Do Impaired Older Persons With Health Care Needs Occupy U.S. Assisted Living Facilities? An Analysis of Six National Studies

Golant, Stephen M.

doi:10.1093/geronb/59.2.s68

Cited by 96 publications

(71 citation statements)

References 8 publications

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“…In addition to different populations, low response rates and response bias can further result in misleading figures. Hawes and colleagues' sample included 1,251 residences in 34 states (response rate = 81%), and the National Investment Conference studied 178 residences in 47 states (response rate = 54%); although less than optimal, these rates are comparable to those of other work in the field (Golant, 2004).…”

Section: The Evolution Of Al and Al Typologiesmentioning

confidence: 86%

Definition and Classification of Assisted Living

Zimmerman¹,

Sloane²

2007

The Gerontologist

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Purpose: The purpose of this article is to discuss the benefits and limitations of, and considerations in, developing a typology of assisted living (AL). Design and Methods: We conducted a review and comparison of nine AL typologies drawn from the literature. Results: Typologies addressed matters related to the structure, process, population, and philosophy of AL to varying degrees. A lack of available data and different sampling frames hindered attempts to quantitatively compare the typologies. Implications: Typologies are potentially useful for consumers, practitioners, policy makers, and researchers. It is advisable to identify state-based typologies and then empirically determine types that have national representation. Stakeholders should consider the tradeoff between sensitivity and specificity and allow any resulting typology to anticipate ongoing evolution in the field of AL.

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Section: The Evolution Of Al and Al Typologiesmentioning

confidence: 86%

Definition and Classification of Assisted Living

Zimmerman¹,

Sloane²

2007

The Gerontologist

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“…Nursing homes are considered health care institutions and are regulated by federal (i.e., U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services [CMS]) and state (i.e., Department of Health) authorities. In contrast, oversight of community-based assisted living facilities is state regulated and personal care assistance is offered as a supplement to private housing and hospitality services for residents who are generally more physically and mentally healthy than their nursing home counterparts (Golant 2004;Hyer et al 2006;Laditka et al 2009). …”

mentioning

confidence: 99%

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

et al. 2015

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The study examined Florida assisted living facility staff perspectives of disaster preparedness, response, and recovery after the 2004 and 2005 hurricanes. A descriptive study using qualitative and quantitative approaches. One hundred seventy Florida assisted living facility staff who worked in areas under hurricane threat and provided care to residents during a hurricane. A questionnaire that was mailed or administered to staff attending a regional planning conference with quantitative and qualitative items. Of the 143 facilities that were affected by a hurricane, 77 % reported that they sheltered residents in place, while 23 % indicated that they evacuated for one or more of the hurricanes. Almost one-third of facilities lost telephone service and almost half lost electrical power during one or more of the hurricanes. Key topics noted by both evacuating facilities and those that sheltered in place were 1) decision-making, 2) planning, support, and supplies, 3) communication, and 4) electricity. Unique to assisted living facilities is the role of residents' family in assuming responsibility for evacuation and shelter during hurricanes. Facility staff at both evacuating and sheltering facilities indicated that the decision to evacuate or to shelter in place was difficult and the electrical power was critical to resident well-being. Assisted living facilities should develop disaster preparedness plans in conjunction with local and state emergency offices. Adequate disaster preparedness has implications for residents' safety as well as assisted living facility staff during disasters.

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“…Based on his review of six national studies, Golant (2004) concluded that assisted living residences were more likely to accept frail older persons when these people had less serious cognitive impairments and when they did not require ongoing supervision (e.g., did not wander; or did not have memory, judgment, or behavioral problems). He also indicated that less than 50% of the assisted living residences would accept older persons if they had moderate to severe cognitive impairments.…”

Section: Move-in/move-out Criteriamentioning

confidence: 99%

Dementia and Assisted Living

Hyde¹,

Pérez²,

Forester³

2007

The Gerontologist

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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 reviewed them. Results: The article describes the demographic characteristics of cognitively impaired residents in assisted living and related residential settings in the United States, the services they receive, and process and structural elements both in specialized dementia units and in integrated assisted living settings. Finally, we review the literature on methodological issues regarding research in this area. Implications: It is important to generate research on processes as well as outcomes, such as dignity, individualized and pleasurable experiences, and freedom from pain and discomfort. We make recommendations for both content areas that would benefit from further research as well as methodological approaches that will yield important information in this field.Key Words: Long-term care, Alzheimer's disease, Cognitively impaired, Aging in place, Residential careThis article outlines what is known about dementia services in assisted living settings and explores the many questions that remain unanswered. Ultimately, research is needed that will offer specific information regarding how assisted living processes and structure result in specific outcomes in the various subpopulations of cognitively impaired residents. The variability of assisted living and its philosophy of customizing services to the wishes and needs of each individual resident provide a rich environment for research as researchers attempt to discover what works best for whom (Feldman & Kane, 2003). We also discuss the range of processes and outcomes that one should consider in evaluating the effectiveness of assisted living services and environments, including the central role of quality of life in the assisted living philosophy of dementia care.Assisted living, as an industry, is less than 20 years old. Early research sought to enumerate how many people with dementia lived in assisted living, how many were in special care units (SCUs) or in general assisted living settings, and what kinds of services they received. However, even these simple facts have been elusive as basic data such as the prevalence of dementia can be difficult to determine in these non-health-care settings. In fact, determining which settings meet the criteria to be considered assisted living can, in itself, be less than straightforward.Central to the assisted living philosophy is a respect for the individuals who live in this setting and their continued rights as citizens and human beings. However, this philosophy is challenged when the people served have cognitive impairments that compromise their ability to make or communicate decisions regarding their care and lifestyle choices.Not all regulators, providers, family members, co...

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Do Impaired Older Persons With Health Care Needs Occupy U.S. Assisted Living Facilities? An Analysis of Six National Studies

Cited by 96 publications

References 8 publications

Definition and Classification of Assisted Living

Definition and Classification of Assisted Living

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

Dementia and Assisted Living

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