Observations on Institutional Long-Term Care in Ontario: 1996–2002

2005 ◽  
Vol 24 (1) ◽  
pp. 71-84 ◽  
Author(s):  
Whitney Berta ◽  
Audrey Laporte ◽  
Vivian Valdmanis
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Staff ◽  
Term Care ◽  
Non Profit ◽  
Residential Care Facilities ◽  
For Profit ◽  
Staffing Levels ◽  
Extended Care

ABSTRACTWe provide descriptive statistics for data collected via the Residential Care Facilities Survey (RCFS), from long-term care (LTC) facilities operating in Ontario between 1996 and 2002. The LTC sector in Ontario is dominated by large, proprietary for-profit facilities. The proportion of residents receiving extended care has increased from 53 per cent in 1996 to over 61 per cent in 2002. Government-owned facilities are significantly larger than both for-profit proprietary facilities and lay non-profit facilities. Religious and lay non-profit facilities provide care to more residents 85 years of age and older than do for-profit and government-owned facilities, while government-owned facilities provide care to a greater proportion of higher needs residents. Government-owned facilities have higher nursing intensity levels and higher direct care staffing levels than other ownership types, while for-profit facilities have significantly lower levels than other facility types. Non-profit operators have higher ratios of administrative to care staff than proprietary and government-owned facilities.

scholarly journals Adaptations for TAP in a Long-Term Care Setting

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 631-631
Author(s):  
Katherine Marx ◽  
Lauren Parker ◽  
Laura Gitlin
Keyword(s):  
Behavioral Interventions ◽  
Long Term Care ◽  
Clinical Symptoms ◽  
Functional Decline ◽  
Care Facility ◽  
Direct Care ◽  
Care Staff ◽  
Term Care ◽  
Long Term Care Facility

Abstract One of the most difficult aspects of caring for people living with dementia is managing neuropsychologic symptoms and functional decline. Although there are hundreds of efficacious non-pharmacologic interventions tested in homes, few are adapted for and tested in long-term care. The purpose of this pilot study was to identify the adaptations needed for the Tailored Activity Program (TAP) to make it feasible and acceptable in a long-term care facility. TAP provides tailored activities matched to interests and abilities to address dementia-related clinical symptoms. Two sites, under the umbrella of one company, participated. A total of five persons living with dementia, their family caregivers, two direct care staff and an interventionist participated, and occupational therapist who contracts with the site on a regular basis. Adaptations included shorter sessions and changes to forms to fit with workflows and documentation. Additional considerations challenging implementation of TAP included staff turn-over and training. Part of a symposium sponsored by the Behavioral Interventions for Older Adults Interest Group.

scholarly journals Leadership for quality in long-term care

2021 ◽  
pp. 084047042110407
Author(s):  
Ivy L. Bourgeault ◽  
Tamara Daly ◽  
Catherine Aubrecht ◽  
Pat Armstrong ◽  
Hugh Armstrong ◽  
...  
Keyword(s):  
Long Term Care ◽  
Point Of Care ◽  
Methodological Approach ◽  
Care Staff ◽  
High Quality ◽  
Term Care ◽  
Leadership Standards ◽  
Non Profit ◽  
Post Hoc

Leadership in long-term care is a burgeoning field of research, particularly that which is focused on enabling point of care staff to provide high-quality and responsive healthcare. In this article, we focus on the relatively important role that leadership plays in enabling the conditions for high-quality long-term care. Our methodological approach involved a rapid in-depth ethnography undertaken by an interdisciplinary team across eight public and non-profit long-term care homes in Canada, where we conducted over 1,000 hours of observations and 275 formal and informal interviews with managers, staff, residents, family members and volunteers. Guiding our analysis post hoc is the LEADS in a Caring Environment framework. We mapped key promising leadership practices identified by our analysis and discuss how these can inform the development of leadership standards across staff and management in long-term care.

Push Forces on Vinyl and Carpet for Conventional Wheeled and Motor-Driven Floor-Based Lifts among Direct Care Staff in Long-Term Care

2015 ◽  
Vol 59 (1) ◽  
pp. 1257-1257
Author(s):  
Alexandra M.B. Korall ◽  
Chantelle C. Lachance ◽  
Colin M. Russell ◽  
Shannon I. Johnson ◽  
Fabio Feldman ◽  
...  
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Term Care

scholarly journals MEDICAID MANAGED LONG-TERM CARE PROGRAMS VS. THE TRADITIONAL MODEL: COMPARATIVE COSTS AND OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S229-S229
Author(s):  
Larry Polivka
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
The State ◽  
Current Status ◽  
Term Care ◽  
Profit Model ◽  
Non Profit ◽  
For Profit

Abstract Several states have adopted Medicaid Managed Long-Term Care (MLTC) programs over the last several years. At this point at least 30 states are either administering such models or have plans to in the near future. We do not, however, know much yet about the relative cost-effectiveness of the MLTC model when compared to the traditional non-profit model of Medicaid LTC. Is the for-profit MLTC model actually generating savings in the Medicaid program while improving the quality of care? This symposia is designed to address the question through three presentations on experiences with MLTC programs in the states of Ohio, Texas and Pennsylvania and a fourth presentation offering a national overview and critique of Medicaid MLTC in comparison to the traditional Medicaid LTC program still administered through non-profit Aging Network organizations. The state focused presentations describe the current status and results of MLTC in three states that vary in their specific features, extent of formal accountability for outcomes and the political contexts in which the programs currently function. The presentations also include discussions of the implications of each states experiences for the future of Medicaid LTC policy at the state and federal levels. The fourth presentation is a critical analysis of the main differences between the traditional non-profit model of Medicaid LTC services and the for-profit MLTC programs in terms of commonly accepted criteria of cost-effective LTC services, such as access, quality of care and per-person costs and differences in the roles of advocacy and accountability.

scholarly journals Critical Contextual Elements in Facilitating and Achieving Success with a Person-Centred Care Intervention to Support Antipsychotic Deprescribing for Older People in Long-Term Care

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Lynn Chenoweth ◽  
Tiffany Jessop ◽  
Fleur Harrison ◽  
Monica Cations ◽  
Janet Cook ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Direct Care ◽  
Care Staff ◽  
Care Homes ◽  
Term Care ◽  
Train The Trainer ◽  
People With Dementia ◽  
Contextual Elements

Antipsychotic and other tranquilising medicines are prescribed to help care staff manages behaviour in one-quarter of older people living in Australian long-term care homes. While these medicines pose significant health risks, particularly for people with dementia, reliance on their use occurs when staff are not educated to respond to resident behaviour using nonpharmacological approaches. The Halting Antipsychotic use in Long-Term care (HALT) single-arm study was undertaken to address this issue with 139 people 60 years and over with behaviours of concern for staff living in 24 care homes. A train-the-trainer approach delivered person-centred care education and support for 22 HALT (nurse) champions and 135 direct care staff, dementia management education for visiting general practitioners (GP) and pharmacists, use of an individualised deprescribing protocol for residents, and awareness-raising for the resident’s family. The HALT champions completed open-ended questionnaires and semistructured interviews to identify the contextual elements they considered most critical to facilitating, educating care staff, and achieving success with the study intervention. They reported that person-centred approaches helped care staff to respond proactively to resident behaviours in the absence of antipsychotic medicines; the champions considered that this required strong managerial support, champion empowerment to lead change, reeducation of care staff, and the cooperation of families and GPs.

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