Study Design. This mixed methods, cross-sectional study used structured interviews to obtain information about presence of, and variation in, GH-relevant structures and processes of care. Qualitative questions explored reasons for variation in model implementation. Data Collection/Extraction Methods. Interview data were analyzed using relatedsample tests, and qualitative data were iteratively analyzed using a directed content approach. Principal Findings. GH homes showed substantial variation in practices to support resident choice and decision making; neither GH nor legacy homes provided complete choice, and all GH homes excluded residents from some key decisions. GH homes were most consistent with the model and one another in elements to create a real home, such as private rooms and baths and open kitchens, and in staff-related elements, such as self-managed work teams and consistent, universal workers. Conclusions. Although variation in model implementation complicates evaluation, if expansion is to continue, it is essential to examine GH elements and their outcomes.

GH environment may promote staff longevity and does not negatively affect worker's stress, safety perceptions, or satisfaction. Larger studies are needed to confirm findings.

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Investigations into the personality characteristic all-inclusive conceptualization (AIC) indicated that this variable was related to the ability to integrate facilitative interpersonal behaviors. A test of AIC was administered to 28 counseling practicum students who also submitted audiotapes of an initial, middle, and final counseling session. The sessions were rated, using a 5-point Carkhuff scale, as to the level of empathic understanding present. Significant negative correlations were found between scores on the test and rated levels of empathic understanding in each counseling session. The correlations indicated that those trainees who scored higher on the test of AIC offered their clients lower levels of empathic understanding than did their lower scoring colleagues. Implications for this finding are discussed.Researchers have made considerable efforts over the past 30 years to understand the relationship between personality characteristics and the ability to counsel effectively (Matarazzo, 1978). Investigations into the personality characteristic all-inclusive conceptualization (AlC) provide information associating this variable with the ability to integrate facilitative interpersonal behaviors (Drakeford, 1967). Snider has defined AIC as the tendency to respond to stimuli in terms of overgeneralized language (1969) and as one's reaction to the word as if it were the object it stands for (1979). AIC research emanates from the pioneering interests of general semanticists, who have argued that the tendency towards absoluteness or allness in language is directly related to dysfunctional behavior (Hayakawa, 1943;Korzybski, 1948).A general suspicion has existed that the level of one's conceptual flexibility has a bearing on the ability to provide facilitative interpersonal responses

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