Purpose: The purpose of this study was to determine the impact on resource use of providing case managers with information on the potential for patients to benefit from home care services. Design and Methods: Twenty-four case managers working in the Arizona Long Term Care System (ALTCS) were randomized into treatment and control groups. Members of…

Background: There have been major changes in the provision and organization of services for people with intellectual disabilities in England over the last 30 years, particularly deinstitutionalization and the development of the mixed economy of care. The experiences of the people who participated in the Care in the Community Demonstration…

Two studies were carried out in 1991-92 in Brisbane, Australia on the effects on frail elderly people of cognitive challenge by teleconference. In the first study, 20 residents of aged care centers watched specified programs on television. Later, they discussed the content over the telephone using conference link equipment. The study found that…

This annual report of the Long-Term Care Ombudsmen Program of the Oklahoma Department of Human Services begins by stating the purpose of the program: to improve the quality of life and the quality of care of older residents of long-term care facilities in Oklahoma. It is noted that the Long-Term Care Ombudsman advocates for the rights of long-term…

An 11-year study was undertaken of 1,135 discharged geriatric patients from rehabilitation service in a skilled nursing home. Of the patients aged 62-99, 693 were discharged to independent living. The high rate of return to independent living was made possible through a health team approach including intensive therapy treatment and social work…

A combined program of Reality Orientation, Activities of Daily Living, and Recreational Activities, together with environmental stimulation, was applied on an individualized basis to 21 elderly patients suffering from both psychological disorders and long-term physical illness. The motivation to participate in the available activities increased…

Systematic research on attitudes of nursing home staff toward the sexual expression of older residents is sparse and of recent origin. In order to determine the relationship between the degree of religiosity (religious commitment) of nursing home aides and their degree of tolerance concerning sexuality and aging, female nursing assistants (N=101)…

The State of Virginia has had a statewide nursing home preadmission screening program since 1977 and has made efforts to ensure appropriate placement of individuals in long term care settings. In a major effort to divert certain individuals from institutionalization, a personal care option has been provided. Using data from the Preadmission…

This paper examines the variety of legal rules and processes which have been established to assess and ensure that the quality of care provided in nursing homes satisfies an acceptable level. It begins with a general overview of nursing home law. Areas discussed in this section include: (1) sources of nursing home law; (2) theories of liability;…

Depression is regarded as the most prevalent mental health disorder in the elderly. Reminiscence, a normative and universal process which can facilitate the resolution, integration, and reorganization of past conflicts can have positive or negative effects on depression. One environment where the elderly are particularly at risk for the negative…

Nursing home patients suffering from dementia had a desire for placement in a setting where their special needs could be addressed. This resulted in the creation of special nursing home units designed to meet patient needs. Recent reports have provided evidence that nursing home residents suffering from dementia who receive care on these special…

Over the past two decades, the chronic mentally ill elderly have begun to receive care in residential health care facilities (RHCF) such as domiciliary care, intermediate care, and skilled nursing facilities. While there is justification for this increase, as the mentally ill elderly also present with significant physical illnesses, there are…

In order to provide regular read-aloud programs in nursing homes, to mentally stimulate and enrich the institutionalized elderly, and to improve access to library materials and services a project, proposed by the Seattle Public Library, provided training for volunteers in read-aloud techniques, sensitivity to nursing home residents, and meeting…

Based on experiences with geriatric services workers, these strategies have been developed to respond to the ongoing educational needs of human service workers. The strategies are designed to help workshop leaders heighten human service providers' awareness of their clients' worlds. The three strategies outlined in this paper are the following:…

This report describes the activities of the United States House of Representatives Subcommittee on Health and Long-Term Care in its effort to examine abuses in the sale of nursing home insurance. Earlier Congressional studies of abuses in the sale of health insurance to the elderly are discussed as background material for the present…