Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

An interorganizational program designed for elderly excluded from existing home care programs was investigated to determine participant characteristics and status of cases after one year. The program demonstrates the need to eliminate restrictive eligibility criteria as well as the value of interagency staff consolidation to increase service…

The number of poor elderly Blacks and the cost of health care are increasing. Even with Medicare there are out of pocket expenses for those who are least able to pay. Since racial bias may be a factor in triage, the best approach to reducing medical costs is prevention. (VM)

The Geriatric Assessment Unit (GAU), which has proven successful in urban areas, may be a viable system for providing health care to the elderly in rural areas. GAUs engage in assessment, follow-up response to findings, education, and research. The assessment component includes, at minimum, physical health, functional ability in activities of…

This document contains testimony of witnesses in a field hearing on the future of the rural elderly. The opening statement by Representative Bob Whittaker (Kansas) notes that the aging of America creates a more difficult time for the rural elderly than their urban neighbors. Distance and low population density magnify the difficulties of…

This monograph describes some of the physical, sociological, and psychological characteristics of older adults, identifies their needs, and outlines the role of the health, physical education, recreation and dance (HPRD) professionals in meeting these needs. The first section clarifies various theories on the aging process and the classification…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

Purpose: This article reports on the interest within the religious community in a medical-religious partnership model designed to address some of the health challenges communities face as the population continues to age and become more diverse. Design and Methods: A geographically and religiously diverse group of 183 clergy who were attending a…

The document contains two reports on consequences of population trends for families and older adults in the United States. The reports were submitted as testimony before congressional committees on population and aging. The first report discusses projected changes in American family life in light of population growth, enrollment in schools and…