Presents a retrospective study of patients who died in a hospice home care program to examine quality of care and differences between patients who died at home and in the hospital. No prediction could be made of which patients could remain at home until death. (JAC)

The study described the Home Accident Prevention Inventory which was used to assess hazards in the homes of families under state protective service for child abuse and neglect. Followup showed that the treatment package resulted in decreases in the number of these hazards which were maintained over an extended period. (Author/DB)

Discusses critical factors complicating efforts to assure quality of in-home care for people with chronic disabilities: client and provider characteristics, fiscal restraints, inadequate regulation, lack of quality assurance methods, and lack of coherent social policy for long-term care. Identifies three areas of policy to be addressed if efforts…

Describes Block Nurse Program, in which existing resources and agencies are used to help keep elderly persons in their own homes with case management by public health nurses in community. Discusses external evaluation of program which documented that the neighborhood long-term care delivery model kept older adults in their homes at low cost and…

Discusses home-based family therapy intervention programs, designed as a preventive strategy for multiproblem, at-risk families in mental health agencies. Maintains that a review of the literature reveals little information on clinical supervision, which is a major component of home-based family intervention. Focuses on providing an alternative…

Voices of Pioneers section features Margaret Harrison of United Kingdom who founded HOME-START movement in Leicester, England, in 1973. Notes that HOME-START now has 150 programs throughout United Kingdom and in other countries and that program trains volunteers to offer support, friendship, and practical help to young families under stress in…

Context: Availability of Medicare-certified home health care (HHC) to rural elders can prevent more expensive institutional care. To date, utilization of HHC by rural elders has not been studied in detail. Purpose: To examine urban-rural differences in Medicare HHC utilization. Methods: The 2002 100% Medicare HHC claims and denominator files were…

Purpose: The U.S. Department of Veterans Affairs has adopted two functional assessment systems that guide care planning: one for nursing home residents (the Resident Assessment Instrument [RAI]) and a compatible one for home care clients (RAI-HC). The purpose of this article is to describe the RAI-HC (often referred to as the Minimum Data Set-Home…

The Supportive Services Program for Older Persons is designed to demonstrate that a private market for home and community-based health related services can be developed in response to the demand expressed by older people and their families. The objective of the program is to expand the service options available to older people by letting market…

This document presents the 1987 amendments to the Older Americans Act of 1965 which amend that act to authorize appropriations for the fiscal years 1988 through 1991, amend the Native Americans Programs Act of 1974 to authorize appropriations for such fiscal years, and to serve other purposes. Title I concerns amendments to the Older Americans Act…

Home based respite care for severely retarded and severely disabled persons was evaluated through questionnaires completed by 91 respite care units over a six month period. Ratings of clients' level of disability were compared to those of clients served in the same region in previous years. Disability levels of clients denied services by the pilot…

Describes three formats of a 15-hour training program for human service practitioners, who learned to maintain older persons at home using behavioral methods. Findings revealed significantly improved knowledge of gerontological information, practice skills, and relevant behavioral principles. All three formats produced significant outcomes. (BH)

Estimates the proportion of service and nonservice expenditures within a state aging department. In Massachusetts the ratio was $0.70 to $0.30 (service to nonservice) both for the state's Home Care Programs and for all activities. (JAC)

The combination of televised home instruction and traditional print media was more effective in facilitating parental training strategies with handicapped preschoolers than either method alone. (Author/CL)