Can community design take the loneliness and angst out of aging?

The Green House Project, which is a network model of nursing homes across states, has been able to largely avoid the spread of Covid-19 amongst residents, with five times fewer cases than the national nursing home average. While the small size of the nursing homes has played a role, it has also been beneficial that each resident has their own bedroom and bathroom and that staff employ a universal worker model that limits the number of nursing assistants coming and going from each facility.

To better serve patients struggling with dementia, a hospital in Berlin established a department of geriatrics and began screening "patients for cognitive impairments upon admission, providing them with trained volunteers for personal support and non-pharmacological interventions to prevent delirium." This course of action has helped the hospital to diagnose cases earlier and offer dementia-specific care for patients, which consequently has reduced the prescribing of drugs for these patients.

With hundreds of millions of dollars dedicated to making over Texas’ hospital system, designers are looking beyond simply upgrading the physical infrastructure. Instead, they’re reimagining what the entire system could look like. Considering physical space, the upstream causes of mental health issues, and how to attract and retain the best practitioners are just a few of the elements that are being considered in this redesign.

The Saving Mothers, Giving Life project aims to improve access to and the quality of maternal and infant healthcare to reduce maternal and newborn deaths. The project established a Maternal and Perinatal Death Surveillance and Response team and launched an interactive digital chat solution on WhatsApp to get important health information to pregnant women. Through these efforts, maternal and perinatal deaths in 25 private health facilities decreased by 60% and 16%, respectively.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.

The RECOVERY Rehabilitation Center provides rehabilitation care for wounded soldiers. Providers at the center provide patients with specialized care and help to create individual action plans for when patients leave the center to ensure they have the means to adapt to their new way of life.

Program for All-Inclusive Care for the Elderly (PACE) provides care to elders including adult day care, home health care and supplies like bed rails, eyeglasses and access to medications, while simultaneously providing respite to family caregivers. Studies show PACE program participants have lower rates of hospital use and shorter lengths of stay compared to those participating in other programs or opting for general nursing home care. The PACE centers in Metro Detroit serve 1,600 adults across its seven centers. Statewide, there are 14 active PACE programs across 24 centers.

University-based retirement communities help to foster intergenerational connections between younger and older generations. Some of these facilities are simply developments near colleges, while others are physically on-campus. Along with building connections, these programs help fight feelings of loneliness among the older population and break down stigmas young people may hold about the elderly.

To combat worker shortages, the Presbyterian Homes and Services — a network of over 50 senior living communities — has been partnering with the International Personnel Resource of the Philippines to bring registered nurses from overseas to the states.

The Money Follows the Person is a federal program that increases access to Medicaid funds for home and community care services for people transitioning out of institutional care. The program has helped more than 101,000 people move out of long-term care facilities into community or home living. The program has also helped people save money by cutting taxpayers’ Medicaid and Medicare bills by about 23% for each person who was moved out of a nursing home or other institution. Based on the program’s success, the current administration is reviewing plans to extend or make Money Follows the