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The growing proportion of older people in Western countries means that the proper provision of suitable care facilities is of increasing importance. This timely new book is based on solid practical research carried out over 12 years in over 300 different establishments, and offers a conceptual framework for evaluating group residences for older adults, and new procedures for measuring their quality. It also proposes guidelines for designing new facilities as well as improving existing facilities.
PART 1: Conceptual Overview and Description of Sample1: A Conceptual Framework for Evaluation1.1: Types of Congregate Living Environments1.2: Historical Overview of Residential Programs1.3: Conceptual Perspectives1.4: The Residential Program1.5: The Book in Brief2: Characteristics of Residential Programs2.1: The Samples of Facilities2.2: The Multiphasic Environmental Assessment Procedure2.3: the Suprapersonal Environment of Residential Settings2.4: Selection and AllocationPART II: Understanding the Program Environment3: Physical and Architectural Features3.1: Assessing Physical and Architectural Features3.2: Physical Features and the Adequacy of Program Implementation3.3: Research and Policy Applications4: Policies and Services4.1: Assessing Policy and Program Resources4.2: Policies, Services, and the Adequacy of Program Implementation4.3: Research and Policy Applications5: Social Climate5.1: Assessing Social Climate5.2: Personal Factors and Environmental Perceptions5.3: Social Climate and the Adequacy of Program Implementation5.4: Research and Policy Applications6: Ownership, Size, and Facility Quality6.1: Ownership and Facility Quality6.2: Proprietary Versus Nonprofit Ownership6.3: Veterans Versus Proprietary and Nonprofit Ownership6.4: Size and Facility Quality6.5: Structural Variables and Facility QualityPART III: Applications for Program Evaluation7: Developing Harmonious, Resident-Directed, and Well-Organized Social Climates7.1: A Model of the Determinants of Social Change7.2: Determinants of Social Climate7.3: Interventions to Improve Social Climate8: Personal Control Policies, Social Climate, and Residents' Adaptation8.1: The Influence of Personal Control Policies and Social Climate8.2: Residents' Aggregate Functional Abilities as a Moderating Factor8.3: The Impact of Policies and Social Climate on Staff Performance8.4: Implications for Intervention and Evaluation9: Residents' Engagement in Activities9.1: Determinants of Activity Involvement9.2: Individual Residents' Activity Levels9.3: Determinants of Individual Residents' Activity Involvement9.4: Residents' Functional Ability as a Moderating Factor9.5: Toward a Theory of Activity Involvement9.6: Implications for Theory and Practice10: Coping with Environmental Change10.1: Assessing the Impact of Building Design10.2: A Person-Environment Congruence Model of Behavior Change10.3: Evaluating the Impact of Programmatic ChangePART IV: Applications for Program Planning and Design11: Resident Preferences and Design Guidelines11.1: Preferences for Physical Design and Policies11.2: Measuring Design and Policy Preferences11.3: Preferences for Physical Features11.4: Preferences for Policies and Services11.5: Congruence Between Actual and Preferred Facilities11.6: Implications for Assessment and Theory12: Implications for Theory and Design12.1: A Model of Resident Adaptation12.2: Implications for Program Evaluation and Design12.3: Future Directions
Gerontologists and other professionals concerned with personal and environmental congruence should find this book of special interest.