Assisted Living Pilot Program: Health outcomes

Susan C. Hedrick, Marylou Guihan, Michael K. Chapko, Jean Sullivan, Xiao Hua Zhou, Larry M. Manheim, Christopher W. Forsberg, Floss J. Mambourg

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objectives: Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method: This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results: A total of 19.8% residents died, and the average activities of daily living impairment did not change significantly. Half of the residents remained in an ALPP facility, with the average resident spending 315 days in the community during the 12-month follow-up period. This article found a limited number of characteristics of structure and staffing to be significantly associated with outcomes. Discussion: If differences among facility characteristics are not clearly related to differences in outcomes, then choices among type of setting can be based on the match of needs to available services, location, or preferences.

Original languageEnglish (US)
Pages (from-to)190-207
Number of pages18
JournalJournal of aging and health
Issue number1
StatePublished - Feb 2009


  • Assisted living
  • Long-term care
  • Longitudinal design
  • Outcomes
  • Residential care facilities

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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