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• 1. [Article] The Case for Age-Friendly Communities

  The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the ...

  Citation × Citation Citation Abstract Copy Title: The Case for Age-Friendly Communities Author: Neal, Margaret, DeLaTorre, Alan Kenneth Year: 2016 The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the key impetus being population aging. Beyond what individuals themselves can do to age optimally, the movement to create communities that are age friendly focuses on how the economic, physical, and social environments can be improved to address not only the needs but also maximize the assets of an aging population, for the benefit of all. Title: The Case for Age-Friendly Communities Author: Neal, Margaret, DeLaTorre, Alan Kenneth Year: 2016 The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the key impetus being population aging. Beyond what individuals themselves can do to age optimally, the movement to create communities that are age friendly focuses on how the economic, physical, and social environments can be improved to address not only the needs but also maximize the assets of an aging population, for the benefit of all. Close

• 2. [Article] Home Forward’s Aging in Place Initiative: Planning for Current and Future Residents

  This report was prepared on behalf of the Aging in Place Initiative of Home Forward. The Initiative sought to gather information about older persons currently residing in Home Forward’s public housing ...

  Citation × Citation Citation Abstract Copy Title: Home Forward’s Aging in Place Initiative: Planning for Current and Future Residents Author: Carder, Paula C., Weinstein, Jenny, Kohon, Jacklyn Nicole Year: 2012 This report was prepared on behalf of the Aging in Place Initiative of Home Forward. The Initiative sought to gather information about older persons currently residing in Home Forward’s public housing properties, from persons age 55 and older on the waitlist for housing, and from older adults in the Portland area. While local data were unavailable at the time of this report, we know that nationally, more than one-third (37 percent) of the approximately 5 million households receiving housing assistance from HUD are headed by persons age 62 and older. With this in mind, Home Forward must make decisions now about how to respond to the aging of both current residents and the local community. The population of older persons has and will continue to increase in Multnomah County, and Oregon. While many older persons enjoy relative economic stability, a sizeable number are very poor and face housing instability and declining health. According to the 2010 U.S. Census, the poverty rate among county residents age 65 and older is 10.9%, higher than the national average of 9%. A recent study of Multnomah County adults with incomes at or below 200% of poverty level found that 44% of those who had moved in the prior five years had done so to reduce housing costs. Title: Home Forward’s Aging in Place Initiative: Planning for Current and Future Residents Author: Carder, Paula C., Weinstein, Jenny, Kohon, Jacklyn Nicole Year: 2012 This report was prepared on behalf of the Aging in Place Initiative of Home Forward. The Initiative sought to gather information about older persons currently residing in Home Forward’s public housing properties, from persons age 55 and older on the waitlist for housing, and from older adults in the Portland area. While local data were unavailable at the time of this report, we know that nationally, more than one-third (37 percent) of the approximately 5 million households receiving housing assistance from HUD are headed by persons age 62 and older. With this in mind, Home Forward must make decisions now about how to respond to the aging of both current residents and the local community. The population of older persons has and will continue to increase in Multnomah County, and Oregon. While many older persons enjoy relative economic stability, a sizeable number are very poor and face housing instability and declining health. According to the 2010 U.S. Census, the poverty rate among county residents age 65 and older is 10.9%, higher than the national average of 9%. A recent study of Multnomah County adults with incomes at or below 200% of poverty level found that 44% of those who had moved in the prior five years had done so to reduce housing costs. Close

• 3. [Article] Verbal fluency performance of normal elderly subjects

  The purpose of this study was to measure the verbal fluency of normal gerontologic subjects and to determine the extent of association between verbal fluency score and level of education. Specifically, ...

  Citation × Citation Citation Abstract Copy Title: Verbal fluency performance of normal elderly subjects Author: Secrest, Molly Year: 1982 The purpose of this study was to measure the verbal fluency of normal gerontologic subjects and to determine the extent of association between verbal fluency score and level of education. Specifically, this investigation sought to determine means, ranges and standard deviations for three groups of subjects: those 61 to 69 years of age, those 70 to 79 years of age, and those 80 years of age and above. In addition, correlations between verbal fluency score, and age, sex, years of education, and order of stimulus presentation were computed. Title: Verbal fluency performance of normal elderly subjects Author: Secrest, Molly Year: 1982 The purpose of this study was to measure the verbal fluency of normal gerontologic subjects and to determine the extent of association between verbal fluency score and level of education. Specifically, this investigation sought to determine means, ranges and standard deviations for three groups of subjects: those 61 to 69 years of age, those 70 to 79 years of age, and those 80 years of age and above. In addition, correlations between verbal fluency score, and age, sex, years of education, and order of stimulus presentation were computed. Close

• 4. [Article] Role exits among the aged

  The concept of role exit presented by Zena Smith Blau in her book, Old Age in a Changing Society, refers to the ongoing process of relinquishing previously enacted social roles; a process which is part ...

  Citation × Citation Citation Abstract Copy Title: Role exits among the aged Author: Mancini, Nancy Whitelaw Year: 1975 The concept of role exit presented by Zena Smith Blau in her book, Old Age in a Changing Society, refers to the ongoing process of relinquishing previously enacted social roles; a process which is part of everyday life for men and women of all ages. However, Blau argues that role exits in later life are different from those in earlier stages of the life cycle because they tend to be terminal and involuntary. These factors, according to Blau, cause role exits in old age to negatively influence the individual's overall satisfaction with life. This thesis examines the concept of role exit from three perspective: first, from a theoretical perspective as it emerges out of social role theory; second, in a substantive context as it relates to the problem of old age; and finally, from an empirical perspective as an indicator of reported life satisfaction among a sample of older adults. Title: Role exits among the aged Author: Mancini, Nancy Whitelaw Year: 1975 The concept of role exit presented by Zena Smith Blau in her book, Old Age in a Changing Society, refers to the ongoing process of relinquishing previously enacted social roles; a process which is part of everyday life for men and women of all ages. However, Blau argues that role exits in later life are different from those in earlier stages of the life cycle because they tend to be terminal and involuntary. These factors, according to Blau, cause role exits in old age to negatively influence the individual's overall satisfaction with life. This thesis examines the concept of role exit from three perspective: first, from a theoretical perspective as it emerges out of social role theory; second, in a substantive context as it relates to the problem of old age; and finally, from an empirical perspective as an indicator of reported life satisfaction among a sample of older adults. Close

• 5. [Article] Building a State for All Ages: Tapping the Potential of Older Oregonians

  This report explores how the aging population—including native Oregonians and senior adults moving to the state—represent an asset to Oregon. Aging in America has often been viewed from a perspective of ...

  Citation × Citation Citation Abstract Copy Title: Building a State for All Ages: Tapping the Potential of Older Oregonians Author: Percy, Stephen, Ramaley, Judith A., Tapogna, John, Neal, Margaret B., Bloom, Jay, Reece, Alexandra Year: 2016 This report explores how the aging population—including native Oregonians and senior adults moving to the state—represent an asset to Oregon. Aging in America has often been viewed from a perspective of deficit and decline. We wholeheartedly challenge this perspective. This report identifies how older adults can play vital roles in the workforce, entrepreneurship and innovation, and supporting community revitalization through volunteering of time and talent. Title: Building a State for All Ages: Tapping the Potential of Older Oregonians Author: Percy, Stephen, Ramaley, Judith A., Tapogna, John, Neal, Margaret B., Bloom, Jay, Reece, Alexandra Year: 2016 This report explores how the aging population—including native Oregonians and senior adults moving to the state—represent an asset to Oregon. Aging in America has often been viewed from a perspective of deficit and decline. We wholeheartedly challenge this perspective. This report identifies how older adults can play vital roles in the workforce, entrepreneurship and innovation, and supporting community revitalization through volunteering of time and talent. Close

• 6. [Article] Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged

  The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized ...

  Citation × Citation Citation Abstract Copy Title: Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged Author: Hoffer, Vernon E. Year: 1977 The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized elderly, and (2) to identify factors related to self-esteem in a home for the aged sample. Literature reviewed relative to the importance of self-esteem, its development, and its maintenance or change indicated that (1) self-esteem is related to personal satisfaction and effective social functioning: (2) self-esteem develops and is maintained or changed as a function of factors in an individual’s immediate interpersonal environment; and (3) institutionalization itself is not the critical factor affecting self-esteem of institutionalized persons. Title: Self-esteem and the Elderly : an Exploratory Study of a Residential Population in a Home for the Aged Author: Hoffer, Vernon E. Year: 1977 The two primary purposes of this exploratory study were (1) to establish the theoretical tenability of focusing on the maintenance of self-esteem as a means for enhancing the quality of life in the institutionalized elderly, and (2) to identify factors related to self-esteem in a home for the aged sample. Literature reviewed relative to the importance of self-esteem, its development, and its maintenance or change indicated that (1) self-esteem is related to personal satisfaction and effective social functioning: (2) self-esteem develops and is maintained or changed as a function of factors in an individual’s immediate interpersonal environment; and (3) institutionalization itself is not the critical factor affecting self-esteem of institutionalized persons. Close

• 7. [Article] Sustainable, Affordable Housing for Older Adults: A Case Study of Factors that Affect Development in Portland, Oregon

  Portland, Oregon, is considered to be a leader in sustainable development. Government agencies, nonprofit organizations, and businesses have been innovators in policymaking and practice that is aimed at ...

  Citation × Citation Citation Abstract Copy Title: Sustainable, Affordable Housing for Older Adults: A Case Study of Factors that Affect Development in Portland, Oregon Author: DeLaTorre, Alan Kenneth Year: 2013 Portland, Oregon, is considered to be a leader in sustainable development. Government agencies, nonprofit organizations, and businesses have been innovators in policymaking and practice that is aimed at creating a more sustainable city. Despite population aging, little is known about how or whether planners and developers consider older persons in terms of sustainable development. Thus, this study examined the case of sustainable, affordable housing developed for low-income adults aged 55 and older. Interviews with 31 key informants were conducted in order to answer three research questions: What is the meaning of sustainable development in Portland, Oregon, as it pertains to affordable housing for an aging society? How and why has sustainable, affordable housing for older adults been developed in Portland? What are the policies that affect the availability and appropriateness of sustainable, affordable housing for older adults in Portland? The sample included individuals who influenced the creation of senior housing (e.g., urban planners, architects, nonprofit directors) and who were identified either because of their roles within local housing development or through snowball sampling. Six Portland-area developments provided the context for studying how and why sustainable, affordable housing for older adults was planned and created in the city. The findings suggested that introducing the topic of aging into the discourse of sustainable development will lead to a more robust meaning of the concept, which can aid future research, policy, and practice. Five elements characterizing sustainable housing for older adults were identified: physical accessibility; proximity to community services; infrastructure that connects housing with services; healthy living environments; and high-quality social spaces in and near housing developments. The findings also pointed to the need for sustainable development practices to pay attention to social equity and the equitable distribution of affordable housing, including housing for older adults. Several insights into how sustainable, affordable housing for older adults developed in Portland were gained (e.g., using government subsidies; involving aging experts in integrated design processes; intersectoral partnerships that led to the city becoming an early adopter in greening its affordable housing), as well as why such housing was completed (e.g., there was a collective public-sector response to meet the need for creating sustainable, affordable housing; an emerging culture of sustainable development in Portland; urban and regional planning efforts have begun to address population aging). However, the amount of sustainable, affordable housing remains insufficient to meet Portland's aging population. Reasons identified include: the absence of specific housing policy attuned to the needs of older adults in Portland; disconnects between housing and health care and supportive services; and lack of integration of older adults in the planning, design, and development processes. Room for innovation and improvement exists in regard to healthy, accessible, green, and affordable housing policies and the development of new models of housing for an aging population. Based on this research, 10 guiding principles of sustainable development for an aging society were proposed to inform future research, as well as planning and development efforts. Title: Sustainable, Affordable Housing for Older Adults: A Case Study of Factors that Affect Development in Portland, Oregon Author: DeLaTorre, Alan Kenneth Year: 2013 Portland, Oregon, is considered to be a leader in sustainable development. Government agencies, nonprofit organizations, and businesses have been innovators in policymaking and practice that is aimed at creating a more sustainable city. Despite population aging, little is known about how or whether planners and developers consider older persons in terms of sustainable development. Thus, this study examined the case of sustainable, affordable housing developed for low-income adults aged 55 and older. Interviews with 31 key informants were conducted in order to answer three research questions: What is the meaning of sustainable development in Portland, Oregon, as it pertains to affordable housing for an aging society? How and why has sustainable, affordable housing for older adults been developed in Portland? What are the policies that affect the availability and appropriateness of sustainable, affordable housing for older adults in Portland? The sample included individuals who influenced the creation of senior housing (e.g., urban planners, architects, nonprofit directors) and who were identified either because of their roles within local housing development or through snowball sampling. Six Portland-area developments provided the context for studying how and why sustainable, affordable housing for older adults was planned and created in the city. The findings suggested that introducing the topic of aging into the discourse of sustainable development will lead to a more robust meaning of the concept, which can aid future research, policy, and practice. Five elements characterizing sustainable housing for older adults were identified: physical accessibility; proximity to community services; infrastructure that connects housing with services; healthy living environments; and high-quality social spaces in and near housing developments. The findings also pointed to the need for sustainable development practices to pay attention to social equity and the equitable distribution of affordable housing, including housing for older adults. Several insights into how sustainable, affordable housing for older adults developed in Portland were gained (e.g., using government subsidies; involving aging experts in integrated design processes; intersectoral partnerships that led to the city becoming an early adopter in greening its affordable housing), as well as why such housing was completed (e.g., there was a collective public-sector response to meet the need for creating sustainable, affordable housing; an emerging culture of sustainable development in Portland; urban and regional planning efforts have begun to address population aging). However, the amount of sustainable, affordable housing remains insufficient to meet Portland's aging population. Reasons identified include: the absence of specific housing policy attuned to the needs of older adults in Portland; disconnects between housing and health care and supportive services; and lack of integration of older adults in the planning, design, and development processes. Room for innovation and improvement exists in regard to healthy, accessible, green, and affordable housing policies and the development of new models of housing for an aging population. Based on this research, 10 guiding principles of sustainable development for an aging society were proposed to inform future research, as well as planning and development efforts. Close

• 8. [Article] Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014

  In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid ...

  Citation × Citation Citation Abstract Copy Title: Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014 Author: Carder, Paula C., Kohon, Jacklyn Nicole, Elliott, Sheryl DeJoy, West, Maximilian, Zimam, Amanuel, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings. This report is based on an analysis of Medicaid data provided by DHS. The study goals were to: describe Medicaid clients’ health-related needs, service use, and demographic characteristics; provide a baseline for future reports. In addition, this information about Medicaid clients can be compared to the recently completed summary of assisted living facilities (ALF), residential care facilities (RCF), memory care communities (MCC), and adult foster homes (AFH) completed by Portland State University’s Institute on Aging. All three CBC reports and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based and long-term care settings in Oregon that can be used by policymakers, providers, and consumers. Title: Characteristics of Medicaid Clients in Assisted Living, Residential Care, Memory Care, and Adult Foster Homes 2013-2014 Author: Carder, Paula C., Kohon, Jacklyn Nicole, Elliott, Sheryl DeJoy, West, Maximilian, Zimam, Amanuel, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings. This report is based on an analysis of Medicaid data provided by DHS. The study goals were to: describe Medicaid clients’ health-related needs, service use, and demographic characteristics; provide a baseline for future reports. In addition, this information about Medicaid clients can be compared to the recently completed summary of assisted living facilities (ALF), residential care facilities (RCF), memory care communities (MCC), and adult foster homes (AFH) completed by Portland State University’s Institute on Aging. All three CBC reports and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based and long-term care settings in Oregon that can be used by policymakers, providers, and consumers. Close

• 9. [Article] Resident and Home Characteristics Report 2014: Adult Foster Homes

  In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult ...

  Citation × Citation Citation Abstract Copy Title: Resident and Home Characteristics Report 2014: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Limburg, Aubrey, Kohon, Jacklyn Nicole, Zimam, Amanuel, West, Maximilian, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult foster homes (AFH) throughout the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information from these community-based care providers that will allow DHS, providers, and the public to better understand resident characteristics and adult foster home services. This report summarizes findings from the first state-wide survey of licensed adult foster homes in Oregon. The survey goals were to: describe resident health-related needs, service use, and demographic characteristics; describe AFH provider characteristics (e.g., number of years as a provider, professional training); describe adult foster homes (e.g., occupancy, monthly charges, staffing); and provide a baseline for future surveys. In addition, this information about AFHs can be compared to the recently completed summary of assisted living, residential care, and memory care facilities completed by Portland State University’s Institute on Aging. Both surveys, along with a report that summarizes characteristics of Medicaid clients based on data provided by DHS and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based care settings in Oregon that can be used by policymakers, providers, and consumers. Title: Resident and Home Characteristics Report 2014: Adult Foster Homes Author: Carder, Paula C., Elliott, Sheryl DeJoy, Limburg, Aubrey, Kohon, Jacklyn Nicole, Zimam, Amanuel, West, Maximilian, Neal, Margaret B. Year: 2014 In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult foster homes (AFH) throughout the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information from these community-based care providers that will allow DHS, providers, and the public to better understand resident characteristics and adult foster home services. This report summarizes findings from the first state-wide survey of licensed adult foster homes in Oregon. The survey goals were to: describe resident health-related needs, service use, and demographic characteristics; describe AFH provider characteristics (e.g., number of years as a provider, professional training); describe adult foster homes (e.g., occupancy, monthly charges, staffing); and provide a baseline for future surveys. In addition, this information about AFHs can be compared to the recently completed summary of assisted living, residential care, and memory care facilities completed by Portland State University’s Institute on Aging. Both surveys, along with a report that summarizes characteristics of Medicaid clients based on data provided by DHS and a report recently completed by Oregon State University on nursing facilities in Oregon, provide an important overview of community-based care settings in Oregon that can be used by policymakers, providers, and consumers. Close

• 10. [Article] Adult daughters as caregivers to elderly parents : an exploration of the care relationship

  In this study, the nature of a current social problem is explored: the provision of services to elderly parents by their adult daughters - a part of the informal system of social support for the elderly. ...

  Citation × Citation Citation Abstract Copy Title: Adult daughters as caregivers to elderly parents : an exploration of the care relationship Author: Reynolds, Margaret Anne Year: 1987 In this study, the nature of a current social problem is explored: the provision of services to elderly parents by their adult daughters - a part of the informal system of social support for the elderly. In particular, the influence of the caregiver's construction of old age on their assessment of parental autonomy is examined. Title: Adult daughters as caregivers to elderly parents : an exploration of the care relationship Author: Reynolds, Margaret Anne Year: 1987 In this study, the nature of a current social problem is explored: the provision of services to elderly parents by their adult daughters - a part of the informal system of social support for the elderly. In particular, the influence of the caregiver's construction of old age on their assessment of parental autonomy is examined. Close