Journal articles: 'Home-based family services – Botswana'

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Yan, Yan, Zhi Fang Xu, and Xun Zhu. "A Middleware of IoT-Based Smart Home Based on Service." Applied Mechanics and Materials 507 (January 2014): 182–86. http://dx.doi.org/10.4028/www.scientific.net/amm.507.182.

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This paper presents a Middleware of IoT-based smart home, which based on SOA (Service Oriented Architecture) and overcome the problems of sharing family service information and integrating heterogeneous systems. The middleware tries to form a system framework, which is workable, easily integrated, SOA-based loose coupling and conformed to the standard of family service information exchange. In this framework, the middleware, who plays the role of family service bus, becomes communication component of family service that based on SOA infrastructure, supports services, messaging, and web-based services interaction in heterogeneous environment, finds and discovers required web services through service registration and repository. Each business application distributes loosely coupled based on SOA integration framework, exchanges data and driven events via smart home middleware, provides more good flexibility and faster response for changes of business needs.

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Grbich, Carol F., Ian Maddocks, and Deborah Parker. "Family Caregivers, Their Needs, and Home-based Palliative Cancer Services." Journal of Family Studies 7, no. 2 (October 2001): 171–88. http://dx.doi.org/10.5172/jfs.7.2.171.

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Zeira, Anat, and Betty J. Blythe. "Considering Goals: An Example of Two Intensive Home-Based Family Services." Journal of Family Social Work 6, no. 3 (June 5, 2003): 1–14. http://dx.doi.org/10.1300/j039v06n03_01.

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Finney, Natasha, and Eman Tadros. "Medical Family Therapy in Home-Based Settings: A Case Application." Family Journal 28, no. 1 (August 13, 2019): 56–62. http://dx.doi.org/10.1177/1066480719868704.

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Medical family therapy (MedFT) is a systemic, biopsychosocial meta-framework by which clinicians provide therapeutic services to patients and their families who are experiencing physical health problems. MedFTs conceptualize families holistically and further work with families to develop a sense of agency and communion to improve their lived experience. Home-based family therapy (HBFT) is a method of treatment in which clinicians and other mental health professionals meet clients and their families where they are by providing therapeutic services at their clients’ places of residence. However, there is a gap in existing literature regarding the application of MedFT within the HBFT setting. The purpose of this article is to explore how MedFT can be utilized in home-based therapy settings. Moreover, a case application is provided to illustrate the applicability and effectiveness of the utilization of MedFT in HBFT settings.

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Compton, Roslyn M., Alex Olirus Owilli, Vera Caine, Charlotte Berendonk, Donna Jouan-Tapp, Susan Sommerfeldt, D. Jane McPhee, and Darla Walz. "Home First: Exploring the Impact of Community-based Home Care for Older Adults and Their Family Caregivers." Canadian Journal on Aging / La Revue canadienne du vieillissement 39, no. 3 (August 29, 2019): 432–42. http://dx.doi.org/10.1017/s0714980819000461.

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ABSTRACTGiven the rapidly expanding older adult population, finding health care approaches that support older adults to age in their choice of place, with an accompanying philosophical re-orientation of health services, is becoming more urgent. We studied the Home Care Home First – Quick Response Project to understand how clients over age 75 and their family caregivers perceived the enhanced community-based services delivered through Home First. Using interpretive description as the methodological design, we explored the experiences of eight older adults and 11 family caregivers; all older adults were enrolled in Home First due to a significant change in their health status. We identified four themes: growing older in chosen places with support, philosophy of care, processes of Home First, and the significance of Home First for clients. Overall, clients and family caregivers responded positively to the Home First services. Clients valued their independence and growing older in places they had specifically chosen.

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Ko, Michelle, Robert J. Newcomer, Andrew B. Bindman, Taewoon Kang, Denis Hulett, and Joanne Spetz. "Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services." Home Health Care Services Quarterly 39, no. 1 (December 11, 2019): 1–16. http://dx.doi.org/10.1080/01621424.2019.1701601.

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Li, Wei, and Er Qing Lu. "Design of Femtocell-Based Smart Home System Gateway." Applied Mechanics and Materials 530-531 (February 2014): 662–66. http://dx.doi.org/10.4028/www.scientific.net/amm.530-531.662.

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With the development of Internet technology and communication technology, traditional base station has been unable to meet the demand for high data services. In view of this, we propose the system core with Samsung S3C2440X processor constructs smart home hardware platform and using ADI ADF4602 single-chip, multiband 3G Femtocell transceiver to establish 3G home base stations, designed and realized an embedded gateway server through the house gateway to realize the family appliance equipment remote monitoring. Of software design, focusing on smart home control system, transplantation of embedded operating system uClinux to manage system resources, constructed a complete family gateway hardware and software platform, which can reduce the load of Microcell, improve the whole network capacity, and provide high-speed and high-quality indoor wireless access services.

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Moholt, Jill-Marit, Oddgeir Friborg, Bodil H. Blix, and Nils Henriksen. "Factors affecting the use of home-based services and out-of-home respite care services: A survey of family caregivers for older persons with dementia in Northern Norway." Dementia 19, no. 5 (October 15, 2018): 1712–31. http://dx.doi.org/10.1177/1471301218804981.

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BackgroundFamily caregivers contribute substantially to the care for older home-dwelling people with dementia, although community healthcare services tend to be underutilized. In this study, we aimed to explore the use and predictors of use of home-based and out-of-home respite care services available to older home-dwelling persons with dementia, as reported by the family caregivers.MethodA cross-sectional survey was administered to family caregivers ( n = 430) in Northern Norway during April to November 2016. The use of healthcare services was categorized into two types according to principal component analysis: home-based services and out-of-home respite care services ( R2= 44.1%). Predictors of service use were examined with bivariate correlation, multiple linear regression, and Poisson regression analyses.ResultsThe use of home-based services among persons with dementia was significantly higher for persons with advanced age, persons living in urban areas, persons living in an assisted living facility, persons living alone, and persons able to manage being alone for a short period of time. Among the family caregiver variables, higher age, status as a daughter, son, or other family member, higher educational level, and full-time employment also predicted greater use of home-based services. Same ethnicity was associated with use of fewer home-based services. The use of out-of-home respite care services was significantly higher among male persons with dementia and among those living in urban areas. In addition, fewer out-of-home respite care services were used by male caregivers or daughters of the care recipient, while the use was higher when the caregivers experienced more caregiving demands or had provided care for longer periods of time.ConclusionsThese results indicate areas that policymakers and healthcare providers should consider to identify families who underutilize healthcare services and to achieve a more equal and efficient allocation of services in accordance with families' needs.

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Friedman, Carli. "Stakeholders’ Home and Community Based Services Settings Rule Knowledge." Research and Practice for Persons with Severe Disabilities 43, no. 1 (November 23, 2017): 54–61. http://dx.doi.org/10.1177/1540796917743210.

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Medicaid Home and Community Based Services (HCBS) waiver programs provide the majority of long-term services and supports for people with intellectual and developmental disabilities (IDD). Relatively new (2014) HCBS rules (CMS 2249-F/2296-F) governing these programs require meaningful community integration of people with disabilities who receive services under this Medicaid program. States are required to develop and submit transition plans, which document how their programs will meet the so-called settings rules. Public comment periods provide advocates the opportunity to impact states’ rules by ensuring that plans are truly community based. Yet the lengthy and technical description of the rules may be inaccessible for people with disabilities and their allies. Because knowledge of the HCBS settings rules can be crucial for people with IDD to enable them to access their rights, the aim of this study was to explore HCBS settings rules knowledge of people with IDD and key stakeholders. Our findings confirmed that there is a need to make the HCBS settings rules more accessible to those most affected by the changes—people with IDD and family members of people with IDD. Doing so is a necessary first step to promote advocacy regarding its implementation.

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Ki-Nam Park. "Characteristics of Elderly Care Work and Care Relationship Based on Paid Home-care Services." Family and Culture 21, no. 3 (September 2009): 73–107. http://dx.doi.org/10.21478/family.21.3.200909.004.

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Frankel, Harvy. "Family-Centered, Home-Based Services in Child Protection: A Review of the Research." Social Service Review 62, no. 1 (March 1988): 137–57. http://dx.doi.org/10.1086/603665.

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Washburn, Phil. "Advantages of a Brief Solution Oriented Focus in Home Based Family Preservation Services." Journal of Systemic Therapies 13, no. 2 (June 1994): 47–58. http://dx.doi.org/10.1521/jsyt.1994.13.2.47.

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Gelkopf, M., and R. Berger. "(A53) A Community Home-Based Family Treatment Model in Disaster Areas." Prehospital and Disaster Medicine 26, S1 (May 2011): s18—s19. http://dx.doi.org/10.1017/s1049023x11000707.

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The ongoing shelling of missiles on the city of Sderot in Israel for the past 8 years have caused damage in terms of life and property as well as have put more than 25,000 residents under significant and ongoing threat. A recent study examining the impact of living under these conditions has revealed that 28.4% of the area residents suffer from PTSD and 75%–94% of the children reported to experience posttraumatic symptoms (Gelkopf, Berger, Bleich, Cohen, submitted). Despite the psychological needs of the residents, mental health service utilization has been sparse due to many residents not feeling safe to leave their homeland fear the stigmatization in attending public mental-health clinics. In order to resolve this dilemma, we have developed a community home-based family intervention delivered through a mobile unit of professionals who provide mental-health services for to traumatized families in their homes. The model incorporates family systemic approach with trauma-focused cognitive-behavioral technique and narrative strategies. I will outline the model and present an evaluation of its efficacy in reducing PTSD and in improving daily functioning in adults and children. I will also describe several cases illustrating the model. Finally, we conclude that such a model may be useful in providing mental-health services in major disaster, such as Tsunamis, earthquakes and floods, particularly in developing countries where mental health capacity is limited and where local populations will not always have the means or be able to reach clinics.

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Jibb, Lindsay A., Julie Chartrand, Tatenda Masama, and Donna L. Johnston. "Home-Based Pediatric Cancer Care: Perspectives and Improvement Suggestions From Children, Family Caregivers, and Clinicians." JCO Oncology Practice 17, no. 6 (June 2021): e827-e839. http://dx.doi.org/10.1200/op.20.00958.

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PURPOSE: Although the hospital remains the dominant site for delivering most pediatric cancer care, home-based care is increasingly provided. To effectively deliver comprehensive, relevant, and acceptable care in children's homes, the voices of these key informants must be considered. We examined the views of children with cancer, their family caregivers, and clinicians on home-based cancer care to identify necessary strategies to improve the delivery of care. METHODS: Children with cancer, their family caregivers, and multiprofessional clinicians who provide care at a tertiary pediatric care center or in the community participated in audio-recorded, semistructured interviews in French and English. Interviews were conducted until data saturation in each participant group was achieved. Interviews were transcribed, coded, and analyzed using thematic analysis. RESULTS: Thirteen children, 20 family caregivers, and 22 clinicians participated. Home-based care was endorsed as a means to improve child health-, family social- and financial-, and system-level outcomes. The success of a home-based model is built on care that addresses child and family informational, treatment and care, material, and psychosocial needs. Mechanisms to improve care include enhanced homecare agency-hospital-family communication, training for homecare nurses in pediatric cancer care, virtual solutions, and an expanded breadth of services provided in-home. Child-, family-, and system-related factors affect the delivery of optimal home-based care. CONCLUSION: Children, families, and clinicians value a model of pediatric cancer care that incorporates home-based services. The insights of these key informants should be reflected in the principles that become the basis of home-based cancer care best practices.

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Konetzka, R. Tamara, Rebecca J. Gorges, Daniel H. Jung, and Prachi H. Sanghavi. "IS BEING HOME GOOD FOR YOUR HEALTH? OUTCOMES OF MEDICAID HOME- AND COMMUNITY-BASED SERVICES." Innovation in Aging 3, Supplement_1 (November 2019): S547—S548. http://dx.doi.org/10.1093/geroni/igz038.2017.

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Abstract Expanding home- and community-based services (HCBS) alternatives to nursing homes has become a priority for many state Medicaid programs. Dramatic policy changes affecting diverse patient and family populations are being made on the basis of surprisingly little evidence about the outcomes of HCBS relative to the alternatives. Our study is designed to address that gap, providing the first national estimates of plausibly causal health outcomes for recipients of Medicaid HCBS relative to nursing home care. We also examine heterogeneity of these effects by several important subgroups. Results indicate that HCBS users have rates of hospitalization similar to their nursing home counterparts, and rates are higher for those with dementia. Furthermore, disparities by race and ethnicity that have been well-documented in nursing homes also appear to extend to the HCBS setting. The costs of potentially poor outcomes need to be part of the policy equation.

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GORDON, DONALD A., and JACK ARBUTHNOT. "The Use of Paraprofessionals to Deliver Home-Based Family Therapy to Juvenile Delinquents." Criminal Justice and Behavior 15, no. 3 (September 1988): 364–78. http://dx.doi.org/10.1177/0093854888015003008.

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Paraprofessionals are used increasingly to deliver services to juvenile delinquents, primarily because of the lower cost associated with such services. The literature comparing the effectiveness of paraprofessionals to professionals indicates that paraprofessionals achieve results equal to or superior to those achieved by professionals. The majority of these studies used adults as clients. When paraprofessionals are trained to work with children and adolescents, the lack of detail about the training procedures makes replication and dissemination of effective interventions difficult. The authors describe three training projects in which paraprofessionals were trained and supervised in the use of functional family therapy, an empirically validated, teachable approach developed for use with families of delinquents. Factors that facilitate acquisition and utilization of this method are detailed, including trainee selection, training methods, supervision, and organizational consultation.

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Kjellstadli, Camilla, Heather Allore, Bettina S. Husebo, Elisabeth Flo, Hogne Sandvik, and Steinar Hunskaar. "General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study." Family Practice 37, no. 3 (January 29, 2020): 340–47. http://dx.doi.org/10.1093/fampra/cmz059.

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Abstract Background General practitioners (GPs) may play an important role in providing end-of-life care to community-dwelling people. Objective To investigate patients' contacts with GPs, GPs' interdisciplinary collaboration, out-of-hours services and hospitalizations in the last 13 weeks of life and associations with dying at home. Second, investigate whether GP contacts were associated with fewer out-of-hours contacts or days hospitalized. Methods Individually linked data from the Norwegian Cause of Death Registry, Norwegian Patient Registry, Statistics Norway and Control and Payment of Reimbursement to Health Service Providers database for all 80 813 deceased people in Norway within 2012–13. Outcomes were analyzed with logistic regression and negative binomial multilevel mixed-effect models. Results Overall, 1% of people received GP home visits in Week 13 and 4.6% in the last week before death. During the last 4 weeks of life, 9.2% received one or more GP home visits. Altogether, 6.6% received one or more home visits when the GP had one or more interdisciplinary collaborations during the last 4 weeks, of which <3% died at home. GP office consultations decreased towards the end of life. The likelihood of home death versus another location increased in relation to GP home visits [one home visit odds ratio (OR) 1.92, confidence interval (CI) 1.71–2.15; two or more OR 3.49, CI 3.08–3.96] and GP interdisciplinary collaboration (one contact OR 1.76, CI 1.59–1.96; two or more OR 2.52, CI 2.32–2.74). Conclusions GPs play a role in enabling people to die at home by performing home visits and collaborating with other health care personnel. Only a minority received such services in Norway.

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Galatsch, Michael, Jian Li, Friederike zu Sayn-Wittgenstein, and Wilfried Schnepp. "FAMILY CAREGIVER SATISFACTION WITH HOME-BASED PALLIATIVE CARE SERVICES IN NORTH RHINE-WESTPHALIA, GERMANY." Central European Journal of Nursing and Midwifery 8, no. 4 (September 30, 2017): 723–30. http://dx.doi.org/10.15452/cejnm.2017.08.0025.

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Wolff, Jennifer L., and Lynn F. Feinberg. "INTEREST GROUP SESSION—FAMILY CAREGIVING: SUPPORTING FAMILY CAREGIVERS WITHIN SYSTEMS OF CARE DELIVERY." Innovation in Aging 3, Supplement_1 (November 2019): S206. http://dx.doi.org/10.1093/geroni/igz038.746.

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Abstract Family and other unpaid caregivers have a foundational role in supporting the health and well-being of older adults with complex health needs and disabilities and the demands imposed on them can be significant. The availability and adequacy of support provided by family and other unpaid caregivers has profound consequences for quality and outcomes of care delivery, but they are not well-supported in treatment decisions and care planning. Given population aging, the shift of long-term services and supports from nursing homes toward community settings, and technological advances that allow patients to be served in the community with higher acuity of care, there is a pressing need to develop systems-level processes to identify, engage, and support family caregivers in systems of care. This symposium will feature 5 presentations that provide novel insight regarding family caregivers’ experience within systems of care. We focus on family caregivers to older adults living in the community and receiving home and community-based services, primary care, or Medicare skilled home health services. Individual presentations will describe 1) differences in access to services and experiences of family caregivers by under-represented minority status; 2) a framework for health systems to include family caregivers as part of health care teams; 3) family caregivers’ capacity to help during the course of Medicare-funded skilled home health care; 4) perceived communication with health professionals, using a validated measure of family caregiver capacity; and 5) the feasibility of implementing a family caregiver screening instrument in primary care.

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Eskow, Karen Goldrich, and Jean Ann Summers. "Family perceptions of the impacts of a home and community based services autism waiver: Making family life possible." Journal of Applied Research in Intellectual Disabilities 32, no. 1 (August 27, 2018): 159–71. http://dx.doi.org/10.1111/jar.12518.

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Friedman, Carli, and Mary C. Rizzolo. "Un/Paid Labor: Medicaid Home and Community Based Services Waivers That Pay Family as Personal Care Providers." Intellectual and Developmental Disabilities 54, no. 4 (August 1, 2016): 233–44. http://dx.doi.org/10.1352/1934-9556-54.4.233.

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Abstract The United States long-term services and supports system is built on largely unpaid (informal) labor. There are a number of benefits to allowing family caregivers to serve as paid personal care providers including better health and satisfaction outcomes, expanded workforces, and cost effectiveness. The purpose of this study was to examine how Medicaid HCBS Section 1915(c) waivers for people with intellectual and developmental disabilities allocate personal care services to pay family caregivers. Our analysis revealed about two thirds of waivers in fiscal year (FY) 2014 allowed for family caregivers to potentially be paid for personal care services. This amounted to up to $2.71 billion of projected spending, which is slightly more than half of all personal care service expenditures in FY 2014.

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Kuhn, Miriam, Courtney Boise, Sue Bainter, and Cindy Hankey. "Statewide policies to improve early intervention services: Promising practices and preliminary results." education policy analysis archives 28 (October 12, 2020): 148. http://dx.doi.org/10.14507/epaa.28.5512.

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The State of Nebraska Co-Lead agencies, who are responsible for developing statewide early intervention policies, rolled out professional development for two evidence-based strategies across several pilot sites. Implications of these strategies for child/family assessment, Individualized Family Service Plan (IFSP) development, and Early Intervention service delivery were examined utilizing family (n=30) and professional interviews (n=50), and analyses of IFSPs (n=30). The results of this mixed method study indicate widespread strategy implementation with fidelity fosters early working relationships with families and enables teams to generate, using family members’ own words, a robust group of high-quality child and family IFSP outcomes. Family engagement in planning services such as identifying service providers and setting the frequency and length of home visits was limited. In addition, further professional development is needed to strengthen use of routines-based interventions during home visits and promote family-professional collaboration to monitor child/family progress. Implications for systematic scale-up of evidence-based practices as a function of state policy implementation are reported.

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Hrženjak, Majda. "Precarious Situations of Care Workers in Home-Based Elder Care in Slovenia." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 27, no. 4 (November 13, 2017): 483–500. http://dx.doi.org/10.1177/1048291117740682.

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Based on policy analysis and individual interviews, the author analyzes the care workers’ precarious situations in home-based elder care in Slovenia, a post-socialist, European Union country characterized by a rapidly aging population and delays in adapting a long-term care system to this new social risk. Employment and quasi-employment positions which coexist in home-based care can be sorted along two continuums: between public and market service; between formal and informal work. The author argues that working conditions in home-based care differ according to the position of the care worker on these two continuums, that is, being employed in public services, being self-employed, working in informal care markets, holding a status of family assistant, or being an informal family caregiver. Although the working conditions in public services are deteriorating, the analysis shows that precarity is more severe in market and informal care, while formalization and socialization of care bring about less precarious conditions.

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Dybwik, Knut, Erik Waage Nielsen, and Berit Støre Brinchmann. "Ethical challenges in home mechanical ventilation: A secondary analysis." Nursing Ethics 19, no. 2 (December 19, 2011): 233–44. http://dx.doi.org/10.1177/0969733011414967.

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The aim of this study was to explore the ethical challenges in home mechanical ventilation based on a secondary analysis of qualitative empirical data. The data included perceptions of healthcare professionals in hospitals and community health services and family members of children and adults using home mechanical ventilation. The findings show that a number of ethical challenges, or dilemmas, arise at all levels in the course of treatment: deciding who should be offered home mechanical ventilation, respect for patient and family wishes, quality of life, dignity and equal access to home mechanical ventilation. Other challenges were the impacts home mechanical ventilation had on the patient, the family, the healthcare services and the allocation of resources. A better and broader understanding of these issues is crucial in order to improve the quality of care for both patient and family and assist healthcare professionals involved in home mechanical ventilation to make decisions for the good of the patient and his or her family.

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Zhu, Shun Bing, Chun Quan Du, and Miao Miao Niu. "Design and Analysis of the System of Internet of Things Smart Home." Advanced Engineering Forum 6-7 (September 2012): 900–906. http://dx.doi.org/10.4028/www.scientific.net/aef.6-7.900.

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Application of Internet of Things (IOT) in smart home is the direction of the development and promotion of networking industry. This article first proposes smart home system architecture , based on the analysis of typical services provided by home network and within the family intelligent devices inside, then the article describes the solutions of IOT smart home and smart community based on the family intelligent terminals and the features and characteristics of the family intelligent terminals. Finally, detailed analysis the key technical issues of IOT Smart Home middleware and application platforms,standard-setting and so on, provides detail content of IOT smart home equipments research and develop and testing and verifying.

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Han, Eun-Jeong, JungSuk Lee, Eunhee Cho, and Hyejin Kim. "Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 2 (January 6, 2021): 376. http://dx.doi.org/10.3390/ijerph18020376.

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This study examined the socioeconomic costs of dementia based on the utilization of healthcare and long-term care services in South Korea. Using 2016 data from two national insurance databases and a survey study, persons with dementia were categorized into six groups based on healthcare and long-term care services used: long-term care insurance users with home- and community-based services (n = 93,346), nursing home services (n = 69,895), and combined services (n = 16,068); and long-term care insurance non-users cared for by family at home (n = 192,713), living alone (n = 19,526), and admitted to long-term-care hospitals (n = 65,976). Their direct and indirect costs were estimated. The total socioeconomic cost of dementia was an estimated US$10.9 billion for 457,524 participants in 2016 (US$23,877 per person). Among the six groups, the annual per-person socioeconomic cost of dementia was lowest for long-term care insurance users who received home- and community-based services (US$21,391). It was highest for long-term care insurance non-users admitted to long-term care hospitals (US$26,978). Effective strategies are necessary to promote long-term care insurance with home- and community-based services to enable persons with dementia to remain in their communities as long as possible while receiving cost-efficient, quality care.

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Di, Xiaodong, Lijian Wang, Liu Yang, and Xiuliang Dai. "Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China." Healthcare 9, no. 2 (February 17, 2021): 218. http://dx.doi.org/10.3390/healthcare9020218.

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Home-based healthcare service has gradually become the most important model to cope with aging in China. However, the contradiction between oversupply and insufficient demand of healthcare services is becoming increasingly serious. How to effectively improve the realized utilization of healthcare resources has become a key issue in the development of healthcare services. Based on the social background of “getting old before getting rich”, this article explores the relationship between economic accessibility and realized utilization, and finds that the impact of economic accessibility on realized utilization is inverted U-shaped, not a linear positive effect. In addition, considering the moderating role of family support, it is found that family support can strengthen the inverted U-shaped effect of economic accessibility on realized utilization. Therefore, exerting the role of family and improving economic accessibility can effectively solve the dilemma of low utilization of healthcare services.

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Kane, Kevin, and William AV Clark. "Mapping the landscape of urban work: Home-based businesses and the built environment." Environment and Planning A: Economy and Space 51, no. 2 (March 20, 2018): 323–50. http://dx.doi.org/10.1177/0308518x18762131.

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Home-based businesses represent a large and growing portion of the economy, though little is known beyond limited surveys. This paper describes a novel method of identifying businesses located within residences using parcel-level land use data across 15 counties in California and analyzes their evolution from 1997 to 2014, focusing on their distribution across neighborhoods. Home-based business represented nearly one in six businesses in 2014, and employment in home-based businesses outpaced overall employment growth 37 to 24% from 1997 to 2014. While home-based businesses are associated with both middle-income and wealthy neighborhoods, only in southern California were they associated with growing shares of single-family housing, low population density, and homeownership rates. While prior research emphasizes the importance of technologically and knowledge-intensive services across a variety of home working arrangements, this study reveals that the industrial composition of home-based businesses is roughly equally comprised of knowledge-intensive services and basic economic activity.

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HAAPALA, DAVID A., and JILL M. KINNEY. "Avoiding Out-of-Home Placement of High-Risk Status Offenders through the Use of Intensive Home-Based Family Preservation Services." Criminal Justice and Behavior 15, no. 3 (September 1988): 334–48. http://dx.doi.org/10.1177/0093854888015003006.

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This article describes the values and program components of an intensive home-based family preservation service program called Homebuilders, which was designed to treat status-offending youths in danger of imminent out-of-home placement and their families. Data indicated that 87% of 687 youth referred to Homebuilders avoided placement for 12 months after service intake. These results are discussed with respect to program replication, other client populations, and future research directions.

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Hronová, Tereza, and Adéla Souralová. "Managers, Consumers, Visitors: Roles of Caring Relatives in Emerging Home-based Eldercare in the Czech Republic." Sociální studia / Social Studies 16, no. 2 (December 5, 2019): 7–24. http://dx.doi.org/10.5817/soc2019-2-7.

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Each culture has a deeply rooted understanding of what constitutes the ideal foreldercare organization. This article investigates the role of family members in the delegation and provision of eldercare by private for-profit agencies in the Czech Republic. In this post-socialist country with a high level of intergenerational solidarity, a new market for eldercare has emerged in recent decades. We are interested in how the dominance of the family in eldercare provision is inscribed in the functioning of forprofit agencies and their caring practices. We examine how the role of family members whose elderly relatives receive paid care provided by private for-profit agencies is conceptualized by those who sell the care services, those who provide these services, and the care recipients themselves. We draw upon interviews conducted with the owners of private agencies, ethnographic observations, and informal interviews with paid care workers.

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Stiexs, Anggi, and Nur Chayati. "Study of Physical, Psychological, and Spiritual Impact of Family Caregiver In Home-Based Stroke Treatment: A Systematic Review." Open Access Macedonian Journal of Medical Sciences 9, T4 (April 4, 2021): 236–39. http://dx.doi.org/10.3889/oamjms.2021.5795.

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BACKGROUND: Family support during stroke treatment at home is crucial. However, post-stroke patients’ long-term care will be a problem for families, reducing the level of life satisfaction and physical burden for caregivers. Furthermore, families may experience depression. AIM: Analyzing family conditions related to physical, psychological, and spiritual conditions that receive home-based health worker interventions. METHODS: Study implemented systematic review design with Prisma guidelines, initially with the identification of article sources, following by article screening, checking the eligibility of studies then appraised the selected articles. Three databases were used, Ebsco, PubMed, and PROQUEST. Only studies using quasi-experimental, pre-experimental, and RCT designs were included in this study. Furthermore, those articles were published between 2014 until 2019, full type article and conducted anykind of home intervention for stroke patients and/or family member. Keywords that were employed “Stroke, Apoplexy, Cerebrovascular Accident, Vascular Accident, Home Care Services, home care, Home Health Care, Domiciliary Care, Physical, Physics, Psychological Factors, Psychological Side Effects, Psychosocial Factors, Spirituality.” Totally, 19,528 articles were obtained. Finally, only six eligible articles met review requirements. RESULTS: Implementation of home-based care lowered the physical fatigue of the family. In psychological responses showed that home-based care could reduce the incidence of depression and anxiety levels. Another impact was that the family felt helped because patients could more independently do their activities. Furthermore, the family always supported to motivate the patients to do their daily tasks. CONCLUSION: Home-based interventions for stroke patients can reduce depression, anxiety, and fatigue for the family caregiver.

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Drew, R. S., G. Mgombane, T. Nyaruwa, and G. Foster. "Estimating Coverage of a Community-Based Home Care Programme." Tropical Doctor 27, no. 4 (October 1997): 210–14. http://dx.doi.org/10.1177/004947559702700408.

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The Family AIDS Caring Trust (FACT) was formed in Mutare, Zimbabwe's third largest city, in 1987. FACT'S home care programme started in 1992. The programme operates in the urban area of Mutare which contains three townships with a population of 131 367. The area employs a trained nurse as a coordinator and four assistants, each assigned a zone within the city, who carry out the bulk of the visits. As part of an evaluation of the programme we attempted to estimate its coverage using different models. Using these models the FACT programme has a coverage of between 2.5%–23%. It is important that all home care programmes think in terms of coverage and do not simply strive to provide high quality services to a few patients.

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Shen, Guoqiang, Zhangye Wang, Long Zhou, Yu Liu, and Xiaoyi Yan. "Home-Based Locational Accessibility to Essential Urban Services: The Case of Wake County, North Carolina, USA." Sustainability 12, no. 21 (November 3, 2020): 9142. http://dx.doi.org/10.3390/su12219142.

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Accessibility is an important concept in urban studies and planning, especially on issues related to sustainable transportation planning and urban spatial structure. This paper develops an optimization model to examine the accessibility from single family homes to major urban facilities for services or amenities using geographical information systems. The home-based accessibility to facilities is based upon the point to point direct distance from sampled homes to sampled facilities. Descriptive statistics about the accessibility, such as min/max, mean/median, and standard deviation/variance were computed. Variations of accessibility for a range of categories by home price and year built were also examined. Multivariate linear regression models examining the housing value with respect to home-facility accessibility by facility types were implemented. The results show that desirable urban facilities, which are also more frequently used for livability, enjoy better accessibility than undesirable urban facilities. The home-based accessibility’s positive or negative associations with home price along with year built and/or residential lot size exist for most facilities in general, and by confirming to the literature, the home-facility accessibility in particular does strongly impact home values as evidenced by fair to excellent R2 values. Accordingly, this research provides evidence-based recommendations for sustainable urban mobility and urban planning.

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Wheeler, Wendy Polsky, Linda J. Reetz, and John J. Wheeler. "Facilitating Effective Transition in Early Intervention Services: Parent Involvement." Rural Special Education Quarterly 12, no. 1 (March 1993): 55–60. http://dx.doi.org/10.1177/875687059301200109.

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The transition of students with disabilities from programs serving birth to 2-year- olds to preschool special education programs serving 3 to 5-year-olds in public schools and other agencies must be accomplished through communication and collaboration between parents and professionals. This article highlights how to enable parents to make an informed decision in the selection of a future program for their child. It further identifies factors parents may wish to consider in selecting a new preschool program: home-based vs. center-based, time in program, curriculum, family support, and family involvement in the educational program.

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Campbell, Lynda. "Service to parents who abuse substances: Literature to inform a practice-research initiative." Children Australia 22, no. 2 (1997): 19–27. http://dx.doi.org/10.1017/s1035077200008166.

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Children of parents who abuse substances have become a concern of child protection agencies, family support services, family preservation services and increasingly of drug and alcohol treatment agencies. In the context of a formative evaluation of a specialised intensive family support service designed to address the needs of families at this interface, a literature review has been undertaken. From that review, themes relating to women as substance abusers, the children of substance abusers, and services to enhance parenting in these situations are reported. Implications for intensive home-based practice are identified.

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Thomas, Kristina, Peter Hudson, Lynn Oldham, Brian Kelly, and Tom Trauer. "Meeting the needs of family carers: an evaluation of three home-based palliative care services in Australia." Palliative Medicine 24, no. 2 (January 19, 2010): 183–91. http://dx.doi.org/10.1177/0269216309351467.

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Shivers, Stephani, Julie Robison, Erica DeFrancesco, Caroline Kate Keefe, Deidre Sommerer, Christine Bailey, and Alis Ohlheiser. "Post-Diagnostic Support and Occupational Therapy Program for Community-Based Dementia Services." Innovation in Aging 4, Supplement_1 (December 1, 2020): 765–66. http://dx.doi.org/10.1093/geroni/igaa057.2764.

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Abstract Service gaps and the absence of a clear-cut care/symptom management pathway for people recently diagnosed with dementia and their family carepartners motivated LiveWell Dementia Specialists to implement a multi-service post diagnostic support program including three occupational therapy (OT) interventions. Program services include an education series on ‘Resilient Living with Dementia’, family coaching and topical education sessions, and OT services including Care of Persons with Dementia in their Environments (COPE), Skills2Care®, and Home Based Memory Rehabilitation. Program services promote adoption of adaptive strategies and action steps to increase carepartner capacity and enhance quality of life among people with dementia. Participants complete assessments at baseline, program completion, and 4- and/or 10-month follow-up. Carepartners show improvements in dementia knowledge (mean baseline score = 24.6, 4-month = 26.0) and preparedness for caregiving (mean baseline score = 18.1, 4-month = 21.9). Program elements and adaptations of COPE for real world practice are discussed.

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LeBlanc, Linda A. "Integrating Behavioral Psychology Services Into Adult Day Programming for Individuals With Dementia." Behavior Modification 34, no. 5 (September 2010): 443–58. http://dx.doi.org/10.1177/0145445510383528.

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Many individuals with dementia and problem behavior are served in nursing home settings long before health issues necessitate constant medical care. Alternative community-based adult day health care programs allow individuals with dementia to remain in their home with their families at a substantially reduced cost; however, many adult day programs face the same difficulties in managing problem behavior as family members do, leading to premature termination of services. This article describes a multiyear project that integrated behavior analytic services into an adult day program for individuals with dementia and problematic behavior. A comprehensive practicum system was developed to provide assessment and treatment services that allowed consumers with problem behavior to remain successfully served in adult day programming while postponing out-of-home nursing home care.

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Scott, Dorothy. "Introducing Family Preservation in Australia: Issues in Transplanting Programs from the United States." Children Australia 18, no. 2 (1993): 3–9. http://dx.doi.org/10.1017/s103507720000626x.

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This paper is based on a keynote address given at the first Australian Family Preservation Conference in Ballarat in November 1992 and addresses questions which need to be considered when transplanting programs from one service system context to another. A number of Australian States are in the process of introducing Intensive Family Preservation Services following the widespread adoption of such programs in the United States. These short term, intensive, home based therapeutic programs serve families whose children are at imminent risk of removal or who are being reunited with their family after being in out of home care. This paper argues that while such programs have the potential to provide more effective interventions with such families, placement avoidance on its own is an inappropriate outcome measure. Moreover, if the introduction of such programs is done by redirecting resources from other services, counterproductive effects may occur.

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Hrast, Maša Filipovič, Valentina Hlebec, and Tatjana Rakar. "Sustainable Care in a Familialist Regime: Coping with Elderly Care in Slovenia." Sustainability 12, no. 20 (October 15, 2020): 8498. http://dx.doi.org/10.3390/su12208498.

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In countries with prevalent family care and less developed care services, it is important to understand the ways families cope with the care needs of their frail family members as part of policy learning to make care systems more sustainable. Filial care is a vital element of family care, yet is significantly restrained by the involvement of carers in the labour market; unequal gender distribution of the care burden; and insufficient recognition of, and policy support, for family care. This article considered the issue of the sustainability of elderly care in a familialist country, Slovenia, by identifying the coping strategies families adopt for the provision of care. To this end, in-depth qualitative data based on a purposeful sample of 55 community-resident users of social home care services and their 55 family carers were used. We identified five external coping strategies: use of formal care services, use of extended family network, use of wider community network, cohabitation, and home adjustments. Among internal strategies, we detected work-related adjustments; abandoning leisure activities; abandoning vacations; establishing new routines; accepting and finding satisfaction in care; increased psychological distress, such as worries and overburdening; and some unmet care recipient needs. Very few strategies may be described as supported by policy actions, despite such support being essential for increasing the sustainability of the family-based care model.

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Harrison, Melody, Thomas A. Page, Jacob Oleson, Meredith Spratford, Lauren Unflat Berry, Barbara Peterson, Anne Welhaven, Richard M. Arenas, and Mary Pat Moeller. "Factors Affecting Early Services for Children Who Are Hard of Hearing." Language, Speech, and Hearing Services in Schools 47, no. 1 (January 2016): 16–30. http://dx.doi.org/10.1044/2015_lshss-14-0078.

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PurposeTo describe factors affecting early intervention (EI) for children who are hard of hearing, we analyzed (a) service setting(s) and the relationship of setting to families' frequency of participation, and (b) provider preparation, caseload composition, and experience in relation to comfort with skills that support spoken language for children who are deaf and hard of hearing (CDHH).MethodParticipants included 122 EI professionals who completed an online questionnaire annually and 131 parents who participated in annual telephone interviews.ResultsMost families received EI in the home. Family participation in this setting was significantly higher than in services provided elsewhere. EI professionals were primarily teachers of CDHH or speech-language pathologists. Caseload composition was correlated moderately to strongly with most provider comfort levels. Level of preparation to support spoken language weakly to moderately correlated with provider comfort with 18 specific skills.ConclusionsResults suggest family involvement is highest when EI is home-based, which supports the need for EI in the home whenever possible. Access to hands-on experience with this population, reflected in a high percentage of CDHH on providers' current caseloads, contributed to professional comfort. Specialized preparation made a modest contribution to comfort level.

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Traphagan, John W. "Independence, Security, and the Intergenerational Social Contract: Home-Helper Services and Elder Care in Rural Japan." Care Management Journals 4, no. 4 (December 2003): 216–22. http://dx.doi.org/10.1891/cmaj.4.4.216.63697.

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For several years, demographic trends and changing ideas about responsibilities for elder care in Japan have contributed to the desire, or need, for families to seek out new care approaches. This article focuses on one alternative to traditional approaches to caring for elder family members—the home-helper program that is available through the Japanese long-term care insurance program. Using ethnographic data collected in northern Japan, it will be argued that the home-helper program forms a compensatory elder care system that is intended to augment family-provided care and social support, rather than to promote independent living. This compensatory approach to elder care is based upon an intergenerational social contract in which it is assumed that some degree of dependence on family members is both an expected and preferred outcome of growing old.

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Beard, Renee. "The price of privilege: helping mom die at home." Innovation in Aging 4, Supplement_1 (December 1, 2020): 863. http://dx.doi.org/10.1093/geroni/igaa057.3183.

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Abstract Americans overwhelmingly wish to age in place and many explicitly want to die at home. Yet, the anemic welfare state means that only the most fortunate among us are able to achieve that goal. A disproportionate burden of care falls squarely to families, which are smaller and more geographically spread out than ever before. Carers too often wind up in environments that are far from conducive, namely being older and perhaps frail themselves or younger and perhaps with small children of their own. Drawing on an autoethnographic study of my mother’s final years and a case study analysis of one innovative home care agency, this project examines the individual and organizational factors that allow one family to grant their family member’s wish to die at home. Grounded theory methods revealed facilitators including presence of a home-based long term care insurance policy, geographic mobility, and access to a democratically-oriented home care organization. Barriers, of course, include lack of access to long term care insurance and a daughter who lives in a progressive state with a waiver for Home and Community Based Services. While the privilege of access underscores the social determinants of aging, this case study reveals some important features that suggest how senior social services could be. Even for the “ideal type” presented here, the many trials and tribulations of aiding a loved one to die at home relate to the untenable nature of doing it all in a context whereby social services are fragmented and driven by financial incentives.

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TAKEMASA, Seiichi, Ryoma NAKAGOSHI, Masahito MURAKAMI, Masayuki UESUGI, Yuri INOUE, Hideaki KOEDA, Susumu NARUSE, Makoto GOTHO, and Tomoaki SHIMADA. "Factors Affecting Quality of Life of Family Caregivers of Home-based Care Stroke Patients using Day Care Services." Rigakuryoho Kagaku 27, no. 1 (2012): 61–66. http://dx.doi.org/10.1589/rika.27.61.

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Forbes, Dorothy A., Maureen Markle-Reid, Pamela Hawranik, Shelley Peacock, Dawn Kingston, Debra Morgan, Sandra Henderson, Beverley Leipert, and S. Lynn Jansen. "Availability and Acceptability of Canadian Home and Community-Based Services: Perspectives of Family Caregivers of Persons with Dementia." Home Health Care Services Quarterly 27, no. 2 (June 6, 2008): 75–99. http://dx.doi.org/10.1080/01621420802022548.

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Wang, Lijian, Xiaodong Di, Liu Yang, and Xiuliang Dai. "Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China." Healthcare 8, no. 4 (November 1, 2020): 452. http://dx.doi.org/10.3390/healthcare8040452.

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With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.

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Zhao, Rongrong, Houxiu Zhou, and Jingci Zhu. "Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110201. http://dx.doi.org/10.1177/00469580211020196.

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The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

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Zhao, Haidong, and Lini Zhang. "Talking money at home: the value of family financial socialization." International Journal of Bank Marketing 38, no. 7 (October 5, 2020): 1617–34. http://dx.doi.org/10.1108/ijbm-04-2020-0174.

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PurposeThe objective of this study was to empirically examine how family financial socialization affects individuals' financial outcomes, including financial literacy, financial behavior and financial well-being, based on the family financial socialization theory (FFST).Design/methodology/approachUsing a national representative sample of 6,311 US respondents from the 2016 National Financial Well-Being Survey, structural equation modeling (SEM) was conducted to test the hypotheses in this study. Sampling weights were incorporated into the structural model using the maximum likelihood estimation with robust standard errors and a Satorra-Bentler scaled test statistic (MLM estimation).FindingsThis study concludes the effectiveness of family financial socialization by showing that parental financial socialization has significant positive impacts on financial literacy, financial behavior and financial well-being. In addition, parents' education can significantly influence the quality of parental financial socialization.Practical implicationsThe result underscores the importance of financial socialization in the family context and encourages parents to discuss financial matters with their children at home. Detailed implications have been provided to financial educators, practitioners and policymakers to incorporate parental involvement in the design of financial education programs, as well as financial services providers to improve marketing strategies for their banking services.Originality/valueThis research is amongst the first to empirically explore the relationships among parental financial socialization, financial literacy, financial behavior and financial well-being based on the FFST. The study also contributes to the literature by confirming the effects of parental socialization received in childhood on adults' later financial outcomes.

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Percival, John, Gemma Lasseter, Sarah Purdy, and Lesley Wye. "“Earthly Angels”? A qualitative study of the domiciliary care worker role in meeting the needs of families caring for those dying at home." Palliative and Supportive Care 12, no. 6 (October 21, 2013): 445–53. http://dx.doi.org/10.1017/s147895151300076x.

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AbstractObjective:Relatively little attention has been paid to optimum ways in which community-based care services can support family caregivers in the context of end-of-life care at home. This paper addresses such concerns by focusing on the services provided by domiciliary care workers.Method:We draw on qualitative formal interviews with 42 family members, 1 patient, and 6 staff, as well as observation sessions and informal interviews with additional family caregivers and staff, to examine the aspects of domiciliary care perceived to be of most value. In particular, we compare and contrast family caregivers' experience of the support provided by generic domiciliary care workers with that of a team of specialist domiciliary care workers.Results:Our findings show that specialist domiciliary care workers had sufficient time and expertise to meet family caregivers' physical and emotional needs in sensitive, proactive, and family-centered ways, and that these attributes were not so prominent in the services received from generic domiciliary care workers.Significance of results:The availability to families of targeted support from an appropriately trained and carefully monitored team of specialist domiciliary care workers, able to operate flexibly and with staff consistency, appears to be an important foundation on which to build greater confidence in the reality of a good death at home.

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Agosta, John, and Kerri Melda. "Supporting Families Who Provide Care at Home for Children with Disabilities." Exceptional Children 62, no. 3 (December 1995): 271–82. http://dx.doi.org/10.1177/001440299606200308.

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Over the past two decades, our response to children with developmental disabilities and their families has shifted dramatically, moving from an historical awareness of disability based in segregation and exclusion to one that favors the integration of people with disabilities into the mainstream of community life. Over this period, nearly all states have developed initiatives to provide families with a variety of supportive goods and services. This article explores the current status of family support in the United States, summarizing essential program features, program effects, and outstanding issues that must be addressed if the present momentum for family support is to be sustained.

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Journal articles on the topic 'Home-based family services – Botswana'

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