Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…

This article explores how providing early intervention in natural environments reinforces family-centered care, discusses benefits for all parties when therapy is provided within daily routines and settings, describes a decision-making process for embedding natural environments within intervention, and concludes by identifying challenges and…

The Phoenix Union High School District Homebound Program enrolls students who are unable to attend school for at least 3 months due to illness, disease, accident, pregnancy, or emotional or physical handicapping conditions. Homebound classes are carried out through special telephone consoles and home visits. This report describes the Homebound…