Discusses the Swedish experience in which the official old-age care policy has been to substitute home care for institutional care. Found some substitution of the two forms of long-term care which took place from 1965-75, but thereafter the use of long-term care institutions and home care remained stable or contracted. (Author/ABL)

Investigated four kinds of community-based housing and case-managed home care programs for associations with subsequent institutional utilization. Analyses of institutional placement rates and days indicated that significant effects of housing and case-managed home care services were limited to elderly in the high institutional-risk group.…

Various methodologies place the number of elderly retarded Americans between 50,000 and 315,000 persons. The literature surveyed by the author indicates that the retarded experience the aging process similarly to the nonretarded population, can adapt to the nursing-home environment, and will become a greater social concern in the future. (Author)