The Donald W. Reynolds Institute on Aging at the University of Arkansas for Medical Sciences in Little Rock is addressing one of the most pressing policy issues facing the United States: how to care for the burgeoning number of older adults. In 2001, the Institute created the Arkansas Aging Initiative, which established seven satellite centers on…

Describes the process of implementing the New York State Long-Term Home Health Care Program (LTHHCP) during its initial three years of operation. Sponsors of similar programs should be aware of the need for program flexibility and the length of time required for start-up and implementation. (JAC)

Describes the National Institute on Aging Teaching Nursing Home (TNH) Program, devised to bring to long-term care research and training activities similar to those in teaching hospitals and thus develop an interface between research and practice. Conflicting goals, orientations, organizations, value systems, and practices are discussed. (JAC)

Describes On Lok, a long-term care approach which has assumed responsibility for providing all services needed by a functionally dependent adult population. Based on the first two years of operation, descriptive data on the service system, its development, participants served, services given, and costs are presented and interpreted. (JAC)

Night shift nursing home aides who received in-service training in behavior therapy designed and implemented intervention programs for two of their most difficult residents. Describes programs and their outcomes. Discusses use of staff members as agents of behavior change. (Author/NB)