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Ageing in extra-care housing: preparation, persistence and self-management at the boundary between the third and fourth age

2019/07/18 by Eleanor K. Johnson, Eleanor Johnson, Ailsa Cameron +6 · 12 citations
Economics, Econometrics and Finance · Health Professions · Medicine · Nursing · Psychology · Social Sciences · #Boundary (topology) #Context (archaeology) #Function (biology) #Geography #Geriatric Care and Nursing Homes #Gerontology #Housing, Finance, and Neoliberalism #Long-term care #Longitudinal study #Medicine #Migration, Aging, and Tourism Studies #Nursing #Older people #Period (music) #Psychology

paper · pdf · doi:10.1017/s0144686x19000849

published in Ageing and Society 40(12), 2711-2731 (Cambridge University Press)

crossref issued 2019/07/18 · crossref published 2019/07/18 · crossref published-online 2019/07/18 · openalex publication_date 2019/07/18 · crossref created 2019/07/18 · crossref deposited 2020/11/11 · crossref published-print 2020/12/01 · openalex created_date 2025/10/10 · crossref indexed 2026/08/01 · openalex updated_date 2026/08/04

Abstract

Abstract Extra-care housing (ECH) has been hailed as a potential solution to some of the problems associated with traditional forms of social care, since it allows older people to live independently, while also having access to care and support if required. However, little longitudinal research has focused on the experiences of residents living in ECH, particularly in recent years. This paper reports on a longitudinal study of four ECH schemes in the United Kingdom. Older residents living in ECH were interviewed four times over a two-year period to examine how changes in their care needs were encountered and negotiated by care workers, managers and residents themselves. This paper focuses on how residents managed their own changing care needs within the context of ECH. Drawing upon theories of the third and fourth age, the paper makes two arguments. First, that transitions across the boundary between the third and fourth age are not always straightforward or irreversible and, moreover, can sometimes be resisted, planned-for and managed by older people. Second, that operational practices within ECH schemes can function to facilitate or impede residents’ attempts to manage this boundary.

Citations