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Community residential care: Comparison of cognitively impaired and noncognitively impaired residents

Screen Inc., Seattle, Washington

Susan C. Hedrick, PhD

Health Services Research & Development Center of Excellence, VA Puget Sound Health Care System; Department of Health Services, University of Washington, Seattle, Washington

Jean H. Sullivan, BA

Health Services Research & Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington

Shelly L. Gray, PharmD

School of Pharmacy, University of Washington, Seattle, Washington

Anne Sales, PhD, RN

Health Services Research & Development Center of Excellence, VA Puget Sound Health Care System; Department of Health Services, University of Washington, Seattle, Washington

Michael Curtis, PhD

Epidemiology and Evaluation Section, Maternal and Child Health Branch, California Department of Health Services, Sacramento, California

Community residential care (CRC) is growing, with cognitive impairment the most common reason for CRC placement. We enrolled cognitively impaired and noncognitively impaired residents, informal caregivers, and providers in 219 CRC facilities for this study. Residents with cognitive impairment were older (p < .001), needed more activities of daily living (ADL) assistance (p < .001), and had a higher frequency of behavior problems (p < .001) than noncognitively impaired residents. Cognitively impaired and noncognitively impaired residents did not significantly differ in the facility-related factors they perceived as important or in the amount of control they felt they had over the decision to move. Including residents with cognitive impairment in future research and separately analyzing residents by cognitive status will give a more accurate picture of the needs of CRC residents.

Key Words: cognitive impairment • community residential care • Alzheimer's disease • dementia

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 18, No. 4, 240-246 (2003)
DOI: 10.1177/153331750301800413


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