Abstract

In the Netherlands, there is an increasing need for collective forms of housing for older people. Such housing bridges the gap between the extremes of living in an institutionalised setting and remaining in their own house. The demand is related to the closure of many residential care homes and the need for social engagement with other residents. This study focuses on housing initiatives that offer innovative and alternative forms of independent living, which deviate from mainstream housing arrangements. It draws on recent literature on healthcare ‘rebels’ and further develops the concept of ‘rebellion’ in the context of housing. The main research question is how founders dealt with challenges of establishing and governing ‘rebellious’ innovative living arrangements for older people in the highly regulated context of housing and care in the Netherlands. Qualitative in-depth interviews with 17 founders (social entrepreneurs, directors and supervisory board members) were conducted. Founders encountered various obstacles that are often related to governmental and sectoral rules and regulations. Their stories demonstrate the opportunities and constraints of innovative entrepreneurship at the intersection of housing and care. The study concludes with the notion of ‘responsible rebellion’ and practical lessons about dealing with rules and regulations and creating supportive contexts.

Highlights

  • All over the world, people live longer and are generally in better health than previous generations of their age

  • In order to obtain a closer understanding of the challenges experienced by founders in setting up group living arrangements for older people, a qualitative study was conducted

  • The decision-making processes in innovative collective housing projects were examined based on the experiences of the founders involved andsuccessful cases

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Summary

Introduction

People live longer and are generally in better health than previous generations of their age. Age-friendly cities and communities can help improve the quality of life of older citizens. An age-friendly city or community is a place where older people are actively involved, valued, and supported with infrastructure and services that effectively accommodate their needs [1,2,3]. Housing is one of the key domains of establishing age-friendly cities. Res. Public Health 2020, 17, 6235; doi:10.3390/ijerph17176235 www.mdpi.com/journal/ijerph

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