The purpose of this project is to develop and market an inexpensive, brief, and easily usable client targeting manual for providers of long-term care to enhance decision-making concerning service to the frail aged. The manual will be based on empirical findings from a recent national evaluation of 13 community-oriented long-term care demonstration projects. The manual would disseminate recent selected data and methods for appropriately targeting long-term care services to elderly people who, except for a service intervention, would likely enter an institution. These findings about long-term care client targeting will encourage savings in public (especially Medicaid) dollars by helping service providers target and allocate services to those who are truly at risk of institutionalization. The client targeting manual will serve a second purpose: dissemination of recent research and demonstration findings in long-term care. The manual will also instruct service providers in recent long-term care case management practices, with the aim of encouraging appropriate noninstitutional alternatives to long-term care.Health Care Financing Administration