A widespread bias exists among legal, medical, and social service professionals that the appropriate placement for elderly individuals with cognitive impairment (dementia) is a nursing home. Two major reasons for institutionalization are to remove the patient from a potentially harmful situation and to relieve the family of the burden of care.…

This article presents the argument that overregulation of Medicaid-funded residential treatment environments has placed rules ahead of contingency-based behavior of clients. Blame is focused on coercive enforcement of inaccurate rules, precluding responsive staff action. Solutions are advanced to encourage natural contingencies of teaching and…

Australia's Aged Care Act of 1997 mandates a number of key reforms aimed at ensuring consistency in the quality of care and well-being for all residents of aged care facilities. The law required residential aged care facilities to provide high-quality care within a framework of continuous improvement which requires aged care workers to perform the…