Purpose: New York City's Medicaid Home Care Services Program provides an integrated program of housekeeping and personal assistance care along with regular nursing assessments. We sought to determine if this program of supportive care offers a survival benefit to older adults. Design and Methods: Administrative data from New York City's Medicaid…

Purpose: We estimated the effect of a voucher benefit on the demand for personal assistance by Medicare beneficiaries aged 65 years or older who had functional disabilities. Design and Methods: We performed a secondary data analysis on 645 Medicare beneficiaries from the Medicare Primary and Consumer-Directed Care Demonstration (a randomized…

This handbook is intended for a 2-year secondary course for home health aides. Introductory information includes a description of the occupation, prerequisites, general objectives, and a chart depicting the number of hours and weeks devoted to each unit. The course outline covers 12 units: (1) the occupation of home health aide; (2) principles of…

This manual is designed for use with adult or secondary school home economics students to enhance their awareness of the tasks and physical limitations faced by aged homemakers, and to identify possible adaptations for making the laundry task easier and safer for older adults. The most frequently performed laundry tasks are presented in a…

TRaining women for homemaker service is an important function of every agency that provides such services. The Homemaker Service of the National Capital Area, Inc. designed a training manual to be used with either a single new employee or with a group as large as 15. Informal discussions, lectures, practice, and demonstration are methods of…

The development of four paper-and-pencil tests, useful in assessing the effectiveness of inservice training provided to either nurses aides or home health aides, was described. These tests were designed for utilization in employment selection and case assignment. Two tests of 37 multiple-choice items and two tests of 10 matching items were…

Prepared by the Public Health Service to clarify the role of health professionals and subprofessionals in the home care field, this guide is directed to dietitians and public health nutritionists who are involved in planning, directing, carrying out, and evaluating the nutrition aspects of medical care programs for patients at home. Program…

Describes an intensive instructional program designed and implemented to prepare health assistants to serve chronically ill older persons in the home. Under professional supervision, the health assistants extend health care to the chronically ill. All assistants continued in a health related role after the project. (Author/JAC)

Purpose: We present the concept of the Green House, articulated by William Thomas as a radically changed, "deinstitutionalized" nursing home well before its first implementation, and we describe and discuss implications from the first Green Houses in Tupelo, Mississippi. Design and Methods: Green Houses are small, self-contained houses…

This quarterly newsletter issue, in English and French language editions, examines changing perspectives on family and community health, with a specific focus on activities, trends, and research dealing with Canada. Five feature articles include: (1) "New Rules: The Canadian Health Care System in Flux" (Lawrence J. Nestman), which…

This report evaluates a self-directed personal service (SDPS) program operated through the larger Enable Program for people with disabilities in Onondaga County, New York. First, it contrasts characteristics of traditional personal assistance services (such as low pay, agency-determined, limited types/levels of support, and program management…

Increasing demands for home health aides to the frail elderly and disabled, coupled with a high rate of turnover among these aides, has led to growing concerns over worker recruitment and retention in the home care industry. This paper therefore describes a model developed to explain job satisfaction and turnover among home health aides. The model…

This presentation outlines the approach to integrated living for severely disabled individuals which was developed by Independent Living for the Handicapped of Brooklyn, New York. After a brief overview of the history and philosophy of this organization, the 'how-to' approach is explained. This program model coordinates services which are…

This manual is designed for use with adults or secondary school home economics students to help them become more aware of: (1) the nutritional needs of the aged; (2) the physical and social limitations affecting aged homemakers; and (3) the adaptations in individual dietary habits that will meet nutritional needs. The special nutritional needs of…

Prepared by an advisory committee composed of members of the National Council for Homemaker Services, the Council on Social Work Education, the National Study Service, and specialists in social work, this teaching unit has been compiled to aid teachers in helping students learn about the homemaker-home health aide service. Included in the unit…