Hospitalization is a sentinel event that leads to loss of independence for many seniors. This study of long-stay hospitalizations (more than 30 days) in seniors was undertaken to identify risk factors for not going home, to characterize patients with risk factors who did go home and to describe one year outcomes following home discharge. Using…

Nonprofit family-run organizations, such as Tennessee Voices for Children (TVC), are providing leadership in advocating for and delivering services to children and families in need. Utilizing a family-driven approach and a staff partially comprised of parent-professionals, TVC's Nashville Connection and Family Connection programs have strengthened…

The PLAY Project Home Consultation (PPHC) program trains parents of children with autistic spectrum disorders using the DIR/Floortime model of Stanley Greenspan MD. Sixty-eight children completed the 8-12 month program. Parents were encouraged to deliver 15 hours per week of 1:1 interaction. Pre/post ratings of videotapes by blind raters using the…

Home-based intervention services for emotionally disturbed youth are also commonly known as in-home services, family-centered services, family-based services, intensive family services, or family preservation services. They have developed as a way to deal with serious family problems that often result in the removal of a child or adolescent from…

Initiated in 1971, the Child Development Associate (CDA) National Credentialing Program is a major national effort to evaluate and improve the skills of caregivers in center-based, family day care, and home visitor programs. Part I of this book presents an overview of the CDA National Credentialing Program and the competency standards and…

The handbook describes the Home Start Training Center's approach to serving Head Start families. Much of the program is focused on the Portage Project and on early intervention efforts for preschoolers. The first of the major parts of the handbook presents an overview of the approach, reviewing the philosophy of parent-focused home-based…

This document reports on the Home-Centered Prevention (HCP) Project, located in San Antonio, Texas within the Texas Department of Human Services Region 9, which was designed to implement and test a model for in-home services to families in which child abuse had occurred. It contains a process evaluation describing the first-year efforts of project…

Intended for parents of preschool handicapped children, the guide provides information on how children learn and suggests activities within the daily routine that can be used as learning opportunities for the child. Following an introduction are milestone charts for the areas of cognition, communication, gross motor, fine motor, self help, and…

The Exercises to Encourage Development (EXTEND) Program for developmentally delayed students is described and evaluation results presented. Designed to provide attention to the child with developmental lags in the areas of motor skills, perceptual sensations, or expressive-receptive language, the program attempts to prevent potential academic…

Home contingencies (allowance and curfews) based on daily reports of the academic and conduct performance of four 16-year-old disruptive students increased appropriate behavior in six areas. The least costly and simplest form of feedback--the good day card--showed modest treatment advantages over more complex methods and was preferred by parents.…

The Paraprofessional Outreach Program, designed to provide needed support for parents of developmentally delayed children living at home features parents serving as paraprofessionals in a behavioral approach. Evidence indicates that the program has had a positive impact upon both parents and their children. (Author/CL)

Two severely handicapped elementary-aged children who participated in a home-based domestic skills program became more independent in performing the domestic tasks involved in their daily routine. Besides generalization to their home environment, the program also featured such advantages as the involvement of significant others and facilitated…

Describes the process of implementing the New York State Long-Term Home Health Care Program (LTHHCP) during its initial three years of operation. Sponsors of similar programs should be aware of the need for program flexibility and the length of time required for start-up and implementation. (JAC)

The study examined the effectiveness of a procedure for teaching parents of four mildly retarded children (8-10 years old) to be home reading tutors and generalization of the skills to school. Substantial increases in targeted tutor behaviors and corresponding improvements in child reading behaviors were observed. (Author/CL)

A summer home intervention program provided sensory integration therapy and visual-motor integration tasks to a preschooler with gross and fine motor delays. The child was involved in enjoyable activities and encouraged to talk to himself during his actions. The program was both successful and fun. (CL)