Purpose: To better understand the experiences and potential unmet need of persons who die in long-term care. Design and Methods: We conducted after-death interviews with staff who had cared for 422 decedents with dementia and 159 who were cognitively intact and received terminal care in U.S. nursing homes (NHs) or residential care-assisted living…

Background: Intensive Interaction is an approach to developing the pre-verbal communication and sociability of people with severe or profound and multiple learning disabilities and autism. Previous research has indicated many potential benefits; however, the approach is not consistently used in social care. Aim: To report on the significant and…

Background: An important question in community living is what factors influence the extent to which staff provide "active support". Methods: Engagement, care practices and a range of staff and organizational characteristics were studied in 72 residential homes serving 359 adults with intellectual disabilities. Managers in 36 settings were trained…

Two music programs were developed specifically to meet therapeutic objectives for newly arrived immigrant and refugee students and for adolescent boys in a residential care facility. The author's observations justify further research to establish whether music can support and nurture the social, physical and mental wellbeing of young people,…

Purpose: This article presents an overview of what is known about dementia services in assisted living settings and suggests areas for future research. Design and Methods: We undertook a search of Medline, the "Journals of Gerontology," and "The Gerontologist." We then organized publications dealing with the target subject into 10 topic areas and…

Purpose: Despite growing research on assisted living (AL) as a residential care option for older adults, the social ramifications of residents' transitions to AL are relatively unexplored. This article examines family involvement in AL, including family structures of residents, types of involvement from family members living outside the AL…

Young people with learning disabilities are significantly more at risk of developing mental health difficulties than their non-disabled peers, with prevalence rates of around 40% commonly reported. Nevertheless, high levels of mental health problems also exist among young people living in state care. However, few studies have examined the mental…

Although the evidence base for the effectiveness of residential treatment is still very limited, a review of the literature reveals family-centered residential care as an emerging best practice. Synthesizing knowledge from research, families, youth, professionals, as well as values put forth in the standards by accrediting organizations, this…

The context for this paper relates to the policy and practice implications of efforts to achieve social justice for Scotland's 12,000 children and young people in the care of local government authorities. The paper is located within a growing evidence base of the educational experience of young people in care and leaving care. The data on…

Purpose: We designed this study to examine the end-of-life (EOL) experience in long-term care (LTC) based on input from key stakeholders. Design and Methods: The study consisted of 10 homogeneous focus groups drawn from a purposive sample of LTC residents (2 groups; total n = 11), family caregivers (2 groups; total n = 19), paraprofessional staff…

The author writes of her personal experience as a resident at the Good Shepherd Home and Rehabilitation Center. (RD)

Background: UK policies aim to facilitate access to general psychiatric services for adults with intellectual disability (ID). If this is to be achieved, it is important to have a clear idea of the characteristics and proportion of people with ID who currently access specialist psychiatric services and the nature and extent of psychiatric…

Orphanage life places children at risk of developmental delay, particularly with regard to speech and language acquisition. The aim of this study was to evaluate opportunities for children in an orphanage in South Africa to acquire communicative competence, by examining adult-child and child-child interactions and by evaluating the structure and…

This research examined goal attainment as it is related to client stability in the process of counseling adolescents admitted to a crisis residence. Data were collected from licensed master's-level clinicians treating adolescent clients admitted to an acute care psychiatric program at 1 of 2 hospitals located in the mid-South. There was a…

By examining specific examples of how teachers at an adolescent treatment centre interpret the day to day challenges that shape the lives of their students, insights can be gained about how schools can effectively re-connect even the most difficult students to a school environment. This article describes a story about an adolescent treatment…