NCJ Number
153447
Date Published
1995
Length
15 pages
Annotation
This report summarizes developments in the assisted living industry and examines their implications for policymakers and for the frail older persons who are the consumers of long-term care.
Abstract
During the last decade, private developers and administrators of State programs, led by Oregon, have begun offering assisted living to provide care and safety for older persons at a cost that is often lower than that of nursing homes or home care. In these programs, residents usually live in small apartments with kitchenettes or in private rooms with baths, individual temperature controls, and doors that lock. The typical program offers help with at least some activities of daily living as well as supervision of medication and protective oversight. In contrast, nursing homes are costly and have a medical orientation, while the board and care industry has experienced allegations of low quality and abuse. Congregate housing does not offer protective oversight and 24-hour assistance, while home care is insufficient for persons who need continual supervision because of cognitive impairments. Assisted living has met its initial marketplace tests. To continue to grow, it must convince regulators, government funding agencies, older persons, their families, and advocates that it enables residents to remain in charge of their lives while providing care and safety in a setting that feels like home. Figures and 29 references