isobel mackenzie, bc seniors advocate april 25, 2015
TRANSCRIPT
Isobel Mackenzie, BC Seniors Advocate
April 25, 2015
Reflections on Year One
The Face of BC Seniors
56% (459,000) - age 65-7430% (246,000) - age 75-8414% (115,000) - age 85+
820,000 Seniors in BC (17% of population)Projected to grow to 1.35 million, or 24%, by 2031
Less than 4% of BC seniors live in residential care (3.7%)
1.7% of 65-84 year olds16.6% of 85+ year olds
Less than 4% of BC seniors receive home support
2.3% of 65-84 year olds12.5% of 85+ year olds
20% rent80% own their homeNearly 2/3 seniors live in urban areasMedian income is $24,60052,000 earn $16,200 or less11% of seniors are employed
The Face of BC Seniors
Role of the Seniors Advocate
Health care Personal supportHousingTransportationIncome support
Monitor Analyze RecommendInformReport
HousingTransportationFragmentation of servicesLow incomesCaregiver burnoutMulticultural / LGBTQAgeism
Issues for seniors in B.C.
Snapshot of Frail Seniors in B.C.
Snapshot of Frail Seniors in B.C.
Three client profiles
Assisted Living & Supportive Living
YesHome First
Target population: ALC awaiting placement
GoalReturn to the community with enhanced supports and wait for bed
Can we do better?
Home First disposition after three months (2012-2014)
Total 707 admits from acute care (all RC eligible)31% - remained at home with home care26% - deceased: private home care (no service req’d)28% - proceed to residential care as planned
Results from VIHA
Social model of careFocus on competencies not deficiencies Brentwood House pilot showed
- Decrease in rate of cognitive decline- Decrease in medication use- Increase in communication and
languageover the community population
Licensed Dementia Housing
Therapy Provision in RC
RAI indicator BC Alberta Ontario
Rec’d PT last 7 days 11.6% 25.2% 57.7%
Rec’d OT last 7 days 8.9% 22.2% 1.8%
Rec’d speech-lang therapy last 7 days
0.2% 0.6% 0.4%
Rec’d rec therapy last 7 days 21.8% 42.3% 6.8%
Next Steps
Shift cultureShift resourcesAlign incentives
Questions and Discussion
Contactwww.seniorsadvocatebc.ca
Toll-free 1-877-952-3181In Victoria: 250-952-3181Open Monday to Friday, 8:30-4:30Translation services available in more than 180 languages.