Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly

by Zimmerman, Sheryl

• ISBN13: 9780801867057
• ISBN10: 0801867053
• Edition: 1st
• Format: Hardcover
• Copyright: 2001-11-01
• Publisher: JOHNS HOPKINS UNIV PRESS

Summary

With the number of elderly persons needing long-term care expected to double to 14 million over the next two decades, assisted living has become the popular choice for housing or care. Assisted living represents a promising model of long-term care that blurs the sharp distinction between nursing homes and community-based care and reduces the gap between receiving long-term care in one's own home and in an "institution." Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly examines the evolving field of residential care and focuses on national issues of regulation, reimbursement, and staffing. The book is based on a four-state study of assisted living facilities and describes the facilities, the persons residing in them and their needs, and how the services vary by facility. Because one-third to two-thirds of residents in assisted living facilities have cognitive impairment, special attention is devoted to dementia care. The book also focuses on how today's long-term health care environment evolved, and it examines the future direction and implications of assisted living. Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly brings together a group of nationally recognized experts to help define the types of residential care that should be encouraged and sets guidelines for selecting an appropriate type of facility.

Author Biography

Sheryl Zimmerman, Ph.D., is an associate professor, School of Social Work, and co-director and senior research fellow of the Program on Aging, Disability, and Long-Term Care at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill; she has conducted numerous research projects directly studying nearly ten thousand residents of long-term care settings and has published widely. Philip D. Sloane, M.D., M.P.H., a geriatrician with broad clinical background in long-term care, is Elizabeth and Oscar Goodwin Distinguished Professor in the Department of Family Medicine at the University of North Carolina at Chapel Hill and co-author of the text Dementia Units in Long-Term Care. J. Kevin Eckert, Ph.D., widely recognized as a leading expert on board and care, is a professor in the Department of Sociology and Anthropology at the University of Maryland, Baltimore County, as well as a co-author of the text Small Board-and-Care Homes: Residential Care in Transition.

Table of Contents

Foreword	vii
M. Powell Lawton
Preface	xi
List of Contributors	xv
Introduction	1	(8)
Catherine Hawes
I Key Topics in Assisted Living
State Policy and Regulations	9	(25)
Robert L. Mollica
Residential Care/Assisted Living in the Changing Health Care Environment	34	(19)
Michael A. Nolin
Robert L. Mollica
Creating a Therapeutic Environment: Lessons from Northern European Models	53	(25)
Victor A. Regnier
Anne Copeland Scott
Staffing Problems and Strategies in Assisted Living	78	(14)
R. Tamara Hodlewsky
African American Use of Residential Care in North Carolina	92	(25)
Elizabeth J. Mutran
S. Sudha
Peter S. Reed
Manoj Menon
Tejas Desai
II Diversity in Profile: Assisted Living in Four States
An Overview of the Collaborative Studies of Long-Term Care	117	(27)
Sheryl Zimmerman
Philip D. Sloane
J. Kevin Eckert
Verita Custis Buie
Joan F. Walsh
Gary Grove Koch
J. Richard Hebel
Resident Characteristics	144	(29)
Leslie A. Morgan
Ann L. Gruber-Baldini
Jay Magaziner
The Physical Environment	173	(25)
Philip D. Sloane
Sheryl Zimmerman
Joan F. Walsh
The Process of Care	198	(26)
Sheryl Zimmerman
J. Kevin Eckert
Judith B. Wildfire
Aging in Place	224	(18)
Shulamit L. Bernard
Sheryl Zimmerman
J. Kevin Eckert
Care for Persons with Dementia	242	(29)
Philip D. Sloane
Sheryl Zimmerman
Marcia G. Ory
Economics and Financing	271	(21)
Sally C. Stearns
Leslie A. Morgan
Connectedness in Residential Care: A Qualitative Perspective	292	(25)
J. Kevin Eckert
Sheryl Zimmerman
Leslie A. Morgan
III Future Directions in Assisted Living
Emerging Issues in Residential Care/Assisted Living	317	(16)
Sheryl Zimmerman
Philip D. Sloane
J. Kevin Eckert
Index	333