The provision of consistent high quality home- and community-based services to children with disabilities living in rural and frontier areas is a challenge. Distance, weather, geographic terrain (mountains, canyons), and shortages of pediatric early interventionists are among the challenges to ensuring appropriate and equitable services.…

Background: The turn to neoliberalism in welfare policy suggests that human services need to be based on a market approach. The problem with this suggestion is that it presupposes marketing information such that service providers can market their services for identified client needs. In the field of intellectual disability (ID) services this type…

The concept of attendant care--provision of personal services to severely disabled individuals--is presented. Data from a survey of about 340 out of 718 consumers of attendant care indicate the existence of a mix of consumer-oriented programs. Consumer preference for a particular program design appeared to be governed by experience. (SLD)

An attempt was made to determine predictors of service need, use, and outcome among chronically impaired adults and aged who were living in the community and using the home-based, long term care services of the Chronic Illness Center (CIC) of the Cuyahoga County Hospitals (Ohio). Randomly selected consumer service records (N=200) were coded for…

Dissonance and conflict occur when the culture of a service delivery system differs greatly from a disabled client's culture. Strategies are outlined for adapting services to match culturally diverse client needs. Examples focus on rehabilitation services and special education for visually impaired Hispanic Americans. Contains 20 references. (SV)

This article is based on the keynote address that initiated the American Rehabilitation Counseling Association symposium on psychosocial aspects of rehabilitation, held at the 2002 American Counseling Association annual conference. It lays philosophical groundwork regarding the provision of general human services and, particularly, services…

Government documents, brochures and annual reports of private agencies, and a taped narrative were reviewed to examine the educational and training needs of handicapped children and adults in India. The investigation centered around five questions: Who are the handicapped and how are they defined? What methods are used to identify them and assess…

Participation by agencies in a network can provide access to a wider range of services and resources for the handicapped and can enable additional agencies to take advantage of information regarding specialized resources and services to the benefit of unlimited others. The major obstacle to effective networking is the fear that participation in a…

P.L. 95-602, the Rehabilitation, Comprehensive Services, and Developmental Disabilities Amendments of 1978, reflects an attempt to coordinate, integrate, and consolidate certain programs across all disability lines while recognizing the uniqueness of certain groups, such as the developmentally disabled. (Author)

The author speaks of concerns facing those in allied health occupations: the new United States Department of Health and Human Services, focus on helping disabled people of all ages, segregation of handicapped children, and human service delivery mechanisms. (CT)

This study interviewed 58 parents of preschool-aged disabled children about their perceptions of infant and family services proposed under Public Law 99-457. Parents expressed desires for knowledge about their child and available services, and stressed the importance of professionals empowering families to make their own decisions. (Author/PB)

The study attempted to determine effects of basic client characteristics on the delivery of services to disabled older adults in Canada. Results indicate that there is a weak relationship between age, gender, and level of cognitive functioning and the overall receipt of services. However, when each service is analyzed, only day programs are…

Provides general review of literature on professional rehabilitation competency importance and practitioner attainment as background information for series of research articles on the subject. Also provides information about National Institute on Disability and Rehabilitation Research funded project along with rationale for the research. (Author)

The author responds to W. Morse, F. Wood, and R. Peterson's articles (EC 151 382-385) updating W. Rhodes' predictions about care for emotionally disturbed and other disabled individuals. She cites the financial problems facing human services fields at institutions of higher education and decries the impact on future service provision. (CL)

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)