Policies to protect persons with dementia in assisted living: déjà vu all over again?

Brian P Kaskie; Matthew Nattinger; Andrew Potter

doi:10.1093/geront/gnu179

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Policies to protect persons with dementia in assisted living: déjà vu all over again?

Journal article

Open access

Peer reviewed

Policies to protect persons with dementia in assisted living: déjà vu all over again?

Brian P Kaskie, Matthew Nattinger and Andrew Potter

The Gerontologist, Vol.55(2), pp.199-209

04/2015

DOI: 10.1093/geront/gnu179

PMCID: PMC4542835

PMID: 26035596

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Abstract

Continued growth in the number of individuals with dementia residing in assisted living (AL) raises concerns about their safety and protection. In this Forum, we review current AL practices relevant to residents with dementia and present a rationale for examining the government role in protecting these individuals within this context. Since public oversight of AL is currently a state prerogative, we assess states' regulatory activity across 3 domains closely related to safety and protection of persons with dementia: environmental features, staffing, and use of chemical restraints. We then step back to consider the state policymaking environment and assess the feasibility of developing a minimum standard of regulations from one state to the next. This Forum concludes with a historical comparison between the contemporary AL market and the nursing home care market prior to the Nursing Home Reform Act of 1987, and we discuss how an increased amount of federal interest could improve existing state efforts to protect persons with dementia residing in AL.

Homes for the Aged - standards

Health Care Reform

Nursing Homes - legislation & jurisprudence

Deja Vu

Dementia - psychology

Dementia - therapy

Humans

Homes for the Aged - legislation & jurisprudence

Aged, 80 and over

Quality of Life

Aged

Assisted Living Facilities

Health Policy

Quality of Health Care

Details

Title: Subtitle: Policies to protect persons with dementia in assisted living: déjà vu all over again?
Creators: Brian P Kaskie - Department of Health Management & Policy, The University of Iowa. brian-kaskie@uiowa.edu
Matthew Nattinger - Department of Health Management & Policy, The University of Iowa
Andrew Potter - Department of Health Management & Policy, The University of Iowa
Resource Type: Journal article
Publication Details: The Gerontologist, Vol.55(2), pp.199-209
Publisher: United States
DOI: 10.1093/geront/gnu179
PMID: 26035596
PMCID: PMC4542835
ISSN: 0016-9013
eISSN: 1758-5341
Grant note: R01 AG041781-01 / NIA NIH HHS
Language: English
Date published: 04/2015
Academic Unit: Health Management and Policy
Record Identifier: 9984063131202771

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