Abstract
Caregiving families often experience “tipping points,” changes that forever alter their lives, such as a fall with a fractured femur. Tipping points for older adults can be conceptualized as an interaction between individuals and their environments. According to Lawton’s theory of person-environment fit (Lawton, 1983, 1985), physical and social environments and the person’s behavior are shaped by one another in a dynamic, ever-changing process. For older adults, the relationship between “environmental press,” or the mismatch between the person and his/her environment, and adaptation to that environment is mediated through one’s ability to cope. When stressors in health, cognition, or caregiver availability occur, environmental press may heighten, leading to a tipping point. In this paper the authors clarify how environmental press theory provides a foundation for studying early detection of impending tipping points and facilitating decisional support of families for choosing the right long-term support services at the right time.