The PLAY Project Home Consultation (PPHC) program trains parents of children with autistic spectrum disorders using the DIR/Floortime model of Stanley Greenspan MD. Sixty-eight children completed the 8-12 month program. Parents were encouraged to deliver 15 hours per week of 1:1 interaction. Pre/post ratings of videotapes by blind raters using the…

This report describes the Home and Community Based Services (HCBS) Waiver to section 1915 (c) of the Federal Social Security Act that was obtained by the New York State Office of Mental Health. The HCBS Waiver affects the services provided to children and adolescents with serious emotional disturbances. Three statutory requirements are included in…

Practitioners, researchers, and policy makers have attempted to improve the delivery of in-home service to the frail elderly through the expansion or merger of existing care providers or through the creation of coordinating units. To investigate the feasibility and effectiveness of a third approach to in-home services, 68 older adults (mean age,78…

This report focuses on positive practices in providing support services to families of children with severe disabilities and chronic illnesses, based on visits to three sites in Maryland: the Family Support Program at the Kennedy Institute in Baltimore, the Coordinating Center for Home and Community Care, and Sick Kids Need Involved People (SKIP).…

Home based family centered (HBFC) service programs have been developed as alternatives to out-of-home placement. These programs have reported relatively high service success rates at costs signficantly lower than foster home and institutional care while, at the same time, avoiding the social and psychological risks of out-of-home placement.…

This paper describes the Primary Prevention Project (PPP), a demonstration program of the Mendota Mental Health Institute in Madison, Wisconsin which provides services to multi-problem families with children under 3 years of age in order to prevent abuse and neglect, developmental delay, or future socio-emotional difficulty. The project's…

This document provides the transcripts from the Congressional hearings on the reauthorization of the Older Americans Act. Opening statements from Representatives Butler Derrick and Mike Synar are presented. Testimony of 19 directors of state and area agencies on aging, Meals on Wheels, Green Thumb, and the American Association of Retired Persons…

This resource guide aims to assist parents, other adults, and the school in providing a stronger continuum of educational opportunities for children at home and in the school. The introductory section provides background information on parent involvement. Section 2 discusses the physical, emotional/social, intellectual, and creative development of…

Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse…

This document describes the TEACH (Train the Elderly And their Caregivers at Home) project, a demonstration project developed by Florida's District 12 Veterans Administration and the Florida Department of Health and Rehabilitative Services to reduce Medicaid nursing home expenditures by delaying or avoiding nursing home placement and to provide…

The increasing numbers of elderly persons in the United States has resulted in the need for community programs which enable the elderly to remain in their homes. It appears that home health care is one method of providing needed basic assistance to the rural elderly population in a cost-efficient manner. This study was conducted to examine the…

A home-based reinforcement program was instituted with three underachieving fourth graders who exhibited inappropriate behavior. Each day the children brought home a workbook assignment indicating percentage of correct responses and parents provided reinforcement for correct items and for improvement over time. Effectiveness on completion of daily…

This extensive report describes and provides documentation on Special Communications Services for the Sensory Impaired (SCS), a Virginia-based telecommunications delivery system developed by the Center for Excellence, Inc. (CenTex), to provide information and entertainment broadcasting services to the visually handicapped, the hearing impaired,…

This paper describes the Winnebago County (Wisconsin) Community Options Program, begun in January, 1982, which provides for a comprehensive assessment of all elderly persons within the target area who are at risk of becoming institutionalized. The paper focuses on the planning activities for the first year of the pilot program including community…

Effects of brief time out on the biting behavior of a 21- month-old boy enrolled in a day care setting was examined. The Motivation Assessment Scale (MAS; Durand, 1983) was used to determine the function of the child's biting. A parent report survey, the MAS assesses disruptive behavior using a Likert-type scale and discriminates the function of a…