County of Simcoe 1110 Highway 26, Midhurst, ON L0L 1X0

Main Line 705-726-9300 Toll Free 1-866-893-9300 Fax 705-792-5743 simcoe.ca

MINUTES

SUBJECT: Age-Friendly Community Project Steering Committee MEETING DATE: May 17, 2016 TIME: 11:00 a.m. – 1:00 p.m. LOCATION: Simcoe County Council Chambers (1110 Highway 26, Midhurst, ON) CHAIR: Jane Sinclair, General Manager, Health and Emergency Services ATTENDANCE:

Asa Klint-Piggott, Coordinator, Research and Project Management Christina Strong, Public Education Trainer, Independent Living Services Simcoe Connie Sheridan, Administrator, Georgian Manor David Parks, Director of Planning, Development & Tourism, County of Simcoe Elizabeth Ozga, Divisional Controller, Finance, County of Simcoe Emma Dickson, Public Interest Strategy & Present Communications Gayle Hall, Chief Librarian, County of Simcoe Greg Bishop, General Manager, Social & Community Services, County of Simcoe Jim Gough, Senior's Representative Joanne Lane, Accessibility Consultant, County of Simcoe Kevin Beaulieu, Executive Director, Public Interest Strategy & Communications Laura-Lynn Bourassa, Alzheimer’s Society Linda Flemington, Chair, CARP, Georgian Bay Margaret Adolphe, Seniors Representative Mary Small Brett, Councillor, County of Simcoe Ron Coutts, Senior's Representative Sandi Robinson, Real Estate Manager, Procurement, Fleet & Property, County of Simcoe Sarah Orr-Shaw, Public Health Nurse, Simcoe Muskoka District Health Unit Scott Warnock, Councillor, County of Simcoe Tom Johnston, Branch Manager, Seniors for Seniors (Simcoe-Muskoka) Regrets: Bob Bowles, Seniors Representative Denise Hayes, General Manager, Southern Georgian Bay Chamber of Commerce Georgina Veldhorst, Senior Director Planning, Integration & Community Engagement, Central LHIN Heather Hollingshead, Regional Services Coordinator, Spinal Cord Injury Ontario Karen Taillefer, Vice President, Patient Services, NSM CCAC Kelly Swift-Jones, Museum, County of Simcoe Meredith Morison, Deputy Chief, Quality Programs, County of Simcoe Paramedic Services Rosslyn Junke, United Way Greater Simcoe County Dr. Bella Kogan Susan Plewes, Community Representative

County of Simcoe 1110 Highway 26, Midhurst, ON L0L 1X0

Main Line 705-726-9300 Toll Free 1-866-893-9300 Fax 705-792-5743 simcoe.ca

1.0 WELCOME AND INTRODUCTIONS (Jane Sinclair, Chair) Jane Sinclair, General Manager of Health and Emergency Services welcomed the group and provided a brief overview of the day.

2.0 APPROVAL OF AGENDA The agenda was approved as presented.

3.0 APPROVAL OF MINUTES The minutes were approved as presented.

4.0 UPDATE ON KEY INFORMANT INTERVIEWS All Key Informant Interviews have now been conducted. Emma provided an overview on the Francophone Key Informant Interview. During the interview the following were suggested as being priorities or gaps in the community: transportation, social inclusion, and availability of French speaking Doctors. Transportation The Committee discussed transportation issues within our communities. It was discussed that taxis are unable to transport mobility aids such as scooters as they are unable to be properly restrained due to their design. It was suggested that this item be brought to the County’s Accessibility Advisory Committee for discussion. It was also suggested that the Accessibility for Ontarians with Disabilities Act (AODA) Hotline be contacted at 1-866-515-2025. Social Inclusion It was discussed that programs that support social inclusion are an important part of the community. The North Simcoe Muskoka Local Health Integration Network (NSM LHIN) has created a new Committee comprised of various service providers to look at service needs in French Language in the Community. French Speaking Doctors It was suggested that a roster of French Speaking Doctors and Mental Health Service Providers would be beneficial to French speaking individuals in the community. The Chigamik Community Health Centre in Midland focuses on healthcare for the francophone population.

5.0 UPDATE ON FOCUS GROUPS An updated Focus Groups schedule was provided to the committee. If committee members have suggestions regarding recruitment they can email Emma at emma@publicinterst.ca.

County of Simcoe 1110 Highway 26, Midhurst, ON L0L 1X0

Main Line 705-726-9300 Toll Free 1-866-893-9300 Fax 705-792-5743 simcoe.ca

6.0 RECAP OF SUGGESTIONS TO DATE All suggestions and ideas brought up at Committee meetings are being recorded into a database for future consideration. A fulsome list will be provided at a future meeting. Suggestions/ideas can be emailed directly to the Age-Friendly Project Lead, Christy Tosh at christy.tosh@simcoe.ca.

Ideas Database to be provided at future meeting.

8.0 UPDATE ON PUBLIC CONSULTATIONS Four (4) Age-Friendly Community Public Consultations will be scheduled for the month of September. On each date the public consultations will take place from 2-4 p.m. and 6-8 p.m. Public Consultations will take place in the following municipalities: Orillia, Penetanguishene, Collingwood and New Tecumseth. Updates will be provided to the Committee as they become available.

9.0 AGE-FRIENDLY COMMUNITIES PRESENTATION Elizabeth provided a presentation on Age-Friendly Communities. The County of Simcoe will be submitting an application to join the World Health Organization Global Network of Age-Friendly Cities and Communities. The application must include a letter from the Warden committing to four (4) phases: Community Planning, Implementation, Evaluation and Continual Improvement.

In future County to submit application to join WHO AFC Network

County of Simcoe 1110 Highway 26, Midhurst, ON L0L 1X0

Main Line 705-726-9300 Toll Free 1-866-893-9300 Fax 705-792-5743 simcoe.ca

10.0 RESULTS FROM COMMITTEE FEEDBACK FORMS Emma summarized the results from the Committee Member Feedback Survey that was circulated at the April meeting. A discussion took place regarding the following:

a) It was suggested that each meeting begin with a ‘check-in’ with Steering Committee members to discuss current age-friendly initiatives.

b) It was also suggested that updates be provided to Committee members

between meetings. Emma to send Focus group invitations to Steering Committee members to help with recruitment.

c) It was discussed whether the County would be collaborating with the City of

Barrie or if information would be shared across age-friendly projects. Christy confirmed that the County will be sharing its Age-Friendly survey results with the City of Barrie and vice-versa.

d) A discussion took place regarding community agencies and future presentations at Steering Committee meetings.

i. Greg Bishop to provide future presentation on the County’s Immigration initiative.

ii. Jane to contact the NSM LHIN to participate on the Committee related to Francophone and First Nations.

iii. Committee members are interested in learning more about volunteer recruitment and retention, employment, disabilities and low income seniors.

iv. Seniors living with Dementia is a topic of interest. Laura Lynn Bourassa offered to do a presentation at a future meeting regarding people living with dementia. Christy has contacted Deb Islam from the Alzheimer’s Society regarding the recruitment of a Steering Committee Member living with dementia. The Blue Umbrella Program was also discussed.

Community Updates to be added as Standing Agenda Item. Emma to send Focus Group Invitations to Committee members. Greg Bishop to provide future presentation on Immigration Initiative Jane to contact NSM LHIN to participate on this Committee. Future presentation on dementia.

11.0 NEW BUSINESS The Town of Penetanguishene is hosting a Senior’s Information day on June 9th and the County will have an Age-friendly booth on display.

12.0 NEXT MEETING:

The next meeting will be Tuesday, June 21st from 10:00 a.m. to 12:00 p.m.

10.0 ADJOURNMENT: 1:00 p.m.

AFC Project Steering CommitteeMay 17, 2016

Meeting Overview

1. Welcome & Introductions

2. Approval of Agenda

3. Approval of Minutes

4. Update on Key Informant Interviews

5. Update on Focus Groups

6. Recap of Suggestions to date

7. Lunch

8. Update on Public Consultations

9. Age-Friendly Communities Presentation

10. Results from Committee Feedback Forms

11. New Business

12. Next Meeting

13. Adjournment

Update on Key Informant Interviews

Francophone Priorities

• Transportation a priority• If an older adult does not drive, they face

many more barriers to accessing programs, doctors, etc.

• Focus on social inclusion• Programs that support social inclusion an

important part of the community

• Word of mouth, news and radio• Often people miss things because the

information isn’t shared in these ways ahead of time

Update on Key Informant Interviews

Gaps in the Community

• Doctors, mental health doctors

• Prevention, this saves costs in the long-run (exercise, social inclusion)

• Biggest barrier for participating in events is if they do not have a car

• Assisted living is expensive, so people stay in independent living longer than they should

Update on Focus GroupsMunicipality Location Venue Date

Collingwood caregivers Collingwood Collingwood Public Library May 25, 5:00 PM

Penetanguishene/Tiny Penetanguishene La Clé d'la Baie May 27, 11:00 AM

Bradford West Gwillimbury

BradfordBradford Immigrant and Community Services

June 7, 11:00 AM

Orillia private sector Orillia Trillium Manor TBD

Penetanguishene Penetanguishene Beausoleil First Nation TBD

Midland Midland Georgian Bay Native Friendship Centre April 24th, 10:00AM

Severn Coldwater Coldwater Library TBD

Tay Victoria HarbourOakwood Community Centre (Harbour Shores Room) June 1, 10:00 AM

Adjala-Tosorontio & New Tecumseth

Adjala-Tosorontio Municipal OfficeAdjala-Tosorontio Municipal OfficeMay 25, 1:30 PM

Midland Midland Askennonia Seniors Centre June 1, 1:30 PM

Ramara Brechin Bayshore Village 'Hayloft' (club house) TBD

Innisfil Sandycove Sandycove Acres May 10, 10:00AM

Clearview Staynor Clearview Public Library May 27, 1:00 PM

Essa Angus Angus Public Library June 8, 10:00 AM

Springwater Elmvale Elmvale Public Library June 2, 1:00 PM

Recap of Suggestions to Date

• Suggestions from Steering Committee

meetings are being recorded into

database for future consideration

• Additional suggestions can be emailed to

Christy Tosh christy.tosh@simcoe.ca

Lunch Break

• 4 Public Consultations

• Will take place in September – dates TDB

• 2-4 p.m. and 6-8 p.m. on each date

• Locations:

• Orillia

• Collingwood

• New Tecumseth

• Penetanguishene

Update on Public Consultations

AFC a Global Movement – Why?

• Life Expectancy worldwide is increasing

• In 1960 – 52 years, in 2012 – 71 years

• Life expectancy in Canada in 2013 – 82 years

• http://www.worldlifeexpectancy.com/world-life-expectancy-map

• Japan – the first country where 25% of population 65+

• Europe - number of countries – 22% of population is over 65

• Canada – in 2041 – 25% of population will be 65+

Population 65+ in Europe

Pace of Change

• Pace of growth of older adults is also increasing

• France – it took 150 years to adapt to a change from 10% to 20% in the proportion of the population that was older than 60 years

• Now – China, India, Brazil will have 20 years for similar adaptation

Population trends in Canada

In Canada the growth of the older adult population is driven by two main factors

- life expectancy and

- the “baby boom” generation.

• Boomer generation – the population cohort born between 1946 and 1964

• Year 2011 marked the first year that baby boomers reached the age of 65.

• While the overall life expectancy is expected to grow, growth in this group is expected to moderate in the future

Population trends in Canada

Population projections in Canada

If you live to be one hundred, you’ve got it made. Very few people die past that age.

George Burns 1896-1996

By 2061, it is estimated that there will be more than 78,000 centenarians living in Canada. This is a huge increase from about 6,000 thousand reported in the 2011 Census.

Population projections in Canada

• Living longer, healthy lives is a success story.

• So why are we concerned?

• Implication for economy

• Government policy

• Well-being of citizens

Is aging a state of mind?

What do we need to do to age well?

• Aging is an inescapable process –

aging well is a conscious choice.

Alexis Abramson, Ph.D., Gerontologist

How can we overcome some the obstacles that come with age?

New Paradigm of Active Aging

Living to a 100

Fauja Singh – at the age of 82 he started to run and train for marathon.

The Icing on the Cake – Toronto Waterfront Marathon in 2011

Fauja became the first centenarian to complete a marathon - 8 hrs 11 min 6 sec.

• Jan 2016,at the age 104, Fuajacompleted Mumbai Marathon

Another Milestone

Where Do People live the longest?

Dan Buettner – The Blue Zones

Real Places

Real People – real stories

Simple Diet

Strong Social & Family ties

Blue Zones

The Island where people forget to die

Remembering the men who forgot to die – Stamatis Moraitis

AFC – 8 Domains

• AFC is addressing most of these issues and findings through 8 domains

• While some of the findings from Blue Zones are portable and can be adopted anywhere to allow everybody to live healthier and longer lives, other are more difficult to implement.

.

AFC- What is Happening Worldwide?

• 2006 – WHO initiated Global Age-Friendly

Cities and Communities (33 cities from 22

countries)

• Included 4 Canadian cities: Saanich

(BC), Portage la Prairie (MB),

Sherborooke (QC), Halifax (NS)

• 2016 – 287 cities worldwide are included

in Network

• 21 Canadian cities have been formally

recognized by WHO Network,

• 16 from Ontario

• 560 Cities and communities across

Canada are participating in AFC

movement

AFC – Critical Evaluation

Strengths/Accomplishments

• overwhelming enthusiasm and leadership in spreading of the projects

• brought together many stakeholders and involved creative partnerships between municipal governments and businesses, architects, planners, designers, philanthropists, public health agencies and educational institutions. Collaboratively, all these groups with varied experiences can bring new and innovative solutions to the looming crisis.

• benefits both young and old.

Weaknesses

• still at the initial stages of implementation

• more complex issues such as housing, health care, transportation, and affordability seem to lack a coordinated approach and shows limited success

• lack of adequate resources or they were not appropriately developed.

• overlap other policy initiatives such as Walkable Communities, Universal Design, Accessibility, Social Housing

• lack of the resident-level data on the outcomes.

• some critics claim that communities are opting for “quick wins” to demonstrate their commitment rather than big-ticket items that would impact the quality of life.

Threats

• there is a danger that older people with greatest needs are not always in the same places where the strong leadership is.

• It is unclear what will happen when the initial funding for these programs terminates.

AFC – the major themes

Healthcare Transformation

• 85% of Canadians aged 65 to 79, live with one or more chronic conditions

• health care system established decades ago to cure episodic illness remains focused on delivering acute, specialty-oriented care in institutional settings and does not have the capacity to provide more complex, chronic care in community-oriented settings

• the longest waits for primary and specialist care of all 11 countries surveyed.

• 37% of individuals responded that the last time they went to the ED, it was for a condition that could have been treated by their regular doctor.

• 93% of older people wish to age at home

Healthcare Transformation

• Ontario Balance of Care Project conducted in Toronto Central LHIN indicated that between 33%-50% of individual on waiting lists for LTC could be diverted safely and cost-effectively to care in the family home or in supportive housing if adequate home and community care resources were available

• The crucial role of LTC beds should not be diminished, but rather the policy makers should use greater scope to see beds within more encompassing view of all places for care in the continuum of care. Building “places” vs “beds” helps to consider interdisciplinary care teams to establish the best practice in the care of persons with multiple health and social needs.

Where do seniors live?

• 92.1% of Canadian seniors live or independent-living accommodation

• 7.9% of seniors is living in collective dwelling

• 3.2% Assisted Living

• 3.7% LTC

Independent living

• demand for home adaptations and support services

• Close to 30% are renters

• Average rent is $966

• 700,000 Canadian Senior-led Households face housing affordability challenges.

• 1 hr of personal services support cost $20-$25

• 1 hr of nursing services cost $65

Collective Dwelling

• average rents in senior residences were $2,500 almost 2.6 times the private market rent. Vacancy rate 8.9%

• LTC costs in Ontario - $28,000 Annually

• Statistics Canada records for a 30-year timeframe show a declining percentage of eldest seniors living in collective dwellings

Honey, we have to move back with our parents.

• https://www.youtube.com/watch?v=vAzaOZfgf0M

Next Meeting Date

Tuesday, June 21st