Age-FriendlyCommuni1es:Implementa1on&Evalua1on

February12,2016Presenters:•  MargaretDenton,VicePresident,HamiltonCouncil

onAging;MemberoftheAge-FriendlyHamiltonCollabora>veGovernanceCommiAee;ChairoftheAge-FriendlyHamiltonEvalua>onCommiAee

•  LucyMarco,President,GrandRiverCouncilonAging

Funded by the Government of Ontario"

•  OverviewofStep4:Implementa>on&Evalua>on

•  TheHamiltonExperience•  TheBranOord/BrantCounty

Experience

SessionOverview

Step4:Implementa1on&Evalua1onObjec1ves•  Tohighlightsomehelpfulobjec>vestoguideyouthroughthe

implementa>on&evalua>onprocesssoastoincreasethelikelihoodthattheplanwillinfluencefuturedecision-making

Keyskills•  U>liza>on-focusedevalua>onskills•  Research,datacollec>onanddataanalysis•  Reportwri>ng

Keytasks•  Establishadirec>onformonitoringandevalua>ngthesuccessof

theplan•  Determineanappropriatemonitoringmechanism•  Definespecificgoalsandobjec>ves

Developing,Implemen1ngandEvalua1ngHamilton’sPlanforanAge-FriendlyCity

MargaretDenton,PhD

Vice-president,HamiltonCouncilOnAgingChair,Age-friendlyHamiltonEvalua>onCommiAee

Acknowledgements

FundingwasprovidedthroughagrantfromtheOntarioSeniorsSecretariat

Evalua1onCommiPee:

HamiltonCouncilonAging:MargaretDenton,MichelleGold,ShelaghKielySocialPlanningandResearchCouncil:DonJaffray,SaraMayo,ShahziBokhari

CityofHamilton:AngelaParle,LisaMaychakPublicHealth:LizConK

McMasterUniversity:JennyPloeg,AmandaGrenier,JimDunn

5

FourStepstoanAge-friendlyCity

1.  Planning•  DefinePrinciples•  AssessNeed•  DevelopaPlan

2.  Implementa>on3.  Evalua>on

•  Evaluate&monitor

4.  Con>nualImprovement

§  PartnershipbetweenHamiltonCouncilonAging,SeniorsAdvisoryCouncilandCityofHamilton

§  Planningprocessinvolved3phases•  BackgroundResearch•  CommunityEngagement&Consulta>on[700+]•  Analysis&Development

•  Hamilton’sAFPlan7goals,25objec>ves,101ac>ons• FundedthroughagrantfromtheOntarioSeniorsSecretariat

Hamilton’sPlanforanAge-FriendlyCity

Implementa>on&Evalua>on

“…theac>ons…require…addi>onaldialoguewith… bothinternalandexternalstakeholders.[Hamilton’s]implementa>onplanmustbedeveloped toensureac>onsarerobustandmeasureable.”

Hamilton’sPlanforanAge-FriendlyCity2014

BuildingontheHamilton’sA-FPlandevelopedanImplementa>onPlan(guided

byaSteeringCommiAeeofCommunityOrganiza>ons)PlanAc1ons

Lead Partners Ac1vi1es

Financial

CurrentStatus

Timeframe

Outputs Outcomes

GOAL-HOUSING:Everyoneshouldhaveaplacetolive.Peoplearesupportedinwaysthatmakesensefortheiruniquecircumstanceswithafullrangeofhousingop>onsintheirneighbourhood

Objec>ve1.1:Olderadultscaneasilyaccesstheinforma>ontheyneedwithrespecttovarioushousingop>onsandhavetoolsavailabletohelpthemplanforaging1.1.1Developahousingresourceguideforolderadultstohelpthemplanforagingandtonavigatethesocialhousinglandscape

SeniorsAdvisoryCommiAee

CityofHamiltonHousingServices,NCIDivision,PublicHealthServices

HousingGuideDeveloped,printedandplacedonline

$5000. completed 2015 HousingGuide

Moreolderadultsareawareofhousingchoices

1.1.2Increaseawarenessoffinancialsupportsavailabletofundhomeadapta>ons

HousingServicesDivision

NCIDivision HousingServicestoprovideincreasedpromo>onalevents

TBD Inprogress

2015-2017

Informa>onprovidedthroughnewspaperads,NewsleAers,promo>onalsessions

Increase#applicantstoprograms,grantsapproved,$distributed

Collabora>veGovernanceCommiAee

WorkingGroup#1(alignedwithStrategicGoals)

WorkingGroup#2WorkingGroup#3

CommunityEngagementAdvisoryGroup

10

GovernanceStructureforImplementa>on

TaskGroup

TaskGroup

Evalua>onCommiAee

OurEvalua>onApproach1.  DefineDirec>ons-simplifythedetailedA-FPlanto

communicateintentandengagethebroadercommunity

2.  BaselineAge-FriendlyIndicatorsReport–  iden>fyandreportcoreindicatorsalignedwithourA-FDirec>onstodeepen

understandingofcommunityassets&gaps;andprimeourcommunityforImplementa>on

3.  MonitorAFImplementa>on–  AFpartners’internal15pagespreadsheettoiden>fystakeholdersandtrack

ac>ons–  u>lizeWHOevalua>onframeworktounderstandtheintricate

dynamicsofacomplexcommunityphenomenon[p.14]

BaselineAge-FriendlyIndicators•  aReportCardofsorts:tosettheAFagenda

–  communica>on,dialogue,engagement→generateAc>on

•  reviewguidanceinWHO&PHACreportsonselec>ngAFrelevantindicators–  Considerequitymeasures

•  Communitybasedindicators≠AFimplementa>onmonitoring

HamiltonAFBaselineIndicators•  alignedwithourDirec>ons•  underdevelopment:samplebelow

Accessible Physical Environment

Indicators Definition EquitydimensionPolicycontextoradditionaldata

WHOindicatorlist Datasource Availability

HOUSINGchoice is available, affordable and safe Renters/owners

By neighbourhood

Social housing waitlist

Number of older adults added to wait list, number of older adults housed annually, wait-times for older adults.

Priority/chronological/transfer applicants

Chart showing changes in municipal/prov/fed funding to social housing

City (Housing Services) Annual

HomelessnessHow many older adults are in shelters and housing First programs (City)

Men/WomenCity (Housing Services) Annual

Housing affordability Every five yearsNHS/Censusü

Limited availability of housing choices in many neighbourhoods

Proportion of older people who live in a household that spends less than 30 per cent of their equalized disposable income on housing.

A-FEvalua>onFramework

Source: WHO. Measuring the Age Friendliness of City. A Guide to Using Core Indicators. 2015.

WhyWeLiketheWHOFramework•  demonstratesthatimplementa>onisaprocess

•  recognizesinputsthatmustbeputinplace–  structures,policy/poli>calsupport,human&financialresources,

sharedownershipwitholderadults

•  ac>onstakenaretheoutputs

•  outcomesincludebutarenotlimitedtorepor>ngindicators–  wemayincorporateotherevalua>onapproaches,e.g.

apprecia@veinquiry,mostsignificantchange,outcomeharves@ng

•  showsthatimpactisalong-termresultandAFcancontributebutcannotdemonstrateadirectcausalrela>onship

Wewillalsoevaluateourgovernancemodelforlessonslearned.

•  Howwellisthegovernancestructurefunc>oning?– Dowehavetherightplayers

•  Isthecommunityengaged?Howdidweengagethem?

•  Whatseemstobeworkingwellandwhereisthereearlyprogress?

•  Whatarethebarrierstoimplementa>ons?•  Howshouldtheini>a>veadaptinrespondtochangingcircumstances?

•  Whatarethelessonslearned?

Resources•  WorldHealthOrganiza>on.2015.MeasuringtheAge-FriendlinessofCi>esAGuidetoUsingCoreIndicators

•  AARP.2014Evalua>ngYourAge-FriendlyCommunityProgram,AStep-by-StepGuide

•  PublicHealthCanada.HowAge-FriendlyisYourCommunity.DevelopingIndicatorstomeasureAge-Friendliness.Presenta>onPreparedbyDrHeatherOrpana&Ms.MitulikaChawla

Ques>onsandDiscussion

Contact:DrMargaretDentonVicePresident,HamiltonCouncilonAgingmdenton@cogeco.ca

Developing, Implementing and Evaluating a Master Aging Plan to

Create an Age-Friendly Community

Brantford and Brant County’s Experience 2007 through 2015

February 12, 2016

Lucy Marco, President, GRCOA

Outline

•  Overview of the Development of a Master Aging Plan for an “Age-Friendly Community”

•  Implementation recommendations •  Evaluation of results •  Challenges and lessons learned •  Future directions •  Questions/discussion

Master Aging Plan For An “Age-Friendly” Community

2007 –Why do we need it? –  2030 Population – 55 & Over – 35.2%

What should it be? – A “roadmap” or strategic plan –  Complementary to all planning activities

Who will do it and how will it be done?

– Steering Committee

Master Aging Plan Further Defined

•  Focus on all aspects of life including transportation, housing, recreation, and other community services

•  Development involved the whole community—”by the community, for the community”

•  Did not replace long-range planning for individual agencies/organizations, etc.

•  NOTE: PRIOR TO WHO & “DOMAINS”

Developing a Master Aging Plan

2007 •  Established a 13-member Steering Committee and hired a

consultant •  Community forums (Needs Assessments) to determine support

to develop a Master Aging Plan •  Solicited stakeholder input

–  Seniors and families –  3 Planning Committees of providers (well/fit, need some assistance,

need 24-hour assistance) – now “Go-Go”, “Slow-Go” and “No-Go” –  Community leaders

2008 •  Published Master Aging Plan for Brantford and Brant County •  21 Objectives – 99 Strategies

Implementation Recommendations

2009 – Steering Committee •  Master Aging Plan – 21 Objectives/99 Strategies •  Top Three Areas: Transportation, Housing, Education

•  Participating Agencies – Inventory of Services - What had been done - Current status - What could be done

•  Published Three Main Implementation Recommendations - Recognition of ongoing activities - Eight strategies & 24 goals by “mobility” - Increase community engagement

History of the Grand River Council on Aging

2010 – How to Facilitate Implementation •  Incorporated a stand-alone, non profit

organization—Grand River Council on Aging •  12-member Board of Directors (6 seniors and 6

representatives from organizations who serve seniors) Vision: To engage the communities of Brantford and Brant County to meet the needs of our aging population through education, awareness, and creating linkages Mission: To promote the voice of seniors

History of the Grand River Council on Aging

Strategies to accomplish mission: –  Promote collaboration among agencies

e.g., Transportation forums, collaboration for senior housing

–  Encourage alignment of agency strategic plans with Master Aging Plan e.g., City of Brantford, Community Care Access Centre,

Brant Community Healthcare System –  Inform the public, local government, and

business about the accomplishments of seniors and needed services e.g., National Seniors Day Celebration, volunteers for

focus group participation

Evaluation

2013 •  Report to the community •  Qualitative versus quantitative •  Using an “age-friendly” filter/lens •  Three main recommendations: -Recognition of ongoing activities -Eight strategies & 24 goals -Increase community engagement

Evaluation2013 •  Recognition of ongoing activities •  Examples:

• City of Brantford • Grand River Community Health Centre • Brant Community Healthcare System • Operation Lift – now Brantford Lift • Community Care Access Centre

Evaluation2013 •  Eight Strategies & 24 Goals-Progress

-Housing -Transportation -Active Lifestyle -Health & Wellness -Support Systems -Education/Profile -Eight Gaps

Evaluation2013 •  Increase Community Engagement -Non-profit organization oversight

-Recruit volunteers -Monitoring of community action -Reports to the community -Events/activities -Sustainability

Barriers/Challenges

•  No established infrastructure to develop Master Aging Plan and oversee implementation of recommendations

•  Projects/activities overseen by dedicated volunteers but funding needed for core operating expenses

•  Difficult to engage certain segments of the senior

population in the planning process (e.g., urban Aboriginal seniors, rural seniors)

Tips/Lessons Learned

•  Extensive community involvement essential

•  Future cohorts of seniors will have different needs and expectations compared to current seniors

•  Planning should be based on functional abilities rather than chronological age

•  Age-friendly strategic planning will be more effective if it is carried out including participation of the “voices of lived experience”

Future Directions

•  Implement an ongoing process for gathering information from seniors about issues and concerns as the residents age

•  If a non-profit organization results, develop a Sustainability Plan to support the infrastructure

•  Encourage strategies to implement recommendations of the Age-Friendly Community Plan by residents, businesses, agencies & municipalities

Contact Information

Website: www.grcoa.ca

Step4How-ToPlainLanguageSummaries

•  Howtoiden>fyprimaryusers•  Howtodeterminethepurposeofyour

evalua>on•  Howtoiden>fymethodsandmeasurement•  Howtointerpretfindings,makejudgments

andsharewithyourcommunity

Addi1onalResources

•  AFCOntarioWebsite–Forhow-tosummaries,addi>onalresourcesandinforma>ononpastandfuturewebinaropportuni>es– www.agefriendlyontario.ca– www.collec>vitesamiesdesainesontario.ca

•  HamiltonCouncilonAging:hAp://coahamilton.ca/what-we-do/age-friendly-hamilton/

•  GrandRiverCouncilonAging:www.grcoa.ca

Thankyou!Contact:•  MargaretDenton

–  mdenton@cogeco.ca•  LucyMarco

–  lmarco@rogers.com•  SarahWebster

–  swebster@seniorshealthknowledgenetwork.com–  1-844-276-5756

•  ProvincialAFCdistribu>onlist–  hAp://bit.ly/1N7v8rwNextwebinar“Age-FriendlyCommuni1esandDemen1a-Friendly

Communi1es:AreWeTalkingAbouttheSameThing?”(March8th,2016@1:00PM)