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1 – 7 of 7Judith Sixsmith, Mei Lan Fang, Ryan Woolrych, Sarah L. Canham, Lupin Battersby and Andrew Sixsmith
The provision of home and community supports can enable people to successfully age-in-place by improving physical and mental health, supporting social participation and enhancing…
Abstract
Purpose
The provision of home and community supports can enable people to successfully age-in-place by improving physical and mental health, supporting social participation and enhancing independence, autonomy and choice. One challenge concerns the integration of place-based supports available as older people transition into affordable housing. Sustainable solutions need to be developed and implemented with the full involvement of communities, service organizations and older people themselves. Partnership building is an important component of this process. The purpose of this paper is to detail the intricacies of developing partnerships with low-income older people, local service providers and nonprofit housing associations in the context of a Canadian housing development.
Design/methodology/approach
A community-based participatory approach was used to inform the data collection and partnership building process. The partnership building process progressed through a series of democratized committee meetings based on the principles of appreciative inquiry, four collaboration cafés with nonprofit housing providers and four community mapping workshops with low-income older people. Data collection also involved 25 interviews and 15 photovoice sessions with the housing tenants. The common aims of partnership and data collection were to understand the challenges and opportunities experienced by older people, service providers and nonprofit housing providers; identify the perspectives of service providers and nonprofit housing providers for the provision and delivery of senior-friendly services and resources; and determine actions that can be undertaken to better meet the needs of service providers and nonprofit housing providers in order to help them serve older people better.
Findings
The partnership prioritized the generation of a shared vision together with shared values, interests and the goal of co-creating meaningful housing solutions for older people transitioning into affordable housing. Input from interviews and photovoice sessions with older people provided material to inform decision making in support of ageing well in the right place. Attention to issues of power dynamics and knowledge generation and feedback mechanisms enable all fields of expertise to be taken into account, including the experiential expertise of older residents. This resulted in functional, physical, psychological and social aspects of ageing in place to inform the new build housing complex.
Research limitations/implications
The time and effort required to conduct democratized partnerships slowed the decision-making process.
Originality/value
The findings confirm that the drive toward community partnerships is a necessary process in supporting older people to age well in the right place. This requires sound mechanisms to include the voice of older people themselves alongside other relevant stakeholders. Ageing well in a housing complex requires meaningful placemaking to include the functional, physical, psychological and social aspects of older people’s everyday life in respect to both home and community.
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Ryan Woolrych and Judith Sixsmith
Policy has identified the need for integrated dementia services for older people. However, the role of the formal carer within an integrated framework of service delivery has not…
Abstract
Purpose
Policy has identified the need for integrated dementia services for older people. However, the role of the formal carer within an integrated framework of service delivery has not been well articulated in practice. The aim of this paper is to understand the experiences of formal carers working with the context of an integrated dementia service by exploring findings from a research‐based evaluation.
Design/methodology/approach
The evaluation captured the experiences of formal carers working within the service via observations, semi‐structured interviews and focus groups.
Findings
Working with an integrated service brings about individual, social and organisational challenges to the role of the formal carer, in terms of: delivering flexibility and responsiveness, providing continuity of care, ensuring cross‐organisational working and acquiring skills, knowledge and expertise.
Originality/value
To facilitate the successful delivery of integrated care, the emerging role of the formal carer needs to be more clearly articulated and supported within a service context.
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Ryan Woolrych and Judith Sixsmith
The concepts of well‐being and participation are prevalent in current regeneration policy, being seen as crucial to alleviating disadvantage and marginalisation in deprived…
Abstract
Purpose
The concepts of well‐being and participation are prevalent in current regeneration policy, being seen as crucial to alleviating disadvantage and marginalisation in deprived communities. However little is understood about how such ambiguous concepts are articulated within urban regeneration practice. This paper seeks to present a reflective case study of research in a New Deal for Communities (NDC) area designed to understand different conceptualisations of well‐being and participation in community places and regeneration practices.
Design/methodology/approach
The perspectives of regeneration professionals, local residents and academics were revealed through the development of a multi‐method and participatory research approach using interviews, observations, video diaries and workshops. An action oriented event aimed at developing overlapping communities of practice was held to engage in active dialogue and develop shared understandings between the resident, professional and academic communities.
Findings
Conceptualisations of well‐being and participation articulated through regeneration policy and practice between the different stakeholder groups are contradictory. The absence of a shared vision for regeneration and differing expectations of participation can have detrimental effects on both the well‐being of local residents and the sustainability of the long‐term participation of local residents in the regeneration process. This challenges the recent government approach to creating a Big Society which is underpinned by devolved decision making and the desire for local leadership through realising the potential of communities.
Originality/value
The research has helped to create new relationships between residents and professionals organised around joint working and changed practice.
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Two projects in the EQUAL programme explore aspects of the influence of building design on the quality of life of people with dementia. Design in Caring Environments (DICE…
Abstract
Two projects in the EQUAL programme explore aspects of the influence of building design on the quality of life of people with dementia. Design in Caring Environments (DICE) examined the quality of life of people in residential care homes in relation to building design features. INDEPENDENT (Investigating Enabling Environments for People with Dementia) is a current project with the aim of developing technologies to enhance quality of life by supporting enjoyable activities. One aspect of INDEPENDENT is an exploration of the interaction between spatial settings and meaningful activity, to highlight factors that support and enable activity and to identify barriers. Findings from both projects suggest that a more creative approach to the management of buildings would enhance the well‐being of residents; under‐use of facilities is common. Meaningful space that supports activity is therapeutic but spaces that give confused messages are common in buildings used by older people. Tools to evaluate buildings have a potential role in the long‐term management of facilities to help identify underused spaces, spatial confusion and barriers to activity. Quality of life was shown to be poorer in buildings that prioritise safety and health; buildings that support activity positively by providing good assistive devices, giving people control of their environment and affording good links with the community have a positive association with well‐being.
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