People in the counseling profession make some profound assumptions about the freedom that all people have (or seem to have). From the moment that each counselor began counselor training, the notion that people are able to generally choose and make decisions for themselves has been associated with the dominant process models of the profession. As a…

Experience gathered to date confirms that capitation of Medicare does not necessarily decrease quality of health care and may in fact encourage an improvement in health care quality. Incentives inherent in capitated reimbursement are threefold. First, practitioners, by not receiving more payment for more service, are discouraged from providing…

Argues that nursing home mental health counselors should address nursing home residents' need for assistance in conflict resolution, having meaningful social interactions, and in developing and maintaining feelings of self-worth. Describes benefits of group therapy approach using life review format to help build basic trust and feelings of…

Four articles in this special section report on (1) Arizona curriculum for home-based caregivers of the elderly in rural communities (Epstein, Koenig); (2) educational programs for nursing home caregivers (Marsden); (3) extension programs for helping low-income elderly with money management (Koonce); and (4) energy education for the elderly…