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Housing - Independent Housing, Supportive Housing Options, Aging In Place - Conclusion

age nursing social care home elderly assisted

Housing plays a vital role in the lives of older adults due to the amount of time they spend at home and their desire to age in place. The features of housing are strong determinants of safety and ability to get out into the community. In addition, the cost of housing is a major expenditure for most older adults. The aging of the population necessitates a broad array of housing alternatives that provide different levels of onsite services, supervision, sociability, privacy, and amenities. These housing options range from single-family homes and apartments to nursing homes. The following sections describe the wide array of housing options available.

It is increasingly becoming recognized that housing plays an important role in the lives of the elderly. While new strategies and approaches have been developed to increase housing options, a range of affordable supportive housing choices for older persons remains an elusive goal. Progress in this area necessitates the recognition that housing should be an integral part of long-term care policy, and that more can be done to encourage aging in place.



American Association of Retired Persons (AARP). Understanding Senior Housing into the Next Century: Survey of Consumer Preferences, Concerns, and Needs. Washington, D.C.: AARP, 1996.

Assisted Living Federation of America (ALFA). The Assisted Living Industry 1999: An Overview. Fairfax, Va.: ALFA, 1999.

FELDMAN, P. H.; LATIMER, E.; and DAVIDSON, H. "Medicaid-Funded Home Care for the Frail Elderly and Disabled: Evaluation of the Cost Savings and Outcomes of a Service Delivery Reform." Health Services Research 31, no. 4 (1996): 489–508.

KANE, R. A., and WILSON, K. B. Assisted Living in the United States: A New Paradigm for Residential Care for Frail Older Persons? Washington, D.C.: American Association of Retired Persons, 1993.

LA PLANTE, M. P.; HENDERSHOT, G. E.; and MOSS, A. J. Assistive Technology Devices and Home Accessibility Features: Prevalence, Payment, Need and Trends. Advance Data no. 217. National Center for Health Statistics, 1992. Pages 1–12.

MANN, W.; OTTENBACHER, K.; FRAAS, L.; TOMITA, M.; and GRANGER, C. "Effectiveness of Assistive Technology and Environmental Interventions in Maintaining Independence and Reducing Home Care Costs for the Frail Elderly." Archives of Family Medicine 8: (1999): 210–217.

NAIFEH, MARY L. Housing of the Elderly: 1991. Current Housing Reports, Series H123/93-1. Washington, D.C.: U.S. Government Printing Office, 1993.

NEWMAN, S. J. "Housing and Long-Term Care: The Suitability of the Elderly's Housing to the Provision of In-Home Services." The Gerontologist 21, no. 1 (1985): 35–40.

NEWMAN, S. J. et. al. "Overwhelming Odds: Caregiving and the Risk of Institutionalization." Journal of Gerontology: Social Sciences 45, no. 5 (1990): S173–S183.

PYNOOS, J. "Towards a National Policy on Home Modification." Technology and Disability 2, no. 4 (1993): 1–8.

REDFOOT, D. L., and SLOAN, K. S. "Realities of Political Decision-Making on Congregate Housing." In Congregate Housing for the Elderly: Theoretical, Policy, and Programmatic Perspectives. Edited by L. W. Kaye and A. Monk. Binghamton, N.Y.: Haworth Press, 1991. Pages 99–110.

SIRROCCO, A. Nursing Homes and Board and Care Homes. Advance Data No. 244. Hyattsville, Md: National Center for Health Statistics,1994.

TABBARAH, M.; SILVERSTEIN, M.; and SEEMAN, T. "A Health and Demographic Profile of Noninstitutionalized Older Americans Residing in Environments with Home Modifications." Journal of Aging and Health 12, no. 2 (2000): 204–228.

U.S. Department of Housing and Urban Development (HUD) Office of Policy Development and Research. The Challenge of Housing Security: Report to Congress on the Housing Conditions and Needs of Older Americans. Washington, D.C.: HUD, 1999.

Age-Segregated Housing - The Debate, Types Of Age-segregated Housing, Future Trends In Senior Housing [next] [back] Hospice - The Medicare Benefit And Other Insurers, Hospice Services, Future Perspectives

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