Caregiving

New Concepts in Elder Housing: The Eden Alternative and Green Homes

By Sarah Johnson

Green Houses and the Eden Alternative are elder housing approaches developed by Dr. William Thomas in the early 1990s. They are an innovative and bold step toward the radical overhaul of the system of housing and nursing care for the elderly. The Eden Alternative nursing homes and Green House project offer elders a warm, homey environment that minimizes the sterile, institutional atmosphere of most traditional nursing homes.


Green Houses and the Eden Alternative are elder housing approaches developed by Dr. William Thomas in the early 1990s. They are an innovative and bold step toward the radical overhaul of the system of housing and nursing care for the elderly. The Eden Alternative nursing homes and Green House project offer elders a warm, homey environment that minimizes the sterile, institutional atmosphere of most traditional nursing homes.

In an Eden Alternative nursing home, the residents are given more privacy and more control over their lives. Dogs, cats and birds live among and interact with the residents, lessening their sense of loneliness and boredom.

"I believe that in [nursing homes] in America, really every year, thousands and thousands of people die of a broken heart. They die not so much because their organs fail, but because their grip on life has failed." – Dr. William Thomas

In a case study conducted by Artemis March, Ph.D. it showed that the Eden Alternative approach to nursing home care improves the quality of life for residents with regard to their dignity, privacy, autonomy and food enjoyment, as well as giving the staff more job satisfaction.

Where can you find Eden Alternative nursing homes?

While not a formal accreditation, an Eden Alternative nursing home agrees to abide by the Eden Principles to work toward creating a better environment for its residents. Eden Alternative Registered Homes receive an "Eden Tree" plaque to display to let others know of their commitment to following the Eden Alternative nursing home philosophy regarding care for elders. You can also search among a list of domestic and international Eden Alternative nursing home care centers by visiting the nonprofit site at http://www.edenalt.org/.

The future of Eden Alternative nursing homes

Dr. William Thomas and his organization have received a grant of $10 million over the next five years to research and develop the "Green House" project. The Green homes are designed to create a small community of elders and staff that focuses on life and represents a radical departure from traditional skilled nursing homes and assisted living facilities. Features of a Green House home include three main focuses:

  • Warm: Warmth is created by the floor plan, decor, furnishings and the people.
  • Smart: Use of cost-effective, smart technology computers, wireless pagers, electronic ceiling lifts and adaptive devices.
  • Green: Sunlight, plants and access to outdoor spaces.


- Written By

Sarah Johnson

Aging in Place Expert
Sarah Johnson is an Aging in Place Expert with extensive experience helping seniors remain independent and comfortable in their homes. She has specialized knowledge of how to help elderly individuals stay healthy, safe, and happy as they age. Sarah is passionate about providing quality care for aging adults, allowing them to remain in their homes and enjoy the highest quality of life.