Consumer Focus Column: "Putting Consumers in Charge"

Katie Sloan, AAHSA's Consumer Focus Columnist

Katie Sloan, AAHSA's Consumer Focus Columnist

A Consumer Focus column entitled “Give That Man a Job,”  prompted an interesting “water cooler” discussion among several of my AAHSA colleagues. The column urged retirement communities to provide their residents with ample opportunities to engage in meaningful volunteer, paid and social activities. It suggested that we shouldn’t expect baby boomers to check their interests and their skills at the door when they move into senior housing, assisted living or nursing homes.

 After reading the column, one colleague questioned whether activist baby boomers would find it satisfying enough to participate in volunteer or social programs that had been planned by a retirement community’s activity director. Another colleague suggested that her baby boomer friends would be more interested in organizing their own activities – and, indeed, might even want to run their own retirement communities.

 Run our own retirement communities? Not as outlandish as it sounds. In fact, there are already some interesting models out there that show us how it’s done.

 Among those models is cohousing, a Danish housing option that is becoming increasingly popular in the United States. According to a directory maintained by the Cohousing Association of the United States, there are 226 cohousing communities, in various stages of development, located in 36 states.

 Several features set cohousing apart from traditional retirement communities. First and foremost, the communities are planned, designed, managed, maintained and paid for by the residents themselves. Many communities are intergenerational, although some of the newer cohousing developments are restricted to people over 55. While residents rent or purchase their own, private living units, common areas are at the heart of each cohousing community. These usually include a communal kitchen and dining room, where residents share several meals a week, and ample space for social gatherings. All costs are shared, but residents don’t pool their incomes.

Cohousing may not be for everyone. But it has some exciting features that could appeal to aging baby boomers. Maybe providers of long-term services and supports should consider adopting some of these features as we work with consumers to design – or redesign – our communities and programs.

Here’s what I’d like to know: What cohousing features appeal most to you? Which ones would you like to see incorporated into your retirement living arrangement?

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  1. Raines Cohen, Cohousing Coach’s avatar

    Thanks for asking that very important question, Katie. Cohousing has been a grassroots movement over the last two decades in the U.S., with individual communities (or “neighborhoods”, as we often call them, to distinguish from the centrally-run developer-driven “communities” for aging and the broader “intentional communities” movement) sorting out on their own, with some professional guidance, what really matters to them, and the on-the-ground results look and feel different.

    Where I live, a small San Francisco Bay Area intergenerational cohousing neighborhood built using mostly existing homes, we are definitely dealing with “aging in place” issues of both accessibility and changes in priorities and function, with our Boomers (our median age is near 50) and beyond.

    While there’s lots of community activity centered around the ten kids living here and their visiting friends, our members also host Older Women’s League and Elders’ Guild meetings, house concerts and political-organizing groups. We are collectively redesigning our kitchen to better support our 79- and 80-year-old members to be able to continue to fully participate in cooking and cleaning if they choose, as well as making it easier for families and people with babes-in-arms to efficiently serve themselves.

    As someone who has taught the “Successful Aging” (Study Group I) course adapted from the Danish model, and visited more than 90 of the 117 up-and-running U.S. cohousing neighborhoods, including all three built senior cohousing (age-specific) ones, I’ve found that there can be a significant difference between what people think they want, and what they end up knowing they need. “Senior Cohousing” book author Chuck Durrett, who imported the model to the U.S., taught me how to help people look beyond the conventional concerns and connect on a deeper level, to their neighbors and their futures.

    I believe that a key factor of the success of the cohousing model is the way it helps people become more engaged with their neighbors as part of the process of developing and managing their own communities. The relationships with providers are different when the members are the ones doing the hiring, and creating the spaces so that care and other providers are peers, living in their own spaces, rather than the tension that comes from being forced to have a “stranger” living in your own home.

    We’ve been conditioned by marketing to believe that our significant choices are about physical amenities and quantity of private space, when what really can make the difference in not just quantity but the quality of our elder years is having a social structure of supportive neighbors that care for each other, with enough shared space, experience and vision to have common ground for conversation, a context that creates the opportunities for personal growth, an awareness of not just the realities of aging, but also the benefits of sharing our accumulated wisdom.

    My wife Betsy Morris and I are currently teaching the class to senior staff at an enlightened operator of several communities, helping them shift their essential question from “How can I help you?” to “How can we help you help each other?” It is exciting seeing the new consciousness arising from them participating in the process and acknowledging the personal challenges and opportunities, breaking free of the institutional health-care model which dominates the lives of so many providers.

    Raines Cohen, Cohousing Coach, Planning for Sustainable Communities
    Aging In Community chapter author, Audacious Aging (2009)

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  2. katiesloan’s avatar

    Thanks for your thoughtful response, Raines, and for the additional information about cohousing.

    I agree with you about the importance of creating a social structure of supportive neighbors who care for one another in later life. Actually, we all could benefit from such a network, no matter what our age. But as we get older, it seems even more important to have the opportunity to care for – and to be cared for by – a community of people who matter to us.

    I am intrigued by your work with providers who are interested in shifting their focus from helping residents to helping residents help each other. What are some concrete steps that providers could take to incorporate that shift in attitude into their daily operations?

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