Outcomes Research on Alternatives
Brawley, Elizabeth C., Kleyman, Paul, Aging Today
Although culture-change outcomes research is still very limited, the information currently available is promising. For example, Providence Mount St. Vincent in Seattle, Wash., was one of the first in 1994 to institute what are called neighborhoods, areas in a home that serve small groups of up to 15 residents with their own living and dining rooms and consistent staffing.
The evaluation of the Providence program showed an 1 1% reduction in routine medication utilization, a 40% reduction in the use of medication for bowel management, a 100% reduction in antianxiety medications, a 100% reduction in antipsychotic medications, a 100% reduction in sedative hypnotics, a 50% increase in resident activity levels, and a more than 100% increase in social interaction.
In 2OOO, a report by the Institute for Quality Improvement in Long Term Health Care cited a 33% reduction in the use of PRN (as needed) anxiolytics and antidepressants in nursing homes incorporating The Eden Alternative model. The institute also recorded a 44% decrease in staff absenteeism and a 60% reduction of in-house pressure wounds. …