Describes different home-schooling options available to children with disabilities. Services of a special-education consultant are reviewed, along with services of the Home School Legal Defense Association, an umbrella school that provides consulting services to home-schooling families, and a public school home-instruction program. (CR)

This article refutes 10 myths and identifies literature that supports service delivery to infants and toddlers with disabilities in natural settings. The benefits of naturalistic intervention, home-based services, and family-centered services are discussed, and concerns regarding therapist shortages, ethical problems, personal safety of providers,…

Home programs for young handicapped children have the potential for enhancing the partnership between home and school. In an effective home program the parent is viewed as the person most qualified to facilitate the child's development. This paper focuses on the philosophy of home programming and details some useful strategies which can be used by…

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…

A survey of 43 early childhood special-education administrators in California found the programs for infants tended to be home-based, preschoolers with mild disabilities were frequently fully included, and preschoolers with severe disabilities and low-incidence disabilities were more often partially included or placed in special classes only.…

Examines among- and within-group needs and in-home and community-based service utilization by Mexican American, Cuban American, and Puerto Rican elderly people. Needs for care were the strongest predictors of in-home service utilization, and enabling factors were the strongest predictors of community-based service utilization. (JPS)

An integrated home/school program model for training parents of young handicapped children was evaluated by 26 participating mothers. Parents reported a high level of satisfaction with each of the components of the program, which included videotaped practice teaching sessions by the parent and coordination of home and school efforts. (CL)

This study of the extent of turnover among early childhood interventionists working in 27 North Carolina home-based programs found that 49 percent of staff, 38 percent of consultant therapists and specialists, and 68 percent of directors of programs remained employed over a 2.7-year period. Mean length of staff service increased from 1985 to 1988.…

Describes a home-based intervention program that provided time-intensive, supervised, paraprofessional services to a family in which parents and infant had serious disabilities. Programmatic needs and delivery of services to disabled parents and families are discussed. (NH)

This article examines issues related to treatment acceptability in early intervention programs, by applying concepts pertaining to collaboration, cultural difference, compliance and freedom of choice, family life cycles, and systems theory. A paradigm for designing home-based intervention plans with families of preschoolers with behavior disorders…

An attempt was made to determine predictors of service need, use, and outcome among chronically impaired adults and aged who were living in the community and using the home-based, long term care services of the Chronic Illness Center (CIC) of the Cuyahoga County Hospitals (Ohio). Randomly selected consumer service records (N=200) were coded for…

A survey of 116 early intervention service providers for young children with disabilities examined their experiences and perceptions of providing services in natural environments such as the home, day-care center, restaurants, play grounds, etc. A questionnaire, "The Natural Environment Questionnaire," was developed which included questions with…

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)

Parents (n=535) of children with special needs were surveyed about four domains of infant mental health: attachment, behavior, stress/coping, and regulation/adaptation. Parents wanted help especially with behavior and regulation/adaptation issues. They rated all learning techniques as acceptable but preferred techniques available in the home.…

This study compared 187 patients discharged from a Veterans Administration hospital rehabilitation unit with 215 discharges that occurred following implementation of a prospective payment system. There were no significant differences in demographics, self-care ability, or readmissions. Length of stay and referrals for home health care decreased,…