title: Provider dilemmas with relocation in assisted living: philosophy vs. practice.
abstract: Support for increasing tenant frailty in assisted living (AL) is a complex and challenging issue. Philosophically, older persons, families, providers, and policymakers want to avoid unnecessary relocation. However, there is considerable opportunity for inconsistency in practice. We examined provider perspectives related to implementing aging-in-place, using information obtained from an evaluation of a three-year AL demonstration project in Illinois. We found differences in approaches to explicit move-out criteria, the actual application of move-out criteria, and provider willingness to develop flexible service plans. These findings raise questions for consideration in all states confronted with implementing the philosophy and intent of AL.
authors.affiliation: North Illinois University, 1240 Normal Rd, DeKalb, IL 60115, USA. dmunroe@niu.edu
authors.forename: Donna J
authors.initials: DJ
authors.lastname: Munroe
authors.forename: Marylou
authors.initials: M
authors.lastname: Guihan
mesh_terms: D000368:Aged; D000375:Aging; D040561:Assisted Living Facilities / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D016330:Frail Elderly; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration*; D011157:Population Dynamics