150 + professionals and interested citizens from around the San Francisco Bay area convened to listen to 11 experts in the fields of Aging, Housing and Community Connections. This, the Fifth Annual Silicon Valley Positive Aging Forum was held on Nov 5, 2013, in Cupertino, CA.
The day was divided into three topical areas:
Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley
Part 2. Housing: Staying Home or What?
Part 3. Community: Connections for Aging In Place Services
The full program is included below and more information (including photos & video) will soon be posted at www.agefriendlyhousing.org.
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Fifth Annual Silicon Valley Positive Aging Forum
Housing, Community & Longevity: Here Comes the Age-Wave!
November 5, 2013 Cupertino, CA
Complete Program of Presentations & Speakers
Welcome:
Chris Kennedy, Executive Director, Institute for Age-Friendly Housing
Orrin Mahoney, Mayor of the City of Cupertino
Part 1. Longevity: Trends, Visions & Opportunities: Aging in Silicon Valley
• Aging is a Global Issue: Key Themes from the World Health Organization (WHO)
Chris Kennedy, Executive Director, Institute for Age-Friendly Housing
• Game Changers: Where and How We Live
Richard Adler, Institute for the Future
• “Retirement” Living: What’s Changing & Why
Frank Rockwood, Rockwood Pacific, Founder, and
LeadingAge California, Board Member
• Bringing Global to Local: WHO Global Network of Age-friendly Cities and Communities
Anabel Pelham, Professor of Gerontology SFSU, and
Director, Center for Age-Friendly Excellence
• Collaboration & Networking
Part 2. Housing: Staying Home or What?
• New Housing Options: Collaborative Communities & Funding Strategies
Chris Kennedy
• Design Perspectives & Communities of the Future
Madeleine Zayas-Mart, Architect & Housing Specialist,
Perkins Eastman
• Aging in Place: Being at Home with Growing Old
Susanne Stadler, Principal, Stadler &: Architecture,
Interior Design & Life Cycle Design
• Collaboration & Networking
Part 3. Community: Connections for Aging In Place Services
• Service Innovations: New Players in the Field
Michael Fox CEO, Goodwill Industries of Silicon Valley
• In-Home Care Options: Now and on the Horizon
Lori Peterson, CEO, Collaborative Consulting
• Connections At Home: Villages, Hubs, and Timebanks
Lisa Hendrickson, CEO Avenidas
Lori Andersen, Director of Healthy Aging, HealthTrust
Martin Entwistle, Exec.Director, Druker Center for Innovation, PAMF
• Collaboration & Networking
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Housing, Community & Longevity: Here Comes the Age-Wave! (2013 Silicon Valley Positive Aging Forum)
1. Housing Community & Longevity:
Here Comes the Age-Wave!
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
Cupertino, CA
Presented by: The Institute for Age-Friendly Housing
www.AgeFriendlyHousing.org
Serving the World from the Silicon Valley
21. 1. The systems and solutions
developed over the past half
century to support later life in the
US (e.g., Social Security, Medicare,
Older Americans Act) will not scale
up to support the next
generation(s) of seniors.
22. 2. In a time of constrained public
resources, the old paradigm of how
we solve problems….
identify the problem;
develop a program to address the problem;
fund the program;
problem solved
….is no longer working reliably.
23. 3. Therefore, to address the growing
needs of an aging population, we
need a new wave of entrepreneurial
innovation, in both the public and
private sectors, mainly on the local
grass- roots level.
49. • Here Comes the Age Wave!
• November 5, 2013
• Quinlan Community Center, Cupertino
• Anabel Pelham, Ph.D. Professor
• Gerontology, SFSU
50. • Becoming and being an A-F City is about an
INTENTION
• A STATE of MIND
• A willingness by leaders, particularly civic
and political leaders, to study, learn and do
the work
• Ex: In LA/LAH A-F projects are part of the
“Work Plan” of the Senior Commission
51. • Working with groups in 33 cities, in all
WHO regions, WHO asked older people in
focus groups to describe the
advantages/barriers they experienced in
eight areas of community living. These
were complemented with evidence from
service providers in the public and private
sectors.
52.
53. • For example, we can quantify the extension of morbidity via
the metric of disability adjusted life years (DALYs); this measures
a diseases’ overall burden as the number of years lost to ill
health plus death. Controlling for age/not counting metabolic
syndrome per se
• Worldwide 1990-2010, the burden of disability caused by chronic illnesses
has risen (especially in developed countries)
• Type 2 Diabetes: 30%
• Neurological disorders (dementia): 17%
• Chronic kidney disease:12%
• Musculoskeletal (arthritis):12%
• Liver Cancer: 12%
• Breast cancer: 5%
Daniel Liberman, The Story of the Human Body
54.
55. The Center for Age-Friendly Excellence
Advancing Livable Communities for all Generations
A project of
Los Altos Community Foundation
We Believe in Community
60. The Center for Age-Friendly Excellence was
founded:
• to develop and study Los
Altos/Los Altos Hills as
model age-friendly cities
“living labs” and extend a
positive and
supportive influence of
evidence-based practice to
surrounding communities in
Santa Clara Co. and
California
mission
61. • to leverage our expertise and experience to expand
frontiers of well- being of older persons within
intergenerational, livable communities.
•
to serve as a home for public and private resource
generation, tangible and measurable best practice
projects, and multi-media distributed information to
promote vital and vibrant communities for
older people and all generations.
•
to be a force for transformational
change in creating healthy, active,
sustainable, and engaged communities
wherein older persons may pursue
happiness.
mission
62. CAFE works to place the accent on excellence for A-F
Communities
STRATEGY
64. Current CAFE Projects Implementation
CAFE will begin by working to implement a variety of
project solutions to the 5 unmet meets of older
persons in Los Altos/ Los Altos Hills as described
by the Senior Survey undertaken by the Senior
Commission in 2011.
Strategy
65. CAFÉ sponsored a Summit of Leaders in
Aging hosted by El Camino Hospital
September 20, 2013; eight categories of multiple
community recommended projects emerged from
attendees serving as expert focus groups. We intend
to seek funds to implement selected projects.
Strategy
66. CAFE submitted a $20K program development grant to
the International Federation on Aging to implement 8
individual projects to address 5 unmet needs of
seniors in Los Altos and Los Altos Hills. Awards will be
announced in late 2013.
Strategy
67. • CAFÉ received a mini grant from the Town of Los Altos
Hills to implement two emergency preparedness projects
for seniors
• The first builds on a partnership with the Eagle Scouts,
the Rotary and the Town to upload emergency contact
information for elders on a USB thumb drive. The Scouts
will assist seniors.
• The second also joins the Scouts and Rotary in assisting
seniors in creating individualized emergency back packs
with supplies donated and purchased during a special
emergency preparedness day.
68. In order for an A-F culture to work we
need:
•Collaborative public/private
partnerships
•Political participation and
commitments
•Leadership by older persons
•
69. • We also need an urgent understanding of the
impacts of Climate Change on Aging; for
example:
• More dramatic weather events (storms, cold/ heat
waves)
• Diminishing and more costly food supplies
• Increasing costs of living including fuel prices
• Changing land use and city planning/housing issues
• Air quality changes
• Vectors moving northward
70.
71. • Climate change is irreversible, global and will
fundamentally affect the biosphere
• There are 7 ‘high confidence’ areas of health impact
• Demographic trends will ensure an increasingly
vulnerable and aged population
• Temperature related deaths will remain a significant
challenge
• The increased risk of extreme events will mean a
major role for emergency medicine
• Significant challenges exist for public health and
preventative medicine
• Multidisciplinary research is essential
72. “ I’ve turned 60 and I can barely believe
nearly a third of my life is over ”
Woody Allen
89. Design Perspectives:
Communities of the Future
Senior Living in the Age of Smart
Growth
Madeleine Zayas-Mart
Urban Designer and Multi-Family Housing Designer, Perkins Eastman
m.zayas-mart@perkinseastman.com
95. Business as Usual
Sprawl and Single-Use Zoning
Cisco Systems HQ’s, North San Jose / Mountain View
96. Aging and Smart Growth
The Urban Framework: The Pearl District
Smart Growth provides the planning
framework to address the settlement pattern
for growth at all levels in the 21st Century
+
97. Aging and Smart Growth
Elements of Smart Growth: Access and Mixed-Use
Pedestrian friendly Streets
Connectivity/Access
to Shops and Open
Space
Transportation Choices
=
102. Leveraging the Broader Community
•
•
•
•
79 IL units
Modest common areas
• Dining
• Fitness
• Club room
Sunrise at Home
“On” Main street
The Sterling at Grosse Pointe
Grosse Point, MI
103. Leveraging the Broader Community
•
•
Satellite to CCRC (1 mile)
•
On “Main Street”
•
The Embassy
Mt. Lebanon, PA
34 units
No dining or fitness on site
106. Mixed-Use Downtown CCRC
Retail
Lagoon
op
Dr
Foster City Blvd.
Recreation
Center
City
Independent
Hall
Living
Library
Affordable
Housing
Shell Blvd.
Leo
Ryan
Park
f
-of
Retail
Memory
Care
Assisted Living
Independent
Living
NCPHS, Foster City, CA
Future
Culture Works
Main
Entry
Service
To Parking
N
108. Expanding the Service Reach
•
•
•
•
The Villages at Collington
Mitchellville, MD
Impacting IL market
Undeveloped service model
Sophisticated builders and
opportunistic developers
Affiliation with CCRC
112. University Partnership
Pedestrian Path
Maximize Retail Frontage
Retail
Service
Whole
Foods
Clinic
Library
Spirit
Spa
Wellness
Direct Community
access to Clinic
Spa Wellness Cafe
HUB
HUB
Cafe
Lecture
Hall
Kitchen
Dining
Admin
Lounge
Entry
Garage
The Plaza
Play
Fields
University Village, Berkeley, CA
126. Aging in Place
Apartment for Life
large windows, low
sills
sheltered balcony
second bedroom option for
caregiver
medicine cabinet location for
access/light
drawer dishwasher
hand held shower
wand
doors swing out
for safety
“easy reach” linen
closet
w/d shelving
transfer
tub/shower
emergency outlet for
medical equipment
bedroom large enough
for two single bed
option
shower stall with space for
portable shower chair
side-by-side
refrigerator
full height “easy reach”
pantry cabinet
electric with front
controls (wall oven?)
129. Age Friendly Communities
Urbanization Trends
•
By 2035, nearly two million more people are projected to live in the
Bay Area.
•
“The question of aging is not about whether it will happen, but how it
will happen. We can choose sprawl, or we can choose Smart Growth
•
How should Bay Area and other California Cities and towns
accommodate a growing aging population, while creating livable
communities, revitalizing existing ones and creating more housing
choices for elders?
•
And most importantly, what should these communities look like and
how should they function on the ground?
130. How to Create Alternatives?
?
Think outside
the
Box
131. Design Perspectives:
Communities of the Future
Senior Living in the Age of Smart
Growth
Madeleine Zayas-Mart
Urban Designer and Multi-Family Housing Designer, Perkins Eastman
m.zayas-mart@perkinseastman.com
152. MOBILITY AND IDENTITY
Physically, I’m tired and
it scares me a little bit
because I have a heart
condition and I can’t
afford to be too worn
out for too long a time.
So, the steps become
an issue.
Stadler&
153. HEALTH AND HOBBY
If I could do anything I
want I would have a
garden right outside my
kitchen so I could sit
out there and weed and
grow more vegetables,
more food.
Stadler&
154. HOW CAN CITIES RESPOND?
FOSTER INTERGENERATIONAL CONNECTIONS
Rios Clementi Hale Studios: Grand Park, Los Angeles
Stadler&
155. HOW CAN DEVELOPERS AND
HEALTH CARE PROVIDERS
RESPOND?
UNDERSTAND THE COST/BENEFIT OF ‘FOR LIFE’ HOMES
Stadler &: Independent Living, 500 SF, Christian Church Homes
Stadler&
162. What do we do?
Transform Lives through the
Power of Social Enterprise
163. GWSV Overview
One of the over 165 Goodwill organizations in North America
GII collectively – 3.5 Billion Retail / 4.9 Billion revenue
Operate in the counties of Santa Clara and San Benito.
A robust Workforce Development division
$42 Mil. in annual revenue and a collection of real estate
holdings
• 19 stores, 24 collections sites and a contract service operation
• 650+ employees
•
•
•
•
•
164. A Comparison From the Funding Perspective:
Second Harvest of Santa Clara County
Individuals
64%
Income from
commercial
free market
activities:
Corporations
25%
Foundations
4%
Organizations
5%
Data source: SHSC annual report 2006-2007
United Way
1%
Special Events
1%
0%
165. A Comparison From the Funding Perspective:
Goodwill of Silicon Valley
After Market
19%
RETAIL
68%
Data source: GWSV 2010 Financials
CONTRACT
WRKFORCE
6%
1%
GRANT
4%
Other Revenue
2%
Income
from
commercial
enterprises:
94%
166.
167. Goodwill Business’s
• Retail
• 19 stores
• Wholesale Business
• Midwest, Shoes, Books
• After Market Business
• As-IS, Salvage
• Recycling
• E-Waste, recyclables
169. Future Business’s
• Auto Reconditioning Business
• Ex-offendors
• Home Health Care
• Seniors and low education you
adults/Youth 16-24 lacking high
school diploma’s
170. National Goodwill Enterprises
• Franchises
• Housing programs
• Veterans, SLE’s, Low Cost Rentals,
Shelters
• Senior Day Centers
• Colleges
• Helms College – Augusta Georgia
• High end Restaurants
• Culinary Academies
176. Demographics are Right:
65+ will expand from 40 M today to 55 M in 2020
By age 65, 66% of all seniors have at least one chronic disease, 20% of
those older than 65 have five or more chronic diseases
2011 the first of 78 M Baby Boomers began turning 65 at a rate of 8,640
per day or 262,800 per month
85+ could grow from 5.3M in 2006 to 18M by 2030
Approximately 70% of elders will require some long-term care services at
some point in time
177. A Focus on Preference:
More demand for higher levels of service and access
More demand for choice and experience
Demand for innovative models, allowing for “aging in place”
Community as an important factor
Entering a care community at a higher level of acuity
Wellness / prevention important
Access to technology
178. Healthcare Reform (payment and delivery reform):
Change in how care is delivered and paid for
Better is Better vs. More is Better
More Managed and Coordinated Care
Prevention and Wellness
Penalties for what is not wanted, rewards for what is
Care delivered in lower cost settings
Enhanced Care Coordination
Enhanced Management of Chronic Disease
179. Opportunity:
Growth and diversification
Increase brand awareness
Leverage existing expertise
Create operational efficiencies
Position and prepare for Healthcare
Reform
Build stronger linkages to community
members
Extend Mission
181. Increase in traditional home-based services such as Home
Health and Home Care
Provision of services beyond walls (CCRC without walls)
Enhanced focus on Care Coordination Models
PACE & PACE-Like Models
Membership Models (Villages, etc.)
Hospital to Home Transitional Care Programs
House Calls
Hospital @ Home
Consumer Oriented Technology
189. Components of Villages
Coordination of access to supportive services through a tiered service
model
Village staff
Volunteers (members and others)
Preferred providers
Vetted vendors
Social, cultural, educational activities
Health and wellness activities
Volunteering and member-to-member assistance
191. Emerging Models of Villages
Newly created, grassroots, standalone non-profit serving
specific neighborhood (Beacon Hill Village, Foster City
Village)
Volunteer First (twice as many volunteers as members, Capitol Hill
Village)
Parent organization – social service agency (Avenidas Village)
Hub and Spoke model – central organization supporting
separate “spokes” in larger service area (Marin, WISE and
Healthy)
Village/Timebank combination (Tierrasanta Village, Plumas
Rural Services Community Connections)
192. Why Do People Join A Village?
To stay at home: “I feel that living in a retirement facility would present severe
space limitations and too much structure. I would feel too constrained. I’m
happiest in my own home.”
For peace of mind: “When you are not at your optimal health or going through a trauma,
it’s not the best time to have to investigate various vendors or navigate all the other obstacles all
on your own. Psychologically, knowing the Village is there for me on a 24/7 basis is wonderful. I
go to bed knowing that if I wake up and something is wrong, I have someone to contact for help.”
To give back: “I love being able to give back to the community, and helping
others.”
To make friends: “ She’s lived just a few blocks from me for 40 years and I never would
have met her if not for the Village. Now we are dear friends who carpool to social events
and take turns driving to the Village lunch bunch gatherings.”
For their children: “Our kids are sure happy we have this extra support.”
195. 195
The Health Trust mission is to lead the Silicon Valley
community to advance wellness
Healthy Eating
Healthy Living
Healthy Aging
Ensure that older residents of Santa Clara
County have access to the services and
supports they need in the setting most
appropriate to their needs.
197. 197
New THT 5 Year Strategic Plan
Vulnerable population Focus
Those experiencing barriers to good health due to: where they
live, economic insecurity, age, language or disability
Addressing Trends and New Realities
- Reduced public spending – “Innovate, or else”
- Demographic changes – age and diversity
- Health care redesign
o
o
o
Managed care
Health education/self management
Rebalancing: institutional to home/community care
199. 199
Wellness Hubs
• Create neighborhood-based network that
formally connects health and social supports to
ease access to health and wellness for older
adults
- Sustainable – $ and in-kind resources
- Core partnerships
- Neighborhood ‘hub’ or gathering place
o Senior/community center, senior housing,
café or business, hospital…?
200. 200
Goals
• Create strong sustainable networks in select
neighborhoods that impact health
• Increase level and quality of health and wellness
services and supports
• Demonstrate value of neighborhood assets
including senior/community centers
• Engage older adults as a voice for change in
their communities
• Accelerate efforts for livable, age-friendly
communities
201. 201
What’s our Plan?
1.
2.
3.
4.
5.
Identify “hot spots” in SCC
Dive deep in 2-3 targeted neighborhoods
Research and share promising models
Enlist Project Advisory Committee
Explore adoption of standards and
certification of wellness hubs
6. Develop and engage champions
7. Grow investment in proven models
202. 202
Likely Partners – public & private
•
•
•
•
•
•
•
•
•
Senior/Community Centers
Community clinics and hospitals
Health Promotion and Wellness
Low Income Housing Communities
Businesses
Social Service Providers
Residents and Older Adult Advocates
Libraries
Faith-based communities
203. Aqus Community is an organization devoted entirely to building
community.
We are focused on furthering the connections between people
of all kinds, their nonprofits and businesses in the spirit of
mutual trust, support and appreciation. By focusing on this
relationship-based economy, we aim to strengthen, empower
and enrich our local community both for ourselves and future
generations.
What are the benefits of membership?
By becoming a member you not only show your support of
community, but also receive discounts at Aqus Community events,
invitations to ‘Members Only’ events and further discounts from
Aqus Community Business Member Businesses.
204. The Second Half of Life
A conversation cafe to explore
opportunities for building
community and networks of
support as we age.
Tuesday October 29
6:30 –8:30 PM
AqusCafé
(come early if you want to eat dinner)
Co-sponsored by AqusCafé and
The Village Network of Petaluma
208. Druker Center for Health Systems
Innovation @ Palo Alto Medical
Foundation
209. Druker Center for Health Systems Innovation
The Innovation Center acts to catalyze,
invent, and deploy breakthrough
innovations in wellbeing that enable
PAMF to fulfill its vision as a health
partner for the people and communities
it serves.
We apply a human-centered design approach and
leverage technology as an enabler to create scalable
solutions that address the pressing health
challenges of our time.
210. The Problem We Are Trying to Solve
Expensive Episodic Sick Care
Isolated Individuals
211. Successful Aging for Seniors
“The hard
thing
about
getting
older...
“...is that
your world
dies
before
you do.”
212. Going Beyond Transitions of Care – Focus on Health
and Wellbeing
We Need a Solution That Goes Beyond
Transitions of Care from Hospital – These
Processes are Critical but Insufficient
• Discharge care planning and
coordination
• Medications
• Free meals
• Transportation to follow-up
visit
• Short-term in-home
assistance
• Community services
• Life coach
214. – Dynamic, Integrated System to
Support Successful Aging
Shift from focus on responses to crises and treating an
acute health event
Shift to systems that enable seniors to age successfully
in the community
Drive community support for individuals at home
Change the health behaviors of individuals
Enable preemptive action through signal detection
Expand horizons
Support and care in the context of an individual’s life
216. PAMF linkAges™ - a
dynamic, integrated system
to support Successful Aging
Signal Detection
Identify, mitigate and
manage risks to my physical
and social health that could
compromise my ability to live
safely in my home
Senior Profile
Capture my needs
preferences and context in
order to personalize my
aging in place experience
Microcommunities
Find and connect with other people in the
community with whom I can exchange
services and support that help me
remain independent in my home, stay
socially-engaged, and maintain a sense
of purpose and value as I age
Resource Matching
Find and connect with resources
in the community that can help
manage risks to my physical and
social health so I can continue to
live safely in my home
217. TimeBanking
Find and connect with other
people in the community with
who I can exchange services
and support that help me remain
independent in my home, stay
socially engaged and retain a
sense of purpose as I age.
218.
219. A community-based service exchange network which connects neighbors
with neighbors to exchange skills and interests and meet needs.
Every hour of service that you
spend doing something for
another member earns you 1
hour (Time Dollar).
Everyone gets to contribute.
All contributions are valued
equally.
Builds intergenerational
relationships.
There can be 3 kinds of
members : Individuals,
Organizations (e.g. YMCA),
businesses (e.g. Red Rock
Coffee).
Rebuilding community, one hour at a time
226. – Sustainable Deployment
• Train the trainer model coupled with
community-based Peer linkAges Ambassadors
lending grassroots continuity.
• Designed for replicability and scale.
• Toolkit available to health systems, Nonprofits,
City Governments, Civic/Service groups, Businesses,
Educational Institutions.
227. – Partners in Mountain View
Organizations
•Mtn View Senior Center
•Mtn View Senior Advisory
Committee
•Alzheimers Association- Northern
California Chapter
•El Camino YMCA
•Mtn View Community Services
Agency
•Mid Peninsula Housing Coalition
•Red Rock Coffee
•reAct National Coalition
• Silicon Valley Leadership Group
• RSVP of Northern Santa Clara
and San Mateo County
• Mtn View Library
Businesses
• Whole Foods
• Red Rock Coffee
• Vaso Azzurro
Other
• MV Pastors Group
228. – Mountain View Progress to Date
Enrollment
Engagement
Total
Total # # of 60+
#
Total Time
#
Orientation Enrolled Enrollees Exchanges
of
Messages
Attendees
Exchanges
269
103
29
97
262.5
548
229. – Outcomes
Making the difference
• Improved quality of life and wellbeing for older adults
• Improved quality of life for caregivers and families
• Enriched Aging in Place
• Reduced total cost of care
• Increased community connections
231. Further Information
Martin Entwistle
Executive Director
Druker Center for Health Systems Innovation
Palo Alto Medical Foundation
795 El Camino Real
Palo Alto
CA, 94301
Cell: +1-858-717-0465
Email: EntwisM@pamf.org
232. Housing Community & Longevity:
Here Comes the Age-Wave!
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
Cupertino, CA
Presented by: The Institute for Age-Friendly Housing
www.AgeFriendlyHousing.org
Serving the World from the Silicon Valley
234. Housing Community & Longevity:
Here Comes the Age-Wave!
5th Annual Silicon Valley
Positive Aging Forum
November 5, 2013
Cupertino, CA
Presented by: The Institute for Age-Friendly Housing
www.AgeFriendlyHousing.org
Serving the World from the Silicon Valley
Editor's Notes
INTRO FOR ME
End with –
I LOVE the image that Leading Age chose for this year’s conference –
It speaks to one of our most dimishing resources and one of our richest, renewable and ever expanding resources …
One slide on Data – for those of you who don’t yet know….
60+ Population will double in the next 25 years – that’s a Problem and an opportunity for housing-
And the opportunity for you is to serve this most rapidly growing segment of the population …in new ways
And the time is NOW! We are AT the cross road of these 2 demographic rollercoasters
UN – declared the aging of our planet as one of the 2 most crtical issues of the 21st century – 2007 – Age Friendly City Report – 2010- Age Friendly City & Co Network
NATIONALLY ???
Nationally – Who’s the biggest Gorilla in the Aging Zoo???
AARP !!
United States birth rate (births per 1000 population).
The red segment from is the postwar baby boom – 1946 to 1964
Here is the cover of Newsweek magazine from August 1948 – focusing on a “Boom in Babies – What it Means for America”
And here is the cover of Newsweek in March of 1966, featuring Teen Agers – and a “survey of what they’re really like”
And finally, here is Newsweek’s cover in December of 1992, about “The New Middle Age – A Boomers’ Guide to Health, Wealth and Happiness”
The Stanford Center on Longevity Design Challenge is a new competition aimed at encouraging students to design products and services to improve the lives of older adults. Finalists will present their designs and discuss possible further collaborations with interested industry partners.
The goals of the annual Design Challenge are:
• Inspire well-designed, practical solutions that address key issues associated with aging
• Encourage a new generation of designers to become knowledgeable about aging issues
• Provide promising designers with a path to drive change in the world
This year’s challenge will focus on designing new solutions that will keep individuals with cognitive impairment independent for as long as possible.
Senior Planet is a community of older adults who are using technology to learn and live a new, engaged aging—with attitude.
The Senior Planet Exploration Center, the country’s first technology-themed center for New Yorkers 60 and up, opened in January 2013 in Manhattan’s Chelsea neighborhood.
The Exploration Center provides opportunities to learn about technology, attend social and cultural events, and engage in projects that use technology to enhance health, finances, social connections and lifelong learning.
The idea for the Institute for the Ages emerged in 2008 after Scope, a nonprofit community group whose name stands for Sarasota County Openly Plans for Excellence, sought advice from hundreds of residents on the topic of aging. Sarasota County Commissioners approved $1.2 million to get the institute off the ground.
In addition to providing access to Sarasota County’s community test bed, the Institute connects members of the community, government, research organizations, companies, and other partners to identify and advance policy, product, and service innovations that will improve the lives of people across age groups.
OLD'UP was created in Paris in February 2008.
OLD'UP is aimed primarily at older people, around the second stage of retirement, whose number is significant and rapid increasing.THE PURPOSES of the association are:
- Define the place, role , ability and usefulness of members of this generation to play a useful civic and societal role.
- Identify and remove barriers to keeping this generation active and socially engaged.
- Affirm the capacity for autonomy of this generation , that is to think for themselves, by themselves, and freely decide their life choices.
- Work to optimize the relationship between the generations
“Pass It On” is a new international network designed by seniors for seniors to spread innovative programs that support positive, productive aging.
The site offers free information to guide organizers to build community support networks, create pathways to meaningful work, and develop learning communities.
The goal is a global program exchange, with the first phase of outreach focused on spreading a dozen programs from the USA to France, the United Kingdom, and South Africa.
- Rockwood Pacific overview .. Elevator pitch
.. Santa Clara is booming .. but population boom played out awhile ago
.. Recently population is limited .. Not expected to change … classic difficult to develop / high barriers to entry market
.. This is in part why home prices have exploded
.. 6x !!
.. SCC associated with youth .. Apple, Facebook .. Google … but ..
.. In part due to slowing growth and limited migration ..
In preparation for this forum .. Chris challenged me to think of a new way to demonstrate demand.
I realized I had several issues to the traditional approaches ..
.. based on “black box” population forecast
.. Employing a methods that were unnecessarily complicated .. and not correlated with market performance
.. for SCC .. Net migration has be very close to zero
.. so that makes forecasting population simple ..
.. Using 75+ here .. Won’t elaborate on the pros and cons on this breakpoint here
.. Introduce two definitions .. Longevity Rate … and Promotion Rate
.. These are based on Social Security mortality tables
.. Another new term: Unit Ratios
.. All population .. No income screen
.. Since we are grounding this metric in a particular place .. we can keep it simple ..
.. the appropriate comparison is prior periods
.. So why top-line population growth is generally high .. Unit Ratios have been falling
.. Substitution
Imputed growth …
1,800 between 2010 and 2020
20k between 2010 and 2050
A lot can happen in forty years .. Google car
.. I’ve listed 5 forces .. I’ll just focus on 2 forces here .. Change in need .. And substitution ..
.. Forces driving the Unit Ratios down .. We are getting healthier .. Not very fast.
.. Diabetes/obesity, adult autism, high blood pressure
.. ALZ not changing .. but ALZ does increase sharply with age.
.. Best Senior Living Has Yet to Invented .. Has serious implications ..
… yes .. the growth is strong ..
… and more of the same will work .. but will lose share (as in .. Will experience declining Unit Ratios)
… more residential is a perennial winner .. Just about everyone wants to stay at home .. Or something more akin to home
… the next generation may be more successful in achieving this goal .. for longer portion of their lives
… the interesting part question is how do provide more choices .. Age-friendly communities is part of the solution
.. If we are successful .. Santa Clara won’t need 20k new units .. but .. we need to start now ..
Staying in one’s own home as long as possible – “Aging-in-Place” – is the preference of 85 percent of Boomers. As they consider their financial assets, leisure desires, healthcare needs and family connections, some will choose to remain in their family home; others will decide to downsize. A “place to age in” is about more than the residence, more than affordability, more than adding a granny flat, and it is more than remodeling with universal design, ramps and grab rails.
Aging-in-Place is all about how that place supports you as you age. It is about what is available in the community when you walk out your front door: the people and scenery, the support services, the opportunities for engagement, and the mobility options. It is about how that house and that community provide the economic and social sustainability to live a good life, as long as you live.
As city planning conversations are changing toward holistic approaches that welcome people to stay in their same community for their lifetime, the world is awakening to the need to re-imagine cities. A City for All Ages is an age-friendly community vibrant enough to attract young people, and accommodating enough to attract the next generation of older people. Thanks to the development of a number of innovative housing models, the spectrum of choices for seniors is starting to expand. This spectrum of features environments built to match each stage of life. With ample choices, natural attrition opens single family homes for new families, as people in their second-half of life migrate to easy-living, “lock and leave” homes to match their next lifestyle.
However, some obstacles remain that are delaying the actions needed to bring these changes about.
AND…. WHAT DOES THIS MEAN TO CITIES??????
Down town living!
Other models that offer ShaRED living include
Here are the basic components that differenentiat cohousing –
De$igned
with Re$ident/Owner$
“Socially” Focused Architecture
“Compact Complete” Homes
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Spaces
Common House
Recreation, Industrial Kitchen
Open Space
Guest Rooms
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Operations/Activities
Management
Maintenance
Meals
By combining the privacy of individual homes with extensive community facilities, cohousing communities create some of the most socially and environmentally sustainable neighborhoods being built in the United States. Our teleconference leader will discuss her 25 years of experience designing and building award-winning, sustainable communities throughout the United States.
The golden girls – LOTS MORE OLDER WOMEN!!
And the Quint Home – remodled SFH for 5 low income seniors
Other models that offer ShaRED living include
Here are the basic components that differenentiat cohousing –
De$igned
with Re$ident/Owner$
“Socially” Focused Architecture
“Compact Complete” Homes
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Spaces
Common House
Recreation, Industrial Kitchen
Open Space
Guest Rooms
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Operations/Activities
Management
Maintenance
Meals
By combining the privacy of individual homes with extensive community facilities, cohousing communities create some of the most socially and environmentally sustainable neighborhoods being built in the United States. Our teleconference leader will discuss her 25 years of experience designing and building award-winning, sustainable communities throughout the United States.
The golden girls – LOTS MORE OLDER WOMEN!!
And the Quint Home – remodled SFH for 5 low income seniors
Other models that offer ShaRED living include
Here are the basic components that differenentiat cohousing –
De$igned
with Re$ident/Owner$
“Socially” Focused Architecture
“Compact Complete” Homes
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Spaces
Common House
Recreation, Industrial Kitchen
Open Space
Guest Rooms
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Operations/Activities
Management
Maintenance
Meals
By combining the privacy of individual homes with extensive community facilities, cohousing communities create some of the most socially and environmentally sustainable neighborhoods being built in the United States. Our teleconference leader will discuss her 25 years of experience designing and building award-winning, sustainable communities throughout the United States.
The golden girls – LOTS MORE OLDER WOMEN!!
And the Quint Home – remodled SFH for 5 low income seniors
Other models that offer ShaRED living include
Here are the basic components that differenentiat cohousing –
De$igned
with Re$ident/Owner$
“Socially” Focused Architecture
“Compact Complete” Homes
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Spaces
Common House
Recreation, Industrial Kitchen
Open Space
Guest Rooms
----------------------------------------------------------------------------------------------------------------------------------------------------
Shared Operations/Activities
Management
Maintenance
Meals
By combining the privacy of individual homes with extensive community facilities, cohousing communities create some of the most socially and environmentally sustainable neighborhoods being built in the United States. Our teleconference leader will discuss her 25 years of experience designing and building award-winning, sustainable communities throughout the United States.
The golden girls – LOTS MORE OLDER WOMEN!!
And the Quint Home – remodled SFH for 5 low income seniors
At the scale of the city and the neighborhood, we need to change development patterns to be more interconnected, street oriented neighborhoods.
The Pearl District – revitalization example – integrating industrial land into the city core, providing open space, bringing in place sensitive development, providing transportation choices, services, cultural and mixed uses.
Counterclockwise: Rockridge Home Row, W Oakland/RBA, Eugene/LMS midrise, SoMa/Donny Brooks,London/
ASSISTED LIVING RESORT COMMUNITY
ATRIA VALLEY VIEW, WALNUT CREEK, CA
Condos for life concept by Sunrise, miminal commons, leverages from Main Street location
Toscano, The Bellettini, commmunity restaurant
Bellevue, WA by Leisure Care
(this is not a PE project)
Urban Context, Police Department
Open Space and Privacy
Trends show that the Bay Area is becoming more urbanized and it is expected to continue to. ABAG predicts that by 2035 nearly 2 million more people are projected to live in the Bay Area. If we design our communities to work for seniors, we are creating communities that work for everyone.
Urban Context, Police Department
Introduction:
Architect, thesis, co-founder of “AHWGO”
Helping people to live well in their homes.
Inspiration from Jean.
Universal Design: design for a wide range of abilities, not always possible. How can our house work for our abilities now and in the future
Home important throughout life. More than shelter, as we grow older we spend more time at home – how home fits us impacts our well being.
Think about what you love about your home.
Life long dwelling, lifespan design
Spend a lot of time at home
Come to refuel but we do not spend that much time at home
Energy center
THE HOME: KITCHEN, BATH, LIVING ROOM, DINING ROOM, BEDROOMS, THE OUTDOOR
Rethinking
Repurposing
Reinventing
Place to sit, room to linger, connection to the house, natural light, no obstacles, soft floors
REALITIES: OFTEN MEDICAL DESIGN FOR TRANSFER CHAIRS.
WHY NOT BORROW FROM OTHER PLACES WHERE IT IS IMPORTANT TO HOLD ON –BOATS.
They all three talk different languages
SOLUTIONS ARE HOMOGENIZED AND STATIC.
SOLUTIONS FOCUS ON FUNCTION AND BASIC PROBLEM SOLVING.
Such criteria could be ‘Safety’, ‘Connection’ and ‘Beauty ’. Safety is about being safe in mind and body, in the home and our environment. Connection is about staying connected to our body, our mind, the world around us and the people close to us. Beauty is about bringing delight into daily life, from our home to our body and to our surroundings.
As an option – but maybe not the only access. RAILS ON BOTH SIDES, EVEN TREADS AND RISERS, MARKING ON TREADS
GUEST, CARE GIVERS, RENTERS
They all three talk different languages
SOLUTIONS ARE HOMOGENIZED AND STATIC.
SOLUTIONS FOCUS ON FUNCTION AND BASIC PROBLEM SOLVING.
Such criteria could be ‘Safety’, ‘Connection’ and ‘Beauty ’. Safety is about being safe in mind and body, in the home and our environment. Connection is about staying connected to our body, our mind, the world around us and the people close to us. Beauty is about bringing delight into daily life, from our home to our body and to our surroundings.
Tell story of Marcia: Mobility and issue of stairs; Usability: her pleasure with having a galley kitchen.
The value of mobility in every day life: I’ve always been an organizer and now I am working with a couple of different initiatives.
Tell the story of Sheila’s garden (or was it Marcia that only had the garden? It would be nice to include a story from each of the four participants, so something related to Sheila?) and Rufus’ medication storage.
They all three talk different languages
SOLUTIONS ARE HOMOGENIZED AND STATIC.
SOLUTIONS FOCUS ON FUNCTION AND BASIC PROBLEM SOLVING.
Such criteria could be ‘Safety’, ‘Connection’ and ‘Beauty ’. Safety is about being safe in mind and body, in the home and our environment. Connection is about staying connected to our body, our mind, the world around us and the people close to us. Beauty is about bringing delight into daily life, from our home to our body and to our surroundings.
They all three talk different languages
SOLUTIONS ARE HOMOGENIZED AND STATIC.
SOLUTIONS FOCUS ON FUNCTION AND BASIC PROBLEM SOLVING.
Such criteria could be ‘Safety’, ‘Connection’ and ‘Beauty ’. Safety is about being safe in mind and body, in the home and our environment. Connection is about staying connected to our body, our mind, the world around us and the people close to us. Beauty is about bringing delight into daily life, from our home to our body and to our surroundings.
Building Departments: Educate and Incentivize
Baseline Accessibility for Private Homes
Designers: Imagination
Developers: Build for the Market
Health Care Providers: Collaborate
Sustainability is key
Standards and better access
Community and senior centers recognized and valued as having significant impact on health of older adults
AGEnts for Change model
Data points: rates of obesity, chronic disease and related hospitalizations, poverty, isolation due to language, living alone, diversity
Diving deep: Assess readiness and other assets such as resident engagement and investment
Research and sharing of promising models: may hold conference to share
Standards and certification: agree on core services to be provided or linked to by hub; data on outcomes to be collected and core partners
Champions: businesses, residents, providers, policymakers, funders and elected officials
Grow Investment – sustainable funding sources, repurposed public funds and new sources of revenue or in kind resources
Health care for seniors - fragmented services, high cost, and suboptimal outcomes.
Ignore importance o quality of life that significantly impacts health
Over next 18 years over 10,000 Baby Boomers in the U.S. turn 65 daily
In 1990, 1 in 8 residents of Santa Clara County was over age 60.
By 2010, 1 in 6 residents of Santa Clara County was over age 60
By 2030 1 in 4 residents of Santa Clara County will be over 60
Majority of seniors wish to age independently; in homes and communities.
Array of challenges; complex health issues, potential for social isolation, and difficulty accessing existing community resources
INTRO FOR ME
End with –
I LOVE the image that Leading Age chose for this year’s conference –
It speaks to one of our most dimishing resources and one of our richest, renewable and ever expanding resources …
INTRO FOR ME
End with –
I LOVE the image that Leading Age chose for this year’s conference –
It speaks to one of our most dimishing resources and one of our richest, renewable and ever expanding resources …