Purpose: Stigma and lack of access to providers create barriers to mental health treatment for older adults living in the community. In order to address these barriers, we developed and evaluated a peer support intervention for older adults receiving Medicaid services. Design and Methods: Reclaiming Joy is a mental health intervention that pairs…

Experimental efforts to carry out a program of neighborhood one-to-one volunteer activity by urban low-income black elderly were unsuccessful. An alternate program of volunteering for group activities emerged. Environmental perils, limited professional supports, and volunteer characteristics were seen as accounting for the changed focus. (Author)

A presentation is made of the techniques used in four community-based support groups for elderly persons experiencing moderate stress as a result of the aging process. Results indicated that the majority of clients experienced decreased anxiety, became more effective in problem solving, and began to make use of community resources. (Author)

Purpose: There is little empirical translation of multimodal cognitive activity programs in "real-world" community-based settings. This study sought to demonstrate in a short-term pilot randomized trial that such an activity program improves components of cognition critical to independent function among sedentary older adults at greatest risk.…

Describes a support program for community-based Alzheimer's patients and their caregivers. In addition to joint activities, the family group focuses on the family organization, support networks, feelings, new activities, and making decisions. The patient group provides social and awareness activities. (JAC)

Describes an intergenerational service program designed to use the skills of each generation to meet the needs of the other. Reviews screening, training, and a variety of placements for the teenage and older adult participants and discusses ongoing program benefits. (Author/NRB)

A Program Review Unit was established at the Philadelphia Area Agency on Aging and an evaluation model was developed during the first year of operation. The single most important attribute for a successful program review activity is the availability of measurable program goal statements. (Author)

Results indicate that costs of the rehabilitation center can be counted in dollars saved by keeping the patient at home instead of in the hospital. Treatment effectiveness, social improvement of patients, and benefits to family and friends cannot be counted in monetary terms. (JAC)

Describes On Lok, a long-term care approach which has assumed responsibility for providing all services needed by a functionally dependent adult population. Based on the first two years of operation, descriptive data on the service system, its development, participants served, services given, and costs are presented and interpreted. (JAC)

Examines issues and special problems of older women caring for disabled spouses. Describes a multiservice project designed to provide support and respite for this high-risk group of caregivers. Implications for policy and practice are discussed with recommendations for further study. (RC)

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)

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…

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)

Compares adult and elderly clients of a Crisis Intervention Service in an urban metropolitan area, which included a telephone counseling/referral service and a mobile intervention team for home assessments. Findings indicated the importance of using a biopsychosocial model, particularly in the assessment of elderly persons. (JAC)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)