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• 1. [Article] Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged

  The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized ...

  Citation × Citation Citation Abstract Copy Title: Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged Author: Hoffer, Vernon E. Year: 1977 The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized elderly, and (2) to identify factors related to self-esteem in a home for the aged sample. Literature reviewed relative to the importance of self-esteem, its development, and its maintenance or change indicated that (1) self-esteem is related to personal satisfaction and effective social functioning: (2) self-esteem develops and is maintained or changed as a function of factors in an individual’s immediate interpersonal environment; and (3) institutionalization itself is not the critical factor affecting self-esteem of institutionalized persons. Title: Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged Author: Hoffer, Vernon E. Year: 1977 The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized elderly, and (2) to identify factors related to self-esteem in a home for the aged sample. Literature reviewed relative to the importance of self-esteem, its development, and its maintenance or change indicated that (1) self-esteem is related to personal satisfaction and effective social functioning: (2) self-esteem develops and is maintained or changed as a function of factors in an individual’s immediate interpersonal environment; and (3) institutionalization itself is not the critical factor affecting self-esteem of institutionalized persons. Close

• 2. [Article] Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014

  In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid ...

  Citation × Citation Citation Abstract Copy Title: Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014 Author: Carder, Paula C., Kohon, Jacklyn Nicole, Elliott, Sheryl DeJoy, West, Maximilian, Zimam, Amanuel, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings. This report is based on an analysis of Medicaid data provided by DHS. The study goals were to: describe Medicaid clients’ health-related needs, service use, and demographic characteristics; provide a baseline for future reports. In addition, this information about Medicaid clients can be compared to the recently completed summary of assisted living facilities (ALF), residential care facilities (RCF), memory care communities (MCC), and adult foster homes (AFH) completed by Portland State University’s Institute on Aging. All three CBC reports and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based and long-term care settings in Oregon that can be used by policymakers, providers, and consumers. Title: Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014 Author: Carder, Paula C., Kohon, Jacklyn Nicole, Elliott, Sheryl DeJoy, West, Maximilian, Zimam, Amanuel, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings. This report is based on an analysis of Medicaid data provided by DHS. The study goals were to: describe Medicaid clients’ health-related needs, service use, and demographic characteristics; provide a baseline for future reports. In addition, this information about Medicaid clients can be compared to the recently completed summary of assisted living facilities (ALF), residential care facilities (RCF), memory care communities (MCC), and adult foster homes (AFH) completed by Portland State University’s Institute on Aging. All three CBC reports and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based and long-term care settings in Oregon that can be used by policymakers, providers, and consumers. Close

• 3. [Article] Resident and Home Characteristics Report 2014: Adult Foster Homes

  In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult ...

  Citation × Citation Citation Abstract Copy Title: Resident and Home Characteristics Report 2014: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Limburg, Aubrey, Kohon, Jacklyn Nicole, Zimam, Amanuel, West, Maximilian, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult foster homes (AFH) throughout the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information from these community-based care providers that will allow DHS, providers, and the public to better understand resident characteristics and adult foster home services. This report summarizes findings from the first state-wide survey of licensed adult foster homes in Oregon. The survey goals were to: describe resident health-related needs, service use, and demographic characteristics; describe AFH provider characteristics (e.g., number of years as a provider, professional training); describe adult foster homes (e.g., occupancy, monthly charges, staffing); and provide a baseline for future surveys. In addition, this information about AFHs can be compared to the recently completed summary of assisted living, residential care, and memory care facilities completed by Portland State University’s Institute on Aging. Both surveys, along with a report that summarizes characteristics of Medicaid clients based on data provided by DHS and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based care settings in Oregon that can be used by policymakers, providers, and consumers. Title: Resident and Home Characteristics Report 2014: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Limburg, Aubrey, Kohon, Jacklyn Nicole, Zimam, Amanuel, West, Maximilian, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult foster homes (AFH) throughout the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information from these community-based care providers that will allow DHS, providers, and the public to better understand resident characteristics and adult foster home services. This report summarizes findings from the first state-wide survey of licensed adult foster homes in Oregon. The survey goals were to: describe resident health-related needs, service use, and demographic characteristics; describe AFH provider characteristics (e.g., number of years as a provider, professional training); describe adult foster homes (e.g., occupancy, monthly charges, staffing); and provide a baseline for future surveys. In addition, this information about AFHs can be compared to the recently completed summary of assisted living, residential care, and memory care facilities completed by Portland State University’s Institute on Aging. Both surveys, along with a report that summarizes characteristics of Medicaid clients based on data provided by DHS and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based care settings in Oregon that can be used by policymakers, providers, and consumers. Close

• 4. [Article] Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care

  In Oregon, community-based care (CBC) communities include assisted living (AL), residential care (RC), and memory care (MC) communities. These settings provide residential, personal care, and health-related ...

  Citation × Citation Citation Abstract Copy Title: Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care Author: Carder, Paula C., Tunalilar, Ozcan, Elliott, Sheryl DeJoy, Dys, Sarah, Neal, Margaret B. Year: 2017 In Oregon, community-based care (CBC) communities include assisted living (AL), residential care (RC), and memory care (MC) communities. These settings provide residential, personal care, and health-related services, primarily to older adults. As the population of Oregonians aged 65 and older is estimated to increase from 16 percent in 2015 to nearly 23 percent in 20501, the availability of CBC settings will continue to be an important source of long-term services and supports. This report provides an in-depth look at Oregon’s CBC settings. Because no central dataset of CBC services, staff, and residents is available, as opposed to nursing facilities, information for this report was collected using a questionnaire that CBC providers (e.g., administrators, directors) were asked to complete. CBC settings provide long-term services and supports to many older Oregonians and their families. These services include daily meals, housekeeping and laundry, assistance with personal care needs, medication administration, monitoring of health conditions, communication with residents’ health care providers, and social and recreational activities. Of the 517 AL, RC, and MC communities licensed as of fall 2016, 60 percent (308) returned a questionnaire. The data described in this report are based upon these 308 communities unless noted otherwise. The goals of the project described in this report included: Describe assisted living, residential care, and memory care community characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results with prior Oregon surveys and national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs Title: Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care Author: Carder, Paula C., Tunalilar, Ozcan, Elliott, Sheryl DeJoy, Dys, Sarah, Neal, Margaret B. Year: 2017 In Oregon, community-based care (CBC) communities include assisted living (AL), residential care (RC), and memory care (MC) communities. These settings provide residential, personal care, and health-related services, primarily to older adults. As the population of Oregonians aged 65 and older is estimated to increase from 16 percent in 2015 to nearly 23 percent in 20501, the availability of CBC settings will continue to be an important source of long-term services and supports. This report provides an in-depth look at Oregon’s CBC settings. Because no central dataset of CBC services, staff, and residents is available, as opposed to nursing facilities, information for this report was collected using a questionnaire that CBC providers (e.g., administrators, directors) were asked to complete. CBC settings provide long-term services and supports to many older Oregonians and their families. These services include daily meals, housekeeping and laundry, assistance with personal care needs, medication administration, monitoring of health conditions, communication with residents’ health care providers, and social and recreational activities. Of the 517 AL, RC, and MC communities licensed as of fall 2016, 60 percent (308) returned a questionnaire. The data described in this report are based upon these 308 communities unless noted otherwise. The goals of the project described in this report included: Describe assisted living, residential care, and memory care community characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results with prior Oregon surveys and national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs Close

• 5. [Article] Some correlates of morale among nursing home residents

  This is a study of twenty-six patients aged sixty years and over residing in a nursing care facility in Portland, Oregon in the fall of 1973, which explores the relationship of their morale and selected ...

  Citation × Citation Citation Abstract Copy Title: Some correlates of morale among nursing home residents Author: Sydnor, Gail Olmsted, Wold, Patricia Mears Year: 1974 This is a study of twenty-six patients aged sixty years and over residing in a nursing care facility in Portland, Oregon in the fall of 1973, which explores the relationship of their morale and selected environmental and social factors. There are three major aims of the study. The first is to measure variances in morale states as experienced and reported by the respondents. The second aim is to determine how a given set of factors correlate with the self-reported morale of each of the respondents. Selected for consideration are 1) attitudes: expectations upon entering the home and choice, comparison of one’s self-assessed age and health status with that of others, feelings of financial and physical security, feelings of happiness vis a vis their life’s course; 2) activities: enjoyment of solitary activities, i.e. reading, writing, television, and radio, participation in group activities such as games, crafts, movies, and discussion groups, and visits outside the home; and 3) interpersonal relationships: interaction with peers, the presence or absence of friendships, the frequency of visitors, satisfaction with family relationships, and anticipation of events and contacts with others. The third aim of the study is to identify from the above information, points and strategies for social work intervention. Title: Some correlates of morale among nursing home residents Author: Sydnor, Gail Olmsted, Wold, Patricia Mears Year: 1974 This is a study of twenty-six patients aged sixty years and over residing in a nursing care facility in Portland, Oregon in the fall of 1973, which explores the relationship of their morale and selected environmental and social factors. There are three major aims of the study. The first is to measure variances in morale states as experienced and reported by the respondents. The second aim is to determine how a given set of factors correlate with the self-reported morale of each of the respondents. Selected for consideration are 1) attitudes: expectations upon entering the home and choice, comparison of one’s self-assessed age and health status with that of others, feelings of financial and physical security, feelings of happiness vis a vis their life’s course; 2) activities: enjoyment of solitary activities, i.e. reading, writing, television, and radio, participation in group activities such as games, crafts, movies, and discussion groups, and visits outside the home; and 3) interpersonal relationships: interaction with peers, the presence or absence of friendships, the frequency of visitors, satisfaction with family relationships, and anticipation of events and contacts with others. The third aim of the study is to identify from the above information, points and strategies for social work intervention. Close

• 6. [Article] Resident and Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care

  This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between ...

  Citation × Citation Citation Abstract Copy Title: Resident and Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, West, Maximilian, Zimam, Amanuel, Neal, Kenneth Gordon Year: 2014 This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include: Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%). The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%. The acuity level of residents increased on most measures compared to 2008. Compared to 2008, residents across all three community types required more assistance with ADLs and used more health services. Residents of MCCs required the most assistance with ADLs and use of health services, which is similar to 2008. The percent of residents who used hospice services increased from 2008 by 2%. The percent of residents who visited the hospital or an emergency department increased from 10% in 2008 to 28% in 2014. The percent of residents using Medicaid increased from 2008 by 10%. Title: Resident and Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, West, Maximilian, Zimam, Amanuel, Neal, Kenneth Gordon Year: 2014 This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include: Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%). The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%. The acuity level of residents increased on most measures compared to 2008. Compared to 2008, residents across all three community types required more assistance with ADLs and used more health services. Residents of MCCs required the most assistance with ADLs and use of health services, which is similar to 2008. The percent of residents who used hospice services increased from 2008 by 2%. The percent of residents who visited the hospital or an emergency department increased from 10% in 2008 to 28% in 2014. The percent of residents using Medicaid increased from 2008 by 10%. Close

• 7. [Article] Oregon Community-Based Care Survey: Adult Foster Homes

  Adult foster homes (AFH) offer long-term services and supports to older adults and people with disabilities who wish to remain in the community but need assistance with personal care and health-related ...

  Citation × Citation Citation Abstract Copy Title: Oregon Community-Based Care Survey: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Tunalilar, Ozcan, Dys, Sarah, Neal, Margaret B. Year: 2017 Adult foster homes (AFH) offer long-term services and supports to older adults and people with disabilities who wish to remain in the community but need assistance with personal care and health-related tasks. This report focuses on Oregon AFHs that are licensed to care for individuals aged 65 and older and younger adults with disabilities. Homes may be licensed for one to five residents and must be staffed 24-hours daily to respond to residents’ scheduled and unscheduled needs or requests. This report provides an in-depth look at a sample of Oregon AFHs. Since no central dataset of AFH services, staff, and residents is available, information for this report was collected from mid-January to mid-March 2017 using a questionnaire that AFH owners were asked to complete. At the start of this project, there were 1,740 AFHs in the state. The goals of the project described in this report included: Describe AFH characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results with prior Oregon surveys and national studies (as available), and identify changes and possible trends Describe characteristics that could affect access, quality, or cost Title: Oregon Community-Based Care Survey: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Tunalilar, Ozcan, Dys, Sarah, Neal, Margaret B. Year: 2017 Adult foster homes (AFH) offer long-term services and supports to older adults and people with disabilities who wish to remain in the community but need assistance with personal care and health-related tasks. This report focuses on Oregon AFHs that are licensed to care for individuals aged 65 and older and younger adults with disabilities. Homes may be licensed for one to five residents and must be staffed 24-hours daily to respond to residents’ scheduled and unscheduled needs or requests. This report provides an in-depth look at a sample of Oregon AFHs. Since no central dataset of AFH services, staff, and residents is available, information for this report was collected from mid-January to mid-March 2017 using a questionnaire that AFH owners were asked to complete. At the start of this project, there were 1,740 AFHs in the state. The goals of the project described in this report included: Describe AFH characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results with prior Oregon surveys and national studies (as available), and identify changes and possible trends Describe characteristics that could affect access, quality, or cost Close

• 8. [Article] Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care

  This report, prepared by the Institute on Aging (IOA) at Portland State University (PSU) in collaboration with the Oregon Department of Human Services, describes community-based care (CBC) settings that ...

  Citation × Citation Citation Abstract Copy Title: Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, Zimam, Amanuel, Rushkin, Megan, Neal, Margaret B. Year: 2016 This report, prepared by the Institute on Aging (IOA) at Portland State University (PSU) in collaboration with the Oregon Department of Human Services, describes community-based care (CBC) settings that provide residential, personal care, and health-related services, primarily to older adults. The study collected information from assisted living, residential care, and memory care communities to achieve the following four main goals. Describe assisted living, residential care, and memory care community characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results to prior Oregon surveys and to national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs The study findings are intended to provide information that state agency staff, legislators, community-based care providers, and consumers might use to guide their decisions. Providing state-level information was one of the goals of Oregon’s LTC 3.0 planning process (Oregon Department of Human Services, n.d.). In addition, as possible, comparisons are made to national surveys of residential care and assisted living conducted by the National Center for Health Statistics. Because of state variation in licensure categories, the national surveys combine residential and assisted living settings and use the term residential care to describe both. It should also be noted that regulatory standards and the types of residents that can be served in AL and RC settings vary by state, as well. Title: Oregon Community-Based Care Survey: Assisted Living, Residential Care, and Memory Care Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, Zimam, Amanuel, Rushkin, Megan, Neal, Margaret B. Year: 2016 This report, prepared by the Institute on Aging (IOA) at Portland State University (PSU) in collaboration with the Oregon Department of Human Services, describes community-based care (CBC) settings that provide residential, personal care, and health-related services, primarily to older adults. The study collected information from assisted living, residential care, and memory care communities to achieve the following four main goals. Describe assisted living, residential care, and memory care community characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results to prior Oregon surveys and to national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs The study findings are intended to provide information that state agency staff, legislators, community-based care providers, and consumers might use to guide their decisions. Providing state-level information was one of the goals of Oregon’s LTC 3.0 planning process (Oregon Department of Human Services, n.d.). In addition, as possible, comparisons are made to national surveys of residential care and assisted living conducted by the National Center for Health Statistics. Because of state variation in licensure categories, the national surveys combine residential and assisted living settings and use the term residential care to describe both. It should also be noted that regulatory standards and the types of residents that can be served in AL and RC settings vary by state, as well. Close

• 9. [Article] Oregon Community-Based Care Survey 2016: Adult Foster Homes

  This report describes adult foster homes in Oregon. An adult foster home (AFH) is a type of licensed community-based care (CBC) setting that provides residential, personal care, and health-related services, ...

  Citation × Citation Citation Abstract Copy Title: Oregon Community-Based Care Survey 2016: Adult Foster Homes Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, Zimam, Amanuel, Rushkin, Megan, Neal, Margaret B. Year: 2016 This report describes adult foster homes in Oregon. An adult foster home (AFH) is a type of licensed community-based care (CBC) setting that provides residential, personal care, and health-related services, primarily to older adults. The study collected information from adult foster homes to achieve the following four main goals. Describe adult foster home characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results to prior Oregon surveys and to national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs The study findings are intended to provide information that state agency staff, legislators, community-based care providers, and consumers may use to guide their decisions. Providing state-level information was one of the goals of Oregon’s LTC 3.0 planning process. Title: Oregon Community-Based Care Survey 2016: Adult Foster Homes Author: Carder, Paula C., Kohon, Jacklyn Nicole, Limburg, Aubrey, Zimam, Amanuel, Rushkin, Megan, Neal, Margaret B. Year: 2016 This report describes adult foster homes in Oregon. An adult foster home (AFH) is a type of licensed community-based care (CBC) setting that provides residential, personal care, and health-related services, primarily to older adults. The study collected information from adult foster homes to achieve the following four main goals. Describe adult foster home characteristics, including staffing types and levels, policies, and monthly charges and fees Describe current residents’ health and social characteristics Compare current results to prior Oregon surveys and to national studies of similar setting types to identify changes and possible trends Compare setting types for differences that might affect access, quality, or costs The study findings are intended to provide information that state agency staff, legislators, community-based care providers, and consumers may use to guide their decisions. Providing state-level information was one of the goals of Oregon’s LTC 3.0 planning process. Close