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Creating Environments of Support
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Creating Environments of Support:
A Handbook for Dementia
Responsive Design

by Sarah Campernel & William Brummett
William Brummett Architects


This guide is intended to help shape a care setting for someone living with Alzheimer’s disease. Architectural and design elements can create a therapeutic environment that actually enhances the life and care of someone with dementia.

To order a printed copy, please visit our Denver office or call 303.813.1669. An additional fee of $2 shipping & handling will apply.

The design strategies in this guide are broken up into four sections:

  1. New Settings
  2. Existing Remodels
  3. Home Modifications
  4. Interior Design Considerations

Sample Tips for Home Modifications:

  • Disguise or de-emphasize doors to areas that are not safe to enter.
  • Identify objects or doors with signs including text and pictures.
  • Post a calendar that cues the passing of each day, event or season.
  • Contrast the color of table cloths and plates.
  • Avoid dark borders or patterns in carpeting or flooring.
  • Fence in the back yard and install locks on the gates.
  • Remove or cover mirrors.
  • Install grab bars in showers and tubs.
  • Offer a selection of one or two items of clothing each morning, not the whole closet.
  • Install night lights in bathrooms and hallways.
  • Remove area rugs that may pose a tripping hazard.
  • Create a safe path for wandering.
  • Provide a clear view of the toilet from bed. 

For more information about William Brummett Architects, visit


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