Abstract:

This chapter reports on the experience of the Supportive Services Program in Senior Housing - focusing on those elderly who are living in subsidised housing arrangements, with more frail elderly living in subsidised housing than not. It is believed that the architecture/design of public housing is lacking with regard to accessibility, and that occupants are unlikely - or unable - to modify. Social isolation, in conjunction with the nearness of neighbours (ie: noise, mental illness etc) make subsidised housing an important area for adaptation considerations - residents may have significant needs they are unable to meet alone. The housing environment is considered in terms of its' physical space (ie: layout and design), organisational environment (ie: management and service delivery) and social environment (relationships, neighbourhood, residential community and quality of life). The chapter reports on a three year study designed to enrich residents sense of community - with study results aimed to assist housing sponsors, service providers, residents, planners and those involved with naturally occuring retirement communities. The importance of consumer choice is laboured in the program, in order to develop responsive service delivery. During the program, declines in service use were analysed, and changes made when necessary. The chapter provides worked case studies that illustrate the interaction between the physical space, organisational and social environments. Types of modifications made to the physical environments are listed that have assisted program residents to live more easily and have been provided with resident input. Through the program, consultation and communication with residents about the services and management procedures was improved - emphasising the role of the consumer and providing more appropriate services by increasing an awareness of the needs of residents. Residents thrive in social, community-like environments where autonomy and negotiation is encouraged and activity levels are high. Programs tailored to individual developments and based on consumer choice and input are considered highly effective in providing supportive subsidised housing.