scholarly journals Older Adults with Hoarding Behaviour Aging in Place: Looking to a Collaborative Community-Based Planning Approach for Solutions

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Kyle Y. Whitfield ◽  
Jason S. Daniels ◽  
Keri Flesaker ◽  
Doneka Simmons
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Aging In Place ◽  
Community Support ◽  
Community Response ◽  
Valuable Insight ◽  
Collaborative Community ◽  
Significant Addition ◽  
New Research ◽  
Community Collaborative

This paper reports on and synthesizes new research that examines how a collaborative community response can promote successful aging in place for older adults with hoarding behaviour. Through interviews with older adults with hoarding behaviour, who used a particular community support and a focus group interview with members of the community collaborative that directed supports for this population, our findings suggest that there were valuable outcomes for both groups. These older adults with hoarding behaviour were able to remain in their own homes, their safety was enhanced, their sense of isolation was minimized, empowerment was fostered, and they gained valuable insight into their behaviour. The members of the community collaborative were able to access the expertise of other professionals, maximize their own expertise, and they generated an enhanced understanding of the experience of older adults living with hoarding behaviour in Edmonton. This study is a significant addition to the much too sparse literature about the community planning needs of older adults with hoarding behaviour. It offers knowledge that is integral to theories and principles of better aging in place but attempts to translate this into practice.

scholarly journals Age-Friendly Communities and Aging in Place: Findings From Latent Profile Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 559-560
Author(s):  
Seon Kim ◽  
Kyeongmo Kim ◽  
Junpyo Kim
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Multinomial Logistic Regression ◽  
Aging In Place ◽  
Community Or ◽  
Current Residence ◽  
The Cost ◽  
Latent Profile

Abstract Older adults prefer to live in their current home or community and ‘Aging in place’ has been shown to reduce the cost of caring for older adults and help their successful aging. Although age-friendly communities (AFC) initiatives have been helpful to aging in place, little has been known about the relationship between the types of AFC and aging in place. Using the 2017 AARP Age-Friendly Community Survey, we included 1,079 adults aged 65 or older. We measured aging in place as ‘move to a different community’, ‘move into a different residence within your current community’, and ‘stay in your current residence’, and included eight AFC constructs. We identified the type of AFC using Latent Profile Analysis: low-friendly, mid-friendly, and high-friendly. We also ran multinomial logistic regression to examine whether the types of AFC were associated with aging in place. Of the total participants, 26.0% lived in the low-friendly community, 23.7% in the mid-friendly community, and 50.3% in the high-friendly community. Older adults living in the high-friendly community were more likely to stay in the current residence (64.7%) than those in the low-friendly (47.1%) (χ2=28.680, p<.001). Also, older adults living in the low-friendly community (OR=3.05, p<.001) and the mid-friendly community (OR=1.42, p<.10) were more likely to move to a different community compared to those living in the high-friendly community. This result suggests that it is important to build an AFC to promote aging in place. For the growing number of older adults' lives, policymakers should consider expanding the AFC initiatives.

scholarly journals Helping Fill That Gap: Aging in Place After Disaster Through the Lens of Home-Based Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 248-248
Author(s):  
Sue Anne Bell ◽  
Lydia Krienke ◽  
Raymond DeVries ◽  
Theodore J Iwashyna
Keyword(s):  
Older Adults ◽  
Disaster Response ◽  
Care Delivery ◽  
Aging In Place ◽  
Community Support ◽  
Chronically Ill ◽  
Community Level ◽  
Care Providers ◽  
Home Based ◽  
Home Based Care

Abstract During a disaster, home-based care is intended to continue to function using existing care delivery models. Home-based care providers (HBCP) are often the closest contact with their clients—even during a disaster, seeing them in non-traditional care settings including shelters and hotels. This closeness and commitment to clients, gives HBCP unique insights into strategies to promote aging in place. The purpose of this study was to identify the individual and community-level support needs of older adults after a disaster through the lens of home-based care. Five focus groups were conducted with HBCP (n=27) in two disaster-affected settings: 2017’s Hurricane Irma in Florida and Hurricane Harvey in Texas. Participants were identified by contacting home health agencies listed in an open-source database of agencies receiving Centers for Medicare and Medicaid Services funding. Data was manually coded using an inductive approach and themes were iteratively identified. Forty-nine codes were identified in the preliminary analysis, which were distilled into ten themes describing factors that influence care provision during and after disasters: patient autonomy/dependence, disaster-induced trauma, reluctance to evacuate, chronic disease exacerbation, unpreparedness, systemic inequality, provider preparedness actions, strong sense of community, mistrust of governmental authority, and the uniqueness of the patient and home-based care provider relationship. The perspective offered by HBCP illustrates the complexities of community-level preparedness and informal community support for chronically ill older adults surrounding disasters. Diverse groups involved in aging and disaster response can learn from strategies employed by HBCP during disasters to improve aging in place.

scholarly journals The Intersectionality of Person, Space, and Time for Understanding Aging in Place

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 436-436
Author(s):  
Widya Ramadhani ◽  
Maurita Harris ◽  
Wendy Rogers
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Aging In Place ◽  
Historical Review ◽  
Multiple Perspectives ◽  
Related Factors ◽  
Ageing In Place ◽  
Space And Time ◽  
Care Givers ◽  
Evolution Of Aging

Abstract Aging in place is interpreted differently across times and disciplines in the literature. Multiple interpretations of aging in place can lead to differences in expectations and goals when planning products, services, and technologies for older adults. We conducted a historical review across databases in the fields of anthropology, architecture, gerontol-ogy, medicine, psychology, and sociology to explore the evolution of ‘aging in place’ term across time and disciplines. We included articles that used the terminology “aging in place” or “ageing in place” in titles, abstracts, keywords, or subject. From the aging in place definition excerpts collected, we identified the preliminary themes and grouped them into three main themes: people, space, and time. Although the narrative of aging in place is highly related to living spaces, the cause and influencing factors are tied beyond the space. Person and time-related factors that are related to the aging experience im-pact the way aging in place is defined. When designing products, services, and technolo-gies to support successful aging in place, designers, researchers, policymakers, and care-givers should be aware that aging in place is at the intersection of personal, spatial, and temporal elements of older adults’ lives. Based on the multiple perspectives of disci-plines, we concluded that aging in place is beyond the matter of location, but also takes into account the person’s capacity and the changes over the person’s lifespan. Founda-tional understanding of the multiple factors that influence aging in place is critical to support older adults to have a healthy and optimal aging experience.

scholarly journals A Scoping Review: Social Participation as a Cornerstone of Successful Aging in Place among Rural Older Adults

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 75 ◽  
Author(s):  
Lisa Carver ◽  
Rob Beamish ◽  
Susan Phillips ◽  
Michelle Villeneuve
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Social Participation ◽  
Scoping Review ◽  
Successful Aging ◽  
Aging In Place ◽  
Health Care Facilities ◽  
Local Health ◽  
Community Activities ◽  
Local Health Care

Despite obstacles, many rural-dwelling older adults report that positive aspects of rural residence, such as attachment to community, social participation, and familiarity, create a sense of belonging that far outweighs the negative. By being part of a community where they are known and they know people, rural elders continue to find meaning, the key to achieving successful aging in this last stage of life. This scoping review explored factors influencing social participation and, through it, successful aging among rural-dwelling older adults. We sought to answer the question: what factors enhance or detract from the ability of rural-dwelling older adults to engage in social participation in rural communities? The scoping review resulted in 19 articles that highlight the importance of supports to enable older people to spend time with others, including their pets, engage in volunteer and community activities, and help maintain their home and care for their pets. Overall, the lack of services, including local health care facilities, was less important than the attachment to place and social capital associated with aging in place.

Toward an Understanding of Successful Aging in Place: A Needs Analysis

2008 ◽  
Author(s):  
Cara B. Fausset ◽  
Andrew K. Mayer ◽  
Wendy A. Rogers ◽  
Arthur D. Fisk
Keyword(s):  
Successful Aging ◽  
Aging In Place ◽  
Needs Analysis

scholarly journals Delivery of Community Support Services for Older Adults in Social Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 910-911
Author(s):  
Matthew Yau ◽  
Christine Sheppard ◽  
Jocelyn Charles ◽  
Andrea Austen ◽  
Sander Hitzig
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Low Income ◽  
Support Services ◽  
Social Housing ◽  
Service Providers ◽  
Community Support ◽  
Community Agencies ◽  
Visible Minorities ◽  
Community Support Services

Abstract Community support services are an integral component of aging in place. In social housing, older adult tenants struggle to access these services due to the siloed nature of housing and health services. This study aims to describe the relationship between community support services and social housing for older adults and examine ways to optimize delivery. Data on government-funded community support services delivered to 74 seniors’ social housing buildings in Toronto, Ontario was analyzed. Neighbourhood profile data for each building was also collected, and correlational analyses were used to examine the link between neighbourhood characteristics and service delivery. Fifty-six community agencies provided 5,976 units of services across 17 service categories, most commonly mental health supports, case management and congregate dining. On average, each building was supported by nine agencies that provided 80 units of service across 10 service categories. Buildings in neighbourhoods with a higher proportion of low-income older adults had more agencies providing on-site services (r = .275, p < .05), while those in neighbourhoods with more immigrants (r = -.417, p < .01), non-English speakers (r = -.325, p < .01), and visible minorities (r = -.381, p < .01) received fewer services. Findings point to a lack of coordination between service providers, with multiple agencies offering duplicative services within the same building. Vulnerable seniors from equity-seeking groups, including those who do not speak English and recent immigrants, may be excluded from many services, and future service delivery for seniors should strive to address disparities in availability and access.

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