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.     

A Valued Relationship with Nature and Its Influence on the Use of Gardens by Older Adults Living in Residential Care

ABSTRACT

While there is growing interest in inclusion of gardens and outdoor spaces in residential care facilities for older adults, these spaces are often underutilized despite many identified, evidence-based benefits. A qualitative study of participant observations with behavior mapping, and individual and focus-group interviews, using a grounded theory methodology was used to understand value versus use of outdoor garden spaces. Individual and focus-group interviews were conducted with 32 residents from two facilities. Results revealed that views of nature are fundamentally important to resident well-being, that access to nature influences facility choice, and use of garden spaces is influenced by the way in which individuals prefer to enjoy nature.     

Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities

Abstract

In this paper we examine how the presence and visibility of outdoor and indoor physical activity resources (e.g., walking path/ trail, outdoor tennis courts, gardens, etc.) influences participation in physical activity among elderly residents in non-profit continuing care retirement communities and other senior housing communities. This paper reports findings from a survey of 800 such communities. A social ecological model was used to study the relationships between the environment and physical activity behavior. A fifty-two percent response rate (n = 398) was obtained. Campuses with more attractive outdoor and indoor physical activity facilities had more residents participating in different types of physical activity.     

Designing Successful Gardens and Outdoor Spaces for Individuals with Alzheimer's Disease

SUMMARY

There are many benefits derived from exposure to the outdoors for older adults with Alzheimer's disease, which include exposure to fresh air, sunlight and opportunities for walking and other forms of exercise. There are also opportunities for socialization that can minimize feelings of isolation and vulnerability, improve depression, enhance self-esteem, and simply experience the joys and surprises of nature.

While there seems to be universal agreement of the health and quality of life benefits in getting institutionalized persons into appropriate outdoor settings, in many ways gardens and outside spaces have failed. Time after time visitors stroll through the gardens admiring the landscaped grounds, the abundance of beautiful and fragrant flowers and other features, while noting the absence of residents.

Creditable research studies support the health benefits of exposure to the outdoors and nature. This discussion of design issues, barriers to use, the role of activity, the necessity of staff involvement, and design recommendations supports the urgent need for empirical research to inform the development of effective gardens and outdoor spaces to benefit older adults with Alzheimer's disease.     

Sandboxes and Heavenly Dwellings

ABSTRACT

Finnish housing was fundamentally transformed during the postwar period of (re-)construction. The emergence of new kinds of urban spaces entailed radical changes in the landscape, housing customs, and details of everyday life. The article explores suburbs as lived spaces, where architecture, environment, and inhabitants come together. I consider the built environment, discussions in the media regarding the new suburbs, and the written memories of inhabitants collected between 1995 and 2000. In the 1950s and early 1960s, the new suburbs symbolized a new way of life and were described enthusiastically in the media. However, from the late 1960s onwards criticism grew increasingly louder. By contrast, inhabitants' accounts present a multifaceted and mainly positive view in tension with media representations, offering a radically different perspective on suburban habitation. In my article, I explore the relations of suburban space and gender through two cases: the modern dwelling described as “heavenly” in the written memories; and the playground with the sandbox as its nucleus. These sites were crucial both in the narratives of suburban living and the planning of new residential environments. I pay particular attention to the figure of the suburban housewife and the agency of inhabitants as well as suburban social networks (claimed to be nonexistent in the then current criticism). My analysis proposes that meaningful social relations were formed in the suburbs, but they were constructed mainly by women and children. I suggest that instead of being the antithesis of modernity, suburbs were key spaces for the formation of the postwar Finnish housing environment, society, and gender relations.     

Environmental Support for Outdoor Activities and Older People's Quality of Life

Abstract

The outdoor environment provides older people with opportunities to be active, have contact with nature and meet friends and neighbours. Research has shown that such outdoor activities have substantial benefits for older people's well-being. However, going outdoors is often difficult for them due to increasing frailty and environmental barriers. This study argues that a neighbourhood environment facilitating older people's outdoor activities has a positive effect on their well-being. Small-scale studies were conducted to explore the concept of “environmental support” for outdoor activities and its effect on people's Quality of Life (QOL). Two methods were employed to identify the degree of environmental support. One was based on the assessment of neighbourhood environments and the other focused on outdoor activities people undertake. Analysis found highly significant correlations between environmental support and participants' QOL in both measurements even after controlling for participants' functional capability. The results suggest that outdoor environments adjacent to where one resides play a significant role in older people's QOL.     

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.     

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:     

The Impact of Living in Co-ed Resident Halls on Risk-taking Among College Students

Abstract

Objective: Although previous research has suggested that college housing impacts student behavior and outcomes, recent research linking college housing to risk-taking has been limited. In this study, we investigate if patterns of risk behavior differ based on the type of college housing environment students reside in. Participants: This study utilizes 510 college students living in on-campus college housing. Methods: Students were recruited from 5 college sites across the United States. Participants responded to survey items online that measured current risk-taking behaviors such as binge drinking and sexual activity. Results: After controlling for an assortment of demographic and psychological variables, results indicated that students living in co-ed housing were more likely than students living in gender-specific housing to binge drink and consume alcohol, have more permissive sexual attitudes, and have more recent sexual partners. Conclusions: On-campus housing environments impact college student risk behaviors. Implications are discussed in light of the decline of in loco parentis on most college campuses.     

No place to play: Implications for the interaction of parents and children

A disproportionate number of impoverished families live in housing which does not allow easy access to safe outdoor play. This paper uses Bowlby's theory of attachment as a framework for considering the implications of a lack of outdoor access for parental strategies and for the interaction of parents and children. The situation of one family is discussed in detail in order to clarify how a lack of outdoor play opportunities may contribute to anxious and over-protective parenting, or to a fatalistic abdication of responsibility. Especially in situations of poverty where alternative opportunities are likely to be limited, the availability of outdoor play space can be a significant factor in supporting healthy development and flexible, responsive parenting, ana it should be a priority in the planning and management of low-income housing intended for families with young children     

The limits of participatory democracy and the inclusion of social movements in local government

ABSTRACT

This paper examines the decentralisation of decision-making processes in local government. Empirically, I analyse how Brazilian housing movements are included in participatory processes by examining the ways in which participatory models integrate social movements in spaces of decision-making. I argue that the rules and focus on incremental policy-making limits the participation of social movements. Findings suggests that unequal power structures at local councils, barriers to the participation of citizens, and the lack of transparency of government decisions all prevent social movements from having a more influential voice in decision-making. Although previous studies in Brazil examined the integration of citizens in government institutions, this paper contributes to the literature in two ways: firstly, it provides new evidence on the impact of decentralisation in local government. Secondly, by examining the attitudes of housing council members towards popular political participation, it provides new insights into the limits of decentralisation and participatory governance in contemporary Brazil.     

Homes of Choice

Abstract

State policymakers increasingly recognize that housing is not only an important shelter resource for older persons, but also a key element of community-based care. Over the last two decades, significant state and local activity has led to an increase in service-enriched housing for older persons. Service-enriched housing refers to living arrangements that include health and/or social services in an accessible, supportive environment. Emerging forces are leading to increased pressure for the expansion of service-enriched housing. These forces include: a growing and diverse population of older renters; older adults' preferences to age in place; the increasing frailty of subsidized housing residents; the development of assisted living (AL); the enactment of Medicaid waivers; and implementation of the Olmstead decision. Although studies have not included cost-analysis, available research demonstrates that service-enriched housing promotes resident satisfaction, successfully provides services to frail populations, and supports aging in place.

Given both limited resources and research, this article addresses how states can adequately respond to and capitalize on these forces in order to best meet the long-term needs of older adults.     

The Transtheoretical Model

ABSTRACT

This article examined the application of the Transtheoretical model of behavioral change to the welfare to work transition with public housing residents. Both quantitative and qualitative data were gathered and analyzed to demonstrate that the welfare to work process may indeed be considered a change process. These findings have implications for social policy development and public worker training in both the public housing and publicwelfare systems.     

Social Work and Power

Abstract

This article argues that youth housing workers in Victoria, Australia, are vulnerable to housing affordability problems and one reason for this is inadequate pay. A survey of 10 youth housing workers explained the ways in which they had struggled to afford housing. Some paid more than 30% of their wage on housing costs. Others relied on income other than their youth housing worker salary to afford rental accommodation, which included pay from a second job, drawing on credit, and financial support from partners, family, and friends. Most reported that they did not have sufficient income to save to purchase a home. These findings resonate with secondary source aggregate data, which identified that for almost a decade the pay of youth homelessness service workers in Victoria has not kept pace with average wage growth and rises in rents and house prices. Improving youth housing workers pay is recommended as a way to address their housing affordability concerns.     

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.     

The Role of Housing in Community Health Promotion Among the Aged

Abstract

A total of 89 aged residents living independently in single and double occupancy housing in an historic, traditionally planned neighborhood in New Orleans were surveyed with respect to their engagement in the outdoor realm in their immediate neighborhood. An index was developed, comprised of variables spanning the scale of the private dwelling to neighborhood scale. Certain dwelling attributes, health status factors, lifestyle factors, and neighborhood factors were found to be associated with a disinclination to walk outdoors in the community. Among the findings, improperly designed porches and insufficient semi-private exterior space adjacent to the dwelling function as strong deterrents to health-promoting walking activity outdoors, closely followed by fear associated with being victimized by crime in one's immediate neighborhood. Such conditions were found to pose a barrier to full engagement with the community in what on the surface would otherwise appear to be an imminently pedestrian-scaled residential setting. Study limitations, and directions for future research within the environmental design disciplines are discussed for both historic neighborhood settings and in new development.     

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.     

The Design of Mainstream Housing for Downsizers

ABSTRACT

In the United Kingdom, the supply of new homes to the housing market tends to be focused either on “general-needs” housing on the one hand, or on special-needs housing for the elderly on the other, with relatively few people moving into homes that will support their independence as they age. Against the backdrop of the UK's chronic housing shortage and the UK government's recent Housing Standards Review, this case study of a mainstream housing development—which meets so-called “Lifetime Homes” in “Lifetime Neighborhoods” standards—identifies specific design and locational features that have attracted “downsizers” to buy into it, as well as those they subsequently found problematic.