TTMADRS (2T) – A New Community – 2021

People jogging

The Triangle Traditional Music and Dance Retirement Society (TTMADRS) is developing an intentional community that will be located in the Triangle area of North Carolina. The community will develop elements of co-housing and life-plan/CCRC communities to create an inclusive, socially permeable, and playful arts village that includes continuing care for older adults.

We plan to include a continuum of housing and healthcare using some of the Household Model principles developed by Action Pact. This model commits to meeting residents’ needs through the end of life, offering a combination of privacy, community, and organized support. More on the Household Model below.

  • We want to stay together and play together through old age.
  • We want to continue to practice our arts, enjoy our pleasures, engage with the world, and be useful until we take our last breath.
  • We want innovative healthcare that is resident-directed, not institutional, and incorporates emerging, technology-based homecare.

Our vision includes the following:

  • Individual homes, townhomes, & apartments in an accessible, natural setting
  • Community center for participatory arts, such as music and dance, that is welcoming to the surrounding community
  • Dance hall/auditorium
  • Practice, teaching, and studio spaces for arts, crafts, and music
  • Pub, café, and/or other dining venues
  • Wellness center with an outpatient clinic 
  • Adult Care Home for those who need more hands-on support and care
  • Library & Media Center
  • Accessible gardens and green spaces 
  • Other possible amenities over time:
    • Swimming pool
    • Visitor housing/camping

Conceptual Features

  • Household-model advanced health care with medical technology at home
    Medically Home Description (video)
  • Supportive, well-trained staff who are paid a living wage, with accountability and responsiveness to the wishes of the residents
  • Programming and enriched environments for people with cognitive decline 
  • A professional team overseeing operations for the community, including social workers to help with transitions and crises

    We also hope to add additional living spaces for short-stay visitors to enhance the permeability and welcoming nature of the community. 


The Household Model

Our plans include a vibrant, creative environment where each of us can continue to enjoy various activities that we love for as long as possible ~ music, dance, artistry of all types. We are also thoughtfully planning for the period of life when we slow down and decline so much that we need increasing assistance in daily tasks and care. We understand the natural increase in the need for more comprehensive care for many aging adults. We embrace household living as an alternative to the 50-year history of institutionalized 'assisted living' and 'skilled nursing' for those who need significant personal and/or medical care. We envision providing our community elders this care in small homes licensed by the state as Family Care Homes, six-bed homes that are staffed with a dedicated team of trained caregivers. These compassionate settings will be situated in the community, with the goal of reducing the likelihood of social isolation, helplessness, and boredom that are so common as our lives naturally contract with age. Our goal is to enable as many of us as possible to continue to lead normal lives close to our friends with the choices, comforts, and pursuits that we have enjoyed in the rest of our lives, tailored to changing needs and honoring our remaining abilities in the support of the community.

Components of the Household Model

The Household Model, developed by Action Pact, is a relatively new approach that we will adapt to use in our community. In the Household Model, long-term care homes adopt a person-centered approach that shapes the physical environment, the organizational structure, and interpersonal relationships in ways that create an atmosphere of genuine home, compassionate care, and connection with loved ones, while providing elders with clear opportunities to direct their own lives.

Residential living for a small number of people who need more personal care.

  • Small households/cottages of 6
  • Private bedrooms
  • Full kitchen, living room, & dining room
  • Normative daily living with flexible schedules

Each household has decision-making autonomy and is consistently staffed. The small, dedicated staff is cross-trained and self-led.  Residents get up when they want to get up. They bathe, eat, sleep and rise when they wish, and generally decide how they will spend their day. Household life is more flexible, spontaneous, and fueled by curiosity and a variety of possible experiences. Quality of care and quality of life are of the highest priority, being embedded in a larger community of friends and loved ones.

Household Model Info at