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)

Suggests geriatric foster care is among the least restrictive alternatives to institutional placement. Outlines the basic prototype principles, including broadly defined client population, maximum accessibility in referral sources, flexible use of existing local services, and uniform statewide quality guidelines. Discusses indicators of success…

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)

Describes Alzheimer Support/Tender Loving Caregivers Project which represents the efforts of a mental health center to collaborate with an interfaith coalition to recruit and train church-based volunteers to provide respite care for frail elderly and their families. Describes educational component as overshadowing service. (Author/ABL)

Notes that proposed federal long-term care reforms include eligibility criteria based on disability and cognitive impairment. Illustrates process of evaluating alternative eligibility criteria based on one possible targeting goal--serving those who need most care. Uses channeling data to construct measure of total care needs which is used to…

Examines collaborative model of "short-term, long-term care" (Brody, 1987) for older persons returning home after a hospital stay. Program provided short-term case management and nonmedical, supportive services to 265 elderly individuals immediately following discharge from acute-care hospitals. Found client satisfaction was high, costs…

Describes development and evaluation of three-hour multimedia community education program on depression and suicide in later life. Designed for families, older adults, and service providers, program provides information and teaches skills to recognize and respond to depression and suicidal behavior in elderly. Compared with controls, participants…

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

The Comprehensive Periodic Assessment Form is an innovative way to document a patient's rehabilitation progress. This nonnarrative, semi-graphical form digests onto one page many sheets of progress notes. Mobility, Activities of Daily Living (ADL), mental, and medical status over time can be ascertained at a glance. Useful for the aged patient…

Describes use of photography as method embedded within ethnographic investigation of rural home care for older adults. Illustrates how photography fostered data generation, elicited participants' stories, and showed patterns of rural aging. Notes that analysis of photographic data pooled with interview and observational data facilitated in-depth…

Discusses how Dallas, Texas, Area Agency on Aging met requirement of 1987 amendments to Older Americans Act of 1965 that State Offices on Aging identify agencies involved in identifying and treating abused, neglected, and exploited elders and determine their need for services. Describes impact of Elder Abuse Task Force on state law, adult…

Eligibility assessment systems for community long-term care vary widely across programs funded by states and Medicaid and in proposals to expand federal funding. Improved equity and efficiency will require better specification of eligibility criteria, timing and setting of assessments, language of assessment items, training of assessors,…

In 1972, Congress enacted the Nutrition Act under Title VII of the Older Americans Act in order to provide older Americans with nutritionally sound meals served in strategically located community centers. This paper identifies some of the significant personal, environmental, and programmatic barriers to effective outreach that exist today. (Author)

Notes that community-based care for chronic illness requires continuum of care. Identifies three aspects of organization of long-term care that are important in maintaining continuum: availability, accessibility, and acceptability. Illustrates each category by data from Missouri to demonstrate potential problems in each of three areas that can…

Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)