Describes Block Nurse Program, in which existing resources and agencies are used to help keep elderly persons in their own homes with case management by public health nurses in community. Discusses external evaluation of program which documented that the neighborhood long-term care delivery model kept older adults in their homes at low cost and…

Discusses home-based family therapy intervention programs, designed as a preventive strategy for multiproblem, at-risk families in mental health agencies. Maintains that a review of the literature reveals little information on clinical supervision, which is a major component of home-based family intervention. Focuses on providing an alternative…

Voices of Pioneers section features Margaret Harrison of United Kingdom who founded HOME-START movement in Leicester, England, in 1973. Notes that HOME-START now has 150 programs throughout United Kingdom and in other countries and that program trains volunteers to offer support, friendship, and practical help to young families under stress in…

Background: In the UK, Early Intensive Behavioural Intervention [EIBI] programmes typically are conducted within the homes of children with autism. Despite evidence for their effectiveness in producing appreciable developmental gains in children with autism, a concern expressed about EIBI programmes is that stressful effects from the high levels…

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

The Supportive Services Program for Older Persons is designed to demonstrate that a private market for home and community-based health related services can be developed in response to the demand expressed by older people and their families. The objective of the program is to expand the service options available to older people by letting market…

This document presents the 1987 amendments to the Older Americans Act of 1965 which amend that act to authorize appropriations for the fiscal years 1988 through 1991, amend the Native Americans Programs Act of 1974 to authorize appropriations for such fiscal years, and to serve other purposes. Title I concerns amendments to the Older Americans Act…

Home based respite care for severely retarded and severely disabled persons was evaluated through questionnaires completed by 91 respite care units over a six month period. Ratings of clients' level of disability were compared to those of clients served in the same region in previous years. Disability levels of clients denied services by the pilot…

Describes three formats of a 15-hour training program for human service practitioners, who learned to maintain older persons at home using behavioral methods. Findings revealed significantly improved knowledge of gerontological information, practice skills, and relevant behavioral principles. All three formats produced significant outcomes. (BH)

Estimates the proportion of service and nonservice expenditures within a state aging department. In Massachusetts the ratio was $0.70 to $0.30 (service to nonservice) both for the state's Home Care Programs and for all activities. (JAC)

The combination of televised home instruction and traditional print media was more effective in facilitating parental training strategies with handicapped preschoolers than either method alone. (Author/CL)

Ten women volunteers were trained as teachers of child management skills to parents of behavior-disordered preschoolers. Evaluation of the project's outcomes using a consumer satisfaction survey, parent ratings on a problem behavior checklist, and staff ratings of goal attainment, showed major changes in child behavior maintained at three-month…

A parent outreach program in Ontario uses parents of handicapped children as paraprofessionals. Parents were given 10-day training on such subjects as behavioral goals and objectives, task analysis, student evaluation and record keeping, and liaison between home and school. (CL)

Fourteen parents of autistic children participating in a home-based behavioral program viewed their treatment more favorably than a comparison group of parents receiving more usual forms of treatment. Most had an accurate impression of treatment, but half found it hard to use the methods suggested. (Author/CL)