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Cover image of Designing a Better Day
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Designing a Better Day

Guidelines for Adult and Dementia Day Services Centers

Keith Diaz Moore, Lyn Dally Geboy, and Gerald D. Weisman
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Winner of the 2007 Polsky Prize given by the ASID Foundation

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...

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Winner of the 2007 Polsky Prize given by the ASID Foundation

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 services 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 services centers.

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Reviews

A thought-provoking book that illustrates a holistic approach to architectural design and provides a welcome addition to the literature on adult day-care services.

— Julienne Hanson, Journal of Aging and Society

An excellent contribution... should be read by students and teachers of architecture, practicing architects, facility programmers, administrators, board members, staff members — everybody who wishes to be involved in creating better ADCs.

— Zachary Rosenfield, Journal of Long Term Home Health Care
About

Book Details

Publication Date
Status
Available
Trim Size
8.5
x
11
Pages
216
ISBN
9780801884153
DOI
Illustration Description
67 b&w illus.
Subject
Table of Contents

Acknowledgments
Introduction: Setting the Stage for a Better Day
Adult Day Centers: An Emerging Place Type
Some Important Terms
How This Book Is Organized
Part I: Creating Awareness
1. Putting ADCs in

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Acknowledgments
Introduction: Setting the Stage for a Better Day
Adult Day Centers: An Emerging Place Type
Some Important Terms
How This Book Is Organized
Part I: Creating Awareness
1. Putting ADCs in Context
The Historical and Societal Origins of ADCs
Adult Day Services Today
Character Profiles of Three Common Day Centers
2. The Social/Spatial Structure Approach: Diagnostic Patterns in ADCs
Pattern Seeking
Patterns and Places
Diagnosing Prevalent ADC Types
3. The Experiential Approach: Attributes of Place Experience
A Vocabulary of Place Experience
Attributes of Place Experience
Experiencing ADCs
Conclusion
Part II: Increasing Understanding
4. ADCs, Places, and Systems
A Model of Place
The Placemaking Process
Conclusion
Part III: Taking Action
5. The Process of Adult/Dementia Day Center Development
A Guiding Image: Your Project Vision
Where to Operate? Site Criteria
Moving from Vision to Project Concept
Conclusion
6. Determining Feasibility of an Adult/Dementia Day Center Project
Financial Feasibility Statement: The Pro Forma
Needs Assessment: If You Build It,Will They Come?
7. Developing an Activity Program
Valuing Strengths, Abilities, and Challenges
Giving the Activities Program Direction: Strategic Orientations
Life as Activity
Health and Rehabilitation
Choreographing the Daily Program
Conclusion
8. Prescriptive Patterns to Facilitate Life as Activity
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
9. Prescriptive Patterns to Facilitate Health and Rehabilitation
Realm of Activity: Personal Care: Toileting
Realm of Activity: Personal Care: Bathing
Realm of Activity: Physical and Health Support Activities
Conclusion
10. Evaluating Adult/Dementia Day Centers as Places
Conclusion
People
Program
Physical Setting
References
Index

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Author Bios
Featured Contributor

Gerald D. Weisman, Ph.D.

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.
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