Assisted Living for the Aged and Frail: Innovations in Design, Management, and Financing

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Assisted living is a residential housing and service alternative designed to augment and, in some cases, replace the traditional nursing home. It is a housing choice that offers greater independence, autonomy, and privacy to the fastest growing segment of the U.S. population - older, mentally and physically frail adults. As an alternative to institutionalization, assisted living provides those who need personal care assistance to carry out activities of daily living with a longterm care choice that nurtures an independent lifestyle. This much-needed book bases its recommendations on the analysis of hundreds of projects from the United States and Europe. It provides professionals, policymakers, educators, and students with an introduction to this innovative housing type, and offers ideas on how housing design can enhance the quality of life. Victor Regnier, an expert on architecture and gerontology, covers the spectrum of issues surrounding assisted living. He outlines approaches to creative management and service provision, and suggests financing strategies that reduce the cost of housing. Assisted Living for the Aged and Frail offers new hope for the aging, and will be of value to architects, housing sponsors, gerontologists, housing advocates, service providers, regulators, manager, and investors. Combining theory with practical suggestions, the book offers the most comprehensive study available on important emerging housing option for older frail people.
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Editorial Reviews

Recommends innovations in housing design, creative management, and service provision in assisted living for mentally and physically frail elders, drawing on analysis of projects in the US and Europe. Discusses developing the project concept, designing the physical environment, managing the therapeutic environment, and financing construction and operations, and presents seven case studies describing facilities, financial planning, and care services. Includes b&w blueprints and photos. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780231082761
  • Publisher: Columbia University Press
  • Publication date: 6/8/1995
  • Pages: 243
  • Product dimensions: 6.20 (w) x 9.10 (h) x 0.90 (d)

Table of Contents

1 Defining Assisted Living 1
2 Developing the Project Concept 27
3 Designing the Physical Environment 46
4 Managing a Therapeutic Environment 92
5 Financing Construction and Ongoing Operations 138
6 Seven Case Studies 167
7 Design, Management, and Financing Directives 217
References 253
Index 259
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