Examines the interaction between caseworker, caretaker, and client in foster care placement of the elderly and offers suggestions for strengthening the worker's role. Interaction between caseworker, caretaker, and client needs strengthening. Caseworkers need a sound understanding of their own role and of the expectations held by agency, caretaker,…

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)

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: 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…

Although researchers have investigated quality and cost of residential care, little is known about the people who own and manage residential care facilities. In an attempt to find out more about these managers, members of the National Association of Residential Care Facilities (NARCF) were surveyed. Members (N=175) responded to questionnaires…

Stress and burnout are common in the caregiving professions. Stress negatively affects both the caregivers and patients. In order to help caregivers deal with stress effectively and to improve the care in residential care facilities, it is essential to learn more about the particular stressors that managers of such facilities experience. In this…

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.…

Purpose: Making good consumer decisions requires having good information. This study compared long-term-care recommendations among various types of health professionals. Design and Methods: We gave randomly varied scenarios to a convenience national sample of 211 professionals from varying disciplines and work locations. For each scenario, we…

Purpose: When cognitively impaired nursing home residents exhibit agitated and aggressive behaviors during bathing, nursing home caregivers are in a unique position to improve residents' experience. This report addresses whether certified nursing assistants (CNAs) who received training in a person-centered approach with showering and with the…

The aims and principles of normalization and integration of the mentally retarded in Sweden are discussed in terms of implications for services and programs. The historical background of the present care for the mentally handicapped notes legislative actions, responsibilities of the Board of Provisions and County Councils, the development of the…