This study examines the cost effectiveness of two interventions for disruptive behavior problems: First Step Next (FSN), a school-based intervention, and a multicomponent intervention that combined FSN with a home-based intervention, homeBase (hB). Analyses were based on findings from a large-scale comparative efficacy trial in the United States…

Self-directed home and community based services (HCBS) waiver services and supports for people with intellectual and developmental disabilities (IDD) have become a viable and widely used method of service provision in the United States. Grounded in theories of self-determination, previous literature on self-direction has suggested high…

Parent-Child Interaction Therapy (PCIT) is an empirically-supported behavioral parent training program designed to be administered in a clinic or laboratory-based setting. Recently, an empirical investigation revealed that in-home PCIT produced comparable results as the PCIT trials conducted in more controlled environments (this issue).…

This research identified the costs and benefits of the sitter service in Scotland. A "sitter service" is one that provides home-based childcare outside the hours of 8:00 AM to 6:00 PM on weekdays and at weekends to support children of shift workers, single parents/carers and for children who require additional support. Nine sitter…

Notes that ecological approach to social work, which is directed at interactions of individual with environment, provides framework for examining role that social work can play in home care. Descriptions of programs in several countries illustrate effectiveness of incorporating this perspective into services. Notes results: decreased rates of…

Examined public and private costs for nursing home applicants participating in Virginia Nursing Home Pre-Admission Screening Program. Found that applicants diverted to community care were less dependent and had greater informal supports than those admitted, and that public and private payments for community care were lower than for nursing home…

Alliances for academic home care offer a new approach to advance the knowledge base related to home care, to improve quality and cost effectiveness of home care services, to prepare the next generation of providers to manage and deliver care in a restructured practice paradigm, and to influence health and social policy. (JOW)

This document presents Congressman Claude Pepper's report on the Medicare Home Care Benefit. Section I traces the history of home health care in the United States. Section II offers statistics and general background information about older Americans and Medicare. The beginning of the Medicare home care benefit and its present operation are…

Reported are findings of an impact evaluation of the Family-Centered Home-Based Intervention Project for Protective Services Clients, a joint venture of the Texas Department of Human Services (DHS) Region 11 (Houston) and the DePelchin Children's Center. The project demonstrated a model of intensive intervention with families who had been referred…

The FamiliesFirst project in Davis, California is a child abuse prevention project designed to keep abused children safely at home. During the first year of operation, FamiliesFirst provided in-home prevention services to 59 children in 26 families referred by county Child Protective Services as an alternative to out-of-home placement. Therapists,…

A series of discussions between the Gloucester (England) Health Authority and a research team resulted in a 3-year project designed to support elderly people, and those who care for them, in their own homes. This paper is an updated version of a discussion paper prepared during the formative phase of the project. It was created to encourage…

Compared data from family caregivers who participated in support and education groups and caregivers who enrolled but did not participate. Found care receivers of participants had statistically significantly lower institutionalization rates than did care receivers of non-participants. Savings from deterred nursing home use more than offset program…

A study was conducted to determine who, within a target user group, used and benefitted from a videotex system. The subjects were large-scale farmers who agreed to have videotex terminals installed in their homes to receive a wide range of informational and commercial transaction services provided by a bank holding company. At the end of an…

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)

This report describes the Home and Community Based Services (HCBS) Waiver to section 1915 (c) of the Federal Social Security Act that was obtained by the New York State Office of Mental Health. The HCBS Waiver affects the services provided to children and adolescents with serious emotional disturbances. Three statutory requirements are included in…