Developing Community Partnerships for Aging in Place

SC Aging in Place Coalition  Our Mission: We are a South Carolina non- profit organization advocating for people to prepare to remain at home---independently, comfortably and safely.

SC Aging in Place Coalition  Our Vision All People who desire to remain at home as they age can do so.

SCAIP 2005 Initiatives  Transportation Task Force  Education & Public Relations Task Force  Partnership/Service Task Force

SC Aging in Place Coalition  Members of the Aging in Place Council headquartered in Washington, DC

What is Aging in Place?  Independence, comfort, safety  It’s not having to move from one’s present residence in order to secure necessary support services in response to changing need.

Aging in Place--Issue  Older adults prefer to age in place  Unprepared to do so—lack: * Knowledge * Resources * Residences need repairs and modifications

What it takes to age in place successfully  Thought  Planning  Resources  Action

Four Building Blocks of AIP  Healthy Living  Livable Homes  Legal & Financial Resources  Supportive Relationships

Aging in Place - Barriers  Lack of published information/personnel  Lack of funding to repair/modify homes

Share of Total Improvement Spending by Generation

Source: "Mature Adults in South Carolina",Columbia, S.C.(2003) U.S. Personal Bankruptcy Among Age 65+

Reasons for Personal Bankruptcy  Insufficient retirement funds  Low interest rates on savings  Stock market losses  Climbing medical bills  Major home repairs  Loans & gifts to family members

Aging in Place - Barriers  Medicaid bias toward institutional care

S.C. FY 2003 Medicaid Expenditures

Aging in Place - Barriers  Universities, government, non- profits and private service providers function in separate silos

Aging in Place--Silos Universities Government Non-profits Private Sector Aging in Place

Aging in Place-Workable Solutions  Create a coalition of government, academic institutions, non-profits and private sector service providers to help older adults age in place.

Aging in Place-Workable Solutions  Develop a community directory of AIP resources and programs and present to neighborhoods as part of an outreach program.

Aging in Place-Workable Solutions  Share access to information and resources available from the gerontology departments of major research universities and coalition partners to educate the public on the latest aging in place technology.

Developing Community Partnerships  Identify key players.  Share the vision  Select a “first” shared project.  Recognize/celebrate successes.  Develop new partnerships and projects

Key Players- SCAIP Coalition  Local, State Federal Gov. agencies  Academic Institutions  Non-profit organizations  Hospice & Home healthcare providers  Legal and Financial Professionals

A Typical Small AIP Partnership Project  Trident Technical College—grant PHILE (Promoting Home & Indep. Living by the Elderly).  Identified need for home ramp  Faith based volunteers  Building material donated

A Larger AIP Partnership Project  City has HUD $ for elderly housing  Family Services Credit Counseling  Homeownership Center Workshop  Home Care Agency—help with ADLs  FHA Home Equity Conversion Mortg. repaid city.

How the Financials Worked  Home Appraised value $160,000  City spent $43,000 to rehab.  City is repaid $43,000 from HECM  City uses the funds for next home.  Homeowner receives $ tax free monthly income from HECM for home care and living expenses.

Stucki,Barbara, Phd.(2005). "Use Your Home to Stay at Home", Washington, D.C., NCOA. 26 Expected Outcomes  An est. $953 Bil. From public & private funds available for: + in-home services + repair/modify homes + transportation services +socialization and supportive relationship

Expected Outcomes  More older adults could remain in their current residences □ Older adults would benefit from higher home values once repairs are made.

Stucki, Barbara, Phd.(2005),"Use Your Home to Stay at Home", Washington,D.C., NCOA 28 Expected Outcomes  Cost savings for Medicaid by shifting funding to home and community based services could exceed $4.86 Bil. By 2010.

Invitation to continue the conversation on AIP  Every community/rural population need help with AIP.  We have an opportunity to share our information & resources.  Let’s begin the discussion!

S.C. Aging in Place  Q & A

Learn more about aging in place  AIPC, Washington, DC  SCAIP, Paul Franklin, Charleston, SC  Senior Resource Center □ NAHB Research Center/National Center for Seniors’ Housing Research

Livable Homes--Resources  AARP  Safe Homes  The Center for Universal Design, NC State University.

Legal & Financial--Resources  National Council on Aging-Benefits Checkup  American Asso.Long Term Care Ins.  Reverse Mortgage Lenders Asso. website   Franklin Funding website