Daniel Lago

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Thirty-six long term care residents with dementia and agitation were selected for participation in this eight week study. During the eight week period, the participants received two different four week therapeutic recreation interventions in a clinical crossover design. These interventions included a sensorimotor program and a traditional activity program.(More)
A sample of 40 elderly residents was observed for 14 days on each of three consecutive occasions separated by 3 months. The observations focused on interactions involving the elderly resident and social partners. The results indicated a high level of stability across occasions in resident behaviors. The interactional and behavioral profiles observed were(More)
Approximately one quarter of Americans aged 65 and older live in rural areas. Homebound rural elderly are a hard to reach, often poor and frail population. Failure to include homebound rural elderly in nutritional studies may bias representativeness of samples of elderly persons. This paper discusses some challenges in recruiting homebound older persons to(More)
When Medicare extends catastrophic coverage to outpatient prescription drugs in 1991, the program will benefit an estimated 15% to 25% of the aged population. For some of these individuals Medicare coverage will mean the difference between economic self-sufficiency and impoverishment due to high medical bills. This article provides empirical estimates of(More)
In order to put Pennsylvania's Pharmaceutical Assistance Contract for the Elderly (PACE) Program in a national context, a nationwide mail survey and telephone follow-up to each of the 58 State Unit Directors on Aging in the United States and its territories identified 10 programs. The results reported in this article are specific to the seven state-level(More)
Despite documentation that rural elderly have reduced access to both primary care and specialist physician services, there have been very few studies comparing rural and urban patterns of prescription drug use. This is unfortunate, because prescription drugs are the most commonly used type of health care by the elderly. This research merged claims data for(More)
The Medicare Catastrophic Coverage Act (MCCA) would have mandated federal assistance for Medicare beneficiaries who have high annual prescription medication costs. High national expenditures for such drugs have encouraged the development of private and state insurance programs to help with these costs. Ten state pharmaceutical assistance programs (SPAPs),(More)
This article combines a review of social service literature with interviews of key informants on the issue of integrating services for the elderly into human services across the life span. Empirical findings concerning the relative benefits and drawbacks of age-integrated vs. specialized service organizational structures are emphasized. Surprisingly few(More)