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'''Residential care''' refers to long-term care given to adults or children who stay in a residential setting rather than in their own home or family home.

{{Short description|Long-term care provided in a non-home based residential place}}

{{Living spaces|expanded=Other}}

'''Residential care''' refers to [[long-term care]] given to adults or children who stay in a residential setting rather than in their own home or family home.



There are various residential care options available, depending on the needs of the individual. People with disabilities, mental health problems, [[Intellectual disability]], [[Alzheimer's disease]], [[dementia]] or who are frail aged are often cared for at home by paid or [[voluntary caregiver]]s, such as family and friends, with additional support from [[home care]] agencies. However, if home-based care is not available or not appropriate for the individual, residential care may be required.

There are various residential care options available, depending on the needs of the individual. People with disabilities, mental health problems, learning difficulties, Alzheimer's disease, dementia or who are frail aged are often cared for at home by paid or [[voluntary caregiver]]s, such as family and friends, with additional support from [[home care]] agencies. However, if [[home care|home-based care]] is not available or not appropriate for the individual, residential care may be required.



== Child care ==

== Child care ==

Children may be removed from abusive or unfit homes by government action, or they may be placed in various types of out-of-home care by parents who are unable to care for them or their special needs. In most jurisdictions the child is removed from the home only as a last resort, for their own safety and well-being or the safety or others, since out-of-home care is regarded as very disruptive to the child. They are moved to a place called a [[foster home]].<ref>[http://www.carseyinstitute.unh.edu/publications/FS_Mattingly_Out-of_Home.pdf M. Mattingly et al., ''Out-of-home care by state and place,'' Carsey Institute, Spring 2010]</ref>

Children may be removed from abusive or unfit homes by government action, or they may be placed in various types of out-of-home care by parents who are unable to care for them or their special needs. In most jurisdictions the child is removed from the home only as a last resort, for their own safety and well-being or the safety or others, since out-of-home care is regarded as very disruptive to the child. They are moved to a place called a foster home.<ref>[http://www.carseyinstitute.unh.edu/publications/FS_Mattingly_Out-of_Home.pdf M. Mattingly et al., ''Out-of-home care by state and place,'' Carsey Institute, Spring 2010]</ref>



=== Residential schools ===

=== Residential schools ===

A residential school is a school in which children generally stay 24 hours per day, 7 days per week (often called a [[boarding school]]). There is divided opinion about whether this type of schooling is beneficial for children. A case for residential special schooling has been advanced in the article: Residential special schooling: the inclusive option! in the ''Scottish Journal of Residential Child Care'', Volume 3(2), 17–32, 2004 by Robin Jackson.<ref name=":0">[https://books.google.com/books?id=jqQLA4LTWDAC&q=disabled+child+residential&pg=PP1 Kendrick, Andrew, ''Residential child care: prospects and challenges'', Jessica Kingsley Publishers, London, 2008], {{ISBN|978-1-84310-526-8}}, page 7</ref>

A residential school is a school in which children generally stay 24 hours per day, 7 days per week (often called a [[boarding school]]). There is divided opinion about whether this type of schooling is beneficial for children. A case for residential special schooling has been advanced in the article: Residential special schooling: the inclusive option! in the ''Scottish Journal of Residential Child Care'', Volume 3(2), 17-32, 2004 by Robin Jackson.<ref name=":0">[https://books.google.com/books?hl=en&lr=&id=jqQLA4LTWDAC&oi=fnd&pg=PP1&dq=disabled+child+residential&ots=-109duYrrl&sig=k6O2sgPgshiSefwMFlj5kV-3xWE#v=onepage&q=disabled%20child%20residential&f=false Kendrick, Andrew, ''Residential child care: prospects and challenges'', Jessica Kingsley Publishers, London, 2008], {{ISBN|978-1-84310-526-8}}, page 7</ref>



=== Residential child care ===

=== Residential Child Care ===

This type of out-of-home care is for [[orphans]], or for children whose parents cannot or will not look after them. Orphaned, abandoned or high risk young people may live in small self-contained units established as home environments, for example within [[Residential Child Care Community|residential child care communities]]. Young people in this care are, if removed from home involuntarily, subject to government departmental evaluations that include progressions within health, education, social presentations, family networks and others. These are referred to as life domains within the charter of Looking after Children (LAC). Recent trends have favored placement of children in foster care rather than residential settings, partially for financial reasons, but a 1998 survey found that a majority of out-of-home children surveyed preferred residential or group homes over foster care.<ref name=":0" />

This type of out-of-home care is for [[orphans]], or for children whose parents cannot or will not look after them. Orphaned, abandoned or high risk young people may live in small self-contained units established as home environments, for example within [[Residential Child Care Community|residential child care communities]]. Young people in this care are, if removed from home involuntarily, subject to government departmental evaluations that include progressions within health, education, social presentations, family networks and others. These are referred to as life domains within the charter of Looking after Children (LAC). Recent trends have favored placement of children in foster care rather than residential settings, partially for financial reasons, but a 1998 survey found that a majority of out-of-home children surveyed preferred residential or group homes over foster care.<ref name=":0" />



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=== Adult disability care ===

=== Adult disability care ===

Adults may take a placeinan adult residential facility because of a disability, often a mental disability such as [[Down syndrome]] or [[Autism]], which can make them unable to care for their daily needs.<ref>[http://www.dss.cahwnet.gov/cdssweb/PG66.htm Department of Social Services, State of California]</ref>

Adults may be placedinAdult Residential Facilities because of a disability, often a mental disability such as [[Down syndrome]] or [[Autism]], which makes them unable to care for their daily needs.<ref>[http://www.dss.cahwnet.gov/cdssweb/PG66.htm Department of Social Services, State of California]</ref>



=== Geriatric care ===

=== Geriatric care ===

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[[Nursing home]]s, also known as rest homes or skilled nursing facilities, are intended for people who need ongoing medical care as well as help with daily activities. Nursing home populations have been decreasing in the United States, despite the increase in the elderly population, because of the increasing availability of other options such as assisted living.<ref>[http://seniorhousingnews.com/2011/08/10/shift-away-from-nursing-care-reveals-challenges/ Senior Housing News, August 10, 2011]</ref>

[[Nursing home]]s, also known as rest homes or skilled nursing facilities, are intended for people who need ongoing medical care as well as help with daily activities. Nursing home populations have been decreasing in the United States, despite the increase in the elderly population, because of the increasing availability of other options such as assisted living.<ref>[http://seniorhousingnews.com/2011/08/10/shift-away-from-nursing-care-reveals-challenges/ Senior Housing News, August 10, 2011]</ref>



[[Continuing care]] retirement communities provide several types of care - typically independent living, assisted living, and skilled nursing - in one location, with the resident being able to move from one level of to another as their needs dictate.<ref>[http://www.medicare.gov/publications/pubs/pdf/02174.pdf ''Your guide to choosing a nursing home,'' Centers for Medicare and Medicaid Services, page 12] {{webarchive|url=https://web.archive.org/web/20100617123333/http://www.medicare.gov/publications/pubs/pdf/02174.pdf |date=2010-06-17 }}</ref> This is often referred to as 'Aging in Place'.

[[Continuing care]] retirement communities provide several types of care - typically independent living, assisted living, and skilled nursing - in one location, with the resident being able to move from one level of to another as their needs dictate.<ref>[http://www.medicare.gov/publications/pubs/pdf/02174.pdf ''Your guide to choosing a nursing home,'' Centers for Medicare and Medicaid Services, page 12] {{webarchive|url=https://web.archive.org/web/20100617123333/http://www.medicare.gov/publications/pubs/pdf/02174.pdf |date=2010-06-17 }}</ref> This is often referred to as 'Ageing in Place'.



=== Hospice care ===

=== Hospice care ===

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=== Rehabilitation unit care ===

=== Rehabilitation unit care ===

People who are addicted to drugs or alcohol may be voluntarily or involuntarily admitted to a residential [[Drug rehabilitation|rehabilitation]] facility for treatment. Prescribed drugs are sometimes used to get people off illegal or addictive drugs, and to prevent the withdrawal symptoms of such drugs. The length of stay may be determined by the patient's needs or by external factors. In many cases the patient's insurance will cover such treatment in private facilities for only a limited period of time, and public rehabilitation facilities often have long waiting lists.<ref>[http://content.healthaffairs.org/content/11/3/137.full.pdf Rogowski, J.A., ''Insurance coverage for drug abuse,'' Health Affairs, Fall 1992]</ref>

People who are addicted to drugs or alcohol may be voluntarily or involuntarily admitted to a [[Drug rehabilitation|residential facility]] for treatment. Prescribed drugs are sometimes used to get people off illegal or addictive drugs, and to prevent the withdrawal symptoms of such drugs. The length of stay may be determined by the patient's needs or by external factors. In many cases the patient's insurance will cover such treatment in private facilities for only a limited period of time, and public rehabilitation facilities often have long waiting lists.<ref>[http://content.healthaffairs.org/content/11/3/137.full.pdf Rogowski, J.A., ''Insurance coverage for drug abuse,'' Health Affairs, Fall 1992]</ref>



== Levels of care ==

== Levels of care ==

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* [[Residential Child Care Community]]

* [[Residential Child Care Community]]

* [[Teaching-family model]]

* [[Teaching-family model]]

* [[Residential child care community|Congregate Care]]

* [[Congregate care|Congregate Care]]

* [[Cottage Homes]]

* [[Cottage Homes]]

* [[Supported living]]

* [[Supported living]]

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* [[Foster care in the United States|Foster Care in the United States]]

* [[Foster care in the United States|Foster Care in the United States]]

* [[Residential treatment|Residential treatment center]]

* [[Residential treatment|Residential treatment center]]

* [[Group home]]s

* [[Group home|Group homes]]

* [[Independent living]]

* [[Independent living]]

* [[Community integration]]

* [[Community integration]]

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== References ==

== References ==

{{reflist}}

{{reflist}}


==External links==

* [https://www.youtube.com/watch?v=UciTFCPCivI The Thin Edge of Dignity] - a man's experience in an assisted living facility



{{Care navbox}}

{{Care navbox}}

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