Symbiotic care between residents in service-integrated housing

Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care.

The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions.

Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs.

Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation.

This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.