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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Developing Affordable and
Accessible Community-Based
Housing for Vulnerable Adults

PROCEEDINGS OF A WORKSHOP

Joe Alper, Karen Anderson, and Sarah Domnitz, Rapporteurs

Forum on Aging, Disability, and Independence

Roundtable on the Promotion of Health Equity and the
Elimination of Health Disparities

Board on Health Sciences Policy

Board on Population Health and Public Health Practice

Health and Medicine Division

Division of Behavioral and Social Sciences and Education

images

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

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This activity was supported by AARP; AARP Foundation; Administration for Community Living (Contract No. HHSP233201400020B/HHSP23337051); Aetna Foundation; Alliance for Home Health Quality and Innovation; The American Geriatrics Society; The Colorado Trust; Consumer Technology Association Foundation; The Gerontological Society of America; Health Resources and Services Administration (Contract No. HHSH250201500001I/HHSH25034002T; HHSH250200976014I/HHSH25034010T); The John A. Hartford Foundation; Kaiser Permanente; The Kresge Foundation; LeadingAge; the MacArthur Foundation; Merck & Co., Inc.; Methodist Healthcare Ministries; National Institute on Disability, Independent Living, and Rehabilitation Research; PHI; Qualcomm Inc. (Contract No. NAT-301711); U.S. Department of Defense (Contract No. HU0001-15-1-0007); U.S. Department of Housing and Urban Development; and U.S. Department of Veterans Affairs (Contract No. VA119-16-P-0111/PO101-C60259; VA268-15-C-0057). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-45980-8
International Standard Book Number-10: 0-309-45980-X
Digital Object Identifier: https://doi.org/10.17226/24787

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Developing affordable and accessible community-based housing for vulnerable adults: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/24787.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

PLANNING COMMITTEE FOR A WORKSHOP ON AFFORDABLE AND ACCESSIBLE HOUSING FOR VULNERABLE OLDER ADULTS AND PEOPLE WITH DISABILITIES LIVING IN THE COMMUNITY1

TERESA L. LEE (Chair), Executive Director, Alliance for Home Health Quality and Innovation

PAULA CARDER, Assistant Professor, Portland State University

ELENA FAZIO, Social Science Analyst, Office of Performance and Evaluation, Administration for Community Living

OCTAVIO MARTINEZ, Executive Director, Hogg Foundation for Mental Health, and The University of Texas at Austin

ANAND PAREKH, Chief Medical Advisor, Bipartisan Policy Center

CRAIG RAVESLOOT, Research Professor of Psychology, and Director, Research and Training, Center on Disability in Rural Communities, University of Montana

EMILY ROSENOFF, Senior Policy Analyst, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services

UCHENNA S. UCHENDU, Chief Officer, Office of Health Equity, U.S. Department of Veterans Affairs

GLEN W. WHITE, Professor, Applied Behavior Science, and Director, Research and Training, Center on Independent Living, University of Kansas

Project Staff

SARAH DOMNITZ, Director, Forum on Aging, Disability, and Independence

KAREN ANDERSON, Director, Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities

HILARY BRAGG, Program Coordinator

ANNA MARTIN, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

Consultant

JOE ALPER, Consulting Writer

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

FORUM ON AGING, DISABILITY, AND INDEPENDENCE1

TERRY T. FULMER (Co-Chair), The John A. Hartford Foundation

FERNANDO TORRES-GIL (Co-Chair), Luskin School of Public Affairs, University of California, Los Angeles

JAMES C. APPLEBY, The Gerontological Society of America

KENNETH BRUMMEL-SMITH, The American Geriatrics Society, and Florida State University College of Medicine

MARGARET L. CAMPBELL, Campbell & Associates, Consultants in Aging, Disability, and Technology Research and Policy

THOMAS E. EDES, U.S. Department of Veterans Affairs

ROBERT ESPINOZA, Paraprofessional Healthcare Institute

STEVE EWELL, Consumer Technology Association Foundation

ELENA FAZIO, Administration for Community Living

ROBERT JARRIN, Qualcomm Inc.

TERESA L. LEE, Alliance for Home Health Quality and Innovation

KATIE SMITH SLOAN, LeadingAge

JACK W. SMITH, U.S. Department of Defense

ERWIN TAN, AARP

MICHELLE M. WASHKO, Health Resources and Services Administration

Forum on Aging, Disability, and Independence Staff

SARAH DOMNITZ, Director, Forum on Aging, Disability, and Independence

HILARY BRAGG, Program Coordinator

GOOLOO WUNDERLICH, Senior Program Officer

ANDREW M. POPE, Director, Board on Health Sciences Policy

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY AND THE ELIMINATION OF HEALTH DISPARITIES1

ANTONIA M. VILLARRUEL (Chair), University of Pennsylvania

PATRICIA BAKER, Connecticut Health Foundation

JULIE A. BALDWIN, Northern Arizona University

GILLIAN BARCLAY, Independent Consultant

REBECCA BRUNE, Methodist Healthcare Ministries of South Texas, Inc.

NED CALONGE, The Colorado Trust

LUTHER T. CLARK, Merck & Co., Inc.

FRANCISCO GARCÍA, Pima County Department of Health

J. NADINE GRACIA, Office of Minority Health, U.S. Department of Health and Human Services

JEFFREY A. HENDERSON, Black Hills Center for American Indian Health

EVE J. HIGGINBOTHAM, University of Pennsylvania

CARA V. JAMES, Centers for Medicare & Medicaid Services

MELENIE MAGNOTTA, Aetna Foundation

OCTAVIO N. MARTINEZ, JR., Hogg Foundation for Mental Health, and The University of Texas at Austin

NEWELL E. MCELWEE, Merck & Co., Inc.

PHYLLIS D. MEADOWS, The Kresge Foundation

CHRISTINE RAMEY, Health Resources and Services Administration

MELISSA A. SIMON, Northwestern University Feinberg School of Medicine

PATTIE TUCKER, Centers for Disease Control and Prevention

UCHENNA S. UCHENDU, Office of Health Equity, U.S. Department of Veterans Affairs

ROHIT VARMA, University of Southern California

WINSTON F. WONG, Kaiser Permanente

Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities Staff

KAREN M. ANDERSON, Director, Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities

ANNA MARTIN, Senior Program Assistant

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

KENDALL CAMPBELL, 2014-2016 Puffer/ABFM Fellow at the National Academy of Medicine, and Brody School of Medicine, East Carolina University

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets institutional standards for objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We wish to thank the following individuals for their review of this proceedings:

KENDALL M. CAMPBELL, Brody School of Medicine, East Carolina University

PAULA CARDER, Portland State University

OCTAVIO N. MARTINEZ, Hogg Foundation for Mental Health

PHYLLIS MEADOWS, The Kresge Foundation

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by LINDA A. MCCAULEY, Emory University. She was responsible for making certain that an inde-

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×

pendent examination of this proceedings was carried out in accordance with the standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/24787.
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Accessible and affordable housing can enable community living, maximize independence, and promote health for vulnerable populations. However, the United States faces a shortage of affordable and accessible housing for low-income older adults and individuals living with disabilities. This shortage is expected to grow over the coming years given the population shifts leading to greater numbers of older adults and of individuals living with disabilities.

Housing is a social determinant of health and has direct effects on health outcomes, but this relationship has not been thoroughly investigated. In December 2016, the National Academies of Sciences, Engineering, and Medicine convened a public workshop to better understand the importance of affordable and accessible housing for older adults and people with disabilities, the barriers to providing this housing, the design principles for making housing accessible for these individuals, and the features of programs and policies that successfully provide affordable and accessible housing that supports community living for older adults and people with disabilities. This publication summarizes the presentations and discussions from the workshop.

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