Anthea Tinker, Leonie Kellaher, Jay Ginn and Eloi Ribe, The Status of Housing Provisions for Older Adults in the UK and Other EU Countries, Assisted Living Innovation Platform: Scoping Report for the Long Term Care Revolution SBRI Challenge, Institute of Gerontology, Department of Social Science, Health and Medicine, King's College, London, 2013, 84 pp., free and available online only, ISBN 13: 978 1 908951 03 8.

2015 ◽  
Vol 35 (3) ◽  
pp. 671-674
Author(s):  
LYNETTE MACKENZIE
Keyword(s):  
Older Adults ◽  
Social Science ◽  
Assisted Living ◽  
Long Term Care ◽  
Term Care ◽  
King's College ◽  
The Status ◽  
The Uk ◽  
Innovation Platform

scholarly journals Maybe She’ll Make Some Friends?: Family Members Cultivating Intimacy in Assisted Living

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 486-487
Author(s):  
Andrea Fitzroy ◽  
Candace Kemp ◽  
Elisabeth Burgess
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Intimate Relationships ◽  
Long Term Care ◽  
Participant Observation ◽  
Family Members ◽  
Later Life ◽  
Theory Approach ◽  
Term Care

Abstract Intimacy continues to be important in later life, including for older adults in long-term care settings such as assisted living (AL). Our past work shows that intimacy is a multi-dimensional process and can involve a variety of partners. Drawing on data from the qualitative longitudinal “Convoys of Care” study (R01AG044368), we extend this research to examine the role family members play in cultivating intimacy and close relationships of AL residents. Using a grounded theory approach, we analyzed 2,224 hours of participant observation, and formal interviews with 28 assisted living residents (aged 58-96) and their formal and informal care partners (n=114) from four diverse AL communities. Findings show that family members can play integral roles in residents’ experiences with intimacy, directly as relationship partners, and by facilitating or impeding residents’ contacts with others. Family members cultivated residents’ intimacy opportunities and experiences by direct engagement, resident advocacy, to non-involvement and disengagement. Family members’ roles in cultivating intimacy fluctuated over time, increasing at times of health concerns and family change. Perceptive family members considered older adults’ intimacy preferences when cultivating their intimate relationships. Family members concerned for the safety of their loved one sometimes acted as “gatekeepers” to intimacy by interfering in intimate relationships. We conclude with a discussion of implications for policy and practice aimed at improving the intimacy process and opportunities for older adults receiving long-term care.

Racial and Ethnic Identity of Older Adults Residing in Assisted Living Facilities in Central Florida

2002 ◽  
Vol 3 (4) ◽  
pp. 185-191 ◽  
Author(s):  
Tracy L. Dietz ◽  
James D. Wright
Keyword(s):  
Older Adults ◽  
Social Services ◽  
Assisted Living ◽  
Long Term Care ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Central Florida ◽  
New Methods ◽  
Racial And Ethnic Identity

In response to the growing concern over the provision of long-term care to an ever-expanding older population, new methods of delivering services to older adults are constantly being developed. The development and expansion of long-term care via assisted living facilities (ALFs) is one approach that has proven surprisingly popular all across the nation. Despite the popularity of ALFs, relatively little appears to be known about the residents of these facilities. This article examines the racial and ethnic identities and certain other characteristics of residents in a stratified probability sample of assisted living facilities in central Florida, a region that contains one of the nation’s densest populations of older adults. Fifty-nine facilities serving 1,805 residents were surveyed. Predictably, racial and ethnic minorities were significantly underrepresented among the residents of these facilities. Facilities serving relatively large minority populations were characterized by lower room rates and a larger proportion of beds set aside for Office of Social Services (OSS) residents (i.e., beds funded through state funds or by Medicaid). The general run of these findings suggests that as they have been implemented in central Florida, ALFs may well perpetuate preexisting socioeconomic inequalities among the aged population.

scholarly journals Using Ethics and Law to Address Sexuality in Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 603-603
Author(s):  
Pamela Teaster
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Long Term Care ◽  
Care Staff ◽  
Sexual Intimacy ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Case Examples ◽  
Starting Point

Abstract Issues concerning the sexuality of older adults in long-term care have long presented an array of thorny conundrums for long-term care staff and administrators, for friends and family members, and, most importantly, for the residents themselves. At any one time, more than two million older adults reside in nursing homes or assisted living facilities, and the predominant trope of people who are helpless, demented, and asexual is at once inaccurate and unfair. Moreover, the important need for sexual intimacy remains a life-long, even when persons have worsening dementia and chronic illness. This presentation uses bona fide, de-identified case examples as a starting point for consideration. Drawing upon the extant literature, as well as best practices, this presentation applies ethical principalism (i.e., autonomy, beneficence, nonmaleficence, justice) as well as current law to recommend practices and approaches to sexuality in long-term care.

O2-08-04: Resident and facility determinants of long-term care placement among older adults with dementia residing in assisted living facilities

2012 ◽  
Vol 8 (4S_Part_7) ◽  
pp. P251-P251
Author(s):  
Monica Cepoiu-Martin ◽  
Laurel Strain ◽  
Andrea Soo ◽  
David Hogan ◽  
Scott Patten ◽  
...  
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Long Term Care ◽  
Assisted Living Facilities ◽  
Term Care

scholarly journals Using Stories to Integrate Gerontology Content Into an Introductory Design (Architecture) Course

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 2-2
Author(s):  
Gail Towsley ◽  
Jim Agutter ◽  
Antonius Tsai ◽  
Jareth Archer ◽  
Sarah Sovereen ◽  
...  
Keyword(s):  
Older Adults ◽  
Design Process ◽  
Assisted Living ◽  
Design Thinking ◽  
Long Term Care ◽  
Meaning Making ◽  
Group Project ◽  
Term Care ◽  
Art Business

Abstract We describe how a partnership between design and gerontology introduces students to concepts of legacy, meaning making and empathy in an undergraduate design course. Introduction to Design Thinking is offered through the Multi-disciplinary Design Program at the University of Utah and is a class that explores concepts such as the design process, human-centered design, rapid prototyping and multidisciplinary team dynamics. In collaboration with faculty from design, medicine and gerontology, the course addresses real-world problems by navigating across disciplines such as art, business, engineering, science, and gerontology. Five phases of the design process are introduced: Observation (collecting material), Analysis (finding patterns and insight), Ideation (solution exploration), Refinement, and Implementation (communication). To apply these processes, students engage in a group project where they interact with older adults residing in long term care (e.g., assisted living). Students undergo HIPAA training and didactic lectures covering narrative interviewing and aging content such as long term care and generativity prepare students for interacting with residents. Throughout the semester, students meet with the older adult to understand, gather, construct and then develop a designed artifact that reflects the stories and the memories of the participating residents. The designed artifacts (e.g., memory maps, videos, small books) are presented and given to the participating residents and their families. This project results in rich stories for both the residents and students. Students also gain interviewing and empathy skills necessary for designing compelling artifacts and potentially age-friendly long term care environments where 2 million older adults live.

scholarly journals Coronavirus Disease 2019 Regulatory Response in United States-Assisted Living Communities: Lessons Learned

2021 ◽  
Vol 9 ◽  
Author(s):  
Sarah Dys ◽  
Jaclyn Winfree ◽  
Paula Carder ◽  
Sheryl Zimmerman ◽  
Kali S. Thomas
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Long Term Care ◽  
Well Being ◽  
Unintended Consequences ◽  
Lessons Learned ◽  
Social Model ◽  
Health Priorities ◽  
Term Care

Coronavirus disease 2019 (COVID-19) has disproportionately affected residents, their families, staff, and operators of congregate care settings. Assisted living (AL) is a type of long-term care setting for older adults who need supportive care but not ongoing nursing care and emphasizes a social model of care provision. Because AL is a type of long-term care, it has at times been referenced along with nursing homes in discussions related to COVID-19 but not recognized for its different care practices that pose unique challenges related to COVID-19; in that manner, it has largely been left out of the COVID-19 discourse, although ~812,000 older adults live in AL. To identify COVID-19 issues specific to AL, stakeholders with expertise in AL operations, policy, practice, and research (n = 42) were recruited to participate in remote interviews between July and September 2020. Using a thematic analysis, we derived the following overarching themes: (1) Policymakers are disconnected from and lack an understanding of the AL context; (2) AL administrators were left to coordinate, communicate, and implement constantly changing guidelines with little support; (3) AL organizations faced limited knowledge of and disparate access to funding and resources; (4) state-level regulatory requirements conflicted with COVID-19 guidelines resulting in uncertainty about which rules to follow; and (5) AL operators struggled to balance public health priorities with promoting their residents' quality of life and well-being. To develop evidence-informed policy and avoid unintended consequences, AL operators, direct care workers, residents, and clinicians practicing in these settings should have opportunities to provide feedback throughout the policy development process, both state and national.

scholarly journals Major Disasters’ Impacts on Long-Term Care Settings, Vulnerable Older Adults, and Care Providers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 201-201
Author(s):  
Leah Haverhals ◽  
Katie Cherry
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Long Term Care ◽  
The United States ◽  
Care Providers ◽  
Term Care ◽  
The Us ◽  
The Impact ◽  
Hurricane Irma

Abstract The COVID-19 pandemic has disproportionately negatively affected older adults, and has specifically devasted older adults who are minorities and those who reside in long-term care (LTC) facilities. For professionals working in LTC facilities, major stressors and challenges due to the pandemic must be navigated, sometimes in parallel with the effect that major disasters like hurricanes can have on LTC facilities. This symposium will focus on the impact major disasters, including the COVID-19 pandemic and Hurricane Irma, had on LTC settings and those who live and work there, as well as older adults who are minorities and their communities. First, Dr. Roma Hanks will present findings from a study of community members and leaders in a majority African-American community in the United States (US) about their experiences with and challenges faced related to the pandemic. Second, Dr. Lisa Brown will share experiences and perceptions of mental health clinicians from across the US who worked in LTC settings before and during the pandemic. Third, Dr. Ella Cohn-Schwartz will describe how the pandemic impacted Holocaust survivors ages 75+ in Israel compared to older adults who did not experience the Holocaust. Fourth, Dr. Lindsay Peterson will present findings from interviews with nursing home and assisted living community representatives in the US regarding vulnerabilities LTC facilities experienced related to Hurricane Irma in 2017. As a whole, these presenters will provide insights into experiences of older adults, care providers, LTC facilities, and communities as they navigated challenges associated with the COVID-19 pandemic and a major hurricane.

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