While the service delivery system for home modifications is a patchwork of services wherein providers may only specialize in one aspect, Aging Network agencies are increasingly playing roles in either overseeing other agencies that carry out the home modifications or directly administering home modification and repair programs. Over half (54%) of State Units on Aging (SUAs) administer or monitor home modifications via local agencies; 61% of Area Agencies on Aging (AAAs) directly deliver or contract out for home modifications; and 66% of Title VI directors report that they make some type of home modification and/or repair service available to Native American elders.
The following examples demonstrate opportunities for agencies to emulate and highlight efforts of Aging Network providers to: 1) oversee home modification or repair services and funding; and 2) directly administer home modification or repair services.
As part of a national network of state and local agencies that provide supportive services to help older adults and people with disabilities live independently, many Aging Network agencies oversee home modification and repair services. Approaches include working with other providers, accessing outside funding sources, and utilizing volunteers.
Examples that demonstrate opportunities include:
Along with overseeing home modification and repair services, the Aging Network contributes to service access by directly administering home modification and repair services, especially at the local level. Of the AAAs directly administering home modification or repair services, 94% provide minor home modifications (e.g., installation of grab bars and raised toilet seats) and 52% provide major home modifications (e.g., remodeling bathrooms and installing ramps). Over half of the AAAs provide home repairs, an important supportive housing service since a home may need to be repaired before any safety modifications are made. Assessing the home environment is a key home modification service to identifying problems and solutions specific to the resident and almost 1/3 of AAAs (30%) indicate conducting home assessments. Tribal organizations also offer a range of home modification and repair services to tribal elders. Title VI grantees are more likely to provide minor home modification (52%) than major modifications (12%) or repairs (11%). One quarter of Title VI grantees provide home assessments to determine need for modifications.
Examples of state and local level efforts to directly administer home modification and repair services demonstrate opportunities for other agencies to emulate and include:
This document is one in a series of documents that make up the publication below. Please use the following citation:
Overton, Julie, Nabors, Emily, and Pynoos, Jon. Building Blocks for the Aging Network: Enhancing Home Modification and Repairs for Older Adults and People with Disabilities. (2022). USC Leonard Davis School of Gerontology: Los Angeles, California.
Examples of data sources utilized for this document include, but are not limited to: 1) surveys conducted by the USC Leonard Davis School of Gerontology in partnership with Advancing States and USAging of State Units on Aging, Area Agencies on Aging, and Title VI grantees to ascertain efforts in home modification and repair; 2) reports: State Units on Aging Efforts in Home Modification, Area Agencies on Aging Efforts in Home Modification and Repair, and Home Modification and Repair Services and Needs in Indian Country: A Data Brief of the Title VI Native American Aging Programs Survey ; and 3) a comprehensive review and environmental scan of local and state home modification efforts of the Aging Network.
Programs often change. Please visit the web sites of the agencies identified for the most up to date information.
Please contact us if you have any updates to this document.
Fall Prevention Center of Excellence
Leonard Davis School of Gerontology
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This project was supported, in part, by grant number 90PPHM0001 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.