title: In-home versus clinic-based services for the developmentally disabled child: who is the primary client--parent or child?
abstract: This paper analyzes two different approaches to service delivery, in-home and clinic-based, in order to assist planners and clinicians in utilizing the merits of both systems most effectively. The two systems are compared and contrasted along the following variables: team process, identified client, pace of treatment, and degree of coverage. Using these variables as a guideline, this paper proposes that the degree to which the family's priorities are similar or dissimilar to the priorities of the organization determines the degree of effectiveness of home-based or clinic-based services. This proposal is discussed and case histories illustrating this premise are presented.
mesh_terms: D000554:Ambulatory Care Facilities; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000628:therapy*; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education; D010348:Patient Care Team; D012947:Social Work; D013315:Stress, Psychological / Q000628:therapy