a fee for service basis…

The administration of the work of the Bureau of Education in Alaska involves great difficulties, arising principally from the remoteness of most of the schools, the enormous distances between the schools, the meager means of communication, and the severity of the climate. In addition to maintaining schools for the children belonging to the…

Deals with some of the unique aspects of rural practice in child welfare, such as the interface between juvenile justice agencies and child welfare programs, poverty, and the changing roles (especially economic) of rural women. Demonstrates urban-type programs are often not appropriate in dealing with rural problems. (Author)

The juvenile offender population presents a significant challenge to residential group workers. One strategy to address this challenge is structured psychoeducational group work. The Kentucky Department of Juvenile Justice, in collaboration with Western Kentucky University, has established the Group Work Training Certification Program for…

The Commonwealth's Executive Office of Elder Affairs (EOEA) regulates assisted living facilities in Massachusetts. Prior to active employment, all staff and contracted providers who have direct contact with residents must receive a six-hour orientation. Also, employees must receive on-going training and in-service education to reinforce the…

The number of individuals needing noninstitutional long-term care is not large. Costs of expanded publicly funded home care benefits can be controlled. Efforts to mobilize additional volunteer time are politically and humanly desirable to complement ongoing family care and to help secure expanded public benefits. (Author/RC)