Enabling "aging in place" for urban dwelling seniors: An adaptive or remedial approach

Given that the majority of older adults prefer to remain in their homes as they age, rather than relocate to an institution or live with family members, "aging in place" is critical to life satisfaction and quality of life for the older adult. To address this issue, the authors define place and discuss the aspects of place that could contribute to an individual's ability to "age in place." Factors addressed include social capital and the physical environment (including the home and neighborhood environments). The authors present an argument for consideration to facilitate successful "aging in place," and suggest an adaptive rather than remedial occupational therapy approach. This approach is contrary to the usual way of thinking in occupational therapy practice, where compensation or adaptation is usually not considered until remediation is complete. Finally, plans for the future in occupational therapy practice are discussed with emphasis on embracing the client's needs from a social capital perspective.