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Characteristics and outcomes of dementia residents in an assisted living facility
Author(s) -
Kopetz Scott,
Steele Cynthia D.,
Brandt Jason,
Baker Alva,
Kronberg Marcie,
Galik Elizabeth,
Steinberg Martin,
Warren Andrew,
Lyketsos Constantine G.
Publication year - 2000
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/1099-1166(200007)15:7<586::aid-gps148>3.0.co;2-d
Subject(s) - dementia , medicine , gerontology , minimum data set , long term care , population , activities of daily living , cohort , comorbidity , depression (economics) , cohort study , nursing homes , psychiatry , nursing , disease , environmental health , pathology , economics , macroeconomics
Background Assisted living (AL) is the fastest growing segment of residential long‐term care in the US. At least half of the estimated 1 million AL residents have dementia or cognitive impairment, with many AL facilities offering specialized dementia services. Little research has been done on the demographics, outcomes, or clinical variables of this population. Methods Participants were a cohort of 144 residents admitted to the AL unit of Copper Ridge, a specialized dementia‐care facility. Comparison samples included 737 patients with dementia residing in other locations (home, nursing home, and other assisted living facilities). Selected measures of cognition, behavior, medical health, and function were taken at admission to AL and at 6‐month intervals. Results When compared with residents of the dementia‐specialized AL facility, dementia patients at home were younger, less cognitively impaired, and less likely to exhibit wandering, delusions, or aggression. Residents of a dementia‐specialized nursing home had more cognitive impairment, greater medical comorbidity, and were more dependent on caregivers. The 2‐year mortality rate in the dementia‐specialized AL was 23%, significantly lower than rates reported for nursing homes. Primarily due to increasing care needs, most residents in the specialized AL relocated to a nursing home after a median stay of 10.9 months. Depression, falling, and wandering were significant predictors of the transition. Conclusion Dementia‐specialized AL facilities occupy a unique position in the long‐term care continuum that is distinct from home‐care and nursing home facilities. This research is the first step toward understanding the significant dementia population residing in assisted living. Copyright © 2000 John Wiley & Sons, Ltd.