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Innovations in State and Local Government







HOME places single adults with AIDS in the homes of Maryland citizens who are certified by the state to provide room, board, and personal care. The program also provides referrals to other community services, emergency funds, and in-home aide services to allow clients to remain in their homes when possible.

Project HOME costs the state about $692 per month to maintain a person with AIDS in a certified Project HOME residence. Nursing-home costs for the same person reach $2,400 per month. The project has served 1,194 since its inception in 1986. Last year 75 percent of the total served were able to live in their homes, working with a case manager and/or in-home aide services.

Contact:

Eugene P. Bartell

Executive Director

Community Services Administration

311 W. Saratoga Street

Baltimore, Maryland 21201

NEW JERSEY

Project Care: Community Assistance in Rehabilitation Efforts (CARE) provides a variety of services to juvenile probationers living in high-crime urban areas in Essex County. Responsibility for CARE juveniles is spread among teams that include representatives from colleges, local schools, outreach centers, neighborhood associations, sororities, and community centers. They tutor the young people and counsel them on subjects ranging from school to jobs to avoidance of drugs. The county-community partnership provides an average of 135 hours a year to each juvenile and family—ten times the number of hours given by a probation officer with a traditional caseload. By reducing negative influences and increasing attention to emotional and psychological needs of juveniles, the program has resulted in a 50 percent reduction in recidivism among its clients.

Contact:

George Sherman

Principal Probation Officer

Essex County Probation Division

110 South Grove Street

East Orange, New Jersey 07018

CITY OF NEW YORK

In response to the severe shortage of high-quality medical care for poor children, the Child Health Clinics of the city's Department of Health transformed 45 well-baby clinics into full primary-care centers for children from birth to adolescence. Unlike traditional preventive care clinics, which referred most sick children to emergency rooms, the new centers also provide curative services. A pediatrician and public health nurse assigned to each family handle all health problems by appointment, including most acute illnesses and common chronic conditions like asthma. The clinics also provide walk-in services for immunizations, screening for lead poisoning, testing for tuberculosis, and special assistance for children who have been sexually abused. In 1993 the clinics served 90,000 children who previously had not received coordinated primary health care.

Contact:

Katherine S. Lobach, M.D.

Assistant Commissioner

Child Health Services Bureau of Child Health

125 Worth Street, Box 23

New York, New York 10013

PORT AUTHORITY OF NEW YORK AND NEW JERSEY

The Regional Alliance for Small Contractors, an organization spun off from the Port Authority, offers training and technical assistance in the management of small construction firms. Services are provided by leading industry professionals and are geared to small construction