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Residential Care and Assisted Living Compendium: 2007
(Report)
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Author(s): Robert Mollica, Kristin Sims-Kastelein and Janet O'Keeffe |
Organization(s): RTI International |
This 2007 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2004. Information was collected between February and November 2007 by reviewing state websites and regulations, and calling key state contacts to verify information. Section 1 provides an overview of residential care and assisted living policy. Section 2 presents six tables, which compare states' policy in selected areas. Section 3 provides summaries of each state's regulations and policy for residential care settings, including assisted living facilities. [507 PDF pages] |
Published: November, 2007 |
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Compendium of Home Modification and Assistive Technology Policy and Practice Across States: Final Report
(Report)
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Author(s): Terry Moore and Beth O'Connell |
Organization(s): Abt Associates, Inc. |
The purpose of this report is to establish a baseline knowledge of the scope of assistive technology (AT) and home modifications (HM) services that states make available to Medicaid-eligible adults. This study provides federal and state policymakers with basic information to inform planning and policy development. It also provides other stakeholders, including consumers, with valuable information about Medicaid state plan and home and community-based service waiver coverage of AT and HM. [294 PDF pages] |
Published: October, 2006 |
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Evaluation of New Measures of Assistive Technology and the Home Environment from the 2005 Pilot Study of Technology and Aging
(Report)
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Author(s): Vicki A. Freedman, Emily M. Agree and Jennifer C. Cornman |
Organization(s): University of Medicine and Dentistry of New Jersey, Johns Hopkins University |
The purpose of this report is to highlight the analytic properties of the assistive technology and environment measures in the final recommended module. The authors address three distinct but complimentary questions: (1) How do questions that combine several environmental features or devices ("global measures") compare with more detailed items? (2) How can measures of the home environment be combined with measures of functioning to enhance understanding of disability? (3) Can a valid and reliable scale be created from questions that link technology use to quality of life measures? [46 PDF pages] |
Published: September, 2006 |
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A Synthesis of Findings from the Study of Affordable Housing Plus Services for Low and Modest-Income Older Adults
(Report)
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Author(s): Mary F. Harahan, Alisha Sanders, and Robyn Stone |
Organization(s): American Association of Homes and Services for the Aging |
With the relationship between increasing age, chronic illness and disability, and growing long-term care needs well documented, new models of delivering health-related and supportive services are being sought that are attractive and affordable to low and modest-income older adults. One promising but under explored strategy, affordable housing plus services (AHPS), links older residents of subsidized multi-unit housing to health and supportive services so that they can "age in place." ASPE funded a study to examine the potential of AHPS strategies to meet some of the long-term care needs of low and modest-income seniors. This report is a synthesis of this study's findings. [29 PDF pages] |
Published: August, 2006 |
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Lessons from the Workshops on Affordable Housing Plus Services Strategies for Low and Modest-Income Seniors
(Report)
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Author(s): Mary F. Harahan, Alisha Sanders and Robyn Stone |
Organization(s): American Association of Homes and Services for the Aging |
This report presents the findings from the workshops on "affordable housing plus services" (AHPS) strategies for lower income seniors. These workshops were held across the country to analyze the merits of AHPS strategies and the barriers to their more widespread diffusion. [29 PDF pages] |
Published: August, 2006 |
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Inventory of Affordable Housing Plus Services Initiatives for Low and Modest-Income Seniors
(Report)
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Author(s): Mary F. Harahan, Alisha Sanders and Robyn Stone |
Organization(s): American Association of Homes and Services for the Aging |
This report presents the findings from the inventory of "affordable housing plus services" (AHPS) strategies for lower income seniors. The inventory was developed through a combination of methods, including: (1) a review of the research and evaluation literature; (2) two informal workgroup meetings, held with the American Association of Homes and Services for the Aging (AAHSA) members and staff and other experts; (3) telephone and in-person discussions with AAHSA members, other housing providers, and aging and housing experts to identify exemplary AHPS program; and (4) four invitational workshops attended by housing and aging services stakeholders. [25 PDF pages] |
Published: August, 2006 |
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Childless Elderly Beneficiaries' Use and Costs of Medicare Services: Final Report
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Author(s): Douglas A. Wolf and James N. Laditka |
Organization(s): Syracuse University and University of South Carolina |
This report focuses on findings for the cost analyses that use the 1994 National Long-Term Care Survey as a baseline and 1995-1998 costs as outcomes. Additional findings, using other years, or usage rather than cost outcomes, were generally consistent with these basic findings. Only for 1995 did the authors find that total Medicare costs were lower for parents than for childless individuals. Regarding individual service categories, the majority of statistically significant results indicated that parents have lower Medicare costs than the childless; however, in only one service category--physician visits for providing long-term care services, either at home or in a nursing home--did we find a consistent pattern of significantly lower costs among parents each year. [33 PDF pages] |
Published: June, 2006 |
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State Residential Care and Assisted Living Policy: 2004
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Author(s): Robert Mollica, Heather Johnson-Lamarche and Janet O'Keeffe |
Organization(s): Research Triangle Institute |
This 2004 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2002. Information was collected between February and June 2004 by reviewing state websites and regulations and calling key state contacts to verify information. Section 1 provides an overview of residential care and assisted living policy. Section 2 presents six tables, which compare states' policy in selected areas. Section 3 provides summaries of each state's regulations and policy for residential care settings, including assisted living facilities. [499 PDF pages] This report was updated in 2007; see "Residential Care and Assisted Living Compendium: 2007" at http://aspe.hhs.gov/daltcp/reports/2007/07alcom.htm. |
Published: March, 2005 |
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Differences Among Services and Policies in High Privacy or High Service Assisted Living Facilities
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Author(s): Charles D. Phillips, Catherine Hawes and Miriam Rose |
Organization(s): Texas A&M University
Myers Research Institute |
The focus of this short analytic report differs in that it attempts to address, at least in an initial fashion, what types of assisted living facilities, among those in our sample, have characteristics that might be appealing to either consumers or policymakers focusing on consumers' needs. These analyses involved comparing the three groups of facilities that the research team considered most representative of the philosophy of assisted living in that they offered more than minimal levels of both services and privacy. |
Published: November, 2000 |
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High Service or High Privacy Assisted Living Facilities, Their Residents and Staff: Results from a National Survey
(Report)
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Author(s): Catherine Hawes, Charles D. Phillips and Miriam Rose |
Organization(s): Texas A&M University
Myers Research Institute |
This report gives a description of the policies and practices, residents, and staff in the segment of the assisted living facility (ALF) industry that provides the highest level of services and privacy. It reports data on a nationally representative sample of residents and staff in ALFs classified as providing relatively high services or offering a high privacy environment. These facilities, which comprise about two-fifths (41%) of the places calling themselves assisted living, were selected for more extensive and in-depth data collection because they seemed to most effectively exhibit key elements of the philosophy of assisted living. |
Published: November, 2000 |
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