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Historical evolution of assisted living in the United States, 1979 to the present
- Author:
- WILSON Keren Brown
- Journal article citation:
- Gerontologist, 47(3), December 2007, pp.8-22.
- Publisher:
- Oxford University Press
This article provides a historical overview of the emergence of assisted living in the United States over a 25-year period to identify goals and key concepts that underpinned the emerging form of care. The method is historical analysis based on records and my own personal experiences in conceptualizing and implementing assisted living in Oregon and nationwide. The author identified four time periods: (a) 1979 to 1985, when a paradigm shift occurred on both the East and West coasts, motivated by distaste for nursing facilities and idealistic values regarding residential environments, service capacity, and consumer-centered care philosophy; (b) 1986 to 1993, when providers, consumers, and state governments became interested and four identifiable types of assisted living (hybrid, hospitality, housing, and health care) appeared, each of which informed the evolution of assisted living; (c) 1994 to 2000, a period of expansion, Wall Street money, dilution of the ideals, and emerging quality concerns; a crisis of confidence and a crossroads for assisted living; (d) 2000 to the present, a time of regrouping, slow-down in growth, and reexamination of earlier efforts to define and set standards for assisted living. Implications: Well-conceptualized and designed research may provide a mechanism to suggest practice, regulatory, and payment models. The author recommends that researchers conduct studies from the values premises underlying the assisted living approach.
Comparing models of housing with care for later life
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2007
- Pagination:
- 4p.
- Place of publication:
- York
Interest is growing in the role of housing schemes for older people that combine independent living with relatively high levels of care. This comparative study of seven schemes in England examines different models of housing with care for older people.
Providing enhanced healthcare in care homes: a guide to replicating our model
- Author:
- NHS NEWCASTLE GATESHEAD CLINICAL COMMISSIONING GROUP
- Publisher:
- NHS Newcastle Gateshead Clinical Commissioning Group
- Publication year:
- 2017
- Pagination:
- 13
- Place of publication:
- Newcastle upon Tyne
Outlines the Enhanced Health in Care Home model (EHCH) operating in the Newcastle Gateshead Clinical Commissioning Group area, which uses a virtual ward multi-disciplinary approach to delivering health care in care homes, with rapid access to specialist health services. It provides details of the service, what is required to set it up and the benefits it can provide. Benefits cited include a reduction in avoidable hospital admissions, reduced A&E attendances, and reduced GP home visits. It also shares potential problems and solutions, successes and dangers. The guide will be useful for local service providers and clinical commissioning groups (CCGs) are considering establishing an Enhanced Health in Care Home model (EHCH) in their own area. (Edited publisher abstract)
No place like home?
- Author:
- TRIVEDI Shreshtha
- Journal article citation:
- Health Service Journal, 124(6393), 4 April 2014, p.28.
- Publisher:
- Emap Healthcare
US community based residential care provides a model that the English health and social care system ought to consider in the future. This article looks briefly at the work of Dr Bill Thomas who was founder of Eden Alternative and the Green House project, both innovative models of care that focused on de-institutionalising long term care and focusing on the emotional wellbeing of residents. Dr Thomas is now also collaborating with Evermore, a UK community based environment for older people where residents live in small households of 10-12 people. (Original abstract)
A ‘home for life’ in residential homes for older people in England: exploring the enhancers and inhibitors
- Authors:
- WILD Deidre, NELSON Sara, SZCZEPURA Ala
- Journal article citation:
- Housing Care and Support, 13(2), May 2010, pp.26-35.
- Publisher:
- Emerald
A three-year in-depth study has examined three models to improve care in residential homes for older people in England. Data obtained from a range of qualitative and quantitative methods involving residential home managers, care staff and extensive review of documentation related to key care functions, inhibitors and enhancers to the achievement of this aim were identified. Findings revealed the main inhibitors included: lack of available top-up funding to meet increased care needs; care staff's inadequate knowledge of behaviour-disordered residents; workload; cross-sector barriers; and environmental problems. The enhancers included: flexible regulation; up-skilling of care staff; care staff's achievement in palliative care; perceived avoidance of hospital admission; and sound practice-led relationships with nurses. The authors conclude that the implications for practice are of relevance to policy makers, educators, community health and social care professionals, older residents, their relatives and representative organisations.
A Slovenia model of integrated care for older people can offer solutions for NHS services
- Author:
- JONES Helen
- Journal article citation:
- Nursing Times, 15.12.09, 2009, pp.10-12.
- Publisher:
- Nursing Times
A visit to an integrated model of care for older people in Slovenia is described. The care home visited, 'Sunny Dale' enabled residents with health and social care needs to remain in the same place throughout their lives.
Strategies that helped Betty feel busy and useful again
- Authors:
- WOOD-MITCHELL Amy, MILBURN Margaret
- Journal article citation:
- Journal of Dementia Care, 16(3), May 2008, pp.24-27.
- Publisher:
- Hawker
The Newcastle Challenging Behaviour Service model is an evidence-based approach used to guide a person-centred therapy for people with challenging behaviour. The authors explain how the team worked with staff to better understand the needs of a woman routinely trying to be 'let out' of a care home.
Comparative evaluation of models of housing with care for later life
- Authors:
- CROUCHER Karen, et al
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2007
- Pagination:
- 81p., bibliog.
- Place of publication:
- York
A study of seven different housing with care schemes for older people in England. A growing number of housing schemes for older people combine independent living with relatively high levels of care. However, there are questions about what, if any, model works best for older people. The authors examine how different models of housing with care address the needs of older people.The longitudinal study compares seven different housing with care schemes, including ‘village’ style and smaller schemes operated by a range of provider organisations in different locations. It considers: what makes schemes distinctive; services and resources; and how different needs for housing, care and support are balanced.
The need for a space of one's own
- Author:
- CLOUGH Roger
- Journal article citation:
- Professional Social Work, August 1999, p.8.
- Publisher:
- British Association of Social Workers
The author explains why a new model of residential care is needed which respects the needs of the individual for personal space.
Elder abuse and neglect in residential settings: the need for inclusiveness in elder abuse research
- Author:
- GLENDENNING Frank
- Journal article citation:
- Journal of Elder Abuse and Neglect, 10(1/2), 1999, pp.1-11.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This introductory paper argues that research into elder abuse and neglect has become locked in the family violence model, whereas in reality much more research attention needs to be paid to abuse in residential settings as well. Relevant research findings during the last fifteen years are reviewed. During the course of the article the remaining articles in this volume are reviewed with attention being drawn to the importance of several aspects of nursing care in this context: quality, restraint, nutrition, and over-medication.