Larimer County Summit on Aging

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 • Director, Center on Aging and Community • Indiana University “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.” • January 22, 2010 • Foundation on Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University • Presenter/Organization Aging as an Out-of-Body Experience • Aging is not about time and the body, but about place, • and relationships. • 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 . • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Our misplaced focus on the aging body It’s not such a long step from Madison Avenue to Medicine. • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University The patient is an 84 year old female… • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, 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? • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Why give the credit to youth? “This is what fifty looks like!” Gloria Steinem • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Our misplaced focus on the aging body What are the consequences of this myopia? • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Medicalizing Old Age • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University L. Pastalan • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Lighthouse for the Blind • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University L. Pastalan • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Central Avenue 1960 Bruce Tibbo, St. Pete Times • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Green bench graveyard 1969 Tom Bennett St. Pete Times • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Central Avenue 1984 Maria Vesperi • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Central Avenue, 1999 • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Shifting the paradigm “Community is the smallest unit of health.” * * Wendell Berry • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Not “When is old age?”but“Where is old age?” • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging is not about time and the body, but about relationships… and the meaning of place. • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University “Health and disability refer to the balance between personal capability and environmental demand.” Verbrugge & Jette, 1993 The Disablement Process • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University It’s an out-of-body experience! • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University “Community is the smallest unit of health.” Wendell Berry,Health is Membership InAnother Turn of the Crank • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, 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 • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Data driven and participatory planning for the future What is an elder-friendly community? • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, 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.” • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Utilization data and evaluation tools Up to date demographic data Asset inventories Other stakeholder and participation data – incl. stories and dreams Categories of information that communities need to organize and interpret in conducting effective data-driven, participatory planning efforts. Area consumer data and national archive Evidence based research findings Best practice resources • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University The AdvantAge Initiative Planning Process: Data Driven, Participatory Community Development DATA INFORMATION ACTION EVALUATION • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Communities Around the U.S. are Moving Forward The possibilities for planning and action are endless. • January 22, 2010 • Foundation On Aging for Larimer County

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 Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University AdvantAge Initiative Survey Conducted in: • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University The Domain ADDRESSES BASIC NEEDS The Dimension Housing Is Modified To Accommodate Mobility And Safety The Indicator “% of 65+ householders with home mod needs” • January 22, 2010 • Foundation On Aging for Larimer County

Figure 3.1, Indiana§ Percentage of householders age 60+ in housing units with home modification needs* 4% DK/RF Not planning to modify 17% 146,000 No modifications needed 85% One or more modification needed 15% Planning to modify 79% Source: AdvantAge Initiative Community Survey in Indiana 2008 Unweighted N=667 Weighted N=147,283 Unweighted N=4,509 Weighted N=973,489 *People who said that their homes need modification were asked if they plan to make the change over the next five years. *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. Note: Percentages may not add up to 100% due to rounding and/or missing information. § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

Figure 3.2, Indiana§ Type of modification needed Cosmetic/minor repairs Structural changes/ major repairs 11,681 Better heating in the winter Bathroom modification 8,760 Better cooling in the summer Accommodations for disabilities 5,840 Medical emergency response system Fix problem with insects/rodents Unweighted N=4,509 Weighted N=973,489 Other § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006. Source: AdvantAge Initiative Community Survey in Indiana 2008

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University 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: • Hear the voices of older people • Organize and prioritize aging issues • Bring stakeholders together and provide them with a “common language” • Generate enthusiasm and momentum • Stimulate thought and discussion about the effectiveness of current programs and help plan future programs • Community data are comparable to AI national survey results • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Numbers don’t stand on their own… we have to make meaning from the data. • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, 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. • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University “Improving a community, from beginning to end, involves organizing people. Money is secondary.” • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Aging as an Out-of-Body Experience Larimer County Leadership What does it take to move ahead? • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Making our community elder-friendly • Identify the stakeholders • Understand the issues • Frame the problems • Identify potential action steps • Identify the assets in place/needed • Prioritize actions • Support and monitorthe responsible parties • Benchmark and evaluate • January 22, 2010 • Foundation On Aging for Larimer County

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 Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University Livable CommunitiesPhysical Environment AIA “Principles for Livable Communities” AARP “Livable Communities” • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging • Philip Stafford, PhD • Director, Center on Aging and Community • Indiana University “Old people everywhere.” Christopher Alexander A Pattern Language • January 22, 2010 • Foundation On Aging for Larimer County

Larimer County Summit on Aging