New approaches to residential continuing care for frail seniors include a s
hift toward more social care models that involve hiring multiskilled worker
s and expectations of family involvement as partners in care. Recall and st
ylized time-use methods were used to assess the types of tasks and amounts
of service provided by family and staff caregivers in three models of care.
Findings are that family members provide about 30 per cent of on-site serv
ices to residents. Family members spend most time in enhancing well-being,
while staff spend most time in housework. Patterns of care differ across Ad
ult Family Living, Assisted Living and Dementia Care settings. Sustainabili
ty of these patterns of care depends upon adequacy of staffing and reasonab
le expectations about family resources.