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

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JHU Press, Nov 1, 2001 - FAMILY & RELATIONSHIPS - 344 pages
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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.

 

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Contents

State Policy and Regulations
9
Residential CareAssisted Living in the Changing Health
34
Lessons from
53
Staffing Problems and Strategies in Assisted Living
78
African American Use of Residential Care in North Carolina
92
An Overview of the Collaborative Studies of LongTerm Care
117
Leslie A Morgan Ann L GruberBaldini and jay Magaziner
144
The Physical Environment
173
Bernard Sheryl Zimmerman and 7 Kevin Eckert
224
Care for Persons with Dementia
245
Economics and Financing
271
A Qualitative Perspective
292
Emerging Issues in Residential CareAssisted Living
317
Index
333
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About the author (2001)

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.

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