Abstract
Long-term care in nursing homes needs a therapeutic, not a custodial, focus. Given that many such institutions are custodial, how can the orientation be changed? Transforming the environment of a nursing home is not merely a pipe dream--it has been successfully accomplished. The founders of one such project have written a book that charts their program's development, providing ten principles as guidelines. Jona's special consultant in Extended and Long-Term Care Administration presents these principles, along with a commentary on each, in the hope that nursing administrators in long-term care will find the book an invaluable guide for improving care of the aged.
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