Foster home care for the frail elderly as an alternative to nursing home care: an experimental evaluation.
This paper describes a program (Community Care Program) in which some elderly hospital patients who were candidates for nursing home placement were placed in foster homes. Caregivers were carefully trained and supervised. A total of 112 elderly inpatients were randomly assigned to placement in a nursing home or a foster care home. Patients and caregivers were interviewed at 3, 6, 9, and 12 months after placement. Community Care Program patients were more likely to maintain or improve ADL (activities of daily living) and mental status scores. They also had better nursing outcomes and were more likely to get out of the house than were nursing home patients. Nursing home patients had higher life satisfaction, and participated in more social and recreational activities. The Community Care Program was 17 per cent less costly than nursing home care. The results suggest that foster care may be a viable alternative for a segment of the nursing home population.
Oktay
J S
JS
School of Social Work and Community Planning, University of Maryland at Baltimore 21201.
Volland
P J
PJ
D000203:Activities of Daily Living; D001741:Black or African American; D000368:Aged; D003153:Community Health Services / Q000458:organization & administration*; D003258:Consumer Behavior; D003365:Costs and Cost Analysis; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D005581:Foster Home Care / Q000191:economics; D006707:Homes for the Aged / Q000191:economics; D006801:Humans; D008396:Maryland; D008875:Middle Aged; D009735:Nursing Homes / Q000191:economics; D010043:Outcome and Process Assessment, Health Care; D011787:Quality of Health Care; D011897:Random Allocation