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

Index

Index abuse, elder, 26, 75, 83 activities: availability of, 200, 202, 204, 206, 209–16, 283, 286; and community integration, 308–9; and dementia care, 24, 259, 260, 265, 266, 321; group, 63, 65, 187; mental, 25, 65, 67; physical, 65–67; productive, 65–67, 72; social, 200, 204, 211; staff for, 25, 286, 287; structured, 162–63 activities of daily living (ADL), 3–4, 152–54; and admission-and-retention policies, 215, 217, 225; and aging in place, 226, 230–33, 235; assessment of, 126; assistance with, 5n2, 159, 254, 317; and dementia, 252, 253, 266; and HMOs, 38; and impaired functioning, 164, 201–2; instrumental (IADL), 101–4, 146; measurement of, 124, 127; and nursing home care, 320; personal, 5n2, 73, 184, 205; and physical therapy, 67; and race, 92, 101–4; and resident characteristics, 166– 67, 207 ADA (Americans with Disabilities Act), 73 adaptability, 73–74 ADL. See activities of daily living admission-and-retention policies, 23, 304–7, 320; and ADL, 215, 217, 225; and dementia, 24, 258, 262; and process of care, 199, 201, 202, 217; and resident agreements, 19– 21; and retention models, 225 adult-care homes, 5n2, 247; attitudes toward, 99–100; diversity in, 96, 111, 310; and race, 94, 96– 100, 106–10; willingness to use, 101–6. See also board-and-care homes adult day care, 44, 69, 72, 211, 212 African Americans, 92–112, 149–50, 166; attitudes toward RC/AL of, 95, 99–106, 111–12 age: and diversity, 62–63; and impairment , 152, 180; of residents, 148– 49, 165–66, 169 aging in place, vii, 57, 144, 163, 224– 40, 324; and ADL, 226, 230–33, 235; alternatives to, 43; and assisted living philosophy, 2, 15, 227; and available services, 23, 226; and behavior problems, 233, 235; community -level factors in, 225–26, 228– 30, 234–39; and corporations, 227– 30; defined, 224; facility-level factors in, 74, 226–29, 234–38; and family, 10, 226; individual-level factors in, 228, 230–35, 239; and medical needs, 231, 233–34, 236; and public support, 145, 231, 233, 236, 237; and regulations, 4, 9, 11, 21, 225, 237–39, 325 Alabama, 12, 18, 81 Alaska, 12, 18 alcohol abuse, 205, 206, 233, 237. See also behavior problems Allen, I., 305 Aller, L. J., 301 ALTCS (Arizona Long Term Care System ), 42–43 Altman, B. M., 167 Alzheimer disease, 248, 256; defined, 243; and state regulations, 20, 21, 24–25, 32. See also cognitive impairment ; dementia American Association of Homes and Services for the Aging, 5n1 American Senior Housing Association, 5n1, 46, 278 Americans with Disabilities Act (ADA), 73 animals, 61, 67, 175; and Edenization principle, 193, 194 apartment settings, 3–4, 10, 120, 317, 318, 323; and mental health, 159; and payment policies, 30, 38; as prior housing, 151; and regulations, 13, 14, 16, 17–18, 23, 30; and social interaction, 187, 301 Arizona: long-term care in, 42–43; regulations in, 9, 10, 12, 15, 18, 20, 21, 25 Arizona Long Term Care System (ALTCS), 42–43 Arkansas, 12, 18, 81 assisted living, 33; definition of, 9, 317– 18, 328; facilities for, 1–2, 56, 59– 61, 69, 73–74, 173–95; financial reimbursement for, 29–32; goals of, 57–58, 75–76; vs. other types of care, vii–viii, 9–10, 318; philosophy of, 2, 14–16, 55, 82, 227, 318; terms for, 1–2, 9, 11, 247. See also residential care/assisted living Assisted Living Federation of America, 5n1 Assisted Living Quality Coalition, 2, 5n1, 198 autonomy/independence: and assisted living, 2–3, 15–16, 63–64, 198; in board-and-care homes, 10; and choice, 15–16; in home-like facilities , 328; and negotiated risk, 22; and personal activities, 73–74; and personal control, 175, 184–85, 186; and physical environment, 63–65, 74; and privacy, 184–85; and reassurance systems, 74; and regulations , 14, 15, 325, 329; and selfmaintenance , 64, 67; for staff, 192 Balanced Budget Act (1997), 35, 38, 44 bathrooms, 62, 73–74, 179; private, 184–85, 209 behavior problems: acceptance of, 199, 201, 202, 205–6, 215, 217; and aging in place, 233, 235; and cognitive impairment, 157–59, 244–46, 248, 252–54; in nursing homes, 167–68; staff training for, 25; and tenant policy, 21 Bernard, H. R., 293 Bernard, Shulamit L., xv, 224–40 board-and-care homes, 247, 318; vs. assisted living, 9–10; and cognitive impairment, 156, 158; and connectedness , 301; costs of...