Health care will continue to occupy a prominent place in state legislative deliberations, as indicated by the National Conference of State Legislatures' 1987 State Issues Survey. The survey addressed state actions in these health issue areas: (1) health care for the medically indigent; (2) medical malpractice; (3) certificate of need and health…

Drawing on research on techniques for scaffolding in speech therapy for victims of Alzheimer's Disease, some considerations in determining appropriate scaffolding in speech therapist-client interactions at four levels of interaction (initial, those involving early language activities, discourse interactions, and turn-taking) are discussed.…

Purpose: The majority of persons with Alzheimer's disease (AD) are cared for at home by a family member such as a spouse or daughter. Caregiving places enormous demands on these caregivers, and the negative consequences associated with caregiving are well documented. This paper reports results from the Miami site of the REACH (Resources for…

An Ontario study of 68 caregivers of persons with Alzheimer's disease revealed that those respondents living in more remote areas of northwestern Ontario expressed greater needs for information, education, and social support; experienced significantly more difficulties with morale; and employed coping strategies that reflected an inadequate social…

Cross-sectional and longitudinal analyses compared age-related changes in adaptive functioning in institutionalized adults with and without Down's syndrome. Cross-sectional analysis showed significant differences related to level of functioning but not to age or etiology. Longitudinal analysis showed a decline in self-help and communication skills…

Explored the impact of dementia on family members' physical and mental health while caring for an ill parent/spouse. Severity of illness was significantly associated with health and well-being for spouses, offspring, and in-laws, regardless of the amount of caregiving. Demonstrates the potential cascading effect of severe illness. (RJM)

Several cross-sectional studies and one longitudinal study were conducted on the language abilities of various cohorts of persons with Down syndrome (ages 14-50). A gradual decrease in global cerebral metabolic rate (CMR) for both hemispheres and for each participant was documented, however, no language deterioration could be associated with CMR…

Single word oral reading was systematically examined in a 6-year-old hyperlexic boy with mental retardation, attention deficit disorder, and hyperactivity. Reading performances were compared to those of normally developing readers and to those of patients with adult-onset alexias to test three hypotheses regarding the mechanisms of reading in…

Using a conceptual stress development model that treats informal supports and competency as potential mediators, examined outcomes of caregiving in samples of black and white caregivers. A perceived lack of informal supports and a sense of incompetency exacerbated stress among black caregivers but had no effects among the white caregivers. (RJM)

Family caregivers of patients with Alzheimer's disease (AD) commonly have high levels of psychological distress. Black caregivers often report less depression than white caregivers, but the process underlying this difference is poorly understood. With the use of a stress process model, 123 white and 74 black family caregivers of patients with AD…

A major challenge to developing therapeutic interventions for cognitive loss and dementia in aging individuals with Down syndrome (DS) is the selection of appropriate outcome measures. This report describes the adaptation of the Brief Praxis Test (a nonverbal cognitive test) as a primary outcome measure, as well as the selection of secondary…

Purpose: More than 14 million persons are projected to be diagnosed with Alzheimer's disease (AD) by the year 2020; therefore, it is not surprising that the literature contains numerous caregiver intervention studies. What is surprising is that although minority elders represent one of the fastest growing segments of the older population, they are…

Purpose: We systematically measured the associations between environmental design features of nursing home special care units and the incidence of aggression, agitation, social withdrawal, depression, and psychotic problems among persons living there who have Alzheimer's disease or a related disorder. Design and Methods: We developed and tested a…