Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

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)

This book is offered as a guide for persons interested in beginning a project where young people volunteer to work with the frail, homebound elderly. The guide presents examples of successful intergenerational projects, the lessons learned from those projects, the elements needed for a successful project, and a step-by-step approach for initiating…