Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

Architects, environmental designers, occupational therapists, and human service professionals are variously engaged in efforts to create settings for older persons that better fit their changing lifestyles and abilities. This theoretical article argues that to explain and predict more effectively the appropriateness of the settings occupied and…

Presents an urban neighborhood network barter model which can facilitate service delivery to the elderly and offers recommendations for implementing a similar program. Community outreach, good publicity, and a successful conference were key factors in producing a greater sense of cohesiveness within the community. (JAC)

Examined nationally representative sample of 60 adult day care centers to describe state of adult day care. Results indicated that day care centers could be categorized into 3 models of care, each serving distinctive subpopulation. Tested model appropriateness with analysis of variance of differences in participant characteristics. Contrasted…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

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)

Describes the Neighborhood Family (NF), which is based on the premise that older persons can create a self-managed social support network. Arising from community organization of low-income elderly, the model combines a kin-like supportive community, a multipurpose service and activities center, minimal staff, and indigenous decision- making.…