engagement webinar indiana grantmakers alliance

July 30, 2009Philip B. Stafford, Ph.D.

Center on Aging & Community, Indiana University

By the year 2010, almost half of all women will be at least 50 years old.

Source: Age Wave

The first of 77 million baby-boomers will turn

65 in 2011.

Source: Age Wave

Indiana NNORC’s(naturally occurring retirement communities)

•South Bend •Gary •Indianapolis •Linton•Huntington

Aging is not about time and the body, but about relationships… and the meaning of place.

“Community is the smallest unit of

health.”

Wendell Berry, Health is Membership

In Another Turn of the Crank

The first application of the AdvantAge Initiative on a statewide

basis

Three year Administration on Aging Planning Demonstration Site

“…a comprehensive, participatory, and data driven initiative to create good places to

grow up and grow old in Indiana.”

Reproduced by permission of The AdvantAge Initiative

Center for Home Care Policy & Research Visiting Nurse Service of New York

Optimizes Physical and Mental Health and

Well Being

Promotes healthy behaviors

Supports community activities that enhance well being

Provides ready access to preventative health services

Provides access to medical, social, and palliative services

Addresses Basic Needs

Provides appropriate and

affordable housing

Promotes safety at home and in the neighborhood

Assures no one goes hungry

Provides useful information about available services

Promotes Social and Civic Engagement

Fosters meaningful connections

with family, neighbors, and friends

Promotes active engagement in community life

Provides opportunities for meaningful paid and voluntary work

Makes aging issues a community-wide priority The Four

Domains of An Elder-Friendly

Community

Maximizes Independence for Frail

and Disabled

Mobilizes resources to facilitate “living at home”

Provides accessible transportation

Supports family and other caregivers

Elder-Friendly Community Framework

33 indicators of elder-friendliness

Consumer survey

Technical assistance

10 pilot communities:

Six neighborhoods of Chicago, IL

Indianapolis, IN

Jacksonville, FL

Lincoln Square, NYC

Maricopa County, AZ

Orange County, FL

Puyallup, WA

Santa Clarita, CA

Upper West Side, NYC

Yonkers, NY

National Survey

Grand Rapids, MI

Contra Costa County, CA

Parsippany, NJ

Newaygo County, MI

State of Indiana El Paso County, TX

Chinatown, NY

14 grantee-communities of the Robert Wood Johnson Foundation Community Partnerships for Older Adults program (CPOA)

ADDRESSES BASIC NEEDSAffordable housing is available to community residents

• Figs. 2.1-2.3. Percentage of people age 60+ who want to remain in their current residence and are confident they will be able to afford to do so

Housing is modified to accommodate mobility and safety • Figs. 3.1-3.4. Percentage of householders age 60+ in housing units with home modification needs

The neighborhood is livable and safe • Figs. 4.1-4.3. Percentage of people age 60+ who feel safe/unsafe in their neighborhood • Figs. 5.1-5.9. Percentage of people age 60+ who report few/multiple problems in the neighborhood • Figs. 6.1-6.3. Percentage of people age 60+ who are satisfied with the neighborhood as a place to live

People have enough to eat • Fig. 7.1. Percentage of people age 60+ who report cutting the size of or skipping meals due to lack of money

Assistance services are available and residents know how to access them • Figs. 8.1-8.3. Percentage of people age 60+ who do not know whom to call if they need information about services in their community • Figs. 9.1-9.3. Percentage of people age 60+ who are aware/unaware of selected services in their community • Figs. 10.1-10.5. Percentage of people age 60+ with adequate assistance in ADL and/or IADL activities

Percentage of people age 60+ who want to remain in their current residence and are confident they will be able to afford to do so

Unweighted N=4,272Weighted N=918,078


Disagree5%

Agree*94%

VeryConfident

61%

Not VeryConfident**

39%

Neither/DK/RF

1%

We asked respondents whether they agree or disagree with the following statement: “What I’d really like to do is stay in my current residence for as long as possible.”

For people who answered “agree” we calculated the percentage of adults age 60+ who were very confident/not very confident that they will be able to afford to live in their current residence for as long as they would like.

*Agree includes those who said Strongly agree or Somewhat agree.**Not Very Confident includes those who said Somewhat confident, Not too confident, Not confident at all, Don’t know, or Refused.

Figure 2.1, Indiana§

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

Percentage of householders age 60+ in housing units with home modification needs*

Unweighted N=667Weighted N=147,283


One or more modification

needed15%

No modifications

needed85%

Planning to modify

79%

Not planning to modify

*People were asked whether their current residence needs any significant repairs, modifications, or changes to improve their ability to live there over the next five years.

*People who said that their homes need modification were asked if they plan to make the change over the next five years.



17%

4%DK/RF



1%

2%

3%

4%

4%

6%

6%

8%

10%Cosmetic/minor repairs

Better cooling in the summer

Accommodations for disabilities

Structural changes/ major repairs

Bathroom modification

Medical emergency response system

Fix problem with insects/rodents

Other

Better heating in the winter








*People were asked to indicate the best resource, such as a person or an organization, in their city, town, or county to get information on various services.

Do Not Know Whom to Call

25%

Family/Neighbors

City/County/Office of Aging/Social Services/Other Agency

27%

Church/Synagogue

3%

Other

Internet/Phone Book/Other Media

2%

Senior Center12%


5%

Medical Center/Health Professional

16%

10%





*“Regular leisure time activity” is defined as 1) light or moderate activity that causes light sweating or a light to moderate increase in breathing or heart rate and occurs five or more times per week for at least 30 minutes each time, and/or 2) vigorous activity that causes heavy sweating or large increases in breathing or heart rate and occurs three or more times per week for at least 20 minutes each time. People who engage in other combinations of the two types of physical activities described above are included in the category “some activity.” Those who are unable to or do not engage or seldom engage in physical activity are included in the category “no activity.”

No activity33%

Regular leisure time activity

48%

Some activity

19%



DK/RF1%

18%

22% 23%

31%

0%

16%

32%

1 The AdvantAge Initiative survey asked, “In the past five years, has a doctor told you that you have … Diabetes.” National data are based on a 2-year average (2005-2006).

Martindale/Brightwood NNORC3,6

Area 83,5Indiana3,4National2

6 Unweighted N=85; Weighted N=1,533.

3 AdvantAge Initiative Community Survey in Indiana, 2008

4 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=3,337; Weighted N=734,461).5 Area 8 includes Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby Counties (Unweighted N=227; Weighted N=182,961).

2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March 2008.

Martindale/Brightwood NNORC2,5

Area 82,4Indiana2,3National1

4 Area 8 includes Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby Counties (Unweighted N=227; Weighted N=182,961).

3 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=3,337; Weighted N=734,461).

5 Unweighted N=85; Weighted N=1,533.

1 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March 2008. Data for 2006.


64%60%

56%50%

0%

33%

66%

Huntington NNORC3,6Area 33,5Indiana3,4National2

1 The AdvantAge Initiative survey refers to mammogram in the past 12 months. National figure refers to mammogram in the past 2 years (data for 2005).

4 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=1,786; Weighted N=423,327).

2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March 2008.

5 Area 3 includes Adams, Allen, De Kalb, Huntington, Lagrange, Noble, Steuben, Wells, and Whitley Counties (Unweighted N=109; Weighted N=43,306).

6 Unweighted N=45; Weighted N=297.


Did not socialize

39%

Socialized61%




*People were asked if they got together with friends or neighbors during the past week.



DK/RF<1%

‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.

‡

Did not attend33%

Attended67%




*People were asked if they went to a movie, play, concert, restaurant, sporting event, club meeting, card game, or other social activity during the past week.



DK/RF<1%

‡


None12%

Engaged in one or more activity

88%






Percentage of people age 60+ who thought they needed the help of a health care professional because they felt depressed

or anxious and have not seen one (for those symptoms)*

Unweighted N=317Weighted N=72,242


7%

Has seen a health

professional70%

Has not seen a health

professional30%

Did not need professional

help92%



*People were asked whether in the past year, there was a time when they thought they needed the help of a health professional or a counselor because they felt depressed or anxious.

*People who answered “yes” were asked whether they obtained the professional help or counseling they thought they needed.


Needed professional

help


DK/RF1%

Percentage of people age 60+ who would like to be working for pay*



Not working73%

Would not like to work

for pay75%



*People were asked what their current employment status is. *People who were not working were asked whether they would like to be working for pay.

Working part time 13%

23%


Working full time

14%

Would like to work for pay


DK/RF2%

DK/RF<1% ‡


Provide care22%




Do not provide care

77%

*People were asked whether they provide help or care, or arrange for help or care, for a relative or friend who is unable to do some things for him/herself due to illness or disability.



DK/RF<1%

‡


Do not participate in volunteer work

61%

Participate in volunteer work

39%




*People were asked if they do volunteer work and if so what type of volunteer work they do.



DK/RF<1%

‡


85% voted in last election

37% contacted an elected representative

89% made donation of goods or services to charity

22% provide help to frail or disabled friend and family

7% live with grandchildren

23% non-working would like to work for pay

39% participated in volunteer work

81% report good to excellent health

48% engage in regular physical activity

88% engaged in at least one social, religious or cultural activity last week

•Area plans feed into 2010 state plan•New partnerships:

•Indiana Grantmakers Alliance•Indiana Chamber of Commerce•WFYI / State Policymakers•Communities for Life

•New national tools:•Educational modules•Social marketing•Evaluation

www.agingindiana.org

Philip B. Stafford, Ph.D. Director, Center on

Aging and Community, Indiana Institute on Disability & Community

2853 East Tenth, Bloomington, IN, 47408

(812) 855-2163 [email protected] www.agingindiana.org

National AdvantAge Initiative

Mia Oberlink Center for Home Care

Policy and Research 107 East 70th, New York,

New York 10021 212-609-1537 www.advantageinitiative.

org

engagement webinar indiana grantmakers alliance

Documents

percentage of people

aging community

percentage of householders

community residents

age wavethe

paso county

nyc maricopa county

mental health