Entering a care home can indeed have profound effects on a person's well-being, identity, and sense of self. While some individuals may benefit from increased safety and medical support, a significant body of research and personal testimony highlights the risks of diminished quality of life and psychological harm.
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: Residents often lose control over daily routines, such as when to eat, sleep, or participate in activities. Many describe feeling as though they are living under someone else’s rules, which can erode their sense of independence and dignity123.
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: The structure and schedules of care homes can make it difficult for individuals to make personal decisions, leading to frustration and a sense of helplessness13.
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Increased Loneliness and Isolation: Moving away from familiar environments and community ties can sever important relationships, leading to feelings of isolation and loneliness143.
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: The transition is often accompanied by anxiety, sadness, and, in some cases, clinical depression. The unfamiliar environment, reduced independence, and loss of social connections contribute to these feelings235.
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: Many residents report a decline in their sense of meaning, self-expression, and hope for the future, which can further damage psychological well-being1.
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Strained Family and Social Bonds: Being separated from family and friends can put relationships under strain. Some residents feel embarrassed or reluctant to have visitors, further increasing isolation14.
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: The inability to participate in community life or maintain previous social roles can diminish a person’s sense of belonging and self-worth13.
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: The structured environment and limited opportunities for meaningful engagement can lead to inactivity, which is linked to physical decline and cognitive deterioration35.
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: Poor mental health in care homes is associated with increased risk of physical decline and even higher mortality rates5.
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: Some studies indicate that negative effects—such as loneliness, anxiety, and loss of control—are most pronounced in the initial months after admission and may improve over time as individuals adjust3. However, for many, the loss of independence and connection remains a persistent challenge.
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: For certain populations, such as those with disabilities, the care home environment can feel oppressive and even violate basic human rights by denying autonomy and meaningful participation in life1.
: While care homes can provide essential support and safety, the transition often comes at a significant emotional, psychological, and social cost. The loss of independence, diminished relationships, and threats to personal dignity can greatly diminish and damage a person’s sense of self and overall well-being14235.
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- https://www.bestlawyers.com/article/understanding-the-impact-of-nursing-home/5442
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9826495/
- https://academic.oup.com/fampra/article/36/6/778/5521003
- https://www.nursinghomeabusecenter.com/resources/mental-health-in-nursing-homes/
- https://liddercare.com/the-impact-of-moving-into-a-care-home/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9292794/
- https://www.fremantletrust.org/help-and-advice/when-is-a-care-home-necessary
- https://www.shakerplace.org/news/the-emotional-impact-of-rehabilitation-on-families/
- https://www.downersgrovehc.com/blog/how-senior-care-facilities-address-mental-health-needs-in-older-adults
- https://www.commonwisecare.com/resources/pros-and-cons-of-putting-elderly-parents-in-nursing-homes
- https://academic.oup.com/gerontologist/article/60/8/1504/5863160
- https://pmc.ncbi.nlm.nih.gov/articles/PMC4525699/
- https://www.alzheimers.org.uk/get-support/help-dementia-care/care-homes-who-decides-when
- https://hshlawyers.com/blog/understanding-the-impact-of-nursing-home-negligence-on-mental-health/
- https://novascotia.cmha.ca/wp-content/uploads/2017/12/Mental-health-Issues-in-Long-Term-Care-Homes-booklet.pdf
- https://alzheimer.mb.ca/wp-content/uploads/2019/04/2C-Moving-to-LTC.pdf
- https://www.sciencedirect.com/science/article/pii/S0277953623002988
- https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults
- https://www.tandfonline.com/doi/full/10.1080/13607863.2024.2338204