1. The Culture of Aging Philip B. Stafford, Ph.D. Indiana University Improving How We Live and Age A Status Report on Aging in Greater Kansas City May 15, 2012

2. The New Culture of Aging Philip B. Stafford, Ph.D. Indiana University Improving How We Live and Age A Status Report on Aging in Greater Kansas City May 15, 2012

5. Tom Haney

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

8. Not “When is old age?” but “Where is old age?”

9. “I’d like to manage at home as long as I can.”

10. “Home is where, when you get there they’ve got to take you in…” Robert Frost

11. A deep map of home

12. Opal

13. Home as a repository of meaning Home as a financial cushion Home as a power base Home as an aesthetic, reflection of self Home as a practical support Home as a node in a social network Home as a verb, not a noun

14. A Broader Notion of Home House or Apt. Yard Neighborhood Community

15. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective Diagnosis Patient Services The Medicalization of Old Age

18. Milton

20. “Health and disability refer to the balance between personal capability and environmental demand.” …or aspirations. Verbrugge & Jette, 1993

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

22. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute CareReimbursement for Chronic Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective Diagnosis Patient Services

23. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old ageAging as a natural, entropic process Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective Diagnosis Patient Services

24. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Quality of remaining years Disease research Cure Reactive and corrective Diagnosis Patient Services

25. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease researchResearch in basic biology of aging Cure Reactive and corrective Diagnosis Patient Services

26. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research CureCare Reactive and corrective Diagnosis Patient Services

27. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and correctivePreventive Diagnosis Patient Services

28. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective DiagnosisFunction Patient Services

29. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective Diagnosis PatientCommunity member Services

30. Clinical PerspectiveHome and Community Perspective Reimbursement for Acute Care Disease model of old age Longevity and Anti-Aging Medicine Disease research Cure Reactive and corrective Diagnosis Patient ServicesCommunity development

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

35. Accessible bldg. design Shopping w/in close proximity Drugstores, grocery,& hospitals w/in close proximity Recreation opportunities Safe, well-designed sidewalks Complete Streets Design on a human scale Provide choices Mixed-use development Preserve urban centers Vibrant public spaces Protect environmental resources Conserve landscapes Design matters Livable Communities AARP “Livable Communities” AIA “Principles for Livable Communities”

36. ELDER-CENTRIC VILLAGE MOVEMENT Environments for Aging 2011 | March 22, 2011 36 ©2011 Morrison Kattman Menze, Inc.

37. What does it all mean? New housing options, including aging in place New mobility options New choices in health care

38. Housing Transportation Health Care Education Commerce Faith Communities Land Use Planning What will it require?

39. “Participation… provides a collaborative process by which community inhabitants reach common goals, engage in collective decisions, and create places, and these places, in turn, serve as material expressions of their collective efforts.” Feldman, Roberta M. & Westphal, Lynne M. 2000. Sustaining human settlement: A challenge for the new millennium. Great Britain: Urban International Press.

40. Old people everywhere. Christopher Alexander

41. Where do the children play? Yusef Islam (Cat Stevens)

42. Contact information Philip B. Stafford, Ph.D. Director, Center on Aging & Community, Indiana Institute on Disability and Community Indiana University 2853 East Tenth St., Bloomington, IN 47408 812-855-2163 staffor@indiana.edu www.lifetimecommunities.org