Overview

This important book describes a unique new procedure for evaluating how elderly persons living in nursing homes, residential care facilities, and senior apartments are affected by their environments. By reporting results from a comprehensive appraisal of group residential settings throughout the United States, the authors describe ways in which settings for older adults vary in their resident and staff characteristics, physical resources, policies and services, and social climates. They also show how resources are currently allocated to older people based on their social status and functional abilities, how facility size and ownership affect resource availability, and how setting characteristics may impact residents' lives. The book will be of particular interest to gerontological researchers and practitioners, community psychologists, and social service professionals who will find practical suggestions, based on empirical data, for improving existing residential settings and for planning new ones.

Full Product Details

Author:   Rudolph H. Moos (Professor, Department of Psychiatry and Behavioral Sciences, Professor, Department of Psychiatry and Behavioral Sciences, Stanford University) ,  Sonne Lemke (Center for Health Care Evaluation, Department of Veteran's Affairs, Center for Health Care Evaluation, Department of Veteran's Affairs, Stanford University Medical Center)
Publisher:   Oxford University Press Inc
Imprint:   Oxford University Press Inc
Dimensions:   Width: 16.00cm , Height: 2.50cm , Length: 24.10cm
Weight:   0.613kg
ISBN:  

9780195062571

ISBN 10:   0195062574
Pages:   304
Publication Date:   07 July 1994
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   Available To Order  
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Table of Contents

PART 1: Conceptual Overview and Description of Sample 1: A Conceptual Framework for Evaluation 1.1: Types of Congregate Living Environments 1.2: Historical Overview of Residential Programs 1.3: Conceptual Perspectives 1.4: The Residential Program 1.5: The Book in Brief 2: Characteristics of Residential Programs 2.1: The Samples of Facilities 2.2: The Multiphasic Environmental Assessment Procedure 2.3: the Suprapersonal Environment of Residential Settings 2.4: Selection and Allocation PART II: Understanding the Program Environment 3: Physical and Architectural Features 3.1: Assessing Physical and Architectural Features 3.2: Physical Features and the Adequacy of Program Implementation 3.3: Research and Policy Applications 4: Policies and Services 4.1: Assessing Policy and Program Resources 4.2: Policies, Services, and the Adequacy of Program Implementation 4.3: Research and Policy Applications 5: Social Climate 5.1: Assessing Social Climate 5.2: Personal Factors and Environmental Perceptions 5.3: Social Climate and the Adequacy of Program Implementation 5.4: Research and Policy Applications 6: Ownership, Size, and Facility Quality 6.1: Ownership and Facility Quality 6.2: Proprietary Versus Nonprofit Ownership 6.3: Veterans Versus Proprietary and Nonprofit Ownership 6.4: Size and Facility Quality 6.5: Structural Variables and Facility Quality PART III: Applications for Program Evaluation 7: Developing Harmonious, Resident-Directed, and Well-Organized Social Climates 7.1: A Model of the Determinants of Social Change 7.2: Determinants of Social Climate 7.3: Interventions to Improve Social Climate 8: Personal Control Policies, Social Climate, and Residents' Adaptation 8.1: The Influence of Personal Control Policies and Social Climate 8.2: Residents' Aggregate Functional Abilities as a Moderating Factor 8.3: The Impact of Policies and Social Climate on Staff Performance 8.4: Implications for Intervention and Evaluation 9: Residents' Engagement in Activities 9.1: Determinants of Activity Involvement 9.2: Individual Residents' Activity Levels 9.3: Determinants of Individual Residents' Activity Involvement 9.4: Residents' Functional Ability as a Moderating Factor 9.5: Toward a Theory of Activity Involvement 9.6: Implications for Theory and Practice 10: Coping with Environmental Change 10.1: Assessing the Impact of Building Design 10.2: A Person-Environment Congruence Model of Behavior Change 10.3: Evaluating the Impact of Programmatic Change PART IV: Applications for Program Planning and Design 11: Resident Preferences and Design Guidelines 11.1: Preferences for Physical Design and Policies 11.2: Measuring Design and Policy Preferences 11.3: Preferences for Physical Features 11.4: Preferences for Policies and Services 11.5: Congruence Between Actual and Preferred Facilities 11.6: Implications for Assessment and Theory 12: Implications for Theory and Design 12.1: A Model of Resident Adaptation 12.2: Implications for Program Evaluation and Design 12.3: Future Directions

Reviews

Gerontologists and other professionals concerned with personal and environmental congruence should find this book of special interest. * Mary Gwynne Schmidt, San Diego State University, READINGS: A Journal of Reviews and Commentary in Mental Health *

Gerontologists and other professionals concerned with personal and environmental congruence should find this book of special interest. -- Readings: A Journal of Reviews and Commentary in Mental Health The authors cover a spectrum running from hospitals for the chronically ill to minimal service facilities offering only meals and housekeeping, providing a framework for understanding these settings. --Journal of Planning Literature Resonating the renewed interest in the social aspects of environments, the authors provide a holistic perspective of group residential settings for the elderly . . . . Group Residences for Older Adults would be a valuable addition to any library interested in aging issues, and it would be of particular interest to professionals involved in evaluating, planning, programming, and designing residential environments for older adults or to academicians interested in environmental context of the elderly. --Contemporary Psychology

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