The Big Idea Behind A New Model Of Small Nursing Homes

Tiny homes are a growing solution to homeless veterans and vulnerable youth, especially those who identify as LGBTQ. But the movement faces challenges from regulations and neighbors across the nation.

For a megacity with more than 18 million people in its metro area, Mumbai, India is not a particularly vertical city. Many of its inhabitants squeeze into low-rise slums crammed into the urban space. But an ongoing slum rehabilitation program seeks to clear these corrugated metal shacks and relocate the slum-dwellers to new high rises.

Mitigating homelessness on Los Angeles' infamous "Skid Row" comprises myriad obstacles. But a collaboration between city officials, a USC architecture class project, and the Skid Row Housing Trust has responded with a multi-pronged solution in "pod-style" housing units. They have composed a cost-effective pre-fab design technology that eases their transportation, on-site construction and visual imposition on a neighborhood, while the pods' zoning classification as "congregant housing" minimizes the risk for local opposition to homeless support services on claims of structural or aesthetic noncompliance.

When Cristo Rey St. Martin College Prep, one of a national network of work-study high schools, was looking to move out of an outdated building, an abandoned big box KMart caught administrators' eyes. Strapped by a tight budget, the school creatively transformed the suburban eye sore into a colorful cross between a corporate headquarters and a college campus. Inspired by the school's success, other network schools are looking into vacant factories and grocery stores as new homes.

The focus on sound comes at a time when open kitchens and industrial hard-surface designs entice diners’ eyes, but might strain their ears.

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

Most states in the U.S. are struggling to effectively and efficiently distribute the COVID-19 vaccine, while "West Virginia became the first state to finish round one of the two-dose vaccine series in nursing homes." The key to the state's success included preemptively preparing a vaccination dissemination plan and partnering with independent and chain pharmacies.

A mobile "strike team" comprised of workers from Contra Costa County, local home health agencies, advocates, and nonprofit groups is helping seniors living in assisted-living facilities to get access to the Covid-19 vaccine. Although the team is small, they have been able to help more than 800 seniors across 50 facilities get their first shot.

To better serve patients struggling with dementia, a hospital in Berlin established a department of geriatrics and began screening "patients for cognitive impairments upon admission, providing them with trained volunteers for personal support and non-pharmacological interventions to prevent delirium." This course of action has helped the hospital to diagnose cases earlier and offer dementia-specific care for patients, which consequently has reduced the prescribing of drugs for these patients.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.