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)

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…

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…

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 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)

An attempt was made to determine predictors of service need, use, and outcome among chronically impaired adults and aged who were living in the community and using the home-based, long term care services of the Chronic Illness Center (CIC) of the Cuyahoga County Hospitals (Ohio). Randomly selected consumer service records (N=200) were coded for…

Project LINC (Living Independently through Neighborhood Cooperation) was a three year demonstration project designed to enable older people to remain in independent living by strengthening their neighborhood-based informal support systems. To determine if LINC met its goals and reached the elderly population it was designed for, a pre- and…

Demographic changes, changes in women's work roles, and changes in the nature of the family have increased the importance of identifying the effects of government policy on family cohesion and living arrangement decisions. The effect of public policy on the nation's largest source of caregivers, the family support system, is a key issue. While…

This document contains Phase I of the Illinois Department on Aging Human Services Plan for Fiscal Years 1986-1988. It describes planning efforts related to past, current, and future service delivery systems for Illinois' aging services network. The introduction describes the Department on Aging's programs and the service network within which they…

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 document describes Illinois' Community Care Program (CCP), a program which provides chore housekeeping, homemaker, and adult day care services to older persons who cannot perform some tasks basic of everyday life without assistance, in order to help them live independently. Case management, information and referral, and nursing home…