Developing Community Partnerships for Aging in Place

SC Aging in Place Coalition Our Mission: We are a South Carolina non-

profit organization advocating for people to prepare to remain at home---independently, comfortably and safely.

SC Aging in Place Coalition Our Vision

All People who desire to remain at home as they age can do so.

SCAIP 2005 Initiatives Transportation Task Force Education & Public Relations Task

Force Partnership/Service Task Force

SC Aging in Place Coalition

Members of the Aging in Place Council headquartered in Washington, DC

What is Aging in Place? Independence, comfort,

safety It’s not having to move

from one’s present residence in order to secure necessary support services in response to changing need.

Aging in Place--Issue Older adults prefer to age in

place Unprepared to do so—lack: * Knowledge * Resources * Residences need repairs and modifications

What it takes to age in place successfully

Thought Planning Resources Action

Four Building Blocks of AIP

Healthy Living

Livable Homes

Legal & Financial Resources

Supportive Relationships

Aging in Place - Barriers Lack of published

information/personnel

Lack of funding to repair/modify homes

Share of Total Improvement Spending by Generation

Source: "Mature Adults in South Carolina",Columbia, S.C.(2003)

U.S. Personal Bankruptcy Among Age 65+

0.0

50.0

100.0

150.0

200.0

250.0

300.0

1991 1995 1999 2003

Bankruptcy

Reasons for Personal Bankruptcy

Insufficient retirement funds Low interest rates on savings Stock market losses Climbing medical bills Major home repairs Loans & gifts to family members

Aging in Place - Barriers

Medicaid bias toward institutional care

S.C. FY 2003 Medicaid Expenditures

010203040

5060708090

Nursing Comm Home

%

NursingCommHome

Aging in Place - Barriers

Universities, government, non-profits and private service providers function in separate silos

Aging in Place--Silos

Universities

Government

Non-profits

Private Sector Aging in Place

Aging in Place-Workable Solutions

Create a coalition of government, academic institutions, non-profits and private sector service providers to help older adults age in place.

Aging in Place-Workable Solutions

Develop a community directory of AIP resources and programs and present to neighborhoods as part of an outreach program.

Aging in Place-Workable Solutions

Share access to information and resources available from the gerontology departments of major research universities and coalition partners to educate the public on the latest aging in place technology.

Developing Community Partnerships

Identify key players. Share the vision Select a “first”

shared project. Recognize/celebrate

successes. Develop new

partnerships and projects

Key Players- SCAIP Coalition

Local, State Federal Gov. agencies

Academic Institutions Non-profit organizations Hospice & Home healthcare

providers Legal and Financial Professionals

A Typical Small AIP Partnership Project

Trident Technical College—grant PHILE (Promoting Home & Indep. Living by the Elderly).

Identified need for home ramp Faith based volunteers Building material donated

A Larger AIP Partnership Project

City has HUD $ for elderly housing Family Services Credit Counseling Homeownership Center Workshop Home Care Agency—help with ADLs FHA Home Equity Conversion Mortg. repaid city.

How the Financials Worked Home Appraised value $160,000 City spent $43,000 to rehab. City is repaid $43,000 from HECM City uses the funds for next home. Homeowner receives $537.00 tax free monthly income from HECM for home care and living expenses.

Stucki,Barbara, Phd.(2005). "Use Your Home to Stay at Home", Washington, D.C., NCOA.

26

Expected Outcomes An est. $953 Bil.

From public & private funds available for:

+ in-home services + repair/modify homes + transportation services +socialization and supportive relationship

Expected Outcomes More older adults

could remain in their current residences

□ Older adults would benefit from higher home values once repairs are made.

Stucki, Barbara, Phd.(2005),"Use Your Home to Stay at Home", Washington,D.C., NCOA

28

Expected Outcomes Cost savings for Medicaid by shifting funding

to home and community based services could exceed $4.86 Bil. By 2010.

Invitation to continue the conversation on AIP

Every community/rural population need help with AIP.

We have an opportunity to share our information & resources.

Let’s begin the discussion!

S.C. Aging in Place

Q & A

Learn more about aging in place

AIPC, Washington, DC www.ageinplace.org SCAIP, Paul Franklin, Charleston, SC paulf@quik.com. Senior Resource Center www.seniorresource.com.□ NAHB Research Center/National Center for Seniors’

Housing Research www.nahbrc.org/seniors2

Livable Homes--Resources

AARP www.aarp.org/life/homedesign Safe Homes

www.seniorsafehome.com.

The Center for Universal Design, NC State University. www.design.ncsu.edu/cud/.

Legal & Financial--Resources National Council on Aging-Benefits Checkup www.ncoa.org/ American Asso.Long Term Care Ins.

www.aaltci.org. Reverse Mortgage Lenders Asso.

website www.reversemortgage.org www.Medicare.gov. Franklin Funding website

www.franklin-funding.com.