Foreword / Helen Rehr -- Hints of a New Kind of Case Management in Traditional Hospital-Based Home Health Care -- The Dying Marriage Counselor: A Poor Family in Crisis -- The Overwhelmed Attorney: A Wealthy Family in Crisis -- The Eccentric Artist: The Filial Role in Home Care for the Frail Elderly -- Elderly Home Care Clients: Maintaining Purpose in Life -- Caregivers and Their Ill Spouses: Creating a Health-Promoting Group for Elderly Couples in a Hospital Home Health Care Program -- Principles of Health-Promoting Group Formation -- Forming the Group -- Fitting In -- Later Activities -- Unfinished Business -- Implications and Observations -- Cooperative Home Care in Community-Based Agencies -- Aspects of Cooperative Home Care for the Elderly in Bologna, Italy -- Cadiai -- Cohme's First In-Service on Cooperativism -- Situations Taken from Aides' Problems -- Staff Situations in the Office -- Replies from Everyone at the General Meeting -- Using Cooperative Strategies--Specialized Training and Supervision of Home Health Aides -- Training Aides to Care for Dementia Clients -- Training Aides to Work in Cluster Care with the Newly Dependent Elderly -- Dependency -- Training Aides to Care for the Newly Dependent Elderly -- Edited Text of In-Service Program: Residence Director's Remarks to Home Health Aides -- Cluster Care Confidentiality -- Compassion -- Edited Vignettes: Breaking the Ice and Introducing Techniques -- Developing Trusting Relationships Between White Clients and Black Aides -- Results Obtained from the Videotape.