This manual was designed primarily for use by people with disabilities. The hope is that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with disabilities. The focus of this manual is to provide easy-to-read information about available resources, and to provide immediate…

This study aimed to examine the implementation, adequacy, and outcomes of discharge planning. The authors carried out a prospective study of 1,426 adult patients discharged from 11 acute care hospitals in Israel. Social workers provided detailed discharge plans on each patient. Telephone interviews were conducted two weeks post-discharge. Findings…

Intended for trainee use, the manual is in notebook format with a curriculum corresponding to the trainers' manual (VT 007 909), a related document. Part I, Basic Health Curriculum, deals with (1) the roles of health service aides, (2) Biological Potential and Equilibrium, (3) Professionals in the Health Field, (4) Public Health Administration,…

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 paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which…

Indigenous homemakers were employed in this Arkansas program as health education aides. They provided participant families with information on: (1) healthy daily living habits; (2) preventive health practices; (3) self-care/professional care needs; (4) home environment influences in health; and (5) local health services. (MJB)

Screening interviews and clinical assessments were conducted of Manitobans over age 85: 74 had no cognitive impairments, 94 had impairments with no dementia, and 58 had dementia. Half of those with dementia and one-quarter of those with impairments received home care. Type, cost, and amount of community health services used varied with each…

The differences between what health professionals and the elderly perceive concerning the need for home health care were studied. Elderly persons were interviewed to ascertain their perceived needs while health professionals responded to a questionnaire. Preliminary analysis of the resulting data revealed that the most frequently perceived…

Recounts the aftermath of Hurricane Gloria and necessity of frail individuals to be hospitalized for respite care due to loss of home services. Advances a new category of respite care which includes care for losses related to natural disasters. Describes characteristics of individuals requiring such care and specific reasons for their care.…

Examined type of service, volume, and mix of services provided to 270 poor and frail elders. Predictors of use and volume of service differed depending on type of service. The most prescribed service combinations included nursing, home health, and homemaker; homemaker only; nursing and home health; nursing and homemaker; and nurse only. (RJM)

Found clientele of two comprehensive sociomedical home care programs to be similar to clientele of a traditional medical nursing program. The comprehensive programs did not have clientele with more problems and less adequate social supports. To serve their target clientele, these programs need more homemaker and personal services. (Author/ABB)

Tested the Homemakers Home Health Aide Program Evaluation Questionnaire, a management tool for evaluating homemaker/client relationship, job performance and achievement of objectives, for a sample of 40 clients. The questionnaire, which is appended, is valid, reliable, and relatively inexpensive. (Author/JAC)

Findings from a study of home care services in one New York district document the value and relatively modest costs of home health care for the chronically ill and dependent elderly. Professional nurses coordinated the care, but most of the direct services were provided by home health aides and housekeepers. (MF)