Describes a geropsychiatric outreach team that evaluated and treated psychiatrically impaired elderly (N=66) in their home. Initial diagnostic reports and three-month follow-up interviews suggested that most patients had improved or stabilized and were able to remain in the community. Intervention strategies and patient characteristics are…

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 Senior Home Care Program (SHCP) attempted to demonstrate the feasibility of integrating and coordinating medical, home health services, and home care for members of a senior health plan. It was designed to show how a state-supported home care system could work with health maintenance organizations to improve community-based long-term care. A…

Several conventional approaches to conceptualization and the measurement of objectives in publicly funded, long-term home care for the non-institutionalized elderly are reviewed critically. The formulation of objectives which focus on immediate, desired consequences of services, and lend themselves to behavioral measurement, is proposed. The…

Describes the Massachusetts Home Care Corporation network, which provides alternatives to institutional long-term care. This investigation confirms that home-based support service can be targeted to selected subgroups, that targeting can be maintained, and that the recipients of these services are indeed the individuals who risk…

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)

States' policies vary widely on paying friends and family rather than home care agencies to care for the elderly. This analysis explored two state programs which exemplify different payment options: Michigan, which pays clients' informal caregivers, and Illinois, which generally pays agencies to provide services. It asked how different payment…

Chronic pain occurs most frequently in the elderly. Unfortunately, most pain clinics are located in large urban areas and are not readily accessible to the rural elderly. Recent advances in behavioral medicine have provided pain relief techniques that can be used by a wide variety of professional and paraprofessional workers who do not have…

The effectiveness of the state of Maryland's Community Home Care Services (CHCS) program was evaluated in this study. The CHCS's major goal is to enable persons 65 and over and their spouses (regardless of age) to remain in their own homes or in other independent living arrangements, consistent with their desires, ability and safety; or to assist…

Describes the development of a mobile geriatric outreach team. The importance of thorough, interdisciplinary assessment and the offering of active, brief psychotherapy are stressed. Community education programs and consultations to the aging network reach the senior community and other referral sources. Preliminary program evaluation data are…

This document describes services for the elderly provided by the Spokane Community Mental Health Center (CMHC) in Spokane, Washington. It begins by stating several reasons that the elderly are often unserved or underserved by health and social service agencies and by noting the need for community efforts to identify and locate the subpopulation of…

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…

The Community Care Organization-Milwaukee, sought to provide care at less cost and with higher resultant quality of life than nursing home care. Most frequently used services were transportation and nutrition. Much of the cost savings resulted from reduced hospitalization and nursing home utilization. (Author)

Project LINC (Living Independently through Neighborhood Cooperation) was a three year demonstration project designed to enable older people to remain in independent living by strengthening their neighborhood-based informal support systems. To determine if LINC met its goals and reached the elderly population it was designed for, a pre- and…

Purpose: New York City's Medicaid Home Care Services Program provides an integrated program of housekeeping and personal assistance care along with regular nursing assessments. We sought to determine if this program of supportive care offers a survival benefit to older adults. Design and Methods: Administrative data from New York City's Medicaid…