Includes bibliographical references (pages 225-248) and index.
Contents
The Places -- The History of Nursing Homes -- Omnibus Reconciliation Act of 1987 -- Paper, Paper, Paper -- Care Plans -- The New Asylums? -- The Homeless and the Jailed -- Deinstitutionalization and Transinstitutionalization -- What Is a Nursing Home? -- Skilled Nursing Facilities and Intermediate Care Facilities -- Board and Care Facilities -- Section 8 Housing -- Home Care Agencies -- Assisted Living -- Mixed-Level Retirement Communities -- How the Homes Are Paid -- Medicaid and Medicare -- The "Spend Down" -- Long-Term Care Insurance -- Resource Utilization Groups -- Balanced Budget Amendment and Prospective Payment System -- Health Maintenance Organizations -- The Balloon -- Anger at the Nursing Home -- Complaints -- Nursing Home Exposes -- Litigation Against Nursing Homes -- Measuring Quality Of Care -- The People -- The Families -- The Absent Family -- Disputes Among Family Members -- The Difficult Family -- The Staff -- Owners and Administrators -- Nurse Assistants -- The Nurses -- The Doctors -- Other Mental Health Professionals -- The Patients -- Age -- Sex -- Socioeconomic Status -- Psychiatric and Medical Conditions -- Measuring Need for Care -- The Informal Network of Care -- The Road to the Nursing Home -- The Problems -- Psychotropic Drugs -- Surveys -- Backlash -- The Impact of OBRA '87 -- Antipsychotics -- Drugs for Mania -- Antianxiety and Hypnotic Drugs -- Recommendations -- Memory Loss and Confusion -- The Terminology of Dementia -- How Many of the Elderly Are Demented?