University of Worcester Worcester Research and Publications

Ageing in Extra Care Housing: Preparation, Persistence and Self-Management at the Boundary Between the Third and Fourth Age

Johnson, E.K., Cameron, A., Lloyd, L., Evans, Simon ORCID:, Darton, R., Smith, R., Atkinson, Teresa ORCID: and Porteus, J. (2020) Ageing in Extra Care Housing: Preparation, Persistence and Self-Management at the Boundary Between the Third and Fourth Age. Ageing & Society, 40 (12). pp. 2711-2731. ISSN Print: 0144-686X Online: 1469-1779

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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 (UK). 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.

Item Type: Article
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COPYRIGHT: © Cambridge University Press 2019
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Uncontrolled Discrete Keywords: ageing, care, extra care housing, fourth age, housing, longitudinal, social care
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: College of Health, Life and Environmental Sciences > School of Allied Health and Community
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Copyright Info: Open Access article
Depositing User: Simon Evans
Date Deposited: 12 Jun 2019 11:07
Last Modified: 07 Dec 2021 13:56

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