Network Variables as Determinants of the Elderly Entering Adult Residential Care Facilities

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Abstract
This research extends the study of social network analysis and labelling theory into the context of adult residential care facilities (ARCFs). Network density, reciprocity, and intensity are hypothesized to explain who labels the frail elderly ‘out of place’ in their homes and refers them to an adult residential care facility. Using data from interviews with 81 new, elderly ARCF residents and 75 of their closest others, logistic regression analyses indicate that network intensity is related to the differential involvement of professionals and informal network members in the ARCF entry process. Findings suggest further research on the networks of the elderly's relatives may explain the role of density in ARCF labelling and referral. Practice implications incorporating a network strategy are addressed.