Presentation Transcript

1. Planning for Older Americans

   Jacques Gourguechon, AICP Principal Camiros, Ltd.
2. Planning for an Aging Population What does it mean to be old Thirty year plus phase of life Wide range of conditions and needs Stereotyping and ageism Housing and Living Arrangements Mobility Aging in place Purpose and meaning in life
3. Act Your Age ?? B B King is still touring at age 83, Betty White is starring in a new sitcom at 88 Ringo Starr turned 70 this summer played at Radio City Music Hall Bob Dylan and Paul Simon turn 70 next year, both still performing Turned 70 this year: Nancy Pelosi, Barney Frank, Raquel Welch, Ted Koppel 2012 - Aretha Franklin, Harrison Ford, Joe Biden 77 % of those 65+ report good to excellent health
4. Yet Time Marches on Life expectancy going up but still averages 78 Generally half of people over 65 have some chronic health condition Aging is a process that leads to frailty then death – its not for sissies 42% of over 65 population have some level of measurable functional limitation. Nobody over 65 can do all the things they did at 24 or 42
5. A Stage of Life Full of Contrasts Sense of freedom to be who you are New relationships and time to just “be” Health concerns stalk us and physical limitations build up Frailty and disability issues Income for most seniors goes down and medical cost and care go up. Seniors can give to and must rely on community as the aging process goes forward
6. Stages of Human Development Erik Erikson - Developmental Psychologist Infancy to 18 mo. Trust Early Childhood 18mo. To 3 Autonomy Play Age 3 to 5 Initiative School Age 6 to 12 Industry Adolescence 12 to 18 Identity Young Adulthood 18 to 35 Intimacy Middle Adulthood 35 to 65 Generativity Late Adulthood 65 to the end Integrity
7. Generativity & Integrity Generativity verses Self-absorption/stagnation Work is crucial activity Creative and meaningful work Time we are “in charge” Failure leads to stagnation and self-absorption Integrity verses Despair Belief that life has meaning Happiness about what we’ve done Belief that life has meaning Failure leads to despair and dogmatism

8. Who are the Elder Americans

9. Federal Interagency Forum on Aging Population Economics Health Status Health Care, Risks & Behaviors
10. Fast Growing Cohort of Population 2008 39 million Americans 13% America relatively young - Europe over 15% - Japan over 22% 2030 72 million Americans 20% Distribution uneven North Dakota County 36% Georgia County 3% Women out live men Better educated 1965 - 5% college degrees 2008 - 21% college degrees
11. Economics Older Americans have become wealthier Net worth has increased 80 % over past 20 years Function of the real estate market in the 1990s and early 2000s Over 65 white hshlds average net worth $280,000 Six times Black andHispanic households $46,0000 Huge inequities remain Low income & below poverty dropped from 50% to 36% High Income households gone from 18% to 31%
12. Marital Status Married MenWomen 65 to 74 79% 57% 75 to 84 72% 37% 85 plus 55% 15% Widowed MenWomen 65 to 74 7% 25% 75 to 84 19% 53% 85 plus 38% 76% Living Alone: People over 65 – Men 19% Women 40%
13. Health Status Good to Excellent Health 65+ 85+ White 77% 68% Black & Hispanic 63% 54% Sensory Impairment 65 + MenWomen Hearing 42% 30% Vision 15% 19%
14. Chronic Health Conditions People are living longer and longevity is expected to increase. 81 for men & 84 for women (Still behind other developed countries) Depression affects 10% of men and 18% of women over 65 – 5.6 million people – stable last ten years. Anxiety affects 53% of men & 58% of women Arthritis 42% men – 55% women Heart disease 38% men – 27% women Cancer 24% men – 21% women
15. Functional Limitations Activities of Daily Living (ADL) & (IADL) ADLs - Bathing, dressing, eating, walking, using the toilet, getting in/out chairs Instrumental ADLs - using the phone, light, laundry housework, meal prep., shopping, managing money Percent of People on Medicare over 65 Years IADL only 14% 1 to 2 ADLs 18% 3 to 6 ADLs 7% Confined to Facility 4% Percent is declining for both men & women
16. Bad News – We’re Not Fit Basic Physical Measures People over 65 who are unable to perform MenWomen 19%32% No Change in Physical activity in last ten years Obesity People over 65/over 75 MenWomen 40%/26% 35%/27% Obesity is on the increase among the elderly - up 10%
17. Other Health Risks Air Quality 36% of elderly live in “poor air quality counties” Improving it used to be 52% Socialization (visiting fiends, attending social events etc.) Percent of leisure time 55 to 6475 plus 13% 8% Health care cost are way up. . Average of $15,081 in 2006. Drug cost have doubled since 1992

18. Lessons for Planning

19. Planning Objectives for Elderly Well- being Housing and Aging-in-Place Mobility Socialization Opportunities Public Safety
20. Well-being Survey: elderly worry about caring for themselves, losing their memory and family. Having something meaningful to do Have good friends and access to them Facilities designed for senior use Diet and Nutrition support Exercise is crucial to mental and physical health and longevity. Where? Facilitators? Facilitate civic engagement of older residents Human Investment Planning
21. Housing Projected that by 2030 the elderly will account for 20 % of population 60 million to 72 million people and 48 to 60 million households. ________________________________________ Range of Housing Needs Aging-in-place Senior Independent Living Senior Communities - congregate housing Assisted Living Long-term care and nursing homes
22. Aging-in-Place 90% of elderly say staying in their homes and remaining independent is primary objective Threats to Aging-in-place: Safety issues Chronic health conditions Cognition issues Isolation and concomitant depression Housing yes, but what extends the ability to age-in-place is support and care services Certified Aging-in-Place Specialist (CAPS) Technology – monitoring equipment
23. Mobility Personal physical mobility issues Smart Growth principles work for elderly Transportation opportunities Transit Pedestrian access through mixed use strategies “Safe Routes for Seniors” program Traffic safety The older pedestrian (60 plus) Fatalities occur at double the rate of under 60 years of age Arterial roads are particularly dangerous for elderly Complete Streets policies
24. Socialization and Community Senior Centers Facility – does it meet needs? Programs – does it enrich lives? How to improve? Senior Citizen Advisory Councils/Committees Visit with them, find out what the issues are in your town Comprehensive gerontology services available Alternative and demand responsive transportation to get to centers and events
25. Public Safety 2030 - 25 % of drivers will be over 65 Hard fact is people outlive their ability to drive 600,000 have their drivers license taken away every year Supplemental Transportation Programs (STP Exchange) provides info on alternatives. Stop driving w/o alternatives leads to depression and isolation Driving refresher courses, larger road signs, wider lanes, bigger mirrors
26. Key Concepts Aging-in-Place Mobility Dignity Independence Wellness Meaningful involvement Family, Friends and social opportunities

27. Thank You