Funders Regional Roundtable Sept. 21, 2009, New Albany, Indiana Philip B. Stafford, Ph.D. Center on Aging & Community, Indiana University

By the year 2010, almost half of all women will be at least 50 years old. Source: Age Wave

The first of 77 million baby-boomers will turn 65 in Source: Age Wave

Indiana NNORC’s (naturally occurring retirement communities) South Bend Gary Indianapolis Linton Huntington

County% growth in general pop % growth in the 65+ pop Harrison Floyd Clark Scott Jefferson Switzerland Ohio Dearborn Ripley4.627 Crawford Orange Washington3.087 Lawrence Jackson Jennings Decatur Bartholomew Negligible growth/Rapid 65+ Rapid growth (*) / Equivalent 65+ Rapid growth/ Even more rapid 64+ Modest growth / Even more rapid 65+

Aging is not about time and the body, but about relationships… and the meaning of place.

“Community is the smallest unit of health.” Wendell Berry, Health is Membership In Another Turn of the Crank

Our work should help create good places to grow up and grow old… livable, lifespan communities

Indiana Partnerships for Lifespan Communities The first application of the AdvantAge Initiative on a statewide basis Three year Administration on Aging Planning Demonstration Site “…a comprehensive, participatory, and data driven initiative to create good places to grow up and grow old in Indiana.”

AdvantAge Initiative Tool Components  Elder-Friendly Community Framework  33 indicators of elder-friendliness  Consumer survey  Technical assistance

AdvantAge Initiative Survey Conducted in: 10 pilot communities:  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  Grand Rapids, MI  Contra Costa County, CA  Parsippany, NJ  Newaygo County, MI  State of Indiana  El Paso County, TX  Chinatown, NY  14 grantee-communities of the Robert Wood Johnson Foundation Community Partnerships for Older Adults program (CPOA)

Percentage of people age 60+ who want to remain in their current residence and are confident they will be able to afford to do so Unweighted N=4,272 Weighted N=918,078 Unweighted N=4,509 Weighted N=973,489 Disagree 5% Agree* 94% Very Confident 61% Not Very Confident** 39% Neither/ DK/RF 1% We asked respondents whether they agree or disagree with the following statement: “What I’d really like to do is stay in my current residence for as long as possible.” For people who answered “agree” we calculated the percentage of adults age 60+ who were very confident/not very confident that they will be able to afford to live in their current residence for as long as they would like. *Agree includes those who said Strongly agree or Somewhat agree. **Not Very Confident includes those who said Somewhat confident, Not too confident, Not confident at all, Don’t know, or Refused. Figure 2.1, Indiana § Note: Percentages may not add up to 100% due to rounding and/or missing information. Source: AdvantAge Initiative Community Survey in Indiana 2008 § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in Area 15=45% #1

Percentage of people age 60+ who do not know whom to call if they need information about services in their community* Unweighted N=4,509 Weighted N=973,489 Note: Percentages may not add up to 100% due to rounding and/or missing information. Figure 8.1, Indiana § *People were asked to indicate the best resource, such as a person or an organization, in their city, town, or county to get information on various services. Do Not Know Whom to Call 25% Family/ Neighbors City/County/ Office of Aging/ Social Services/ Other Agency 27% Church/Synagogue 3% Other Internet/Phone Book/ Other Media 2% Senior Center 12% Source: AdvantAge Initiative Community Survey in Indiana % Medical Center/Health Professional 16% 10% § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in Area 12= 17% (lowest in state) Area 14= 35% (highest in state)

Percentage of people age 60+ who thought they needed the help of a health care professional because they felt depressed or anxious and have not seen one (for those symptoms)* Unweighted N=317 Weighted N=72,242 Unweighted N=4,509 Weighted N=973,489 7% Has seen a health professional 70% Has not seen a health professional 30% Did not need professional help 92% Figure 12.1, Indiana § Note: Percentages may not add up to 100% due to rounding and/or missing information. *People were asked whether in the past year, there was a time when they thought they needed the help of a health professional or a counselor because they felt depressed or anxious. *People who answered “yes” were asked whether they obtained the professional help or counseling they thought they needed. Source: AdvantAge Initiative Community Survey in Indiana 2008 Needed professional help § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in DK/RF 1% Area 11=53% (#1)

Percentage of people age 69+ who participate in regular leisure time activity* Unweighted N=4,509 Weighted N=973,489 Note: Percentages may not add up to 100% due to rounding and/or missing information. Figure 15.1, Indiana § *“Regular leisure time activity” is defined as 1) light or moderate activity that causes light sweating or a light to moderate increase in breathing or heart rate and occurs five or more times per week for at least 30 minutes each time, and/or 2) vigorous activity that causes heavy sweating or large increases in breathing or heart rate and occurs three or more times per week for at least 20 minutes each time. People who engage in other combinations of the two types of physical activities described above are included in the category “some activity.” Those who are unable to or do not engage or seldom engage in physical activity are included in the category “no activity.” No activity 33% Regular leisure time activity 48% Some activity 19% Source: AdvantAge Initiative Community Survey in Indiana 2008 § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in DK/RF 1% 12= 29% (#1) Area 15= 25% (#1) - potential

Percentage of people age 60+ who participate in volunteer work* Do not participate in volunteer work 61% Participate in volunteer work 39% Unweighted N=4,509 Weighted N=973,489 Note: Percentages may not add up to 100% due to rounding and/or missing information. Figure 31.1, Indiana § *People were asked if they do volunteer work and if so what type of volunteer work they do. Source: AdvantAge Initiative Community Survey in Indiana 2008 § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in DK/RF <1% ‡ ‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution. Area 12=48% (#1)

Percentage of people age 60+ who would like to be working for pay* Unweighted N=3,254 Weighted N=708,611 Unweighted N=4,509 Weighted N=973,489 Not working 73% Would not like to work for pay 75% Figure 33.1, Indiana § Note: Percentages may not add up to 100% due to rounding and/or missing information. *People were asked what their current employment status is. *People who were not working were asked whether they would like to be working for pay. Working part time 13% 23% Source: AdvantAge Initiative Community Survey in Indiana 2008 Working full time 14% Would like to work for pay § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in DK/RF 2% DK/RF <1% ‡ ‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution. Area 15=30% (#1)

Mammogram 1 Among Women Aged 65 and Older Huntington NNORC 3,6 Area 3 3,5 Indiana 3,4 National 2 1 The AdvantAge Initiative survey refers to mammogram in the past 12 months. National figure refers to mammogram in the past 2 years (data for 2005). 4 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=1,786; Weighted N=423,327). 2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March Area 3 includes Adams, Allen, De Kalb, Huntington, Lagrange, Noble, Steuben, Wells, and Whitley Counties (Unweighted N=109; Weighted N=43,306). 6 Unweighted N=45; Weighted N= AdvantAge Initiative Community Survey in Indiana, 2008 Area 15

Percentage of householders age 60+ in housing units with home modification needs* Unweighted N=667 Weighted N=147,283 Unweighted N=4,509 Weighted N=973,489 One or more modification needed 15% No modifications needed 85% Planning to modify 79% Not planning to modify *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. *People who said that their homes need modification were asked if they plan to make the change over the next five years. Figure 3.1, Indiana § Note: Percentages may not add up to 100% due to rounding and/or missing information. 17% 4% DK/RF Source: AdvantAge Initiative Community Survey in Indiana 2008 § Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in =90% (#1) 14=69% (#15) Area 14 17%= 6927

Type of modification needed Cosmetic/minor repairs Medical emergency response system Bathroom modification Structural changes/ major repairs Better cooling in the summer Fix problem with insects/rodents Accommodations for disabilities Other Better heating in the winter Figure 3.2, Indiana-Area 14 § Unweighted N=302 Weighted N=41,845 Source: AdvantAge Initiative Community Survey in Indiana 2008 § Area 14 includes Clark, Floyd, Harrison & Scott Counties. ‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution. ‡ ‡ ‡ ‡ ‡ <1%

# with bathroom modification need # planning to modify # not planning to modify Can’t afford it Average cost of bathroom modification Cost x total needAnnual over five years $500$295,000$59, % = $64,900/4 =$16,225 Safe Bath Program

Active and Contributing! 85% voted in last election 37% contacted an elected representative 89% made donation of goods or services to charity 22% provide help to frail or disabled friend and family 7% live with grandchildren 23% non-working would like to work for pay 39% participated in volunteer work 81% report good to excellent health 48% engage in regular physical activity 88% engaged in at least one social, religious or cultural activity last week

Next Steps Area plans feed into 2010 state plan New partnerships: Indiana Grantmakers Alliance Indiana Chamber of Commerce WFYI / State Policymakers Communities for Life New national tools: Educational modules Social marketing Evaluation

Contact Information Philip B. Stafford, Ph.D. Director, Center on Aging and Community, Indiana Institute on Disability & Community 2853 East Tenth, Bloomington, IN, (812) National AdvantAge Initiative Mia Oberlink Center for Home Care Policy and Research 107 East 70 th, New York, New York