Expanding Rural Elder Care Options: Models That Work
Proceedings from the 2008 Rural Long Term Care: Access and Options Workshop
Arkansas leads in low-income assisted living , Christine Vestal, Stateline.org, 9/11/06
This article highlights Arkansas' successful affordable assisted living model and notes the NCBDC (now NCB Capital Impact) Coming Home Program's integral role.
"Assisted Living for Seniors: Build It and They'll Come " (PDF, 8 pages)*
This article from the October 2004 NCSL newsletter details the regulatory barriers to creating affordable assisted living and features the Coming Home Program as a template for creating high-quality assisted living for low-income seniors. An Arkansas program (The Gardens at Osage Terrace) is highlighted, including the financing mechanisms for the development and construction of assisted living, and state policies crafted to govern and finance assisted living facilities.
"Assisted-Living Facility First for Arkansas "
The HUD website, Homes & Communities, features examples of success stories in creating housing for special needs populations and low-income individuals. This article covers the opening of The Gardens at Osage Terrace in Bentonville, Arkansas, including information on the services, policies, and financing.
" Affordable Solutions " (PDF, 4 pages)*
This Assisted Living Today (an Assisted Living Federation of America publication) May 2004 article details the need for affordable assisted living as an alternative to nursing home care. It features our Coming Home Program, including Arkansas's successful adoption of state regulations and financing options to create high-service assisted living for low-income adults.
"Making Affordable Assisted Living a Reality"
This article from the Fannie Mae Foundation's Housing Facts & Findings newsletter (October 2003, Volume 5, Issue 3) examines how advocates and developers can work with state and local governments to make assisted living affordable. Be sure to read "Box 2" which highlights our Coming Home Program! PDF version (8 pages)*
"Report attempts to define issues of assisted living" (registration required)
A special to the Chicago Tribune, this article highlights the Assisted Living Workgroup report, a new assisted living study released at an April 2003 hearing of the U.S. Senate Special Committee on Aging. To read more about this report and our involvement in developing it, visit the Assisted Living Work Group website .
" Bringing Home Affordable Assisted Living " (PDF, 4 pages)*
This Assisted Living Today article presents a discussion on how the Coming Home program offers technical and other assistance for development of low-cost properties. This four-page article is in PDF format.*
"The Gray Charade" (Stires, D., Smart Money: 138-145; November 1999. p. 139)
David Stires has written a thought-provoking article on what he deems to be the empty promise of assisted living. Mr. Stires asserts that, "While many facilities promote themselves by saying that they will care for residents as their needs increase -- sometimes, even, until death -- they frequently end up discharging those same seniors once they require more care. In other cases, they fail to provide the care as promised, leaving residents little choice but to move out." Because assisted living is such a young industry, it is important to closely examine its growth in the developing stages, when improvements can most effectively be made. This SmartMoney article encourages providers and prospective residents to take a closer look at the philosophy of "aging in place," what is promised and what is being delivered. The article can be obtained by contacting SmartMoney magazine at www.smartmoney.com .
"Assisted Living and Negotiated Risk: Reconciling Protection and Autonomy"
Industry experts, Marshall Kapp and Keren Brown Wilson, explore the concept of negotiated risk by presenting hypothetical scenarios that illustrate various practical applications of this progressive, ethical idea. This paper delves into the issue of promoting optimum health standards, while preserving personal dignity. The article can be found in the Journal of Ethics, Law, and Aging, Vol. 1, No. 1: 5-13; 1995, and can be obtained by contacting Springer Publishing Company (536 Broadway, New York, NY 10012, (212) 431-4370).
"Resident-Centered Care in Assisted Living"
Residents at 20 assisted living settings were interviewed as were program staff and administrators to understand how resident choice, getting needed care, and a sense of community were promoted or hindered. Residents reported relatively independent and autonomous lives, yet many experienced unmet health and long-term care needs and limited participation in meaningful activities or community life. Strong support was found for the hypothesis that assisted living program and site features influence resident experiences, particularly in regard to supporting independent lifestyles, minimizing avoidable care problems, and increasing community involvement. Article copies available for a fee from the Haworth Document Delivery Service: (800) 342-9678.
"Assisted Living For Changing Needs"
Dr. Barbara Manard, a Maryland-based consultant on issues of care for the aging, has written a comprehensive overview of the assisted living industry. Starting with a brief history of long-term care, and covering everything from practical approaches to program issues to housing that nurtures the human spirit, Dr. Manard provides advice on how to create mission-driven assisted living.
"Assisted Living: Recent Developments and Issues for Older Consumers"
The author of this article, Stephanie Edelstein, serves as associate staff director of the American Bar Association's Commission on Legal Problems for the Elderly, which specializes in elderly housing, economic security, and legal services delivery issues. In this article, Edelstein takes a critical look at the concept of "aging in place" and the accuracy of the term. Published in the Stanford Law and Policy Review, Vol 9:2, Spring 1998. Copies may be obtained through Stanford University.
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