Training and Technical Assistance in Home Modification


With support from the Administration for Community Living (ACL), US Department of Health and Human Services

GOAL: to maximize older adults’ ability to age in place by increasing the availability and awareness of home modification at the local, state, and national levels

While home modification activities have increased, application of these efforts has been limited. With ACL support, USC is conducting targeted training and technical assistance to enhance service providers’ – particularly those in the aging network – ability to deliver best practice home modification programs. Through training webinars, technical assistance briefs, presentations at national meetings, online Certificate Programs, and newsletters, USC will share home modification best practices and innovations and their ability to support older adult and caregiver access to these programs. Webinars and presentations in 2019 included:

An Insider’s Look: The Range of Home Modifications and Decision Making (Webinar)


  • Emily Nabors, MSG, USC Leonard Davis School of Gerontology
  • Danise Levine, AiA, CAPS, Architect and Assistant Director, Center for Inclusive Design and Environmental Access, School of Architecture and Planning, University at Buffalo
  • Catia Garell, MA, OTR, CAPS, ECHM, CEAC, Accessibility Specialist, Thrive for Live, LLC

Description: As part of an ACL-supported grant and in partnership with n4a, the USC Leonard Davis School of Gerontology conducted this webinar on the range of home modifications to support aging in place – from minor to major. Listen to hear a first-hand perspective from an architect and an occupational therapist as they discuss how design and cost can affect decision-making and consumer choice. Gain a better understanding of home modification to support your information and access services for older adults in your community.

There’s No Place Like Home: Aging Network Innovations in Home Modification, ADvancing States HCBS Conference, Baltimore, MD (PDF)


  • Emily Nabors, MSG, USC Leonard Davis School of Gerontology
  • Damon Terzaghi, MSA, ADvancing States
  • Mark Myers, MPA, Philadelphia Corporation for Aging
  • Tori Goldhammer, MS, OTR/L, ATP, ECHM, CAPS, CEAC, LMT, DC Dept. of Aging & Community Living

Description: The home environment is increasingly being recognized as a contributor to health in later life. With aging populations and cost constraints, state and local home and community-based service systems are integrating home modification to support older adults at home. This session features several local and state Aging Network agencies’ efforts to creatively finance and deliver home modification services for older adults.

Innovations in Home Modification Service Delivery: Challenges and Opportunities for the Aging Network, n4a Annual Conference, New Orleans, LA (PDF)


  • Sherri Clark, MSW, Administration for Community Living
  • Mary Durell, MSW, LCSW, CICOA
  • Emily Nabors, MSG, USC Leonard Davis School of Gerontology
  • Marty Toland, BSW, Central Plains AAA

Description: Area Agencies on Aging are increasingly playing a role in ensuring supportive home environments for older adults through home modification. This presentation features recent efforts in home modification services by the aging network.

The Role of Home Modification in Promoting Aging in Place and Community (Webinar)


  • Emily Nabors, MSG, USC Leonard Davis School of Gerontology
  • Julie Overton, MHA, MSG, USC Leonard Davis School of Gerontology

Description: ADvancing States and the University of Southern California Leonard Davis School of Gerontology hosted this webinar on the role of the home in promoting aging in place and community. Presenters reviewed the fundamentals of home modification, described different types of agencies and funding sources that offer home modification services, and covered practical skills to use when an older adult or caregiver needs to address fall and safety hazards in the home.


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This project was supported, in part, by grant number HHS-2018-ACL-AOA-HMOD-0308 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.