Designing a Better Day

by Moore, Keith Diaz

• ISBN13: 9780801884153
• ISBN10: 0801884152
• Edition: 1st
• Format: Paperback
• Copyright: 2006-10-01
• Publisher: JOHNS HOPKINS UNIV PRESS

Summary

As the U.S. population ages, adult day services have become an integral component in the continuum of care for elderly people. Providing a variety of social and medical services for cognitively or physically impaired elderly people who otherwise might reside in institutions, these facilities can be found in a variety of building types, from purpose-built facilities to the proverbial church basement. They also vary widely in their philosophies, case mix, funding mechanisms, and services. In this interdisciplinary study, Keith Diaz Moore, Lyn Dally Geboy, and Gerald D. Weisman offer guidance for planning and designing good-quality adult day service centers. They encourage architects, caregivers, and staff members to think beyond the building, organizational mission, and staffing structure to conceive of the place that emerges as an interrelated system of people, programming, and physical setting. Through case studies, thoughtful explanations, and well-crafted illustrations, Designing a Better Day provides caregivers, architects, and administrators tools with which they can make qualitative changes for participants and their families. Organized into three parts -- creating awareness, increasing understanding, and taking action -- this book will be a key resource for professionals involved in creating and maintaining effective adult day service centers.

Author Biography

Keith Diaz Moore is associate professor and chair of the architecture program, University of Kansas. Lyn Dally Geboy is an environmental design researcher and consultant in Milwaukee, Wisconsin. Gerald D. Weisman is a professor of architecture and Director of the Institute on Aging and Environment at the School of Architecture and Urban Planning, University of Wisconsin--Milwaukee.

Table of Contents

Acknowledgments	vii
Introduction: Setting the Stage for a Better Day	1	(10)
Adult Day Centers: An Emerging Place Type
Some Important Terms
How This Book Is Organized
PART I. CREATING AWARENESS	11	(30)
Putting ADCs in Context	13	(10)
The Historical and Societal Origins of ADCs
Adult Day Services Today
Character Profiles of Three Common Day Centers
The Social / Spatial Structure Approach: Diagnostic Patterns in ADCs	23	(4)
Pattern Seeking
Patterns and Places
Diagnosing Prevalent ADC Types
The Experiential Approach: Attributes of Place Experience	27	(14)
A Vocabulary of Place Experience
Attributes of Place Experience
Experiencing ADCs
Conclusion
PART II. INCREASING UNDERSTANDING	41	(12)
ADCs, Places, and Systems	43	(10)
A Model of Place
The Placemaking Process
Conclusion
PART III. TAKING ACTION	53	(132)
The Process of Adult / Dementia Day Center Development	55	(10)
A Guiding Image: Your Project Vision
Where to Operate? Site Criteria
Moving from Vision to Project Concept
Conclusion
Determining Feasibility of an Adult / Dementia Day Center Project	65	(19)
Financial Feasibility Statement: The Pro Forma
Needs Assessment: If You Build It, Will They Come?
Developing an Activity Program	84	(14)
Valuing Strengths, Abilities, and Challenges
Giving the Activities Program Direction: Strategic Orientations
Life as Activity
Health and Rehabilitation
Choreographing the Daily Program
Conclusion
Prescriptive Patterns to Facilitate Life as Activity	98	(57)
Integrating Program and Setting
Realm of Activity: Coming and Going
Realm of Activity: Walking and Exploring
Realm of Activity: Daily Life Activities
Realm of Activity: Cooking and Dining
Realm of Activity: Being Outside
Conclusion
Prescriptive Patterns to Facilitate Health and Rehabilitation	155	(19)
Realm of Activity: Personal Care: Toileting
Realm of Activity: Personal Care: Bathing
Realm of Activity: Physical and Health Support Activities
Conclusion
Evaluating Adult / Dementia Day Centers as Places	174	(11)
Conclusion	185	(6)
People
Program
Physical Setting
References	191	(8)
Index	199