The winter 1993 issue of The Future of Children examined the practice, policy, and research underlying home visiting programs for families with young children. At that time, we estimated that as many as 200,000 children and families were enrolled in home visiting programs whose primary goals were preventive in nature (for example, to prevent preterm or low birth weight births, to promote health...

Preventing the removal of high-risk children from their families is investigated through two community-based programs. One program followed a day treatment model; the other used a home-based approach. These programs treated populations that shared common features but also had important differences. In both programs, a high percentage of children were maintained in the home and were still at hom...

Case-mix classification and payment systems help assure that persons with similar needs receive similar amounts of care resources, which is a major equity concern for consumers, providers, and programs. Although health service programs for adults regularly use case-mix payment systems, programs providing health services to children and youth rarely use such models. This research utilized Medica...

Psychosocial aspects related to home hemodialysis (HD) play an important role in the success of home HD programs. Once patients commence HD at home, unique psychosocial issues related to patient and care partner burden can emerge. Proactive professional support, peer support, respite care, travel support, and financial support from the home HD health care team must be a priority for patient car...

Patient selection and training is arguably the most important step toward building a successful home hemodialysis (HD) program. We present a step-by-step account of home HD training to guide providers who are developing home HD programs. Although home HD training is an important step in allowing patients to undergo dialysis in the home, there is a surprising lack of systematic research in this ...

During the past 25 to 30 years, family professionals have been investigating and designing intervention programs that would help parents deal with the demands and stress of parenting. One recent intervention that has been gaining more interest is using home visits as a mechanism to provide families with support in care taking, parent education, and parent empowerment. In light of positive resea...

Patients who have complex health needs require both medical and social services and support from a wide variety of providers and caregivers, and the patient-centered medical home (PCMH) offers a promising model for providing comprehensive, coordinated care. Smaller practices, however, face particular challenges in coordinating care for these patients. This paper explores the current landscape o...