ALTHOUGH ONLY 36 PER CENT OF OUR POPULATION LIVE IN RURAL AREAS, 52 PER CENT OF OUR POOR RESIDE THERE. RURAL INFANT MORTALITY AND RURAL DEATHS FROM INFECTIOUS DISEASES ARE MUCH HIGHER THAN THE NATIONAL AVERAGE, AND RURAL MIGRATORY FARM WORKERS HAVE SIMILARLY HIGH MORTALITY RATES. RURAL AREAS HAVE SUBSTANTIAL SHORTAGES IN ALL HEALTH SERVICES.…

The manual is designed to be used in training socially disadvantaged persons who have had no previous job experience in the health fields and who may have only a fifth grade reading ability to function as (1) community health aides who present information received from a qualified source in laymen's language and in general assume the…

Describes a community-based alternative to institutionalization of the elderly. Calhoun County, Michigan's home health care services depend on community college resources and a growing model program training health care aides in a 150-clock-hour certificate program. Trained aides are readily absorbed into the community employment market. (TR)

While many health care delivery systems are criticized for the dehumanizing way they treat patients, hospice care presents a refreshing alternative to health care for the terminally ill. Patients appropriate for hospice care are those with six months or less to live. Interpersonal communication education is an important component of hospice care…

The Home Health Assisting (HHA) program was developed specifically for use by educational agencies which offer a program in HHA upon approval granted by New York State Education Department through the Joint State Agency review and approval process. It is designed to prepare adults for work in the home under supervision of a health-care agency. A…

The cost analysis project report is directed towards persons in policy-making and administrative positions at the national, State, and direct service agency levels. Its purpose was to survey the literature and records to identify costs of homemaker-home health aide services and comparative costs of alternative forms of services. Part 1 includes…

The Cost of Care Index (CCI) has been developed as a case management tool to assist professionals in family assessments and to identify actual or perceived problem areas of families in the care of elderly relatives. The 20-item CCI focuses upon five dimensions related to family care of the elderly. (Author/ABB)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)

This study used the Prison Social Climate Survey to measure perceptions of the work environment among staff employed in all group homes administered by a state department of juvenile justice. Work environment perceptions were favorable along six dimensions and in the moderate range on a seventh. The variables that most consistently predicted staff…

This manual is intended to help human services agencies to create home care volunteer programs. The manual is organized in nine sections. The first section provides initial information about volunteer programs that agencies should consider before starting a program. It is followed by two sections that provide an overview of the program's structure…

The results of a reivew by the United States General Accounting Office (GAO), this paper examines the Title XX Program of the Social Security Act and makes suggestions for its improvement. The Title XX Program provides funds to states to enable them to tailor social services programs to fit the needs of local communities. Such services are…

Describes two courses in vocational English-as-a-second-language for students preparing to become nursing assistants and home health workers. The first course prepares the students to meet entrance requirements for the vocational training course; the second provides language support for the course in which the students are enrolled. (SED)

Federal Medicaid long-term care regulations do not require states to offer home and community-based service (HCBS) alternatives; rather, they are offered at the discretion of each state. The two most significant Medicaid HCBS programs are the Medicaid 1915(c) HCBS waiver programs and the Medicaid Title XIX personal care services (PCS) optional…

Describes the outcomes of the Community College-Nursing Home Partnership Project in three areas: faculty development, curriculum innovation, and collaborative relationships. Explains how the project allies associate degree nursing faculty with practitioners to incorporate nursing home care and geriatrics into the curriculum. (JOW)

Purpose: This study describes the experiences of workers hired under consumer direction. Design and Methods: Medicaid beneficiaries who volunteered for the Cash and Counseling demonstration were randomly assigned to the treatment group, which could participate in the consumer-directed program, or the control group, which was referred to agency…