The underlying goal of design proposals for local (public) authority homes for old people--minimizing residents' dependence on staff--is outlines, as are physical features of institutional accommodation held to counter fulfillment of the goal. How these issues and the related goal of independence have influenced design proposals is described.…

Conducted two-year mental health intervention with older adults in six residential care facilities. Findings showed little intervention impact but revealed that residents treated were generally socially marginal with weak ego skills, rather that significantly mentally ill. Suggests more intensive program that restructures facility's milieu to…

The author assesses F. Seidl's analysis (see EC 070 419) of the trend toward community oriented residential institutions as having positive implications for child care personnel. (GW)

Families of nursing home residents often perceive the care provided by the nursing home staff to be inadequate or inappropriate. Consequently, conflicts and misunderstandings frequently arise between staff and family members. A study was conducted in two midwestern nursing homes which investigated the perceptions of family and staff about the care…

Since nursing home placement is frequently the last choice for families of elderly people who need long-term care, little literature exists which delineates a model for consumer decision making in the selection of a specific long-term care facility. Critical issues include the following: (1) who actually makes the selection; (2) what other…

Families care for their elderly even when the burden is enormous, suffer guilt when institutionalization becomes necessary, and maintain contact after institutionalization. Policies must be developed to reduce premature institutionalization, help families cope with the process when it becomes necessary, and provide institutional care to those…

We provide descriptive statistics for data collected via the Residential Care Facilities Survey (RCFS), from long-term care (LTC) facilities operating in Ontario between 1996 and 2002. The LTC sector in Ontario is dominated by large, proprietary for-profit facilities. The proportion of residents receiving extended care has increased from 53 per…

In the Czech Republic, individuals with intellectual disabilities continue to be institutionalized in large, remote, state-run institutions and as a result are isolated from community interaction. Some practices associated with these institutions are coming to be seen as human rights violations. Although non-governmental organizations (NGOs) offer…

The State of Virginia has had a statewide nursing home preadmission screening program since 1977 and has made efforts to ensure appropriate placement of individuals in long term care settings. In a major effort to divert certain individuals from institutionalization, a personal care option has been provided. Using data from the Preadmission…

Over the past two decades, the chronic mentally ill elderly have begun to receive care in residential health care facilities (RHCF) such as domiciliary care, intermediate care, and skilled nursing facilities. While there is justification for this increase, as the mentally ill elderly also present with significant physical illnesses, there are…

Geriatric ward patients (N=84) were randomly assigned to groups targeted for outplacement planning or inpatient care. During the following year, the mean Morale Inventory score of the outplacement sample improved while that of the inpatient group remained statis. Results argue for an increased emphasis on outplacement programs among geriatric…

Adapted from a paper presented at the Fourth Congress of the International League of Societies for the Mentally Handicapped (Hebrew University, Jerusalem, October 21, 1968). (RJ)

The study compared the characteristics of individuals residing in either institutional or community settings in Arizona, Colorado, Nevada, and one regional center in California. The results show that the more severely mentally retarded persons, with their attendant handicaps and maladaptive behavior, are still likely to be found in an…

Ward residents view their dwelling as less secure and feel less able to control social encounters than do single room residents. Single room residents express greater desires for isolation and disclosure restriction. Data are consistent with an adaptation model of privacy-sociability preference. (Author)