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Find out how housing options for the elderly are changing—and not always for the better To maintain or improve their quality of life, many seniors in the United States will move to new locations and into new types of housing. Housing for the Elderly addresses the key aspects of the transitions they’ll face, examines how housing programs can help, and looks at the role social workers can play to ensure they remain healthy, happy, and productive as they age. Housing for the Elderly provides the tools to build a comprehensive understanding of how housing is changing to support the growing number of elderly persons in the United States. This unique resource examines a full range of housing options, including assisted-living communities, elder friendly communities, and homelessness; looks at the effects of the Olmstead Decision of 1999, which requires states to place persons with disabilities in community settings rather than in institutions; and summarizes current research on Naturally Occurring Retirement Communities (NORCs). The book also presents a historical perspective of housing issues for the elderly, with a special focus on the discrimination of African-Americans. Topics in Housing for the Elderly include: creating elder friendly communities homelessness among the elderly in Toronto housing disparities for older Puerto Ricans in the United States grandparent caregiver housing programs how the Olmstead Decision affects the elderly, social workers, and health care providers New York State’s experience with NORCs relocation concerns of people living in NORCs the integration of services for the elderly into housing settings-particularly low-income housing moving from a nursing home to an assisted-living facility assisted-living and Medicaid and much more! Housing for the Elderly is an essential resource for social work practitioners, administrators, researchers, and academics who deal with the elderly.
Accessible and affordable housing can enable community living, maximize independence, and promote health for vulnerable populations. However, the United States faces a shortage of affordable and accessible housing for low-income older adults and individuals living with disabilities. This shortage is expected to grow over the coming years given the population shifts leading to greater numbers of older adults and of individuals living with disabilities. Housing is a social determinant of health and has direct effects on health outcomes, but this relationship has not been thoroughly investigated. In December 2016, the National Academies of Sciences, Engineering, and Medicine convened a public workshop to better understand the importance of affordable and accessible housing for older adults and people with disabilities, the barriers to providing this housing, the design principles for making housing accessible for these individuals, and the features of programs and policies that successfully provide affordable and accessible housing that supports community living for older adults and people with disabilities. This publication summarizes the presentations and discussions from the workshop.
Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.
As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?
“Longer lifespans and the needs of the oldest old are challenging the senior living industry to find bold and compassionate solutions to combine programs and services with housing. Victor Regnier's latest research provides a thoughtful and insightful roadmap that arrays new ways of thinking from small-scale settings to community based options. International case studies offer possible solutions with the best thinking from around the globe...all with Vic's unique perspective of extracting themes and concepts that are broadly applicable and essential to addressing the needs of those that live on life's fragile edge.” —David Hoglund, FAIA “Supporting the independence of the oldest-old is a tough problem Victor Regnier addresses in his latest book on aging and housing. Like previous work, Victor relies on the best practices of northern Europeans to outline a three-prong approach. First, providing extremely comprehensive home care services in an "apartment for life" setting. Second, reforming the conventional nursing home by exploring small group style accommodations. Third, combining new technology with community based services to age in place. Case studies document the experiences of others in making these programs work here and abroad. The magnitude of the 90+ and 100+ population increases in the next 50 years make it clear how important it is to address this concern today.” —Edward Steinfeld Darch “The movement of health care from the institution to the home is a theme that Regnier identifies as one of the most important lessons in rethinking the issue of how to support the ever growing and increasingly aged older population here and abroad. He examines simple but profound approaches we can take in making long-term care a more humane proposition. Familiar themes like humanizing technology and optimizing the impact of the natural environment are brought together with clear policy thinking about what we need to do. The timing is good because the impact of this growing segment of society will have major repercussions on health care for the next 50-70 years.” —Stephan Verderber, Ph.D. A comprehensive guide to designing housing for the world’s aging population The dilemma of helping older people maintain their independence through better housing with services is growing. This book presents innovative solutions for those who create and provide housing for the world’s increasingly longer-living population. By focusing on three specific housing and service arrangements, it offers alternatives that provide greater freedom of choice than the current living arrangements that exist today. It presents selected examples of housing and service solutions from the US, Sweden, Denmark and the Netherlands to stimulate thinking about the possibilities of community-based service models. Housing Design for an Increasingly Older Population looks at a trio of options for housing the “oldest-old:” the Dutch Apartment/Condo for Life Model (AFL); decentralized Small/Green Houses; and the provision of enhanced personal and health care for people who want to stay in their own home. It offers unique and eye-opening chapters covering: what older people want; what age changes affect independence; demographics and living arrangements; how long-term care is defined; concepts and objectives for housing the frail; care giving and management practices that avoid an institutional lifestyle; innovative case studies; programs that encourage staying at home with service assistance; therapeutic use of outdoor spaces; how technology will help people stay independent; and more. Based on the author’s numerous conversations with other experts, as well as his examinations of high quality settings from Northern Europe and the US Building case study examples showcase innovative and compassionate solutions In-depth coverage of three major systems that work Examines successful programs such as PACE, Friendly Cities, NORC, and the “Village to Village Network” to demonstrate the progress made in helping older, frail people stay in their own homes for as long as possible Housing Design for an Increasingly Older Population: Redefining Assisted Living for the Mentally and Physically Frail is an important book for those who create, design, and manage assisted living and skilled nursing facilities, as well as for those who set policies regarding health, and personal care for our world’s aging society.
Senior cohousing is an entirely new way for seniors to house themselves with dignity, independence, safety, mutual concern, and fun.Developed with the residents themselves, senior cohousing combines the autonomy of private dwelling with the advantages of shared facilities and community living.Senior cohousing residents live among people with whom they share a common bond of age, experience, and community -a community they themselves built to specifically meet their own needs.Providing a proven, phase-by-phase methodology for creating senior cohousing and an inside look at existing senior cohousing communities -the people, the places - this comprehensive book is for seniors, housing professionals, designers, and anyone seeking appropriate housing alternatives for today's dynamic seniors.Take a moment. Browse through this book. Visit the communities and meet the people who have made the conscious choice to take control of their lives, to live by living independently through community.
In this highly practical volume, the contributing authors explore some of the dimensions associated with aging in place. There are increasing numbers of older Americans who are faced with fundamental changes in their economic circumstances, health, and marital status which have an impact on their ability to age in place. Without the necessary supports many may have no other choice but to be prematurely or inappropriately placed in costly health care facilities or be forced to move into unfamiliar, less safe, less satisfactory housing environments. Aging in Place explores some of the dimensions associated with aging in place and informs readers about unmet needs and available living options for elderly persons. Experts discuss a number of crucial factors regarding the availability of social supports and the impact it has on the independence of the elderly, specifically their living arrangements. They address the issue of control and how access to social contact and real choices about services and facilities increases independence among the elderly; congregate housing as an alternative to nursing care for those elderly too frail for less supportive housing; discharge policies concerning frailty in senior living arrangements; and the lack of a full range of services in many alleged full service communities.
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.