Evaluates two respite programs which offer families temporary relief from caring for elderly relatives: an institutional program for those needing constant nursing attention, and a residential plan for those requiring housekeeping and companion services. Benefits for clients, family, and community appear to be indisputable. (Author/ABB)

Examines the relationship between resident characteristics and time participating in activities. For the 2,672 nursing home residents studied, measures of resource use, cognitive abilities, depression, sense of initiative/involvement, activity repertoire, location preferences, and gender were all found to be significant in explaining the amount of…

Describes a transition in a mature Special Care Unit for Alzheimer's patients, where patient mix had become too diverse for intended programming. Since the patients were unable to become involved in premove planning and preparation activities, preparation of staff substituted for the involvement of residents. Improved discharge policies maintain…

Purpose: Residential care/assisted living describes diverse facilities providing non-nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. Design and Methods: We obtained data from the Collaborative Studies of Long-Term…

The Institutional Review Committee is an important social innovation promising the effective protection of the rights of elderly potential research subjects. However, unnecessary elaboration of informed consent procedures may risk excluding older persons from both primary and secondary benefits of the research process. (Author)

Recounts the aftermath of Hurricane Gloria and necessity of frail individuals to be hospitalized for respite care due to loss of home services. Advances a new category of respite care which includes care for losses related to natural disasters. Describes characteristics of individuals requiring such care and specific reasons for their care.…

Minimal service sheltered housing with peripatetic services adjusted to individual need may be more acceptable to the majority of elderly. The key program element in the British model is a resident warden, a housewife whose training and presence assures a proper and consistent flow of peripatetic support services. (Author)

Purpose: Assisted living is an increasingly important residential setting for the frail elderly person. How often and why residents leave such facilities are important issues for consumers, for clinicians advising frail patients on their options for living arrangements, and for policymakers. This research investigated the impact of facility and…

Purpose: Throughout the 1990s, assisted living was the most rapidly growing form of senior housing. The purpose of this paper is to describe the existing supply of assisted living facilities (ALFs) and examine the extent to which they matched the philosophy of assisted living. Design and Methods: The study involved a multistage sample design to…

Purpose: The purpose of this study was to assess the direction and magnitude of the effects among the components of resident satisfaction in residential aged care and to examine if the relationships among satisfaction components vary according to facility type (i.e., nursing home and hostel). Briefly, a hostel is a low-care facility in which…

Purpose: While state policy and market factors are known to have contributed to the increased supply of residential care, little is known about efforts to accommodate demand from lower-income consumers. This study describes participation and expenditure trends for residential care services funded by Medicaid waivers and examines variation across…

Elective off premises activities of 65 functionally mobile patients in two nursing homes were studied for a six-month period. More intact patients engaged in a greater frequency of off premises outings. Thus, in-house recreational activities in a long-term care setting should be geared to the more deprived intellectually impaired patient…

Characteristics of nursing homes perceived as effective and efficient by other administrators and persons in state government are compared to characteristics of nursing homes across the nation. Facilities perceived as efficient and effective had more staff, were certified for more levels of care, had more beds, and higher occupancy rates. (Author)

Harbor Area Adult Day Care Center has operated for two years with a primary purpose of providing respite care to families caring for a relative with Alzheimer's disease or related disorders. The rationale, history, program, staffing, funding, and experience for the first two years of the project are provided. (Author/RC)

Analyzed relationship between cognitive impairment and use and cost of health care, examining data from 1981-1982 Long-Term Care National Channeling Demonstration Project. Results indicated a substantial cost difference between money spent on home, institutional or nursing home care for cognitively intact and cognitively impaired persons.…