The Impact of Economic,Demographic, and Cultural Changes on Preferences for Independent Living Arrangements and Seniors Housing in South Korea

Abstract

Asian countries are experiencing demographic, economic, and cultural changes that are altering housing and living arrangements. Many South Korean baby boomers will enter retirement with sufficient financial resources to live independently of their children if they choose to do so. Using a derivation of push-pull and life-course movement models, regression analysis results indicate that preference for both independent living arrangements and seniors housing is related to availability of pension resources, sex, presence of a son, and attitudes about intergenerational living, in-home care, and seniors housing. Pensions are an enabling factor; however, the cultural expectation of the eldest son providing housing for his aging parents may continue to moderate the demand for seniors housing developments. [Article copies available for a fee from The Haworth Document Delivery Service:     

Chapter 3. Housing Older Canadians

ABSTRACT

Reflecting a world-wide trend toward avoidance of institutionahzation and the fostering of aging in place in the community, a range of housing alternatives has been developed for older persons in Canada. This paper examines: (1) current patterns of housing and living arrangements of older Canadians; (2) philosophies that have dominated policy and production of housing for seniors for the last 30 years; and (3) seniors' preferences and utilization rates of various options. Data sources include the 1991 census and two cross-Canada studies, one urban and one rural, in which seniors were asked about their housing and related support service needs, usage patterns and preferences. The paper concludes with a discussion of emerging trends blending shelter and services and of policy gaps that need to be addressed in meeting the future housing needs of older Canadians.     

Senior Housing in Sweden—A Question of Class Differences and Collective Aging

Abstract

Private senior housing in Sweden has become an alternative to accommodation for elderly in the public welfare system. In the study presented here, the aim was to elucidate this senior housing from the perspective of the residents. The questions that were asked were: (1) Why have the residents chosen senior housing? (2) What are the differences between residents in rental apartments and tenant-owned housing cooperatives? (3) What advantages and disadvantages do the residents think that senior housing has? The interviews showed that: (1) The seniors have chosen the housing for reasons other than its being senior housing; (2) the residents in rental apartments come from the working class and socialize in collective forms, while the residents in cooperatives come from the middle class and socialize through individual initiatives; and (3) the advantages they experience in senior housing are that it involves activities and community. The disadvantages derive from the architectural planning. When the building has a communal yard or entrance, integrity can be threatened and the sense of collective aging can be a Strain.     

Testing the ‘overburdening’ hypothesis: Do work and school attendance together place youth transitioning from care at risk for negative housing outcomes?

Youth aging out of the foster care system are often placed in the precarious position of both providing for themselves financially and securing their own housing at a young age. Many also choose to take on the difficult tasks of school attendance and work simultaneously during this challenging time in their lives. The current study tests the ‘overburdening’ hypothesis that examines whether taking on the demands of work and school at the same time could overwhelm and actually hinder the healthy development of youth as they transition from foster care. This question was addressed using longitudinal administrative data from 2913 youth enrolled in a transitional living program at a national nonprofit organization serving youth aging out of foster care in five states between October 2010 and July 2014. Random-intercept and lagged regression models were used to examine the association between school attendance, employment, and housing insecurity. Individually, both school attendance and employment placed youth at decreased risk for housing insecurity and little evidence emerged to support the ‘overburdening’ hypothesis. Results from lagged models suggest that the single best predictor of housing insecurity is a previous episode of housing insecurity. The evidence presented here suggests that for some youth, the decision to attend school and find employment may be a symptom, rather than a cause, of their housing insecurity. Results highlight the importance of practitioners' use of research evidence together with sound clinical judgment to support youth as they navigate the challenging developmental task of transitioning into adulthood.     

The Wisdom of Non-Heterosexually Based Senior Housing and Related Services

Abstract

Understanding the housing needs of non-heterosexual seniors will improve the delivery of social services to more than 3 million gay, lesbian, bisexual and transgender seniors in the United States and aid in the development of new service-enriched housing models for the benefit of all service dependent populations. The feasibility and demand for non-heterosexually based senior housing and related services, however, has received negligible attention. This study is a first step and San Francisco is an ideal place to begin because of the community of non-heterosexual seniors, the City's housing market, the social service resources available to seniors, in general, and the social service delivery technology evolving in response to the AIDS crisis.     

“At times I kinda felt I was in an institution”: Supportive housing for transition age youth and young adults

Housing stability is essential for young adult development. Older youth and young adults transitioning from public systems of care, such as foster care, the public mental health system and residential settings, commonly experience high levels of transience and housing instability. In recent years, supportive housing policies and programs have emerged to address this situation, yet we know little about whether (or not) new programs are meeting the needs of youth in transition, and, if so, how they are addressing the unique developmental, social, and emotional needs of this population. This study is one of the first to speak directly with young adults living in a supportive housing program designed specifically for youth transitioning out of children's systems of care. Study participants spoke about both their overall transition experience and their views on the housing program where they reside. The study conducted four focus groups (N = 26) with transitioning youth and young adults, ages 18 to 25 (Mean age = 22), in order to explore the following three broad research questions: 1) what is it like to make the transition to adulthood from public children's systems of care?; 2) how does the supportive housing model they reside in shape their transition experiences?; and, 3) how do they experience the services and staff who are part of the program? Data analysis included grounded theory coding techniques and constant comparison with four coders. Results suggest that participants feel like they continue to be treated as children, and they receive mixed messages regarding their need to be increasingly autonomous, yet follow the rules. Finally, they reported specific aspects of what they found to be helpful in both staff relationships and overall program components. These themes constitute the results of the study. Findings underscore the importance of both listening directly to service users, and developing young adult supportive housing programming expressly designed to meet the unique needs of marginalized young adults transitioning to increased independence and self-sufficiency.     

Reframing child protection: A response to a constant crisis of confidence in child protection

Child protection systems appear to be in a continual crisis of confidence. They get criticised for not doing enough to protect some children, whilst at the same time being criticised for being too intrusive or not managing demand. This constant balancing act drives almost continual reforms, none of which appear to reduce further crises of confidence. The central issue facing tertiary child protection systems stems from their function as makers of sometimes highly uncertain risk screening decisions. Uncertainty leads to errors; false positives and false negatives. Two recurring issues challenging child protection agencies are concerns about these errors. Fears about doing too much are concerns about false positives and fears of doing too little are concerns about false negatives. The need to address both issues within the context of uncertain high stakes decision making, in a highly risk intolerant environment leads to poorly formed sentinel event driven policy that in turn leads to organisational fragility. A decision outcome-based performance model based on Signal Detection Theory provides indicators that explicitly outline the link between these two strategic issues facing child protection systems. This has improved dialogue, understanding and support from sponsors. It has led an informed focus on improving decision making and stabilisation of decision thresholds. It demonstrates that Child protection systems are in fact very responsive and do perform well in their decision making (risk screening) function. Social work decision makers provide value in their decision making in spite of highly uncertain decisions to make. Child protection systems do not need reform, they need to be “reframed” to better understand true performance and so avoid poorly informed reactive policy responses to the genuine challenges that they face.     

Housing Concepts For and By the Elderly: From Subjects of Design to a Design Resource

ABSTRACT

The perception of elderly residents as a homogeneous group is challenged by the diversification of lifestyles and emphasis on individuality in housing. Recently, there has been a rise in Finland in housing projects initiated by groups of elderly people, where the seniors themselves are seeking to fill in qualitative gaps in the offering of housing. This article presents a comparative analysis of four senior housing concepts that represent both a producer-driven (“for the elderly”) and a resident-driven (“by the elderly”) approach. The study shows that elderly people can be a resource for residential development and that this necessitates a different “design logic” than in conventional senior housing.     

Meeting the Needs of Visually Impaired People Living in Lifetime Homes

ABSTRACT

This article explores perceptions on the suitability and effectiveness of Lifetime Homes standards (LTHS) for those with visual impairment in Northern Ireland. LTHS are a series of mandatory United Kingdom public-sector housing design interventions, providing a model for ensuring accessible and adaptable homes throughout an occupant's life span. An aging demographic with increasing incidence of diabetes has led to rising numbers of elderly, visually impaired people wanting to remain in their homes for longer. Qualitative semi-structured interviews were conducted with 13 key stakeholders and thematically analyzed. Although findings show that employing LTHS offers benefits to visually impaired residents, shortcomings were also identified. Evidence indicates a need for policy makers, health-care professionals, and housing associations to modify practices to better meet the housing needs of visually impaired people. Findings may also be applicable to those with other impairments and disabilities in relation to housing for elderly residents.     

Possibilities for Change Toward Universal Design

Japanese government policies for seniors have long assumed that informal care by their families exists for them. The rapid aging of Japan is eroding the basis for this assumption. It is now necessary to include barrier-free design concepts in the basic requirements for dwellings to be used by everyone, not just seniors, to support independent living. Essential requirements in proposed guidelines are already in effect in the design and construction of publicly operated rental housing. But at this time, only the schemes of the Housing Loan Corporation of Japan for additional loans are being used, in cases where some design requirements for senior users are being met. The Housing Loan Corporation's loan system has long been seen as a policy on the part of government to boost the economy, particularly during recessions, but assistance for construction of higher quality dwellings has been lacking. This article discusses the basic philosophy of design guidelines and practical ideas to be considered in dwelling design and the merit of model dwellings constructed by housing manufacturers in Japan. It also discusses potential strategies to implement the basic ideas of design guidelines. It then proposes some possible methods to realize life-span dwellings, or dwellings designed for everybody.     

Service Enriched Housing and the Senior Living Enhancement Program

ABSTRACT

The Senior Living Enhancement Program was an initiative designed to provide selected services to seniors, including nursing and health promotion, social service coordination, and social and recreational opportunities. The seniors were located at 12 high-rise buildings for the elderly. The main goal of the initiative was to improve the health of seniors in 10 areas called the 10-Keys to Healthy Aging. In general, the 10-Keys to Healthy Aging are strategies aimed at reducing preventable risk factors in the aging population. Over a period of 2 years, seniors showed improvements in a majority of the 10-Keys to Healthy Aging and, therefore, proved the health benefits for elders coming from this service-enriched housing initiative.     

Nearby Nature and Long-Term Care Facility Residents

Abstract

As the population in North America continues to age, long-term care facilities for housing the elderly are likely to become even more important. Because one of the primary foci of these facilities is on sustaining and enhancing quality of life while eventually helping patients and families cope with the dying process, both the physical and social environments are critical to the facilities' success and the users' well-being. Healing, or restorative gardens and other designed green spaces have been suggested by many academics and practitioners as important components of these environments, yet there has been relatively little systematic research on the use and benefits of nature in this context. Do elderly residents of long-term care facilities benefit from access to outdoor areas? What are the design characteristics that are most important for this unique population?

Forty elderly residents of three different urban long-term care facilities were interviewed about the importance of outdoor green spaces and views within the facility, their use of the facility's outdoor spaces, benefits they derive from those spaces, and barriers to using the spaces. Facilities differed both in terms of the amount of nature in their outdoor spaces and in the design of, scale of, and access to those spaces. Results show that overall residents place a high value on access to green spaces and derive a number of benefits from these spaces, yet they spend relatively little time in these settings. Barriers to greater use of outdoor spaces included physical limitations, lack of staff assistance, and design issues. Implications for the value of nature spaces in long-term care facilities are discussed, along with specific design recommendations.     

Possibilities for change toward universal design: Japanese housing policy for seniors at the crossroads

Japanese government policies for seniors have long assumed that informal care by their families exists for them. The rapid aging of Japan is eroding the basis for this assumption. It is now necessary to include barrier-free design concepts in the basic requirements for dwellings to be used by everyone, not just seniors, to support independent living. Essential requirements in proposed guidelines are already in effect in the design and construction of publicly operated rental housing. But at this time, only the schemes of the Housing Loan Corporation of Japan for additional loans are being used, in cases where some design requirements for senior users are being met. The Housing Loan Corporation's loan system has long been seen as a policy on the part of government to boost the economy, particularly during recessions, but assistance for construction of higher quality dwellings has been lacking. This article discusses the basic philosophy of design guidelines and practical ideas to be considered in dwelling design and the merit of model dwellings constructed by housing manufacturers in Japan. It also discusses potential strategies to implement the basic ideas of design guidelines. It then proposes some possible methods to realize life-span dwellings, or dwellings designed for everybody.     

Political Participation and Late-Life Learning: A Cross-Cultural Study of Older People’s Participation in Seniors’ Interest Organisations in Australia and Spain

Understanding what older people learn from their civic participation is of critical importance both for individuals and organisations. This link has been neglected in prior research, and the evidence across diverse cultural contexts is particularly limited. However, the political context of older people’s life experiences and participation is important in their participation. The intent of the present study is to explore the learnings experienced by older people through participation in seniors’ interest organisations, across Australia and Spain. Participants included 52 active members of political organisations focused on issues for older people. A questionnaire was used for data collection; participants’ responses to an open-ended question regarding what they have learnt from their participation in seniors’ interest organisations are analysed here. Participants’ answers were subjected to a multi-stage thematic analysis. Findings show three key themes relating to learnings about themselves, such as self-improvement or skills or knowledge; learnings about others, such as cooperation with others and understand that people have different views; and learning about society, such as inequality and the need to fight for injustice. The findings suggest some interesting similarities and differences across contexts, which appears to reflect the different political contexts of the two countries.     

The Needs of Elders in Public Housing: Policy Considerations in the Era of Mixed-Income Redevelopment

A number of studies have followed the changes in the lives of public housing residents forced to relocate because of redevelopment. From 2002 to 2007, researchers followed the residents of a public housing development from the first year when residents learned of the pending demolition through 4 years of resettlement. Elder residents dispersed throughout the city provide insights into what life is like for low-income seniors leaving their homes and entering as strangers into new neighborhoods. The article concludes with recommendations for rethinking aging in place for poor elders.     

Homeless Careers: A Framework for Intervention

Abstract

The present paper identifies three ‘homeless careers’ abstracted from the diversity and complexity of individual cases and pathways. These are the ‘youth career’, the ‘housing crisis career’ and the ‘family breakdown career’. The paper discusses the usefulness of the career typology for framing interventions. A core argument is that early intervention involves different forms of practice in each pathway. For young people, early intervention has to occur when they are at the ‘in-and-out’ stage, before they have made a permanent break from family. For adults experiencing housing crisis, early intervention is about providing assistance to people before they lose their accommodation. The family breakdown career commonly involves domestic violence, so although early intervention may involve family reconciliation, in many cases it involves supporting victims of domestic violence to move to alternative, secure accommodation.     

Implementation Issues for Consumer-Directed Programs

Summary

An increasing number of aging community providers and consumers support consumer-direction (CD) in long-term care services. In regard to devolution, consumer-direction goes beyond the usual approach of shifting responsibilities from the federal government to state governments to bring programs “closer to the people.” Consumer-direction goes even further by placing resources directly in the hands of consumers.

Yet, many questions remain unanswered regarding how to implement CD personal assistance services in general, and especially for older persons. This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. We report on three background studies that have informed the Cash and Counseling Demonstration and Evaluation (CCDE) design and implementation-policy expert interviews as well as surveys and focus groups with consumers and representatives. As a fourth data source, we drew upon experiences in designing the CCDE and initial results from the first year of implementation. Each of the three studies on its own provided essential information for planning the CCDE. However, when we examined the studies together, and added CCDE design and implementation experiences, views expressed by the different stakeholders formed a type of multi-perspective “dialogue” that expanded our knowledge about implementing CD services. We hope this increased knowledge will help expand the availability of such services for consumers of any age who want to direct their own care.     

Impacts of Home Modifications on Aging-in-Place

The purpose of this study is to analyze the relationship between home modifications and aging-in-place. Using the ENABLE-AGE United Kingdom sample (N = 376), the authors hypothesize that seniors who have modified their housing are likely to have stayed longer in their current housing. There is a positive relationship between home modifications and aging-in-place. The results underscore the importance of supportive environment to prolong living in housing settings.     

Rural Women and Decision Making: Women's Role in Resource Management During Rural Restructuring1

Abstract The intense, uneven, and often contradictory processes of agricultural restructuring impact upon the family farm in ways that are gendered. Those impacts may create, reproduce, or exacerbate contradictions within the farm family. We interviewed farm women about the decision making structure of families on Australian cereal properties and about land use and resource management strategies. Key informants working in government, agriculture, and management were asked about effects of restructuring on farm women and their role in resource management on the family farm. Different patterns were found: most decision making structures remain sex segregated, with women making more decisions about “inside” and men about “outside” resource management issues; shared decision responsibility was greater than expected. Farm women have views about farming, soil conservation, and the environment that have an influence on strategic planning in the sector whether they maintain their traditional family position or increase their agency and visibility.     

Let's Do Something Together

Abstract

This study examined the environment and activities that effectively promote individual involvement and cross-age interactions in a joint day care setting serving seniors and children from infancy through kindergarten. It evaluated the impact of staff training on improving program quality, and examined the relationship between the components of quality and participant engagement. Two instruments were developed to assess program and participant characteristics, respectively, the Intergenerational Program Quality Assessment and the Intergenerational Involvement and Interaction Inventory. Using a pre-post design, data were collected on 25 intergenerational activities with 108 children and 68 seniors before training, and 25 sessions with 111 children and 93 seniors after training. Five components were found to characterize effective programs and promote participant engagement: a designated intergenerational space that is shared, accessible, and stocked with materials inviting to both age groups; a consistent daily schedule that allows for formal as well as informal cross-age interactions; openended activities that emphasize process over product and provide opportunities for planning and reflection; the explicit facilitation of cross-age interactions by caregivers; and objective observational assessment to plan activities and share information with families.