Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Presents analysis and typology of community-based care for young Hispanic mother with Acquired Immune Deficiency Syndrome (AIDS). Develops conceptual framework that examines retrospectively needs generated by AIDS over time, appropriateness of services, and assessment of interventions. Presents conclusions regarding definition and implementation…

The aim of this study was to explore the reasons why vulnerable women refuse to take part in early interventions. In-depth interviews were conducted with 19 women who refused to take part in an evaluation of an intensive home visiting programme. A number of themes were identified including perceptions about vulnerability, misperceptions about the…

Findings are presented from a site visit to a Raleigh, North Carolina, program that provides in-home support to children and adults with severe disabilities and their families. The program, the Wake County Community Alternatives Program for Persons with Mental Retardation/Developmental Disabilities, is administered by the North Carolina Department…

This program, based on the Portage Project, serves 169 urban families with developmentally delayed children ages 0-6. In weekly visits, a specialist teaches parents to work with their children. Results indicate improvement in both children and parents. (SJL)

The paper describes the transition of service provision for 240 intellectually handicapped Australian children and their families from a relatively traditional service delivery system to one emphasizing home and family involvement and placement of services closer to home. (Author/PHR)

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

This article reviews the research on the benefits of applied behavior analysis (ABA) for the education of children with autism up to 5 or 6 years of age. The most common models for service delivery are presented (home- based and center- or school-based) and a few recent treatment innovations are discussed. (Contains references.) (CR)

The ability to function independently in the later years has been defined as a combination of capability and support. To examine factors affecting older adults' use of services provided in an accommodating environment, 52 physically independent residents of an Arizona apartment complex for the elderly were surveyed. Time spent living in the…

Presents three articles on housing policies for the elderly. Topics include the need for housing assistance and targeting aid to the disabled, the practicality of delivering support services to impaired elderly in current housing, and potential future directions of federal housing policy. (NRB)

Describes a continuum of services to families in their homes to prevent the necessity of child placement. Presents four categories of services--general case management, the comprehensive social worker, the in-house team, and the intraagency team--to aid families who demonstrate psychological difficulty and resource deficits. (Author/JAC)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

This article refutes 10 myths and identifies literature that supports service delivery to infants and toddlers with disabilities in natural settings. The benefits of naturalistic intervention, home-based services, and family-centered services are discussed, and concerns regarding therapist shortages, ethical problems, personal safety of providers,…

Reviews various models used for delivering personal adjustment services to individuals with visual impairments, including center-based services and home-based services. Addresses the need to individualize the rehabilitation process by determining the type of program and service delivery that best meets an individual's needs. (CR)

In 1999 Veterans Affairs Canada (VAC) implemented the Overseas Service Veterans (OSV) At Home Pilot Project in response to the problem that a growing number of clients were on waiting lists for beds in long-term care facilities. The At Home pilot offered certain clients on waiting lists, who met nursing-level care and military-service…