1. HEALTH FOR OLDER ADULTS in ALAMEDA COUNTY Kimi Watkins-Tartt, Deputy Director Alameda County Public Health Department

2. OUR VISION Everyone in Alameda County, no matter where you live, how much money you make, or the color of your skin, has access to the same opportunities to lead a healthy, fulfilling and productive life.

3. Older Adult Voices Crime and Violence Affordable Housing/Maintain housing Transportation Income/Income to meet basic needs Stay in home as they age Included in decisions that impact their lifestyle

4. Older Adult Voices Disrespectful and insensitive providers Accessible and culturally competent healthcare No cost services (i.e., recreational activities, healthcare) Isolation & Loneliness

5. Vision Alameda County, Where Aging Is All About Living

6. Partnership Older Adults Social Services Agency (AAA, IHSS, APS) Health Care Services (Public Health, Behavioral Health) City Planning and Housing Health Plans Community Providers and Advocates

7. DRAFT Goals Develop a community framework for older adults Develop a coordinated approach to designing, delivering and evaluating County programs for older adults Provide long-term services and supports (LTSS) that engage older adults in community settings

8. DRAFT Goals Promote overall wellness with an emphasis on prevention and early access to care Prevent and respond to neglect and abuse Enhance and increase support for access to housing and housing supports

9. ACPHD’s Approach to Achieving Health Equity Community Collaborations & Partnerships Institutional Change Policy & Systems Change HEALTH EQUITY Data and Research Programs Services www.acphd.org /social-and- health-equity www.acphd.org /social-and- health-equity

10. Determinants of Health Criminal Justice Education Access to healthcare Land Use Transportation Income/Economics Housing

11. Transportation & Health Increased regional funding for local transit (esp buses) –Fares –Service lines Focus on transit service quality (wait time and trip experience)

12. Income & Health Healthy Credit Product Affordable loan loss guarantees to encourage local financial institutions to make credit-building, small-dollar loans to residents including older adults

13. Housing & Health Rental Housing – Housing Habitability Work with the cities to change code enforcement Create systems to improve housing conditions, by establishing proactive, scheduled inspections to catch problems before they pose a health risk.

14. Housing & Health Rental Housing – Gentrification & Displacement Just Cause Eviction ordinances Anti-harassment policies Housing Bond

15. Home Visiting Medical/Mental Health/Oral Health Life Skills Social/emotional, Family social support, Residential stability, Financial stability

16. Home Visiting Primary care, Housing, Nutrition EBT, SSI/Medicare, MediCal Transportation, Disease self-management Home health/in-home support Community support

17. Healthy Food Education Residents Parks and Activities Housing Economic Justice We each have a role Childcare Preschool Transpor -tation Policy Makers Jobs Safe Neighbor -hoods Clean Air Medical Care