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

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