Library

Articles

Nursing homes in state going 'alarm-free,' liking the results(The Day Connecticut)
The Forum, news for nursing facility administrators from the Texas Department of Aging and Disability Services (DADS), Regulatory Services division
Culture change holiday meal tips (PDF format) from the DADS Center for Policy and Innovation
Watch your language: Culture change for the medical record (Long-term Living magazine)

Brochures

Culture Change in Texas Nursing Homes (PDF format), Texas Department of Aging and Disability Services — Culture change is a national movement that aims to de-institutionalize the environment of nursing homes. It involves moving away from the traditional model of care towards a more resident-centered model.

DADS reports

Publications

Culture Change in a For-Profit-Nursing Home Chain: An Evaluation, The Commonwealth Fund — Beverly Healthcare launched a culture change initiative in 2002, called resident-centered care. This report presents findings from a 12-month evaluation of that initiative.
Action Pact Inc. newsletter, August 2007 (PDF format) — This issue includes two successful nursing facility culture change stories from Wisconsin that focus on dining and resident involvement in the hiring process at a nursing home.
The Portal of Geriatric Online Education (POGOE) is an outlet for disseminating quality geriatric educational products. POGOE includes a repository of free materials covering a broad spectrum of content areas for all levels of learners in a variety of media types.
Transforming Long-Term Care: Giving Residents a Place to Call "Home," The Commonwealth Fund — Many Americans dread nursing homes. However, the picture is changing. While many nursing homes still do function like impersonal and regimented institutions, over the last decade, a grassroots movement in long-term care known as "culture change," or "resident-centered care," has begun to spread throughout the country.

Toolkits

Person-Directed Care Toolkit,TMF Health Quality Institute
Artifacts of Culture Change, Centers for Medicare and Medicaid Services, 2006.
Planning Tool for a Person-Direct LIfe-Style, DADS Regulatory Services
Word version | HTML version

Videos

Hand in Hand: A Training Series for Nursing Homes— Person-centered care is an approach to care that focuses on residents as individuals and supports caregivers working most closely with them. It involves a continual process of listening, testing new approaches, and changing routines and organizational approaches in an effort to individualize and de-institutionalize the care environment. Person-centered care, a non-pharmacological intervention, is the central theme of the Hand in Hand training. Training materials consist of an orientation guide and six 1-hour video-based modules (each module has a DVD and instructor guide). While annual training for nurse aides on dementia care and abuse prevention is required in current nursing home regulations, it does not require nursing homes to use Hand in Hand specifically as a training tool. The training series was mailed free to all nursing homes, regional offices and state survey agencies in September 2012.
Direct Support: Working with Older Adults and Individuals with Physical Disabilities — This video shows real direct support workers at work, describing their job duties and talking honestly about the rewards and challenges of their work. Watching this video can help job applicants decide if a direct support position working with older adults and people with physical disabilities is right for them. The total run time is about 20 minutes.
Consistent Assignment in Nursing Homes — A great video about the benefits of consistent assignment produced by the Michigan QIO in collaboration with the Michigan LANE and the Michigan Alliance for Person-centered Communities (the culture change coalition).
The Role of Nursing in the Household Model — In this five minute video, Steven Shields, from Meadowlark Hills, describes the role of nurses in institutional nursing homes and how that role changes in the household model.
Because of You — This video, produced by the Texas Department of Aging and Disability Services , speaks for the people receiving services and expresses their appreciation of being treated with dignity and respect.
Dance Therapy — Dance therapy as a means of intervention for dementia and Alzheimer's disease and special needs children in long-term care communities.
The Sleepover Project — This 25-minute video, presented by David Dillard of D2 Architecture from Dallas Texas, describes an informal research project conducted by his staff. The Sleepover Project examines the "impact of observation and physical experience on design for seniors." Its goal is to "gain insight into the daily lives of aging seniors who reside in assisted living and skilled nursing communities." D2 employees accomplished this project by spending 24 hours in each of 40 facilities and keeping a diary of their experiences.

top of page

Note: By clicking on any links provided here to external sources, you will be leaving the DADS website. Users are responsible for checking the accuracy, completeness, currency and/or suitability of all information on any external sites to which DADS provides links.

Updated: March 26, 2013