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Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Adult Foster Homes

  • Cari LevyEmail author
  • Paula Carder
  • Leah Haverhals
Living reference work entry
DOI: http://doi.org/10.1007/978-3-319-69892-2_295-1

Synonyms

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

365体育网站Some states limit AFH services to meals, social activities, and assistance with basic needs like laundry and housekeeping. Others...

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References

  1. 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
  2. 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. . Accessed 1 Oct 2018
  3. 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. . Accessed 1 Oct 2018
  4. 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
  5. 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
  6. 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.  
  7. 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.  
  8. 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.  
  9. 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.  
  10. Mollica R, Booth M, Gray C et al (2008) Adult foster care: a resource for older adults. Rutgers Center for State Health Policy. . Accessed 1 Oct 2018
  11. Oregon Department of Human Services (2018) Rate schedule. . Accessed 1 Oct 2018
  12. U.S. Department of Veterans Affairs (2018) National Medical Foster Home dashboard data. Unpublished internal document
  13. Veterans Health Administration Office of Geriatrics and Extended Care Operations (2017) VHA Directive 1141.02 Medical Foster home program procedures
  14. 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.  

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.VA Eastern Colorado Health Care SystemAuroraUSA
  2. 2.OHSU-PSU School of Public HealthPortlandUSA

Section editors and affiliations

  • Xiaoling Xiang
    • 1
  • Emily Nicklett
    • 2
  1. 1.School of Social WorkUniversity of MichiganAnn ArborUSA
  2. 2.School of Social WorkUniversity of MichiganAnn ArborUSA