Council on Aging Answers 2016 - 56

COUNCIL ON AGING - ORANGE COUNTY

fireplace, together with the dining room and open kitchen, is the center of life in the Green House home.
In these warm, home-like environments, elders receive the personal assistance and care that they need
- without that assistance and care
taking precedence over the natural
rhythms of daily life. Nursing care
staff are all on hand but not interfering, and medical equipment is
tucked away but easily accessible.
This ensures good quality of care
while keeping good quality of
everyday life squarely as the core
focus of a Green House home.
Elders decide what they want
to do every day - when they want
to get up, when they want to have
lunch, whether they want to read
or play cards. Not only are their
families welcome to visit at all
times, but a Green House home is
a place where families want to spend time.
In a Green House home, the organizational structure
is radically different from that of a traditional facility. The elders are at the center, surrounded by a selfmanaged team of direct-care workers called shahbazim,
who sustain and nurture the elders while managing
the house. A shahbaz is a certified care partner who is
specially trained in CPR, first aid, culinary arts, and
communication. The shahbazim provide a wide range
of services, including personal care, meal planning and
preparation, laundry, and other light housekeeping duties. They work in partnership with nurses and other
members of the clinical support team to provide excellent care for elders.

less frequently.
n Meaningful engagement: In a Green House
home, there is typically four times more meaningful
one-on-one engagement time between elders and direct
care workers each day.
n Family satisfaction: Green
House families are more satisfied with
where their loved ones are living. They
are willing to travel further and pay
more to obtain Green House services
and surroundings for their loved ones.
n Job satisfaction: Green House
workers are more satisfied with their
jobs and are more likely to stay longer
at those jobs. This means that residents get more consistent and more
personalized care.
Elders in Green House homes have
the freedom to live their lives at their
own pace and in accordance with
what works best for them. They are
treated with respect and compassion, and they receive
excellent care. This is what people want for themselves
and for their loved ones.
The Green House model can also be adapted to meet
the needs of special populations. For example, a Green
House home in Chelsea, Mass., has been specially designed to meet the needs of younger patients with amyotrophic lateral sclerosis (ALS). And, in October 2012, the
first Green House home for military veterans opened in
Danville, Ill.
The Robert Wood Johnson Foundation partners with
organizations, advocates, and communities to lead the
transformation of institutional long-term care by creating viable homes that spread THE GREEN HOUSEĀ®
Project vision - demonstrating more powerful, meaningful, and satisfying lives, work, and relationships.
Today, hundreds of Green House homes are open or
under development in many states. Currently there are
two operating in Pomona, Ca. To learn more about the
Green House Movement visit www.greenhouseproject.
org or contact the Robert Wood Johnson Foundation at
703-647-2311.

HOUSING

In a Green House
home, the
organizational
structure is
radically different
from that of a
traditional facility.

56

Evidence on the Benefits of Green House
This blended, self-managed team approach results
in less time spent on administrative and housekeeping
tasks and more time spent interacting with and caring
for elders. Research shows that, compared to traditional
nursing homes, Green House homes produce improvements in:
n Quality of life: Including privacy, dignity, autonomy, and emotional well-being.
n Quality of care: Elders have less depression, are
less likely to be bed-ridden, are more active physically,
develop far fewer pressure ulcers, and are hospitalized
Answers Guide 2016	

Portions of the article were reprinted with the permission of the Robert Woods Foundation: http://www.rwif.
org/en/about-rwjf/newsroom/newsroom-content/2012/12/
the-green-hluse-project---reimagining-old-age.html

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http://www.greenhouseproject.org http://www.greenhouseproject.org http://www.rwif.org/en/about-rwjf/newsroom/newsroom-content/2012/12/the-green-hluse-project---reimagining-old-age.html http://www.rwif.org/en/about-rwjf/newsroom/newsroom-content/2012/12/the-green-hluse-project---reimagining-old-age.html http://www.rwif.org/en/about-rwjf/newsroom/newsroom-content/2012/12/the-green-hluse-project---reimagining-old-age.html

Table of Contents for the Digital Edition of Council on Aging Answers 2016

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Council on Aging Answers 2016 - Intro
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