Teaching the Use of Community Services to Elderly People and Their Families

  • Nathan L. Linsk
  • Patricia Hanrahan
  • Elsie M. Pinkston
Part of the Applied Clinical Psychology book series (NSSB)


An increasing array of home care, community-based and institutional services has accompanied the increasing numbers of elderly and disabled persons in general, as well as those with posthospitalization home care needs. The extent and availability of services are limited, however, and for those who cannot pay for their own support, eligibility requirements may limit service usage. Most home and community services for the elderly are initiated through federal programs, which often contain targeting or limiting factors. Local community programs may have limits as well. The service system frequently changes due to political and economic realities, and eligibility may change due to alterations in the recipient’s needs and status. The result is a complex and confusing network that is difficult to use. In fact, elders and their families may often require considerable assistance in securing and utilizing services to which they are entitled.


Case Management Community Service Family Caregiver Elderly Adult Senior Center 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Applebaum, R. (1986). Two decades of research on community based long-term care: What have we learned? Paper presented at the annual conference of the Gerontological Society of America, Chicago.Google Scholar
  2. Applebaum, R., & Harrigan, M. (1986). Channeling effects on the quality of clients’ lives. Princeton, NJ: Mathematic Policy Research.Google Scholar
  3. Arling, G., & McAuley, W. (1983). The feasibility of public payments to family caregiving. The Gerontologist, 23, 300–306.PubMedCrossRefGoogle Scholar
  4. Austin, C. D. (1983). Case management in long-term care: Options and opportunities. Health and Social Work, 8, 16–30.PubMedGoogle Scholar
  5. Berger, R., & Piliavin, I. (1976). The effect of casework: A research note. Social Work, 21, 205.Google Scholar
  6. Blenkner, M., Bloom, M., & Nielson, M. (1971). A research and demonstration project of protective services. Social Casework, 52, 489–506.Google Scholar
  7. Bowling, A. (1984). Caring for the elderly widowed—The burden on their supporters. British Journal of Social Work, 14, 489–506.Google Scholar
  8. Brody, E. (1981). Women in the middle and family help to older people. The Gerontologist, 21, 471–479.PubMedCrossRefGoogle Scholar
  9. Burwell, B. (1986). Shared obligations: Public policy influences on family care for the elderly (No. 500–83–0056). Washington, DC: Health Care Financing Administration.Google Scholar
  10. Butler, R. N. (1986). Health, aging, and productivity. Presentation at America’s Aging Workforce: A Travelers’ Symposium, Houston, TX.Google Scholar
  11. Butler, R. N., & Lewis, M. I. (1982). Aging and mental health: Positive psychosocial and biomedical approaches. St. Louis: Mosby Company.Google Scholar
  12. Cantor, M. (1983). Strain among caregivers: A study of experience in the United States. Gerontologist, 25, 597–604.CrossRefGoogle Scholar
  13. Capitman, J. A. (1986). Community-based long-term care models, target groups and impacts on service use. Gerontologist, 26, 389–397.PubMedCrossRefGoogle Scholar
  14. Carnevale, A. (1986). Improving productivity in the aging workforce. Presentation at America’s Aging Workforce: A travelers’ Symposium, Houston, TX.Google Scholar
  15. Chang, T., & Swart, C. (1984). Natural caregiving and frail and functionally impaired elderly in Wisconsin: A profile. Madison, Wisconsin Department of Health and Social Services, Office of Aging.Google Scholar
  16. Christiansen, J. B., & Stevens, S. A. (1986a). Channeling effects on informal care. Princeton, NJ: Mathematic Policy Research.Google Scholar
  17. Christianson, J. B., & Stevens, S. A. (1986b). Informal care to the impaired elderly: Report of the National Long Term Care Demonstration Survey of Informal caregivers. Princeton, NJ: Mathematic Policy Research.Google Scholar
  18. Conrad, K. J., Hughes, S. L., Campione, P. F., Singer, R. H., & Goldberg, Glen, R. (1986). Assessing the structure, population, and process of adult day care programs: Report to the American Association for Retired Persons Andrus Foundation. Evanston, IL: Northwestern University, Center for Health Services and Policy Research.Google Scholar
  19. Ehrlich, P., & Wirth, C. (1978). Mutual help for community elderly: The Benton Model. Paper presented at 31st annual meeting of the Gerontological Society, Dallas.Google Scholar
  20. Epstein, L. (1980). Helping people: Task centered approach. St. Louis: C. V. MosbyGoogle Scholar
  21. Estes, C. L. (1979). The aging enterprise. San Francisco, Jossey Bass.Google Scholar
  22. Folstein, M. F., Folstein, S. E., & McHugh, P. E (1975). “Mini-mental status”: A practical method for grading cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189.PubMedCrossRefGoogle Scholar
  23. Frankfather, D., Smith, M. J., & Caro, F. G. (1981). Family care of the elderly: Public initiatives and public obligations. Lexington, MA: Lexington Books.Google Scholar
  24. Gelfand, D. E., & Olson, J. K. (1980). The aging network: Programs and services. New York: Springer.Google Scholar
  25. General Accounting Office to the United States (GAO). (1977). Report to Congress: The well-being of older people in Cleveland, Ohio. Washington, DC: US. Government Printing Office.Google Scholar
  26. George, L. K., Gwyther, L., Fillenbaum, G. G., & Palmore, E. (1986). Respite care: A strategy for easing caregiver burden? Paper presented at the annual conference of the Gerontological Society, Chicago.Google Scholar
  27. Green, G. R., & Marlow, C. (1984). Using contracts to increase independence and social contacts. In E. M. Pinkston & N. L. Linsk, Care of the elderly: A family approach (pp. 58–60). New York: Pergamon Press.Google Scholar
  28. Greer, D. S., & Mor, V. (1986). An overview of national hospice study findings. Journal of Chronic Diseases, 39, 5–7.PubMedCrossRefGoogle Scholar
  29. Hanrahan, P., Lawler, E., & Pinkston, E. M. (1987). Consequences of caregiving: Benefits and costs. Paper presented at the meeting of the Gerontological Society of America, Washington, DC.Google Scholar
  30. Hanrahan, P., Young, R. N., & Pinkston, E. M. (1985). Case management with families of the mentally impaired elderly: A behavioral approach. Paper presented at the annual conference of the Gerontological Society of America, New Orleans.Google Scholar
  31. Harrington, C., & Newcomer, R. J. (1985). Long term care of the elderly: Public policy issues. Beverly Hills, CA: Sage Publications.Google Scholar
  32. Holmes, M., & Holmes, D. (1979). Handbook of human services for older persons. New York: Human Sciences Press.Google Scholar
  33. Horowitz, A. (1978). Families who care: A study of natural support systems of the elderly. Paper presented at 31st annual Scientific Meeting of the Gerontological Society, Dallas.Google Scholar
  34. Horowitz, A., & Dobroff, R. (1982). The role of families in providing long-term care to the frail and chronically ill elderly living in the community (Contract No. 18-P-97541/2–02). Washington, D.C.: Health Care Financing Administration.Google Scholar
  35. Horowitz, A., & Schindleman, L. W. (1983). Social and economic incentives for family caregivers. Health Care Financing Review, 5, 25–33.PubMedGoogle Scholar
  36. Hubbard, R. W., Santos, J. F., & Wiora, M. (1978). A community-based model for discharge planning and aftercare for hospitalized older adults. Journal of Gerontological Social Work, 1, 63–68.CrossRefGoogle Scholar
  37. Hughes, S. L. (1985). Apples and oranges: A review of community-based long-term care. Health Services Research, 20, 461–487.PubMedGoogle Scholar
  38. Johnson, C., & Catalano, D. (1983). A longitudinal study of family supports to impaired elderly. The Gerontologist, 23, 612–618.PubMedCrossRefGoogle Scholar
  39. Kahn, R. L., Goldfarb, A. I., Pollock, M., & Peck, R. (1960). Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatry, 117, 326–328.PubMedGoogle Scholar
  40. Kanfer, F., & Saslow, G. (1969). Behavioral diagnosis. In C. M. Franks (Ed.), Behavioral therapy: Appraisal and status (pp. 417–444). New York: McGraw-Hill.Google Scholar
  41. Kutza, E. A. (1981). The benefits of old age: Social welfare policy for the elderly. Chicago: University of Chicago Press.Google Scholar
  42. Linsk, N. L., Green, G. R., Marlow, C., & Pinkston, E. M. (1980). An analysis of community linkage and behavioral strategies with families of the impaired elderly. Paper presented at the annual conference of the Gerontological Society, San Diego.Google Scholar
  43. Linsk, N. L., Keigher, S., & Osterbusch, S. E. (1988). States policies regarding paid family caregiving. The Gerontologist, 28, 204–212.PubMedCrossRefGoogle Scholar
  44. Linsk, N. L., Osterbusch, S. E., Simon-Rusinowitz, L., & Keigher, S. (1988). Community agency support of family caregiving. Health and Social Work, 13, 209–218.PubMedGoogle Scholar
  45. Minkler, M., & Stone, R. (1985). The feminization of poverty and older women. The Gerontologist, 25, 351–357.PubMedCrossRefGoogle Scholar
  46. Morrison, M. H. (1986). Corporate practices: Personnel programs and management strategies for older workers. Presentation at America’s Aging Workforce: A Travelers Symposium, Houston, Texas.Google Scholar
  47. O’Connell, G. (1988). A case management: System and practice. Social Casework, 69, 97–106.Google Scholar
  48. Osterbusch, S. E., Keigher, S., Miller, B., & Linsk, N. L. (1987). Community care policies and gender justice. International Journal of Health Services, 17, 217–232.PubMedCrossRefGoogle Scholar
  49. Pinkston, E. M., & Linsk, N. L. (1984a). Care of the elderly: A family approach. New York: Pergamon Press.Google Scholar
  50. Pinkston, E. M., & Linsk, N. L. (1984b). Behavioral family intervention with the impaired elderly. The Gerontologist, 24, 576–583.PubMedCrossRefGoogle Scholar
  51. Pinkston, E. M., Levit, J. L., Green, G. R., Linsk, N. L., & Rzepnicki, T. L. (1982). Effective social work practice: Advanced techniques for behavioral intervention with individuals, families and institutional staff. San Francisco: Jossey Bass.Google Scholar
  52. Poulshock, S. W., & Deimling, G. T. (1984). Families caring for elders in residence: Issues in the measurement of burden. Journal of Gerontology, 39, 230–239.PubMedCrossRefGoogle Scholar
  53. Rankin, E. (1985). The family life cycle, stress and caregiver burden in home-based care of the disabled elderly. Unpublished doctoral dissertation, University of Chicago.Google Scholar
  54. Reid, W. J. (1978). The task-centered system. New York: Columbia University Press.Google Scholar
  55. Reid, W. J., & Epstein, L. (Eds.). (1977). Task centered practice. New York: Columbia University Press.Google Scholar
  56. Reid, W. J., & Hanrahan, P. (1982). Recent evaluations of social work: Grounds for optimism. Social Work, 27, 328–340.Google Scholar
  57. Reid, W. J., & Helmer, A. (1986). Session tasks in family treatment. Family Therapy, 13, 177–185.Google Scholar
  58. Rooney, R. H., & Wanless, M. (1985). A model for caseload management based on task-centered practice. In A. E. Fortune (Ed.), Task centered practice with families and groups (pp. 187–200). New York: Springer.Google Scholar
  59. Shanas, E. (1979). The family as a support system. The Gerontologist, 19, 169–174.PubMedCrossRefGoogle Scholar
  60. Simmons, K., Ivry, J., & Seltzer, M. M. (1985). Agency-family collaboration. The Gerontologist, 25, 343–346.PubMedCrossRefGoogle Scholar
  61. Skellie, F., & Coan, R. (1980). Community-based long-term care and mortality: Preliminary findings of Georgia’s alternative health services project. The Gerontologist, 20, 372–379.PubMedCrossRefGoogle Scholar
  62. Skellie, F., Mobley, G., & Coan, R. (1982). Cost effectiveness of community-based long-term care: Current findings of Georgia’s alternative health services project. American Journal of Public Health, 72, 353–358.PubMedCrossRefGoogle Scholar
  63. Soldo, B., & Myllyluoma, J. (1983). Caregivers who live with dependent elderly. The Gerontologist, 23, 605–611.PubMedCrossRefGoogle Scholar
  64. Sommers, T. (1985). Caregiving: A women’s issue. Generations, 9, 9–13.Google Scholar
  65. Steinberg, R. M., & Carter, G. (1983). Case management and the elderly: A handbook for planning and administering programs. Lexington, MA: Lexington Books.Google Scholar
  66. Thibault, J. (1984). The analysis and treatment of indirect self-destructive behaviors of elderly patients. Unpublished doctoral dissertation, University of Chicago, School of Social Service Administration.Google Scholar
  67. Thornton, C., & Dunstan, S. M. (1986). Analysis of the benefits and costs of channeling. Princeton, NJ: Mathematics Policy Research.Google Scholar
  68. Treas, J. (1977). Family support system for the aged: Some social and demographic considerations. The Gerontologist, 17, 486–491.PubMedCrossRefGoogle Scholar
  69. Tuzil, T. (1978). The agency role in helping children and their aging parents. Social Casework, May, 302–305.Google Scholar
  70. Wan, T. H., Weissert, W. G., & Livieratos, B. B. (1980). Geriatric day care ad homemaker services: An experimental study Journal of Gerontology, 35, 256–274.PubMedCrossRefGoogle Scholar
  71. Weissert, W. G. (1975). Adult day care in the U. S.: A comparative study. Executive summary of final report. Washington DC: Transcentury Corporation.Google Scholar
  72. Weissert, W. G. (1985a). Seven reasons why it is so difficult to make community-based long-term care cost-effective. Health Services Research, 20, 432–433.Google Scholar
  73. Weissert, W. G. (1985b). The cost effectiveness trap. Generations, 9, 47–50.Google Scholar
  74. Weissert, W. G., & Cready, C. M. (1986). Comparative analysis of community care: Future research recommendations. Paper presented at the annual meeting of the Gerontological Society of America, Chicago.Google Scholar
  75. Weissert, W. G., Wan, T., Livieratos, B. B., & Katz, S. (1980). Effects and costs of day-care services for the chronically ill. Medical Care, 28, 567–584.CrossRefGoogle Scholar
  76. Wiessman, A. L. (1975). Industrial social services: Linkage technology. Social Casework, 55, 50–54.Google Scholar
  77. Wilson, A. J. E. (1984). Social services for older persons. Boston: Little, Brown.Google Scholar
  78. Wilson, N., Applebaum, R., & Schneider, B. (1986). Lessons from research for case management practice in community long-term care. Paper presented at the annual meeting of the Gerontological Society of America, Chicago.Google Scholar
  79. Zarit, S. H. (1980). Aging and mental disorders: Psychological approaches to assessment and treatment. New York: Free Press.Google Scholar
  80. Zarit, S. H., Todd, P. A., & Zarit, J. M. (1986). Subjective burden of husbands and wives as caregivers: A longitudinal study. The Gerontologist, 26, 260–266.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Nathan L. Linsk
    • 1
  • Patricia Hanrahan
    • 2
  • Elsie M. Pinkston
    • 3
  1. 1.Department of Medical Social Work, College of Associated Health ProfessionsUniversity of Illinois at ChicagoChicagoUSA
  2. 2.University of ChicagoChicagoUSA
  3. 3.School of Social Service AdministrationUniversity of ChicagoChicagoUSA

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