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Creating Environments
                                  for Successful Aging




        Jana Lynott, AICP
     Strategic Policy Advisor
Transportation/Livable Communities
    AARP Public Policy Institute
Every 11 Seconds a Boomer Turns 60




          Source: Getting Current: Recent Demographic Trends in Metropolitan America,
                           Metropolitan Policy Program at the Brookings Institute, 2009.
The Age Wave is Coming
                                           and it will hit harder in Hawaii
                                 Projected Growth in the Older Population in Hawaii as a Percentage
                                 of 2000 Census, by Age Group, 2000-2030
                                220%
Population (% of 2000 Census)




                                200%
                                                 85+            75-84

                                180%             65-74          50-64
                                160%

                                140%

                                120%

                                100%

                                80%
                                   2000       2005       2010             2015                 2020                 2025                 2030

                                                                 Houser, Fox-Grage, Gibson (2009). Across the States 2009: Profiles of Long-Term
                                                                           and Independent Living. Washington, DC: AARP Public Policy Institute.
Longevity Paradox
 “Having invested so much to get
people to live longer, we’ve barely
given any thought to how we can
    help them to live better.”
                    ~Joe Coughlin, MIT AgeLab
Our Communities are Unprepared
• 54% of American communities do not have the policies,
  programs or services in place to promote quality of life,
  community engagement, and independent living of older
  adults (N4A survey of 10K local governments, 2006).

• 2/3 of transportation planners and engineers have not yet
  begun considering the needs of older users in their multi-
  modal planning (AARP Public Policy Institute/ITE online
  survey of more than 1K planners and engineers, 2008).
Safety on America’s streets is
a major concern for older
adults
• 40% say they do not have adequate
  sidewalks in their neighborhoods
• 47% say they cannot cross their main
  roads safely

                      International Communications Research Poll for AARP,
                                                  1,000 adults, July 2008

                                                                             6
Hawaii’s Roads are Particularly
Hazardous to Older Pedestrians (65+)
       60%
       50%
       40%
                                                             Hawaii
       30%
                                                             US
       20%
       10%
        0%
               Total        Motor    Pedestrian
             Population    Vehicle    Fatalities
                          Fatalities

                                 Source: NHTSA, FARS Encyclopedia, 2005
Are falls a
• Fall-related deaths and
  hospitalizations are more          planning
  than double those for motor      problem?
  vehicles injuries for the 65+
• Falls cost Hawaii
  $10,600/fall in direct medical
  and long-term care costs.
• Falls account for 68% of
  hospitalizations for 65+ pop
• Almost half occur away
  outside the home
Livable Communities
                                        Mobility:
                                        Americans 50+ are
                                        able to sustain
                                        mobility as they age


       Photo by Jana Lynott


 Housing:
 Americans 50+
 have appropriate
 and affordable
 housing options              Photo by Jana Lynott
Livable Communities—
Principles & Solutions
 • Choice
 • Affordability
 • Accessibility
Increasing Home Access:
                                                         Designing for Visitability
                                                                                                Authors:
                                                             Jordana L. Maisel & Edward Steinfeld
                                                   Center for Inclusive Design and Environmental Access
                                                Rehabilitation Engineering Research Center on Universal
                                                                                       Design at Buffalo
College Park/ LeMoyne Gardens
Photo courtesy of Torti Gallas and Associates                        School of Architecture and Planning
                                                                                    University at Buffalo

                                                                                                      &

                                                                                         Eleanor Smith
                                                                                       Concrete Change
Step-less entrance       Bathroom access




          Accessible circulation

           Visitability Features
            One zero step entrance, located at the front, back, or side of the
             house, on an accessible path of travel
            32 inch clear opening at doorways and accessible circulation
             throughout the floor plan
            Basic access to at least one bath or half bath on the ground floor
February 9-17th, 2009
  Atlanta, Georgia
Key Findings
• Lifelong Communities must embrace
  tenets of Urbanism—connected network of
  streets and sidewalks, services located
  near housing, housing and transportation
  choices.
• Current accessibility regulations (ADA &
  Fair Housing Act) do not meet needs
• Need new rules based on performance
  rather than compliance
Social Interaction
Land Use
     Policy
• Coordination of
  housing,
  transportation &
  service decisions
• Mixed-use within
  easy walking         Photo credit: City of Boulder Planning Dept.

  distance of
  shopping,
  recreation, public
  transportation &
  services
• TOD
AARP’s Mobility Agenda:
Access to Transportation
 Some Statistics:
• Outliving our driving years
   − At age 70 – men outlive by 7 years and women
     outlive by 10 years
• Stranded without options
   − 6.8 million non-drivers 65+
   − 54% stay home
AARP’s Mobility Agenda:
Access to Transportation
Family of Travel Choices
•   Fixed-route public transportation
     –   Travel training
     −   Travel experience
•   Specialized Services
     −   Paratransit
     −   Non-emergency medical transportation
     −   “Senior Ride”
     −   Volunteer transportation services
     −   Rideshare programs
     −   Taxi service
     −   Rural Transportation
Transit Solutions
AARP’s Mobility Agenda:
The Travel Environment
• “Complete Streets” = Roads safe for all
  users
   – Pedestrians/motorists/bicyclists/transit riders
• Road design features to promote safety
   −   Intersections – lanes and signals
   −   Pavement markings
   −   Signage and font size
   −   Lighting
Farmers Markets and
   Community Gardens—
A working and social space
Discussion Questions

 1. Is your home designed with basic “visitable”
    access features (zero step entrance, wide
    doorways, restroom on main floor)?
 2. What changes are needed to our zoning
    ordinance and housing code to allow visitable
    homes to be built?
 3. How prepared is our community for an aging
    population?
 4. What other challenges can we address at the
    local government level to improve our livability
    for all ages?

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Planning For An Aging Population

  • 1. Creating Environments for Successful Aging Jana Lynott, AICP Strategic Policy Advisor Transportation/Livable Communities AARP Public Policy Institute
  • 2. Every 11 Seconds a Boomer Turns 60 Source: Getting Current: Recent Demographic Trends in Metropolitan America, Metropolitan Policy Program at the Brookings Institute, 2009.
  • 3. The Age Wave is Coming and it will hit harder in Hawaii Projected Growth in the Older Population in Hawaii as a Percentage of 2000 Census, by Age Group, 2000-2030 220% Population (% of 2000 Census) 200% 85+ 75-84 180% 65-74 50-64 160% 140% 120% 100% 80% 2000 2005 2010 2015 2020 2025 2030 Houser, Fox-Grage, Gibson (2009). Across the States 2009: Profiles of Long-Term and Independent Living. Washington, DC: AARP Public Policy Institute.
  • 4. Longevity Paradox “Having invested so much to get people to live longer, we’ve barely given any thought to how we can help them to live better.” ~Joe Coughlin, MIT AgeLab
  • 5. Our Communities are Unprepared • 54% of American communities do not have the policies, programs or services in place to promote quality of life, community engagement, and independent living of older adults (N4A survey of 10K local governments, 2006). • 2/3 of transportation planners and engineers have not yet begun considering the needs of older users in their multi- modal planning (AARP Public Policy Institute/ITE online survey of more than 1K planners and engineers, 2008).
  • 6. Safety on America’s streets is a major concern for older adults • 40% say they do not have adequate sidewalks in their neighborhoods • 47% say they cannot cross their main roads safely International Communications Research Poll for AARP, 1,000 adults, July 2008 6
  • 7. Hawaii’s Roads are Particularly Hazardous to Older Pedestrians (65+) 60% 50% 40% Hawaii 30% US 20% 10% 0% Total Motor Pedestrian Population Vehicle Fatalities Fatalities Source: NHTSA, FARS Encyclopedia, 2005
  • 8. Are falls a • Fall-related deaths and hospitalizations are more planning than double those for motor problem? vehicles injuries for the 65+ • Falls cost Hawaii $10,600/fall in direct medical and long-term care costs. • Falls account for 68% of hospitalizations for 65+ pop • Almost half occur away outside the home
  • 9. Livable Communities Mobility: Americans 50+ are able to sustain mobility as they age Photo by Jana Lynott Housing: Americans 50+ have appropriate and affordable housing options Photo by Jana Lynott
  • 10. Livable Communities— Principles & Solutions • Choice • Affordability • Accessibility
  • 11. Increasing Home Access: Designing for Visitability Authors: Jordana L. Maisel & Edward Steinfeld Center for Inclusive Design and Environmental Access Rehabilitation Engineering Research Center on Universal Design at Buffalo College Park/ LeMoyne Gardens Photo courtesy of Torti Gallas and Associates School of Architecture and Planning University at Buffalo & Eleanor Smith Concrete Change
  • 12. Step-less entrance Bathroom access Accessible circulation Visitability Features  One zero step entrance, located at the front, back, or side of the house, on an accessible path of travel  32 inch clear opening at doorways and accessible circulation throughout the floor plan  Basic access to at least one bath or half bath on the ground floor
  • 13. February 9-17th, 2009 Atlanta, Georgia
  • 14.
  • 15. Key Findings • Lifelong Communities must embrace tenets of Urbanism—connected network of streets and sidewalks, services located near housing, housing and transportation choices. • Current accessibility regulations (ADA & Fair Housing Act) do not meet needs • Need new rules based on performance rather than compliance
  • 17. Land Use Policy • Coordination of housing, transportation & service decisions • Mixed-use within easy walking Photo credit: City of Boulder Planning Dept. distance of shopping, recreation, public transportation & services • TOD
  • 18. AARP’s Mobility Agenda: Access to Transportation Some Statistics: • Outliving our driving years − At age 70 – men outlive by 7 years and women outlive by 10 years • Stranded without options − 6.8 million non-drivers 65+ − 54% stay home
  • 19. AARP’s Mobility Agenda: Access to Transportation Family of Travel Choices • Fixed-route public transportation – Travel training − Travel experience • Specialized Services − Paratransit − Non-emergency medical transportation − “Senior Ride” − Volunteer transportation services − Rideshare programs − Taxi service − Rural Transportation
  • 21. AARP’s Mobility Agenda: The Travel Environment • “Complete Streets” = Roads safe for all users – Pedestrians/motorists/bicyclists/transit riders • Road design features to promote safety − Intersections – lanes and signals − Pavement markings − Signage and font size − Lighting
  • 22. Farmers Markets and Community Gardens— A working and social space
  • 23. Discussion Questions 1. Is your home designed with basic “visitable” access features (zero step entrance, wide doorways, restroom on main floor)? 2. What changes are needed to our zoning ordinance and housing code to allow visitable homes to be built? 3. How prepared is our community for an aging population? 4. What other challenges can we address at the local government level to improve our livability for all ages?