title: Resident outcomes of Medicaid-funded community residential care.
abstract: OBJECTIVE
  Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care.
  
  
  METHODS
  We enrolled 349 residents, 243 informal caregivers, and 299 providers in 219 settings. We conducted interviews at enrollment and 12 months later, and we collected data from state databases.
  
  
  RESULTS
  The average resident was a 78 year old woman reporting dependence in two of six activities of daily living. Residents in adult family homes demonstrated significantly more disability. Seventy-eight percent of residents survived at the 12-month follow-up. In analyses that controlled for differences at enrollment, residents in the three types of settings were very similar in health outcomes at follow-up.
  
  
  CONCLUSIONS
  State policies should reflect the wide range of needs of residents seeking care in these settings. Choices among type of setting can be based on the match of needs to individual preferences.
authors.affiliation: HSR&D (152) VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, USA. susan.hedrick@med.va.gov
authors.forename: Susan C
authors.initials: SC
authors.lastname: Hedrick
authors.forename: Anne E B
authors.initials: AE
authors.lastname: Sales
authors.forename: Jean H
authors.initials: JH
authors.lastname: Sullivan
authors.forename: Shelly L
authors.initials: SL
authors.lastname: Gray
authors.forename: Jane
authors.initials: J
authors.lastname: Tornatore
authors.forename: Michael
authors.initials: M
authors.lastname: Curtis
authors.forename: Xiao-Hua Andrew
authors.initials: XH
authors.lastname: Zhou
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities / Q000191:economics / Q000592:standards; D003153:Community Health Services; D005260:Female; D006304:Health Status; D006707:Homes for the Aged / Q000191:economics / Q000592:standards*; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D013221:State Health Plans; D014481:United States