Evaluates the effectiveness of a peer counseling training program in a nursing home in Victoria, B.C. The goal was to expand the number of helpers available and involve more residents in their self-care. The results indicated that the training model used is an effective method of teaching helping skills. (Author/JAC)

The present study compares changes in job satisfaction and career commitment among Alzheimer's care staff participating in a two-phase, state-level training collaborative to improve dementia care. Results reveal an increase in extrinsic job satisfaction and a decrease in career commitment. Findings could be related to the effects of both the…

Purpose: The Providing Assistance to Caregivers in Transition (PACT) program offers nursing home discharge planning and case management for individuals in the transitional period following a return to the community. The PACT program targeted individuals newly admitted to nursing homes and worked with a family caregiver to develop and implement a…

The success of rehabilitative nursing homes has been measured by their ability to return patients to their homes. The rates of reinstitutionalization after discharge are less studied but are basic to the role of alternative levels of care. This research examines the relationship of predischarge factors with long term outcomes of patients…

Evaluates two respite programs which offer families temporary relief from caring for elderly relatives: an institutional program for those needing constant nursing attention, and a residential plan for those requiring housekeeping and companion services. Benefits for clients, family, and community appear to be indisputable. (Author/ABB)

Compared 40 matched pairs of patients discharged from acute care to either nursing homes or to Hawaii's geriatric foster family care program. Foster family patients showed more improvement in well-being and mobility and equal improvement in activities of daily living skills. The cost of foster family care was 61% that of nursing home care.…

Describes the goals, development, operation, and outcomes of an intergenerational programmatic relationship between a private college and a congregate facility for older adults. Faculty and students report that partnership activities provide excellent opportunities for increasing the understanding of aging and older adults. Residents report…

Purpose: Assisted living is an increasingly important residential setting for the frail elderly person. How often and why residents leave such facilities are important issues for consumers, for clinicians advising frail patients on their options for living arrangements, and for policymakers. This research investigated the impact of facility and…

International sources suggest that Australian human service agencies must implement meaningful processes to meet increasing demands for accountability in service delivery. The development of adequate services for the disabled in Australia is influenced by the principles of normalization--the use of culturally valued means in order to enable,…

Details a demonstration project which was developed to train older adult volunteers as mental health paraprofessionals for nursing homes. Discusses the effectiveness of the program for residents, as well as benefits to the staff. Includes details of recruitment, training and supervision of volunteers, services they provide, and problems…

Describes the first 16 months of operation of a nursing home based community-oriented rehabilitation unit that utilized an interdisciplinary team approach in its admission evaluation and in its patient management decision making. Of the 27 patients discharged to homes, 23 were still in their homes after an average post-discharge period of eight…

Harbor Area Adult Day Care Center has operated for two years with a primary purpose of providing respite care to families caring for a relative with Alzheimer's disease or related disorders. The rationale, history, program, staffing, funding, and experience for the first two years of the project are provided. (Author/RC)

Purpose: This article examines factors within the long-term-care work environment that impact the effectiveness of continuing education. Design & Methods: In Study 1, focus group interviews were conducted with staff and management from urban and rural long-term-care facilities in southwestern Ontario to identify their perceptions of the…

An educational CD-ROM/video program was developed to educate nursing home staff about two research-based techniques for reducing agitation and aggression during bathing of persons with Alzheimer's disease, including person-centered showering and the towel bath. This educational program was distributed free of charge to all 15,453 US nursing homes…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…