Notes that nursing homes are an increasingly important setting for gerontological counseling. Portrays multimethod approach to counselor training and supervision in nursing homes. Reviews specific methodology and rationale for clinical supervision in a practicum in counseling older adults associated with counseling psychology doctoral program.…

This report from the Select Committee on Aging examines financial, medical, and social issues surrounding terminally ill patients with special emphasis on the elderly terminally ill. The first section discusses topics related to the medical treatment of the terminally ill. Two basic issues are important: the right to have medical treatment and the…

Through asset recovery programs, states can recover from the estates of nursing home residents or their survivors a portion of the expenses the state incurs in providing nursing home care. Estate recovery programs require Medicaid recipients whose primary assets are their homes to contribute toward the cost of their nursing home care in the same…

Describes the Family Support Group model which reinforces the ongoing importance of families and helps individual family members learn to maintain a key role in linking institutionalized relatives to their past lives. Helps family members learn what they can do to expedite adjustment and advocate effectively for their relative's care. (LLL)

The ethical primacy of patient involvement in treatment decision-making requires that more attention be paid to assessment of a patient's competency to make treatment decisions. Makes recommendations to increase sensitivity to this issue with significantly impaired elderly nursing home patients and to improve existing decision-making procedures.…

This report describes the activities of the United States House of Representatives Subcommittee on Health and Long-Term Care in its effort to examine abuses in the sale of nursing home insurance. Earlier Congressional studies of abuses in the sale of health insurance to the elderly are discussed as background material for the present…

When elderly persons can no longer care for themselves, they usually have only two primary options: care at home by unpaid relatives or high cost care in a nursing home; it is clear, then that a new system is needed that will offer older people more options. This report presents the major policy questions America faces in the search for a better…

Field-tested public/private collaborative model geropsychiatric nursing home. Found planning and implementation to be difficult due to interdepartmental strain within public sector and changes in ownership and administrative policy within private sector. Considers ways to reduce barriers. (Author/NB)

Studied effects on nursing home residents playing a discussion-stimulating board game called "Angels and Devils." Results indicate a high incidence of sensory deprivation and social isolation effects. These do not correlate with length of institutionalization, amount of social contact, or degree of medical restriction. (Author)

Reviews the origins of the teaching nursing home concept, describes its goals and major components, and explores some of the problems in developing it as an academic program. Asserts that the teaching nursing home, if properly developed, can be a strong academic program that improves geriatric patient care, research, and teaching. (Author/ABB)

Notes that Denmark and Sweden have achieved reduction in institutionalization of elderly individuals by increasing home care and housing with services and adaptation. Describes innovative model of nursing home care in Denmark--a self-care model that fosters independent living and decision making as long as possible. (Author/NB)

Describes the demographic trends and health risk factors of the growing elderly population, especially poor minorities. Suggests rethinking traditional hospital and nursing home roles in health care delivery to the elderly, expanding research concerns, reworking access to Medicaid, and ensuring health care to minorities. (CJS)

With increasing emphasis on treating the whole person, on the maintenance of an individual's former life style, and on patients' rights, long-term care personnel need to become aware that many nursing home residents experience needs related to their sexuality. A model two-day workshop is presented wlth a focus on the following topics: (1) a broad…

A basic tenet of this paper is that the concept of crisis and crisis management has developed as a central issue within the fields of community psychiatry, psychology, and mental health, but that little systematic attention has been devoted to a particular subgroup at risk, i.e., older persons. Both theoretical background and clinical implications…