Definition
Adult foster homes (AFH) are a type of residential long-term care available throughout the United States. An AFH is a private residence where the owner or a paid caregiver lives with a small number of residents, usually fewer than six, who receive personal care, social/recreational activities, and health oversight.
Overview
Many of these homes serve older adults with physical disabilities, including those with cognitive impairment. Most states (38) license AFHs (Carder et al. 2015), though the definition, capacity, types of services, and staffing requirements vary. AFHs might be purpose-built, but more often are converted single-family residences (Folkemer et al. 1996; Mollica et al. 2008).
Examples of Application
AFH in Oregon
Some states limit AFH services to meals, social activities, and assistance with basic needs like laundry and housekeeping. Others...
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References
Carder PC, Morgan LM, Eckert JK (2008) The fragile future of small board-and-care homes. In: Golant S, Hyde J (eds) The assisted living residence: a vision for the future. Johns Hopkins University Press, Baltimore, pp 143–166
Carder PC, O’Keeffe J, O’Keeffe C (2015) Compendium of residential care and assisted living regulations and policy. U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation. https://aspe.hhs.gov/basic-report/compendium-residential-care-and-assisted-living-regulations-and-policy-2015-edition. Accessed 1 Oct 2018
Carder PC, Tunalilar O, Elliott S et al (2018) Oregon resident and community characteristics report – assisted living, residential care, memory care, 2017. Report submitted to Oregon Department of Human Services. https://www.pdx.edu/ioa/sites/www.pdx.edu.ioa/files/Media%20Root/2018_CBC_AL.RC_.MC_REPORT.pdf. Accessed 1 Oct 2018
Denham AC (2018) Community care alternatives for older adults. In: Daaleman T, Helton M (eds) Chronic illness care. Springer International Publishing, Cham, pp 259–270
Folkemer D, Jensen L, Lipson L et al (1996) Adult foster care for the elderly: a review of state regulatory and funding strategies. AARP Public Policy Institute, Washington, DC
Haverhals LM, Manheim CE, Jones J et al (2017) Launching medical foster home programs: key components to growing this alternative to nursing home placement. J Hous Elder 31(1):1–20. https://doi.org/10.1080/02763893.2016.1268556
Jones J, Haverhals LM, Manheim CE et al (2018) Fostering excellence: an examination of high-enrollment VHA medical foster home programs. Home Health Care Manag Pract 30(1):1–7. https://doi.org/10.1177/1084822317736795
Kane RA, Kane RL, Illston LH et al (1991) Adult foster care for the elderly in Oregon: a mainstream alternative to nursing homes? Am J Public Health 81(9):1113–1120. https://doi.org/10.2105/AJPH.81.9.1113
Levy CR, Jones J, Haverhals LM, Nowels CT (2014) A qualitative evaluation of anew community living model: Medical foster home placement. J Nurs Educ Pract 4(1):162–176. https://doi.org/10.5430/jnep.v4n1p162
Mollica R, Booth M, Gray C et al (2008) Adult foster care: a resource for older adults. Rutgers Center for State Health Policy. http://www.nasuad.org/sites/nasuad/files/hcbs/files/139/6942/AFC_report_for_submission_to_website_6-9-08.doc. Accessed 1 Oct 2018
Oregon Department of Human Services (2018) Rate schedule. https://www.oregon.gov/DHS/PROVIDERS-PARTNERS/LICENSING/AdminAlerts/Medicaid%20Rate%20Changes%20Effective%20July%201%202018%20SUPPLEMENTAL.pdf. Accessed 1 Oct 2018
U.S. Department of Veterans Affairs (2018) National Medical Foster Home dashboard data. Unpublished internal document
Veterans Health Administration Office of Geriatrics and Extended Care Operations (2017) VHA Directive 1141.02 Medical Foster home program procedures
Wyte-Lake T, Claver M, Griffin A et al (2014) The role of the home-based provider in disaster preparedness of a vulnerable population. Gerontology 60(4):336–345. https://doi.org/10.1159/000355660
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Levy, C., Carder, P., Haverhals, L. (2019). Adult Foster Homes. In: Gu, D., Dupre, M. (eds) Encyclopedia of Gerontology and Population Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-69892-2_295-1
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DOI: https://doi.org/10.1007/978-3-319-69892-2_295-1
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