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)

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)

This study is a companion to a larger study of older adults who had made residential relocations that involved moving from one level of independence to another level. The current study examined the degree to which older individuals perceived their moves to be important, controllable, stressful, disruptive, and positive. (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…

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)

A more productive approach to providing appropriate long-term care is to separate physical from psychosocial needs when performing functional assessment and to rearrange them into a matrix. By examining each need separately, and where needs overlap in the matrix, more direct assessment can be performed, and specified interventions can be designed.…

Two case reports are presented of institutionalized women who were diagnosed as having Prader-Willi syndrome at the ages of 54 and 69. Implications are discussed for management of such persons and for program planning/funding for a much longer life expectancy than earlier realized. (Author/JDD)

The article discusses areas of behavioral gerontology that would profit from additional research, such as self-management, community caregiver training, and geriatric behavioral pharmacology. Considerations for adapting behavioral procedures for the elderly are discussed, and suggestions for expanding the role of behavior analysis in geriatric…