Abstract
This article examines the emergence of unlicensed board and care homes as alternative forms of housing arrangements for the elderly in the United States. The care of vulnerable and dependent adults in the private homes of unrelated individuals has a long historical tradition in Europe and the United States. However, unlicensed homes offering board and care have remained largely unnoticed and unexamined. Unlicensed board and care homes are pseudo familial types of residences providing food, shelter, and protective supervision to unrelated adults who are physically or emotionally impaired. Cross-sectional, face-to-face interviews were conducted with 177 caregivers in six counties in a mid-western state. The caregivers were found to provide good care in a social environment with few totalistic features, at a cost significantly below that charged by nursing homes. Moreover, caregivers were genuinely concerned about their residents' physical as well as emotional well-being.
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References Cited
Chappell, N. L. and B. Havens 1985 Who helps the Elderly Persons: A Discussion of Informal and Formal Care. In Social Bonds in Later Life: Aging and Interdependence, W. A. Peterson and J. Quadagno, eds. Beverly Hills, California: Sage Publications, Inc.
Comptroller General 1979 Rental Housing: A National Problem That Needs Immediate Attention. Report to the Congress of the United States. Washington, D.C.: General Accounting Office.
Crutcher, H. B. 1944 Foster Home Care for Mental Patients. New York: Commonwealth Fund.
Eckert, J. K. 1980 The Unseen Elderly. San Diego, California: The Campanile Press.
Eckert, J. K. and M. I. Murrey 1944 Alternative Modes of Living for the Elderly. In Elderly People and the Environment, I. Altaian, M. P. Lawton and J. F. Wohlwill, eds. Volume 7. New York: Plenum Press.
Goffman, E. 1961 Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Doubleday and Co., Inc.
Gruenberg, L. W. 1975 The Massachusetts Department of Public Health Long-Term Care Patients Survey. Unpublished manuscript.
Kilgour, A. J. 1936 Colony Gheel. American Journal of Psychiatry 92:959–965.
Lawton, M. P. 1981 Alternative Housing. Journal of Gerontological Social Work 3: 61–80.
Lawton, M. P. 1985 Housing and Living Environments of Older People. In Handbook of Aging and the Social Sciences, R. H. Binstock and E. Shanas, eds. Second Edition. New York: Van Nostrand Reinhold Co.
Litwak, E. 1985 Helping the Elderly: The Complementarity of Informal Networks and Formal Systems New York: Guilford Press.
McCoin, J. M. 1983 Adult Foster Homes: Their Managers and Residents. New York: Human Sciences Press.
Moore, G. T., K. H. Simmons and M. M. Solsczak 1985 Alternative Housing for Older Adults: A Typology. Paper presented at the Western Gerontological Society Meetings, Denver.
Reichstein, K. J. and L. Bergofsky 1980 Summary Report of the National Survey of State Administered Domiciliary Care Programs in 50 States and the District of Columbia. Unpublished report.
Rosow, I. 1967 Social Integration of the Aged New York: Free Press.
Segal, S. P. and V. Aviram 1978 The Mentally Ill in Community Based Shelter Care: A Study of Community Care and Social Integration. New York: John Wiley.
Select Committee on Aging, House of Representives 1979 Fires in Boarding Houses: the Tip of the Iceberg. Washington, D.C.: U.S. Government Printing Office, Publication Number 96–187.
Sherman, S. R. and E. S. Newman 1977 Foster Family Care for the Elderly in New York State. The Gerontologist 17: 513–520.
Sherman, S. R. and E. S. Newman 1979 Role of the Case Worker in Adult Foster Care. Social Work 24: 324–328.
Sherwood, S. R., V. Mor and C. E. Gutkin 1981 Domiciliary Care Clients and the Facilities in which they Reside. Unpublished report.
Steinhauer, M. B. 1978 Family Home Care Program: A Study of Geriatric Foster Care Services as an Alternative Housing Environment in Illionis. Springfield, Illinois: Illinois Department on Aging.
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This research was supported by the National Institute of Aging, Grant Number AG 04895.
The authors are grateful to Ms. Stephanie Lyon, Research Assistant, for her help in the preparation of this manuscript.
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Eckert, J.K., Namazi, K.H. & Kahana, E. Unlicensed board and care homes: An extra-familial living arrangement for the elderly. J Cross-Cultural Gerontol 2, 377–393 (1987). https://doi.org/10.1007/BF00152902
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DOI: https://doi.org/10.1007/BF00152902