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Damon Terzaghi, MSAEmily Nabors, MSG
Julie Overton, MHA, MSGBernard A. Steinman, PhD
Jon Pynoos, MCP, PhD
State Units on Aging and Home Modification and Repair:
Results from a National Survey
USC Leonard Davis School of Gerontology
• Applied Research
• Information Dissemination
• Professional Education and Training
Aging in Place: The Role of the Home
• Most people want to stay in their homes as they age
• Home = delivery site for caregiving, home and community-based services
• A home's condition impacts person’s ability to care for themselves, and providers’ ability to deliver care
• Especially important to consider during COVID-19 pandemic
• 28% of 65+ households have at least 1 person who has difficulty using some element of the home (e.g., climbing stairs, using bathtub)
• 10% of housing units are “aging ready,” with a step-free entryway, bedroom and full bathroom on 1st floor, and at least 1 bathroom accessibility feature
• Unmet housing needs are especially common among older households that are low-income
Source: U.S. Census Bureau, 2020 (Data from American Housing Survey, 2011)
Housing Does Not Support Aging
What is Home Modification and Repair?
Change the environment
Remove Fall Hazards
Add Supportive Features
Change Behavior
Examples:• Remove Clutter, Throw Rugs• Rearrange Furniture• Improve Lighting• Handrails• Grab Bars• Improve Lighting• Hand-Held Shower• Tub Bench/Shower Seat• Zero-Step Shower• Repairs
Importance of Home Modification and Repair
• Integral to aging in place as health, abilities change
• Make daily activities easier
• Reduce falls, injuries
• Support home and community-based service delivery, caregivers
• Cost effective/save $
Barriers to Home Modification and Repair
• Lack of coordination
• Inadequate funding
• Complexity of funding
• Shortage of home mod services and trained professionals
• Lack of awareness among consumers
Promoting Aging in Place by Enhancing Access to Home Modifications
Funded by:
Partners:
Goal: Maximize older adults’ ability to age in place by increasing the availability and awareness of home modifications
Key Projects• Develop knowledge base of home modification and repair (HMR)
programs, funding by state
• Compile principles to identify best practices in home modifications and repairs
• Convene Steering Committee of federal agencies to improve coordination
• Offer online home modification and repair training for aging network professionals
• Provide educational resources to SUAs, AAAs, and Title VI organizations for older adults, caregivers
Develop A Knowledge Base: Environmental Scan
Ongoing data collection process documenting and sharing home modification activities at the local and state levels
The Home Modification Information Network
Develop a Knowledge Base: Survey of State Units on AgingHome Modification and Repair Efforts
50 of 56 State Units on Aging responded (89% response rate)
10-question open and close-ended email survey to SUA Directors
Level of Importance Placed on Home Modification and Repair Activities
by SUAs
The Role of State Units on Aging in Home Modification and Repair
The Role of State Units on Aging in Home Modification and Repair
Older Americans Act and Home Modification and Repair
Yes, 25%, n = 11
No, 75%, n = 33
State Unit on Aging Allocates/Designates Older Americans Act Title III-B Funds (N = 44)
Collaboration by SUAsfor Home Modification and Repairs:
Funding and Service Provision
Aging HealthDisability Housing
Common Cause Perspective
Collaboration by SUAsfor Home Modification and Repairs:
Funding
Collaboration by SUAsfor Home Modification and Repairs:
Service Provision
Home Modification and Repair
Related Needs as Identified by SUAs
SUA Perspectives on Home Modification and Repair
SUA Approaches in Home Modification and Repair: Opportunities
Access Leadership
Collaboration Creative Funding
Increased Home Mods/Repairs
Next Steps and Recommendations
Case Exemplars featuring innovative HMR efforts of SUAs for replication
State Agency Task Forces or cross agency workgroups on HMR that address overlaps in state program missions and funding mechanisms
Training of Home Modification and Repair Professionals to address the increasing need for informed and qualified providers
Inclusion of Home Modification and Repairs as a key component of home-and community-based services
Designation of a Staff Person within the SUA or agency who is responsible and/or a point person for home modification and repair efforts
For More Information
Emily Nabors [email protected]
Julie Overton [email protected]
Bernard Steinman [email protected]
Jon Pynoos [email protected]
USC Leonard Davis School of Gerontology: www.gero.usc.edu
• www.homemods.org Home Modification news, research, resources, SUA Report
• www.homemods.org/acl/hmin/ Home Modification Information Network
• www.lifetimehome.org Images of home mods, universal design in actual homes
Thank you!