A conceptual framework for examining the promise of the NORC program and Village models to promote aging in place

A growing paradigm shift emphasizes efforts to promote aging in place not only by helping aging individuals and families, but also by addressing and engaging communities. This paper explores the idea of developing community supports for aging in place by examining two models that incorporate this approach into practice: Naturally Occurring Retirement Community Supportive Service Programs (NORC programs) and Villages. Drawing on research regarding social–relational aspects of communities and later-life health and well-being, we present an integrative conceptual framework positing three categories of activities and services (civic engagement and empowerment activities; social relationship building activities; services to enhance access to resources)–as well as the initial outcomes and intermediate outcomes–through which the NORC program and Village models potentially achieve their long-term goal of promoting aging in place. Based on this framework, we conclude with directions for future research on community initiatives that support aging in place.     

A city within a city: A “snapshot” of aging in a HUD 202 in Detroit, Michigan

Because of a recent surge of aging in place literature, we know a considerable amount about how older adults wish to remain in long lived-in homes and communities. However, there are still gaps in our knowledge. What happens when older adults live in a community that does not support their everyday needs? This paper represents an initial attempt to explore how one group of poor, non-white, central city residents in Detroit, Michigan make sense of and organize a new age-segregated home. Findings presented in this article are based on 30 in depth and photographic elicitation interviews with African American, low-income, older adults living in one Housing and Urban Development 202 (HUD 202). Findings suggest that participants in this sample cultivated a new urban space within the facility to compensate for the deficiencies of a deteriorated inner-city neighborhood. I use these findings to encourage broader conceptualizations and consideration for the aging in place model to be more inclusive to the lived experiences of older adults who occupy oppressed places.     

Food Waste and Quality of Life in Elderly Populations Living in Retirement Living Communities

Food waste is an increasingly important issue in all food-service establishments, including retirement living communities. With residents of these communities having faced food insecurity as children and young adults, they have unique and very strong feelings regarding this issue. We interviewed 16 Canadian residents and used manifest content analysis to gain an understanding of how their experiences, behaviors, and feelings toward food waste may impact their quality of life. The results of this study may have implications for how retirement living communities approach their food-service operations.     

Moving beyond familism: Potential contributions of gerontological theory to studies of Chicano/Latino aging

Research on Chicano and Latino elders assumes that most Chicano/Latino elderly are primarily active within a family context. Familism is the most common feature of Chicano/Latino families that is used to explain the status of the elderly, how they cope with aging, and how gender dynamics among the elderly are constructed. Predictions about the future of the supportive nature of family for the elderly vary depending on how familism is conceptualized. This focus on familism is shown to be a limiting approach to Chicano/Latino aging. We illustrate how an explicit grounding in different gerontological theories directs the study of Chicano/Latino aging to include broader sociological issues. We also suggest reconceptualizing familism so that the existence of familism has theoretical as well as empirical importance. Placing research on Chicano/Latino aging into a broader sociological framework would move research away from a sociology in aging to a sociology of aging.     

The limits of multiculturalism in elder care services

Over the past decade, policymakers and practitioners in the field of aging have been increasingly challenged to develop appropriate health and social services for elders from diverse ethnic communities. This has largely resulted from concerns regarding the significant barriers to care faced by disenfranchised elders. However, advances in the articulation of multicultural practice and policy dealing with ethnic communities have focused almost exclusively on developing competency skills based on individual communication and understanding between formal service providers and clients rather than on exposing and altering institutional structures and power relations marked by racism. Indeed, antiracist agendas are rarely articulated in gerontological settings. This article reports on some of the central findings of a qualitative institutional ethnographic study on health care access among ethnic elderly women. It addresses the question of how multicultural programs and policies operate in elder care services and how they are experienced by ethnic elderly female clients and their service providers.     

Listen to the Elders: Design Guidelines for Affordable Multifamily Housing for the Elderly Based on Their Experiences

There is an increasing demand for affordable multifamily housing for a rapidly growing population of ethnic elders. Using the lived experiences of Korean American elders currently residing in affordable housing in the Midwest as one such example, this study seeks to develop design guidelines to meet the specific living needs and desires of this aging population. Verified against well-established building standards and accepted guidelines, these design recommendations lay the groundwork for multifamily housing that will assist elders to age in place in safer, healthier and happier environments.     

Is that all there is? The concept of care and the dialectic of critique

Recognition of the usefulness of critical social analysis for gerontology has been increasing just as a range of new problems, ranging from globalization to the anti-aging movement, are posing fresh questions about ideology, legitimation and inequality for the study of aging. Such problems and questions represent the negative moment of critique in the theory–practice dialectic. As is generally true of critical theory, in critical gerontology it is rare to find research that reflects a positive movement toward emancipatory change. Yet gerontology is one of the fields that offers special opportunities for critiquing the status quo of aging and elders in society, envisioning new possibilities for aging and developing practices that produce positive change. This paper describes the movement of our own thinking and work, away from a primary focus on analysis and critique and toward an embrace of the possibilities of generating and sustaining change in organizational care settings. We argue that principles of critical developmental and social theory can be used to reframe the concept of care, and we describe briefly how the methodology of action research can be applied in efforts to create new opportunities and possibilities in the everyday experience of elders in long-term care. In our work, we are learning how a constructive theory–practice dialectic can be initiated when critical principles are applied to a practical and urgent domain — the domain of interpersonal care within long-term care institutions for elders.     

‘The engine just started coughing!’ — Limits of physical performance,aging and career continuity in elite endurance sports

This research examines male endurance athletes' experience of aging and/or reaching the perceived limits of physical performance. More specifically, the current study aimed to explore how existential meanings attached to these experiences are connected with athletes' decision-making concerning career continuity and retirement. Life story interviews were conducted with 10 Finnish runners and/or orienteers aged between 25 and 62 and the data was analyzed with an existential-narrative framework. Four major storylines related to aging were identified: The end of an era, putting things in perspective, the attitude has to change and winning was never the only motive. Our results suggest that endurance athletes possess diverse ways of bringing meaning to the experience of aging, both confirming and resisting the dominant cultural narrative of decline. While three athletes' stories confirmed the normativity of retirement when unable to improve their results anymore, other athletes demonstrated career continuity and positive aspects in the late career years, such as lack of competitive anxiety, finding perspective and increased enjoyment in running. We suggest that through awareness of alternative narratives, sport psychology consultants may be able to help their clients to explore new meanings in the potentially challenging and beneficial experiences of aging and athletic retirement.     

Conversing about aging and practice

Using four open-ended questions, individual conversations were conducted with 20 professionals from 10 fields of practice in aging. Professionals were over 60 years of age, had worked in the field at least 10 years, and personally considered themselves elders. This project found that they were aware of their personal aging process, were knowledgeable about resources, had considered their values, beliefs, and interests, and had developed an “aging plan” that would optimize a meaningful and enjoyable quality of life. They generally viewed themselves positively, had a strong sense of identity, accepted the changes that come with aging, and maintained an active and engaged lifestyle. They understood the commonalities of aging, but also respected and valued the uniqueness of each individual’s experiences. Aging had significantly affected their professional practice as well, primarily by increasing empathy, sensitivity, understanding, and patience, as well as through greater awareness and special attention to meaningful communication with clients and patients. Their personal aging awareness had a generally positive effect on professional practice. Practitioners’ thoughts and experiences with their own aging can both serve as a model for the general public and be utilized to programs to assist seniors in remaining vital members of society     

Enhancing Gerontology Education

Abstract

Co-learning opportunities for elders and students may enhance the ability to make course information “real” for traditional students and provide elders with new relationships that can reduce stereotypical thinking about younger people. A Human Development and Aging course taught at Kansas State University in the Spring of 2003 brought eighteen young adult students and eighteen auditors from a retirement community together to explore their understanding of aging issues. Based on evaluations through focus groups and written surveys, older and younger participants alike experienced changes in their attitudes toward persons of age groups other than their own.     

Recent developments in the employment and retirement of older workers in Germany

Against a background of an aging population, rising social security costs, and foreseeable labor and skill shortages, there have been public policy changes affecting older workers in Germany. Labor-market related initiatives aim at an increase of labor force participation among this group. Enterprise-related, active age-management strategies aim at improving occupational conditions of aging workers. In this context, prolonging the working life must be seen as one option of "active aging." Another view of the current retirement discussion is the question of how the unused potential of Germany's younger, early-retired seniors can be exploited. Active aging has become a social duty nowadays, with the intention that older persons contribute to society to avoid generational conflicts. In the future, active aging will preserve the competitiveness of enterprises and of the entire economy, despite an aging labor force. But gerontological research points out that different options to carry out individual life plans of active aging are also required. This article reviews the changes in public policies towards older workers and includes the findings of a project that illustrates good practice to combat age barriers in the labor world.     

The association between aging inmate housing management models and non-geriatric health services in state correctional institutions

One of the current debates in the literature on aging inmates asks, what is the most efficient housing/health care model for this "special needs" population? State and federal correctional systems place elderly inmates either in specialized segregated housing units away from the general inmate population, consolidate elderly inmates in housing units within the prison, or provide a combination of both models. In general, proponents of the segregated housing model argue that aging inmates will receive specialized medical services in geriatric units. However, proponents of consolidated housing model argue that aging inmates will have the benefit of both geriatric and non-geriatric health services. This paper examines the association between the type of housing management model for aging inmates and the availability of non-geriatric physical and mental health services. Data for the analysis come from the 2000 Bureau of Justice Statistics Census of State and Federal Adult Correctional Facilities. The results suggest that institutions offering consolidated geriatric care provide more mental health services and that these effects are independent of the characteristics of prison facility.     

Active aging—spunky survivorship? Discourses and experiences of the years beyond breast cancer

Recent critical gerontology has drawn attention to the origins, functions and consequences for elders of the ‘successful aging’ discourse. In this paper we describe parallels between successful aging and what we are calling ‘spunky survivorship,’ the contemporary subject position made available to women in the years after a breast cancer diagnosis. The central focus of the paper is a study about the intersections between a dominant discourse of breast cancer survivorship, and the perceptions and experiences of women living the years beyond breast cancer. It is our hope that the analysis presented here will suggest new pathways for exploring the relationship between discourses of successful aging and people's ideas and feelings about growing older.     

Intercounty Variability of Net Migration at Older Ages as a Path‐Dependent Process

This article seeks to identify factors associated with the formation and development of nonmetropolitan destinations for older in‐migration, thereby explaining why some U.S. counties are more likely than others to be nonmetro retirement destinations. We contend that most nonmetro retirement destinations are established and developed over time through a path‐dependent process. When amenities are commodified as recreation and tourism, migration streams tend to be established that ultimately produce sustained in‐migration of older persons to selected destination communities. We use data from a variety of official sources and a spatial statistics methodology to examine intercounty variability in net migration rates at ages 60–74. Our findings are consistent with the aforementioned path‐dependent development framework. Counties with a long history of population growth, previous experience attracting older in‐migrants, attractive natural amenities, and a developed recreation and tourism industry are those most likely to be retirement‐age migration destinations. In contrast, agricultural heartland and relatively large population size are associated with lower rates of older in‐migration. Older in‐migration should be seen as neither a panacea for strapped rural communities nor a “pensions and care issue.” Older migrants can be “gray gold,” but they can also pose challenges, such as possibly increased demand for public services as they age in place.     

Navigating communities: race,place, and travel in the history of maritime Southeast Asia

This paper examines intersecting notions of distance, place and community across Insular Southeast Asia for the last several hundred years. The piece is not an attempt to chronicle all these affiliations over time and space, but is rather an effort to re-think how people have moved in Southeast Asian history, who they did this with and why. The essay is divided into three parts. The first section looks at some of the meanings of place in the last five centuries, as place has pertained to communities in ‘centers’ and maritime ‘peripheries’, as well as in several supposedly discrete arenas. The second section focuses on people, and how different communities in Southeast Asia have envisioned the terms and conditions of movement in divergent ways. The last third of the paper concentrates on period, or how conceptions of community, distance and travel have changed over time. It is hoped that this essay will show how all three of these variables – people, place, and periodization – have intersected in specific, complicated ways in shaping local notions of ‘community’.     

Graying of U.S. Bankruptcy: Fallout from Life in a Risk Society

As neoliberal ideology and policies gained a foothold in the early 1980s, the social safety net for older Americans contracted. Responsibility for the risks associated with aging, namely retirement income and healthcare costs, was increasingly transferred from the state to the individual. Using data from the Consumer Bankruptcy Project, we report that since 1991, there has been more than a twofold increase in the rate at which older Americans (age 65 and over) file for consumer bankruptcy and an almost fivefold increase in the percentage of older persons in the U.S. bankruptcy system. This magnitude of growth is so large that the broader trend of an aging U.S. population can explain only a small portion of the effect. Respondents report that inadequate income and unmanageable healthcare costs are the chief reasons for their bankruptcies. Our findings suggest that neoliberal policies that offload healthcare costs and retirement savings onto older Americans may facilitate their bankruptcy filings.     

A hut on Holy Island: reframing northern landscape

This essay explores the evolution and significance of a shelter constructed in 2002 by the artist Sally Madge on a remote beach on Holy Island, off the north-east coast of Northumberland. In the context of a legacy of cultural interactions with and representations of this island – a popular tourist destination – the concern is with how the simple structure might be understood in terms of a potential refiguring of a heavily prefigured location, enabling an alternative, even transgressive notion of place, disturbing preconceived boundaries between artists, community, insiders and outsiders and so engendering a new way of thinking about northern peripheries. In the process the essay considers recent examples of public art; from the increasingly design-practice led, spectacular structures at Kielder Reservoir Sculpture Trail, to Charles Jencks’ monumental earth sculpture, Northumberlandia constructed out of the top-soil excavated from an open-cast coal mine at Shotton. By contrast, the specific character of the Holy Island shelter and the nature of the practices associated with it unsettle some of our assumptions about place and the rhetoric underpinning art and creativity.     

Serving our (in)visible elders: The impact of a LGBTQ+ aging presentation on a rural college campus

ABSTRACT

As the number of individuals 65 and older continues to grow, so too does the richness and complexity of their identity. Specifically, the culture of aging within the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community has received little attention in the literature. In order to best serve this population, human service professionals must understand the reality of aging within diverse communities. This article explores the impact of an invited campus speaker focused on LGBTQ+ aging on a rural college campus. Results indicate a general increase in overall knowledge and appreciation for issues directly impacting the aging LGBTQ+ community. Recommendations for practice, grounded in a social justice framework, are shared.