Older adults: the quiet crisis of housing

When economists, property developers, real estate agents and governments discuss housing issues, they are thinking of people in the workforce. Left behind are any discussions about people not of workforce age. According to Richard Duncan there is a worsening yet quiet crisis of housing for older adults. They are ageing in homes that put them at risk of injuries, reduced activity and social isolation.

“Without changes, our homes can impose restrictions on our lifestyle and hazards to our daily routines years before we might otherwise expect to see these kinds of activity constraints.”

A brick terrace house fronts the footpath and has lots of pot plants in front of it.

Key issues

Duncan lists the key issues for what is considered traditional housing design. He discusses steps and stairs, hallways, bathrooms, lighting and kitchens. As people age in their current homes they live smaller lives and do fewer daily activities. Caregivers are at risk as well – lifting, pulling and manoeuvring. This is especially the case with older couples helping each other.

Lack of planning

We all know we are going to grow older, but we do not plan for it when it comes to housing. Older people often wait until a crisis occurs before they think about it. And even then they shun a grab bar or a ramp to help them when the time comes.

Our culture does not encourage people to plan ahead or to do much about their existing home. In the United States the home remodelling industry is doing quite well. But there is no real sign of the housing industry taking the lead on this issue except for segregated housing and retirement villages.

In Australia we have the help of the Livable Housing Design Standard which aims to bring the housing industry on board with universal design. However, not all states and territories have adopted the Standard due to industry resistance. Nevertheless it is good to see community housing and state housing projects implementing the Standard.

Move house or stay put?

Moving house sounds like the perfect solution until you look more closely. Seeking out a home with a better layout requires stamina even when there are suitable properties. When there are few, if any, options the task becomes harder. And this is at a time when physical, mental and cognitive abilities are already stretched. Then there are the logistics of moving. It’s no wonder people prefer to take a risk to stay put.

The title of Duncan’s article is, The Housing Dilemma for Older Adults: The Quiet Crisis. Homes that are safe and convenient for later life are good for any age – that’s universal design. We should be designing out this quiet crisis.

Healthy ageing requires community thinking

The North Carolina Medical Journal has a policy brief on opportunities and barriers to healthy ageing. The articles highlight how individuals caregivers and government can address the wellbeing of all in a cost efficient way.

Authors highlight challenges, behaviours, and community infrastructure for people to live healthier, longer and more productive lives. This is the case both in Australia and the United States.

Front cover of the North Carolina Medical Journal special issue showing a montage of images of older people.

The introductory section of the publication gives an overview of the different articles which include:

  • Importance of social connectivity
  • Housing and transportation
  • Trips, falls and connection to safe housing
  • Food and nutrition security
  • Financial security
  • Long term care services
Image from the publication showing people walking over a footbridge. In the foreground an older man and woman walk together away from the camera. The woman is using a wheelie walker.

The title of the publication is, Opportunities and Barriers to Healthy Aging in North Carolina. Images from the publication.