1. Isobel Mackenzie, BC Seniors Advocate April 25, 2015

2. Reflections on Year One

3. The Face of BC Seniors 56% (459,000) - age 65-74 30% (246,000) - age 75-84 14% (115,000) - age 85+ 820,000 Seniors in BC (17% of population) Projected to grow to 1.35 million, or 24%, by 2031

4. Less than 4% of BC seniors live in residential care (3.7%) 1.7% of 65-84 year olds 16.6% of 85+ year olds Less than 4% of BC seniors receive home support 2.3% of 65-84 year olds 12.5% of 85+ year olds 20% rent 80% own their home Nearly 2/3 seniors live in urban areas Median income is $24,600 52,000 earn $16,200 or less 11% of seniors are employed The Face of BC Seniors

5. Role of the Seniors Advocate Health care Personal support Housing Transportation Income support Monitor Analyze Recommend Inform Report

6. Housing Transportation Fragmentation of services Low incomes Caregiver burnout Multicultural / LGBTQ Ageism Issues for seniors in B.C.

7. Snapshot of Frail Seniors in B.C.

9. Three client profiles

10. Assisted Living & Supportive Living

11. Yes Home First Target population: ALC awaiting placement Goal Return to the community with enhanced supports and wait for bed Can we do better?

12. Home First disposition after three months (2012-2014) Total 707 admits from acute care (all RC eligible) 31% - remained at home with home care 26% - deceased: private home care (no service req’d) 28% - proceed to residential care as planned Results from VIHA

13. Social model of care Focus on competencies not deficiencies Brentwood House pilot showed -Decrease in rate of cognitive decline -Decrease in medication use -Increase in communication and language over the community population Licensed Dementia Housing

14. Therapy Provision in RC RAI indicatorBCAlbertaOntario Rec’d PT last 7 days11.6%25.2%57.7% Rec’d OT last 7 days8.9%22.2%1.8% Rec’d speech-lang therapy last 7 days 0.2%0.6%0.4% Rec’d rec therapy last 7 days21.8%42.3%6.8%

15. Next Steps Shift culture Shift resources Align incentives

16. Questions and Discussion

17. Contact www.seniorsadvocatebc.ca Toll-free 1-877-952-3181 In Victoria: 250-952-3181 Open Monday to Friday, 8:30-4:30 Translation services available in more than 180 languages. info@seniorsadvocatebc.ca