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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.

Tabla de contenidos provista por Syndetics

• Part I 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 Practice1
• 0 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 Design1
• 1 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 Theory1
• 2 Implications for Theory and Design
• 12.1 A Model of Resident Adaptation
• 12.2 Implications for Program Evaluation and Design
• 12.3 Future Directions

Notas de autor provistas por Syndetics

Rudolf H. Moos is at Stanford University School of Medicine. Sonne Lemke is at Palo Alto Department of Veterans Affairs and Stanford University Medical Centers.