Despite the rapid aging of the population and the tremendous growth in ethnic and racial diversity among the elderly in our society, empirical studies on long-term care needs and service use of minority elders have been lacking. Based on two national datasets, this is the first comprehensive analysis of long-term care needs, patterns, and determinants of in-home, community-based, and nursing home service utilization and informal support among African American and Hispanic elders, as compared to those of their non-Hispanic White counterparts. The authors also compare caregiver burden within the three groups and present recommendations for ethnic-sensitive long-term care policy and practice for minority elders.

This work presents the results of a study undertaken by Abraham Monk and Carole Cox, which analyzes how the countries of Argentina, Canada, England, the Netherlands, Norway, and Sweden have responded to the increasing need for home health care. The study, completed with the cooperation of a team of researchers in each country, avoids isolated, fragmented solutions to the problem in favor of a more holistic profile of programs and services, placing them within the general policy and cultural framework of each region. It then examines the applicability of selected aspects of those home care programs deemed most effective to the needs of the United States as it too attempts to deal with a growing older population and the prohibitive costs of institutionalized care.

After a review of existing home care in the United States, and an explanation of the operational model used to collect the data in the study, each country's home health care system is outlined with attention to its organization and operation, its manpower requirements, its place within government policy, and its most successful and innovative practices. The international scope of the work makes its evaluative material and recommendations useful to both health care professionals and international policy makers.

Focusing on the need for developing new service delivery models for the aged, Health Care of the Aged examines fiscal, political, and social criteria influencing this challenge of the 1990s. The aged are caught in the sweeping changes currently occuring in the financing, organizing, and delivery of human and health care services. From various perspectives, this new book will help shape the direction for elderly health care program development and implementation. With an emphasis on greater long-term care in either home, community, or institutional settings, this important book will increase the understanding for a comprehensive, effective policy designed to carry the growing number of elderly through this decade and into the next. As roles and issues change, this valuable book will become increasingly important to those involved in providing services and care to the elderly. Health care administrators, policymakers, social workers, physical and occupational therapists, and caregivers will benefit from the expertise presented in Health Care of the Aged.

Focusing on the need for developing new service delivery models for the aged, Health Care of the Aged examines fiscal, political, and social criteria influencing this challenge of the 1990s. The aged are caught in the sweeping changes currently occuring in the financing, organizing, and delivery of human and health care services. From various perspectives, this new book will help shape the direction for elderly health care program development and implementation. With an emphasis on greater long-term care in either home, community, or institutional settings, this important book will increase the understanding for a comprehensive, effective policy designed to carry the growing number of elderly through this decade and into the next. As roles and issues change, this valuable book will become increasingly important to those involved in providing services and care to the elderly. Health care administrators, policymakers, social workers, physical and occupational therapists, and caregivers will benefit from the expertise presented in Health Care of the Aged.

Ageing has become a high priority issue on the agenda of legislators, public forums, and human service agencies. Social scientists are acknowledging that the American society is ageing - that is, older persons live longer and are increasing in numbers relative to the rest of the population. In "The Age of Aging", Abraham Monk has collected some of the most engaging and useful essays on ageing ever to have appeared in one volume. This book contributes to a better understanding of the processes of ageing and their impact on society as a whole. It goes beyond a mere descriptive account of the aged population, for it probes the images held about them and compares these views with their actual life styles, developmental transitions and crises. It also examines those experiences in light of social gerontological theories.Among the contributors, all of whom are leading researchers in the field of gerontology, are: Donald O Cowgill, Irving Roscow, Beverly A Yawney and Darrell L Slover, Dan Rubenstein, Helena Lopata, Marjorie H Cantor, and Martin B Sussman. This is not a single discipline book. It is not psychology, sociology, or social work, in the strict sense, but a combination of all. Thus, it is geared to a wide professional and educated laymen audience. Students in the social sciences and human service careers, and anyone seeking a better understanding about issues and concerns of old age will find this anthology a most invaluable and useful sourcebook.

-- "Social Work"

Starting with a review of the historical, philosophical, and political antecedents of the Swedish ombudsman, the authors place the idea of nursing home ombudsmanship within the context of an expanding population of older people who may require institutional care in their more advanced years.