Abstract
In the past 100 years, institutions providing care to people with Alzheimer's Disease have changed from state mental hospitals, county almshouses, and a smattering of private boarding homes to an industry of more than 16,000 mostly privately owned nursing homes. The story of this change is one of the saddest and most triumphant of the past century. This paper will discuss the evolution of care by examining the intertwining of policy, practice, and theory in shaping the provision of long term care for elders with Alzheimer's Disease. This paper also will identify some of the outstanding contributions made by social workers in this process.