A Five-Year History of Targeting Home CareServices to Prevent Institutionalization

Abstract

The Massachusetts Home Care Corporation network, which has increased dramatically in size since 1975, has the expressed goal of providing alternatives to institutional long-term care. This investigation confirms that home-based support service can be targeted to selected subgroups, that targeting can be maintained over a period as long as 5 years, and that the recipients of these home support services are indeed the individuals who exhibit risk factors of institutionalization in Massachusetts.