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
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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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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Copyright 2017 by the National Academy of Sciences. All rights reserved.
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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.
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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.
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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.
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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.
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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-
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.
4 DESIGN FEATURES OF ACCESSIBLE HOUSING FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES
Life Starts at Home: Linking Home Environment and Quality of Life for People with Disabilities
Habitat for Humanity: Helping People Age in Place
The Vermont Center for Independent Living: Improving Home Access
5 MODELS CONNECTING AFFORDABLE HOUSING AND SERVICES AS A PLATFORM FOR HEALTH AND INDEPENDENCE
Supportive Housing to Improve Health
U.S. Department of Housing and Urban Development Section 811 Project Rental Assistance Program
Katina Washington and Lisa Sloane
Community Aging in Place—Advancing Better Living for Elders
Moderated Discussion with Panel Speakers
6 REACTORS PANEL ON POLICY IMPLICATIONS AND RESEARCH NEEDS