This article refutes 10 myths and identifies literature that supports service delivery to infants and toddlers with disabilities in natural settings. The benefits of naturalistic intervention, home-based services, and family-centered services are discussed, and concerns regarding therapist shortages, ethical problems, personal safety of providers,…

Reviews various models used for delivering personal adjustment services to individuals with visual impairments, including center-based services and home-based services. Addresses the need to individualize the rehabilitation process by determining the type of program and service delivery that best meets an individual's needs. (CR)

In 1999 Veterans Affairs Canada (VAC) implemented the Overseas Service Veterans (OSV) At Home Pilot Project in response to the problem that a growing number of clients were on waiting lists for beds in long-term care facilities. The At Home pilot offered certain clients on waiting lists, who met nursing-level care and military-service…

Home-based counseling is an incredibly demanding intervention, yet little is known about the counselors providing this important service. This study sought to profile ego development, conceptual complexity, and supervision satisfaction for 120 home-based counselors. Counselors scored at moderate levels on measures of both ego development and…

This report describes the Home and Community Based Services (HCBS) Waiver to section 1915 (c) of the Federal Social Security Act that was obtained by the New York State Office of Mental Health. The HCBS Waiver affects the services provided to children and adolescents with serious emotional disturbances. Three statutory requirements are included in…

Practitioners, researchers, and policy makers have attempted to improve the delivery of in-home service to the frail elderly through the expansion or merger of existing care providers or through the creation of coordinating units. To investigate the feasibility and effectiveness of a third approach to in-home services, 68 older adults (mean age,78…

This report focuses on positive practices in providing support services to families of children with severe disabilities and chronic illnesses, based on visits to three sites in Maryland: the Family Support Program at the Kennedy Institute in Baltimore, the Coordinating Center for Home and Community Care, and Sick Kids Need Involved People (SKIP).…

Home based family centered (HBFC) service programs have been developed as alternatives to out-of-home placement. These programs have reported relatively high service success rates at costs signficantly lower than foster home and institutional care while, at the same time, avoiding the social and psychological risks of out-of-home placement.…

This paper describes the Primary Prevention Project (PPP), a demonstration program of the Mendota Mental Health Institute in Madison, Wisconsin which provides services to multi-problem families with children under 3 years of age in order to prevent abuse and neglect, developmental delay, or future socio-emotional difficulty. The project's…

This document provides the transcripts from the Congressional hearings on the reauthorization of the Older Americans Act. Opening statements from Representatives Butler Derrick and Mike Synar are presented. Testimony of 19 directors of state and area agencies on aging, Meals on Wheels, Green Thumb, and the American Association of Retired Persons…

This resource guide aims to assist parents, other adults, and the school in providing a stronger continuum of educational opportunities for children at home and in the school. The introductory section provides background information on parent involvement. Section 2 discusses the physical, emotional/social, intellectual, and creative development of…

Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse…

This document describes the TEACH (Train the Elderly And their Caregivers at Home) project, a demonstration project developed by Florida's District 12 Veterans Administration and the Florida Department of Health and Rehabilitative Services to reduce Medicaid nursing home expenditures by delaying or avoiding nursing home placement and to provide…

The increasing numbers of elderly persons in the United States has resulted in the need for community programs which enable the elderly to remain in their homes. It appears that home health care is one method of providing needed basic assistance to the rural elderly population in a cost-efficient manner. This study was conducted to examine the…

A home-based reinforcement program was instituted with three underachieving fourth graders who exhibited inappropriate behavior. Each day the children brought home a workbook assignment indicating percentage of correct responses and parents provided reinforcement for correct items and for improvement over time. Effectiveness on completion of daily…