Document Detail

Mom and pop versus the big boys: adult family homes as providers of Medicaid-funded residential care.
MedLine Citation:
PMID:  19197607     Owner:  NLM     Status:  MEDLINE    
This paper compares assisted living apartments (ALs), adult residential care facilities (ARCs), and small adult family homes (AFHs) for Medicaid residents in Washington State, with particular emphasis on the settings, staffing, services, and policies of AFHs. We targeted for enrollment all residents entering an AFH, ARC, or AL setting on Medicaid/state funding in a three-county area of Washington State. We obtained information on 199 settings, interviewing administrative and direct care providers. AFHs are smaller than ARCs and ALs and less likely to be part of a chain, with no significant difference in staffing ratios of registered nurses and licensed practical nurses. Sixty-four percent of AFH residents were receiving public funds compared to 32% of AL residents. AFHs report admitting residents with more activities of daily living needs, health conditions, and behavior problems. They are less likely to have autonomy-related policies, and they provide more services and fewer activities. While attention should continue to be paid to staff supports, policy and practice should support the continued role of AFHs, which are of special interest because of their potential to provide more homelike, less costly care but with possible trade-offs compared to larger facilities.
Susan C Hedrick; Jean H Sullivan; Anne E B Sales; Shelly L Gray
Related Documents :
9224407 - One-on-one mentor-resident rotation for improving continuity of care in a surgical trai...
9809767 - Development and validation of a geriatrics attitudes scale for primary care residents.
6225017 - Pediatric nursing homes. implications of the massachusetts experience for residential c...
10097777 - Behavior sequences of long-term care residents and their social partners.
3106877 - Quality of care for life-supported children who require prolonged mechanical ventilatio...
10142407 - Clinical practice guidelines for resuscitation in acute care hospitals.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of aging & social policy     Volume:  21     ISSN:  0895-9420     ISO Abbreviation:  J Aging Soc Policy     Publication Date:    2009 Jan-Mar
Date Detail:
Created Date:  2009-02-06     Completed Date:  2009-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8914669     Medline TA:  J Aging Soc Policy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-51     Citation Subset:  T    
Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington 98101, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Medicaid / statistics & numerical data*
Personnel Staffing and Scheduling / organization & administration
Public Policy
Residential Facilities / organization & administration*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Employment population age-share differences: an international comparison of the economic impact of p...
Next Document:  Comparing states' Medicaid nursing facilities and home and community-based services long-term care p...