Purpose: The identification of nursing home residents who can continue to participate in advance care planning about end-of-life care is a critical clinical and bioethical issue. This study uses high quality observational research to identify correlates of advance care planning in nursing homes, including objective measurement of capacity. Design…

Purpose: Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care. Design and Methods: We enrolled 349 residents, 243 informal caregivers, and 299…

The purpose of the present study was to measure attitudes towards sex offenders held by professionals and paraprofessionals and to evaluate an introductory training workshop aimed at increasing knowledge and improving attitudes to this client group. Eighty-five residential hostel workers and probation officers attended an intensive two-day…

Presents an ecological model identifying four factors: the child, caregivers, facility environment; and exogenous factors contributing to child maltreatment in residential care. Facility factors include organizational culture and staffing patterns. Caregiver factors include gender, age, training, and status. Child factors include gender, age, and…

Uses examples of institutional child abuse within the Australian police force, social service departments, diplomatic service, schools, the judicial system, and the church to show that leadership may mitigate or amplify abuse. Contends that the precedence of adults' rights over children's rights contributes to child abuse. The recent creation of a…

British standards for inspection of residential services will not protect children from abuse because they do not address underlying problems. New proposals may correct some problems, but inspections probably cannot meet child protection objectives. Future developments should address enforcement of standards, collaboration between agencies…

Reviews treatment needs of dual diagnosed, substance abusing and mentally ill mothers. Suggests treatment strategies and programmatic options for serving and meeting needs of these mothers and their children. Devotes particular attention to residential and continuing care services and skills-based interventions for target clients. Concludes with…

Drug-exposed infants are having a profound impact on the child welfare system. When community resources are not available to meet the needs of these children and families, requirements of current child welfare laws cannot be met. The range of services necessary for effective child welfare responses is discussed. (SLD)

The increase in life expectancy within the general population has resulted in an increasing number of elderly adults with intellectual disability, and this is reflected in the increased life expectancy in persons with Down syndrome, currently about 56 years. The aim of this study was to study the clinical characteristics, the functional status and…

A multi-faceted training package for inappropriate social behavior was evaluated with five children with mild mental retardation and attention deficit hyperactivity disorder in a residential program. Residents were individually trained in self-management skills with video feedback. Direct-care staff also received training. Although staff increased…

Presents practical suggestions for managing a protective service agency for children when one of its staff members is accused of sexually abusing a child in residential care. The agency must balance the tasks of protecting the child, supporting the staff, and maintaining the integrity and reputation of the agency. (GLR)

Mental health services are delivered to children in many settings, including inpatient psychiatric facilities. In 1997, over 280,000 children and adolescents were admitted to inpatient psychiatric settings for services related to emotional or behavioral disorders. Building a bridge between hospital and school professionals is necessary to maintain…

Preparatory to establishing a computer services program for residents, Presbyterian Homes, a multi-campus continuing care retirement community, conducted an assessment of residents' computer needs, ownership, and usage. Based on the results of the needs assessment, computer resource rooms were established at each facility, with computer hardware…

This study examined the relationship of basic educational skills in Vocabulary, Reading Comprehension and Math to program outcome and escape risk among male juvenile offenders in residential care. The records of 144 youth who were treated in a residential treatment center between 1978 and 1996 were reviewed along with subsequent adult and juvenile…

Purpose: The aim of this study was to identify the important factors influencing residents' satisfaction in residential aged care and to provide a better understanding of their interrelationships. Design and Methods: A cross-sectional survey design was used to collect the required information, including resident satisfaction, resident dependency…