While many health care delivery systems are criticized for the dehumanizing way they treat patients, hospice care presents a refreshing alternative to health care for the terminally ill. Patients appropriate for hospice care are those with six months or less to live. Interpersonal communication education is an important component of hospice care…

This document describes the Alzheimer Case Management and In-Home Respite Program begun in 1985 in California. Training provided to nurses and selected homemakers in the program is discussed and sources of referrals are identified. Initial nursing visits which involved physical and behavioral assessment of the patient and discussions with stressed…

Family based services attempt to maintain and strengthen the client family and prevent family dissolution and the placement of a child or several children in substitute care. This study compared programs that serve children and their families in their home. Variances in program costs were attributed to differences in number of casework hours per…

To examine alternatives to nursing home care, states have been testing home and community-based services under the Medicaid program. Information on the operations of the state projects will be vital to designing cost-effective alternative services in the future. The General Accounting Office (GAO) reviewed state reports to see if accurate,…

The first annual report of the Disabled Children's Project, a 2-year project in Texas, provides information on project background, goal and objectives, approach, operations and accomplishments, and issues and problems. The project was designed to (1) provide training and support services to birth parents and foster parents of disabled infants and…

Although the effectiveness of home-based, behaviorally-oriented treatment programs with the elderly and their families has been well documented, assessment of caregivers' attitudes toward those programs remains rare. To assess the relationship between outcome measures and client and principal caregiver characteristics, 21 client-caregiver dyads,…

This document presents witnesses' testimonies and prepared statements from the Congressional hearing called to examine the problems of Americans, mostly elderly persons, who need home health care. Opening statements are included by Senators John Melcher, John Heinz, Bill Bradley, John Chafee, Harry Reid, John Glenn, Dave Durenberger, and Quentin…

This Technical Committee Report concerns the adoption of public policy for the development of a comprehensive continuum of services available to all older persons. Basic values, trends, and changing patterns of living are presented along with key issues such as the interrelationships among the family, social services, and other support systems in…

This report is the sixth in a series of evaluations of the Queensland (Australia) Pre-School Correspondence Program (PSCP), a preschool program conducted by mail for families living in remote or isolated areas. This report represents teachers' perceptions and evaluations of the program. The introduction to the report outlines the administrative…

The Orthopedic Homebound Program was meant to prevent the institutionalization of orthopedically impaired, mentally retarded children and to involve parents in their training. The program was proposed and managed by the Shawnee Hills Community Mental Health/Mental Retardation Center in rural West Virginia. Each child's developmental needs were…

This presentation discusses longitudinal results of a home-based program for low SES black and white children whose parents received weekly visits designed to chart children's individualized enrichment when they were from 2 to 5 years of age. The program drew upon school and community resource personnel when appropriate, to provide parents with…

This paper provides a checklist of 10 potential ethical problems associated with intervention in families through home-based programs. Problems which directly involve program participants are (1) pressure on parents to join the program, (2) violation of confidentiality, (3) intrusiveness, (4) need to respect the family's style of living, (5)…

This curriculum guide contains monthly work plans and weekly activity units for a Home Start Program. Emphasis is placed on the importance of the home, the family unit, and the education and development of young children by their own parents. Yearly goals include concern for the following: physical and dental health, nutrition, mental health and…

The guide provides information on procedures used in the Portage Model, an early home intervention program for rural preschool children with all types of handicapping conditions as well as children functioning within the normal range. Following an introduction (which presents the rationale for parent involvement, rationale for home based programs,…

Project Sunrise, a home based parent training model, was designed to serve preschool handicapped children living in rural areas of Montana. Literature was reviewed on when to begin educational intervention, the results of early intervention, the types of intervention most effective, the positive effects of parent education, and the benefits of…