Investigated the processes of developing services for the aged in rural communities, using grounded theory methodology. Examination revealed a grassroots model of advocacy which involved the emergence of local leadership and typical motivational, needs defining, goal-setting, and organizational processes. (Author/NRB)

Surveyed elderly persons (N=l,224) aged 60+ to determine social network ties and awareness of available services. Found following factors predictive of service awareness: having nonkin advisors; club membership; other community agency contacts; and availability of transportation, education, and moderate-sized kin networks. Found following…

Purpose: This article describes early efforts of four community partnerships in Boston, El Paso, Houston, and Milwaukee to address governance and management structures in ways that promote the sustainability of innovative community-based long-term care system improvements. The four communities are grantees of the Community Partnerships for Older…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

Develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. Offers a contextual approach for understanding individual autonomy and discusses its relevance to community long-term care. Illustrates how current financing, organization, and delivery of care provide clients with…