Describes the process of implementing the New York State Long-Term Home Health Care Program (LTHHCP) during its initial three years of operation. Sponsors of similar programs should be aware of the need for program flexibility and the length of time required for start-up and implementation. (JAC)

Describes On Lok, a long-term care approach which has assumed responsibility for providing all services needed by a functionally dependent adult population. Based on the first two years of operation, descriptive data on the service system, its development, participants served, services given, and costs are presented and interpreted. (JAC)

Suggests geriatric foster care is among the least restrictive alternatives to institutional placement. Outlines the basic prototype principles, including broadly defined client population, maximum accessibility in referral sources, flexible use of existing local services, and uniform statewide quality guidelines. Discusses indicators of success…

Purpose: We present the concept of the Green House, articulated by William Thomas as a radically changed, "deinstitutionalized" nursing home well before its first implementation, and we describe and discuss implications from the first Green Houses in Tupelo, Mississippi. Design and Methods: Green Houses are small, self-contained houses…