This study examines the cost effectiveness of two interventions for disruptive behavior problems: First Step Next (FSN), a school-based intervention, and a multicomponent intervention that combined FSN with a home-based intervention, homeBase (hB). Analyses were based on findings from a large-scale comparative efficacy trial in the United States…

This study seeks an understanding of the opportunities and challenges involved in providing home based early intervention services for children with disabilities in Saudi Arabia (SA), from the perspective of early intervention specialists. A qualitative approach was implemented involving semi-structured interviews with eight (8) participants who…

Self-directed home and community based services (HCBS) waiver services and supports for people with intellectual and developmental disabilities (IDD) have become a viable and widely used method of service provision in the United States. Grounded in theories of self-determination, previous literature on self-direction has suggested high…

Parent-Child Interaction Therapy (PCIT) is an empirically-supported behavioral parent training program designed to be administered in a clinic or laboratory-based setting. Recently, an empirical investigation revealed that in-home PCIT produced comparable results as the PCIT trials conducted in more controlled environments (this issue).…

Notes that ecological approach to social work, which is directed at interactions of individual with environment, provides framework for examining role that social work can play in home care. Descriptions of programs in several countries illustrate effectiveness of incorporating this perspective into services. Notes results: decreased rates of…

Examined public and private costs for nursing home applicants participating in Virginia Nursing Home Pre-Admission Screening Program. Found that applicants diverted to community care were less dependent and had greater informal supports than those admitted, and that public and private payments for community care were lower than for nursing home…

Alliances for academic home care offer a new approach to advance the knowledge base related to home care, to improve quality and cost effectiveness of home care services, to prepare the next generation of providers to manage and deliver care in a restructured practice paradigm, and to influence health and social policy. (JOW)

This research identified the costs and benefits of the sitter service in Scotland. A "sitter service" is one that provides home-based childcare outside the hours of 8:00 AM to 6:00 PM on weekdays and at weekends to support children of shift workers, single parents/carers and for children who require additional support. Nine sitter…

Compared data from family caregivers who participated in support and education groups and caregivers who enrolled but did not participate. Found care receivers of participants had statistically significantly lower institutionalization rates than did care receivers of non-participants. Savings from deterred nursing home use more than offset program…

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)

Analysis of treatment of infants suffering from Failure to Thrive placed in foster medical placement homes (MPH, N=17) or admitted to hospitals (N=18) revealed that the MPH infants grew more than hospitalized infants and parents of MPH children had advantages of education and support. The MPH program cost less than 25 percent of hospital care.…

The Community Care Organization-Milwaukee, sought to provide care at less cost and with higher resultant quality of life than nursing home care. Most frequently used services were transportation and nutrition. Much of the cost savings resulted from reduced hospitalization and nursing home utilization. (Author)

The economic efficiency of alternative types of intervention was investigated with language-impaired preschool children. Forty children were assigned to one of four groups: home-based intervention, center-based intervention, both center- and home-based intervention, and no treatment. The home-based program was more economically efficient based on…

Parents were equally effective in modifying their childrens' negative behaviors regardless of method: individual in-home; individual in-office; or group in-office. Although operations costs favored group delivery, the more comprehensive opportunity and client costs favored individual in-home delivery. (CP)

An evaluation of an in-home treatment program for child-abusing families in California revealed that, in comparison to a conventional group who received traditional counseling services, families receiving intensive in-home therapy experienced a reduction in stress, improved their communication skills, and were able to keep their children in the…