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…

Describes a Volunteer Information Provider Program (VIPP) which was demonstrated in five rural Missouri counties to help families deal with the strain of caregiving. Notes that capitalizing on two community-based organizations in rural areas, 63 volunteers shared information with over 1,100 caregivers in a 14-month period. (Author/ABL)

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…

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)

Availability of nursing home beds was a strong predictor of institutional care. Higher rates of community care occurred where there were greater expenditures for protective, legal, chore, day care and social/recreation services and, in which there were more older persons in poverty and fewer women working. (Author)

Examined the utilization patterns of caregivers (N=597) to dementia victims when services were available. Identified and examined factors influencing service utilization, including amount of burden experienced by the caregiver, the degree of involvement in the care of the patient, and the amount of resources available. Respite-oriented services…

Describes a unified, statewide effort to increase outreach activities targeted to ethnic minority families with a demented relative. Provides data demonstrating the effectiveness of these programs. (SNR)

The special needs of the homeless elderly are discussed, followed by the presentation of a program designed to augment the work of public shelters by coordinating medical, nutrition, and social services in a day center format that is structurally integrated within the local aging service infrastructure, utilizing existing resource patterns.…

The growth in the demand for long-term care services and accompanying cost implications have spurred interest in alternatives to nursing homes. The rationale for such alternatives is a mixture of prevention, displacement, and deinstitutionalization; none may result. The alternative may prove to be additive rather than substitutive. (Author)

The position of the "home for the aged" in the total social support network of West Germany is controversial. Senior citizen housing provides a more favorable atmosphere for older adults. Old age homes will have to offer better conditions and more independence. (JAC)

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…

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…