This article discusses a home-centered approach to the use of assistive technology for children with disabilities, reviewing the literature on children's home environments, self-determination, family systems, and the physical and social environment. Suggestions are provided for professionals working with families to identify and provide assistive…

Describes a three-year project that examined the efficacy of three models of intensive in-home services as alternatives to hospitalization for children experiencing serious psychiatric crisis. The specific features of the program models, the intake data of the children and families, and implications for providing services are discussed. (Author/CR)

Examined nationally representative sample of 60 adult day care centers to describe state of adult day care. Results indicated that day care centers could be categorized into 3 models of care, each serving distinctive subpopulation. Tested model appropriateness with analysis of variance of differences in participant characteristics. Contrasted…

Assessed efficacy of home-based program of cognitive stimulation for functional status of patients with Alzheimer's disease and their caregivers. Compared treated caregiver/patient dyads with nontreated dyads. Results suggest that treated patients exhibited maintenance levels of cognitive and behavioral functioning and improved emotionally while…

Parents of 25 infants/toddlers with handicaps were surveyed to gain perspectives on easing the transition from home-based infant programs to preschool programs. Analysis of the results led to 4 major recommendations and a series of steps that infant program staff can follow to facilitate transition to preschool program options. (JDD)

An educational program for five parents with mild mental retardation found that knowledge training produced sizable increases in the knowledge measure, but neither it nor the behavioral training produced increases in parenting skills. However, following training in the home, each of the parenting skills increased substantially. (Author/JDD)

Tested the effectiveness of intensive, in-home family reunification services in reunifying families separated by the placement of a child in out-of-home care. After 90 days, 93% of the families assigned to receive the intensive treatment were reunited, compared to 28% of families in a control group who received routine out-of-home care services.…

An effective intervention program which used a CREFT (child relationship enhancement family therapy) approach for changing problematic child behaviors is described. The approach features child-centered play therapy and employment of parents as primary change agents, and provides parents with the understanding and skills to facilitate behavioral…

Emphasizes the importance of home visits and provides tips on making Head Start program home visits rewarding for parents and children. Lists 11 behaviors of effective home visitors, and emphasizes the importance of empowering parents and creating adequate documentary materials concerning the home visit. (SD)

We describe the historic and current use of brief experimental analysis procedures in outpatient clinic and home settings. We discuss some applications of the designs and suggest design modifications for improving internal validity. We describe our application of the designs to longitudinal, in-home programs for children with severe behavior…

Purpose: The authors examine differences in reports of residual disability and unmet need by type of long-term care arrangement (assistive technology or personal care).Design and Methods: This study compares three specific dimensions of residual difficulty (pain, fatigue, and time intensity) and reports of unmet need across care arrangements.…

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 purpose of this study was to gather information about the different types of home visiting services provided to families of at-risk children, with a special emphasis on the home visiting option within the Head Start program. A 13-page questionnaire was sent to 4,162 organizations nationwide that operated home visiting programs. Responses were…

With fiber optic networks that can deliver library materials directly to the user from computerized data banks, is there any need for the library function? For the short term, public libraries will survive. The answer for the medium and long-term is much less certain. Libraries will survive if librarians see themselves as active providers of…

Bilingual/bicultural education can tap the learning potential of preschool children by extending the school into the home and involving parents, grandparents and siblings. Schools can provide bilingual television programs, educational toys, books and trained supervisors. (CHK)