Managing the Care Needs of Low-Income Board-and-Care Home Residents

A Process of Negotiating Risks

Datos Bibliográficos

ID5454753
AutoresMolly M Perkins (0000-0001-5993-8712, Gerontology Institute, Georgia State University, Atlanta,, autor de correspondencia), Mary M Ball (Gerontology Institute, Georgia State University, Atlanta), Frank J Whittington (Gerontology Institute, Georgia State University, Atlanta), Bess L Combs (Gerontology Institute at Georgia State University, Atlanta)
Año2004
Volumen14
Número4
Páginas478-495
Fecha de publicación2004-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaQualitative Health Research (JOURNAL)
Identificadores de la revistaISSN: 1049-7323 • E-ISSN: 1552-7557
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732303262619
PMID15068575
OpenAlexW2168650880
IdiomaEN
Citas recibidas6
Referencias citadas21

Small, low-income board-and-care homes play a critical role in the long-term care system, serving a variety of at-risk groups, including chronically mentally ill individuals, frail elders, and developmentally disabled adults. Unfortunately, the supply of homes available to serve these populations is decreasing. The purpose of this study, based on an in-depth ethnographic case study of one small (13-bed) African American-owned and -operated home in metropolitan Atlanta, was to understand how and why some homes continue to operate despite significant challenges. Grounded theory analysis showed that the survival of this home and residents' ability to remain in it involved a basic social process conceptualized as Negotiating Risks. This survival process often put participants at risk of losing their means of subsistence. Community support emerged as an important protective factor. Findings have implications for community interventions to increase these homes' survival and improve resident care

Atlanta · Business · Geography · Grounded theory · Metropolitan area · Negotiation · Psychological intervention · Qualitative research · Sociology · Subsistence agriculture · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology · Gerontology