Purpose: The purpose of this study is to investigate the incidence of all-cause mortality, institutionalization, and condition improvement among participants of a state home- and community-based services program (HCBS). Methods: We evaluated the follow-up data of 11,444 individuals with disabilities aged 45-59 years at application who received…

Home care poverty is the inability of older people to access adequate home care services and their unmet needs for home care. With the increasing number of older adults (60 years old and above) with disability in China, the Chinese government pays more and more attention to home care. In this case, it is of great significance to explore whether…

This article reports on a study of practitioners' use of In-the-Picture -- a reflective, observational approach -- when delivering early intervention programmes to young disabled children. To date, In-the-Picture has been used mainly by researchers to study interactions and learning between young children, practitioners and the children's parents…

The Home and Community Based Services (HCBS) settings rule (CMS 2249-F/2296-F) strictly enforces meaningful community-based settings for those receiving Medicaid HCBS funding. Stakeholders have the opportunity to impact states' setting rule plans and hold states accountable to ensure rules are truly community based. Yet, the complex rule can be…

Individuals with traumatic brain injury (TBI) often struggle to obtain competitive employment after sustaining a TBI, commonly as a result of the post-injury difficulties they exhibit (Andelic, Stevens, Sigurdardottir, Arango-Lasprilla, & Roe, 2009; Mansfield et al., 2015). The currently reported unemployment rate for people with TBI is…

Program administrators and policy makers have placed a priority on expanding access to inclusive, center-based early care and education (ECE) for low-income children with special needs, a "doubly vulnerable" population characterized by academic and social-emotional achievement gaps at kindergarten entry. Yet, no research has documented…

This article focuses on one early intervention team's transition from a multidisciplinary center-based model to a transdisciplinary, natural environment service delivery model. The team consisted of an occupational therapist, physical therapist, speech and language pathologist, and early intervention teacher. Each team member began with different…

Having a child diagnosed with Autism Spectrum Disorder (ASD) poses a range of challenges to families, many of which can be addressed through appropriate intervention. A study of parental (n = 95) and professional (n = 67) experiences was carried out in relation to two settings: (a) schools that provided intensive interventions based on the science…

The article reviews research and British special education policy suggestions regarding the provision of early intervention in the home or in centers for handicapped children. Issues considered include effects on parental confidence and lack of certainty in research on preschool intervention. (CL)

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

The study evaluated a reinforcement program in which three mothers earned lottery tickets and won prizes for the progress made by their handicapped preschool children during home based intervention. (Author)

Parent training as a service delivery model for 12-month programming is discussed. Legislation, litigation, and research concerning 12-month programming and parents as program implementers for handicapped students are reviewed. A parent training program is described, and results of a study using the program as a 12-month service delivery model…

Research has found that approximately 80 percent of the care received by elderly people living at home is provided by family members. Although assistance provided by informal supports can be important in sustaining the functionally disabled elderly at home, caregiving can have important negative effects on the informal providers. To examine the…

Describes the Elderly Support Project designed to teach families better home care of the mentally and physically impaired elderly. Findings supported the procedures as valuable for promoting continuing home care, better mental status, and improved behavior of elderly clients by offering families alternative positive responses. (Author/JAC)

The paper analyzes the significance of parents' play routines as an aspect of home intervention programing of play behaviors with developmentally delayed young children. Three sources of child development research are noted: the studies demonstrating a rationale for parent-child play, emphasis on the early aspect of intervention, and the use of…