Background: Community health workers (CHWs), often called "health promotion volunteers" in Japan, are individuals who act as a natural helping resource in the community. Aim: This study tested the efficacy of a CHW-based intervention to improve dietary habits among community-dwelling older people in Japan, using a controlled, crossover…

To evaluate the functioning of a senior citizens' center, data were collected on six variables: (1) historical population shifts; (2) attendance and membership statistics; (3) goal attainment; (4) community outreach attempts; (5) neighborhood resources; and (6) general factors affecting attendance. Comparisons revealed a pattern of decreasing…

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…

Developed program to provide beds in private homes for homeless, impaired elderly, giving clients 24-hour care for 2 to 4 weeks while permanent housing arrangements were made. Compared to traditional programs for homeless, emergency program saved money and provided more positive social support. Clients were significantly less likely to be…

Purpose: The purpose of this study was to evaluate the effectiveness of a telephone support group program on spouses and adult child caregivers of frail older adults. Design and Methods: The Telephone Support Group (TSG) model is a multicomponent group program offered in 12 weekly, 90-minute group sessions. It includes emotion-focused and…

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…

The Senior Community Service Employment Program (SCSEP)--now Title V of the Older Americans Act--evolved from Operation Mainstream, a pilot project established under Title II of the Economic Opportunity Act. Operation Mainstream, which was first funded in 1965, provided jobs for chronically unemployed, poor adults in a wide range of activities to…

Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design and Methods: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in…

The Senior Community Service Employment Program (SCSEP) is a part-time program targeted toward the needs of economically disadvantaged persons aged 55 and older. An evaluation was made of the program, using quarterly reports, program records, and telephone surveys. The evaluation assessed the relationship between participant outcomes and factors…

Results of a literature review describing the provision of education and occupational therapy training programs for older adults indicate that programs are effective in three areas: prevention of functional decline and falls, stroke, and rheumatoid arthritis. (Contains 37 references.) (JOW)

Discusses Project SCOPE (Seniors' Community Outreach Programs and Education) which provided an enriched on-the-job training program in community health work. Activities were directed toward developing skills in conducting a needs assessment, networking, care planning, resource utilization and community development. Discusses project's…

This Congressional report contains testimony given during the last of six days of hearings pertaining to reauthorization of the Older Americans Act of 1965. The focus of the day's hearings was on the insights of various administrators, advocates, and academics concerning the past, present, and future of the delivery of services to older adults…

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…

Results indicate that costs of the rehabilitation center can be counted in dollars saved by keeping the patient at home instead of in the hospital. Treatment effectiveness, social improvement of patients, and benefits to family and friends cannot be counted in monetary terms. (JAC)

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)