This paper describes a systematic, coordinated approach to the delivery of health and social services to the rural elderly of Maine provided by the Kennebec Valley Regional Health Agency. Four points of the model are described which distinguish it from other models of coordination: (1) a strong medical orientation in the assessment process; (2)…

This paper examines the hospital discharge decision making process for elderly patients, based on observations of the operations of a long term care agency, the California Multipurpose Senior Services Project. The analysis is divided into four components: actors, factors, processes, and strategy critique. The first section discusses the major…

Information is given about the cultural and religious background of Indochinese refugees arriving in the United States since 1975, to be used as a basis for promoting cross-cultural adjustment and communication with and in this group. The Indochinese exodus since 1975 is briefly described, focusing on the journey undertaken and the spread of…

This paper reviews current demographic and programmatic trends with respect to the frail elderly. These trends include the projected growth in population of those 65 and older between now and 2030; the rapidly improving economic status of the older adult population and its effect on views of what the elderly's share of public money should be; the…

This document reports on a study which indicated that there are three critical predictors that explain variability in environmental behavior. These predictors are: (1) perceived skill in using environmental action strategies; (2) level of environmental sensitivity; and (3) perceived knowledge of environmental action strategies. From these results,…

This document contains the 18 papers on health-related and medical care issues of the elderly that were presented at the 1981 White House Conference on Aging. The materials focus on the following topics: physical mobility, death, heart disease, nutrition, injury, senile dementia, post-menopausaul women, gerontological nursing, learning and memory,…

The typical approach to studying the cognitive competencies of the elderly involves giving the same task to samples of elderly adults and college students. On such comparisons of performance of cognitive tasks, the elderly have almost always been found to be inferior, which is interpreted as indicating an irreversible age-determined decline in…

The purpose of this paper is to increase teachers' awareness of the problems of three "hidden minorities"--the handicapped, the aging, and families with nontraditional life styles--and to point out ways in which teachers can help students learn to deal fairly and realistically with persons in these groups. For each of the three minority groups,…

A study investigated whether the interactive behaviors of elderly individuals were significantly influenced by their environment. The key to the investigation was the notion that human interaction can function to aid elderly individuals as they adapt to aging. Subjects were individuals over 65 years of age living in one of three separate…

Because older job seekers have been shown to exhibit less job search motivation and competence than other groups, a job club program based on learning and self help principles was developed to empower the older job seeker. Of persons (N=48) who requested assistance from a local area agency on aging, half entered the job club program and half were…

This report is a response to a congressional mandate to study racial and ethnic discrimination in federally-assisted programs for older persons. The two-phase study includes a case study analysis of selected cities to assess whether minorities are employed in federal programs for older persons and the extent to which older minorities receive…

The creation of Title XX of the Social Security Administration in 1975 has led to a tremendous increase in homemaker, task, and home management services to the frail elderly. Several needs assessments of the rural elderly have pointed to discrepancies between services rendered and services actually wanted or needed by clients. The Senior Services…

The importance of programs that help the elderly to continue living at home has been clearly established. Homemaker aides in these programs generally provide homemaking assistance and psychological support to their clients, but may experience role conflict as a result of responding directly to the demands of both clients and the program. Clients…

This paper describes the Elder Program, a 3 year Model Demonstration Program designed to strengthen neighborhood support systems for older persons through an educational program emphasizing information, resources, and skill development. A discussion of basic assumptions and the theoretical background of the model focuses on the principles of…

This paper reports the suggestions made by the technical committees on aging which were established to help delegates of the third White House Conference on Aging. The first section notes the recommendations of the employment committee and is followed by recommendations from the committee considering social and health aspects of long-term care and…