This paper traces the evolution of the Administration on Aging's role as an advocate, identifies current advocacy activities, assesses the problems inherent in the agency's pursuit of such a role, and examines prospects for the agency's future advocacy activities. (Author)

Discusses how Dallas, Texas, Area Agency on Aging met requirement of 1987 amendments to Older Americans Act of 1965 that State Offices on Aging identify agencies involved in identifying and treating abused, neglected, and exploited elders and determine their need for services. Describes impact of Elder Abuse Task Force on state law, adult…

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,…

In 1972, Congress enacted the Nutrition Act under Title VII of the Older Americans Act in order to provide older Americans with nutritionally sound meals served in strategically located community centers. This paper identifies some of the significant personal, environmental, and programmatic barriers to effective outreach that exist today. (Author)

Presents an urban neighborhood network barter model which can facilitate service delivery to the elderly and offers recommendations for implementing a similar program. Community outreach, good publicity, and a successful conference were key factors in producing a greater sense of cohesiveness within the community. (JAC)

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

Used medico-social analytic model to compare five long-term care programs: Skilled Nursing Facility-Intermediate Care Facility (SNF-ICF) homes, ICF homes, foster homes, day hospitals, and home care. Identified similarities and differences among programs. Preliminary findings suggest that model is useful in the evaluation and design of long-term…

Presents a model of outpatient interdisciplinary geriatric care provided at a veteran's hospital. Compares characteristics of patients served in this program with those in community-based geriatrics outpatient clinics described in the literature. (Author/ABB)

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,…

Describes development and evaluation of three-hour multimedia community education program on depression and suicide in later life. Designed for families, older adults, and service providers, program provides information and teaches skills to recognize and respond to depression and suicidal behavior in elderly. Compared with controls, participants…

Describes targeting policies of four Social Health Maintenance Organization sites which deliver integrated, prepaid, acute, and chronic care to Medicare beneficiaries. Analyzes complexities of operationalizing targeting systems in four different settings. Notes that selection criteria for targeting expanded benefits and their implementation affect…

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Suggests geriatric foster care is among the least restrictive alternatives to institutional placement. Outlines the basic prototype principles, including broadly defined client population, maximum accessibility in referral sources, flexible use of existing local services, and uniform statewide quality guidelines. Discusses indicators of success…

Examines the variety of impacts associated with the demographic shift of older Americans to predominately rural areas. Presents a conceptual model of the rural retirement community. Model includes the general impact of demographic, psychosocial, and community factors that contribute to older persons' satisfaction and adjustment when migrating.…

Describes the Neighborhood Family (NF), which is based on the premise that older persons can create a self-managed social support network. Arising from community organization of low-income elderly, the model combines a kin-like supportive community, a multipurpose service and activities center, minimal staff, and indigenous decision- making.…