Voices of Pioneers section features Margaret Harrison of United Kingdom who founded HOME-START movement in Leicester, England, in 1973. Notes that HOME-START now has 150 programs throughout United Kingdom and in other countries and that program trains volunteers to offer support, friendship, and practical help to young families under stress in…

Critiques recent outcome research on brief intensive family preservation services designed to serve at-risk population. Includes examination of program evaluation efforts, quasi-experimental studies, and experimental designs. Considers subject characteristics, research designs, outcome measures, features of family preservation services, and major…

Home-based intervention services for emotionally disturbed youth are also commonly known as in-home services, family-centered services, family-based services, intensive family services, or family preservation services. They have developed as a way to deal with serious family problems that often result in the removal of a child or adolescent from…

This paper proposes the use of home-based, family-centered services that are designed to encourage the healthy development of children in their families. Such services would constitute part of a comprehensive approach to the child welfare problem in Indiana. The goals of family-centered services are to: (1) preserve the integrity of the family;…

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)

As a result of the impact of economic industrialization on the U.S. economy, the extended family in the United States has fragmented; nuclear families have lost contact with sources of parenting information and, increasingly, when parenting problems have occurred, the assistance of social service agencies has been requested. The lack of parenting…

Tested the effectiveness of intensive, in-home family reunification services in reunifying families separated by the placement of a child in out-of-home care. After 90 days, 93% of the families assigned to receive the intensive treatment were reunited, compared to 28% of families in a control group who received routine out-of-home care services.…

Describes an intensive in-home crisis intervention approach to help families experiencing severe crisis stay together. (BR)

The report documents activities of the 3-year (1986-1989) Assessment as Intervention Project at George Washington University (District of Columbia). Major activities of the project included: data collection with 25 families of newborn at-risk premature infants, including assessment-intervention sessions at 3, 6, 9, and 12 months of age; data…

Describes a continuum of services to families in their homes to prevent the necessity of child placement. Presents four categories of services--general case management, the comprehensive social worker, the in-house team, and the intraagency team--to aid families who demonstrate psychological difficulty and resource deficits. (Author/JAC)

Home based family centered (HBFC) service programs have been developed as alternatives to out-of-home placement. These programs have reported relatively high service success rates at costs signficantly lower than foster home and institutional care while, at the same time, avoiding the social and psychological risks of out-of-home placement.…

This paper describes the Primary Prevention Project (PPP), a demonstration program of the Mendota Mental Health Institute in Madison, Wisconsin which provides services to multi-problem families with children under 3 years of age in order to prevent abuse and neglect, developmental delay, or future socio-emotional difficulty. The project's…

This report presents an evaluation of the Intensive Services Project in Lincoln and McCook, Nebraska, which was designed to demonstrate that caseworkers with smaller child protective caseloads could offer more effective home-based services. The background of the project is described focusing on staffing and service setting. Service principles and…

This description of the Cedar Valley Hospice program emphasizes palliative and supportive care for terminally ill patients and their families. The history of the hospice movement is outlined along with a description of the Cedar Valley program and the results of a 1980 program evaluation. The appendices contain a statement of the hospice goals and…

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…