Describes the Southeast-Bayview Mental Health Center Geriatric Services Unit, which provides a comprehensive mental health program for the elderly of San Francisco. The program emphasis is on crisis intervention, with reliance on home visits and follow-up services as well as screening and referral. (JAC)

This paper describes the Intergenerational Program, a high school volunteer program which matches students with older adults who receive help and companionship through the Independent Aging Program (San Jose, California). The history of the student program is reviewed, and the steps involved in establishing the program are outlined. Recruitment of…

Describes a peer counselor training program for five older adult volunteers. Presents suggestions for advertising, screening, program format, and development of practica, and examines the role and helpfulness of the peer counselors who provided in-home counseling services. (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 paper describes the Winnebago County (Wisconsin) Community Options Program, begun in January, 1982, which provides for a comprehensive assessment of all elderly persons within the target area who are at risk of becoming institutionalized. The paper focuses on the planning activities for the first year of the pilot program including community…

Discusses the feasibility of delivering combined health and social services to an elderly population. The social/health maintenance organization (S/HMO), incorporating features of health maintenance organizations with community social services, will be financed on a prepaid, capitated basis through premium contributions from Medicare, Medicaid,…

Describes the development of a mobile geriatric outreach team. The importance of thorough, interdisciplinary assessment and the offering of active, brief psychotherapy are stressed. Community education programs and consultations to the aging network reach the senior community and other referral sources. Preliminary program evaluation data are…

Describes a diversified approach to delivering home care to vulnerable older people. This pilot program, funded by the Massachusetts Department of Elder Affairs, attempted to reduce the demand for scarce homemaker services. Results suggest homecare diversification did not alter consumer satisfaction but increased manager time. (Author/JAC)

The Community Care Organization-Milwaukee, sought to provide care at less cost and with higher resultant quality of life than nursing home care. Most frequently used services were transportation and nutrition. Much of the cost savings resulted from reduced hospitalization and nursing home utilization. (Author)

Describes an intensive instructional program designed and implemented to prepare health assistants to serve chronically ill older persons in the home. Under professional supervision, the health assistants extend health care to the chronically ill. All assistants continued in a health related role after the project. (Author/JAC)

This paper describes a systematic, coordinated approach to the delivery of health and social services to the rural elderly of Maine provided by the Kennebec Valley Regional Health Agency. Four points of the model are described which distinguish it from other models of coordination: (1) a strong medical orientation in the assessment process; (2)…

The purpose of a curriculum project was to identify selected areas in which modules needed to be c developed for Pennsylvania's vocational programs for the occupation of home-health assistant, and to develop a minimum of three modules for field testing. By reviewing current literature and information, the area of need for curriculum materials for…