Uriel Cohen

The Role of Culture in Designing Environments for People with Dementia A Study of Russian Jewish Immigrants

Cultural heritage is an essential enduring aspect of self-identity for older adults, including those with Alzheimer’s disease and other dementias. Culture may serve as a therapeutic barrier or as a therapeutic resource in caring for this population. Cultural heritage is currently underused as a therapeutic resource in environments for people with dementia and for other older adults. Accommodation of cultural heritage in these settings requires sensitive spatial organization and appointment of the physical environment to support culturally based activities and rituals. This article outlines key aspects of culture to be considered in designing for people with dementia including cultural group history and life experiences, assets, beliefs and values, caregiving practices, and activities and preferences. This frame-work for considering culture is applied to the design of hypothetical environments for older Russian Jewish immigrants in Milwaukee, Wisconsin, and in West Hollywood, California.

Emerging trends in environments for people with dementia

Using multiple methods, the authors conducted a review and analysis of 20 contemporary environmentsfor people with dementia This article briefly reviews some of the major trends and developments in these facilities, as they relate to therapeutic principles ofdesign. A design application-the Helen Bader Center; Milwaukee, Wisconsin-is presented as an example of an environment that integrates many of these goal-driven, research-based principles.