This article classifies home care goals into two broad categories: therapeutic goals, in which home care providers strive for measurable improvement on parameters of physical, psychological, or social functioning and compensatory (or empowering) goals, in which home care providers strive to provide services to compensate for functional impairment, thus enabling consumers to pursue their own goals. Therapeutic goals are loosely associated with 'medical models' of care and compensatory goals with 'social models.' From a consumer perspective therapeutic and compensatory goals are important, and artificial distinctions between the two should be eliminated. However, this merger should be effected in such a way that therapeutic approaches can be incorporated into programs with relatively low unit costs.
Bibliographical noteFunding Information:
1. This classification was developed for a study, The Home Care/Assisted Living Connection, funded by the RobertWood Johnson Foundation under the Home Care Research Initiative. The study began in May 1998 under the direction of Rosalie Kane.