{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:02:50Z","timestamp":1771632170413,"version":"3.50.1"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Canadians overwhelmingly do not want to live in long-term care institutions (LTCIs) when they age; yet many end up there for lack of home care, because family care partners burn out, or because they and their professional advisors are unaware of alternatives to institutions. Not only is institutional dementia care riven with problems, it segregates disabled people, thereby abrogating human rights. Because systemic ageism and ableism cloud seniors\u2019 care, institutions remain the default option for Canadians with dementia. Yet, decades of deinstitutionalization enabled younger disabled Canadians to live in the community with supports. Why not seniors? We describe a plethora of noninstitutional dementia-care alternatives. We then present a roadmap for considering all relevant care options in service plans, one that incorporates supported decision making by people with dementia. We propose a paradigm shift in how Canada serves its senior citizens \u2013 not just the current generation, but those to come, including ourselves.<\/jats:p>","DOI":"10.1017\/s0714980824000308","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T09:35:46Z","timestamp":1732095346000},"page":"95-104","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["A Roadmap of Noninstitutional Living Options for People with Dementia: \u201cDon\u2019t Fence Me In\u201d"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8245-7255","authenticated-orcid":false,"given":"Maude","family":"L\u00e9vesque","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Oldfield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"S0714980824000308_r31","volume-title":"Reablement in long-term care for older people: International perspectives and future directions","author":"Rostgaard","year":"2023"},{"key":"S0714980824000308_r20","unstructured":"L\u00e9vesque, M. (2022). Vieillir en centre de soins de longue dur\u00e9e: vue convergente d\u2019un syst\u00e8me mis en faute. Unpublished doctoral dissertation, School of Social Work, University of Ottawa. Retrieved from http:\/\/hdl.handle.net\/10393\/44146."},{"key":"S0714980824000308_r18","first-page":"36","article-title":"A longer view: Human rights and safeguards for long-term care residents","volume":"43","author":"Lai","year":"2022","journal-title":"Windsor Review of Legal and Social Issues"},{"key":"S0714980824000308_r34","first-page":"7","article-title":"Human rights and the confinement of people living with dementia in care homes","volume":"22","author":"Steele","year":"2020","journal-title":"Health and Human Rights"},{"key":"S0714980824000308_r4","first-page":"367","article-title":"A system of integrated care for older persons with disabilities in Canada: Results from a randomized controlled trial","volume":"61","author":"B\u00e9land","year":"2006","journal-title":"The Journals of Gerontology"},{"key":"S0714980824000308_r7","unstructured":"Davis, K. (2005). Creating a circle of support. 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(2019). \u201cYou have to wait!\u201d Time as an instrument of power in a nursing home. Preprint. https:\/\/www.researchgate.net\/publication\/333811513_You_Have_to_Wait_Time_as_an_Instrument_of_Power_in_a_Nursing_Home."},{"key":"S0714980824000308_r2","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2021.1961049"},{"key":"S0714980824000308_r29","first-page":"450","article-title":"A comprehensive approach to reablement in dementia","volume":"3","author":"Poulos","year":"2017","journal-title":"Alzheimer\u2019s and Dementia: Translational Research and Clinical Interventions"},{"key":"S0714980824000308_r28","volume-title":"University-integrated seniors village: Environmental scan report","author":"Poulin","year":"2022"},{"key":"S0714980824000308_r32","first-page":"1","article-title":"Rights in mind: Thinking differently about dementia and disability","volume":"18","author":"Shakespeare","year":"2017","journal-title":"Dementia"},{"key":"S0714980824000308_r9","doi-asserted-by":"publisher","DOI":"10.1139\/facets-2020-0056"},{"key":"S0714980824000308_r30","doi-asserted-by":"publisher","DOI":"10.1177\/0733464810369810"},{"key":"S0714980824000308_r38","first-page":"11","article-title":"The meaning of \u2018choice and control\u2019 for people with intellectual disabilities who are planning their social care and support","volume":"30","author":"Williams","year":"2015","journal-title":"Journal of Applied Research in Intellectual Disabilities"},{"key":"S0714980824000308_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.11.030"},{"key":"S0714980824000308_r39","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12356"},{"key":"S0714980824000308_r26","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2020.1863507"},{"key":"S0714980824000308_r27","unstructured":"Plockova, J. (2023, July 9). Safe harbors amid the tempest of dementia. The New York Times, 9."},{"key":"S0714980824000308_r24","article-title":"\u201cNothing about us without us\u201d: Involving people with dementia in qualitative research","volume":"17","author":"Oldfield","year":"2021","journal-title":"Review of Disability Studies International"},{"key":"S0714980824000308_r19","doi-asserted-by":"publisher","DOI":"10.1080\/09687599.2023.2198662"},{"key":"S0714980824000308_r15","doi-asserted-by":"publisher","DOI":"10.1177\/0969733013484484"},{"key":"S0714980824000308_r17","doi-asserted-by":"publisher","DOI":"10.1177\/12063312231159219"},{"key":"S0714980824000308_r35","doi-asserted-by":"publisher","DOI":"10.1007\/s12126-017-9289-3"},{"key":"S0714980824000308_r16","doi-asserted-by":"publisher","DOI":"10.1177\/1471301214529575"},{"key":"S0714980824000308_r10","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01460"},{"key":"S0714980824000308_r21","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30367-6"},{"key":"S0714980824000308_r12","doi-asserted-by":"publisher","DOI":"10.1080\/01621420802022548"},{"key":"S0714980824000308_r14","volume-title":"Inventory of affordable housing plus services initiatives for low-and modest-income seniors","author":"Harahan","year":"2006"},{"key":"S0714980824000308_r13","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbab185"},{"key":"S0714980824000308_r40","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.01.009"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980824000308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T06:26:44Z","timestamp":1746685604000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980824000308\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,20]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S0714980824000308"],"URL":"https:\/\/doi.org\/10.1017\/s0714980824000308","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,20]]},"assertion":[{"value":"\u00a9 Canadian Association on Gerontology 2024","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"Published by Cambridge University Press on behalf of Canadian Association on Gerontology. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}