Examined effects of participating in senior programs in two rural Arkansas counties. Found that programs reached socially active elders at low risk for institutionalization. Participation failed to lower rates of institutionalization or to improve health and life outlook; did not result in higher use rates for other government services. (NRB)

Describes the Massachusetts Home Care Corporation network, which provides alternatives to institutional long-term care. This investigation confirms that home-based support service can be targeted to selected subgroups, that targeting can be maintained, and that the recipients of these services are indeed the individuals who risk…