Our July profile on the innovative ‘Green Houses’ model for older adults as a designed-from-ground-up alternative to nursing homes mentioned the considerable support that the Robert Wood Johnson Foundation (RWJF) has given to the Green House Project with an initial 10-year, $10 million low-interest credit facility in 2011. RWJF has added a $2.77 million grant for a three-year acceleration of the model to include an updated financial model and a stronger marketing plan to create demand. All good things for this care model for high acuity residents. Grant on the RWJF website. MedCityNews.
Steve Moran’s Senior Housing Forum is hosting a lively discussion on designing communities for what this Editor would term the cognitively impaired, euphemistically called ‘memory care’ here in the States, then often bluntly categorized as dementia care. This concentrates on one CEO’s journey in designing a new memory care community, The Cottages at Cedar Run (Wisconsin) and how he utilized ideas developed in the US (Eden Alternative, Green Houses — Bill Thomas’ work, TTA 30 July) as well as the Dutch Dementia Village [TA 22 Dec 12] The architect’s video still strikes this Editor as full of nice touches (the courtyard a la the Dutch, but not as spacious or a center of activity; the padded window seats) but still institutional feeling (the cottages have a nice look but need more individualization to aid resident identification; how a resident/family can personalize the cottage); all in the right direction. The comments expand upon many points, but what is really missing here is the integration of technology— (more…)
“Let’s abolish the nursing home”–Dr. Bill Thomas
In the US, the ‘Green House Project’ model has made tremendous progress in developing homes for older adults as an alternative to nursing homes. A ‘design for living’ for 10-12 residents, a Green House is a home-like model built from the ground up with private rooms, bathrooms and community living. Currently 260 homes are open or under development across 32 states. From their website, the intent is for “Those who live in, work in, and care about a Green House [home] share the duty to foster the emergence of late-life development within the daily life they create together.” The care ratio is also much higher; care teams are organized on self-managed work teams to care for the mostly high acuity residents (including dementia). Yet costs, according to NPR, are about the same as the median for nursing homes nationally (many residents are on Medicaid) and in quality of life, it respects residents habits, privacy with the outcome that it supports residents longer in a level of independence.
The Green House concept came from the work of Bill Thomas MD, a geriatrician who also developed the Eden Alternative and frequently writes on ChangingAging.org. The news is the backing of the Green House Project by the prestigious and well-funded Robert Wood Johnson Foundation and NCB Capital Partners. The Project provides the model and guidance to independent organizations for organization, implementation and certification of these homes. MedCityNews was wowed by it (Wall Street Journal link does not work, however). See the video from RWJF on what they saw as ‘a catalyst for significant social change’. Green House Project website RWJF page on their support of this ‘force multiplier’.
What if you added non-intrusive health tech to these homes? The opportunities could be as varied as the ELSI Smart Floors and alert system for safety (Charles)…fitness bracelets/wearables to monitor basic vitals and ADL/activity (Jawbone, Misfit, AFrame)…biosensor ‘tattoos’ (Toni). Tablet/PC based socialization/brain stimulation (GeriJoy, GrandCare, It’s Never 2 Late). Could this humane environment move to a higher level with a touch of tech?[This video is no longer available on this site but may be findable via an internet search]