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In-Home Supportive Services for the Elderly and Disabled: A Comparison of Client-Directed and Professional Management Models of Services Delivery--Non-Technical Summary Report

Publication Date
Mar 31, 1999

Elderly and younger persons with disabilities who require help from others to perform many of the most ordinary activities of daily living are said to require "long-term care." These services, when provided in the home or other non-institutional settings, may be termed personal assistance services, home and community-based services, or in-home supportive services. This report presents the findings of a study comparing alternative approaches to delivering such services. The purpose of the study was to determine whether there are significant differences, on a wide range of outcome indicators, when publicly-funded supportive services for the elderly and disabled are provided through a consumer-directed as compared to a professional management model of service financing and delivery. [61 PDF pages]

People with Disabilities | Older Adults