Abstract
This review examines about 30 recent research and demonstration projects funded primarily by the Administration on Aging. The projects attempt to promote self-determination at different levels of environmental restrictiveness, through in-home and community-based long-term care services. The article provides a conceptual framework for informing policymakers, program developers, and practitioners on the scope of projects encouraging self-determination among the elderly and their family care givers, as well as the array of care-giving services and sites that are being developed.

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