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At least 19 recordsLinked to original sources

Foster home care for the frail elderly as an alternative to nursing home care: an experimental evaluation.

This paper describes a program (Community Care Program) in which some elderly hospital patients who were candidates for nursing home placement were placed in foster homes. Caregivers were carefully trained and supervised. A total of 112 elderly inpatients were randomly assigned to placement in a nursing home or a foster care home. Patients and caregivers were interviewed at 3, 6, 9, and 12 months after placement. Community Care Program patients were more likely to maintain or improve ADL (activities of daily living) and mental status scores. They also had better nursing outcomes and were more likely to get out of the house than were nursing home patients. Nursing home patients had higher life satisfaction, and participated in more social and recreational activities. The Community Care Program was 17 per cent less costly than nursing home care. The results suggest that foster care may be a viable alternative for a segment of the nursing home population.

Activities of Daily Living↗

Management of HIV-infected children in the home and institutional settings. Care of children and infections control in schools, day care, hospital settings, home, foster care, and adoption.

The likelihood of high-risk pediatric exposure to HIV infection, other than perinatal exposure, has been shown to be low in most cases, and HIV PEP should be considered on a case-by-case basis. Generic considerations in the management of children who have become HIV infected emphasizes the principles of inclusion, maintaining confidentiality of a child's HIV status, and notifying those who need to know about the HIV status to care properly for the child or adolescent. Although appropriate infection-control precautions are applicable for all children and for many pathogens, children especially HIV-infected children, exposed to such pathogens, must be managed in a timely fashion. In many cases, recommendations that are applicable in one setting are applicable in others. Some exceptions apply, including infection-control precautions in hospitals versus other settings. A few additional considerations have been made for special settings and activities, including adoption, foster care, athletics, summer camp, and other recreational activities.

Bites, Human↗

Nutritional evaluation of menus for adult foster care homes.

An evaluation of the meals served in 41 Adult Foster Care facilities in Michigan showed that 38 did not serve meals which obtained the expected dietary score based on food groupings. Eighty-three percent of the facilities did not provide adequate amounts of milk/dairy products and 54 percent of homes did not provide 5 oz. or more of meat/meat alternates. Twelve percent of homes did not provide four or more servings of cereals/breads. Forty-two percent of homes did not provide four or more servings of fruits and vegetables. The problems of menu inadequacy identified by this study indicate that action to develop training and other programs to ensure that AFC residents receive nutritionally adequate diets is needed in Michigan. An evaluation of actual nutrient intake of residents is also recommended.

Adult↗

[Problems in placing the abused child in foster home care].

Children for whom foster parents are found include also abused and battered children. Is such a child able to establish a satisfactory emotional relationship with the foster parents or adoptive parents? The case of a boy repeatedly exposed to cruel corporal punishment in the original family. Attempts of the law court to return the child from a children's home to the original family. Finally complete refusal of the boy by his own parents. Placement of the boy in a new family and his successful adaptation in the new environment.

Child↗

[Treatment center staff and the children referred by DDASS for specialized foster home care].

Many children placed in foster families chosen by the local administrative authorities need an intensive and complex treatment, which would well justify their case being handled by the Specialized Psychiatric Unit responsible for a number of selected foster families. The foster family, which is often chosen hurriedly, is generally unprepared to deal with the child's psychological problems. Moreover, the child's links with his own family have not always been maintained. Soon social workers and the foster mother will be expecting the local Child Psychiatry Outpatient Unit to provide them with massive aid, which this unit is not properly equipped to give. It happens frequently that members of this team will have to face particular counter-transfer difficulties. However certain aspects of this medical structure are helpful for the treatment of these children: the Child Psychiatry Unit offer specific facilities, like therapeutic groups, and as the members of its team have no part in the factual decisions concerning the fate of the child, they feel more neutral and can be considered so by the different actors involved, including the child him- or herself. We discuss two clinical cases, and then touch upon the fundamental issue involved, that of the organizing power of psychiatry in a given environment.

Child↗

The influence of foster-home care on psychiatric patients.

Adult patients placed into foster families by six administrations in three provinces of Canada were oberved at time of placement and followed up 18 months later. Over this period, they exhibited a substantial decline in symptoms-almost as great as with similar patients retained in the hospital. However, there was virtually no improvement in social functioning, despite the fact that the use of foster homes has been advocated mainly for the resocialization that was expected to occur there. In discussing the reasons for this paradoxical finding, recommendations are offered regarding the use of foster homes by mental health administrations.

Adult↗