1. PSYCHOLOGY OF AGING UNIT 8: CHAPTER 13 HEALTHY AND HELPFUL ENVIRONMENTS Robin Cooper, LCSW Foos, P.W., & Clark, M.C. (2008). Human aging. Boston, MA: Pearson Higher Education.

2. GETTING STARTED Welcome Microphone check Technical difficulties: 1-866-522-7747 No seminar in Unit 10 End of term surveys Tonight: Unit 9 Project, Review of chapter content (healthy/helpful environments) with open discussion and field trips

3. ECOLOGICAL THEORY OF AGING Ecological theory of aging The ability to complete a task is a result of the congruence between what the environment demands of us and the capabilities of the person attempting the task, thus person-environment congruence. The fit between the person and their environment is paramount. Can you think of some examples of a poor fit between the person and their environment? Are people with lower competencies more or less vulnerable to environmental demands?

4. TYPES OF PERSON-ENVIRONMENT CONGRUENCE Levels of fit Social congruence Physical congruence Psychological congruence Social Congruence Fitting in with other people Many older adults choose to live near friends and family

5. TYPES OF PERSON-ENVIRONMENT CONGRUENCE Physical Congruence Being able to move around or work in a given space Can you think of some examples of things that might improve physical congruence for older adults? Psychological Congruence Feelings about a place and your identity in that space Oftentimes, the longer you live in a space, the more attached you become What are some examples of psychological congruence for you? Examples of levels of fit in the aging population? Examples of overlap between the levels of fit?

6. HOUSING OPTIONS Housing options for the elderly Single-family homes Living with a relative or friend Senior apartments Retirement communities Assisted living facilities Continuing care retirement communities Nursing homes

7. HEALTHY/HELPFUL ENVIRONMENTS Aging in place Only 5% of people choose to move from their homes after retirement Most older persons hope to remain in their own homes as long as possible, preferably until death What are the biggest benefits of this? Activities of daily living and instrumental ADLs Variations of remaining at home by race and gender

8. HOME CARE Programs and services provided in the home Information and referral Companionship services Help around the house Home modification Transportation Nutritional assistance Geriatric case management In-home health aides, nurses, and therapist Hospice care Adult daycare Respite programs

9. HEALTHY/HELPFUL ENVIRONMENTS Financing long-term care Private insurance Medicare Medicaid What are some of the implications and controversies surrounding each of these financing options?

10. QUALITY OF LIFE IN INSTITUTIONS Must consider the abilities, needs, and desires (choices) of residents in their design and provision of service. Should encourage independent behaviors Must work to maintain respect and communication between workers and residents

11. PROGRESSIVE DESIGNS Human factors approach and ergonomic design Gerontechnology Architectural design for elders The Eden Alternative Field trip: http://www.youtube.com/watch?v=ZKRMd- r2dN8http://www.youtube.com/watch?v=ZKRMd- r2dN8 Your thoughts? The Green House Design Field trip: http://www.youtube.com/watch?v=eajQ5CzyOec&feat ure=related http://www.youtube.com/watch?v=eajQ5CzyOec&feat ure=related Your thoughts?

12. CLOSING Tonight: Review of chapter content (healthy/helpful environments) with open discussion and field trips Any questions? Next week: Unit 9 Topic: Optimization of Aging, Professional Interventions Reading: Chapter 15