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http://dentoncountyseniors.org/

Advocacy for seniors in Denton County

 

Advocacy handout ...

1 - Addressing Basic Needs:

2 - Optimizing Physical and Mental Health and Well-Being:

3 - Maximizing Independence:

4 - Promoting Social and Civic Engagement:

Ten Best Practices ...

Definitions: 13

Selected References: 14

Geriatric Services Workgroup HISTORY: 15

History, vision and organizational structures: 17

Advocacy in the context of the Older Americans Act and the Aging Network; 17

Defining advocacy for seniors in Denton County in a planning framework:

Who we are, and what we are going to do:

A History of Collaboration ...

 

Our mission:

To dedicate leadership and resources to helping secure Denton County as a "Elder Friendly & Senior Ready" place offering sustainable, appropriate, affordable, accessible and adequate housing, community services and transportation to a growing population of seniors while meeting the future needs all age segments of our growing population.

A vision: 100% Access & 0% Disparity!

 

6/7/2007


Advocacy handout

 

GOALS:

checkmark   To address the basic needs of our elder population.

checkmark   To optimize the physical and mental health and the well-being of elder population.

checkmark   To maximize the independence of our elder population.

checkmark   To promote social and civic engagement that benefits our community while enhancing the lives of seniors, including lifelong-learning, meaningful employment and volunteerism.

 

ADDRESSING BASIC NEEDS

v     Awareness of Services - Older adults linked to supportive services in the community to accommodate their changing needs.

v     Housing - All parts of Denton County offer an array of safe and affordable housing options that meet the diverse needs and preferences of individuals as they age.

v     Financial Security

v     Guardianship services

 

OPTIMIZING PHYSICAL AND MENTAL HEALTH AND WELL-BEING

v     Access to Affordable Health Care - Older adults can access affordable mental and physical health services, including medication.

v     Physical Activity and Nutrition - Older adults enjoy a range of support, choices, and activities that ensure they remain healthy and active as long as possible.

v     Promote and educate mental health prevention and awareness.

 

MAXIMIZING INDEPENDENCE

v     Transportation - Older adults have an array of transportation options that are safe and responsive to their needs and preferences.

v     Community-Based Services - Older adults have opportunities and necessary supports to make choices and live independently.

v     Caregiving - Personal, community and cultural supports for successful caregiving are strengthened.

 

PROMOTING SOCIAL AND CIVIC ENGAGEMENT

v     Social and Civic Engagement - Plentiful and diverse opportunities are available for older adults to remain fully engaged and make meaningful contributions to their communities.

v     Lifelong Learning - Increase learning opportunities for older adults.

v     Employment - Provide opportunities for meaningful work for older adults.

v     Promote opportunities to strengthen spirituality among older adults regardless of religious affiliations and beliefs.

v     Promote Volunteerism


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Outcome 1 - Addressing Basic Needs:

 

Awareness of Services - Older adults linked to supportive services in the community to accommodate their changing needs.

Housing - All parts of Denton County offer an array of safe and affordable housing options that meet the diverse needs and preferences of individuals as they age.

Financial security & Legal services access, information and support

 

Goal 1.1: Awareness of Services - Older adults linked to supportive services in the community to accommodate their changing needs.

 

Objective 1.1.1: Access - Increase the number of older adults and their families who are aware of and have access to appropriate cultural- and age-sensitive information that enables them to make informed choices about community programs and services.

Objective 1.1.2: Communication and Promotion - Increase awareness among all parts of our community of the value and contributions of older adults as well as the services for older adults.

Objective 1.1.3: Diversity - Strengthen aging and health service provider capacity to receive and share information that is useful for diverse client populations.

Objective 1.1.4: Empowerment - Encourage community-wide recognition of the value of older adults.

 

Goal 1.2: Housing - All parts of Denton County offer an array of safe and affordable housing options that meet the diverse needs and preferences of individuals as they age.

 

Objective 1.2.1: Home Design and Modification - Promote the design and modification of homes to meet the physical needs of individuals as they age.  Make “Visitability” a design choice.

Objective 1.2.2: Housing Options - Increase the range of housing options in all parts of Denton County—from community based intergenerational options to age-segregated congregate facilities—that are available to individuals as they age.

Objective 1.2.3: Affordability - Increase older adults’ access to an array of affordable housing options.

Objective 1.2.4: Support and Services - Establish an infrastructure for providing the necessary information and services to enable older adults to take advantage of an array of housing options.

Objective 1.2.5:  Green Building - Support money saving environmentally sound green building designs.

 


Goal 1.3: Financial Security -

 

Objective 1.3.1: Support programs such as the Texas Money Management Program that help older Texans manage their income.

Objective 1.3.2: Create innovative approaches to increase employer-sponsored pensions, improved coverage and benefits, and greater employee participation.

Objective 1.3.3:  Provide and support Guardianship services.

 

Goal 1.4: Legal.

Objective 1.4.1: Raise awareness of the need for legal planning, legal rights, available low-cost legal assistance, and other legal matters.

Objective 1.4.2: Increase access to legal assistance such as standardized forms, benefits counselors, and hotlines.

Objective 1.4.3:  Expand funding and develop local volunteer guardianship programs.

Objective 1.4.4:  Educate professionals and citizens to recognize the signs of elder abuse.

Objective 1.4.5:  Create awareness of community supports available when elder abuse is suspected.

 

Addressing Basic Needs - Selected indicators:

 

Affordable housing is available to community residents.

*       Percentage of people age 65+ who spend more than 30 percent/30 percent or less than 30 percent of their income on housing.

*       Percentage of people age 65+ who want to remain in their current residence and are confident they will be able to afford to do so.

Housing is modified to accommodate mobility and safety.

*       Percentage of householders age 65+ in housing units with home modification needs.

The neighborhood is livable and safe.

*       Percentage of people age 65+ who feel safe/unsafe in their neighborhood.

*       Percentage of people age 65+ who report few/multiple problems in the neighborhood.

*       Percentage of people age 65+ who are satisfied with the neighborhood as a place to live.

People have enough to eat.

*       Percentage of people age 65+ who report cutting the size of or skipping meals due to lack of money.

Assistance services are available and residents know how to access them.

*       Percentage of people age 65+ who do not know whom to call if they need information about services in their community.

*       Percentage of people age 65+ who are aware/unaware of selected services in their community.

*       Percentage of people age 65+ with adequate assistance in activities of daily living (ADL) and/or instrumental activities of daily living (IADL).


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Outcome 2 - Optimizing Physical and Mental Health and Well-Being:

 

Access to Affordable Health Care - Older adults can access affordable mental and physical health services, including medication.

Physical Activity and Nutrition - Older adults enjoy a range of support, choices, and activities that ensure they remain healthy and active as long as possible.

Mental Health Promote education and access to services.

 

Goal 2.1: Access to Affordable Health Care - Older adults can access affordable mental and physical health services, including medication.

 

Objective 2.1.1: Access - Increase collaboration and integration of health care and social services in order to improve access.

Objective 2.1.2: Elder Care Expertise - Increase health care providers’ expertise in elder care issues.

Objective 2.1.3: Caregiver support - Increase family and friend caregivers’ knowledge, skills and support.

Objective 2.1.4: Advocacy - Increase community expertise and support advocacy efforts on issues related to health care and the expanding older population.

Objective 2.1.5: Education - Support efforts that educate and empower older adults to practice healthy behaviors.

 

Goal 2.2: Physical Activity and Nutrition - Older adults enjoy a range of support, choices, and activities that ensure they remain healthy and active as long as possible.

 

Objective 2.2.1: Capacity-Building - Increase community capacity to deliver affordable, effective, and culturally appropriate health and wellness programs for older adults.

Objective 2.2.2: Funding - Increase funding for planning and effective prevention programs.

Objective 2.2.3: Accountability - Improve program effectiveness through appropriate evaluation, utilizing professionals with expertise in prevention, community intervention and evaluation.

Objective 2.2.4: Access - Preserve independence through increased access to effective, evidence-based health and wellness programs targeted to meet the needs of people across the continuum of strength and frailty.

Objective 2.2.5: Outreach - Create a culture and environment that supports healthy choices.

Objective 2.2.6: Work with senior centers to transform their image and adapt to the changing interests of today’s older adults.

Objective 2.2.7: Encourage organizations to promote innovative programs that address the diverse needs older people.

Objective 2.2.8: Work with appropriate entities to consider offering reduced-rate recreational activities for older adults.

Objective 2.2.9: Develop non-commercial recreational activities that encourage low-income elders to participate within their communities.

 

 

Goal 2.3: Mental Health

 

Objective 2.3.1: Promote prevention of mental illness and suicide by creating awareness of services and assistance.(Suicide rates of those 65 and older are higher than any other age group.)

Strategy 2.3.1.1: Learn to recognize the signs and symptoms of mental illness and how they differ from “normal aging”.  (An estimated 20 percent of older adults experience mental disorders that are not a normal part of aging.)

Strategy 2.3.1.2: Reduce the social stigmas associated with mental illness.

 

Optimizing Physical and Mental Health and Well-Being - Selected indicators:

 

Community promotes and provides access to necessary and preventive health services.

*       Rates of screening and vaccination for various conditions among people age 65+.

*       Percentage of people age 65+ who thought they needed the help of a health care professional because they felt depressed or anxious and have not seen one (for those symptoms).

*       Percentage of people age 65+ whose physical or mental health interfered with their activities in the past month.

*       Percentage of people age 65+ who report being in good to excellent health.

Opportunities for physical activity are available and used.

*       Percentage of people age 65+ who participate in regular physical exercise.

Obstacles to use of necessary medical care are minimized.

*       Percentage of people age 65+ with a usual source of care.

*       Percentage of people age 65+ who failed to obtain needed medical care.

*       Percentage of people age 65+ who had problems paying for medical care.

*       Percentage of people age 65+ who had problems paying for prescription drugs.

*       Percentage of people age 65+ who had problems paying for dental care or eyeglasses.

*      Palliative care services are available and advertised.

*       Percentage of people age 65+ who know whether palliative care services are available.


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Outcome 3 - Maximizing Independence:

 

Transportation: Older adults have an array of transportation options that are safe and responsive to their needs and preferences.

Community-Based Services: Older adults have opportunities and necessary supports to make choices and live independently.

Caregiving: Personal, community and cultural supports for successful caregiving are strengthened.

 

Goal 3.1: Transportation - Older adults have an array of transportation options that are safe and responsive to their needs and preferences.

 

Objective 3.1.1: Access - Increase use of public fixed route transportation.

Strategy 3.1.1.1: Improve coordination among entities that support or provide transportation, including state agencies, the private sector, elected officials, volunteers, and faith-based organizations.

Objective 3.1.2: Usability - Improve usability and availability of specialized, point-to-point service programs and other specialized and volunteer transportation programs.

Objective 3.1.3: Options - Support informal transportation options.

Strategy 3.1.3.1: Educate consumers about all transportation options available in the community

Objective 3.1.4: Partnership and Advocacy - Improve transportation options through partnerships and advocacy.

Objective 3.1.5: Driver’s Safety - Protect older adults and the community from driving injuries and accidents.

Strategy 3.1.5.1: Encourage and promote safe driving through driver training and education.

Strategy 3.1.5.2:  Help older people recognize possible impairments and make necessary adjustments to remain safe.

 

Goal 3.2:  Community-Based Services - Older adults have opportunities and necessary supports to make choices and live independently.

 

Objective 3.2.1: User-Friendly Service System - Increase collaboration and integration of health care and social services in order to improve access for customers and formal and informal caregivers.

Objective 3.2.2: Adequate, Sustainable and Diverse Funding - Assure adequate resources directed to maintaining quality of life for long term living.

Objective 3.2.3: Customer Choice - Preserve independence through development of a service system that supports self-determination and provides customer education, autonomy and informed choice.

Objective 3.2.4: Evidence-Based Practices - Provide effective services, particularly prevention services, through use of scientifically-tested practices that have evidence-based support.

 

Goal 3.3:  Caregiving - Personal, community and cultural supports for successful caregiving are strengthened.

 

Objective 3.3.1: Outreach and Access - Increase the number of caregivers who have access to and receive appropriate caregiver information and support.

Objective 3.3.2: Advocacy - Encourage community-wide recognition of the contributions of family caregivers and advocate for enhanced support.

Objective 3.3.3: Caregiver Services, Choices and Convenience - Increase the number of caregivers who utilize caregiver education and support services.

Objective 3.3.4: Encourage employers to create supportive work environments and policies such as flex-time and telecommuting.

Objective 3.3.5: Create coordination among the aging network and service providers to strengthen community capacity.

Objective 3.3.6: Urge employers to sponsor eldercare services so caregivers can maintain employment.

 

Maximizing Independence - Selected indicators:

 

Transportation is accessible and affordable.

*       Percentage of people age 65+ who have access to public transportation.

The community service system enables people to live comfortably and safely at home.

*       Percentage of people age 65+ with adequate assistance in activities of daily living (ADL).

*       Percentage of people age 65+ with adequate assistance in instrumental activities of daily living (IADL).

Caregivers are mobilized to complement the formal service system.

*       Percentage of people age 65+ who provide help to the frail or disabled.

*       Percentage of people age 65+ who get respite/relief from their caregiving activity.

 


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Outcome 4 - Promoting Social and Civic Engagement:

 

Social and Civic Engagement - Plentiful and diverse opportunities are available for older adults to remain fully engaged and make meaningful contributions to their communities.

Lifelong Learning - Increase learning opportunities for older adults.

Employment - Provide opportunities for meaningful work

Promote opportunities to strengthen spirituality among older adults regardless of religious affiliations and beliefs.

Promote Volunteerism

 

Goal 4.1: Social and Civic Engagement - Plentiful and diverse opportunities are available for older adults to remain fully engaged and make meaningful contributions to their communities.

 

Objective 4.1.1: Connections and Contributions - Increase the number of older adults involved in formal and informal volunteer activities.

Objective 4.1.2: Increase civic involvement of older adults in efforts to improve the quality of life in Denton County.

Objective 4.1.3: Develop a social marketing campaign/ communication plan that confronts aging stereotypes and promotes a culture of engagement, vitality and activity based on contributions of older adults.

Objective 4.1.4: Foster meaningful connections with family, neighbors and friends and increase awareness of mutual assistance that occurs between generations.

Objective 4.1.5: Recognize the importance and benefits of social engagement on health and wellness.

Objective 4.1.6: Promote services and programs in the community to reduce isolation (e.g., telephone reassurance and volunteerism).

Objective 4.1.7: Encourage multicultural, intergenerational programs, activities, and services.

Objective 4.1.8: Promote the utilization of technology such as the Internet.

 

Goal 4.2: Lifelong Learning - Increase learning opportunities for older adults.

 

Objective 4.2.1: Increase collaboration among existing providers of older adult education.

Objective 4.2.2: Increase awareness of free or reduced rate courses at public colleges/universities, community education programs, services available through public libraries, distance learning and the Internet.

Objective 4.2.3: Encourage education institutions to modify teaching techniques to accommodate older learners. Strategies include allowing more time, using more concrete examples, and promoting self-pacing.

Objective 4.2.4: Support older learners by including a multidisciplinary curriculum, stressing commonalities between older adults and other learners, and emphasizing easy access to buildings of learning.

 

Goal 4.3: Employment - Provide opportunities for meaningful work for older adults.

 

Objective 4.3.1: Increase older adults’ work-related skills through training.

Objective 4.3.2: Get involved with your Local Workforce Development Board to establish an older worker advisory group that develops programs and policies to ensure that older adults have the opportunity to participate in the workforce.

Objective 4.3.3: Create awareness of job training and employment services available in the community.

Objective 4.3.4: Educate employers of the benefits of hiring, training, and retaining older workers, and of establishing innovative job designs (e.g., telecommuting) to accommodate older workers.

Objective 4.3.5: Ensure that the employment, education, and training needs of older workers are addressed by participating in local planning and policy activities and collaborating with existing organizations.

 

Goal 4.3:  Promote opportunities to strengthen spirituality among older adults regardless of religious affiliations and beliefs.

 

Objective 4.3.5: Encourage individuals and organizations to recognize the impact spirituality has on the lives, health, and wellness of their members, specifically older adults, and to increase outreach efforts in their communities.  (The close connections among members of spiritual organization help meet specific wellness needs.)

Objective 4.3.5: Work with spiritual organizations to assess their communities, determine the spiritual needs of their older-adult members, and provide multiple options so they can remain spiritually connected.

 

Goal 4.4: Promote Volunteerism

 

Objective 4.4.1: Increase volunteer programs’ flexibility and consider changing benefits to increase older-adult participation (e.g., enhanced prescription drug benefits).

Objective 4.4.2: Create volunteer positions that are compelling, meaningful, satisfying, and intergenerational.

Objective 4.4.3:  Increase outreach, direct mailings to members, special events, word of mouth, to spread the message about volunteerism.

Objective 4.4.4: Support opportunities that capture older adults’ imaginations, interests, and needs.


Promoting Social and Civic Engagement - Selected indicators:

 

Residents maintain connections with friends and neighbors.

*       Percentage of people age 65+ who socialized with friends or neighbors in the past week.

 

Civic, cultural, religious and recreational activities include older residents.

*       Percentage of people age 65+ who attended church, temple or other in the past week.

*       Percentage of people age 65+ who attended movies, sports events, clubs or group events in the past week.

*       Percentage of people age 65+ who engaged in at least one social, religious or cultural activity in the past week.

 

Opportunities for volunteer work are readily available.

*       Percentage of people age 65+ who participate in volunteer work.

 

Community residents help and trust each other.

*       Percentage of people age 65+ who live in "helping communities."

 

Appropriate work is available to those who want it.

*        Percentage of people age 65+ who would like to be working for pay

 

NOTE: Outcomes, objectives and some of the selected indicators are from The AdvantAge Initiative Indicators List (Essential Elements of an Elder-Friendly Community) and some are based on Aging Texas Well Domains of Wellbeing, and others are based on Best Practices gleaned from Gerontological resources.  These have been adapted for Denton County Texas use.  We will have to naturally add, delete, change or modify this list to best meet the needs of the citizens of Denton County.  An Elder Friendly and Senior Ready Denton County is a sustainable investment in a livable community that is the best choice for all ages.  …dec

 


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Ten Best Practices

Ten Best Practices for communities to consider, that address the needs of an aging population:

 

1.           Preventive health care, such as health and “lifestyle” education, immunizations and screenings, to reduce injuries and the onset of chronic diseases, as well as a range of in-home health assistance to help people stay in their homes longer.

2.           Nutrition education to promote healthy eating throughout a person’s lifespan, as well as nutritious community-sponsored programs such as home-delivered meals for those who have difficulty or are unable to prepare their own meals.

3.           Age-appropriate fitness programs and recreational facilities that offer walking trails, benches, fitness equipment.

4.           Larger, easier-to-read road signage grooved lane dividers, reflective road markings and dedicated left-turn lanes.  Driver assessments and training to promote safe driving for all ages, especially after strokes or other health incidents. Transportation options for people who cannot or do not want to drive.

5.           Special planning and training to help public safety personnel and other first responders locate and assist older adults during emergencies and disasters.

6.           Tax assistance and property-tax relief for those in financial need and programs to protect older adults against fraud and abuse.

7.           Home modification programs that make necessary adjustments for people with special needs. Zoning and subdivision plans that promote a variety of affordable, accessible housing located near medical, commercial and other desired services, as well as shared housing options for older adults and their caregivers.

8.           Job training, re-training and lifelong learning opportunities, as well as flexible employment options to attract and retain older workers.

9.           Opportunities to engage older adults in community boards and commissions, as well as purposeful volunteer activities in local government and non-profit organizations.

10.      Single point of entry for information and access to ALL aging information and services in the community, and the strategic expansion of necessary services to support the older adults to age with dignity and independence in their home and community.

 

SOURCE: 2006 “Maturing of America” study


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Definitions:

(Selected)

*      Elder Friendly: “An Elder-friendly community anticipates and prepares for the aging of its citizens resulting in policies and actions that maximize opportunities to age successfully.”  Source: Based on: Guide to Elder-friendly Community Building (2004)

*      Senior Ready: A Senior Ready community includes housing that serves the multiple needs of a growing aging population integrated with transportation & community services.  Senior-Ready adds another dimension that makes Elder-Friendly communities sustainable and functional.  Integrated systems of transportation, housing and community services designed to address the needs of all age levels in the community, is the heart of a Senior-Ready community.

*      Livable Community: “A livable community is one that has affordable and appropriate housing, supportive community features and services, and adequate mobility options, which together facilitate personal independence and the engagement of residents in civic and social life.”  ---AARP

*      Activity of Daily Living (ADL): Transferring (bed to chair,) Bathing, Dressing (zippers - buttons,) Personal grooming (wash face, brush teeth,) Eating (holding fork, cutting food, drinking,) Toileting.  Other activities: Walk across room, use stairs, lift 10 lbs.

*      Instrumental Activity of Daily Living (IADL): Prepare own meals, Shop for groceries and personal items, Managing your money, Using telephone, Doing heavy housework (scrubbing floors, washing windows,) Doing light housework (light cleaning, straightening up,) Getting places (outside of walking distance,) Doing laundry, getting to and from activities such as going to the doctor and shopping, but must be mobile.  The mobility requirement does not exclude persons in wheelchairs or those requiring mobility devices and managing your medications

*      At-risk elderly person is an individual 62 years of age or older who is unable to perform one or two ADLs.

*      Frail elderly person means an individual 62 years of age or older who is unable to perform at least three ADLs.

*      People with disabilities include those individuals who:

a. Have a disability as defined in Section 223 of the Social Security Act;

b. Have a physical, mental, or emotional impairment expected to be of long, continued, and indefinite duration that substantially impedes the individual’s ability to live independently; or

c. Have a developmental disability as defined in Section 102 of the Developmental Disabilities Assistance and Bill of Rights Act of 2000, (42 U.S.C. Section 15002).

*       Poverty Guidelines, Research, and Measurement via Website http://aspe.hhs.gov/poverty/index.shtml  

 

 

v                   FYI

Denton FIPS=48121

Denton Public Health Region=3 Administrative Region=2/3 administered from a regional office in Arlington.


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Selected References:

1.      A Quiet Crisis in America (2002) Commission on Affordable Housing and Health Facility Needs for Seniors in the 21st Century Final Report via local file: A-Quiet-Crisis_final-report_2002_270pp.pdf

2.      The Aging Initiative: State Policies for the Twenty- First Century (2001) - A Project of the National Governors Association Center for Best Practices. (5-pages)  via local file: aginginitiative.pdf

3.      Fixing to Stay - A National Survey of Housing and Home Modification Issues (2000)  AARP report via local file: AARP_Fixing-to-Stay_2000_82pp.pdf

4.      Housing and Older Texans (2002) Texas Department on Aging OAPI Policy Paper via local file: Housing-and-Older-Texans_TSOA-OAPI-Policy-Paper_2002_18pp.pdf

5.      Indicators Survey Results (2005) Aging Texas Well  report via local file:   Indicators-Survey-Results_Aging-Texas-Well-report_2005_51-pp.pdf

6.      Livable Communities: An Evaluation Guide (2005) AARP report via local file: Livable-Communities_AARP_2005_162pp.pdf

7.      State of Texas Senior Housing Assessment: (8-2003) Key Informant Survey (26-pages)   via local file: DADS-Housing_Key-Informant-Survey_26pp_8-2003.pdf

8.      Website Resource List: Sustainable Planning for Aging in Place (8-pages) via local file: www-resources-links.pdf

9.      Aging Texas Well initiative Website (2007) via Website:  http://www.dads.state.tx.us/services/agingtexaswell/index.html

10.  Communities for a lifetime (2007) via Website: http://www.community4alifetime.org/

11.  Guide to Elder-friendly Community Building (2004) Cuyahoga County Planning Commission and The Cleveland Foundation, via local file: Guide-to-Elder-friendly-Community-Building_2004_74pp.pdf

12.  Livable Communities: An Evaluation Guide AARP (2005) via Website: http://assets.aarp.org/rgcenter/il/d18311_communities.pdf

13.  Older Adults Transportation Fact Sheet  via Website: http://www.aoa.gov/press/fact/alpha/fact_transportation.asp

14.  Older Driver Safety Project (N4A)  via Website:: --- http://www.n4a.org/older_driver_safety/

15.  Project Identifies 33 Indicators That a Community is "Elder-Friendly"  via Website:  http://www.rwjf.org/reports/grr/044682.htm

16.  The AdvantAge Initiative "The AdvantAge Initiative helps counties, cities, and towns prepare for the growing number of older adults who are "aging in place" while creating livable communities for people of all ages.”  (Center for Home Care Policy and Research - Visiting Nurse Service of New York)   via Website:  http://www.vnsny.org/advantage/

17.  The Maturing of America — Getting Communities on Track for an Aging Population Sept. 2006 National Area Agencies on Aging Report - (35 pages) Maturing-of-America_N4A_35pp_2006_.pdf

18.  The National Association of Area Agencies on Aging (n4a) via Website: http://www.n4a.org/

19.  Transportation Coordination Toolbox, Developing a Community Transportation Guide, Door-Through-Door Guide and links: via Website: http://www.aoa.gov/prof/transportation/transportation.asp

20.  Trends in Health and Aging via Website: www.cdc.gov/nchs/agingact.htm

21.  Understanding Senior Transportation: Report and Analysis of a Survey of Consumers 50+  via Website: http://www.aarp.org/research/


Geriatric Services Workgroup HISTORY:

 

A small coalition of agencies was formed in 1998 in response to the closure of a university-operated community-based perinatal services clinic and the challenges indicated in subsequent Denton County Health Department reports of alarming increases in infant mortality rates for Denton County Texas. The formation of this partnership is significant in that it devised successful strategies to address disparities in infant mortality rates, and following that success, chose to examine other health-related issues facing the County.

 

In 2000, after months of studying best practices in community organization, the coalition officially became the Healthy Communities Coalition of Denton County with the purpose of addressing the unmet health-care needs in Denton County. Several committees were appointed and these committees became 14 Work-groups charged to help identify, prioritize, and develop strategies responding to issues of disparity within specific population segments. After incorporating feedback from its Work-groups, the Coalition held a county-wide public hearing in October of 2002 to engage communities and their respective leaders in the vision to achieve 100% Access and Zero Disparity in Appropriate and Affordable Health Care for Denton County.

 

Today, the 125-member Coalition includes a diversity of elected and appointed city, county and congressional officials, and state, regional, and county public service agencies and organizations. Functions represented in the Coalition include city and regional planning and governance, economic development, commerce, transportation, banking, insurance, public health, mental health, primary and tertiary health services delivery, public education, public welfare, higher education, law enforcement, non-profit and faith-based services, the media, voluntarism, and philanthropy. The Coalition appointed the Geriatric Services Work-group in 2000 as a work unit charged to identify, prioritize, and develop strategies around issues of access and disparity within the senior population.

 

The 48-member Work-group consists of the leadership and constituency of key geriatric services providers in Denton County, Texas. The Work-group participants include senior advocates and consumers, and the leadership of hospitals, nursing homes, assisted living, senior housing, adult day services, senior centers, home health care, independent care management, law enforcement and adult protective services, social services, mental health and mental retardation, the area agency on aging, and two universities. The Work-group is co-chaired by a hospital and a university representative and functions as a "committee of the whole" wherein each member has one decision-making vote. The co-chairs serve on and report all Work-group actions to the Coalition.

 

Over the next three years, the Work-group held bi-monthly meetings and focus groups and reported to the Coalition 28 issues affecting the wellbeing of senior residents of the County. The most pervasive deficits in the current system include the shortages of appropriate and affordable housing alternatives (where appropriate is defined as housing that accommodates an individual’s functional abilities; where affordable is defined as housing expenses at or below 30% of total income) and severe shortages of direct care workers throughout the County. These findings support the need to conduct strategic planning to improve long term care/supportive services in Denton County.

 

Since 2004, the coalition has continued with bi-monthly meetings hosted by Co-Chair Susan Conn in the Denton Regional Medical Center community room in Denton.  In 2004 a Website was created for the group’s activities called, “Denton County Senior Services” to serve as a communication, organizing and service connection tool.  In 2005 and 2006 the group concentrated on two priorities: sustainable, affordable housing alternatives and direct care initiatives.   The Housing and Training taskforces were created to deal with these priorities. Also in 2006, a Texercise group formed to support a pilot Texercise program called Denton Texercise Two-Step: Exercise and Nutrition Education. A partnership for Walk-Across-Texas/Texercise was formed with the Texas Cooperative Extension Service.   Since North Central Texas Community College received a major grant for CNA, CMA and LVN training, the “Training” committee’s work was ended, for now. The Housing taskforce conducted a successful Housing Summit for Denton County, participated in UNT’s High Performance Green Building Conference featuring HUD and EPA. Speakers from the taskforce participated in the Texas State Conference on Aging in March, 2007.

 

Leading to creation of an Advocacy group in January 2007, legal, guardianship, transportation, services funding and potential for service fragmentation due to changing demographics, along with mental health service needs, increased need for Alzheimer’s care, utility assistance and home modification and weatherization needs issues arose in meetings of the group.  As the Housing Taskforce developed a framework for an Elder Friendly and Senior Ready Denton County, these issues almost joined themselves, redefining the focus for future activity.  Advocacy is an atmosphere of planning, building on private/public partnerships collaborating on the common ground of the values espoused in the Older Americans Act. 

 

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History, vision and organizational structures:

Advocacy in the context of the Older Americans Act and the Aging Network;

Defining advocacy for seniors in Denton County in a planning framework:

 

We recognize that among our challenges are the changing demographics of our population and our ability to meet future needs in our community.   In addition to more than doubling our population in the next few decades, we are an aging population, with Baby-Boomers expected to increase the over-65 population in Denton County up to 20% of our numbers, 4-times the current rate.  Moreover, we are living longer; our over-85 age group is the fastest growing segment, and all this as the “Sandwich” generation continues to grow and increasingly serve both as parents and primary caregivers of aging parents with needs especially as we live longer and fulfill our desire to live at home and remain as independent as we can, for as long as we can.

 

In keeping with the values adopted in the Older American's Act, and as participants in The Aging Network, one of our first priorities is to create an atmosphere of planning by including stakeholders from all sectors of our community, and building on private/public partnerships collaborating to challenge issues that threaten the wellbeing and sustainability of our community, now and in the future.   We will begin by mapping out implementation of Older American Act services to priority populations, and discuss the Area Agency on Aging - AAA 2008/2010 strategic plan objectives in context of developing local strategies into three areas: Housing, Community Services and Transportation, that will make, and sustain, Denton County as an Elder Friendly and Senior Ready place to live.

Who we are, and what we are going to do:

 

We are members of the Denton County community dedicated to the wellbeing of our older citizens in the context of a sustainable and livable community that makes Denton County a good place to live for all who live here.  We come from Denton County employers, educational, government and health care institutions, service providers, volunteer agencies, and more.  We are private and public citizens, caregivers, service providers, government representatives, educators,  professionals and amateurs,  planners, builders, architects, doctors, lawyers, volunteers,  and we all live in and care about the future of Denton County, Texas!

One of our first priorities is to create an atmosphere of planning by including stakeholders from all sectors of our community, and building on private/public partnerships collaborating to challenge issues that threaten the wellbeing and sustainability of our community, now and in the future.  To advocate is to educate, to advocate is to lead, and we plan on doing both.  In keeping with the values adopted in the Older American’s Act, and as participants in The Aging Network, we are advocates, and intend to provide, “In accordance with the wishes of the older individual, advocacy on behalf of the older individual for needed services or resources.”* And that is good for all of us, for now and for the future.

(*Older American’s Act: {U.S. Code TITLE 42 CHAPTER 35 SUBCHAPTER I [Sec.3002] [21] [B] [V]})

 


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A History of Collaboration

 

Healthy Community Coalition “Creating a Healthy Community”

 

Involved with support to Denton County’s Childhood vaccination program, The Peoples Clinic, Housing Summit, Denton County Two-Step Texercise program, Denton County Senior Services, and more, we are just beginning to meet the challenge.  In keeping with the values adopted in the Older American's Act, and as participants in The Aging Network, one of our first priorities is to create an atmosphere of planning by including stakeholders from all sectors of our community, and building on private/public partnerships collaborating to challenge issues that threaten the wellbeing and sustainability of our community, now and in the future.   Our private/public partners include members of the Aging Network, church, education, health institutions, government, business, community organizations, and includes citizens of all ages and walks of life, officials, professionals, formal and informal caregivers, and together, we support an agenda of advocacy for housing, community services and transportation that will make, and sustain, Denton County as an Elder Friendly and Senior Ready place to live.

 

Mission:

To address issues and problems of availability and access in the County to health, education, housing, transportation, and community and supportive services needed by the growing population of older adults by engaging in research, planning, and development activities that positively impact quality of life for seniors in Denton County. 

 

We support our mission by dedicating leadership and resources to helping secure Denton County as an "Elder Friendly & Senior Ready" place offering sustainable, appropriate, affordable, accessible and adequate housing, community services and transportation to a growing population of seniors while meeting the future needs all age segments of our growing population.

 

Vision:

Denton County, "Elder Friendly & Senior Ready" offering sustainable, appropriate, affordable, accessible and adequate housing, community services and transportation to a growing population of seniors while meeting the future needs all age segments of our growing population.  We envision a community with 100% Access and Zero Disparity.  We strive to make available to our older citizens, who need them, comprehensive programs that support:

 

·         The best possible physical and mental health which science can make available and without regard to economic status;

·         Suitable housing, independently selected, designed and located with reference to special needs and available at costs which older citizens can afford;

·         Full restoration services for those who require institutional care, and a comprehensive array of community-based, long term care services adequate to appropriately sustain older people in their communities and in their homes, including support to family members and other persons providing voluntary care to older individuals needing long-term care services;

·         Efficient community services, including access to low-cost transportation, which provide a choice in supported living arrangements and social assistance in a coordinated manner and which are readily available when needed, with emphasis on maintaining a continuum of care for vulnerable older individuals;

·         Freedom, independence, and the free exercise of individual initiative in planning and managing their own lives, full participation in the planning and operation of community-based services and programs provided for their benefit, and protection against abuse, neglect, and exploitation; and

·         The fullest diversity of the population and respect individual beliefs.

 

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Values:

We believe in the inherent dignity of senior citizens and their right to live as independently as possible and to have access to the fullest array of community services and supports achievable to help sustain their independence. We value the inclusion of senior citizens and their care providers in all aspects of the planning and evaluation of the services and supports that they receive.

 

Role of Seniors Advocacy

·         Serve as the "eyes and ears" of local seniors and their caregivers

·         Review and comment on policies, programs and actions that affect seniors

·         Communicate with local, state and elected officials, testify at public hearings

·         Provide leadership, guidance and education, make community presentations

·         Support local organizations serving seniors and increase communication

 

housing logo

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Notes

--- DADS Aging Texas Well, offers 16 1-page issue fact sheets, covering Domains of Wellbeing that we can learn about to prepare for aging from an individual and societal perspective.  Specific to Texas, these fact sheets cover trends, policies, programs and services areas in Texas, and list some ways to get involved in each topic area.

http://www.dads.state.tx.us/news_info/publications/kits/atw_kit.pdf

http://www.agingtexaswell.org

 

Outcomes, objectives and some of the selected indicators are from The AdvantAge Initiative Indicators List (Essential Elements of an Elder-Friendly Community) and some are based on Aging Texas Well Domains of Wellbeing, and others are based on Best Practices gleaned from Gerontological resources.  These have been adapted for Denton County Texas use.  We will have to naturally add, delete, change or modify this list to best meet the needs of the citizens of Denton County.  An Elder Friendly and Senior Ready Denton County is a sustainable investment in a livable community that is the best choice for all ages.  …dec

 

(Research note: Federal Information Processing Standards, FIPS State  Code 48, FIPS County Code 121, Denton County, Texas = 48121). 

 

Role of Seniors Advocacy

n      Serve as the "eyes and ears" of local seniors and their caregivers

n      Review and comment on policies, programs and actions that affect seniors

n      Communicate with local, state and elected officials, make community presentations, testify at public hearings

 

Related document: “The Aging Network”

Link: The-Aging-Network.pdf

The Older Americans Act and Denton County


Contact:

DCSS Advocacy Taskforce/Committee

Andre Villarreal - Executive Director of Day Stay for Adults <andre@daystay.org>

Gail Saunders - Mayhill Hospital Counselor, Oasis Program <revmsw3@aol.com>

Margaret A. Jover, Ph.D. "Maggie" - Texas Cooperative Extension < m-jover@tamu.edu>

Bryon Mecham, CSA - At Home Personal Care <bryon@athomeprc.com>

Kendy Fletcher - Co-Owner Ray of Sunshine Lewisville/Highland Village <roslewisville@yahoo.com>

Diana M. Corona - Executive Director RSVP Denton County <dmcorona@rsvpdentoncounty.org>

 

Our mission: To dedicate leadership and resources to helping secure Denton County as a "Elder Friendly & Senior Ready" place offering sustainable, appropriate, affordable, accessible and adequate housing, community services and transportation to a growing population of seniors while meeting the future needs all age segments of our growing population.

 

A vision: 100% Access & 0% Disparity!

 

David E. Comeau, M.S., Gerontologist
Doctoral student in applied gerontology at the University of North Texas.

 

Healthy Communities Coalition of Denton County - Geriatric Services Workgroup
Denton County Senior Services - Online Directory Web Portal "Denton County Senior Services"

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