1. Presentation Title AGING CREATIVELY: How Boomers Can keep from Going Bust 2009 UCC General Synod Bryan W. Sickbert CEO - CHHSM

2. 2 Facts 2018: 10,000 people will turn 65 each day 2018: 10,000 people will turn 65 each day People over 85 are the fastest growing age demographic in the US People over 85 are the fastest growing age demographic in the US 89% of Boomers (born between ’46 & ’64) say they want to grow old in their present home 89% of Boomers (born between ’46 & ’64) say they want to grow old in their present home 70% of people spend the rest of their life in the place where they celebrated their 65 th birthday 70% of people spend the rest of their life in the place where they celebrated their 65 th birthday

3. 3 Your Vision for the Last 3 rd of Life Where do you want to live? Where do you want to live? What do you want to do? What do you want to do? How would you like to die? How would you like to die?

4. 4 The Three Plagues of Aging* Loneliness Loneliness Helplessness Helplessness Boredom Boredom * Dr. William Thomas, Founder, The Eden Alternative

5. 5 Preventing the Plagues Self-determination Self-determination Visioning Visioning Planning Planning Minimize the physical, mental and emotional complications of aging. complications of aging.

6. 6 Three Stages of Contemporary Aging Three Stages of Contemporary Aging Early “Retirement”: 60’s-70’s Early “Retirement”: 60’s-70’s Early Aging: 70’s – 80’s Early Aging: 70’s – 80’s Late Aging: ’85 + Late Aging: ’85 +

7. 7 Early Retirement Minimal diminishment Minimal diminishment Continued work or semi-retirement Continued work or semi-retirement Volunteerism Volunteerism Recreation, hobbies, travel Recreation, hobbies, travel Live independently Live independently Caregiver for parents, grandchildren, friends Caregiver for parents, grandchildren, friends Economic lifestyle changes Economic lifestyle changes

8. 8 Stage 1 Planning Factors Stage 1 Planning Factors Visioning – imagine possibilities Visioning – imagine possibilities Healthy lifestyle changes Healthy lifestyle changes Constraints – family issues, finances, health Constraints – family issues, finances, health Values – what is important to continue and what can be left behind Values – what is important to continue and what can be left behind

9. 9 Early Aging Diminished physical and/or mental capacity Diminished physical and/or mental capacity Chronic health ailments and increased healthcare expense Chronic health ailments and increased healthcare expense Mobility issues Mobility issues Grief: “I just can’t do what I used to.” Grief: “I just can’t do what I used to.”

10. 10 Stage 2 Planning Factors Stage 2 Planning Factors Housing/community Housing/community Access/affordability of health care and social services Access/affordability of health care and social services Access to transportation Access to transportation Discover/create new sources of meaning Discover/create new sources of meaning

11. 11 Late Aging Serious diminishment of physical and/or mental capacity with multiple symptoms Serious diminishment of physical and/or mental capacity with multiple symptoms Serious lack of mobility Serious lack of mobility Need for assistance with at least 3 ADL’s Need for assistance with at least 3 ADL’s Social isolation Social isolation Heavy medication regimen, frequent medical appointments/hospitalizations Heavy medication regimen, frequent medical appointments/hospitalizations Recognition by self/others that death is near. Recognition by self/others that death is near. Good planning can forestall the onset and shorten the time spent in the Late Aging Stage

12. 12 Stage 3 Planning Factors Stage 3 Planning Factors Final directives Final directives Financial issues – medical insurance Financial issues – medical insurance Housing: access to services Housing: access to services Family caregiver resources & expectations Family caregiver resources & expectations

13. 13 Trends and Resources Trends and Resources Aging in Place Movement: Aging in Place Movement: “not having to move from one’s present residence in order to secure necessary support services in response to changing need.” Journal of Housing for the Elderly “not having to move from one’s present residence in order to secure necessary support services in response to changing need.” Journal of Housing for the Elderly

14. 14 Trends and Resources NORC: Naturally Occurring Retirement Community NORC: Naturally Occurring Retirement Community Community, neighborhood or single building where residents remain for many years and age as neighbors. Residents organize and/or the market recognizes the opportunity to provide services. 27% of people over 65 live in NORCs. Community, neighborhood or single building where residents remain for many years and age as neighbors. Residents organize and/or the market recognizes the opportunity to provide services. 27% of people over 65 live in NORCs.

15. 15 Trends and Resources Trends and Resources CCRCs: Continuing Care Retirement Communities CCRCs: Continuing Care Retirement Communities Offer a full continuum of services to the aging from independent living units to nursing home care. Offer a full continuum of services to the aging from independent living units to nursing home care.

16. 16 Trends and Resources Trends and Resources Co-Housing: Co-Housing: A planned community or single large residence where residents share a variety of responsibilities and social interactions, including cooking, maintenance, transportation, short term care giving. A planned community or single large residence where residents share a variety of responsibilities and social interactions, including cooking, maintenance, transportation, short term care giving.

17. 17 Trends and Resources Granny Cottages: Granny Cottages: “Second units” added to children’s or even close friends’ or other relatives’ homes that provide independent living. A step away from living “with the kids” that can have advantages for both. “Second units” added to children’s or even close friends’ or other relatives’ homes that provide independent living. A step away from living “with the kids” that can have advantages for both.

18. 18 Trends and Resources Eden Alternative – Green House Project Eden Alternative – Green House Project Changing the culture of long-term care organizations from medically centered institutions to habitats for human beings. Being implemented in existing facilities and the new small scale living environments called Green Houses. Changing the culture of long-term care organizations from medically centered institutions to habitats for human beings. Being implemented in existing facilities and the new small scale living environments called Green Houses.

19. 19 More Information Seniorresource.com (Aging in Place) Seniorresource.com (Aging in Place) AARP.com (general information) AARP.com (general information) Helpguide.org (general information) Helpguide.org (general information) Cohousing.org (cohousing communities) Cohousing.org (cohousing communities) Edenalt.org (Innovative LT care) Edenalt.org (Innovative LT care) Thegreenhouseproject.org (Innovative LTC) Thegreenhouseproject.org (Innovative LTC) AAHSA.org (non-profit communities) AAHSA.org (non-profit communities) CHHSM.org (UCC Communities) CHHSM.org (UCC Communities)