The RCFE Challenge

March 19, 2013
by Ricky

Just got done with my 2-week Leadership Externship. I got to split my time between 2 assisted living companies. One company operates 2, 6-bed homes; and the other runs a campus with capacity/licensure for 86 residents. The technical name for places like these is Residential Care Facilities for the Elderly (RCFEs). If you aren’t really familiar with the different residential settings that are available for older adults, you may think of an RCFE as a convalescent or nursing home, but sometimes these names get jumbled. The best way to think of them is to picture a continuum of assistance/care provided: at one end you will see places that provide little to no care, and at the other end you will find places that offer complete care (like feeding or even managing life-supporting apparatuses). RCFEs are [supposed to be] in the middle of this continuum, offering some support/care. I was really surprised to observe, however, that RCFEs will pretty much accommodate anybody over the age of 60. With the baby-boomer generation coming of age, I recognized the increasing demand for RCFEs. As a future OT, with an administrative background, I know that this industry holds great opportunity for OT; so I had to check it out. I spent a better part of my time following the administrators around as they managed the day-to-day functions. It was so interesting to get a peek into the thought processes of the people making the tough business decisions at these RCFEs. Both places offered memory-care, which is what they call the level of care provided to people with Alzhiemer’s and other diagnoses that manifest into dementia. It was neat to see the level of care provided to these residents. I also had a chance to educate the administrators on the value of OT — after providing one of the administrators with an overview of what we did, and what we could do for his residents, he seemed very perplexed as to why (to his knowledge) none of his 86 residents were receiving OT. I was surprised too. The fact is: we have the skills that RCFEs desperately need, and we are desperately underrepresented in the industry. There are quite a few reasons behind our being left out of RCFEs, but that makes for a whole series of blog entries, so I’ll spare ya’ll. Bottom line: RCFEs need OT, and OT needs some strong advocates . . . are you up for the challenge?

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