An Age-friendly Action Plan Report back on addressing the needs of persons with dementia and the S eniors Dialogues Presentation to Vancouver City Council June 26, 2013
Council Motion and S eniors Dialogues A. THAT staff report back on developing policy to better Council Motion assist residents with dementia , including front-line May 15, City staff trained to identify signs of seniors in crisis 2012 B. THAT staff work with key civic groups including City departments, Advisory Committees, the Alzheimer S ociety of BC and VCH to develop this policy. S eniors To find out from seniors and other stakeholders D ialogues how the City can support age-friendly facilities and Fall 2012 services UB C M 2
Engagement to develop City’s Action Plan S eniors Dialogues –Age Friendly Facilities & S ervices (Fall 2012) S eniors & Persons with Disabilities Advisory Committees Roundtables with: • Alzheimer S ociety of BC • United Way of the Lower Mainland • City departments, Park Board, VPL, VPD, Fire & Rescue S ervices • Vancouver Coastal Health 3
Dementia: S ome symptoms and issues • Alzheimer’s disease most common type of dementia (64% ) • Other types include Vascular dementia, Fronto-temporal dementia, Lewy Body disease and Creutzfeldt-Jakob disease 1. Memory loss affecting day-to-day functioning 2. Difficulty performing familiar tasks 3. Problems with language and abstract thinking 4. Disorientation of time and place 5. Poor or decreased j udgment 4
Profile: Increasing prevalence of dementia Projected Prevalence of Dementia • 10,133 Vancouver residents in Vancouver (2011 ‐ 2036) with diagnosed dementia (2011) • 1,737 new diagnoses/ year 25000 • 90% diagnosed are seniors Projected number of cases 20000 • 1 in 11 seniors has dementia 15000 Projected Prevalence of Dementia in (in Canada) Vancouver 10000 • Many more undiagnosed 5000 (one US study estimates 44% undiagnosed) 0 2011 2016 2021 2026 2031 2036 • 53% persons with dementia not in publicly-funded Projection of Vancouver residents with dementia is based on BC Stats population projections, and Alzheimer Society estimate of current prevalence: 1 in 11 seniors, with seniors making up 90% of the total population with dementia. long-term care (in VCH) S ources: Alzheimer S ociet y of BC, Alzheimer S ociet y of Canada, and Vancouver Coast al Healt h. 5
Dementia: Implications • Financial burden for • Increased vulnerability to affected families physical/ emotional abuse � Increased risk of • Complicates other financial abuse health conditions Health Financial Social Economic • Direct medical & • Increased chance non-medical costs of isolation • S ocietal costs of family care • S eniors caring for seniors & community supports 6
Profile: An aging population ➔ Increasing need for more age-friendly City facilities/ services Seniors As percentage of Total Population: Vancouver compared to Metro Vancouver • Number of Vancouver 25.0% seniors expected to 21.6% 20.0% City of 20.0% double by 2036 17.6% Vancouver 15.4% Rest of Metro 13.6% 15.0% • 13.6% (2011) � 21.6% (2036) 13.5 % Vancouver 10.0% • 94,000 more seniors - including 23,000 more 5.0% seniors (age 80+) 0.0% 2011 2016 2021 2026 2031 2036 Proj ect ed % of populat ion aged 65 and over, in t he Cit y of Vancouver and t he rest of All dat a refer t o seniors 65 years and older. Met ro Vancouver. Proj ect ion dat a from BC S t at s. S ources: BC S t at s and 2006 or 2011 Census. Low income report ed as before-t ax. 7
Profile: An aging population (cont’ d) • Of Vancouver seniors: • 29% living alone (2011) • 27% low income (2005) - 62% of low income seniors women • 24% with no knowledge of English/ French (2006) • S eniors spend more time volunteering - average 218 hrs/ yr (2007) (compared to 166 hours for all age groups) All dat a refer t o seniors 65 years and older. S ources: BC S t at s; 2006 or 2011 Census; and Report of t he Nat ’ l S eniors Council on Volunt eering. Low income report ed as before-t ax. 8
Profile: S eniors across the city Concentrations of vulnerability S ources: 2011 Census, UWLM S ource: 2011 Census Vulnerable S eniors Report 9
What is an age-friendly city? (adapted from World Health Organization, 2007) • S ocial: S eniors supported to age actively, enj oy good health, remain independent and stay involved in communities • Economic: Businesses better able to support older workers and benefit from support of older customers • Physical Environment: S afer, barrier-free buildings and streets; better access to local businesses/ facilities; more green spaces � EVERYONE BENEFITS: safer streets & sidewalks, more inclusive and accessible facilities & services, significant contributions of seniors to our communities… 10 S ource: Age-friendly BC, Government of Brit ish Columbia (S eniors Direct orat e)
What is an age-friendly Vancouver? City of Vancouver’s S eniors Dialogues (Fall 2012) QUES TION: How can the City ensure that its facilities and services are age-friendly? • Funded by Union of BC Municipalities • Dialogue sessions, focus groups, interviews and email/ phone line • 400 seniors, caregivers and service providers from diverse communities S eniors Dialogues Final Report available at: vancouver.ca/ seniors Key Theme: “Aging in place” Opportunities for action by City, senior government and other partners 11
Approaches in other j urisdictions Several BC municipalities • Designated by BC Ministry of Health as “ Age-Friendly Communities” (World Health Organization initiative) Edmonton, Montreal, T oronto, Ottawa • Older Adult or S eniors strategies approved or in-development Toronto • Guidelines for staff working with individuals of all abilities United Kingdom • Dementia-friendly communities initiative (UK Department of Health) 12
Vancouver’s approach: An Age-Friendly Action Plan of the Healthy City S trategy “A Healthy City for All” “A Healthy City for All” An age-friendly lens addresses needs of seniors and many of the Age- friendly city issues facing persons with Needs of dementia Persons with Dementia 13
Vancouver’ s Healthy City S trategy Building Blocks (under development) “A Healthy City for All” A healthy Vancouver is a city where together we create and improve conditions that enable the highest level of health and well being possible for all residents 14
Links to City S trategies Healthy City Building Blocks City Strategies A well planned built environment Community plans A home for everyone Housing and Homelessness S trategy Getting around Transportation 2040 Being active Parks and Recreation S trategy Learning for life Vancouver Public Library S trategy Feeding ourselves well Food S trategy Human services Memorandum of Understanding with Vancouver Coastal Health Being and feeling safe Corporate Business Plan Goal 8: Vancouver is a safe city in which people feel secure Belonging and inclusion Public Engagement S trategy 15
Age-friendly amenities & services across a full spectrum Healthy City S trategy Guiding Principles: • Improving health & well-being for all • Addressing inequities Keeping people active, healthy, Additional supports for engaged & connected vulnerable persons S eniors/ older adults More independent needing more supports seniors & older adults (e.g., persons with dementia) 16
Age-Friendly Action Plan Highlights (2013 to 2015) ACTION AREAS – 60+ actions What is the City doing P hysical Built Environment to make Vancouver age-friendly and to A ctive & Healthy Living address the needs of persons with dementia? T raining & Awareness What else can the H uman S ervices City do? S afety & Emergency S ervices Full Action Plan available at: vancouver.ca/ seniors 17
Age-Friendly Action Plan Physical Built Environment Highlights What we are doing now What we will do � R 1. Continue to work with seniors to eview bylaws to improve secure funding for seniors centre in accessibility in housing to allow S outh East Vancouver seniors to age in place � Housing S trategy: S upport a range 2. Transportation 2040: Expand of affordable housing options review to prioritize new placement � Transportation 2040: Improving of bus shelters and benches infrastructure with a seniors lens - installing curb ramps, adjusting walk signals, etc. Full Action Plan available at: vancouver.ca/ seniors 18
Age-Friendly Action Plan Active & Healthy Living Highlights What we are doing now � Local Food S trategy: Food access initiatives - e.g. - Westside Food Collaborative mobile produce market for seniors � Accessibility guidelines for new gardens on City property (2010) Full Action Plan available at: vancouver.ca/ seniors 19
Age-Friendly Action Plan Active & Healthy Living Highlights (cont’ d) What we are doing now � Free access for caregivers to Park Board facilities & Leisure Access Cards provide access for low-income seniors What we will do 1. Train all Park Board seniors programmers/ instructors on making seniors programs more dementia-friendly Full Action Plan available at: vancouver.ca/ seniors 20
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