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Journal of Aging and Health
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Assisted Living Pilot Program

Health Outcomes

Susan C. Hedrick, PhD

VA Puget Sound Health Care System and University of Washington, susan.hedrick{at}va.gov

Marylou Guihan, PhD

Edward Hines Jr. VA Hospital and Northwestern University

Michael K. Chapko, PhD

VA Puget Sound Health Care System and University of Washington

Jean Sullivan, BA

VA Puget Sound Health Care System

Xiao-Hua Zhou, PhD

VA Puget Sound Health Care System and University of Washington

Larry M. Manheim, PhD

Edward Hines Jr. VA Hospital and Northwestern University

Christopher W. Forsberg, MS

VA Puget Sound Health Care System

Floss J. Mambourg, BSN, RN, MS, MPA, CNAA

Portland VA Medical Center, Oregon Health Sciences University

Objectives: Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method: This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results: A total of 19.8% residents died, and the average activities of daily living impairment did not change significantly. Half of the residents remained in an ALPP facility, with the average resident spending 315 days in the community during the 12-month follow-up period. This article found a limited number of characteristics of structure and staffing to be significantly associated with outcomes. Discussion: If differences among facility characteristics are not clearly related to differences in outcomes, then choices among type of setting can be based on the match of needs to available services, location, or preferences.

Key Words: assisted living • residential care facilities • long-term care • outcomes • longitudinal design

This version was published on February 1, 2009

Journal of Aging and Health, Vol. 21, No. 1, 190-207 (2009)
DOI: 10.1177/0898264308328929


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