Network Variables as Determinants of the Elderly Entering Adult Residential Care Facilities

Abstract

This research extends the study of social network analysis and labelling theory into the context of adult residential care facilities (ARCFs). Network density, reciprocity, and intensity are hypothesized to explain who labels the frail elderly ‘out of place’ in their homes and refers them to an adult residential care facility. Using data from interviews with 81 new, elderly ARCF residents and 75 of their closest others, logistic regression analyses indicate that network intensity is related to the differential involvement of professionals and informal network members in the ARCF entry process. Findings suggest further research on the networks of the elderly's relatives may explain the role of density in ARCF labelling and referral. Practice implications incorporating a network strategy are addressed.

Social networks and gerontology

“…9 The size of the support networks of elderly people shows some consistency across national boundaries 2 -10 " 13 ; most have five to seven members, with a range of approximately 1-20. 9 The size of the support networks of elderly people shows some consistency across national boundaries 2 -10 " 13 ; most have five to seven members, with a range of approximately 1-20.…”

Using network variation in practice: identification of support network type

“…Older people who have strong social networks are happier and more likely to perceive themselves as healthy (Thompson 1989). Older people who have close‐knit support networks are less likely to seek residential admission (Bear 1989, 1990).…”