Residential Care for the Elderly: Critical Issues in Public Policy

By Sharon A. Baggette | Go to book overview

CHAPTER 5
The Oregon Experiencee

Like other states, Oregon began to expand its regulation and monitoring of the residential care industry following the passage of the Keys Amendment. Oregon differed from some states, however, in that some expansion of monitoring functions predated the Keys Amendment. The need to comply with the Keys Amendment provided the impetus to develop standards for facilities and care further and provided Oregon a measure by which to compare its previous efforts.

This review of Oregon's experience in residential care used several methods of data collection. Sources include state archival records, individual staff records from state departments, state administrative rules and staff manuals, and interviews with administrators, planners, program supervisors, and staff involved in monitoring residential care facilities or in placing clients in residential care throughout the state.1 Based on this array of information, this chapter analyzes Oregon's experience in implementing the Keys Amendment. This chapter reviews the conceptual issues, the demand and supply factors, the history of residential care definitions and regulations in Oregon, and the current regulatory responses.


CONCEPTUAL ISSUES AND HISTORICAL INFLUENCES: HOUSING OR CARE

Before the late l960s, Oregon had followed the example of the rest of the nation, allowing board and care homes and homes for the aged to operate with little or no regulation. Since the passage of stringent nursing home regulations, these facilities had offered a less expensive alternative to nursing home care and provided (at least in theory) care for a somewhat healthier population who needed only minimal supervision. Between the late 1960s and 1977, "homes for the

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