AGING IN PLACE AND OPTIONS FOR PRACTICAL ALTERNATIVES John (Jay) T. White Director of Professional and Community Developme...
LIMITATIONS OVER ENHANCEMENT ●  16,100 nursing homes in the US with 1.5 million residents (86%) occupancy.  5% of the curr...
GREEN  HOUSE MOVEMENT <ul><li>Eden Alternative Principles  (edenalt.org) </li></ul><ul><li>8-12 units  </li></ul><ul><li>C...
EDEN ALTERNATIVE PRINCIPLES
MEDCOTTAGE <ul><li>Virginia Initiative (HB 1307 in 2010 VA General Assembly Session).  </li></ul><ul><li>Economic Developm...
HOUSE BILL 1307 <ul><li>Zoning provisions for temporary family healthcare structures.  Provides that zoning ordinances for...
NORCS NATURALLY OCCURRING RETIREMENT COMMUNITIES  <ul><li>Density of Population </li></ul><ul><li>Anti-suburbanization </l...
UNIVERSAL DESIGN <ul><li>Not necessarily more expensive (1-2% based on slab or crawl space) </li></ul><ul><li>Attitude adj...
ADDITIONAL EXAMPLES
FINAL THOUGHTS <ul><li>$$$$:  Consider the cost of a conventional nursing home @ $2500 - $5000 (and up) per month vs. thes...
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Aging in place

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Presentation made by John (Jay) White (VCU) at the live webinar of June 21, 2011

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  • What we are doing is creating a more diverse menu of living options for older adults. We know that nine in ten older adults want to age in place (AARP, 2000). Here are options in addition to creating a more person centered approach among institutional models. And let me be clear that these are not solutions; just more options. It really is all about the person-environment fit.
  • Eden Alternative: Founder Bill Thomas. Reference back to Sonya’s quote from Maggie Kuhn. Society always wants to build a better mousetrap.
  • These principles really speak to what Sonya was referencing in the origins and objectives of person center care and person centered living.
  • Another example of “the better mousetrap.”
  • The language used to get this bill to pass is a perfect example of the ends justifying the means. What comes across as an initiative to support economic development really is a model of a person centered approach to aging in place.
  • Aging in place

    1. 1. AGING IN PLACE AND OPTIONS FOR PRACTICAL ALTERNATIVES John (Jay) T. White Director of Professional and Community Development Virginia Commonwealth University, Department of Gerontology
    2. 2. LIMITATIONS OVER ENHANCEMENT ● 16,100 nursing homes in the US with 1.5 million residents (86%) occupancy. 5% of the current older adult population…or… Post War Suburbanization
    3. 3. GREEN HOUSE MOVEMENT <ul><li>Eden Alternative Principles (edenalt.org) </li></ul><ul><li>8-12 units </li></ul><ul><li>Common areas with private living quarters </li></ul><ul><li>Focus on “ Be ” over “ Do ” </li></ul><ul><li>Central Kitchen for Olfactory Stimulation </li></ul><ul><li>Eden Alternative Principles </li></ul>
    4. 4. EDEN ALTERNATIVE PRINCIPLES
    5. 5. MEDCOTTAGE <ul><li>Virginia Initiative (HB 1307 in 2010 VA General Assembly Session). </li></ul><ul><li>Economic Development over Aging </li></ul><ul><li>Politics/Zoning Constraints/Granny Cottage </li></ul><ul><li>$2000 per month/lease </li></ul><ul><li>Closer to family without “intruding” </li></ul><ul><li>www.medcottage.com </li></ul>
    6. 6. HOUSE BILL 1307 <ul><li>Zoning provisions for temporary family healthcare structures.  Provides that zoning ordinances for all purposes shall consider temporary family healthcare structures </li></ul><ul><li>for use by a caregiver in providing care for a mentally or physically impaired person and </li></ul><ul><li>on property owned or occupied by the caregiver at his residence as a permitted accessory use in any single-family residential zoning district. Such structures shall not require a special use permit or be subjected to any other local requirements beyond those imposed upon other authorized accessory structures. </li></ul><ul><li>A caregiver shall be either related by blood, marriage, or adoption to or the legally appointed guardian of the mentally or physically impaired person for whom he is caring. </li></ul>
    7. 7. NORCS NATURALLY OCCURRING RETIREMENT COMMUNITIES <ul><li>Density of Population </li></ul><ul><li>Anti-suburbanization </li></ul><ul><li>Barter labor/assistance </li></ul><ul><li>Multi-generational </li></ul><ul><li>Access to existing services </li></ul><ul><li>Need alternative transportation and easy access to goods and services </li></ul>
    8. 8. UNIVERSAL DESIGN <ul><li>Not necessarily more expensive (1-2% based on slab or crawl space) </li></ul><ul><li>Attitude adjustment (universality vs. individualism) </li></ul><ul><li>Main level MBR (only 36%) </li></ul><ul><li>Zero step entries (only 27%) </li></ul><ul><li>36-42” doors/halls/corridors </li></ul><ul><li>Levered handles </li></ul><ul><li>Harder to retrofit. Build it right the first time! </li></ul>
    9. 9. ADDITIONAL EXAMPLES
    10. 10. FINAL THOUGHTS <ul><li>$$$$: Consider the cost of a conventional nursing home @ $2500 - $5000 (and up) per month vs. these alternatives. But also consider the cost of caregiver hours! </li></ul><ul><li>Society Attitude Change: </li></ul><ul><ul><li>“ I don’t want all of these old people in my backyard! ” </li></ul></ul><ul><li>Zoning Challenges: See above </li></ul><ul><li>Sustainability : </li></ul><ul><ul><li>How do we sustain these models for “Aging in Place”? </li></ul></ul><ul><ul><li>How do we allow older adults to age among friends and in communities of their choice? </li></ul></ul><ul><li>Models: </li></ul><ul><ul><li>Cross Ridge in Richmond </li></ul></ul><ul><ul><li>Jefferson Area Board of Aging in Charlottesville </li></ul></ul>

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