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Utility of the Maryland Assisted Living Functional Assessment Tool
Author(s)Barbara Resnick, Dak Yoo Jung
Journal titleJournal of Housing for the Elderly, vol 20, no 3, 2006
Pagespp 109-121
Sourcehttp://www.tandfonline.com
KeywordsSheltered housing ; Nursing homes ; Self care capacity ; Mobility ; Evaluation ; Longitudinal surveys ; United States of America.
AnnotationThe utility of the Maryland Assisted Living Functional Assessment Tool (MALFA) was considered in terms of predicting successful living in an assisted living facility (ALF). Consideration of this tool's utility was based on the predictive ability of the measure at baseline to explain length of stay and level of care needed for residents (nursing home versus assisted living) over a 5-year period. 76 residents from one ALF in the Baltimore area were tested annually over five years. Those who moved to a nursing home at some point during the five years (47%) had higher mean scores on admission with regard to need for nursing interventions because of cognitive and psychiatric problems or to perform medical treatments. Illness influenced the number of years in assisted living and accounted for 7% of the variance. The assessment tool provides a wealth of information about the resident and can be used to alert providers to consider those with high scores in sub-scales such as need for monitoring of cognitive and psychiatric problems or need for medical treatment in terms of being a risk for nursing home placement. Future work should consider how to optimally use the MALFA in implementing interventions in assistive living that will prevent decline in areas that seem likely to result in a need for a higher level of care. (RH).
Accession NumberCPA-070413010 A
ClassmarkKLA: LHB: CA: C4: 4C: 3J: 7T

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