Describes use of photography as method embedded within ethnographic investigation of rural home care for older adults. Illustrates how photography fostered data generation, elicited participants' stories, and showed patterns of rural aging. Notes that analysis of photographic data pooled with interview and observational data facilitated in-depth…

Estimates the proportion of service and nonservice expenditures within a state aging department. In Massachusetts the ratio was $0.70 to $0.30 (service to nonservice) both for the state's Home Care Programs and for all activities. (JAC)

Eligibility assessment systems for community long-term care vary widely across programs funded by states and Medicaid and in proposals to expand federal funding. Improved equity and efficiency will require better specification of eligibility criteria, timing and setting of assessments, language of assessment items, training of assessors,…

Notes that ecological approach to social work, which is directed at interactions of individual with environment, provides framework for examining role that social work can play in home care. Descriptions of programs in several countries illustrate effectiveness of incorporating this perspective into services. Notes results: decreased rates of…

Notes that community-based care for chronic illness requires continuum of care. Identifies three aspects of organization of long-term care that are important in maintaining continuum: availability, accessibility, and acceptability. Illustrates each category by data from Missouri to demonstrate potential problems in each of three areas that can…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Notes that increasing demand for paraprofessional home care workers is already straining the quantity and quality of workers entering the field. Describes variables that affect supply and demand for home care workers, barriers to change in the home care labor market, and importance of government as key variable in any discussion of home care labor…

Describes home-based family therapy as form of family counseling performed within residences of clients. Discusses obstacles to home-based therapy, then presents examples illustrating challenge of providing home-based counseling to religious, abusive families. Also illustrates use of consultation to improve service delivery. (NB)

Examines what was learned from channeling demonstration about potential of case management agency systems for administering home care benefits. Considers both advantages (substitution of lower cost for higher cost services, negotiation of lower prices for services, quality assurance) and disadvantages (difficulty controlling participation rates,…

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

Describes Learn Alaska, an electronic educational system run jointly by the University of Alaska and the state Department of Education. Explains use of teleconferencing, videotex, teletext, and software teledelivery. (JM)

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…

Presents case reports to illustrate importance of technique of transtelephonic cardiac monitoring in home care and use of technique to provide objective marker upon which physicians' decisions could be made. (Author/NB)

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Presents analysis and typology of community-based care for young Hispanic mother with Acquired Immune Deficiency Syndrome (AIDS). Develops conceptual framework that examines retrospectively needs generated by AIDS over time, appropriateness of services, and assessment of interventions. Presents conclusions regarding definition and implementation…