New Vistas - New Challenges

Aging and Developmental

Disabilities Project

Ron W. Coristine

ONTARIO PARTNERSHIP ON

AGING AND DEVELOPMENTAL DISABILITIES

Forces At Work

Economics of Scarcity Rationing

Fiscal Constraint Service Pressures

System Maturation Collaborative Models

Demographic Change Aging Boom

Rationing

Eligibility criteria

Service

coordination

Core services

User fees

Service Pressures

Attracting and retaining qualified staff

Constrained training budgets

Increased regulation

High needs clients

Facility Closures

Risk

Collaborative Models

Range of activity extendsfrom cooperation to amalgamation

The system knows how to engage ininnovative / collaborative ventures

Aging Boom

Of persons with developmental disabilities:

Longevity Health issues; dementias Aging caregivers Living in the community Access to services for older Ontarians

A New Reality

Aging and Developmental

Disabilities

Front Line Experiences

Unexplained changes in functioning

Incongruence between programs offered and people’s needs

Confusion, frustration, risk

Here and Now

24% over age 50

50% over age 40

The Ten Year Shift

Projected change in age distribution: DS Agency A

0

20

40

60

80

100

120

140

160

180

0 – 50years

50 –60 yrs

60 –70 yrs

70 –80 yrs

Age Range

Nu

mb

er

of

cli

ien

tele

2004

2014

Age Shift 2004 2014< 50 160 80

50+ 90 165

The Great Debate

Aging in Place Re-institutionalization

Aging in Place

Remaining in one’s own home during the aging process

What about:What about:

Quality of Life?Quality of Life?

Adapting to the Adapting to the aging process?aging process?

Re-institutionalization

Leaving one’s social milieu and way of life

What about:

Quality of Life?

Adapting to the aging process?

Re-framing the Issue

Maintaining Quality of Life

while adapting to theaging process

Transition Planning Reported by Developmental Service Agencies

Reported Outcomes Being Sought

Number Percent

Non-residential seniors programs

25 42 %

Supportive seniors housing 10 16 %

Long term care home 25 42 %

Total 60 100 %

Source: “Building a Future Where Aging is OK” Final Report of the Transition Planning Task Group

Transition PlanningComparison of DS and LTC Providers

Service ProviderTransition Planning Process

Developmental Services

3%

Long Term Care 45%

Finding Direction

Ontario Partnership on Aging and Developmental Disabilities

OPADD

What Is OPADD Trying to Do?

Vision

That older adults with adevelopmental

disabilityhave the same rights

tosupport and services asall older Ontarians

Principles

Choice Access Creative options Individualized

planning

Motivation Need to

understand aging

Service improvement

Appropriate support to older adults with developmental disabilities

Method

Partnership:

Knowledge Exchange Service Innovation Best Practices

Local Solutions

Cross sector linkages at the agency level

Participation of planning bodies

Agencies retain autonomy

Build capacity to support older adults with developmental disabilities

What OPADD Has Done

Provincial symposium & regional workshops Established provincial cross sector body Ongoing support to local groups Research in transition planning U-First! as cross sector training Informing Ministries

OPADD Participants

Developmental Services and Long Term Care:

50 organizations and groups with a commitment to the Vision, Values and Mission of the Partnership.

OPADD Participants

Regional and local cross sector groups

Provincial associations

Service providers

Planning bodies

Government

The Next Five Years

Building bridges between sectors

Long Term Care Developmental Services

Regional Workshops

Planned and hosted by regional cross sector groups

Catalyst to regional planning and local initiatives

Regional Planning Groups

Provide regional forums for cross sector dialogue

Stimulate new local initiatives

Facilitate communication between local projects and OPADD

Information and Education

Information exchanges Interactive web site Quarterly E-zine Reports and papers Curriculum development

Expand the Perspective

Support national and internationalconferences on aging and

developmentaldisabilities

Winnipeg 2004 Toronto 2007

Policy

Inform policy-makers about innovation and gaps in the system

Foster informed policy-making that supports realization of our vision and principles

Reduce Legislative Constraints

Innovation requires stepping outside of the silos

Dialogue between service providers and policy makers on implications for regulatory change

Ontario Projects Today

Cross Sector:

Research Planning Pilot Projects Protocols

Stories of Innovation

Building a New Continuum:

Accessing services/programs for older Ontarians

New innovative services Adapting existing programs

North East

Sudbury Support Services:

Strategic plan foraging

Workshop being planned for 2006

North East Committee not yet formed.

North West Ontario

NW ADD Committee:

Evolved from 2000 Symposium

Cross sector training

Close ties with academic sector

Developing demographic profile

Southwest

Regional ADD Committee forming

Middlesex Providers Alliance Huron Trillium Partnership

(protocols & handbooks) Huron Perth ADD Committee

Hamilton Niagara Halton Peel

Coordinated Access Service highly involved

Peel Long Term Care Residential Services Project

Workshop as catalyst to cross sector planning process

Toronto

Toronto developing a committee on aging and developmental

disabilities

Co-chairs in place

Central East

Growing new knowledgethrough cross sector trainingevents

Reformed Training Committee into a Regional ADD Planning Committee

Workshop being planned for early 2006

South East

New Regional ADD Planning Committee established

Workshop being planned for spring 2006

Champlain Ottawa

Strong leadership fromdevelopmentalservices coordinationnetwork to establish aRegional ADD PlanningCommittee

New Horizons

Cross sector workingrelationships:

Innovation

Collaboration

System effectiveness

Expanding Options

Older adult centres Recreation centres Supportive seniors

housing Long Term Care Homes Civic engagement Elderhomes Volunteer work

Quality of Life

Assessing present capacity

Monitoring health

Maintaining social relationships

Accessing services and programs

Adapting environment

Changes to routines

Substitute decision-making

You Write the Rest of the Story

www.opadd.on.ca