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

Author: Sheryl Zimmerman
Published: November 2001
Publisher: Johns Hopkins University Press
ISBN: 0801867053
Hardcover Book
Number of Pages: 368

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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. 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.
In bringing together and analyzing a large amount of data concerning the status of assisted living and the changing nature of long-term care in the United States—based upon the editors' soundly designed, multi-state study—this volume makes an original and substantial contribution to the field. This book will appeal to health care planners and policy makers, as well as to students and teachers in gerontology.

Table of Contents
Foreword
Preface
List of Contributors
Introduction 1
I Key Topics in Assisted Living
1 State Policy and Regulations 9
2 Residential Care/Assisted Living in the Changing Health Care Environment 34
3 Creating a Therapeutic Environment: Lessons from Northern European Models 53
4 Staffing Problems and Strategies in Assisted Living 78
5 African American Use of Residential Care in North Carolina 92
II Diversity in Profile: Assisted Living in Four States
6 An Overview of the Collaborative Studies of Long-Term Care 117
7 Resident Characteristics 144
8 The Physical Environment 173
9 The Process of Care 198
10 Aging In Place 224
11 Care for Persons with Dementia 242
12 Economics and Financing 271
13 Connectedness in Residential Care: A Qualitative Perspective 292
III Future Directions in Assisted Living
14 Emerging Issues in Residential Care/Assisted Living 317
Index 333

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