Purpose: This paper aims to generate a better understanding of how challenges and opportunities for sustainable change during digitalization relate to the organizing work of change agents mandated to facilitate technology adoption from within local work organizations. Design/methodology/approach: This study examines the work of welfare technology…

Home care staff who provide housekeeping and personal care to individuals with dementia generally have lower levels of dementia care training compared with other health care providers. The study's purposes were to determine whether the professional role of home care staff in a predominantly rural region was associated with preferences for delivery…

In recent years, increased focus on the effectiveness and accountability of prevention and intervention programs has led to greater government funding for the implementation and spread of evidence-based health and human service delivery models. In particular, attention has been paid to programs that require significant infrastructure investment…

Background: Early intervention services adopting a family-centred approach are considered important for ensuring parent satisfaction. This study investigated the satisfaction of two mothers with an early intervention programme for young children with autistic spectrum disorder. Materials and Methods: While 16 mother-child dyads participated in a…

The purpose of the present study is to evaluate the implementation process for Parenting Plus, an early intervention program in a rural, western Canadian health district. Parenting Plus, as modeled after Hawaii Healthy Start, provides strength-based paraprofessional home visitations to overburdened parents of newborns. The general inductive…

Draws on experiential and theoretical aspects of in-home family therapy to outline the applications and benefits of the family home as a therapeutic setting. Presents actual case material and current practices to challenge service providers to expand service options. (Author/ABL)

Thirty-seven parents of developmentally handicapped children were surveyed concerning the effects of computerization on service delivery in a Parent Outreach Program. Most parents felt they were more able to see their children's progress over time and to select appropriate goals but did not report improvements in service quality. (Author/JDD)

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

Findings of an evaluation of a pilot home-based respite care program designed to serve 35 severely mentally retarded and disabled persons were reported. Results indicated that respite care services had never been previously received by 51.8% of the families. (Author/SB)

Parental involvement is essential to a preschool program for visually handicapped children. Home intervention is one approach for the provision of services to both parent and child. (Author/PHR)

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…

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Presents analysis and typology of community-based care for young Hispanic mother with Acquired Immune Deficiency Syndrome (AIDS). Develops conceptual framework that examines retrospectively needs generated by AIDS over time, appropriateness of services, and assessment of interventions. Presents conclusions regarding definition and implementation…

The aim of this study was to explore the reasons why vulnerable women refuse to take part in early interventions. In-depth interviews were conducted with 19 women who refused to take part in an evaluation of an intensive home visiting programme. A number of themes were identified including perceptions about vulnerability, misperceptions about the…

This program, based on the Portage Project, serves 169 urban families with developmentally delayed children ages 0-6. In weekly visits, a specialist teaches parents to work with their children. Results indicate improvement in both children and parents. (SJL)