Centre for Policy on Ageing



Balancing the competing values of freedom and safety in long-term dementia care — the Secured Perimeter Program
Author(s)	Kathleen H Wilber, Jean Machemer
Journal title	Journal of Ethics, Law, and Aging, vol 5, no 2, Fall/Winter 1999
Pages	pp 121-130
Keywords	Dementia ; Safety devices ; Care homes ; Nursing homes ; Long term ; Management [care] ; Social ethics ; United States of America.
Annotation	One of the primary challenges in providing residential care for those with dementia is how to ensure their safety without unduly restricting individual freedom. California's Secured Perimeter Program, an alternative living arrangement for people with dementia, is one approach to balancing autonomy and safety. The Program, which was implemented state-wide in 1996, began with a 6-year pilot project and collaborative efforts of a work group. Based on interviews with administrators of the six original pilot sites as well as archival data, this article provides an overview of the Program's design and lessons learned during the pilot phase. The article also discusses policy and practical issues and the ethics inherent in the paradox of trying to offer a less restrictive care environment by controlling residents' ability to leave. (RH).
Accession Number	CPA-000413211 A
Classmark	EA: OT: KW: LHB: 4Q: QA: TQ: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.