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.

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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. 

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