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Do People Want to Age in Your Community?

BC Quality Forum

February 25-26, 2016

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Desired Outcome for Today..... Healthy Living for Healthier Communities

Healthy Aging in Fraser Health

Healthy Community Partnerships & Community Health Specialists

Examples from Fraser Communities

Maple Ridge/Pitt Meadows

Township of Langley

New Westminster

MoH - Age Friendly Grants

Discussion and Questions

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Healthy Living for Healthier Communities

Municipalities and Healthier Communities

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In May 2011, the Ministry of Health launched a provincial strategy that aims at improving the health and well being of all British Columbians and the communities they live in Four-pronged Healthy Families BC strategy:

o Healthy Lifestyles o Healthy Eating o Healthy Start o Healthy Communities

Encourages partnerships between health authorities and local governments in taking leadership roles in the health and well being of the people in their communities

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What are Healthier Community Partnerships (HCP)?

Collaborative partnership between Fraser Health, local municipalities and community stakeholder

Healthy Families BC Goals & Fraser Health Priority

Focus on health promotion by creating a healthier environment

FH working team: Executive Director (ED), Medical Health Officer (MHO), Community Health Specialist (CHS)

20 Fraser Valley Communities with 13 HCP Tables

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Healthy Eating

Physical Activity

Tobacco Reduction

Healthy Built Environment

Vulnerable Citizens and Neighborhoods

ACTION AREAS…

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Fraser Health’s Commitment

COLLABORATE: Staff assistance to facilitate networking, initiate collaborative processes, and coordinate projects. CONTENT EXPERTISE: Provide content expertise for various planning and policy initiatives. FUNDING: Help connect communities with funding opportunities and provide letters of support for grant applications that aim to improve health at the community level. DATA: Provide health information to support community decision-making.

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Municipal Role in Healthier Communities

To provide leadership in the community • Partner with Fraser Health

• Partner with Community Organizations

• Help determine priorities & incorporate Healthy Living into the OCP, Community Planning & Policy

“communities that work together can effect change”

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What influences citizens’ ability to make healthy choices in your community?

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Dr. Marcus Lem

Medical Health Officer,

Fraser Health Authority

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Why is Healthy Aging Important?

Current Situation: The number of older people in the Fraser Health Authority (FHA) is increasing rapidly.

In the next 20 years, the population of seniors age 65 and over is expected to more than double from 249,852 in 2014 to 509,584 in 2034,

FHA is the fastest growing of all the health authorities in BC ….

Already 1.5 times more seniors than the next 2 largest BC health authorities

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Why is this important?

Source: BC Stats, BC Ministry of Labour and Citizens’ Services, P.E.O.P.L.E 2013 projections.

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Projected FH Senior Population Growth by Age Group

Source: BC Stats, BC Ministry of Labour and Citizens’ Services, P.E.O.P.L.E 2013 projections.

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Region/LHA

Increase

# %

Fra

se

r E

ast

Mission 3,216 52%

Abbotsford 8,833 40%

Chilliwack 5,291 32%

Agassiz - Harrison 553 26%

Hope 510 25%

F

rase

r N

ort

h

Coquitlam 21,924 76%

Maple Ridge 8,494 62%

New Westminster 4,551 45%

Burnaby 15,691 44%

Fra

se

r S

ou

th

Surrey 34,404 69%

Langley 12,415 57%

Delta 7,471 41%

S. Surrey/White Rock 8,087 36%

Fraser Health 131,440 53%

Growth

estimates

in older

adults over

next 10

years

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Hospital Utilization

Source: 2011/12 CIHI Discharge Abstract Database (DAD). N=Number of hospitalizations

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Senior Cardiovascular Disease (CVD) across Fraser Health

Data Source: Ministry of Health CVD Registry, 2013. N=# of cases

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Seniors with Dementia across Fraser Health

Data Source: Ministry of Health Dementia Registry, 2013. Note: N=# of cases

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Health Care Costs in Seniors

Keeping an older BC senior healthy can save an average of $10,259 yearly compared to a senior with severe chronic conditions.

Keeping a frail BC senior in their home and out of residential care can save an average of $43,018 yearly.

Source: 2011/12 CIHI Discharge Abstract Database (DAD). N=Number of hospitalizations

Average health care costs per person 75+ and (%) of persons 75+ by health status in BC

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FH Healthy Aging Framework Goals

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Supporting Healthy Aging is….

A multisectoral endeavor including

• optimizing opportunities for physical, social and mental health as we age;

• enabling seniors to take an active part in society without discrimination or other barriers;

• promoting senior independence and quality of life.

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Township of Langley

Lesley Visser

Community Recreation Manager

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How was the issue identified

• TOL is a rapidly growing community

2010

Pro jec t Consu ltin g Tea m:

Ch erie En n s, Socia l Plann ing Co n su lta n t

Lu c ie H on ey-Ra y, Life Ch a n ges Con su ltin g Serv ices

Sh a n a Ro berts, So c ia l Pla n n in g Con su ltan t

Age-Friendly Community Evaluation Study

Township of Langley

The Voice of Older Citizens

• 2010 TOL AF evaluation study

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Why Langley? Why Now?

In response to trends of an aging population

Seniors Advisory Committee

Healthier Community Partnership

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PROCESS OVERVIEW

1. Background Research – Policies & Practices

2. Workshops – Stakeholders & Residents

3. Emerging Directions

4. Public Input – Roadshow & CoMap

5. Draft Strategy

6. Presentation – SAC

7. Presentation to Council September, 2014

8. AFBC Recognition June, 2015

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Successes and Next Steps

TOL AFS won the Canadian Planning Institutes award of Excellence

52 strategies filtered into Short, Medium and Long Term timeframes

Township Departments and Community Partners adding short term strategies into work plans.

CS&HS.3 “Support Efforts to draw more geriatric specialists and health care professionals to the community” CH&HS.4 “Work with Fraser Health to develop/enhance rehab, health and fitness related programs available through Township facilities”

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New Westminster

John Stark,

Senior Social Planner

City of New Wesminster

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Situation in New Westminster

Based on dementia rate projections as provided by Fraser Health and based on population data as provided by BC Stats, there were 939 people with dementia in 2014. This number will almost double by 2034.

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For example, complicated building designs negatively impact orientation and way-finding; excessive signage can increase confusion and disorientation; and patterned and uneven surfaces can result in falls.

Impacts on Municipalities

Given that about half the people with dementia live in the community, the built environment and civic programs and services play an important role in facilitating independence.

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Dementia-Friendly Communities

Dementia-friendly communities are ones which exhibit a high level of public awareness and understanding so that people with dementia and their caregivers and family members are encouraged to seek help and are supported in the community.

Dementia-friendly communities are ones that adapt their facilities, infrastructure, programs and services to be accessible to and inclusive of people with dementia.

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Dementia-Friendly New Westminster

The Alzheimer Society of B.C. offered the opportunity for New Westminster to become the first Dementia-Friendly City Council in BC and Canada by participating in a Dementia-Friends Training Workshop.

Councillors, including Senior Management and Staff, learned how to recognize the signs of memory problems and how to best support community members. They also provided with background resources in creating Dementia-Friendly Policy.

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The actions are organized according to the following areas: Awareness and Education (14) Civic Engagement and

Programming (8) Civic Facilities, Parks and Open

Spaces (3) Mobility and Accessibility (3) Orientation and Way-Finding

(6) Private Development (4) Safety and Emergency Services

(5) Staff Education and Training (3)

Dementia-Friendly Community Action Plan

The action plan includes 46 City actions in support of a dementia-friendly community, which will be implemented over a three-year period.

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Maple Ridge & Pitt

Meadows Age-Friendly Communities

Initiative

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Age-friendly Initiative – Three Phases

1. Community Consultation

2. Age-friendly Solutions Workshops

3. Surveys, Focus Groups, Post-it Boards

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Walkability Study Transit Advisory Committee Seniors Clinic Seniors Outreach Worker Dementia-friendly Communities Project Seniors Housing Coalition Accessible events (washrooms)

Recommendations

Elder College Rec. programming for young seniors Social programs for vulnerable seniors Emergency Preparedness protocol Employment and Volunteer Opportunities Resource and Referral Line Intergenerational Programming

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Age Friendly Grants

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Age-Friendly Grant recipients from 2012-2016

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Grants for Municipalities within Fraser Health Area

2012 Coquitlam ($20,000)

Multicultural Needs Assessment and Pilots

Fraser Valley Regional District ($16,060)

Age-friendly workshop, report and official community plan

Kent ($20,000) Age-friendly Assessment and Plan

Maple Ridge ($20,000) Ridge Meadows Volunteer Management Program

Port Coquitlam ($20,000) Expansion of Outdoor Gym and Programming

Surrey ($20,000) Information and Outreach for Seniors and Mobility Improvement

White Rock ($20,000) Enhance Awareness of Community Resources and Emergency Planning

2013

• Anmore ($19,910)

Age-friendly community action planning

• Delta ($20,000)

North Delta Seniors’ Bus

• Kent ($15,000)

Resource Book, Community Information Boards and Isolation Training

• Mission ($20,000)

Active Seniors

• Surrey ($20,000)

Connecting seniors and their caregivers to resources in the community

2014 • Fraser Valley

Regional District -Rural Areas ($20,000)

Addressing Aging in Rural Communities

• Harrison Hot Springs ($20,000)

Age-friendly plan

• Port Moody ($20,000)

Age-friendly Community Assessment

2015 • Abbotsford ($18,000)

Talk a Walk! – Improving walkability for older adults

• Chilliwack ($12,000) Chilliwack seniors living well resource directory

• Hope ($20,000) Age-friendly community needs assessment

• Maple Ridge ($20,000)

Seniors Engaged, Energized, and Collaborative – Age-friendly action plan

• New Westminster ($20,000)

Dementia-friendly community action plan and & action guides

2016 • Burnaby ($20,000)

Burnaby Dementia-Friendly community action plan

• Delta ($20,000) South Delta Seniors bus pilot project

• Mission ($18,500) Active for Life Strategy

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Discussion &

Questions