Describes LINC (Living Independently through Neighborhood Cooperation), which formed intergenerational helping networks in which the elderly served as donors as well as service recipients. The project's evaluation indicated that frail older persons received services, acted as volunteers, developed friendships, and increased life satisfaction. (JAC)

Reports on acceptance and usage of Lifeline Emergency Alarm system. Found that, once in the system, 88 percent of the frail, urban elderly sampled held positive attitudes. Those who elected to continue service after the demonstration project had more serious medical conditions and an active attitude toward health. (Author/JAC)

The experience of the British and Irish coordination of social and health care suggests a categorical rather than comprehensive approach. Personnel training, resource development and planning should be undertaken on a slow, step-by-step schedule. (JAC)

"Sozialstationen" can fulfill an important function in social and health care by allowing older adults to live at home longer. About two-thirds of the clients would have to have more to residential care if the program was stopped. No conclusions on cost effectiveness can be drawn at this time. (JAC)

Researchers and practitioners have jointly applied research technology and data to a wide range of practical problems. The program has resulted in: greater use of knowledge by practitioners, the development of applied research goals by academicians, and the basis for ongoing collaboration between research and practice. (Author)

Describes On Lok, a long-term care approach which has assumed responsibility for providing all services needed by a functionally dependent adult population. Based on the first two years of operation, descriptive data on the service system, its development, participants served, services given, and costs are presented and interpreted. (JAC)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

An educational and support program for families of the mentally impaired aged in both the community and institutions was offered over a three-year period under the auspices of a geriatric center. Benefits for participants and institutional management were demonstrated. (Author)

Ohio's initiative in geriatric education shows that the federal government need not be the initiator in charting new directions. Diversity of medical education and practice can be an asset. The Ohio model provides a replicable means of transition and holds great promise for other states. (Author)

Discusses the feasibility of delivering combined health and social services to an elderly population. The social/health maintenance organization (S/HMO), incorporating features of health maintenance organizations with community social services, will be financed on a prepaid, capitated basis through premium contributions from Medicare, Medicaid,…

Describes a diversified approach to delivering home care to vulnerable older people. This pilot program, funded by the Massachusetts Department of Elder Affairs, attempted to reduce the demand for scarce homemaker services. Results suggest homecare diversification did not alter consumer satisfaction but increased manager time. (Author/JAC)

Compares adult and elderly clients of a Crisis Intervention Service in an urban metropolitan area, which included a telephone counseling/referral service and a mobile intervention team for home assessments. Findings indicated the importance of using a biopsychosocial model, particularly in the assessment of elderly persons. (JAC)