Can community-based services thrive in a licensed nursing home?
- Authors:
- JENKENS Robert, THOMAS William H., BARBER Veronica
- Journal article citation:
- Generations, 36(1), 2012, pp.125-130.
- Publisher:
- American Society on Aging
This article proposes that Green House homes, homes of six to twelve people licensed as nursing facilities that deliver person-directed care through radically redesigned environments and organisational structures, can be part of the home- and community-based spectrum when integrated into residential communities using a scattered-site approach (single or paired homes embedded into residential neighborhoods). In this configuration, Green House homes can provide a community-based option for people with high service and clinical needs who, due to individual circumstances or finances, lack other non-institutional options. The communityintegrated Green House concept is illustrated by two Green House homes operating in a neighborhood in upstate New York. People, both with and without cognitive impairments, who live in the community-integrated Green House homes are expected to remain more integrated into the broader community because of closer physical proximity, more individualised assistance to support participation in external activities, and having a “normalised” home that community members feel comfortable visiting. It is expected that this community integration will improve clinical and satisfaction outcomes, and drive demand and revenue growth. (Edited publisher abstract)
- Subject terms:
- residential care, community care, nursing homes, personalisation;
- Content type:
- practice example
- Location(s):
- United States
- Link:
- Journal home page
- ISSN print:
- 0738 7806