This ethnographic study of "goal displacement" in an adult day care center explains how and why certain goals come to surpass others in the organizational practices of elder day care settings. Adult day care is often oriented towards providing family caregivers with respite rather than attempting to directly improve the lives of the elders…

The current study evaluated barriers to detection of depression among older people. Focus groups were conducted with 21 professional carers, 4 nurses, 10 general practitioners, and 7 aged care managers. The results demonstrated that care for older people is primarily focused on physical care. Further, staff resources, a lack of continuity of care,…

Family care of the elderly is key to the long-term care system, and its importance has led to an abundance of research over the past two decades. Several methodological and substantive issues, if addressed, could create even more targeted and interpretable research. The present review critically examines methodological topics (i.e., definitions of…

Conducted two-year mental health intervention with older adults in six residential care facilities. Findings showed little intervention impact but revealed that residents treated were generally socially marginal with weak ego skills, rather that significantly mentally ill. Suggests more intensive program that restructures facility's milieu to…

Ward residents view their dwelling as less secure and feel less able to control social encounters than do single room residents. Single room residents express greater desires for isolation and disclosure restriction. Data are consistent with an adaptation model of privacy-sociability preference. (Author)

A more productive approach to providing appropriate long-term care is to separate physical from psychosocial needs when performing functional assessment and to rearrange them into a matrix. By examining each need separately, and where needs overlap in the matrix, more direct assessment can be performed, and specified interventions can be designed.…

There is no accepted definition of "needs" of the elderly. Perceptions vary with age, professional role, relationships, and time. The wide range of methodologies presents problems. Research instruments are being refined. The use of index of incapacity measures offers the best data base for planning needed services. (Author/NRB)

Based on the complementary model of support use, we investigated older adults' preferences for short-term and long-term future care needs in a U.S. and a German sample (65+ years). A greater preference for the exclusive use of informal support and for mixed support (a combination of informal and formal support) was found with regard to short-term…