A National Study of Assisted Living for the Frail Elderly: Final Summary Report. C. Conclusions


There are a number of policy issues surrounding the emergence and growth of assisted living and its ability to help meet the long-term care needs of the elderly and disabled. This report begins to address some of these by focusing on only those facilities that seem to most closely embody the philosophical tenets of “assisted living.” Thus, the report describes the facilities that offer either high privacy or high services -- or both -- and their policies and practices, particularly with respect to services, policies on autonomy and resident control, and staffing. Further, this report describes the characteristics of the residents and their perceptions about the care they receive and the environment of the facilities in which they live. In providing this descriptive data, we begin to address questions about the role and performance of ALFs and their place in the constellation of long-term care services. We also attempt to relate the descriptive data to the central study questions about whether ALFs embody the principles of assisted living and whether the needs of residents are being met. We also note that even in this special subgroup of ALFs, there is tremendous variability.

High Service or High Privacy Assisted Living Facilities, Their Residents and Staff: Results from a National Survey
AUTHORS: Catherine Hawes, Charles D. Phillips and Miriam Rose
DATE: November 2000
     Executive Summary (http://aspe.hhs.gov/daltcp/reports/hshpes.htm)
     Full Report (http://aspe.hhs.gov/daltcp/reports/hshp.htm)

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