Date of Award


Degree Type


University or Center

Atlanta University (AU)


School of Arts and Sciences

Degree Name



Public Administration

First Advisor

Professor George O. Kugblenu


The objective of this study is to examine the effect of existing nursing home services on the elderly. In addition, it will also examine the effectiveness of the Alternative Health Service Project, The servlces provided under the project include: Alternative Living Services (adult foster care, boarding care, congregate living); Home Delivered Services (home health services and personal care assistance) ; and Adult Day Rehabilitation (ambulatory health care and health related supportive services in a day center. AHS clients reside. in two of Georgia’s ten Department of Human Resources aistricts, .Oistrict III (Atlanta), DIstrict X (Athens), are 50 years old or older, and either reside in a nursing home or have been certified. for nursing home care prior to receiving prolect services. All potential clients receive a health and. social needs assessment:. Of those persons who are felt to he appropriate for alternative services, 75 percent are referred Coservice group, the remainder are assigned to a control group and are not offered AHS services. The existence of the control group allows AHS to comnare the effectiveness of project services with nursing home care and other services available in the community, Since the population of the elderly in this community is increasing yearly, the availability of various services to address their needs is imperative. Until recently, the nursing homes are the only care centers available to the elderly. The various documented abuses by these nursing homes demand that alternatives should be found, The Alternative Health Service is one that is being presently explored. The main sources of information were Georgia Department of Medical Assistance Annual Reports and interviews with clients. In addition, the writer used other publications such as books, periodicals and journals.