1. Breaking Barriers Forging New Links New vistas in collaboration and innovation

2. Forces At Work Demographic Change Fiscal Constraint System Maturation Aging Boom Service Pressures Collaborative Models

3. Aging Boom Of persons with developmental disabilities: Longevity Dementia Living in the community Aging caregivers

4. Service Pressures More clients Fewer trained staff Attracting / retaining qualified staff Constrained training budgets Risk

5. Collaborative Models Range of activity extends from cooperation to amalgamation The system knows how to engage in innovative / collaborative ventures

6. A New Reality Aging and Developmental Disabilities

7. Front Line Experiences Unexplained Changes in Functioning Incongruence Between Programs Offered and Peoples Needs Confusion, Frustration

8. Finding Direction

9. Ontario Partnership On Aging And Developmental Disabilities OPADD

10. What Is OPADD Trying to Do?

11. Vision That older adults with a developmental disability have the same rights to support and services as all older adults

12. Principles Choice Access Creative options Individualized planning

13. Local Solutions for Local Problems Cross sector linkages at the agency level Participation of planning bodies Agencies retain autonomy Enrich capacity to support people with developmental disabilities as they age

14. What OPADD Has Done Provincial symposium and 4 regional workshops Established a provincial cross sector body to guide Ongoing support to local groups Developing models for transition planning

15. The Next Five Years Building bridges between: Services for older adults Services for people with developmental disabilities

16. Planning Groups Support existing regions and local groups that have initiated collaborative projects Stimulate new cross sector planning groups

17. Information and Education Information exchanges Interactive web site Quarterly E-zine Links with educational institutions to explore shifts in curriculum

18. Expand the Perspective Support national and international conferences on aging and developmental disabilities Winnipeg 2004 Somewhere 2006

19. Policy Inform policy-makers about innovation and gaps in the system Foster informed policy-making that supports realization of our vision and principles

20. Legislative Constraints Innovation requires stepping outside of the silos Dialogue between service providers and policy makers provides a means to explore possibilities

21. Ontario Projects Today Cross Sector: Research Planning Pilot Projects Protocols

22. Stories of Innovation Outcomes = Continuum Aging in place Support adjustments Long term care home

23. North West Ontario NW ADD Committee: Evolved from 2000 Symposium Cross sector training Close ties with academic sector Developing demographic profile

24. South West Ontario CLL home for people w/dementia Middlesex exploring cross sector dialogue Huron Trillium Partnership – protocols & handbooks Exploration of Huron Perth cross sector committee

25. ElderHome Projects Features: Independent living Maintain existing social relationships in the community Provide a unique set of optional and specialized supports Prevent or delay long term care placement

27. GTA GTA working group to become local committee of OPADD in January 2005

28. Central East Ontario CE Cross Sector Training Committee: Growing new knowledge through cross sector training events

29. South East Ontario Strong ties to academic community Meetings January 2005 to explore re-establishment of regional process

30. Champlain Ottawa Strong leadership from developmental services coordinating network to establish a cross sector regional process

31. How Partnerships are Created Necessity is the parent of collaboration

32. The Story of Learning Increased admissions of people with Down Syndrome No two alike Behaviour varied among individuals Wanted to understand what this meant

33. Asked Reena for Information Huge information package shared with medical and nursing staff Invited to workshop an aging and developmental disabilities Joined OPADD Joined the Transition Task Force

34. Cross Sectors Cummer Lodge: Attends care conferences Provides in-home visits Meets with family Reena: Sends staff to tour Cummer Lodge Provides staff support during the transition process

35. Family Barriers Fears of re-institutionalization Aging of family caregivers may limit their capacity for involvement Wait rather than plan in advance crisis

36. Developmental Services Provider Barriers Fears of re-institutionalization Strong bonds with clientele Need to maintain connection with people in the clients support circle

37. Transition Planning Success Factors Done well in advance Involves the clients support circle Addresses feelings of caregivers and clientele Multi-disciplinary approach Ensure plan shaped to clients needs

38. Outcomes Planned transitions -> planned allocation of resources Developmental services can allocate resources to other clientele on their waiting lists Long term care system can provide appropriate support

39. New Horizons Cross sector working relationships Innovation Collaboration System effectiveness

40. The Story Continues