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WELCOME!!
City of Hamilton
SENIORS’ ADVISORY COMMITTEE
FINAL REPORT
DECEMBER 1, 2006
OUR GOALS TODAY
• OUTLINE KEY ISSUES FOR HAMILTON SENIORS
• EXPLORE POSSIBILITIES• REVIEW COMMITTEE
PROGRESS • RECOMMENDATIONS
PREPARING FOR THE FUTURE
OUR ROLE
• A CREDIBLE LINK BETWEEN HAMILTON SENIORS AND CITY COUNCIL
• A FORUM FOR CONSUMERS AND DELIVERERS OF CITY SERVICES
• A SOUNDING BOARD FOR SENIORS ISSUES AND POLICIES
OUR PROCESS •PRESENTATIONS :
•CITY OF HAMILTON COUNCIL & STAFF
•LOCAL MPs and MPPs
•CORRESPONDENCE :
•CITY OF HAMILTON COUNCIL AND STAFF
•MINISTRY OF HEALTH & LONG TERM CARE
•DELEGATIONS FROM:
•CHINESE COMMUNITY
•AFRO-CANADIAN CARIBBIAN ASSOC.
•VIETNAMESE COMMUNITY
THE SENIORS POPULATION• STATUS
– INCREASING
– CHANGING DEMANDS
– CULTURAL SHIFTS
• IMPACT– SOCIAL ASSISTANCE
– HOUSING
– HEALTH
– TRANSPORTATION
THE SENIORS ARE HERE...
55-64 YEARS 65-74 YEARS 75 AND OVER
CANADA 14.69% 14.1% 20.1%
ONTARIO 12.6% 12.4% 17.7%
HAMILTON 17.7% 20.9% 28.9%
…TIME TO START PLANNING !!!
OUR GREY HAIR IS BECOMING WHITE!
Age Group 2001 2006 2011
55-64 44,935 46,866 48,740
65-69 19,365 20,197 21,004
70-74 18,555 19,352 20,126
75-79 16,060 16,750 17,420
80-84 8,160 8,510 8,850
85+ 6,040 6,275 6,526
113,115 117,950 122,036
BY 2021….
ONE IN FOUR HAMILTONIANS WILL BE A
SENIOR
WILL WE BE READY????
HAMILTON TODAY
AS MANY SENIORS SEE IT
THE BASICS
A HOME
AN INCOME OUR HEALTH
MOBILITY!
FIRST
AN INCOME
WHERE DO SENIORS’ GET THEIR MONEY??
• PRIVATE PENSIONS
• PERSONAL FUNDS
• OLD AGE SECURITY (OAS)
• INCOME SUPPORT (GIS / GAINS)
• CANADA PENSION PLAN
I WISH!!!
HMMMM...
WITH OAS, GIS and GAINS THEY GET...
SINGLE PERSON
$13,385.40/Year
COUPLE
$22,079.28/Year
… IT IS REALLY A LIFE OF POVERTY!!
OAS and CPP IS BETTER,
• SINGLE $15,602
• COUPLE $31,212
BUT, NOT ALL SENIORS ARE ELIGIBLE FOR CPP!!!
WHERE DOES THE MONEY GO?
JUST THE BASICS!
OUR ‘LOW INCOME’ SENIORS
SENIORS 65 TO 74 YEARS ANNUAL INCOME
7,720 HAMILTONIANS $12,509
SENIORS 75 AND OVER ANNUAL INCOME
8,350 HAMILTONIANS $13,887
CAUGHT IN A COST SQUEEZE...
AVAILABLE CASH
UNCONTROLLABLE COSTS
INCOME
CPI ADJUSTED INCOME
COPING WITH INFLATION
TAXESUTILITIESTRANSPORTATION
SHELTERFOODHEALTH
DRUGS
TIME
COPING MEANS….
..TAKING THINGS OFF THE TABLE!!
FIRST TO GO…IS FUN
FINALLY- IT’S FOOD
THEN…ITS HEALTH
NEXT…WE DOWNSIZE
SAD NEWS…..
• HAMILTON HAS 12.8% MORE SENIORS LIVING BELOW THE POVERTY LINE THAN IN 2004
• MORE SENIORS ARE BECOMING HOMELESS
• AND, THE NUMBER OF SENIORS INCREASES EVERYDAY!
‘WE REALLY HAVEN’T GOT THIS UNDER
CONTROL’
‘INCOME’
ARE SERIOUS SENIOR’S ISSUES!
PLUS
‘NUMBERS’
SECONDLY,
OUR HEALTH
HEALTH AND AGE GO TOGETHER
0
10
20
30
40
50
60
70
80
55-64 65-74 75-84 85+
IN A STEADY DECLINE!!
RATES OF CHRONIC CONDITIONS
0
10
20
30
40
50
60
ARTHRITIS
ASTHMA
CARDIO
DIABETES
45-64 65-74 75+
PERCENT
HAMILTON’S RATES FOR ARTHRITIS AND CARDIO DISEASE IS HIGHEST IN ONTARIO
THE INCOME - HEALTH CONNECTION
• LIMITED ACCESS TO ‘THE NECESSITIES’– HEALTHY FOOD
– DECENT HOUSING
– SOCIAL AND FITNESS ACTIVITIES PROMOTING GOOD HEALTH
• SOCIO-ECONOMIC EXCLUSION– POOR COPING CAPACITY
– LOWER IMMUNE FUNCTION
– HIGHER STRESS RESPONSE HI LO
INCOME
HI
LO
HEALTH
ONTARIO DRUG BENEFIT PROGRAM
• Single seniors with an annual income of $16,018, or senior couples with annual incomes of $24,175 are required to pay a $100.00 deductible fee
•Other potential costs:
•Dispensing fees
•Non listed drug charges
•Drug substitution fees
ASSISTIVE DEVICES PROGRAM
• ONLY 75% COVERED FOR SENIORS
• REPAIR COSTS BORNE BY THE SENIOR
•WHEEL CHAIR AND WALKER TIE DOWNS REQUIRED BY DARTS ARE NOT AN APPROVED SAFETY FEATURE
‘IT’S JUST MORE MONEY…I DON’T HAVE
$$$$
SURE... I NEED THEM, BUT WHAT WILL THEY COST?
ARE THESE COVERED?
HOW ABOUT HEARING AIDS? EH?
PROSTHETICS?GLASSES?
FAMILY HEALTH TEAMS • RESTRICT PATIENTS
– PREVENT USE OF ‘WALK IN’ CLINICS
– CAN’T SEE ANOTHER DOCTOR
• LEAD TO CROWDING IN EMERGENCY ROOMS– PATIENTS MUST GO TO
EMERGENCY ROOMS WHEN DOCTORS UNAVAILABLE
• INCREASED COSTS– AMBULANCE, OPT, TAXI, BUS
ARE NOT FOR EVERYONE!!
HMMMM
CONTINUITY AND THE ‘ER’
HOW MANY SENIORS ARE VICTUMS OF AGEISM?
‘I don’t have a family doctor. They say I’m too
old, too much bother..’
‘Does your family doctor ….
HOME SUPPORT IS CURRENTLY CAPPED...
‘SORRY, WE’D LIKE TO HELP, BUT YOU’LL
HAVE TO WAIT UNTIL WE HAVE AN OPENING.
WOULD YOU LIKE TO CONSIDER LONG TERM
CARE?’
A LHINS OPPORTUNITY??
DIGNITY
INDEPENDENCE
HOME CARE
SELF CARE
ISOLATION
DEPRESSION
INTERACTION
ILLNESS
LONELINESS
FRIENDS
I DIDN’T KNOW...
“LIFE IS A SLIPPERY SLOPE”
GOOD HEALTH
• FUNCTIONAL HEALTH• INDEPENDENCE IN DAILY
LIVING• POSITIVE SELF IMAGE OF
HEALTH:– PHYSICAL
– MENTAL
– EMOTIONAL
• SOCIALLY INTEGRATED• NON DISCRIMINATORY
TREATMENT
MAKING THE BEST OF TIME
HEALTHY LIVING FOR SENIORS
•EXERCISE FREQUENTLY
•DRINK ALCOHOL MODERATELY
•MAINTAIN NORMAL WEIGHT (BMI)
•EAT FRUIT & VEGGIES OFTEN
•DON’T SMOKE
•REDUCE STRESS LEVELS
•STAY SOCIALLY CONNECTED ‘HEALTH STARTS WITH YOU’
THIRD,
A HOME
IT’S BETTER TO AGE AT HOME...
BUT, OFTEN SENIORS MUST MOVE!
SOME HAVE CHOICES…THEY CAN AGE...
• IN THEIR HOME
• IN GEARED TO INCOME
• WITH THEIR CHILDREN
• IN ASSISTED LIVING
• IN A RETIRMENT HOME
• OR, WITHOUT A HOME
OTHERS DO NOT!!!
A HOME HAS THREE ‘A’s’
• AVAILABILITY
• AFFORDABILITY
• ACCESSIBILITY
A PLACE TO BE…. ME!!
AND, ONE BIG ‘S’
AVAILABILITY
• WHAT’S OUT THERE?– STUDIOS?
– APARTMENTS?
– FLATS AND ROOMS?
• WHO’S ELIGIBILE?– COST?
• WHERE ARE THEY?– NEAR THE HOSPITAL?
• WHEN WILL IT BE AVAILABLE?
‘MAYBE IT’S TIME TO…THINK ABOUT ....’
AFFORDABILITY IS A CHALLENGE
• BETTER STAY HERE• SMALL APARTMENT• GEARED TO INCOME• SHARED HOUSING • RETIREMENT HOMES• ASSISTED LIVING• LONG TERM CARE
‘WOW….LOOK WHAT THEY WANT FOR ……...
ACCESSIBILITY• WHEEL CHAIR
– ENTRANCES
– ELEVATORS
– KITCHENS
– WASHROOMS
• TRANSPORTATION– AVAILABILITY
• SUPPORT SYSTEMS– SUPPORT SYSTEMS
– MEDICAL, HOME CARE
– FAMILY and FRIENDS
‘WE’RE NOT ALL OLYMPIC
ATHLETES!!’
THE BIG ‘S’ WORD…..
• SAFE ON THE STREET– POLICING
– EDUCATION
• SAFE ENTRIES – ENTRANCES
– HALLWAYS
• SAFE IN THEIR HOME– SECURE DOORS AND
ALARMS
– CHECK SYSTEMS
SAFETY IS FEELING SAFE AND SECURE
THE IRONY OF LONG LISTS….
...EMPTY SPACES
‘LOCATION,LOCATION,LOCATION
THE FINAL PILLAR
GETTING ‘THERE’
MOBILITY
FROM HERE
TO
THERE!!
TRANSFER
GETTING AROUND...
IS A REAL CHALLENGE FOR MANY SENIORS
HSR DARTS
BLUE
GO
THREE ON THE MOUNTAIN
FIVE DOWNTOWN
IT’S ABOUT TIME TOO...FROM: WINONA & HWY 8
TRANSFERS TIME
TO: HENDERSON HOSPITAL
HSR 3 2:00
CAR (HSR ROUTE) 0 :45
CAR (DIRECT ROUTE) 0 :20
BY
...AND WE DON’T HAVE MUCH LEFT!
TERMINALS AND NODES
THE ‘LINC’
WEST END CENTRAL EAST END
THE LINCEASTWEST
ESCARPMENT
LEAD TO FASTER SERVICE AND IMPROVING FEEDERS FOR SENIORS
NODAL SERVICES• REDUCE BUS
WEAR AND TEAR • COMFORTABLE
TRANSFER AREAS• CREATE ‘KISS &
RIDE’ CENTRES• PROMOTE
RIDERSHIP
BUS IT…..WITH HSR!!
HSR
MAKING LIFE EASIER
INTERLOCKING SYSTEMS
‘LOWER’ HAMILTON
‘UPPER’ HAMILTON
INTERCONNECT
BUSES
HSR
IMPROVE SYSTEM
REDUCE BUS WEAR
ALONG WITH….
• FREE OFF PEAK TRAVEL FOR SENIORS
• FIXED RATES FOR SENIORS’ PASSES
• RETAIN TAXI SCRIP RATES FOR SENIORS LET’S HAVE A SENIORS’
REWARDS PROGRAM!
….TO HELP THEM GET THERE!
HERE COMES DARTS!!
DARTS
ANOTHER POINT!
ONE CALL DOES ALL
SCHEDULING
DISPATCH
CALL CENTRE
DISPATCHPICK UP
AND
RETURN
REQUEST
REQUEST
…AND FEEDBACK WILL HELP THE SYSTEM IMPROVE!
MIXED FLEETS FOR MIXED NEEDS
• VANS FOR THE ‘MOBILE’ ELDERLY
•DARTS BUSES FOR THE ‘IMMOBILE’ ELDERLY AND ASSISTIVE DEVICES USERS
DARTS
HSR
GRADUATED TAXI SCRIP
• SENIORS WITH ADVANCED CHRONIC DISEASE
• FRAIL AND ELDERLY SENIORS
• FROM HOME TO DESTINATION AND RETURN
… IS A SOLUTION FOR PRE APPROVED SENIORS
INCREASING THE HSR SERVICE & RIDERSHIP
•CONVENIENCE…..SCHEDULING
•COMFORT….GETTING ON AND OFF
•COST….VALUE FOR MONEY
HSR
INDEPENDENCE FOR SENIOR DRIVERS
• TRAINING– 55 ALIVE AT 65, AND 75
– MINISTRY OF TRANSPORTATION AT 80
• TESTING– LOCATION
– SCHEDULING
• LICENSING– GRADUATED LICENCES
‘FIRST TIME IN 53 YEARS YOU’VE HAD AN ACCIDENT EH, WELL .. YOU’LL HAVE TO HAVE A TEST!’
ABOUT SENIORS DRIVERS IN ONTARIO…..
• LESS ACCIDENTS
• LESS INSURANCE
• LESS DISTRACTIONS
• LESS ROAD RAGE
Ministry of Transport Stats
AGE DISCRIMINATION IS DISCRIMINATION
• “Re-examination Required:• “...for a licensed driver aged 70 years or over who has
been involved in one or more collisions and there is some indication of improper driver action.”
VERSUS DRIVERS 16 TO 69 YEARS• “...for a licensed driver involved in 3 or more
collisions within two years….” a test may be required.
WHY NOT TEST EVERYONE WHO HAS AN ACCIDENT?
TRANSPORTATION GOALS•CREATE TIGHTLY KNIT NETWORKS
•MIX FLEETS FOR EFFECTIVENESS
•FOCUS ON ‘JOURNEY TIME’
•DECREASING SENIORS’ COST WILL INCREASE RIDERSHIP
•CREATING A NODAL SERVICE WILL REDUCE COMMUTERISM
•PROMOTE USE OF ‘OFF HOURS’ BY REDUCING FARES
‘BUILDING INDEPENDENCE THROUGH COST EFFECTIVE HSR SERVICES!!
THE NEED FOR MOBILIY
IS CRITICAL FOR SENIORS
OUR PROGRESS 2003-2006
‘NEVER ENOUGH…. AND NEVER QUITTING!’
HEALTH ISSUES
OHIP PREMIUMS
Impact on Seniors Income
OHIP DE-LISTING
Loss of Chiropractic Care
Limitations on Physiotherapy
Eye Care for 55-65 Age Bracket
Impact on ERs and Consistency of Care for Seniors
IMPACT OF ONTARIO DISABILITY ACT ON SENIORS
MULTI CULTURAL SERVICES
HEALTHY SENIORS NEED•COMMUNITY SUPPORT
•EDUCATION PROGRAMS
•OLDER ADULT CENTRES
GOOD NUTRITION
SMOKING CESSATION
HOME CARE ACCESS
FITNESS ACTIVITY
SOCIAL
SAFETY AND SECURITY
•DOWNTOWN SURVEILANCE CAMERAS
•THEFT, SCAMS AND FRAUDS
•FIRE AND SAFETY
•ELDER ABUSE
•PHYSICAL, PSYCHOLOGICAL, AND FINANCIAL
INCOME ISSUES
•IMPACT OF MUNICIPAL POLICY ON SENIORS
•RESIDENTIAL TAX DEFERRAL PLAN
•REBATES FOR APARTMENT DWELLERS
•SENIORS’ BUS PASSES“HOW MUCH??”
HOUSING ISSUES
• HOMELESSNESS• AFFORDABLE HOUSING• MIXED AGE HOUSING• SAFETY• SUPPORTDRUMMING IT UP
FOR SENIORS
TRANSPORTATION
• LOW FLOOR RAMP BUSES• DARTS SERVICES• ATS APPEAL SYSTEM• TRAFFIC LIGHTS• DRIVER TRAINING• SENIORS REWARD PLAN• SNOW REMOVAL
PUTTING IT ALL TOGETHER
FOR TOMORROW’S SENIORS!
•A SUITABLE INCOME
•A PLACE TO CALL HOME
•HEALTH CARE
•MOBILITY
ON A FOUNDATION OF SAFETY
HAMILTON SENIORS
THAT THING CALLED AGE
•AT 15... WE CAN’T WAIT UNTIL WE’RE 16 TO DRIVE
•AT 17... WE CAN’T WAIT UNTIL WE’RE 19 TO DRINK
•AT 20... WE CAN’T WAIT UNTIL WE’RE 21 TO BE ‘FREE’
•THEN IT’S 29…AND ‘BOOMERANG TIME!’
AND IT’S ALL DOWN HILL!!
AGEISM IS A ‘SOCIAL CONSTRUCT’
• NEGATIVE STEREOTYPES– ‘AT 65... THEY ARE TIRED,
SICK,AND CAN’T DRIVE!’
– ‘AT 70... THEY START TO LIMP, DROOL, AND WATCH TV!’
– ‘AT 75... THEY CAN’T HEAR, OR REMEMBER ANYTHING!!’
• NEGATIVE ATTITUDES– ‘THEY’RE ALL A BIT DOZEY’
WE HAVE CREATED!!!
I’M SUPPOSED TO.’.
‘NOW LET’S SEE...
THE ‘CONSTRUCT’ MUST CHANGE
•THE CURRENT SOCIAL EXPECTATION OF SENIORS’ BEHAVIOR IS LEARNED AND REINFORCED BY OUR SOCIETY!
•RESHAPING THE IMAGE FROM ‘WITHDRAWAL’ TO ‘ENGAGEMENT’ BEGINS WITH PROMOTING SENIORS PROGRAMS
IN THE LONG RUN…SENIORS WILL BE HEALTHIER, AND HAPPIER IF THEY ARE INVOLVED!!
GOOD HEALTH AND ACTIVE LIVING
IN A SAFE, WALKABLE COMMUNITY
MODEST GOALS FOR COUNCIL • MAINTAIN TIGHT CONTROL OVER TAXES
AND COSTS THE CITY ‘DOWN LOADS’ TO SENIORS
• IMPLEMENT HOUSING POLICIES THAT CO-LOCATE SENIORS AND SUPPORT SERVICES
• CREATE STRATEGIES IN THE CITY TO PROMOTE SENIORS’ HEALTH AND SAFETY
• ENSURE THE CITY IS BARRIER FREE AT ALL LEVELS INCLUDING HOUSING, BUSING, AND WALKWAYS
PRICKLEYISSUES
GOALS FOR OUR MPP FRIENDS
• ELIMINATE POLICIES THAT DISCRIMINATE AGAINST SENIORS
• FUND MORE SOCIAL HOUSING FOR SENIORS IN HAMILTON
• FOCUS AND FUND PROGRAMS TO ASSIST HAMILTON SENIORS AGE IN THEIR OWNHOME
HELP HAMILTON WITH A ‘PEN STROKE !’
AND THE ‘FOLKS ON THE HILL’..
• PLACE RELENTLESS EMPHASIS ON PROGRAMS AND FUNDING TO IMPROVE THE HEALTH OF SENIORS
• CREATE STRATEGIES TO ELIMINATE AGEISM AND AGE DISCRIMINATION
•STRENGTHEN INCOME SUPPORT PROGRAMS FOR SENIORS LIVING BELOW THE APPLICABLE ‘LIMITED INCOME CUT OFF’ LINE
SUPPORTING THE FOLKS AT HOME
AS WE PART….PLEASE REMEMBER..
• MOST SENIORS ARE INCOME LIMITED
• MANY ARE POORLY HOUSED
• THE MAJORITY OF SENIORS ARE LESS THAN HEALTHY
• GETTING FROM ‘A’ TO ‘B’ SAFELY IS A CHALLENGE
Weakening a Pillar Leads to a Lesser life
THANKS FOR YOUR TIME TODAY
PLAN YOUR FUTURE….IT’S CLOSER THAN YOU THINK!!