n a study of residents of Assisted Living Facilities (ALFs) in Los Angeles showed that 65% had clinically significant sleeping problems and that poor sleep was associated with declining quality of life and increased depression over a six month follow-up period. This study is published today in the Journal of the American Geriatrics Society.
Older people increasingly reside in ALFs when they are unable to live independently, but do not require nursing home level care. The specific services offered vary, but typically include congregate meals, housekeeping, and personal care assistance. Compared to nursing home residents, ALF residents typically function more independently and have greater autonomy in their daily living. Estimates of the number of ALFs vary based on how facilities are defined, ranging from 11,500 to 50,000 facilities in the USA with residents in the region of 611,000 to over one million. Evidence suggests that ALF residents are at a very vulnerable period in their lives, with a high risk for further functional decline and subsequent nursing home placement.