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Aging in Community Most Americans would prefer to “age in place” — as an alternative to institutional long-term care, to continue to live in their home with supportive services. While many elders and family members consider this a satisfactory option, others find it a hollow victory.
Often the home we have lived in for many years and to which many fond memories and deep relationships attach poses significant physical, financial, or emotional challenges and makes connection with family, friends, neighbors, and the community difficult or impossible. A third way
— which is neither aging in place nor institutional long-term care
— is emerging: aging in community. Rooted in the view that elderhood is
a distinct phase of the human life cycle
— with its own gifts and
challenges — the concept
encourages a proactive strategy to create
supportive neighborhoods and networks. Thus, the well-being and quality of life for elders at home
becomes a measure of the success of the community. Aging in
community advances the concept of
being “a darn good neighbor” —
and, as a result, promotes social
capital, a sense of trust and mutual interconnectedness
that is
enhanced over time through positive interactions and
collaboration in shared interests. |
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Barnaby Gaitlin — the 29-year-old protagonist in Anne Tyler's novel, A Patchwork Planet (1999) — works for a fictional Baltimore company called Rent-a-Back:
“The idea is that you stay in your own apartment, and any service you need comes to you, a la carte, as well as a rich program of social and cultural activities... Most of the roughly 300 members pay an annual fee of $500, which then counts against the cost of services. Beacon Hill Village can find you anyone from an electrician to a nurse, provide in-home meals or exercise classes, and basically provide anything a residential program does... “About one-fifth of its members receive subsidized services, thanks to support from the Boston Foundation and several other grants. The rest pay for the services they use, though Beacon Hill Village does negotiate member discounts. It also benefits from the help of neighborhood volunteers.”1
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