American Society on Aging, Las Vegas, NVMarch 16,2009

Planning to Make Indiana Elder-Friendly

Not “When is old age?”

but“Where is old age?”

Our work should help create good places to grow up and

grow old…

livable, lifespan communities

Indiana Partnerships for Lifespan Communities

“…a comprehensive, participatory, and data driven initiative to create good places to grow up and grow old in

Indiana.”

Indiana Partnerships for Lifespan Communities

The first application of the AdvantAge Initiative on a statewide

basis

Develop a model of an “elder friendly” community

Develop a method to measure community “elder-friendliness”

Help communities interpret and use this information to create action plans to support older residents’ health, well-being, and independence as well as their social and civic engagement

Reproduced by permission of The AdvantAge Initiative

Center for Home Care Policy & Research Visiting Nurse Service of New York

Optimizes Physical and Mental Health and

Well Being

Promotes healthy behaviors

Supports community activities that enhance well being

Provides ready access to preventative health services

Provides access to medical, social, and palliative services

Addresses Basic Needs

Provides appropriate and

affordable housing

Promotes safety at home and in the neighborhood

Assures no one goes hungry

Provides useful information about available services

Promotes Social and Civic Engagement

Fosters meaningful connections

with family, neighbors, and friends

Promotes active engagement in community life

Provides opportunities for meaningful paid and voluntary work

Makes aging issues a community-wide priority

The Four Domains of An Elder-Friendly

Community

Maximizes Independence for Frail

and Disabled

Mobilizes resources to facilitate “living at home”

Provides accessible transportation

Supports family and other caregivers

Indiana Partnerships for Lifespan Communities

2006-2007: GroundworkState level partnerships and Steering Committee• Division of Aging, Indiana Family and Social Services Administration• Center on Aging and Community, Indiana University (project mgmt.) • Indiana Association of Area Agencies on Aging• Self-Advocates of Indiana, Inc. Professional Development Workshops Statewide• Building Community Partnerships: Mike Winer• Communities for All Ages: Nancy HenkinFund Development for statewide survey and community engagement• 16 Indiana Area Agencies on Aging• Indiana Division of Aging (FSSA) • Daniels Fund, Denver, Colorado• Lilly Endowment , Inc.

Indiana Partnerships for Lifespan Communities: 2008

•Statewide Survey4,500 older Hoosiers, 15 samples of 300

•Local engagement16 mini-grants to support local community participation, e.g.:

•public awareness•convening stakeholders, steering committees•small pilots •participatory research to supplement survey data •inclusion of adults with developmental disabilities•workshops, focus groups, family supports research

•Engagement with philanthropyMaterials and workshops for Indiana Grantmakers Alliance, Indiana State Chamber of Commerce Foundation

•Collaboration with statewide NNORC project: Communities for LIfe

Communities for LifeNeighborhood Naturally Occurring

Retirement Communities

A partnership of the Indiana FSSA Division of Aging &the University of Indianapolis Center for Aging & Community

Indiana’s Vision• Indiana’s is one of the first state agencies to

adopt this NNORC model and allocate significant funding to it.

• Unique characteristics of this model include:– Statewide reach– Neighborhood NNORCs -- vertical, not

horizontal– Economic, geographic and racial diversity –

reflective of Indiana’s population

Indiana’s New NNORCs1. Huntington NNORC - Aging &

In-Home Services of Northeast Indiana, Fort Wayne

2. LaSalle Park NNORC - REAL Services, South Bend

3. Linton NNORC – Generations, Vincennes

4. Martindale/Brightwood NNORC – Martin University, Indianapolis

5. Midtown Gary NNORC - Gary Community Health Foundation

1

4

3

25

Rural NORCs/Urban NORCs Comparison

Setting Rural NNORCs Urban NNORCs IndianaHEALTH

Exc/very good/good 84% 64% 81%

Fair/poor 15% 35% 19%

IADL (LIMITATIONS)

None 89% 88% 94%

One or more 11% 12% 6%

ADL (LIMITATIONS)

None 94% 77% 86%

One or more 6% 23% 14%

LIVES ALONE 39% 40% 36%

LIVES w/OTHERS 61% 60% 63%

Rural NORCs/Urban NORCs Comparison

Setting Rural NNORCs Urban NNORCs Indiana

OWN HOME 95% 82% 87%

RENT 5% 16% 11%

YRS. /COMMUNITY

<10 9% 5% 12%

>10 91% 95% 87%

FRNDS IN N’HOOD

None 34% 24% 26%

Some/lot/all 66% 75% 74%

EMPLOYMENT

Full/pt time 30% 19% 27%

Not working 70% 81% 73%

CFL Accomplishments…CFL NNORC staff have: Participated in four days of intense group training Received one-on-one training and technical assistance Successfully initiated community asset mapping to reveal and

explore resources and assets and show the interconnections among assets.

Participated in the state-wide AdvantAge Initiative Survey and NNORC-specific training on its utilization in strategic community-planning

Developed relationships with neighborhood stakeholders and community leaders

CFL Accomplishments… Developed a structure of governance through the

development of resident-led steering committees Organized community-wide advisory committees Launched resident education and community awareness

campaigns; engaged the local media Coordinated other localized data collection activities

(surveys, focus groups, etc.) Partnered with local universities/colleges to provide

evaluation and analysis of the data collected Assisted their steering committees in the development of

NNORC work plans and time lines

Banner Issues for Implementation

Hunting-ton

Gary

Indy

South Bend

Linton

Observations

• A different role for senior leaders• Direction of influence is reversed• Community organizing is a key role for

professionals • Service vs Community orientation ratio is

changing, albeit slowly• State agency can influence the process

Contact Information• Philip B. Stafford, Ph.D.• Director, Center on Aging and

Community, Indiana Institute on Disability & Community, 2853 East Tenth, Bloomington, IN, 47408

• (812) 855-2163www.agingindiana.org

Phil’