Findings are presented from a site visit to a Raleigh, North Carolina, program that provides in-home support to children and adults with severe disabilities and their families. The program, the Wake County Community Alternatives Program for Persons with Mental Retardation/Developmental Disabilities, is administered by the North Carolina Department…

The paper describes the transition of service provision for 240 intellectually handicapped Australian children and their families from a relatively traditional service delivery system to one emphasizing home and family involvement and placement of services closer to home. (Author/PHR)

This description of the Cedar Valley Hospice program emphasizes palliative and supportive care for terminally ill patients and their families. The history of the hospice movement is outlined along with a description of the Cedar Valley program and the results of a 1980 program evaluation. The appendices contain a statement of the hospice goals and…

This commentary reviews previous articles that discuss major educational approaches for young children with autism from the perspective of a parent with a child with autism. Considerations for parents in selecting an intervention and the need for more intervention information and resources for parents are addressed. (CR)

This report documents the activities and outcomes of the 5-year model demonstration project AHEAD (At Home and At Day Care), a Utah program that is designed to deliver services to infants, toddlers, and young children (ages birth-3) with noncategorical disabilities. The program delivers services to the children and their caregivers in their…

This document is part of a series of monographs on community-based services for children and adolescents who are severely emotionally disturbed. The series is the product of a national study of community-based service approaches, which identified over 200 programs serving emotionally disturbed children and included visits to several programs…

The Sensory Impaired Home Intervention (SKI*HI) Model provides services for rural, hearing impaired children at an average annual cost of $1,400 per child. Weekly home visits are provided by nearby or local part time parent advisors, thus minimizing travel costs and eliminating employment problems associated with long travel hours. (JHZ)

Designed for rural areas in Washington state, the Early Childhood Home Instruction Program for Young Hearing Impaired Children (ECHI) provides an opportunity for hearing-impaired children and their families to receive individual training, acquire information, address concerns, and promote child development within the familiar surroundings of their…

Early Head Start services are typically offered through home- or center-based delivery models. A formative evaluation of an example of each service delivery model was conducted. The purpose was to examine the issues involved in the implementation of these two service delivery models relative to the content of services, intensity of services,…

The Community Integrated Training and Education (C.I.T.E.) program, sponsored by the Hamilton County (Ohio) Board of Mental Retardation, is a support program for county families with mentally retarded children, aged 6 months to 22 years. The program is structured to provide education and training for families who have decided against residential…

This report describes a model designed to provide family-centered, community-based coordinated services for families and their children with chronic health care needs. The model, which was implemented to serve 208 children over a 5-year period, is based on three key concepts: families should have the choice to receive services in their homes and…

This paper reflects on lessons learned from the implementation of KAN Focus, a demonstration project to develop a system of care for children with severe emotional disturbance in rural southeast Kansas. It notes trends toward providing more and younger children with community-based support services which provide family centered services,…

This final report presents the outcomes of Project INSITE, a family-centered home intervention model designed to provide training to early intervention/childhood professionals working with infants and young children with multidisability sensory impairments and their families. In the INSITE model, an early intervention professional visits the home…