Shaping Dementia Environments

Today's bonus episode wraps up Season 1 of Shaping Dementia environments! We have a discussion with Susan Ryan about what she's learned during the last year both from advising senior living organizations all around the world through the Green House Project, as well as talking to experts in the field of aging through her podcast Elevate Eldercare. She shares with us some of the core tenets of great environments for everyone, regardless of cognitive ability. Susan Ryan is Senior Director at the Green House Project.  Susan has spent over 25 years working with elders as a nurse and change agent. She has worked in a variety of eldercare settings and helped to lead her previous organization's transformation to culture change by assessing industry innovation and developing strategic and educational protocols.  Her podcast, Elevate Eldercare, airs each Wednesday and explores the opportunities and challenges to actualizing a vision for dignified eldercare through the lens of the Green House model.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Max had with Sean Kelly of Kendal. Similar to some of our other guests in this week's episode, Max asks the following question of Sean: Given the progress, we've seen in caring for people living with dementia in the last thirty years, do you think there's anything we'll regret about how we care for people living with dementia today looking back thirty years from now? Sean Kelly, President & CEO, joined Kendal in 2008 and took on his current role in 2016. Prior to 2016, while at Kendal, Sean was responsible for fostering a culture of continuous improvement through leading and managing new opportunities for growth and evolution for Kendal. Sean came to Kendal after 10+ years working with development, finance, marketing and operations consultant to senior housing and service providers throughout the United States.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

We've chosen to bookend our first season of Shaping Dementia Environments with the topic of ‘Risk Attitude', because it was so fundamental to every conversation we had this season. Something we alluded to in Part 1, and that appears several times in today's episode, is the concept ‘surplus safety' – which takes the approach of applying the most restrictive condition to everyone, as opposed to creating individualized interventions that are tailored to the individual. How do we perceive risk for older adults living with dementia? How can operators push the boundaries to prioritize resident choice and quality of life, rather than putting an over-emphasis on safety above all else? First, we talk to three members of the leadership team of Kendal: Sean Kelly, Marvell Adams, and Steve Bailey. Sean Kelly, President & CEO, joined Kendal in 2008 and took on his current role in 2016. Prior to 2016, while at Kendal, Sean was responsible for fostering a culture of continuous improvement through leading and managing new opportunities for growth and evolution for Kendal. Sean came to Kendal after 10+ years working with development, finance, marketing and operations consultant to senior housing and service providers throughout the United States. Marvell Adams Jr., COO, served as Executive Director/CEO of Kendal's metro Washington, D.C.-area affiliate, Collington, for seven years, before being named The Kendal Corporation's Chief Operating Officer in October 2018. Marvell came to Collington from Rochester, New York, where he was COO/Administrator at The Highlands at Pittsford, a continuing care retirement community affiliated with the University of Rochester Medical Center. Steve Bailey, SVP of New Business and Development, joined Kendal's corporate staff in 2012 as Project Director and has directed major expansion and repositioning projects for several Kendal communities, including Kendal on Hudson and Kendal at Ithaca. He also has served as a key resource for planning and developing new Kendal communities, including development plans for Kendal at Sonoma in northern California in partnership with the San Francisco Zen Center. Steve's experience includes more than 30 years in real estate development and planning. Next, we speak with Tammy Marshall. Tammy is president & CEO of Biophilia Pharma, where she focuses on the healing power between nature and humans. Previously, she served as the first woman Chief Experience Officer in the country for ageing services, the first woman to sit on Thrive Senior Living's vision team, and the first VP of Strategic Planning for one of New York's largest long-term care systems. She previously served as chief experience officer at a New York City-based senior care nonprofit called the New Jewish Home, where she led an effort in boosting person-centered care. Marshall keynotes around the globe on the topics of ageism, woman in leadership, integrative health and civil rights for those living with changing cognitive abilities, sometimes known as Alzheimer's and Dementia. She is known for her published work on leadership, dementia care, designing environments for older adults and strategic planning. Finally, we talk to Kirsten Jacobs, who leads dementia and wellness education strategy at LeadingAge, including enhancing existing external/internal relationships and identifying areas of potential growth. She develops wellness, dementia and related content for conferences and other education efforts, including distance learning. She provides thought leadership around wellness and dementia to various audiences, including speaking/presenting at conferences and delivering technical assistance to members.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jen had with Jude Rabig of Rabig Consulting. She explains the lengths that they went to when designing and building the first Greenhouses to make sure that they mirrored the houses and homes the residents would be coming from in the specific context of Tupelo, Mississippi. She gives some strategies anyone can use to make sure that their care environment reflects the place it finds itself in, and the residents who find themselves in it. Jude Rabig is a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company Rabig Consulting, she provides customized change consultations to help communities develop innovative strategies for change in long-term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community-based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions, she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a Ph.D. in gerontology and a business certificate from Stanford School of Business.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In institutional environments, there is a clear distinction between spaces that are ‘front of house' and spaces that are ‘back of house'. But as we move away from institutional approaches, this distinction starts to blur very quickly. Join Jennifer and Max as we talk to 3 great guests – Jude Rabig, Carrie Chiusano, and Damian Utton about their experiences educating leadership, frontline staff, family, and communities about how operation and design can make their communities feel more like home. Our first interview is with Jude Rabig, a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company RabigConsulting, she provides customized change consultations to help communities develop innovative strategies for change in long-term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community-based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions, she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a Ph.D. in gerontology and a business certificate from Stanford School of Business. Then, we speak with Carrie Chiusano. She has 36 years of long-term care experience with Presbyterian SeniorCare Network, many of which were spent helping to shape and implement the Woodside Place philosophy of specialty care for persons living with Alzheimer's disease and other related dementias. Prior to being appointed Executive Director for the Presbyterian SeniorCare Network Dementia Care Center of Excellence in January 2016, Carrie served for five years as the Administrator for Woodside Place of Oakmont, which opened in 1991 and was one of the nation's first dementia-specific residential community specifically designed to meet the holistic needs of older adults living with Alzheimer's and related dementias. In her leadership of the dementia Center of Excellence, Carrie is responsible for the integration of dementia care services across the various settings that comprise the Network as well as the family caregivers coping with the disease. In addition to her service on numerous, industry association boards, Carrie has become a certified trainer for the National Council of Certified Dementia Practitioners in dementia care. Our last conversation is with Damian Utton, who has been with Pozzoni Architecture since 1997 and is now a Director, bringing his wealth of experience in design for older people to his coordination and leadership of research and development at the firm. In the late 2000's, he spent a sabbatical touring and researching more than 100 dementia environments around the world, and the findings became his book: ‘Designing Homes for People with Dementia'. He subsequently has authored and co-authored books on designing for older people and people with dementia and writes frequently for the care press.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Max had with Len Fishman from the Gerontology Institute at UMass Boston.  In this clip, Len speaks to concepts of aging in community and the reality approaching the baby boomer generation in the United States. Len Fishman is a nationally recognized leader in the field of aging policy. He directs the Gerontology Institute at UMass Boston's John W. McCormack Graduate School of Policy and Global Studies. For 12 years he served as CEO of Hebrew SeniorLife, New England's largest nonprofit provider of senior housing and health care. Prior to joining Hebrew SeniorLife, Fishman was president and CEO of LeadingAge, a coalition of 6,000 non-profit aging services organizations, in Washington, D.C. He served as commissioner of the New Jersey Department of Health and Senior Services under Governor Christine Todd Whitman. Before that, he was a health care lawyer in NJ and PA.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

How do we craft authentic environments for dementia when the population we're serving is ever-changing and diverse?  Join Jennifer and Max as we talk to 4 great guests – Len Fishman, Kim O'Brien, Amy McDonough, and Bill Browning – about the importance of both physical places and social relationships in the formation of authentic environments for older adults living with dementia. First, we speak with Len Fishman, a nationally recognized leader in the field of aging policy. He directs the Gerontology Institute at UMass Boston's John W. McCormack Graduate School of Policy and Global Studies. For 12 years he served as CEO of Hebrew SeniorLife, New England's largest nonprofit provider of senior housing and health care. Prior to joining Hebrew SeniorLife, Fishman was president and CEO of LeadingAge, a coalition of 6,000 non-profit aging services organizations, in Washington, D.C. He served as commissioner of the New Jersey Department of Health and Senior Services under Governor Christine Todd Whitman. Before that, he was a health care lawyer in NJ and PA. Next, we talk to Kim O'Brien and Amy McDonough of United Active Living in Calgary, Alberta. Kim serves as president and CEO at United Active Living. Their communities provide independent living, assisted living, and memory care in an innovative integrated community. Prior to joining United Active Living, Kim served as the CEO of Horizon Housing Society, a non-profit charitable organization specializing in the development and operations of affordable housing in Calgary. While in this role, she was a strong voice locally and nationally for the lasting positive impacts from people having access to a safe, quality home and the opportunity to be a part of the community. Amy leads the United Minds program at United Active Living. In this role, Amy implements and leads the company's integrated living and relationship-centered philosophy, educating and empowering front-line staff, managers, families, and residents to support those living with dementia. Before joining the team at United Active Living, Amy served as volunteer coordinator and memory care support at Convent Care Canada and as recreation therapist and co-lead of the Dementia Butterfly Model of Care Project at Intercare Southwood Care Center. Finally, we speak with Bill Browning, one of the green building and real estate industry's foremost thinkers and strategists, and an advocate for sustainable design solutions at all levels of business, government, and civil society. In 2006, Bill founded Terrapin Bright Green to craft high-performance environmental strategies for corporations, governments, and large-scale real estate developments. Previously, in 1991, he founded Green Development Services at the Rocky Mountain Institute, an entrepreneurial, non-profit “think and do tank.” Past roles include Director of Design and Environment for Haymount, VA, co-founder of Browning+Bannon LLC, founding member of the USGBC Board of Directors, and Chair of USGBC's Governance Committee. He is a co-author of several books and publications including most recently Nature Inside: A Biophilic Design Guide.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jennifer had with Jude Rabig of Rabig Consulting.  In this clip, Jude speaks to a moving experience from her career in which three ladies with cognitive decline just did not want to come inside at their newly built green house in Tupelo, Mississippi…. In 90 degree weather and full sun. Jude Rabig is a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company Rabig Consulting, she provides customized change consultations to help communities develop innovative strategies for change in long term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a PhD in gerontology and a business certificate from Stanford School of Business.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

How do all the in-between spaces in our lives – not quite public, not quite private – impact our feeling of ownership, pride & community in the spaces we live, work and play?    Join Jennifer and Max as we talk to 5 great guests – Katie Swenson, Sean Kelly, Marvell Adams, Steve Bailey, and Jude Rabig – about the importance of these in-between spaces for older adults living with dementia. First, we speak with Katie Swenson, who is a nationally recognized design leader, researcher, writer, and educator. She is a Senior Principal of MASS Design Group, an international non-profit architecture firm whose mission is to research, build, and advocate for architecture that promotes justice and human dignity. Before joining MASS in early 2020, Swenson was vice president of Design & Sustainability at Enterprise Community Partners, where she led the Rose Fellowship program, recruiting and mentoring 85 fellows who are the next generation of leaders in architecture and community development. Previously, Katie served as a fellow with the Piedmont Housing Alliance in Charlottesville, VA and founded the Charlottesville Community Design Center. Next, we talk to three members of the leadership team of Kendal: Sean Kelly, Marvell Adams, and Steve Bailey. Sean Kelly, President & CEO, joined Kendal in 2008 and took on his current role in 2016. Prior to 2016, while at Kendal, Sean was responsible for fostering a culture of continuous improvement through leading and managing new opportunities for growth and evolution for Kendal. Sean came to Kendal after 10+ years working with development, finance, marketing and operations consultant to senior housing and service providers throughout the United States. Marvell Adams Jr., COO, served as Executive Director/CEO of Kendal's metro Washington, D.C.-area affiliate, Collington, for seven years, before being named The Kendal Corporation's Chief Operating Officer in October 2018. Marvell came to Collington from Rochester, New York, where he was COO/Administrator at The Highlands at Pittsford, a continuing care retirement community affiliated with the University of Rochester Medical Center. Steve Bailey, SVP of New Business and Development, joined Kendal's corporate staff in 2012 as Project Director and has directed major expansion and repositioning projects for several Kendal communities, including Kendal on Hudson and Kendal at Ithaca. He also has served as a key resource for planning and developing new Kendal communities, including development plans for Kendal at Sonoma in northern California in partnership with the San Francisco Zen Center. Steve's experience includes more than 30 years in real estate development and planning. Finally, we speak with Jude Rabig, a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company Rabig Consulting, she provides customized change consultations to help communities develop innovative strategies for change in long term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a PhD in gerontology and a business certificate from Stanford School of Business.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jen had with Barbra McLendon of Alzheimer's Los Angeles.  She speaks to some of the things the City of Los Angeles is doing to keep older adults in their existing towns and communities longer, while still addressing the issue of perpetually limited housing stock for people of all ages. Barbra McLendon is Director of Public Policy at Alzheimer's Los Angeles, a non-profit organization serving the Los Angeles area for over 40 years. The organization aims to improve the lives of local families affected by Alzheimer's and dementia by increasing awareness, delivering effective programs and services, providing compassionate support, and advocating for quality care and a cure.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In this episode, we the parts and pieces of the public realm that have the ability to empower older adults living with dementia. Where are the opportunities to create a supportive physical environment with our existing streets, parks, and transportation? How can we bring those ideas into our dedicated care environments to provide an authentic experience of the public realm for older adults living with dementia, even if they find themselves in a secure, dedicated care environment? Our first interview is with Eloy van Hal who is director of Van Hal Advisors and senior managing advisor in the Be The Hogeweyk Care Concept Advisory team of the Vivium Care Group. Eloy managed several nursing homes and assisted living communities over more than 20 years before managing the former nursing home of Hogewey and eventually developing and co-founding the Hogeweyk (the Hogewey dementia village). He was instrumental in its design, construction, implementation and maintaining and improving the concept. Eloy managed the Hogeweyk from 2008 to 2015, and now works to share his knowledge and experience with others across the world by providing strategic and operational advisory service to clients in the public and private sectors. Then, we speak with Barbra McLendon is Director of Public Policy at Alzheimer's Los Angeles, a non-profit organization serving the Los Angeles area for over 40 years. The organization aims to improve the lives of local families affected by Alzheimer's and dementia by increasing awareness, delivering effective programs and services, providing compassionate support, and advocating for quality care and a cure. Our last conversation is with Stefano Recalcati Stefano, who is based in Milan, Italy and is currently Arup's masterplanning and urban design skills leader for Europe. Trained as an architect, his PhD was on the interactions between architecture and urban planning. He has international experience in strategic planning, urban planning, masterplanning and urban design. Before joining Arup, Stefano worked on several urban developments, advising public and private bodies in Italy and abroad. He enjoys lecturing, teaching and writing about urban planning. He's written several books and articles on cities and urban regeneration. He is an adjunct professor at the School of Civil Architecture, Politecnico di Milano.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jennifer had with Bill Browning of Terrapin Bright Green.  In this clip, Bill explains the difference between acoustics and psychoacoustics, and how we can use effective masking sounds to really help people focus on the most important auditory information they want to hear. Bill Browning is one of the green building and real estate industry's foremost thinkers and strategists, and an advocate for sustainable design solutions at all levels of business, government, and civil society. In 2006, Bill founded Terrapin Bright Green to craft high-performance environmental strategies for corporations, governments, and large-scale real estate developments. Previously, in 1991, he founded Green Development Services at the Rocky Mountain Institute, an entrepreneurial, non-profit “think and do tank.” Past roles include Director of Design and Environment for Haymount, VA, co-founder of Browning+Bannon LLC, founding member of the USGBC Board of Directors, and Chair of USGBC's Governance Committee. He is a co-author of several books and publications including most recently Nature Inside: A Biophilic Design Guide.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers

How do we prioritize multi-sensory engagement with nature in decisions both about the design of our built environment and the ongoing operation of senior communities? Join Jennifer and Max as we talk to 3 great guests – Bill Browning, Kirsten Jacobs, and Tammy Marshall – about their experiences in creating and managing environments for older adults that enhance connections with the natural world. First, we speak with Bill Browning, one of the green building and real estate industry's foremost thinkers and strategists, and an advocate for sustainable design solutions at all levels of business, government, and civil society. In 2006, Bill founded Terrapin Bright Green to craft high-performance environmental strategies for corporations, governments, and large-scale real estate developments. Previously, in 1991, he founded Green Development Services at the Rocky Mountain Institute, an entrepreneurial, non-profit “think and do tank.” Past roles include Director of Design and Environment for Haymount, VA, co-founder of Browning+Bannon LLC, founding member of the USGBC Board of Directors, and Chair of USGBC's Governance Committee. He is a co-author of several books and publications including most recently Nature Inside: A Biophilic Design Guide. Next, we talk to Kirsten Jacobs, who leads dementia and wellness education strategy at LeadingAge, including enhancing existing external/internal relationships and identifying areas of potential growth. She develops wellness, dementia and related content for conferences and other education efforts, including distance learning. She provides thought leadership around wellness and dementia to various audiences, including speaking/presenting at conferences and delivering technical assistance to members. Finally, we speak with Tammy Marshall. Tammy is president & CEO of Biophilia Pharma, where she focuses on the healing power between nature and humans. Previously, she served as the first woman Chief Experience Officer in the country for ageing services, the first woman to sit on Thrive Senior Living's vision team, and the first VP of Strategic Planning for one of New York's largest long-term care systems. She previously served as chief experience officer at a New York City-based senior care nonprofit called the New Jewish Home, where she led an effort in boosting person-centered care. Marshall keynotes around the globe on the topics of ageism, woman in leadership, integrative health and civil rights for those living with changing cognitive abilities, sometimes known as Alzheimer's and Dementia. She is known for her published work on leadership, dementia care, designing environments for older adults and strategic planning.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Max had with Carrie Chiusano of Presbyterian SeniorCare.  She speaks to an experience she had several years ago with a surveyor writing a citation for what she considered a very normal resident experience, and how she and others worked together to resolve the citation and encourage a sense of family in their community. Carrie has 36 years of long-term care experience with Presbyterian SeniorCare Network, helping to shape and implement the Woodside Place philosophy of specialty care for persons living with dementia. Prior to being appointed Executive Director for the Presbyterian SeniorCare Network Dementia Care Center of Excellence in January 2016, Carrie served for five years as the Administrator for Woodside Place of Oakmont, which opened in 1991 and was one of the nation's first dementia-specific residential community. Carrie is responsible for the integration of dementia care services across the various settings that comprise the Network as well as the family caregivers coping with the disease.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

How do we build trust and meaningful relationships with older adults living with dementia while empowering them to make decisions in their daily lives?  Join Jennifer and Max as we talk to 4 great guests – Carrie Chiusano, Kim O'Brien, Amy McDonough, and Len Fishman about their experiences educating leadership, frontline staff, family, and communities about dementia. We kick off the conversation with Carrie Chiusano. Carrie has 36 years of long-term care experience with Presbyterian SeniorCare Network, helping to shape and implement the Woodside Place philosophy of specialty care for persons living with dementia. Prior to being appointed Executive Director for the Presbyterian SeniorCare Network Dementia Care Center of Excellence in January 2016, Carrie served for five years as the Administrator for Woodside Place of Oakmont, which opened in 1991 and was one of the nation's first dementia-specific residential community. Carrie is responsible for the integration of dementia care services across the various settings that comprise the Network as well as the family caregivers coping with the disease. Next, we talk to Kim O'Brien and Amy McDonough of United Active Living in Calgary, Alberta. Kim serves as president and CEO at United Active Living. Their communities provide independent living, assisted living, and memory care in an innovative integrated community. Prior to joining United Active Living, Kim served as the CEO of Horizon Housing Society, a non-profit charitable organization specializing in the development and operations of affordable housing in Calgary. While in this role, she was a strong voice locally and nationally for the lasting positive impacts from people having access to a safe, quality home and the opportunity to be a part of the community. Amy leads the United Minds program at United Active Living. In this role, Amy implements and leads the company's integrated living and relationship-centered philosophy, educating and empowering front-line staff, managers, families, and residents to support those living with dementia. Before joining the team at United Active Living, Amy served as volunteer coordinator and memory care support at Convent Care Canada and as recreation therapist and co-lead of the Dementia Butterfly Model of Care Project at Intercare Southwood Care Center. Finally, we speak with Len Fishman. Len is a nationally recognized leader in the field of aging policy. He directs the Gerontology Institute at UMass Boston's John W. McCormack Graduate School of Policy and Global Studies. For 12 years he served as CEO of Hebrew SeniorLife, New England's largest nonprofit provider of senior housing and health care. Prior to joining Hebrew SeniorLife, Fishman was president and CEO of LeadingAge, a coalition of 6,000 non-profit aging services organizations, in Washington, D.C. He served as commissioner of the New Jersey Department of Health and Senior Services under Governor Christine Todd Whitman. Before that, he was a health care lawyer in NJ and PA.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jennifer had with Eloy van Hal, one of the founders and implementers of the physical community and operational philosophy of Hogewey Dementia Village in the Netherlands. Their model is based on normalizing life for older people living with dementia, and this goes beyond the four walls of their community and to society as a whole. In this bonus episode, he and Jennifer talked more in depth about what some of the barriers and opportunities are to creating a society that is more holistically accepting and empowering of people living with dementia. Eloy van Hal is director of Van Hal Advisors and senior managing advisor in the Be The Hogeweyk Care Concept Advisory team of the Vivium Care Group. Eloy managed several nursing homes and assisted living communities over more than 20 years before managing the former nursing home of Hogewey and eventually developing and co-founding the Hogeweyk (the Hogewey dementia village). He was instrumental in its design, construction, implementation and maintaining and improving the concept. Eloy managed the Hogeweyk from 2008 to 2015, and now works to share his knowledge and experience with others across the world by providing strategic and operational advisory service to clients in the public and private sectors.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In this episode, we explore the opportunities and challenges for older adults living with dementia to experience living beyond the scale of just one building. How do our neighborhoods, towns, and cities support people living with dementia in the community? How do we blur the boundaries between dedicated care environments and their broader context? Our first interview is with Barbra McLendon is Director of Public Policy at Alzheimer's Los Angeles, a non-profit organization serving the Los Angeles area for over 40 years. The organization aims to improve the lives of local families affected by Alzheimer's and dementia by increasing awareness, delivering effective programs and services, providing compassionate support, and advocating for quality care and a cure. Then, we speak with Eloy van Hal who is director of Van Hal Advisors and senior managing advisor in the Be The Hogeweyk Care Concept Advisory team of the Vivium Care Group. Eloy managed several nursing homes and assisted living communities over more than 20 years before managing the former nursing home of Hogewey and eventually developing and co-founding the Hogeweyk (the Hogewey dementia village). He was instrumental in its design, construction, implementation and maintaining and improving the concept. Eloy managed the Hogeweyk from 2008 to 2015, and now works to share his knowledge and experience with others across the world by providing strategic and operational advisory service to clients in the public and private sectors. Our last conversation is with Stefano Recalcati Stefano, who is based in Milan, Italy and is currently Arup's masterplanning and urban design skills leader for Europe. Trained as an architect, his PhD was on the interactions between architecture and urban planning. He has international experience in strategic planning, urban planning, masterplanning and urban design. Before joining Arup, Stefano worked on several urban developments, advising public and private bodies in Italy and abroad. He enjoys lecturing, teaching and writing about urban planning. He's written several books and articles on cities and urban regeneration. He is an adjunct professor at the School of Civil Architecture, Politecnico di Milano.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Today's bonus episode continues the conversation Jennifer had with Jude Rabig about the obstacles an organization must find their way around in order to create a truly decentralized approach to decision-making in a care environment. Jude gives some very valuable suggestions and examples of how to engage surveyors and regulators in the process of culture change. Jude Rabig is a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company Rabig Consulting, she provides customized change consultations to help communities develop innovative strategies for change in long term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a PhD in gerontology and a business certificate from Stanford School of Business.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In this episode we discuss an important operational trend in care environments: decentralized decision-making and resources. The goal of this approach to put decision-making as close to the resident as possible. But how does one go about doing that? What are the related opportunities and barriers? Our first interview is with Jude Rabig, a nationally recognized leader, speaker, and change agent who served as the first Executive Director of the National Green House Project. She assisted in shaping the model of care and leading the implementation of the first Green Houses in Tupelo, Mississippi. Through her company Rabig Consulting, she provides customized change consultations to help communities develop innovative strategies for change in long term care.  She has worked with scores of organizations nationally and in Canada to develop small house communities.  In addition to providing Small House consulting nationally, she also founded and leads Lifespace Senior Services based in Schenectady, NY to provide home and community based clients with support for their holistic well-being with an emphasis on thriving despite limitations or frailty. She has served in many roles including Director of the Office for Aging and Continuing Care in Oneida County New York and Professor of Gerontology at Utica College. In each of these positions she has worked tirelessly, exhibiting a commitment to fighting ageism, and championing programs and practices that support autonomy, dignity and enhanced quality of life for older adults. She is a former Atlantic Philanthropies, Hartford Foundation Practice Change Fellow, and a Center for Medicare and Medicaid Services Innovation Adviser. She holds a PhD in gerontology and a business certificate from Stanford School of Business. Then, we speak with Carrie Chiusano. She has 36 years of long-term care experience with Presbyterian SeniorCare Network, many of which were spent helping to shape and implement the Woodside Place philosophy of specialty care for persons living with Alzheimer's disease and other related dementias. Prior to being appointed Executive Director for the Presbyterian SeniorCare Network Dementia Care Center of Excellence in January 2016, Carrie served for five years as the Administrator for Woodside Place of Oakmont, which opened in 1991 and was one of the nation's first dementia-specific residential community specifically designed to meet the holistic needs of older adults living with Alzheimer's and related dementias. In her leadership of the dementia Center of Excellence, Carrie is responsible for the integration of dementia care services across the various settings that comprise the Network as well as the family caregivers coping with the disease. In addition to her service on numerous, industry association boards, Carrie has become a certified trainer for the National Council of Certified Dementia Practitioners in dementia care. Our last conversations is with Damian Utton, who has been with Pozzoni Architecture since 1997 and is now a Director, bringing his wealth of experience in design for older people to his co-ordination and leadership of research and development at the firm. In the late 2000's, he spent a sabbatical touring and researching more than 100 dementia environments around the world, and the findings became his book: ‘Designing Homes for People with Dementia'. He subsequently has authored and co-authored books on designing for older people and people with dementia and writes frequently for the care press.   Continue the conversation in our LinkedIn group Shaping Dementia Environments. Check it out at https://www.linkedin.com/groups/9044567/

Today's bonus episode continues the conversation Jennifer had with Barbra McLendon of Alzheimer's Los Angeles about the realities of caregiving in the community and the burden that can be placed on families.  Barbra highlights some key policy considerations to better support family and friend caregivers in these situations. Barbra McLendon is Director of Public Policy at Alzheimer's Los Angeles, a non-profit organization serving the Los Angeles area for over 40 years. The organization aims to improve the lives of local families affected by Alzheimer's and dementia by increasing awareness, delivering effective programs and services, providing compassionate support, and advocating for quality care and a cure.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In this episode we tackle the question of how culture and lifestyle influences operations, policy creation, and design for dementia environments. Barbra McLendon, Eloy van Hal, and Katie Swenson share a very wide breadth of experiences on this topic, and our discussions range from highly complex public policy challenges to defining intrinsic notions of ‘home'. Our first interview is with Barbra McLendon is Director of Public Policy at Alzheimer's Los Angeles, a non-profit organization serving the Los Angeles area for over 40 years. The organization aims to improve the lives of local families affected by Alzheimer's and dementia by increasing awareness, delivering effective programs and services, providing compassionate support, and advocating for quality care and a cure. Then, we speak with Eloy van Hal who is director of Van Hal Advisors and senior managing advisor in the Be The Hogeweyk Care Concept Advisory team of the Vivium Care Group. Eloy managed several nursing homes and assisted living communities over more than 20 years before managing the former nursing home of Hogewey and eventually developing and co-founding the Hogeweyk (the Hogewey dementia village). He was instrumental in its design, construction, implementation and maintaining and improving the concept. Eloy managed the Hogeweyk from 2008 to 2015, and now works to share his knowledge and experience with others across the world by providing strategic and operational advisory service to clients in the public and private sectors. Our last conversations is with Katie Swenson, who is a nationally recognized design leader, researcher, writer, and educator. She is a Senior Principal of MASS Design Group, an international non-profit architecture firm whose mission is to research, build, and advocate for architecture that promotes justice and human dignity. Before joining MASS in early 2020, Swenson was vice president of Design & Sustainability at Enterprise Community Partners, where she led the Rose Fellowship program, recruiting and mentoring 85 fellows who are the next generation of leaders in architecture and community development. Previously, Katie served as a fellow with the Piedmont Housing Alliance in Charlottesville, VA and founded the Charlottesville Community Design Center.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Listen in to a preview of conversations to come with Sean Kelly and Marvell Adams from Kendal Corporation. Hear how their communities work to meet people where they are in their aging process. Sean Kelly joined Kendal in 2008 and took on his current role in 2016. Prior to 2016, while at Kendal, Sean was responsible for fostering a culture of continuous improvement through leading and managing new opportunities for growth and evolution for Kendal. Sean has been a frequent speaker on many topics, including senior housing development, emerging trends, organizational management, leadership, and affiliation, merger and acquisition processes. Sean came to Kendal after 10+ years working with a development, finance, marketing and operations consultant to senior housing and service providers throughout the United States, where he served as Principal. Sean graduated from Ursinus College in Collegeville, in 1992 with a bachelor's degree in international relations, and in 2014 he completed an Advanced Management Program at the Wharton School at the University of Pennsylvania in Philadelphia. Marvell Adams Jr. served as Executive Director/CEO of Kendal's metro Washington, D.C.-area affiliate, Collington, for seven years, before being named The Kendal Corporation's Chief Operating Officer in October 2018. Marvell came to Collingtonfrom Rochester, New York, where he was COO/Administrator at The Highlands at Pittsford, a continuing care retirement community affiliated with the University of Rochester Medical Center. After receiving his bachelor's degree in political science from the College of Charleston in South Carolina, Marvell earned a master's degree in health care administration from the School of Public Health at the University of North Carolina at Chapel Hill. He contributes to the academic community and helps cultivate the next generation of aging services professionals by serving as a regular guest speaker at Cornell University, UNC at Chapel Hill and Penn State. Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

Why is emphasizing normalcy part of the dialogue in discussing environments for older adults living with dementia – aren't all homes meant to be normal? Join Max and Jennifer as they talk to three guests, Kirsten Jacobs, Tammy Marshall, and Damian Utton, about how our society's views and the spaces we build can support the complex, fulfilled lives of older adults. We kick off the conversation with Kirsten Jacobs, who leads dementia and wellness education strategy at LeadingAge, including enhancing existing external/internal relationships and identifying areas of potential growth. She develops wellness, dementia and related content for conferences and other education efforts, including distance learning. She provides thought leadership around wellness and dementia to various audiences, including speaking/presenting at conferences and delivering technical assistance to members. Next up, we speak with Tammy Marshall. Tammy is president & CEO of BiophiliaPharma, where she focuses on the healing power between nature and humans. Previously, she served as the first woman Chief Experience Officer in the country for ageing services, the first woman to sit on Thrive Senior Living's vision team, and the first VP of Strategic Planning for one of New York's largest long-term care systems. She previously served as chief experience officer at a New York City-based senior care nonprofit called the New Jewish Home, where she led an effort in boosting person-centered care. Marshall keynotes around the globe on the topics of ageism, woman in leadership, integrative health and civil rights for those living with changing cognitive abilities, sometimes known as Alzheimer's and Dementia. She is known for her published work on leadership, dementia care, designing environments for older adults and strategic planning. Finally, we speak with Damian Utton. Damian has been with Pozzoni Architecture since 1997 and is now a Director, bringing his wealth of experience in design for older people to his co-ordination and leadership of research and development at the firm. In the late 2000's, he spent a sabbatical touring and researching more than 100 dementia environments around the world, and the findings became his book: ‘Designing Homes for People with Dementia'. He subsequently has authored and co-authored books on designing for older people and people with dementia and writes frequently for the care press.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

We had such a great conversation with Kim O'Brien and Amy McDonough of United Active Living in Calgary, Alberta, that we wanted to share this bonus clip with you about their successes and challenges in implementing an integrated living approach at their communities. Kim serves as president and CEO at United Active Living. Their communities provide independent living, assisted living, and memory care in an innovative integrated community. Prior to joining United Active Living, Kim served as the CEO of Horizon Housing Society, a non-profit charitable organization specializing in the development and operations of affordable housing in Calgary. While in this role, she was a strong voice locally and nationally for the lasting positive impacts from people having access to a safe, quality home and the opportunity to be a part of the community. Amy leads the United Minds program at United Active Living. In this role, Amy implements and leads the company's integrated living and relationship-centered philosophy, educating and empowering front-line staff, managers, families, and residents to support those living with dementia. Before joining the team at United Active Living, Amy served as volunteer coordinator and memory care support at Convent Care Canada and as recreation therapist and co-lead of the Dementia Butterfly Model of Care Project at Intercare Southwood Care Center.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/ Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

In part 1 of a 2-part series on risk attitude in dementia environments, Max and Jennifer talk to 4 great guests – Kim O'Brien, Amy McDonough, Len Fishman, and Bill Browning – about this difficult but timely topic for senior housing and care. We all experience certain amounts of risk in our daily lives, and allowing for that in dementia environments becomes a complex calculation. We kick off the conversation with Kim O'Brien and Amy McDonough of United Active Living in Calgary, Alberta. Kim serves as president and CEO at United Active Living. Their communities provide independent living, assisted living, and memory care in an innovative integrated community. Prior to joining United Active Living, Kim served as the CEO of Horizon Housing Society, a non-profit charitable organization specializing in the development and operations of affordable housing in Calgary. While in this role, she was a strong voice locally and nationally for the lasting positive impacts from people having access to a safe, quality home and the opportunity to be a part of the community. Amy leads the United Minds program at United Active Living. In this role, Amy implements and leads the company's integrated living and relationship-centered philosophy, educating and empowering front-line staff, managers, families, and residents to support those living with dementia. Before joining the team at United Active Living, Amy served as volunteer coordinator and memory care support at Convent Care Canada and as recreation therapist and co-lead of the Dementia Butterfly Model of Care Project at Intercare Southwood Care Center. Next up, we speak with Len Fishman. Len is a nationally recognized leader in the field of aging policy. He directs the Gerontology Institute at UMass Boston's John W. McCormack Graduate School of Policy and Global Studies. For 12 years he served as CEO of Hebrew SeniorLife, New England's largest nonprofit provider of senior housing and health care. Prior to joining Hebrew SeniorLife, Fishman was president and CEO of LeadingAge, a coalition of 6,000 non-profit aging services organizations, in Washington, D.C. He served as commissioner of the New Jersey Department of Health and Senior Services under Governor Christine Todd Whitman. Before that, he was a health care lawyer in NJ and PA. Finally, we speak with Bill Browning, one of the green building and real estate industry's foremost thinkers and strategists, and an advocate for sustainable design solutions at all levels of business, government, and civil society. In 2006, Bill founded Terrapin Bright Green to craft high-performance environmental strategies for corporations, governments, and large-scale real estate developments. Previously, in 1991, he founded Green Development Services at the Rocky Mountain Institute, an entrepreneurial, non-profit “think and do tank.” Past roles include Director of Design and Environment for Haymount, VA, co-founder of Browning+Bannon LLC, founding member of the USGBC Board of Directors, and Chair of USGBC's Governance Committee. He is a co-author of several books and publications including most recently Nature Inside: A Biophilic Design Guide.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/   Learn more about Perkins Eastman insights: https://www.perkinseastman.com/white-papers/

The experience of living in dementia care environments hasn't evolved in 30 years – and we think it's time for change. Conversations with disruptive operators, policy shapers, and designers examine how new thinking is shaping the places people living with dementia call home.  Each episode, we'll elaborate on a single pattern of innovation in dementia environments - some focusing on physical spaces, others highlighting care philosophies and procedures. Join Max Winters and Jennifer Sodo, senior living architects at Perkins Eastman, as we seek a wide variety of perspectives on these topics, from across disciplines and from around the world.   Continue the conversation in our LinkedIn group Shaping Dementia Environments: https://www.linkedin.com/groups/9044567/   Learn more about Perkins Eastman insights:    https://www.perkinseastman.com/white-papers/missing-main-street-reconnecting-older-adults-with-dementia-to-the-fabric-of-authentic-living/