Embed Size (px)
Citation preview
Welcome to the Welcome to the Third Age Living Third Age Living
Options ®Options ®
AdventureAdventureThird Age Living Options ® is an ANIBIC Project Developed & Executed by John
F. DeBiase, Associate Executive Director1
My First Task at ANIBIC
Consumer in the hospital for over a year
Needed wound care
Find a Skilled Nursing Facility for Rehab
Looked at many found none acceptable
Rockville – from a former “life”
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 2
Aging Committee
Representing ANIBIC
Looking at the problem
Seeking a solution to a growing issue
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 3
Third Age Conference
Attended the conference to learn what others are doing or intend to do
Took ideas away and stored them
Began to consider what kind of services I would offer
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 4
How will we serve the How will we serve the Aging DD Population?Aging DD Population?
For the first time the Developmentally Disabled
population is approaching the average life expectancy
of the general population.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 6
The Issues
Relatively new population – 1930: the average life expectancy of a DD
individual was 19.1993: the average life expectancy had
increased to 66.Today the average life expectancy is within
five years of the unimpaired population.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 7
The Issues
By 2010 approximately 40% of all those with DD will be over the age of 45.
Nursing homes are generally unprepared for an influx of our folks.
Many will develop some form of dementia and at an earlier age.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 8
How Many People in New York?
18/1000 1.8% of the population 342,000 individuals Over 45
2005: 85,000By 2010: 137,000
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 9
The Age Range Today
0.00%
10.00%
20.00%
30.00%
40.00%
under 5 5 - 21 22 - 44 45 - 54 55 - 64 65+
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 10
The Problems
Down syndrome: Almost all will die of a dementia related illness. Symptoms of Alzheimer’s disease may begin to
manifest as early as age 40.
As we grow older we learn to adapt – this is not always so with the DD population. We learn that we can no longer run fast or have the
strength we once had. We understand that we will grow tired after physical
activity.Third Age Living Options ® is an ANIBIC Project Developed & Executed by
John F. DeBiase, Associate Executive Director 11
The Problems
Although many of our consumers have been successful despite their disability and have attained a certain level of achievement and comfort… they may not fully understand new limitations that come along with aging.
Many of our current group homes are not suited for older individuals. As we age we often move to different living arrangements…
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 12
Focus on Housing Issues
I began to look at the housing issues facing an aging population
Our current group homesToo small for wheel chairsNot very accessible What would I do differently
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 13
The Issues
The current philosophy is to maintain smaller group living units.
Many have lived independently with the same small group and don’t want to move – What is the alternative?
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 14
What Will We Do?
Retrofit existing structures – Add elevatorsAdd rampsMove folks to first floor bedrooms – by
renovating living roomsWe may find that even after incurring
renovation expenses – we still don’t have what we want!
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 15
What Will We Do?
Build new facilities that are more “user friendly”?
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 16
What Will We Do?
Develop a new paradigm perhaps using Assisted Living as a model…
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 17
A Different Type of FacilityA Different Type of Facility
Third Age Living Options (R), Third Age Living Options (R), Inc.Inc.
An Innovative Assisted Living An Innovative Assisted Living CommunityCommunity
Direct Care Staff
A new staffing pattern
to address new needs!
Director of Nursing to oversee operations
LPN’s – Shift supervisors
CNA’s – Direct consumer careThird Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 19
Day Program Plan
Day Service Plans will be included for each resident. ISP’s will reflect consumer choice – THIS IS
PARAMOUNT!!!Those who would like to retire and not
participate will be encouraged to participate but not required – the choice of many options will be offered to individuals.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 20
Day Program Plan
Senior program open to any senior who would like to participate. An opportunity to fully integrate the complex.
Community projects are planned offered in conjunction with:Nearby CollegesLocal Development CorporationsChambers of Commerce
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 21
Integration
Build near public transportation, a shopping center and a movie theater to assure choice and community integration.
Senior Center to be fully integrated inviting non-disabled individuals to be part of the activities.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 22
Soft Costs
Project manager
Consultants to includeArchitectGerontologist
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 23
Problems
The Biggest Problem:
Was to Find a suitable and AFFORDABLEAFFORDABLE parcel of land in Queens!
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 24
Resolution
Through the kind efforts of Senator Frank Padavan, and cooperation between the NYS Departments of Mental Health and OMRDD land has been obtained!
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 25
The Land
Current Building
N
17
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 26
The Land
Lies at the northeast corner of the Creedmore Complex.
It will serve as the site for the complex.
The area is large, ANIBIC is exploring additional innovative programs for the unused portion of the site.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 27
Possible Configurations
The original idea for a 40 bed complex evolved as input from consumers, and their advocates, and discussions with other professionals in the field suggested that a proposal for 20 beds would be more conducive to a “person centered” environment.
What will it look like?
The drawings presented here are guesses and conjecture.
Possible configuration changes To open the complex to easier integration.To increase accessibility and services.The grade of the land
Third Age Living Options ® is an ANIBIC Project Developed & Executed
by John F. DeBiase, Associate Executive Director 29
Original 20 Bed Configuration
Common Hall
2 7 91
8 33
104
1 11
5 4
2
6
S H O P S Parking Lot
CLINIC OVER SHOPS
C L I N I C
Indoor Poolfor
Hydrotherapy
Nonsec-tarian Chapel
Third Age Living Options ® is an ANIBIC Project Developed & Executed
by John F. DeBiase, Associate Executive Director 31
The Floor Plan
Living Room/Dining Room
Kitchen Bedroom
Bedroom
Bathroom
Third Age Living Options ® is an ANIBIC Project Developed & Executed
by John F. DeBiase, Associate Executive Director 32
Administration & Maintenance
10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200
10
20 Second Floor The second floor is above the
30 Multi-Purpose Common Hall
40 Entrance is from the street
50 then by elevator from the hall corridor.
60
70
80
90
100 Legend
110 Covered walkway glass enclosed
120
130 Grass Patio
140
DietaryPlant MaintenanceLaundry & Linen
Administration
Third Age Living Options ® is an ANIBIC Project Developed & Executed
by John F. DeBiase, Associate Executive Director 33
Revised 20 Bed Plan
10 two bedroom apartments
The configuration may ultimately change
1 2
3 10
46
5
78
9
Parking Lot
Common hall:day program(s)
dining areaLibrary
fitness centerOffices
Third Age Living Options ® is an ANIBIC Project Developed & Executed byJohn F. DeBiase, Associate Executive Director
35
Where the Projects Stands:
The concept was developed with input from potential consumers, their advocates and other human services professionals. ─ It took nearly three years to develop fully.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 36
Where the Projects Stands:
We have 10+ letters of support from parents, consumers and advocates.
20 affirmations of interest from potential residents.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 37
Where the Projects Stands:
The initial OPTS proposal was submitted in August 2005.
It was reviewed by OMRDD. They suggested that the project be scaled back to exclude the Shops Clinic Pool Fully integrated Living space
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 38
Where the Projects Stands:
The proposal was revised and resubmitted in January 2006.
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 39
Where the Projects Stands:
The proposal has been approved by OMRDD…
The land has been found…
Let the toil begin!
Third Age Living Options ® is an ANIBIC Project Developed & Executed by John F. DeBiase, Associate Executive Director 40
If You Have Questions
Contact:
John F. DeBiase
347 594 2124
- Or -
Third Age Living Options ® is an ANIBIC Project Developed &Executed by John F. DeBiase, Associate Executive Director 41
Stay Tuned!
