This document includes an introduction by Marie E. Cowart and the following papers: (1) "Building Partnerships" (Margaret Lynn Duggar); (2) "Rating Scale of Communication in Cognitive Decline" (Rick Bollinger and Carol J. Hardiman); (3) "Role Adaptation in the Employed Adult Female Caregiver Following Transitional Nursing…

Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

This report describes California programs which provide alternatives to detention for minors who commit less serious law violations and status offenses. Included are six diversion programs, four youth service bureaus, six home supervision programs, and ten juvenile court work programs. In addition, three detention classification programs and five…

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

Respite and in-home services have been identified by caregivers as vital for maintaining a frail older person in the community. A program called The Alzheimer Support/Tender Loving Caregivers Project was undertaken in northwest Indiana to strengthen the informal support network of disabled elderly in the community. An interfaith coalition of…

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…

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…

Examined the use of public services by 1,080 Norwegian older adults. Results showed more than one-third use public services for the aged (i.e., are institutionalized or receive home help or home nursing). The use of services is affected by both need and demand factors. The family's role is discussed. (JAC)

A United States Senator advocates a national long-term home care program for the elderly and describes the proposed "Senior Citizens Independent Community Care Act." The Act would expand Medicare benefits to include individual assessment and treatment plans, homemaker/home health aid, adult day care services, interim care, and other…

Identifies the special characteristics needed by hospices caring for terminally ill children, based on a feasibility study for a pediatric hospital. Concludes that the needs of terminally ill children and their families are not being met currently and that the hospice is as appropriate for children as for adults. (Author)

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)

This report focuses on positive practices in providing support services to families of children with severe disabilities and chronic illnesses, based on visits to three sites in Maryland: the Family Support Program at the Kennedy Institute in Baltimore, the Coordinating Center for Home and Community Care, and Sick Kids Need Involved People (SKIP).…

This document provides the transcripts from the Congressional hearings on the reauthorization of the Older Americans Act. Opening statements from Representatives Butler Derrick and Mike Synar are presented. Testimony of 19 directors of state and area agencies on aging, Meals on Wheels, Green Thumb, and the American Association of Retired Persons…

Notes that Denmark and Sweden have achieved reduction in institutionalization of elderly individuals by increasing home care and housing with services and adaptation. Describes innovative model of nursing home care in Denmark--a self-care model that fosters independent living and decision making as long as possible. (Author/NB)

Respite care provides relief or backup emergency care for families of individuals who are developmentally disabled. In sparsely populated rural areas, center-based urban models for service delivery and provider recruitment and training may be inappropriate. Las Cumbres Learning Services has developed a model for provision of respite care services…