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Research Library

The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

The Research Library does not lend books and other items. Under special circumstances, requests to use the library may be made by emailing .

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The role of the built environment in holistic delivery of home and community-based care services to frail elderly persons.

Empowering frail elderly people: opportunities and impediments in housing, health, and support service delivery.

Author: Heumann, L. F.
Type: Book Section
Year: 2001


Explores environmental adaptations to the home as part of a comprehensive and flexible approach to care management in Australia and addresses potential impediments to empowerment. Lack of environmental adaptations in care management can: 1) limit choices and flexibility in support, and thus limit power; 2) fail to minimize the use of visiting human service providers for frail seniors who prefer to maximize privacy and independence; 3) fail to achieve maximum integration and coordination of the support options most desired by frail elderly clients. When environmental adaptations are not part of a care management package, at least 3 types of impediments to empowerment can result: (1) physical barriers within the home limit mobility, control, safety, and full use of the environment; (2) inappropriate layout and design of the living space may compromise full control and use of the house; and (3) maintenance and management of the house becomes complicated and costly and, in some cases, they are totally neglected, causing faster deterioration of the environment. These may interfere with the enjoyment of aging in place, can shorten the time in which frail elderly can live independently in their housing of choice, and may cause premature and inappropriate transfer to institutional care.

Further Details

Author: Heumann, Leonard F. , McCall, Mary E.
Pages: 119-136
Accession Number: 25.11.03
Keywords: Australia, older
Reads: 246