1. Healthy Community Healthy Aging Dior Hildebrand, RN, PHN Office of Senior Health Los Angeles County Department of Public Health

2. Trends Ageing Population Ageing Population Urbanization Urbanization Increase in multiple chronic diseases Increase in multiple chronic diseases Quality of life Quality of life

3. Vocabulary Overview Built Environment Built Environment Age-Friendly Cities Age-Friendly Cities Aging in Place Aging in Place General Plans General Plans General Plan Elements General Plan Elements Specific Plans Specific Plans

4. SPOT THE OBVIOUS

5. Age – Friendly City Topic Areas Global Age-Friendly Cities: A Guide World Health Organization Age- Friendly City Transportation Housing SocialParticipation Respect Social Inclusion Civic Participation Employment Communication Community Support Health Services Outdoor Spaces Buildings

6. Social Participation Accessibility of Events & Activities Accessibility of Events & Activities –Location –Time –Admission is easy, no membership Affordability Affordability –No hidden costs –Private & public help keep events free for older population Range of Events and Activities Range of Events and Activities –Appeal to diverse population Facilities & Settings of Events Facilities & Settings of Events –Accessible to all ages and abilities Communication of Events Communication of Events –Includes multiple mediums –Information about accessibility & transportation options Addressing Isolation Addressing Isolation –Personal invitations –Easy to attend

7. SPOT THE OBVIOUS

8. Social Inclusion Respectful & Inclusive Services Respectful & Inclusive Services –When developing an intervention, activity or service for this population…ask them –Courteous staff that WANT to be around the aging population Public Image of Aging Public Image of Aging –Be aware of public imagine that depicts aging stereotypes Economic Inclusion Economic Inclusion Community Inclusion Community Inclusion –Aging population is purposefully included in decision making Public Education Public Education –Provide opportunities to be involved in education –Provide opportunities to engage in lifelong learning Intergenerational & Family Interactions Intergenerational & Family Interactions –Family activities are planned with the aging population in mind, not just children. –Activities bring together generations

9. SPOT THE OBVIOUS

10. Civic Partnership & Employment Volunteer Options Volunteer Options –A range of options –Training provided –Utilize volunteer opportunities for life long learning Employment Options Employment Options –A rage of opportunities –Retirement is a choice not mandatory –Utilize institutional knowledge Training Training Accessibility Accessibility –Flexibility, Time, Location, Transportation

11. Communication & Information Oral Communication Oral Communication –No jargon or slang –Information announced at public meetings, clubs or other forms of “viral” communication that are accessible to the aging community. Printed Communication Printed Communication –Various forms utilized in various languages –Large lettering Plain language Plain language Computers & Internet Computers & Internet –More users in the aging community –Consider their social sites

12. SPOT THE OBVIOUS

13. Community Support & Health Services Service Accessibility Service Accessibility –A range of health and social services are provided –Services are accessible Time, Location, Transportation Time, Location, Transportation –Services are what the population want and need –Services are affordable –Service facilities are safe, visible, and accessible Emergency Planning Emergency Planning –Includes aging population of all abilities and health –Includes aging population in planning process –Provides opportunities for aging population to be a part of the rescuers… not just the rescued

14. WHAT IS THIS?

15. SPOT THE OBVIOUS

16. Housing Affordability Affordability Services Services –Close in proximity –Available –All levels of services Design Design –Cognizant of weather extremes –Surfaces and passage ways are designed for all levels of ability –Modifications for all levels of abilities Maintenance Maintenance –Services are available and affordable –Programs are in place to assist residents when in need of additional help Aging in Place Aging in Place

17. Aging in Place Designs No step entry ways to buildings Elevated toilet with grip bar Knee room & lowered counter tops

18. Aging in Place Designs Electrical outlets at 18 inches instead of 12 Electrical outlets at 18 inches instead of 12 Light switches at 42" instead of 48 Light switches at 42" instead of 48 Light switches reachable from the door Light switches reachable from the door Lower window sills especially for windows on the street Lower window sills especially for windows on the street Contrast colors between floor and walls Contrast colors between floor and walls Color borders around floor and counter-top edges Color borders around floor and counter-top edges Non skid flooring Non skid flooring Peep hole at a low height Peep hole at a low height Levered door handles instead of knobs Levered door handles instead of knobs Room for side by side refrigerator Room for side by side refrigerator

19. Transportation Availability Availability –Door to door Affordability Affordability –Rates should be consistent and posted –Affordable parking for private vehicles Reliability Reliability Frequency Frequency Destinations Destinations –Consider destinations to health centers, hospitals, grocery stores, parks, banks –Consider easy ability to go to destinations between cities –Stops are located close to destinations Age Friendly Vehicles Age Friendly Vehicles –Specialized services for people with varying abilities –Vehicles that have clear signage, lower steps, higher seats Safety Safety –Stops have benches and shelter –Easy to read instructions and signage –Refresher and safety driving courses –Safe, well light parking garages

20. SPOT THE OBVIOUS

22. Outdoor Spaces and Buildings Pedestrian & bike friendly streets Pedestrian & bike friendly streets Smooth surfaces Smooth surfaces Public toilets Public toilets Seating – protected from the environment Seating – protected from the environment Services are clustered Services are clustered Adequate signage Adequate signage Enforcement of traffic laws regarding pedestrians & bikes Enforcement of traffic laws regarding pedestrians & bikes Visible police & safety officials Visible police & safety officials Low steps into buildings with railings Low steps into buildings with railings Sidewalks wide enough to accommodate wheelchairs Sidewalks wide enough to accommodate wheelchairs Traffic islands Traffic islands Adequate timing for crosswalks Adequate timing for crosswalks Sufficient lighting Sufficient lighting

23. Outdoor Spaces and Buildings Outdoor Falls Outdoor Falls Loss of Physical Function Loss of Physical Function Health Behaviors/Obesity Health Behaviors/Obesity Control of Chronic Disease Control of Chronic Disease

24. SPOT THE OBVIOUS

25. Foothill Avenue at Oro Vista Avenue Los Angeles, Sunland, 91042 Observation date and time: April 9, 2008, 10:00 a.m. to 11:00 a.m. Crosswalk: Crossing Foothill Avenue (south) at Oro Vista Avenue Neighborhood type: Commercial, borders residential areas Local infrastructure: Pharmacy, dry cleaners, restaurants, grocery stores Distance to nearest bus stop: 3 feet (Metro 90, 91, 169, 290) Other information: Park two blocks west, senior housing two blocks west on Foothill Blvd., many apartment complexes to the west along Foothill Blvd. Facing forward Looking left

26. Foothill Avenue at Oro Vista Avenue Minimum Walking Speeds Condition Transit Distance Curb-to-curb (77 feet) Curb to middle of last traffic lane (71 feet) Green traffic light 3.67 feet per second 3.09 feet per second Countdown timer only 4.81 feet per second 4.44 feet per second Curb-to-curb distance covered at 2.8 fps during green traffic light Curb-to-curb distance covered at 2.8 fps during countdown timer only Percent 025 5075 100 Minimum walking speeds exceeding 2.8 fps are shown in red.

27. SPOT THE OBVIOUS

28. FIX THE OBVIOUS

29. Lucy Bullard SPOT THE OBVIOUS

30. FIX THE OBVIOUS

31. Roles for Public Health Influencing Community Health  Provide a health perspective in planning decisions  Provide health data to support healthy, livable community projects  Assist with community assessments

32. INFLUENCE  Empower/mobilize grassroots coalitions  Professional life & PERSONAL LIFE  Use & teach health messaging techniques  NEVER underestimate the power of a personal connection or story!

33. Thank You!  Q&A