Project Funder: Archstone Foundation, the Harry and Jeanette Weinberg Foundation, the U.S. Department of Housing and Urban Development (HUD).
Project Partners: Community Housing Solutions of Guilford, Inc., Catholic Social Services of the Diocese of Scranton, Cathedral Square Corporation, Inc., and the Family Health Centers of San Diego.
Project Contact: Jill Breysse, firstname.lastname@example.org, 443.539.4155
Project Description: By the year 2030, it is estimated that the older U.S. adult population (age 65-plus) will double to more than 70 million individuals. Policymakers and practitioners are grappling with the need for safe and healthy housing that matches this important demographic, which will constitute approximately 20% of the U.S. population. NCHH is collaborating with Johns Hopkins University (JHU) and organizations in four communities around the country to conduct the Aging Gracefully in Place (“Aging Gracefully”) project. This project is evaluating the replicability of JHU’s “Community Aging in Place, Advancing Better Living for Elders” (CAPABLE) intervention model. JHU’s CAPABLE program is a client-centered, home-based, unified set of interventions utilizing an occupational therapist (OT), a registered nurse (RN), and a home improvement professional to increase older adults’ mobility and physical function and improve their homes so they can more safely age in place and move more independently and safely both inside and outside their homes.
Archstone Foundation and the Harry and Jeanette Weinberg Foundation are co-funding the CAPABLE interventions, and the U.S. Department of Housing and Urban Development’s (HUD) Office of Policy Development and Research (PD&R) is funding an evaluation to determine whether the JHU’s CAPABLE program improves low-income elders’ physical function and decreases home safety hazards both immediately after CAPABLE interventions are completed and one year after they began.
Through this formative evaluation, Aging Gracefully is also fostering a learning community among the following four diverse partners to see if JHU’s CAPABLE model can be replicated in their communities and to document vital information needed to scale up and sustain the CAPABLE model across the country:
- In Greensboro, North Carolina, construction specialists from Community Housing Solutions of Guilford, Inc., a nonprofit organization whose mission is to “provide decent, safe, and affordable housing to low-income households,” have teamed up with OTs and RNs from Cone Health, one of the region’s largest health networks.
- Catholic Social Services of the Diocese of Scranton (Wyoming Valley office, Wilkes-Barre, Pennsylvania), whose social programs assist in “strengthening family life and helping individuals reach their full potential,” have teamed with OTs and RNs from Allied Services, a leading provider of healthcare for northeastern Pennsylvania, along with home-repair workers from public and private organizations. The Area Agency on Aging for Luzerne and Wyoming Counties is also helping identify and evaluate seniors in both public and private housing.
- Vermont’s project team includes both nursing and home repair staff from Cathedral Square Corporation, Inc., a nonprofit developer of “affordable, service-enriched housing communities for seniors and individuals with special needs,” with OT staff from the University of Vermont Medical Center.
- The Family Health Centers of San Diego, a healthcare organization with a “special commitment to the uninsured, low-income, and medically underserved,” will fill out their team with home improvement professionals from Rebuilding Together of San Diego and subcontracts with OTs.
These four community partners are implementing the JHU CAPABLE program using different organizational structures, different housing stocks, and different client bases. Staff from the JHU School of Nursing are providing training and technical support to the partners on the CAPABLE program.
Helping Older Adults to Age Gracefully in Place [url; NCHH, 2017]
Request for Partners [pdf]
Szanton et al. CAPABLE Trial: A Randomized Controlled Trial of Nurse, Occupational Therapist and Handyman to Reduce Disability among Older Adults: Rationale and Design (Contemporary Clinical Trials) [pdf]