This paper was prepared by the Office of Disability, Aging and Long-Term Care Policy within the U.S. Department of Health and Human Services. For additional information, you may visit the DALTCP home page at http://aspe.hhs.gov/_/office_specific/daltcp.cfm or contact the office at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201. The e-mail address is: webmaster.DALTCP@hhs.gov.
Prepared for the Office of the Assistant Secretary for Planning and Evaluation and the Administration on Aging By Lewin-VHI, Inc., subcontactors to Research Triangle Institute. Feburary, 1996.
"Assisted living" is a term that generally refers to a type of care that combines housing and supportive services in a "homelike" environment and that strives to maximize the individual functioning and autonomy of residents. This document provides a review of published and unpublished literature on assisted living for the period 1992 through September, 1995. This literature review serves as an update to a review of the literature conducted for the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in 1992. Like its predecessor, this review focuses on assisted living for the frail elderly.
The review of the literature published since 1992 indicates a heightened interest in assisted living. In general, the articles written over the past two to three years have become increasingly more specific and more exhaustive of the subject of assisted living. Opportunities for HUD Section 232 financing and Medicaid waivers have inspired many of the recent articles and reports. In addition, research on the needs of dementia patients and "best practices" research on living arrangements for the frail elderly in general have also had an impact on recent writing on assisted living. However, a general consensus in the literature regarding definitions of assisted living and its attendant services and amenities continues to be lacking.
The full report is available for viewing [http://aspe.hhs.gov/daltcp/reports/litrev.htm]. You will need a copy of Adobe Acrobat Reader for use with your browser for the Portable Document Format (PDF) version. A free copy of the Adobe Acrobat Reader is available at http://get.adobe.com/reader/.
Questions and comments should be addressed to Bob Clark.
OTHER REPORTS AVAILABLE
A National Study of Assisted Living for the Frail Elderly: Discharged Residents Telephone Survey Data Collection and Sampling Report
HTML http://aspe.hhs.gov/daltcp/reports/drtelesy.htm
PDF http://aspe.hhs.gov/daltcp/reports/drtelesy.pdf
A National Study of Assisted Living for the Frail Elderly: Final Sampling and Weighting Report
HTML http://aspe.hhs.gov/daltcp/reports/sampweig.htm
PDF http://aspe.hhs.gov/daltcp/reports/sampweig.pdf
A National Study of Assisted Living for the Frail Elderly: Final Summary Report
HTML http://aspe.hhs.gov/daltcp/reports/finales.htm
PDF http://aspe.hhs.gov/daltcp/reports/finales.pdf
A National Study of Assisted Living for the Frail Elderly: Report on In-Depth Interviews with Developers
Executive Summary http://aspe.hhs.gov/daltcp/reports/indpthes.htm
HTML http://aspe.hhs.gov/daltcp/reports/indepth.htm
PDF http://aspe.hhs.gov/daltcp/reports/indepth.pdf
A National Study of Assisted Living for the Frail Elderly: Results of a National Study of Facilities
Executive Summary http://aspe.hhs.gov/daltcp/reports/facreses.htm
HTML http://aspe.hhs.gov/daltcp/reports/facres.htm
PDF http://aspe.hhs.gov/daltcp/reports/facres.pdf
Assisted Living Policy and Regulation: State Survey
HTML http://aspe.hhs.gov/daltcp/reports/stasvyes.htm
PDF http://aspe.hhs.gov/daltcp/reports/stasvyes.pdf
Differences Among Services and Policies in High Privacy or High Service Assisted Living Facilities
HTML http://aspe.hhs.gov/daltcp/reports/alfdiff.htm
PDF http://aspe.hhs.gov/daltcp/reports/alfdiff.pdf
Family Members' Views: What is Quality in Assisted Living Facilities Providing Care to People with Dementia?
HTML http://aspe.hhs.gov/daltcp/reports/fmviews.htm
PDF http://aspe.hhs.gov/daltcp/reports/fmviews.pdf
Guide to Assisted Living and State Policy
HTML http://aspe.hhs.gov/daltcp/reports/alspguide.htm
PDF http://aspe.hhs.gov/daltcp/reports/alspguide.pdf
High Service or High Privacy Assisted Living Facilities, Their Residents and Staff: Results from a National Survey
Executive Summary http://aspe.hhs.gov/daltcp/reports/hshpes.htm
HTML http://aspe.hhs.gov/daltcp/reports/hshp.htm
PDF http://aspe.hhs.gov/daltcp/reports/hshp.pdf
National Study of Assisted Living for the Frail Elderly: Literature Review Update
Abstract HTML http://aspe.hhs.gov/daltcp/reports/ablitrev.htm
Abstract PDF http://aspe.hhs.gov/daltcp/reports/ablitrev.pdf
HTML http://aspe.hhs.gov/daltcp/reports/litrev.htm
PDF http://aspe.hhs.gov/daltcp/reports/litrev.pdf
Residents Leaving Assisted Living: Descriptive and Analytic Results from a National Survey
Executive Summary http://aspe.hhs.gov/daltcp/reports/alresdes.htm
HTML http://aspe.hhs.gov/daltcp/reports/alresid.htm
PDF http://aspe.hhs.gov/daltcp/reports/alresid.pdf
State Assisted Living Policy: 1996
Executive Summary http://aspe.hhs.gov/daltcp/reports/96states.htm
HTML http://aspe.hhs.gov/daltcp/reports/96state.htm
PDF http://aspe.hhs.gov/daltcp/reports/96state.pdf
State Assisted Living Policy: 1998
Executive Summary http://aspe.hhs.gov/daltcp/reports/98states.htm
HTML http://aspe.hhs.gov/daltcp/reports/98state.htm
PDF http://aspe.hhs.gov/daltcp/reports/98state.pdf
INSTRUMENTS AVAILABLE
Facility Screening Questionnaire
PDF http://aspe.hhs.gov/daltcp/instruments/FacScQ.pdf