1. Housing Options for People with Dementia David Harvey Chief, Public Policy and Program Initiatives Alzheimer Society of Ontario February, 2014

2. Content Why have this discussion? What we have done What we have learned What questions do we have? What questions do you have? Next steps

3. Why have this discussion? Growing demand---255,000 persons will suffer from dementia in 2020 in Canada Limited choices in Canadian housing market Housing as a resource that modifies disability Solutions –prosperity and diversity geographic and cultural

4. Demographic Change Aging Single person households Dementia growth

5. Dementia Prevalence

6. Limited Choices Family home Conventional apartment if in urban area Institutional living – retirement home - Long term care home

7. Housing and Ability PlacePeopleNetworksResources

8. Housing and environs Measure of quality of housing environs – proximity of housing to the things we need Life course perspective – child care, work, school, groceries, leisure, services As we age, if we need services, the interval between the need for services and their availability is a critical measure of adequate housing

9. Prosperity and Diversity Possibility of creating new markets in housing and technology- refurbishing, building new Revitalizing rural areas Reducing institutional need Enabling more diverse options for language and culture Reducing scale can enable mobilization of capital in smaller pools

10. What we have done Literature review Consulting people in the business to gather more information related to the topic Engage people who are interested in the topic to share their opinions – Windsor/Essex Talk to government other organizations to encourage wider discussion

11. Success Elsewhere - In Sweden: 20% (14,000) of people with dementia residing in institutional care lived in group living facilities in 2000. - In Netherlands: almost 25% of nursing home care for older people with dementia is organized in small-scale living facilities in 2010. -In Japan: group homes are increasing rapidly, up to 4775 in 2004.

12. Closer to Home Toronto – Ewart Angus Homes Ottawa – Bruyere Village Ottawa – Perley-Rideau Supportive Housing

13. What is so innovative about it?

14. What we have learned Benefits - Better quality of life - More participation - Greater satisfaction - Higher mobility - More social capacities

15. What we have learned Benefits to families: - Greater acceptance - Easier to integrate into a smaller system - Experience less caregiver’s burden

16. What we have learned Benefits to staff: - Develop more personal relationships - Able to easily customize their care - Greater job satisfaction and work motivation - Slightly lower turnover rate

17. What we have learned Financing support people technology design regulation

18. What questions do we have? Fit with supportive housing or long term care model? Fit with Home Care and Community Services Act or Long Term Care Homes Act? Integrate spouse/partner? Sources of capital to build /renovate? How to encourage private reinvestment? How to bridge housing and service sectors for highneeds individuals ?

19. What questions do you have?

20. Next Steps Continue to gather the information related to the topic (e.g. site visiting) Continue to gain feedback from the people who are interested in the topic Promote the model to government/private organization/non governmental organization

21. Models USA Green House - http://www.13wham.com/mediacenter/local.aspx?videoId =2902207&navCatId=21029USA Green House - http://www.13wham.com/mediacenter/local.aspx?videoId =2902207&navCatId=21029 UK – Abbeyfield House- Brown Field House Cambridge http://www.abbeyfield.com/media/1142681/image_4.jpg Inclusive Housing in an Aging Society Sheile M.Peace, ISBN 1-86134-263-2

22. Contact David Harvey Chief, Public Policy and Program Initiatives Alzheimer Society of Ontario Telephone: 416-847-8908 Email: DHarvey@alzheimeront.org