New Vistas - New Challenges Aging and Developmental Disabilities Project Ron W. Coristine ONTARIO PARTNERSHIP ON AGING AND DEVELOPMENTAL DISABILITIES

Forces At Work Economics of Scarcity Rationing Fiscal Constraint Service Pressures System Maturation Collaborative Models Demographic Change Aging Boom

Rationing Eligibility criteria Service coordination Core services User fees

Service Pressures Attracting and retaining qualified staff Constrained training budgets Increased regulation High needs clients Facility Closures Risk

Collaborative Models Range of activity extends from cooperation to amalgamation The system knows how to engage in innovative / collaborative ventures

Aging Boom Of persons with developmental disabilities: Longevity Health issues; dementias Aging caregivers Living in the community Access to services for older Ontarians

A New Reality Aging and Developmental Disabilities

Front Line Experiences Unexplained changes in functioning Incongruence between programs offered and peoples needs Confusion, frustration, risk

Here and Now 24% over age 50 50% over age 40

The Ten Year Shift Age Shift <

The Great Debate Aging in PlaceRe-institutionalization

Aging in Place Remaining in ones own home during the aging process What about: Quality of Life? Quality of Life? Adapting to the aging process? Adapting to the aging process?

Re-institutionalization Leaving ones social milieu and way of life What about: Quality of Life? Adapting to the aging process?

Re-framing the Issue Maintaining Quality of Life while adapting to the aging process

Transition Planning Reported by Developmental Service Agencies Reported Outcomes Being SoughtNumberPercent Non-residential seniors programs2542 % Supportive seniors housing1016 % Long term care home2542 % Total60100 % Source: Building a Future Where Aging is OK Final Report of the Transition Planning Task Group

Transition Planning Comparison of DS and LTC Providers Service Provider Transition Planning Process Developmental Services3% Long Term Care45%

Finding Direction Ontario Partnership on Aging and Developmental Disabilities OPADD

What Is OPADD Trying to Do?

Vision That older adults with a developmental disability have the same rights to support and services as all older Ontarians

Principles Choice Access Creative options Individualized planning

Motivation Need to understand aging Service improvement Appropriate support to older adults with developmental disabilities

Method Partnership: Knowledge Exchange Service Innovation Best Practices

Local Solutions Cross sector linkages at the agency level Participation of planning bodies Agencies retain autonomy Build capacity to support older adults with developmental disabilities

What OPADD Has Done Provincial symposium & regional workshops Established provincial cross sector body Ongoing support to local groups Research in transition planning U-First! as cross sector training Informing Ministries

OPADD Participants Developmental Services and Long Term Care: 50 organizations and groups with a commitment to the Vision, Values and Mission of the Partnership.

OPADD Participants Regional and local cross sector groups Provincial associations Service providers Planning bodies Government

The Next Five Years Building bridges between sectors Long Term Care Developmental Services

Regional Workshops Planned and hosted by regional cross sector groups Catalyst to regional planning and local initiatives

Regional Planning Groups Provide regional forums for cross sector dialogue Stimulate new local initiatives Facilitate communication between local projects and OPADD

Information and Education Information exchanges Interactive web site Quarterly E-zine Reports and papers Curriculum development

Expand the Perspective Support national and international conferences on aging and developmental disabilities Winnipeg 2004 Toronto 2007

Policy Inform policy-makers about innovation and gaps in the system Foster informed policy-making that supports realization of our vision and principles

Reduce Legislative Constraints Innovation requires stepping outside of the silos Dialogue between service providers and policy makers on implications for regulatory change

Ontario Projects Today Cross Sector: Research Planning Pilot Projects Protocols

Stories of Innovation Building a New Continuum: Accessing services/programs for older Ontarians New innovative services Adapting existing programs

North East Sudbury Support Services: Strategic plan for aging Workshop being planned for 2006 North East Committee not yet formed.

North West Ontario NW ADD Committee: Evolved from 2000 Symposium Cross sector training Close ties with academic sector Developing demographic profile

Southwest Regional ADD Committee forming Middlesex Providers Alliance Huron Trillium Partnership (protocols & handbooks) Huron Perth ADD Committee

Hamilton Niagara Halton Peel Coordinated Access Service highly involved Peel Long Term Care Residential Services Project Workshop as catalyst to cross sector planning process

Toronto Toronto developing a committee on aging and developmental disabilities Co-chairs in place

Central East Growing new knowledge through cross sector training events Reformed Training Committee into a Regional ADD Planning Committee Workshop being planned for early 2006

South East New Regional ADD Planning Committee established Workshop being planned for spring 2006

Champlain Ottawa Strong leadership from developmental services coordination network to establish a Regional ADD Planning Committee

New Horizons Cross sector working relationships: Innovation Collaboration System effectiveness

Expanding Options Older adult centres Recreation centres Supportive seniors housing Long Term Care Homes Civic engagement Elderhomes Volunteer work

Quality of Life Assessing present capacity Monitoring health Maintaining social relationships Accessing services and programs Adapting environment Changes to routines Substitute decision-making

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