Determinants of the Rigor of State Protection Policies for Persons With Dementia in Assisted Living.

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 Policy

authors

Nattinger MC,Kaskie B

doi

10.1080/08959420.2016.1236324

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

123-142

issue

2

eissn

0895-9420

issn

1545-0821

journal_volume

29

pub_type

杂志文章
  • Change in VA Community Living Centers 2004-2011: Shifting Long-Term Care to the Community.

    abstract::The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from prov...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2017.1414538

    authors: Thomas KS,Cote D,Makineni R,Intrator O,Kinosian B,Phibbs CS,Allen SM

    更新日期:2018-03-01 00:00:00

  • The closing of a social HMO: a case study.

    abstract::A social health maintenance organization (SHMO) integrates acute and long-term care and provides an extended-care benefit for elderly who are at risk of institutionalization. This article reports findings from a case study of the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social ...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:

    authors: Fischer LR,Leutz W,Miller A,von Sternberg TL,Ripley JM

    更新日期:1998-01-01 00:00:00

  • No foot in the door: an experimental study of employment discrimination against older workers.

    abstract::Pairs of testers, one aged 57 and one aged 32, applied for 102 entry-level sales or management jobs in the Washington, DC, metropolitan area. Although their credentials described them as equally qualified, the older applicants received less favorable responses from employers 41.2% of the time. Three quarters of these ...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v10n04_02

    authors: Bendick M Jr,Brown LE,Wall K

    更新日期:1999-01-01 00:00:00

  • Inequality of pension arrangements among different segments of the labor force in China.

    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

    authors: Wu L

    更新日期:2013-01-01 00:00:00

  • Staffing-related deficiency citations in nursing homes.

    abstract::There is evidence that staffing characteristics influence quality of care in nursing homes. Federal and state surveyors conduct inspections of homes to assess their compliance with regulatory standards, including requirements related to staffing. Deficiency citations are issued when these standards are not met. This a...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2012.705696

    authors: McDonald SM,Wagner LM,Castle NG

    更新日期:2013-01-01 00:00:00

  • Making the right moves: promoting smart growth and active aging in communities.

    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

    authors: Sykes KE,Robinson KN

    更新日期:2014-01-01 00:00:00

  • Designing home care benefits: the range of options and experience.

    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

    authors: Freedman VA,Kemper P

    更新日期:1996-01-01 00:00:00

  • The failed Patient Self-Determination Act and policy alternatives for the right to die.

    abstract::The empirical evidence regarding the implementation and impact of the federal Patient Self-Determination Act is examined in this article. The Act was designed to increase the use of advance medical directives in light of the U.S. Supreme Court's Cruzan decision. Research shows that the law has had little effect and th...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章,评审

    doi:10.1300/j031v09n04_03

    authors: Yates JL,Glick HR

    更新日期:1997-01-01 00:00:00

  • Resolving mobility constraints impeding rural seniors' access to regionalized services.

    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

    authors: Ryser L,Halseth G

    更新日期:2012-01-01 00:00:00

  • Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care act.

    abstract::The coordination of Medicare and Medicaid benefits and services for dually eligible enrollees has been a longstanding policy challenge. Several provisions of the Affordable Care Act (ACA) attempt to address this lack of coordination, including the establishment of the Federal Coordinated Health Care Office. This paper...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2012.659113

    authors: Grabowski DC

    更新日期:2012-01-01 00:00:00

  • The state of aging policy and politics in the Trump era.

    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

    authors: Miller EA,Nadash P,Gusmano MK,Simpson E,Ronneberg CR

    更新日期:2018-05-01 00:00:00

  • Recent developments in aged care policy in Australia.

    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

    authors: Howe AL

    更新日期:2001-01-01 00:00:00

  • Inequitable access to health services for older adults with diabetes: potential solutions on a state level.

    abstract::Diabetes is a serious global public health challenge. The cost for health services for diabetes care has increased 41% over the past 5 years. Despite escalating health expenditure, the United States continues to have higher rates of diabetes than many other developed countries. There is a need for health care reform i...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2015.969114

    authors: Faul AC,Yankeelov PA,McCord LR

    更新日期:2015-01-01 00:00:00

  • Client satisfaction with live-in and live-out home care workers in Israel.

    abstract::In an era of globalization where the migration of longterm care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons. This study examines di...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v19n04_06

    authors: Iecovich E

    更新日期:2007-01-01 00:00:00

  • Social Security reform: implications for women.

    abstract::Despite recent economic gains for women, a substantial gender gap in financial security during old age remains, making women more dependent than men upon Social Security. Social Security plays an important role in providing for women's economic security. The implications for women of several proposed changes in Social...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v11n04_05

    authors: Williamson JB,Rix SE

    更新日期:2000-01-01 00:00:00

  • The politics of aging: the geriatric imperative of the Department of Veterans Affairs.

    abstract::Committed "to care for him who shall have borne the battle and for his widow and his orphans," the federal government through its veterans' programs has long been a pacesetter in meeting some of the income-security and health-care needs of older Americans. But the Department of Veterans Affairs is short of funds. Key ...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v03n03_04

    authors: Achenbaum WA

    更新日期:1991-01-01 00:00:00

  • Enabling informed consumer choice in the long-term care insurance market.

    abstract::Provisions in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) may increase private long-term care insurance sales without imposing substantially more stringent consumer-protection features. The ability of consumers to make informed choices when purchasing this complex product is examined in lig...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v10n03_03

    authors: Lutzky S,Alecxih LM

    更新日期:1999-01-01 00:00:00

  • Social protection for retirees: the diminishing role of employers.

    abstract::Jobs are changing in ways that will reduce benefits for retirees. This paper explores the variety of pressures that will tend to produce this result. One major factor is that employers have been responding to cost pressures and the need for flexibility by redesigning jobs. There has been a trend--which is likely to co...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v03n01_04

    authors: Friedman BL

    更新日期:1991-01-01 00:00:00

  • Constructing deservingness: federal welfare reform, supplemental security income, and elderly immigrants.

    abstract::On August 22, 1996, President Clinton signed the welfare reform law that ended eligibility for all immigrants to federal means tested entitlements. Poor elderly immigrants on Supplemental Security Income were specifically targeted. This article documents how the print media responded to these policy changes. The follo...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/j031v13n04_02

    authors: Yoo GJ

    更新日期:2001-01-01 00:00:00

  • Urban/rural elderly health status differences: the dichotomy reexamined.

    abstract::Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may ...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/j031v08n04_02

    authors: Gillanders WR,Buss TF,Hofstetter CR

    更新日期:1996-01-01 00:00:00

  • Why and How Have Korean Cities Embraced the World Health Organization's Age-Friendly Cities and Communities Model?

    abstract::This study examined forces leading Korean cities to join the WHO Global Network of Age-Friendly Cities and Communities (AFCC) and implement the WHO guidelines, from the perspectives of multiple streams theory and policy transfer theory. We conducted interviews with stakeholders from six member cities and identified re...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2019.1707057

    authors: Woo JM MS,Choi M FGSA

    更新日期:2020-01-05 00:00:00

  • The effects of federalism on policies for care of the aged in Canada and the United States.

    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

    authors: Liebig PS

    更新日期:1993-01-01 00:00:00

  • Early retiree and near-elderly health insurance in recession.

    abstract::This paper examines recent trends in health insurance cost and coverage for the near-elderly population (aged 55 to 64), with particular attention directed toward the implications of the 2007 recession. We examine coverage by demographic and socioeconomic characteristics from the Current Population Survey and the Medi...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959421003620996

    authors: Gould E,Hertel-Fernandez A

    更新日期:2010-04-01 00:00:00

  • Demographic and socioeconomic aspects of elderly migration in the 1980s.

    abstract::The availability of data from the Current Population Survey for each year makes it possible to monitor the migration behavior of the population on a year-to-year basis and facilitates efforts to detect changes in long-standing patterns of behavior. The data used in this article come from the published reports summariz...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v08n01_04

    authors: Serow WJ

    更新日期:1996-01-01 00:00:00

  • Challenges Experienced at Age 100: Findings From the Fordham Centenarian Study.

    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

    authors: Jopp DS,Boerner K,Cimarolli V,Hicks S,Mirpuri S,Paggi M,Cavanagh A,Kennedy E

    更新日期:2016-07-01 00:00:00

  • Working Beyond the Traditional Retirement Age: The Influence of Health on Australia's Older Workers.

    abstract::This article examines the relationship between health and workforce participation beyond the age of 65 years in Australia. This study found that people with a chronic health condition were less likely to be employed than those without a health condition (OR, 0.59; 95% CI [0.38, 0.92]). Among those with a chronic healt...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1080/08959420.2016.1246319

    authors: Schofield DJ,Callander EJ,Kelly SJ,Shrestha RN

    更新日期:2017-05-01 00:00:00

  • Who is responsible for this? Assigning rights and consequences in elder care.

    abstract::In the context of providing health and human services for older individuals, modern American culture often depends on formally asserting and battling over a clashing array of rights among respective combatants as a first resort at problem-solving. A substantial impediment exists in our cultural environment that discou...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v09n02_05

    authors: Kapp MB

    更新日期:1997-01-01 00:00:00

  • Older people's "voices"--on paper: obstacles to influence in welfare states--a case study of Sweden.

    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

    authors: Persson T,Berg S

    更新日期:2009-01-01 00:00:00

  • Elders and the courts: judicial policy for an aging America.

    abstract::This article examines how trial courts should address complex issues of an aging society. More older people, living longer, will enter courthouses with underlying problems that will impede effective access and court processes and will require judges to enhance linkages with community health, mental health, and social ...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章

    doi:10.1300/J031v18n02_03

    authors: Rothman MB,Dunlop BD

    更新日期:2006-01-01 00:00:00

  • Possibilities for change toward universal design: Japanese housing policy for seniors at the crossroads.

    abstract::Japanese government policies for seniors have long assumed that informal care by their families exists for them. The rapid aging of Japan is eroding the basis for this assumption. It is now necessary to include barrier-free design concepts in the basic requirements for dwellings to be used by everyone, not just senior...

    journal_title:Journal of aging & social policy

    pub_type: 杂志文章,评审

    doi:10.1300/J031v08n02_11

    authors: Kose S

    更新日期:1996-01-01 00:00:00