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Larimer County Summit on Aging Aging as an Out-of-Body Experience or How I Stopped Worrying and Learned to Love Gravity Philip B. Stafford, PhD Foundation on Aging for Larimer Co anuary 22, 2010

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Larimer County Summit on Aging. Aging as an Out-of-Body Experience or How I Stopped Worrying and Learned to Love Gravity. Philip B. Stafford, PhD. January 22, 2010. Foundation on Aging for Larimer County. Larimer County Summit on Aging. Philip Stafford, PhD - PowerPoint PPT Presentation

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Page 1: Larimer County Summit on Aging

Larimer County Summit on Aging

Aging as an Out-of-Body Experienceor

How I Stopped Worrying and Learned to Love Gravity

Philip B. Stafford, PhD

Foundation on Aging for Larimer County January 22, 2010

Page 2: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation on Aging for Larimer County January 22, 2010

“We’d buy half a loaf of bread if somebody offered it to us.”

“When I cross a busy street I start to limp so cars will pay attention.”

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 3: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

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

Presenter/OrganizationLarimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Our work together should involve creating good places to grow up and grow old.

Communities large and small are taking up the challenge.

The Summit on Aging positions Larimer County to leap into the future with confidence .

Page 4: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

It’s not such a long step from Madison Avenue to Medicine.

Our misplaced focus on the aging body

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 5: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 6: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

The patient is an 84 year old female…

Page 7: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

She’s a young 80 year old

isn’t she?

My, she sure doesn’t look 65 does she?

Page 8: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Why give the credit to youth?

“This is what fifty looks like!”

Gloria Steinem

Page 9: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

What are the consequences of this myopia?

Our misplaced focus on the aging body

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 10: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana UniversityMedicalizing Old Age

Page 11: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

L. Pastalan

Page 12: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Lighthouse for the Blind

Page 13: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

L. Pastalan

Page 14: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Central Avenue 1960 Bruce Tibbo, St. Pete Times

Page 15: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Green bench graveyard 1969 Tom Bennett St. Pete Times

Page 16: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Central Avenue 1984 Maria Vesperi

Page 17: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Central Avenue, 1999

Page 18: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 19: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 20: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 21: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 22: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 23: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

“Community is the smallest unit of health.” *

* Wendell Berry

Shifting the paradigm

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 24: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Not “When is old age?”

but“Where is old age?”

Page 25: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

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

Page 26: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

“Health and disability refer to the balance between personal capability and

environmental demand.” Verbrugge & Jette, 1993

The Disablement Process

Page 27: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

It’s an out-of-body experience!

Page 28: Larimer County Summit on Aging

“Community is the smallest unit of health.”

Wendell Berry, Health is Membership In Another Turn of the Crank

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 29: Larimer County Summit on Aging

Our work should help create good places to

grow up and grow old…

livable communities for a lifetime

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 30: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

What is an elder-friendly community?

Data driven and participatory planning for the future

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 31: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 32: Larimer County Summit on Aging

• “I can just walk across the street (to the community center)… I have a choice. When I get to the steps, if I feel I am too tired, I may walk around and…take the elevator.”

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 33: Larimer County Summit on Aging

Categories of information that

communities need to organize and interpret in

conducting effective data-driven, participatory

planning efforts.

Up to date demographic data

Utilization data and evaluation

tools Asset inventories

Area consumer data and national archive

Evidence based research findings

Other stakeholder and participation data – incl.

stories and dreams

Best practice resources

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 34: Larimer County Summit on Aging

ACTION

EVALUATION

INFORMATION

DATA

The AdvantAge Initiative Planning Process:

Data Driven, Participatory Community Development

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 35: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

The possibilities for planning and action are endless.

Communities Around the U.S. are Moving Forward

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 36: Larimer County Summit on Aging

· 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 (2004)

· Grand Rapids, MI · Contra Costa County, CA · Parsippany, NJ · Newaygo County, MI · St. Joseph County, IN · Elkhart County, IN· Kosciusko County, IN· LaPorte County, IN· Marshall County, IN· El Paso County, TX· Chinatown, NY · The State of Indiana

AdvantAge Initiative Survey Conducted in:

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 37: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 38: Larimer County Summit on Aging

ADDRESSES BASIC NEEDS

Housing Is Modified To AccommodateMobility And Safety

“% of 65+ householders with home mod needs”

The Domain

The Dimension The Indicator

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 39: Larimer County Summit on Aging

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

Unweighted N=667Weighted N=147,283

Unweighted N=4,509Weighted N=973,489

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.

Figure 3.1, Indiana§

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

17%

4%DK/RF

Source: AdvantAge Initiative Community Survey in Indiana 2008

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

146,000

Page 40: Larimer County Summit on Aging

Type of modification needed

1%

2%

3%

4%

4%

6%

6%

8%

10%Cosmetic/minor repairs

Better cooling in the summerAccommodations for disabilities

Structural changes/ major repairs

Bathroom modification

Medical emergency response systemFix problem with insects/rodents

Other

Better heating in the winter

Figure 3.2, Indiana§

Unweighted N=4,509Weighted N=973,489

Source: AdvantAge Initiative Community Survey in Indiana 2008

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

11,681

5,840

8,760

Page 41: Larimer County Summit on Aging

Benefits of the AdvantAge Initiative Survey • Provides a statistically valid “data snapshot” of seniors and how they are faring at

this point in time (not a “needs assessment”) • Provides an opportunity to:

1) Hear the voices of older people 2) Organize and prioritize aging issues 3) Bring stakeholders together and provide them with a “common language” 4) Generate enthusiasm and momentum 5) Stimulate thought and discussion about the effectiveness of current programs

and help plan future programs • Community data are comparable to AI national survey results

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 42: Larimer County Summit on Aging

Numbers don’t stand on their own…

we have to make meaning from the data.

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 43: Larimer County Summit on Aging

“Participation… provides a collaborative process by which community inhabitants reach common goals, engage in collective decisions, and create places, and these

places, in turn, serve as material expressions of their collective efforts.”

Feldman, Roberta M. & Westphal, Lynne M. 2000. Sustaining human settlement: A challenge for the new millennium. Great Britain: Urban International Press.

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 44: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 45: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Who knows about the

issue?

Who cares about it?

Who can do something about it?

Stakeholders

Community Change

Page 46: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

“Improving a community, from beginning to end, involves organizing

people. Money is secondary.”

Page 47: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

What does it take to move ahead?

Larimer County Leadership

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 48: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

• Identify the stakeholders• Understand the issues • Frame the problems• Identify potential action steps• Identify the assets in place/needed• Prioritize actions• Support and monitor the responsible parties• Benchmark and evaluate

Making our community elder-friendly

Page 49: Larimer County Summit on Aging

Livable CommunitiesPhysical Environment

• Accessible bldg design• Shopping w/in close proximity• Drugstores, grocery,& hospitals

w/in close proximity• Recreation opportunities• Safe, well-designed sidewalks

• Design on a human scale• Provide choices• Mixed-use development• Preserve urban centers• Vibrant public spaces• Protect environmental resources• Conserve landscapes• Design matters

AARP “Livable Communities” AIA “Principles for Livable Communities”

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 50: Larimer County Summit on Aging

“Old people everywhere.”

Christopher Alexander

A Pattern Language

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 51: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 52: Larimer County Summit on Aging

LearningLearning

What about the intangibles?

MovementMovement

BeautyBeauty

Laughter

MemoryMemory

Choice

THE INTANGIBLES

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 53: Larimer County Summit on Aging

“Every human community, if it is to last, must exert a kind of centripetal force, holding local

soil and local memory in place.”

Wendell Berry

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 54: Larimer County Summit on Aging

Aging as an Out-of-Body Experience

www.agingindiana.org

Philip B. Stafford, Ph.D.Director, Center on Aging and CommunityIndiana Institute on Disability and CommunityIndiana University2853 East Tenth, Bloomington, IN [email protected]

Resources and Contacts

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana University

Page 55: Larimer County Summit on Aging

Larimer County Summit on Aging

Foundation On Aging for Larimer County January 22, 2010

Philip Stafford, PhDDirector, Center on Aging and Community

Indiana UniversityReferences

Stafford, Philip B. 2009. Elderburbia: Aging with a Sense of Place in America. Westport, CT.: Praeger.

Oberlink, Mia & Stafford, P.B. 2009. The Indiana AdvantAge Initiative: Measuring Community Elder-Friendliness and Planning for the Future. In Creating Aging Friendly Communities, A. Scharlach, Ed. Generations, Journal of the American Society on Aging, Vol. 33 # 2, pp. 91-95.

Stafford, P.B. 2006. “Creating Lifespan Communities.” Public Policy and Aging Report 15. Gerontological Society of America: National Academy on an Aging Society.

Hanson, David, and Charles A. Emlet. 2006. Assessing a Community’s Elder-Friendliness: A Case Example of the AdvantAge Initiative. Family and Community Health. 29(4): 266-278.

Center for Home Care Policy and Research, 2004. The AdvantAge Initiative Indicator Chartbook: National Survey of Adults Aged 65 and Older. (www.advantageinitiative.org)

 Feldman, P.H., and Oberlink, M.R. 2003. “The AdvantAge Initiative: Developing Community Indicators to Promote the Health and Well-Being of Older People. Family and Community Health 26(4): 268-274. Stafford, P.B. 2001. “When Community Planning Becomes Community Building: Place-Based Activism and the Creation of Good Places to Grow Old.” In L. Heumann et al., eds., Empowering Frail Elderly People: Opportunities and Impediments in Housing, Health and Support Service Delivery. Westport, CT: Praeger.