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Designing a Better Day:

Guidelines for Adult and Dementia Day Services Centers
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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 service 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 service centers.

AcknowledgmentsIntroduction: Setting the Stage for a Better DayAdult Day Centers: An Emerging Place TypeSome Important TermsHow This Book Is OrganizedPart I: Creating Awareness1. Putting ADCs in ContextThe Historical and Societal Origins of ADCsAdult Day Services TodayCharacter Profiles of Three Common Day Centers2. The Social/Spatial Structure Approach: Diagnostic Patterns in ADCsPattern SeekingPatterns and PlacesDiagnosing Prevalent ADC Types3. The Experiential Approach: Attributes of Place ExperienceA Vocabulary of Place ExperienceAttributes of Place ExperienceExperiencing ADCsConclusionPart II: Increasing Understanding4. ADCs, Places, and SystemsA Model of PlaceThe Placemaking ProcessConclusionPart III: Taking Action5. The Process of Adult/Dementia Day Center DevelopmentA Guiding Image: Your Project VisionWhere to Operate? Site CriteriaMoving from Vision to Project ConceptConclusion6. Determining Feasibility of an Adult/Dementia Day Center ProjectFinancial Feasibility Statement: The Pro FormaNeeds Assessment: If You Build It,Will They Come?7. Developing an Activity ProgramValuing Strengths, Abilities, and ChallengesGiving the Activities Program Direction: Strategic OrientationsLife as ActivityHealth and RehabilitationChoreographing the Daily ProgramConclusion8. Prescriptive Patterns to Facilitate Life as ActivityIntegrating Program and SettingRealm of Activity: Coming and GoingRealm of Activity: Walking and ExploringRealm of Activity: Daily Life ActivitiesRealm of Activity: Cooking and DiningRealm of Activity: Being OutsideConclusion9. Prescriptive Patterns to Facilitate Health and RehabilitationRealm of Activity: Personal Care: ToiletingRealm of Activity: Personal Care: BathingRealm of Activity: Physical and Health Support ActivitiesConclusion10. Evaluating Adult/Dementia Day Centers as PlacesConclusionPeopleProgramPhysical SettingReferencesIndex

""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.""

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