The Kelsey Special Care Aide inservice program is designed to educate special care aides in the skills and knowledge necessary to serve the residents of long-term care facilities. The Kelsey Institute evaluated its inservice program by administering a questionnaire to 41 aides from 8 institutions who graduated from the program and 45 aides from 8…

This executive summary presents highlights of a study which sought to determine whether participants in the Supported Placements in Integrated Community Environments project were better off after moving to community homes from intermediate care facilities and skilled nursing facilities, and to determine the variables that contribute to quality…

Purpose: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity. Design…

The report discusses the participation of elderly American Indians in Federal entitlement programs and describes the Reservation Access Project, which was funded to increase by 100% the number of Indian elderly served and to develop a model for delivery services. The first section provides an introduction, organizational history of the National…

Conditions influencing conduct and impact of state-level program evaluation are explored. A model is offered as a guide for assessing conduct and impact, and its use is demonstrated by a case study contrasting the approaches of two states examining an issue raised by the Federal Health Care Financing Agency. (SLD)

Depression is a prevalent and serious problem among nursing home residents. Nursing home staff members are gatekeepers for mental health treatment for residents, but may know little about depression and its management. We evaluated a didactic workshop for nursing home staff on depressive symptoms and management. Results for 58 staff participants…

Purpose: This article reviews the effectiveness of a new training program for improving nursing staffs' detection of depression within long-term care facilities. The course was designed to increase recognition of the Minimal Data Set (MDS) Mood Trigger items, to be brief, and to rely on images rather than didactics. Design and Methods: This study…

This report discusses findings from a review of a plan of the South African KwaMashu Christian Care Society (KMCCS) for introducing an educare program in which active older women give in-service training to grandmothers and other childminders who look after preschool children at home. Before launching the proposed program, a KMCCS committee…

Developed as part of an evaluation of the feasibility of establishing a continuing education program for nursing home staff at Butler County Community College (BCCC), this report provides an overview of continuing education in the field at national, state, and local levels. Section I introduces the demographic, social, and economic trends that…

For nearly 3 years, the Massachusetts Career Development Institute provided a workplace literacy program for 201 persons employed by the Geriatric Authority of Holyoke, Massachusetts, a major nonprofit nursing home and rehabilitation facility. The literacy program included adult basic education, English as a second language, and high school…

The Massachusetts Career Development Institute (MCDI) refined and expanded the existing program of Workplace Education at the Geriatric Authority of Holyoke (GAH), Massachusetts. The 18-month program provided educational and support services on site to 60 employees at the GAH. Classes were held in English as a second language, adult basic…

Onsite workplace education was provided for employees of the Geriatric Authority of Holyoke (GAH), Massachusetts. Instructional programs in English as a Second Language, adult basic education, and General Educational Development (GED) preparation were offered. The union and supervisors assisted in a broad recruitment effort. Individualized…

The Continuing Education Institute's Workplace ESL (English-as-a-Second Language) and ABE (Adult Basic Education) programs improved the job experience for employees with language and literacy problems in Boston (Massachusetts) by teaching them language strategies that had direct application to their jobs. Health care administrators, supervisors,…

The Senior Adult Education Program (SAEP) for Monroe County, Michigan, conducted a documentation and analysis of the program component that provides high school completion classes in two local nursing homes. Three general research questions were (1) benefits to nursing home residents from the programs, (2) design of classes in nursing homes…

This final report documents the development of a workplace literacy program for 100 employees of the Geriatric Authority of Holyoke, Massachusetts (GAH), a major nonprofit nursing home and rehabilitation facility. It describes how GAH employees received instruction in English as a Second Language, adult basic education, and General Educational…