1. "Aging in Place in Israel" IFA 11 th Global Conference on Ageing 28 May – 1 June 2012 Prague Yitzhak Brick Director-General, JDC-ESHEL Professor of Gerontology – Haifa University

2. Definition- Ageing in Place Old adults continue to live in their home as they age, as long as they are able and wish to do so.

3. General Strategy Aging in Place: Elderly people should continue to live at home and in the community as long as possible. Benefits:  Improves quality of life  Saves expenditures on long term care

4. Why people prefer to live at home? Independence Acquaintance House Keeping Hosting Historical meaning Status Support

5. The challenge Scope Quality Accessibility Information

6. Elderly Population in Israel Estimates for the End of 2009 Israel Total Population 7,552,000 717,200 (96.7%) live in the community 24,400 (3.3%) live in long-term care institutions Source: Central Bureau of Statistics, "Mashav" - National Data Base for the Planning in the Field of Old Age, Meyers-Joint-Brookdale Institute and JDC-ESHEL Elderly 65+ in Israel 741,500 (9.8%)

7. Services in the Community Day care centers Home care Supportive communities Employment and Volunteerism Warm Home programs Health Promotion Long term nursing care law Forien care givers

8. Day Care Centers Personal care services Professional/ paraprofessional services Transportation Hot meals Social and cultural activities Special programs: gardening, computers & pet therapy Special programs for the mentally frail 172 centers – 15,500 beneficiaries (2010)

9. Home Care Long term care law – April 1988 Three levels of care: 9.75 – 16.00 – 18.00 Hours per week 2010 – 144,000 recipients

10. Supportive Communities Community father/mother Emergency call system Doctor’s visits and ambulance Social activities 250 communities – 47,000 members

11. Supportive Communities

12. Volunteering & Employment Elderly volunteers work in health promotion, social and cultural activities, community TV, newspapers, computers program, education and business Employment programs for older new immigrants, seniors’ “malls” and other work opportunities

13. Warm Home Program Weekly meetings of culturally similar elderly Social and cultural activities Social “safety net” for isolated elderly 240 homes-3,200 beneficiaries (2010)

14. Warm home

15. Health Promotion Physical activity programs Prevention programs for frail elderly Dental, vision and hearing care Nutrition programs Health education

17. Prevention and Care Elder Abuse / Neglect Community Intervention Project Hot Line Implementation of Standards in Health Service Manual for Professionals Training of Professionals and Volunteers Research and Evaluation

18. Migrant live-in home care worker 47,000 migrant workers 24 hours of care, 6 days a week Personal care + housekeeping High satisfaction of elderly & families Family continues to be involved Problems: Training, abuse, supervision and abandoning

19. Development of Programs in Israel ServiceProgramsParticipants 1990200919902009 Home care-- 27,684131,266 Supportive Communities 422321042,369 Sheltered Housing701656,17021,315 Day care centers531723,87515,500 Institutional care19240319,04130,233 Number of 65+-- 442,200741,500

20. Rates of Institutionalization 65+BedsInstitutionsYear 4014,9481451985 4319,0411921990 3929,2813922009

21. Conclusion Rapid increase in services for the elderly at home and in the community. No increase in institutional rates. More elderly continue to live at home and in the community