Guide to Assisted Living and State Policy
alspguide.pdf
PDF
Assisted Living Policy and Regulation: State Survey
U.S. Department of Health and Human Services
Assisted Living Policy and Regulation: State Survey
Robert L. Mollica, Ed.D.
National Academy for State Health Policy
April 1995
PDF Version: http://aspe.hhs.gov/daltcp/reports/stasvyes.pdf (101 PDF pages)
stasvyes.pdf
Report on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
U.S. Department of Health and Human Services
Report on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
Catherine Hawes, Judith Wildfire, Vince Iannacchione, Linda Lux, Angela Greene, Vincent Mor and Linda Laliberte
Research Triangle Institute
January 19, 1996
PDF Version
stumthes.pdf
Report on the Effects of Regulation on Quality of Care: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
U.S. Department of Health and Human Services
Report on the Effects of Regulation on Quality of Care: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
Charles Phillips, Linda Lux, Judith Wildfire, Angela Greene, Catherine Hawes, George Dunteman, Vince Iannacchione, Vincent Mor, Rebecca Green and
b&crpt.pdf
Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory
U.S. Department of Health and Human Services
Licensed Board and Care Homes: Preliminary Findings From the 1991 National Health Provider Inventory
Robert F. Clark, DPA, and Joan Turek-Brezina, PhDU.S. Department of Health and Human Services
Catharine W. Chu, MSPH, and Catherine Hawes, PhDResearch Triangle Institute
April 11,
licbchom.pdf
State Assisted Living Policy: 1996
U.S. Department of Health and Human Services
Searching for a Needle in a Haystack: Creative Use of the Decennial Census Dress Rehearsal Data to Find Board and Care Places in Central Missouri
U.S. Department of Health and Human Services
A Description of Board and Care Facilities, Operators, and Residents. Appendix C. Resident Characteristics
Resident characteristics are summarized in Appendix C. Our strategy for examining resident characteristics was similar to that described for facility characteristics. We stratified facilities by size and then assessed the impact of facility licensure status upon the distribution of key resident characteristics. We present the results of these anal
A Description of Board and Care Facilities, Operators, and Residents. Appendix B. Staff Characteristics
In Appendix B we present additional data reported by staff members. These data are stratified by facility size. We then examine the bivariate relationship between education and experience of staff and facility licensure status.
A Description of Board and Care Facilities, Operators, and Residents. Appendix A. Facility Characteristics
Data from the two operator instruments are displayed in the exhibits in Appendix A. Tables A-1 through A-8 summarize board and care facility characteristics by facility licensure status and size. The tables present point estimates (usually percentages) with standard errors. Additionally, we performed chi-square tests for differences between lice
A Description of Board and Care Facilities, Operators, and Residents. Appendixes
The data presented in the appendixes include data discussed in the text of the report, as well as information not previously presented. In Section 3 , Section 4 , and Section 5 of the report we sometimes reference specific appendix exhibits. We hope that this comprehensive presentation of the descriptive results will provide the reader with an
A Description of Board and Care Facilities, Operators, and Residents. Notes
The Keys Amendments to the Social Security Act (Section 1616[e]) were enacted in 1976 with the goal of preventing Supplemental Security Income (SSI) recipients from being in substandard board and care homes. Under Keys, the States are required to certify to DHHS that all facilities in which significant number of SSI recipients reside meet app
A Description of Board and Care Facilities, Operators, and Residents. Section 7. References
ABA (American Bar Association). 1983. Board and Care Report: An Analysis of State Laws and Programs Serving Elderly Persons and Disabled Adults . Report to the Department of Health and Human Services. Washington, DC.
Avorn, J., P. Dreyer, K. Connely, and S.B. Soumerai. 1989. Use of psychoactive medication and the quality of care in rest homes.
A Description of Board and Care Facilities, Operators, and Residents. 6.9 the “Niche” Served by Board and Care Homes
It seems clear that board and care residents fall somewhere between nursing home residents and residents of other residential settings with fewer services. In general, board and care home residents are more impaired than residents of congregate apartments, for example (Griffith, personal communication, 1995); however, on average, they are less imp
A Description of Board and Care Facilities, Operators, and Residents. 6.8 Psychotropic Drug Use
Approximately 43 percent of board and care residents were prescribed and 41 percent used at least one psychotropic agent, primarily on a routinely scheduled basis. On average, residents were prescribed 0.64 (SE = 0.06) and used 0.59 (SE = 0.05) different psychotropic drugs. While some residents used no psychotropics, others use as many as six. Fiv
A Description of Board and Care Facilities, Operators, and Residents. 6.7 Resident Satisfaction
Most board and care residents seemed to feel that they are safe and that their needs are adequately met. Overwhelmingly residents who were able to respond for themselves reported that they rarely or never went without needed assistance with activities of daily living ( Exhibit 6-12 ). Less than 5 percent of residents felt that they could use more
A Description of Board and Care Facilities, Operators, and Residents. 6.6 Social Interactions
Although board and care residents were not totally isolated from their community, family, and friends, they certainly were not an integral part of the community either ( Exhibit 6-10 ). Close to 40 percent of the residents reported that they had not left the home in the past 14 days, with another fourth of the residents having left only one or two
A Description of Board and Care Facilities, Operators, and Residents. 6.5 Health Status and Health Care Use
Over one-third of all board and care residents self-report poor or fair health. As shown in Exhibit 6-6 , the most prevalent health problem was arthritis/rheumatism, reported by 42 percent of residents. High blood pressure (28 percent), diabetes (11 percent), and asthma, emphysema, or chronic bronchitis (11 percent) were other frequently mentione
A Description of Board and Care Facilities, Operators, and Residents. 6.4 Cognitive and Functional Status
6.4.1 Cognitive Impairment
In the early 1980s, Dittmar and Smith (1983) found 30 percent of the residents were “confused,” while Sherwood and colleagues (1981) found 24 percent were cognitively impaired ( Exhibit 6-4 ). A prevalence rate of 40 percent with moderate to severe cognitive impairment in this study indicates a significant increase
A Description of Board and Care Facilities, Operators, and Residents. 6.3 Mental Status
Disability levels in the area of psychiatric conditions, other than Alzheimer’s and other dementias, were about the same as in the 1980s, with one-third of the residents in the DRI study, as in this study, reporting a mental, emotional, or nervous condition. Similarly, as shown in Exhibit 6-4 , the percentage of residents with a diagnosis of me