Isobel Mackenzie, BC Seniors Advocate April 25, 2015
Reflections on Year One
The Face of BC Seniors 56% (459,000) - age % (246,000) - age % (115,000) - age ,000 Seniors in BC (17% of population) Projected to grow to 1.35 million, or 24%, by 2031
Less than 4% of BC seniors live in residential care (3.7%) 1.7% of year olds 16.6% of 85+ year olds Less than 4% of BC seniors receive home support 2.3% of year olds 12.5% of 85+ year olds 20% rent 80% own their home Nearly 2/3 seniors live in urban areas Median income is $24,600 52,000 earn $16,200 or less 11% of seniors are employed The Face of BC Seniors
Role of the Seniors Advocate Health care Personal support Housing Transportation Income support Monitor Analyze Recommend Inform Report
Housing Transportation Fragmentation of services Low incomes Caregiver burnout Multicultural / LGBTQ Ageism Issues for seniors in B.C.
Snapshot of Frail Seniors in B.C.
Three client profiles
Assisted Living & Supportive Living
Yes Home First Target population: ALC awaiting placement Goal Return to the community with enhanced supports and wait for bed Can we do better?
Home First disposition after three months ( ) Total 707 admits from acute care (all RC eligible) 31% - remained at home with home care 26% - deceased: private home care (no service req’d) 28% - proceed to residential care as planned Results from VIHA
Social model of care Focus on competencies not deficiencies Brentwood House pilot showed -Decrease in rate of cognitive decline -Decrease in medication use -Increase in communication and language over the community population Licensed Dementia Housing
Therapy Provision in RC RAI indicatorBCAlbertaOntario Rec’d PT last 7 days11.6%25.2%57.7% Rec’d OT last 7 days8.9%22.2%1.8% Rec’d speech-lang therapy last 7 days 0.2%0.6%0.4% Rec’d rec therapy last 7 days21.8%42.3%6.8%
Next Steps Shift culture Shift resources Align incentives
Questions and Discussion
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