城市社区公共空间构筑与基层社会的动员整合——基于上海市G社区的案例分析

城市社区公共空间既是一种物理空间,又是一种制度与文化空间。上海G社区探索楼道公共客厅与楼道居民自治,通过楼道公共空间的拓展与构筑,增强居民归属感,构建居民交流、共商机制,改善社区认同,让社区从一个生活的共同体演变成一种信念的共同体,维护了社区的和谐和稳定,推进基层社会的动员整合。这种社区自治性的成长不仅是社会力量内部整合的基础,也构成了社区共治的基础。由此,未来社区治理的方向是如何建立起社区事务协商参与的多级公共空间,形成共治、自治衔接的有效机制,从而真正实现基层社区国家与社会良性互动、政府行政管理与居民群众自治相衔接的基层社会管理的新格局。     

Retirement Village Resident Satisfaction in Australia: A Qualitative Enquiry

ABSTRACT

There has been limited research into the types of customer satisfaction experienced by residents in leisure-oriented retirement communities, particularly in Australia and the United Kingdom. Focus groups were conducted at a series of retirement communities. Results have lead to the development of a typology of retirement community resident satisfaction containing five different domains, including the Built Environment, the Financial Environment, the Service Delivery Environment, the Social Environment, and the Spiritual Environment. Furthermore, these five satisfaction domains encompass up to 24 distinct types or facets of customer satisfaction experienced by residents. This proposed typology of leisure-oriented retirement communities’ resident satisfaction is the most comprehensive investigation of retirement village customer satisfaction to date. Implications for both researchers and practitioners are discussed, including recommendations for the measuring, managing, and marketing of customer satisfaction with retirement community living.     

Neighborhood Experiences and Community Integration

Abstract

This exploratory study examines the social interactional aspect of community integration among persons with psychiatric disabilities. Six focus groups were conducted with 18 mental health consumers in three publicly sponsored community residential programs and 11 staff members providing services to these consumers. Mental health consumers reported both positive and negative experiences in their interactions with community residents. Despite perceived differences between persons with psychiatric disabilities and their neighbors, consumers considered reciprocity and mutual accommodation to be critical for building social relationships in their communities. Mental health providers suggested that social integration can be facilitated by developing independent living and social skills, by overcoming self-stigma and institutional and homeless mindsets, and by having a supportive community of consumers.     

Wildfire Perception and Community Change

Given increasing political and financial commitments to wildfire preparedness, risk policy demands that risk identification, assessment, and mitigation activities are balanced among diverse resident groups. Essential for this is the understanding of residents' perceptions of wildfire risks. This study compares wildfire‐risk perceptions of Pennsylvania residents with those of Minnesotans living in natural‐amenity‐rich communities. Natural‐amenity‐driven migration shifts land‐use patterns and social conditions, making it important to understand if and how such changes affect residents' perceptions of wildfire. Key informant interviews suggest land use and contrasting values associated with sociodemographic shifts were intertwined with wildfire‐risk awareness, concern, and mitigation. In both study areas, local social interactions were impaired by geospatial and sociocultural barriers related to land use and population change. Barriers included perceived threats to quality of life, conflicting needs for economic development, and homes built in isolated locations. As a result, residents did not agree on community‐wide notions of wildfire risk and response. Further, residents' ideas about the potential for a wildfire disaster did not correspond to those of risk managers. Although some places were attempting to overcome these challenges, many informants said their communities were overwhelmed with the effects of change. Finding common notions of wildfire risk is critical precisely because resident participation is crucial to hazard management. In these localities, rural community development can facilitate capacities to address wildfire risk in the context of landscape and social change.     

Abuse,neglect and exploitation in assisted living: an examination of long-term care ombudsman complaint data

Long-term care ombudsmen are advocates who empower and assist residents with complaints relating to quality of care and violations of resident rights in assisted living (AL) and skilled nursing facilities (SNF). Given that long-term care residents are vulnerable to elder abuse, neglect and exploitation (ANE), and existing gaps in the literature addressing ANE in AL, more research is needed to understand the prevalence of ANE in these communities. Ombudsman complaint data (n = 140,497 complaints) in 3,171 Texas long-term care facilities were analyzed using proportion Z tests. Findings showed that SNF had higher rates of ANE per resident. For both AL and SNF, verbal/psychological abuse was the most reported type of ANE and sexual abuse was the least reported. AL residents had disproportionately high rates of financial exploitation. We explored factors that may contribute to these findings and recommend strategies for preventing ANE.     

New community in a new space: artificial,natural, created,contested. An idea from a golf estate in Johannesburg

Attention is constantly devoted to the question of living together and sharing spaces, which is often translated as a matter of social and spatial segregation and belonging to a community. New spatial, social and institutional geographies have emerged as a potential cornerstone of separateness and togetherness in South Africa with the emergence of the gated community. This article tackles the concept of “community” within the space of a golf estate (a type of gated community) located in the West Rand, Johannesburg. It aims to understand new geographies of the city through an analysis of the organisation and social life inside and outside the estate. The notion of community is explored by looking at the system engendered by the main legal actor within the estate, the Homeowners Association (HOA). It will be argued that some of these new spaces are made neutral through the action of the HOA, an agent that institutionally constructs a communitarian lifestyle, accepted and contested simultaneously by the residents. Through the formalisation of a system in which holiday-style living is promoted, life is represented as real to the residents but lived in a virtual way when linked to broader societal and urban changes, thus reframing the notion of segregation.     

Facility Ownership and Resident Satisfaction with Assisted Living

Abstract

Although the majority of assisted living facilities operate as for-profit organizations and serve increasingly frail elderly populations, little is known about the impact of ownership on the quality of care in assisted living. This study examines the relationship between facility ownership and the quality of care in assisted living, using resident satisfaction as a quality indicator. The assessed aspects of satisfaction include health care, housekeeping, physical environment, relationships with staff, and social life/activities. The relationship of facility ownership to resident satisfaction is examined controlling for resident psychological well-being, functional ability, facility size, and staff resources. Data were collected in personal interviews with 156 residents, including 96 residents in eight for-profit facilities and 60 residents in five nonprofit facilities in Maryland. Residents in the sampled nonprofit facilities were more satisfied with assisted living than were residents in the for-profit facilities. In particular, residents in nonprofit facilities were more satisfied with health care, physical environment, and social life/activities in the facility. Better understanding of the relationship between facility ownership and resident satisfaction can help administrators create environments that maximize resident satisfaction in both nonprofit and for-profit facilities.     

Who Pays for Seniors Housing and Care Communities? Evidence from the Residents Financial Survey

To examine the financial characteristics of residents in assisted living and independent living communities and to see how they currently pay for their care arrangements, we surveyed 2,617 residents in assisted living and independent living communities. We asked them how they pay for their current costs and verified their answers by examining self-reported information on their cost and income. Residents stated that they are largely paying for their community costs independently. Approximately one third of respondents reported using their assets and income to cover their current costs. The data supported the notion that individuals living in assisted living and independent living communities are largely mid- to high-income elderly. However, the cross-sectional analysis showed that length of time in the community was positively associated with paying for their expenses independently out of income, after controlling for many confounders including age, education, and lifetime earnings to try to rule out differential longevity and differential selection over time. Further longitudinal analysis is needed to understand the cause and the implications of the positive correlation between ability to pay one's bills out of income and the length of time in the community before conclusions about spend-down can be made.     

Planning for community: understanding diversity in resident experiences and expectations of social connections in a new urban fringe housing estate,Australia

Master-planned estates are a major source of new housing for growing cities. Much research finds these residential developments lack genuine social connections between residents despite marketing of ‘close-knit’ community. Selandra Rise is a new residential development on the urban fringe of Melbourne, Australia. The estate was planned with a focus on community infrastructure and resident well-being. The resident population was younger and more culturally diverse than most other master-planned community case studies. A longitudinal research design was used to explore resident understanding, experiences and needs relating to place-based community. Interviews were conducted with residents before moving to the estate and 9–18 months after moving. Some residents considered community as an amenity provided by the master-planned environment that did not require their social participation. Others aspired to make social connections with neighbours but had varying levels of success. Past experiences which contributed to aspirations for connecting with local community, and the ways that these aims were realised or hindered, are discussed. Understanding diverse resident expectations of community and insights from their lived experience are used to make recommendations for planning new neighbourhoods and designing community development programmes.     

The Quality of Life in the 'Independence' Curriculum

The move towards community care as a humane alternative to institutional provision has brought complications in its wake. Integration, both into community living and into mainstream education, has generally entailed an elaborate process of the selection of those most easily assimilated. I am concerned to examine the opportunities available for those young people who are often rejected within the integration movement, yet who find themselves the recipients of training for independent living in the community. My hypothesis is that such a training can actually impoverish their quality of life.     

Geographic Migration Among Residents in Seniors Housing and Care Communities: Evidence From the Residents Financial Survey

ABSTRACT

Although the elderly as a while show relatively little geographic migration in the U.S., we were interested in the geographic migration patterns among a specific subset of elderly that we know have moved out of the traditional family home—those living in assisted living and independent living communities. We analyze data from the Residents Financial Survey, a survey of 2,617 residents in assisted living and independent living communities that asked about their previous living arrangement, where they lived before moving to their current community, and how their care needs were previously met. We find there is substantial migration among respondents. Using self-reported and community-reported location and zip code information, we calculated whether people moved across state lines and we computed the distance people moved between their previous location and their current community. While the median distance moved is less than 10 miles, 20% moved across state lines and 21% of the sample moved more than 100 miles, with the average distance moved among the sample being 165 to 190 miles. The evolution of living arrangements shows that there are strong correlations among respondents' current living arrangements, previous living arrangements, and their plan to move in the future.     

Creating SPOTs for Successful Aging: Strengthening the Case for Developing University-Based Retirement Communities Using Social-Physical Place Over Time Theory

Five elements are cited as being critical for a university-based retirement communities’ (UBRCs’) success: proximity to the university, two-directional programming, continuing care, a financial link to the university, and a minimum 10% resident connection to the university. We illustrate these criteria using examples from existing UBRCs. The comparisons are then contextualized in the broader framework of Social-Physical Place Over Time (SPOT) theory. SPOT theory focuses on the interactions between social and physical places among older adults. By analyzing the intersections between SPOT theory and UBRC criteria, we identify additional criteria to improve the definition of a UBRC: transportation support and facilitating activity. UBRCs offer value because they provide the social and physical place where older adults can live when they retire, thereby improving changes in individual agency and belongingness needs, which are key tenets of SPOT theory. The integration of the UBRC criteria and the SPOT theory framework builds on this relatively new meta-theory in environmental gerontology. SPOT theory effectively highlights how UBRCs benefit older adults and the community; UBRCs provide significant benefits not only to older adult residents, but also to the university communities that house them.     

Pioneering partnerships: Resident involvement from multiple perspectives

Resident involvement in residential care homes is a challenge due to shortcomings of consumerist and formal approaches such as resident councils. The PARTNER approach aims to involve residents through collective action to improve their community life and wellbeing. The purpose of this article is to provide insights into the process of resident involvement by the PARTNER approach from the perspectives of multiple stakeholders, including residents, volunteers and staff members. A responsive evaluation was conducted, using participant observations, semi-structured interviews with residents, volunteers and professionals (n = 16), and three focus groups. The findings show that critical elements in this process of resident involvement were the agenda-setting by residents, the formation of a cohesive resident group, the sharing of experiences and stories, the development of collective action, and the development of partnerships between residents and professionals and other stakeholder groups. Residents developed actions (gallery parties and a buddy project) to strengthen social interactions and realized these with the help of volunteers and professionals. We conclude that bringing residents together around a shared topic creates room for activism and leads to empowerment, feelings of social belonging and learning processes. We argue that it is a worthwhile enterprise to further develop structural partnership relations between residents, volunteers and staff in residential care homes.     

Activity Engagement in Residential Care Settings: Findings from the National Survey of Residential Care Facilities

Assisted living and similar residential care is an important source of care for elders, including those with dementia. Meaningful activities may help residents maintain function, improve self-esteem, and enhance quality of life. Using data from the 2010 National Survey of Residential Care Facilities, this study identifies the extent of resident engagement in different types of activities; examines the extent to which cognitive status, other resident characteristics, and residential care community characteristics relate to activity engagement; and, among cognitively impaired residents, assesses whether being in dementia-specific settings is associated with activity engagement. Compared with persons without cognitive impairment, those with severe cognitive impairment are less likely to go on outings (79% versus 36%) and talk with family and friends (85% versus 72%). Residents with mild to severe cognitive impairment have higher participation in leisure activities than other residents if they live in dementia-specific settings (73% higher) than those who do not.     

Extra Care Housing in the UK: Can it be a Home for Life?

Extra care housing is believed to constitute a home for life, precluding the need for institutional accommodations, but currently there is little substantiating evidence. Longitudinal data show that 8.2% of extra care housing residents will move to institutional accommodations after 5 years. Matching analyses suggest that extra care housing residents aged 80 years and older are approximately half as likely to enter institutional care compared with older people in the community in receipt of domiciliary care, albeit with some caveats. Extra care housing may embody a home for life for the majority of residents, although a substantial minority is likely to require institutional care.     

Community Care in Taiwan

SUMMARY

This article explores the policy definitions and the funder roles of central and local governments in community care in Taiwan. The notion of community care has been adopted in Taiwan following the model of Hong Kong but the main question of the article is whether this has resulted in actual service provisions at the community level, forming an alternative to institutional care. The data has been collected from several sources: policy documents, official statistics, surveys, general reports, funding provision reports, and empirical studies. The results show that neither central nor local authorities are seriously involved in caring for elderly people or persons with disabilities in Taiwan's communities. In Taiwan, community care for these groups of people still means, in practice, informal care provided by female family members without any support from public policies.     

What do Potential Residents Need to Know about Assisted Living Facility Type? The Trade-off between Autonomy and Help with More Complex Needs

The current study surveyed 74 assisted living facilities to examine the effect of facility type on resident autonomy and the willingness of providers to admit residents requiring complex services. Facility types included adult family homes, residential care facilities, and traditional assisted living facilities. Adult family homes were more willing to admit residents with higher care needs. By contrast, assisted living facilities’ policies did not support the provision of intensive services, but their policies promoted higher resident autonomy, suggesting that consumers may have to choose between autonomy and help with complex needs when exploring assisted living for long-term care.     

Baan Mankong participatory slum upgrading in Bangkok, Thailand: Community perceptions of outcomes and security of tenure

A key problem facing slum dwellers is tenure insecurity - as well as the threat of eviction, residents are excluded from many services extended to legal residents, from water connections to public schooling. Thailand’s Baan Mankong slum upgrading program adopts a people-driven approach to resolving problems of insecure housing and poor living conditions, putting slum residents at the core of the process. This paper explores, through interviews, how residents in four Bangkok communities perceive the outcomes of upgrading, particularly their new homes and tenure situation. Participant satisfaction is key to ensuring successful scaling up of Baan Mankong, as this is done through community-driven exchange and learning-by-doing. The results show that while the respondents appreciate their new houses and improved living environment, they are wary of the resulting debt burden. While tenure is regarded as secure in the short term, the long-term situation is not so clear. Homes cannot be sold on outside the community, and therefore Baan Mankong is valued more for improving shelter and strengthening community cohesiveness, rather than as a profit-driven financial investment.     

The Contribution of Sheltered Accommodation to the Housing of the Elderly in a Rural and an Urban Area of Wales

The primary objective of Government policy for the care of the elderly is to enable old people to live independent lives in the community for as long as possible. To facilitate this, recent policies have switched the emphasis away from long-term institutional care to the provision of care within the community. An integral aspect of this has been the provision of sheltered housing, with or without additional facilities and backed up by domiciliary and community services. This paper examines the contribution made by sheltered dwellings to the accomodation of the elderly in two areas of Wales, by comparing the characteristics of those resident in sheltered schemes with those residing in non-specialist accommodation.