Abstract:
:Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect persons with dementia. Despite the important role these protection policies have in shaping the quality of life of persons with dementia residing in AL facilities, little is known about their formation. In this research, we examined the adoption of AL protection policies pertaining to staffing, the physical environment, and the use of chemical restraints. For each protection policy type, we modeled policy rigor using an innovative point-in-time approach, incorporating variables associated with state contextual, institutional, political, and external factors. We found that the rate of state AL protection policy adoptions remained steady over the study period, with staffing policies becoming less rigorous over time. Variables reflecting institutional policy making, including legislative professionalism and bureaucratic oversight, were associated with the rigor of state AL dementia protection policies. As we continue to evaluate the mechanisms contributing to the rigor of AL protection policies, it seems that organized advocacy efforts might expand their role in educating state policy makers about the importance of protecting persons with dementia residing in AL facilities and moving to advance appropriate policies.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Nattinger MC,Kaskie Bdoi
10.1080/08959420.2016.1236324subject
Has Abstractpub_date
2017-03-01 00:00:00pages
123-142issue
2eissn
0895-9420issn
1545-0821journal_volume
29pub_type
杂志文章abstract::Social Security's Representative Payee Program faces a difficult balance with respect to dementia: Many people living with dementia can conduct their finances without a payee if they have help from informal caregivers, but those without help are at risk. To date, it has been unclear what share of retirees with dementi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1444315
更新日期:2020-05-01 00:00:00
abstract::The COVID-19 economic crisis makes it vitally important that workers who earned defined benefit pensions receive them at retirement. Unfortunately, billions of dollars that could help cushion the financial shock are sitting unclaimed, because the people who they belong to cannot locate the company responsible for payi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1777826
更新日期:2020-07-01 00:00:00
abstract::The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420903385593
更新日期:2010-01-01 00:00:00
abstract::Rural and small town places in developed economies are aging. While attention has been paid to the local transportation needs of rural seniors, fewer researchers have explored their regional transportation needs. This is important given policies that have reduced and regionalized many services and supports. This artic...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.683329
更新日期:2012-01-01 00:00:00
abstract::The surprise election of President Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic-not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a histor...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1481314
更新日期:2018-05-01 00:00:00
abstract::The 1983 amendments to the Social Security Act reduced early retirements benefits and increased the retirement age for future retirees. These changes will differentially affect various segments of the older population. The author examines implications of these changes for older blacks, and concludes that disability an...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v05n04_02
更新日期:1993-01-01 00:00:00
abstract::This article is based upon research in Florida of the older population and its projected need for services. It includes discussion of the method and findings of the study. The focus, however, is on the policy implications for state government that emerged from the research. The data has enabled Florida to examine the ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v04n01_07
更新日期:1992-01-01 00:00:00
abstract::Rural residents are more likely to be enrolled in traditional fee-for-service Part D Medicare prescription drug plans, and they face particular challenges in accessing pharmaceutical care. This study examines rural/urban differences in satisfaction with Medicare Part D coverage. Using data from the 2012 Medicare Curre...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1139421
更新日期:2016-01-01 00:00:00
abstract::Dramatic growth in Assisted Living (AL) has resulted in increasing research and policy interest. This analysis compares smaller and larger AL facilities in four states to determine whether extant measures of four key concepts, used to distinguish the AL sector, give advantage to larger facilities. Quantitative compari...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n04_01
更新日期:2004-01-01 00:00:00
abstract::Social security for older people in China today has been established institutionally. However, there are substantial problems such as coverage, affordability, fund management, and corruption. This paper aims to provide a general picture of China's social security system for older people and to argue that the inequalit...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.735159
更新日期:2013-01-01 00:00:00
abstract::A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult chi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.630905
更新日期:2012-01-01 00:00:00
abstract::This article presents a framework identifying important home care benefit design decisions and reviews existing designs that have been adopted in practice. Four basic designs were identified, based on a review of 55 home care benefits drawn from public programs in the United States and foreign countries, and from priv...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/J031v07n03_08
更新日期:1996-01-01 00:00:00
abstract::India is characterized by significant rural-based living, population heterogeneity, financial constraints, and reverse sex ratio. Traditions of joint families, life-long physical activity, vegetarianism, and social and spiritual enrichment, all known to promote healthy aging, are widely prevalent. With the increasing ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v15n02_05
更新日期:2003-01-01 00:00:00
abstract::This article examines the challenges experienced by very old individuals and their consequences for well-being and mental health. In order to capture unique issues experienced in very old age, 75 participants of the population-based Fordham Centenarian Study answered open-ended questions on everyday challenges. Theme-...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1163652
更新日期:2016-07-01 00:00:00
abstract::Debates about who should care for the elderly often center on the relative responsibilities of the state and family. In federal societies such as Canada and the United States, however, multiple governments are involved. This article compares and contrasts federalism in these two nations and its effects on the division...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v05n01_03
更新日期:1993-01-01 00:00:00
abstract::This article describes an award program sponsored by the U.S. Environmental Protection Agency for excellence in smart growth and active aging. Having examined qualitative and quantitative data, we suggest that any community can foster changes to improve the health and well-being of its aging population. Diverse winner...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2014.854648
更新日期:2014-01-01 00:00:00
abstract::During the COVID-19 pandemic, we face an exacerbation of ageism as well as a flourish of intergenerational solidarity. The use of chronological age is an unjustified threshold for the creation of public policies to control the spreading of the virus; doing so reinforces intrapersonal and interpersonal negative age ste...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1772002
更新日期:2020-07-01 00:00:00
abstract::The goal of this paper is to show how members of three Social HMOs use a limited entitlement for community-based long-term care to meet their needs and solve their problems. The paper is based on in-home interviews with 48 aged Medicare beneficiaries who joined Social HMOs and are eligible for the entitlement. Members...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v12n03_03
更新日期:2001-01-01 00:00:00
abstract::Whereas many studies of welfare reform have focused on effects on children and families, little research has examined the implications of welfare reform for the elderly. This case study incorporates interviews with service providers for the aging, members of advocacy organizations, and two focus groups of older consum...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n01_03
更新日期:2006-01-01 00:00:00
abstract::Older adults with serious mental illness disproportionately reside in nursing homes despite the U.S. Supreme Court Olmstead decision supporting the rights of persons with disabilities to benefit from integrated services in the community. This commentary addresses the neglected policy debate on implementing Olmstead fo...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2011.579497
更新日期:2011-07-01 00:00:00
abstract::As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v14n03_07
更新日期:2002-01-01 00:00:00
abstract::The basic pension plan for urban enterprise workers (PPUEW) is the primary form of public pension system in China and is managed by provincial governments. Although the federal government requires that employers contribute 20% and individuals 8%, provincial governments have the right to adjust the rate. As different r...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2019.1707056
更新日期:2019-12-24 00:00:00
abstract::A series of major reforms implemented through the mid 1980s sought to contain residential care and expand community care in Australia's long-term care system. While this goal has been maintained, a number of new policy initiatives followed the change of federal government in 1996. This article presents a systematic ac...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n02_08
更新日期:2001-01-01 00:00:00
abstract::This article analyzes the electoral support of the Dutch pensioners' party 50Plus. Due to its open electoral system and aging population, the Netherlands is a key case to study pensioners' parties. Our study shows that this pensioners' party appeals to voters who are characterized by their age and their dependence on ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2017.1363589
更新日期:2018-01-01 00:00:00
abstract::Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, demen...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902739170
更新日期:2009-04-01 00:00:00
abstract::Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse tr...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v18n03_10
更新日期:2006-01-01 00:00:00
abstract::Educational attainment is increasingly associated with family inequality in the U.S., but there is little understanding about whether and how education stratifies attitudes toward eldercare. Using the General Social Survey 2012 Eldercare Module, I test the association between educational attainment and attitudes towar...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1722898
更新日期:2020-02-01 00:00:00
abstract::A commentary of the article discussing the possible reimagining of long-term care (LTC) is provided. The reimagining article examines how to diminish the role of nursing homes in the LTC system. The text is provocative. It is also thought-provoking. In this commentary I provide a further opinion that we could do bette...
journal_title:Journal of aging & social policy
pub_type: 评论,杂志文章
doi:10.1080/08959420.2010.508995
更新日期:2010-10-01 00:00:00
abstract::This study uses two studies about the role of managed-care programs in serving Medicaid long-term care clients in Florida to illustrate how different research designs can reach divergent conclusions. Two reports from different groups using essentially the same database to assess the impact of managed care on a group o...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902955867
更新日期:2009-07-01 00:00:00
abstract::The official rhetoric of welfare states unconditionally pays tribute to older people's right to express dissatisfaction. In practice, users of older services in welfare states may be deprived of their "exit" options and face considerable constraints when it comes to raising their "voices." For example, when older peop...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802539118
更新日期:2009-01-01 00:00:00