aging in place

Aging in Place

Stephanie McKinneyMarci MoesSylvia RevangileMeridith Shumate

What is Aging in Place?• Empowering an older individual to remain in his or

her home while aging.• Successfully• Independently• Comfortably • Safely • Regardless of • Age• Disability • Income

America’s Changing Demographics• Baby Boomers have reached age 65 or older

• In the next 30 years…• The population aged 65 and older will double • One out of five Americans will be over the age of 65• 20% of the population• 85 years is the fastest growing group• Ethnic proportions • Non-Hispanic whites• 84% to 64%

What Does this Mean?• Recent AARP study• 90% desire to remain in the home or community while

aging

• Various demographics• Costs• Nursing Homes• $86,000 per year

• Aging in Place• $23,000

To whom does this appeal?• Low income• Close social networks or relatives living nearby • Married couples• Elderly from Urban areas• Those who are aware• Minorities

Successful Aging• Reduces the risk of disease and disability• Dependent on environment

• Maintaining cognitive and physical functions• Physical activity

• Engaging in social or civic activities • Important in facilitating independence• Provides psychosocial benefits • Goal of aging in place policy

Being Healthy and Being

Active Go Hand in Hand!

Services• Transportation• Affordable Housing • Housing Alternatives• Social Needs• Recreational Activities• Home-health Services

Housing • Pivotal Aspect• Some want…• To remain in the home where they raised their children• To move into a home that was built for an elderly person

• 41% reported housing problems• Physical inadequacy

• Modifications are sometimes necessary

Necessary Modifications• Wider doors• Wider hallways• Lower cabinet spaces• Nonskid floors• Ramps• Grab bars in the shower/restroom• Etc.

Common Remodels

How can a person afford this?

• Virgina• Thousands of tax credits• Modify homes• Housing developments

• NORC• ADU• Livable Communities

NORC• Naturally Occurring Retirement Communities • Neighborhood• Parish• Multi-family Building

• 65 years or older• Help Each Other• Home maintenance • Shopping • Financial management• On-site medical care

New Jersey• Hundreds of thousands of dollars in grants• 60 or older

ADU• Accessory Dwelling Units• Granny Flats • Self-contained living units• Attached • Share

States• Washington• Oregon• North Carolina • Illinois• Massachusetts

Livable Communities • Communities built to facilitate aging in place• Integrated• Land use• Transportation needs

• Fit for elders• Access to transportation• Safe pedestrian conditions • Available• Social • Civic

Transit-Oriented Development

• Walkable • Alternative ways of transportation

Transportation • Problems• Operating• Affording

• Public Transportation• Train• Bus • Volunteer drivers

• Walking• Health• Mobility • Cognition

Complete Streets• Independent means of traveling• Planning • Designing • Constructing • Maintaining • Safe• Accessible

Health Services • Availability is essential • Public• Private • Governmental• Community

• Functional limitation • 42% of people aged 65 or older

• Chronic Disability • 80% of the elderly

• Multiple Chronic Disabilities • 50% of the elderly

Aging in Place• Aspects• Social networks• Support• Safe living conditions• Remaining active in the community • Physically • Mentally

• Decreases the risk of disability and disease

What services are needed?• Health Services• Home nursing visits• Local doctor offices• Public health programs• Nutritional education• Medication• Home-delivered meals• Respite care

What is being done?• Geriatric education centers • Health students• Existing health care professionals

• Disparities in minority elder populations• Affordable Care Act • Boost public health workforce• Educational grants• Public health grants• Preventative training grants

Recreational / Multigenerational• Close social networks• Increasingly important • Elderly with more sources of social support have

better…• Physical well-being• Psychological well-being• Resilience to disease and other stressors

• Close personal relationships• Sense of belonging • Imperative

Young and Old• 20% over 65• 23% under 18• Young and old will make

up nearly half of the population

• Promoting public health for elderly• Public health for the

young• Concentrating on factors

such as • Obesity• Diabetes

• Creating a community that facilitates…• School• Parks• Hospitals• Community centers

• Elder friendly • Child friendly • Remain• Active• Connected • safe

Benefits • 45% of the older population volunteers annually • The elderly earn satisfaction • Children gain…• Wisdom• Patience• Devotion

• “eyes of the street”• Protect the young• Set a good example

Aging in Place

Barriers• Disability• Income • Long term-care • 48% of homeowners • 59% of renters

• Social support • Location • Shortage of the health

workforce that serves the elderly

Benefits• Reduced or managed

disability • Less excessive costs• Strong social network • Sense of significance• Feeling of belonging • Health is greatly

influenced by strong social ties

Maryland• Veteran’s Full Employment Act • Allows military veterans to obtain licensing for health

occupations if their service met requirements

• Benefits • Diverse community • Civilians and veterans • Multiple generations• Races

Future • Gained interest by policy makers on a federal and

state level• Research in the last 30 years• Administration on Aging• National Institute on Aging

• Weaknesses• Still very new, only 30 years old• Predicted diversity• Studies on the effectiveness of services and provisions are yet

to be solidly determined

• Continue to grow, learn, and develop• Making the community more elderly friendly is the

central goal