The paper analyzes the significance of parents' play routines as an aspect of home intervention programing of play behaviors with developmentally delayed young children. Three sources of child development research are noted: the studies demonstrating a rationale for parent-child play, emphasis on the early aspect of intervention, and the use of…

It is argued that health-oriented home visiting programs during pregnancy and the postpartum period can be an important element in a comprehensive maternal and child health package. This discussion, which draws on the experience of a group of demonstration home visiting programs sponsored by the Ford Foundation's Child Survival/Fair Start…

This paper describes the Intergenerational Program, a high school volunteer program which matches students with older adults who receive help and companionship through the Independent Aging Program (San Jose, California). The history of the student program is reviewed, and the steps involved in establishing the program are outlined. Recruitment of…

Chronic pain occurs most frequently in the elderly. Unfortunately, most pain clinics are located in large urban areas and are not readily accessible to the rural elderly. Recent advances in behavioral medicine have provided pain relief techniques that can be used by a wide variety of professional and paraprofessional workers who do not have…

Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse…

This document describes the TEACH (Train the Elderly And their Caregivers at Home) project, a demonstration project developed by Florida's District 12 Veterans Administration and the Florida Department of Health and Rehabilitative Services to reduce Medicaid nursing home expenditures by delaying or avoiding nursing home placement and to provide…

This paper describes a home-based early childhood program in operation in the Memphis city school system and presents a rationale for early education and for parent involvement. The program involves educationally deprived 3- and 4-year-olds in eight preschool centers located in Title I schools. A parent or significant caretaker of each child…

This presentation discusses longitudinal results of a home-based program for low SES black and white children whose parents received weekly visits designed to chart children's individualized enrichment when they were from 2 to 5 years of age. The program drew upon school and community resource personnel when appropriate, to provide parents with…

This paper provides a checklist of 10 potential ethical problems associated with intervention in families through home-based programs. Problems which directly involve program participants are (1) pressure on parents to join the program, (2) violation of confidentiality, (3) intrusiveness, (4) need to respect the family's style of living, (5)…

The Even Start Family Literacy Program is a national program that addresses the literacy and educational needs of adults in eligible families, teaches effective parenting skills, and addresses the preschool readiness needs of young children in the family. The Monongalia County (West Virginia) Even Start Program was unusual in that it took place in…

Noting that families in home visiting early intervention programs receive only about half the number of intended visits, this research used quantitative and qualitative methods to investigate how personality and other factors affect the mother-home visitor relationship and thereby, influence home visit intensity. Participating in the study were 5…

Family needs assessment is mandated within Head Start programs. Cen-Clear Child Services, Inc., a Head Start program in Pennsylvania, set out to evaluate and revise its approach to information-gathering and to involve families in the planning process using plans based on family strengths and designed to meet family goals. Based on a model designed…

Home care has not consistently proven to prevent institutionalization, reduce mortality rates, reduce hospital use, or improve functional status and morale; and indeed, these objectives may be unreasonable. Rather, the purpose of home care should be to meet immediate needs of recipients which they can no longer meet themselves. Publicly-funded…

Family literacy programs have arisen in an attempt to break the cycle of intergenerational poverty and illiteracy. Numerous federally-supported family literacy programs have recognized the importance of instructing parents and children in a home setting. The legislation of Even Start seeks to integrate parenting education, adult basic education,…

This essay discusses methodological and ethical problems in the implementation and evaluation of home-based intervention programs for young children and their families. Part I notes the difficulties in (1) selecting an appropriate research design to evaluate a program (e.g., preventing sample bias), (2) specifying precisely the intervention method…