Housing Design for an Increasingly Older Population

Housing Design for an Increasingly Older Population

Author: Victor Regnier

Publisher: John Wiley & Sons

Published: 2018-09-12

Total Pages: 336

ISBN-13: 1119180031

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“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.


Aging in Place

Aging in Place

Author: Leon A Pastalan

Publisher: Routledge

Published: 2013-10-31

Total Pages: 150

ISBN-13: 1317839447

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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.


Design for Assisted Living

Design for Assisted Living

Author: Victor Regnier

Publisher: John Wiley & Sons

Published: 2003-02-28

Total Pages: 362

ISBN-13: 0471266477

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Destined to become the defining work on the subject, this timely reference addresses the single fastest growing segment of the senior living industry -- assisted living for those who are unable to live independently but who do not need intensive nursing home care, meals, housekeeping, or twenty-four hour access to medical assistance. Victor Regnier?s visually rich guide includes dozens of design solutions from successful assisted living facilities along with fifteen case studies from the U.S. and Europe. The book also covers recent developments in the industry including major changes in financing, growth of dementia, and interest in aging-in-place. All in all, this is the most comprehensive guide to assisted living design that you'll find in any single volume.


Assisted Living

Assisted Living

Author: Sheryl Zimmerman

Publisher: JHU Press

Published: 2001-11-30

Total Pages: 365

ISBN-13: 0801877210

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With the number of elderly persons needing long-term care expected to double to 14 million over the next two decades, assisted living has become the popular choice for housing or care. Assisted living represents a promising model of long-term care that blurs the sharp distinction between nursing homes and community-based care and reduces the gap between receiving long-term care in one's own home and in an "institution." Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly examines the evolving field of residential care and focuses on national issues of regulation, reimbursement, and staffing. The book is based on a four-state study of assisted living facilities and describes the facilities, the persons residing in them and their needs, and how the services vary by facility. Because one-third to two-thirds of residents in assisted living facilities have cognitive impairment, special attention is devoted to dementia care. The book also focuses on how today's long-term health care environment evolved, and it examines the future direction and implications of assisted living. Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly brings together a group of nationally recognized experts to help define the types of residential care that should be encouraged and sets guidelines for selecting an appropriate type of facility.


Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults

Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-08

Total Pages: 109

ISBN-13: 030945980X

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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.


Caring for Our Parents

Caring for Our Parents

Author: Howard Gleckman

Publisher: Macmillan + ORM

Published: 2009-05-26

Total Pages: 318

ISBN-13: 1429988304

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When his mother-in-law died suddenly and his seriously ill father-in-law was left with no one to care for him, the author and his wife were thrust into the complex and overwhelming world of long-term care. Just months later his own father fell sick, and the couple struggled to help care for him too—from 1000 miles away. Over the next year-and-a-half, this ordinary family faced one crisis after another, as each day brought new struggle and pain, but also surprising rewards. They were among the 44 million Americans who are caring for elderly parents or relatives or friends with disabilities. Someone you love will almost certainly need long-term care services before they die. Nearly 70 percent of our parents will receive such help sometime during their old age—usually at home, though often in a nursing home. It will last for an average of three years, though one in five will need this assistance for five years or more. This book tells the sometimes painful, sometimes uplifting, and always compelling stories of the families who struggle every day with the care needs of their loved ones. The costs are crushing: and the weight of 77 million aging Baby Boomers will devastate our nation's already fragile system for funding this critical day-to-day assistance. How can we repair the tattered safety net that is so essential to our aged and disabled?