This first section of this paper reviews the literature on the social world of the institutionalized elderly. Social factors contributing to institutionalization are discussed, including the personal and psychological background of residents. Social behavior and the institutional environment are reviewed, focusing on social interactions among…

A review of eight research studies on the question of size in relation to quality of resident life in state institutions is presented. Findings of seven of the studies reviewed showed that there is some advantage to the smaller setting. None showed any advantage to larger institutions. (PHR)

Staff and residents of settings for the aged often hold substantially different views of their shared environment, and the literature suggests that these perceptual discrepancies transcend such factors as degree of institutional totality, quality of care, and differences in personal characteristics among staff and residents. Despite the…