larimer county summit on aging
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Larimer County Summit on Aging. Aging as an Out-of-Body Experience or How I Stopped Worrying and Learned to Love Gravity . Philip B. Stafford, PhD . January 22, 2010. Foundation on Aging for Larimer County . Larimer County Summit on Aging. Philip Stafford, PhD - PowerPoint PPT PresentationTRANSCRIPT
Larimer County Summit on Aging
Aging as an Out-of-Body Experienceor
How I Stopped Worrying and Learned to Love Gravity
Philip B. Stafford, PhD
Foundation on Aging for Larimer County January 22, 2010
Larimer County Summit on Aging
Foundation on Aging for Larimer County January 22, 2010
“We’d buy half a loaf of bread if somebody offered it to us.”
“When I cross a busy street I start to limp so cars will pay attention.”
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging as an Out-of-Body Experience
Aging is not about time and the body, but about place, and relationships.
Presenter/OrganizationLarimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Our work together should involve creating good places to grow up and grow old.
Communities large and small are taking up the challenge.
The Summit on Aging positions Larimer County to leap into the future with confidence .
Aging as an Out-of-Body Experience
It’s not such a long step from Madison Avenue to Medicine.
Our misplaced focus on the aging body
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
The patient is an 84 year old female…
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
She’s a young 80 year old
isn’t she?
My, she sure doesn’t look 65 does she?
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Why give the credit to youth?
“This is what fifty looks like!”
Gloria Steinem
Aging as an Out-of-Body Experience
What are the consequences of this myopia?
Our misplaced focus on the aging body
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana UniversityMedicalizing Old Age
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
L. Pastalan
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Lighthouse for the Blind
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
L. Pastalan
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Central Avenue 1960 Bruce Tibbo, St. Pete Times
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Green bench graveyard 1969 Tom Bennett St. Pete Times
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Central Avenue 1984 Maria Vesperi
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Central Avenue, 1999
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging as an Out-of-Body Experience
“Community is the smallest unit of health.” *
* Wendell Berry
Shifting the paradigm
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Not “When is old age?”
but“Where is old age?”
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging is not about time and the body, but about relationships… and the meaning of place.
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
“Health and disability refer to the balance between personal capability and
environmental demand.” Verbrugge & Jette, 1993The Disablement Process
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
It’s an out-of-body experience!
“Community is the smallest unit of health.”
Wendell Berry, Health is Membership In Another Turn of the Crank
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Our work should help create good places to
grow up and grow old…
livable communities for a lifetime
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging as an Out-of-Body Experience
What is an elder-friendly community?
Data driven and participatory planning for the future
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
• “I can just walk across the street (to the community center)… I have a choice. When I get to the steps, if I feel I am too tired, I may walk around and…take the elevator.”
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Categories of information that
communities need to organize and interpret in
conducting effective data-driven, participatory
planning efforts.
Up to date demographic data
Utilization data and evaluation
tools Asset inventories
Area consumer data and national archive
Evidence based research findings
Other stakeholder and participation data – incl.
stories and dreams
Best practice resources
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
ACTION
EVALUATION
INFORMATION
DATA
The AdvantAge Initiative Planning Process:
Data Driven, Participatory Community Development
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging as an Out-of-Body Experience
The possibilities for planning and action are endless.
Communities Around the U.S. are Moving Forward
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
· Six neighborhoods of Chicago, IL · Indianapolis, IN · Jacksonville, FL · Lincoln Square, NYC · Maricopa County, AZ · Orange County, FL · Puyallup, WA · Santa Clarita, CA · Upper West Side, NYC · Yonkers, NY · National Survey (2004)
· Grand Rapids, MI · Contra Costa County, CA · Parsippany, NJ · Newaygo County, MI · St. Joseph County, IN · Elkhart County, IN· Kosciusko County, IN· LaPorte County, IN· Marshall County, IN· El Paso County, TX· Chinatown, NY · The State of Indiana
AdvantAge Initiative Survey Conducted in:
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
ADDRESSES BASIC NEEDS
Housing Is Modified To AccommodateMobility And Safety
“% of 65+ householders with home mod needs”
The Domain
The Dimension The Indicator
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Percentage of householders age 60+ in housing units with home modification needs*
Unweighted N=667Weighted N=147,283
Unweighted N=4,509Weighted N=973,489
One or more modification
needed15%
No modifications
needed85% Planning to
modify79%
Not planning to modify
*People were asked whether their current residence needs any significant repairs, modifications, or changes to improve their ability to live there over the next five years.
*People who said that their homes need modification were asked if they plan to make the change over the next five years.
Figure 3.1, Indiana§
Note: Percentages may not add up to 100% due to rounding and/or missing information.
17%
4%DK/RF
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
146,000
Type of modification needed
1%
2%
3%
4%
4%
6%
6%
8%
10%Cosmetic/minor repairs
Better cooling in the summerAccommodations for disabilities
Structural changes/ major repairs
Bathroom modification
Medical emergency response systemFix problem with insects/rodents
Other
Better heating in the winter
Figure 3.2, Indiana§
Unweighted N=4,509Weighted N=973,489
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
11,681
5,840
8,760
Benefits of the AdvantAge Initiative Survey • Provides a statistically valid “data snapshot” of seniors and how they are faring at
this point in time (not a “needs assessment”) • Provides an opportunity to:
1) Hear the voices of older people 2) Organize and prioritize aging issues 3) Bring stakeholders together and provide them with a “common language” 4) Generate enthusiasm and momentum 5) Stimulate thought and discussion about the effectiveness of current programs
and help plan future programs • Community data are comparable to AI national survey results
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Numbers don’t stand on their own…
we have to make meaning from the data.
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
“Participation… provides a collaborative process by which community inhabitants reach common goals, engage in collective decisions, and create places, and these
places, in turn, serve as material expressions of their collective efforts.”
Feldman, Roberta M. & Westphal, Lynne M. 2000. Sustaining human settlement: A challenge for the new millennium. Great Britain: Urban International Press.
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Who knows about the
issue?
Who cares about it?
Who can do something about it?
Stakeholders
Community Change
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
“Improving a community, from beginning to end, involves organizing
people. Money is secondary.”
Aging as an Out-of-Body Experience
What does it take to move ahead?
Larimer County Leadership
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
• Identify the stakeholders• Understand the issues • Frame the problems• Identify potential action steps• Identify the assets in place/needed• Prioritize actions• Support and monitor the responsible parties• Benchmark and evaluate
Making our community elder-friendly
Livable CommunitiesPhysical Environment
• Accessible bldg design• Shopping w/in close proximity• Drugstores, grocery,& hospitals
w/in close proximity• Recreation opportunities• Safe, well-designed sidewalks
• Design on a human scale• Provide choices• Mixed-use development• Preserve urban centers• Vibrant public spaces• Protect environmental resources• Conserve landscapes• Design matters
AARP “Livable Communities” AIA “Principles for Livable Communities”
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
“Old people everywhere.”
Christopher Alexander
A Pattern Language
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Learning
What about the intangibles?
MovementBeauty
Laughter
MemoryChoice
THE INTANGIBLES
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
“Every human community, if it is to last, must exert a kind of centripetal force, holding local
soil and local memory in place.”
Wendell Berry
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Aging as an Out-of-Body Experience
www.agingindiana.org
Philip B. Stafford, Ph.D.Director, Center on Aging and CommunityIndiana Institute on Disability and CommunityIndiana University2853 East Tenth, Bloomington, IN [email protected]
Resources and Contacts
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana University
Larimer County Summit on Aging
Foundation On Aging for Larimer County January 22, 2010
Philip Stafford, PhDDirector, Center on Aging and Community
Indiana UniversityReferences
Stafford, Philip B. 2009. Elderburbia: Aging with a Sense of Place in America. Westport, CT.: Praeger.
Oberlink, Mia & Stafford, P.B. 2009. The Indiana AdvantAge Initiative: Measuring Community Elder-Friendliness and Planning for the Future. In Creating Aging Friendly Communities, A. Scharlach, Ed. Generations, Journal of the American Society on Aging, Vol. 33 # 2, pp. 91-95.
Stafford, P.B. 2006. “Creating Lifespan Communities.” Public Policy and Aging Report 15. Gerontological Society of America: National Academy on an Aging Society.
Hanson, David, and Charles A. Emlet. 2006. Assessing a Community’s Elder-Friendliness: A Case Example of the AdvantAge Initiative. Family and Community Health. 29(4): 266-278.
Center for Home Care Policy and Research, 2004. The AdvantAge Initiative Indicator Chartbook: National Survey of Adults Aged 65 and Older. (www.advantageinitiative.org)
Feldman, P.H., and Oberlink, M.R. 2003. “The AdvantAge Initiative: Developing Community Indicators to Promote the Health and Well-Being of Older People. Family and Community Health 26(4): 268-274. Stafford, P.B. 2001. “When Community Planning Becomes Community Building: Place-Based Activism and the Creation of Good Places to Grow Old.” In L. Heumann et al., eds., Empowering Frail Elderly People: Opportunities and Impediments in Housing, Health and Support Service Delivery. Westport, CT: Praeger.