State Residential Care and Assisted Living Policy: 2004. Staffing and Training

03/31/2005

Thirty-six states have requirements for dementia specific training and staffing for facilities serving people with Alzheimer's disease and other dementias. Examples follow.

  • In Alabama, staff in specialty care facilities must complete a training program developed by the Department of Mental Health and Mental Retardation and receive six hours of ongoing training a year on topics specified in the regulations.

  • Arizona requires staffing ratios of one staff per six residents during the morning and evening, and one per twelve residents at night.

  • Indiana requires six hours of training for direct service workers within 6 months of employment and three hours annually.

  • Rhode Island requires new direct service workers to receive at least twelve hours of orientation and training about dementia, communicating effectively with dementia residents, and managing problem behaviors. The state also requires that a RN be available to residents on site as needed, and available for consultation at all times.

  • Massachusetts, Nevada, and Oklahoma require 24-hour coverage by awake staff.

TABLE 1-5. Comparison of Disclosure Requirements
  Topics Required     AR     CA     CO     DE     FL     GA     ID     IL     KY     MD     ME     MI     MN     MO  
Philosophy X X   X   X X X   X X   X X
Services X         X   X   X     X X
Cost       X   X     X X   X    
Population served X X   X     X              
Admission and discharge process   X X   X   X X X   X X   X X
Assessment and care planning process X X   X       X   X X   X X
Staffing X X   X   X X X X X X   X X
Training X X   X   X X X X X X     X
Physical environment X X   X   X   X   X X   X X
Resident activities X X   X   X         X   X X
Family role X     X   X   X     X   X X
Psychosocial services       X                    
Nutrition       X                    
Form of care               X         X  
Security features             X         X    
Other     X   X                  
Topics Required MT NH NJ NC OH OK OR PA RI SC TX VT WA WV
Philosophy X     X X X X   X     X   X
Services X     X       X           X
Cost       X X X X X X X   X   X
Population served                       X    
Admission and discharge process X     X X X X X X X X      
Assessment and care planning process X     X X X X   X X X     X
Staffing X     X   X X   X X X X   X
Training X     X X       X X X X   X
Physical environment X     X X       X X X     X
Resident activities X     X X       X X       X
Family role X     X X       X X        
Psychosocial services                           X
Nutrition                            
Form of care         X     X X X X      
Security features                            
Other   X   X   X   X         X  

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