2014 Hamilton's Plan for an Age-Friendly City - WHO ...
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Contents ,QWURGXFWLRQ %DFNJURXQG Definitions/Terminology.................................................................................................................................................................2 SeniorsandOlderAdultsinHamilton.............................................................................................................................................3 AgeͲFriendlyCities..........................................................................................................................................................................6 DevelopingHamilton’sPlan............................................................................................................................................................7 ThePlan...........................................................................................................................................................................................9 9LVLRQ 3ULQFLSOHV Vision.............................................................................................................................................................................................11 Principles.......................................................................................................................................................................................12 *RDOV±2EMHFWLYHV±$FWLRQV 1.Housing.....................................................................................................................................................................................13 2.GettingAroundGreaterHamilton:Mobility,OutdoorSpaces&PublicBuildings...................................................................18 3.Communication&Information.................................................................................................................................................26 4.Health&CommunityServices:AginginCommunitySafely&Securely...................................................................................32 5.SocialParticipation:Recreation,Learning,Arts&Culture.......................................................................................................37 6.CivicEngagement,Volunteerism&Employment.....................................................................................................................43 7.AgeͲFriendlyPublicService.......................................................................................................................................................47 1H[W6WHSV Implementation&Monitoring.....................................................................................................................................................51 $SSHQGLFHV Abbreviations................................................................................................................................................................................52 Glossary.........................................................................................................................................................................................53 Acknowledgements.......................................................................................................................................................................55
We need to change our thinking about people in the over-sixty age group, in radical ways. Longevity has advanced to the point where conditions like old age and frailty can no longer be defined by numerical age. Past stereotypes developed in past centuries no longer hold. When a 100-year-old man finishes a marathon, as happened last year, we know that conventional conceptions of old age must change. ²' 5 0 $5*$5(7 & +$1 ' ,5(&725 * (1(5$/ : 25/' + ($/7+ 2 5*$1,=$7,21 OpeningremarksonWorldHealthDay,April4,2012 ,QWURGXFWLRQ %DFNJURXQG 2 urpopulationisaging.Thenumberofolder adultsandseniorsinHamiltonisexpectedto doubleoverthenexttwodecades.Thisrepresents strategicpriorityintheCity’s2012Ͳ2015Strategic Plan.TheNeighbourhoodandCommunityInitiatives DivisionpartneredwiththeHamiltonCouncilon thefastestgrowingsegmentofthepopulation. Agingin2013tobeginthiswork.Hamilton’sPlanfor anAgeͲFriendlyCityistheresult. DevelopingaplanforanageͲfriendlycitywillhelp municipaldecisionͲmakers,staff,andcommunity Hamilton’sPlanwasnotdevelopedinisolation,but stakeholdersidentifyandaddressneedsand alignswith,andbuildson,goodworkthatisalready prioritiesrelatedtoolderadults.HavinganageͲ underway.TheplanlinkstootherkeyCityinitiatives, friendlyPlanmeansthatHamiltonwillformally includingtheHousingandHomelessnessActionPlan, participateinthegrowinglocal,nationaland thePedestrianMobilityPlan,RapidReadyandthe internationalageͲfriendlymovementandwillhave CulturalPlan.Thereisalsoalignmentwiththe theopportunitybothtolearnfromother mandatoryaccessibilitystandardsforpeoplewith communitiesandcontributetotheirlearning. disabilitiesbeingdevelopedundertheAccessibility forOntarianswithDisabilitiesAct(AODA)2005. InApril2012,HamiltonCityCouncilidentifiedthe developmentofanageͲfriendlyinitiativeasa +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG Definitions/Terminology Ourconsultationsconfirmedthatsomepeople, typicallythoseover70,prefertobeidentifiedasa Whendoes“oldage”start?55?60?65?Aswelive “senior”,whileothersinthatagecohortdislikedthe longerandremainhealthier,ideasaboutthisare label.Infact,acommonreasonwhypeopledonotgo changing.Thereisnosingledefinitionofwhoisan toseniorscentresisthattheydonotidentifywithall olderadultorasenior.Peopleofthesameagediffer ofthe“olderpeople”theythinktheywillfindthere. widelyintheirinterests,abilities,healthandlevelof independence.Municipal,provincialandfederal Forthepurposesofthisreport,theterm“older governmentshavedifferentdefinitionsdependingon adult”willrefertoastageoflifeinsteadofaspecific programrequirements.Whileachronologicalageof age.Thiswouldincludepeopleintheirfiftiesand 65yearsisusuallyassociatedwithretirementandthe older.Whentheterm“seniors”isused,itwillrefer ageoneiseligibletoreceivepensionbenefits,not exclusivelytopeople65yearsofageandolder. every65ͲyearͲoldconsidersthemselvesasenior. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG SeniorsandOlderAdultsinHamilton ThenumberofseniorslivinginHamiltonisincreasing.Peoplearelivinglonger.LifeexpectancyofCanadiansover theageof80hasincreasedbyapproximately10years1. Basedonthe2011Census,thereare147,810adultsage55+inHamilton,or28%ofthetotalpopulation (Figure1.).Thisisexpectedtoincreaseto32%ofthepopulationby2021andstandat31%in2031(Figure2)2. FIGURE1.PopulationofHamilton,2011Census FIGURE2.PercentageofPopulation55YearsandOlder 1 WorldBank.(2013).Retrievedfromhttp://databank.worldbank.org/data/home.aspx 2 StatisticsCanada.(2011).Age(131)andsex(3)forthepopulationofCanada.Provinces,Territories,CensusDivisions,CensusSubdivisionsand Disseminationareas,2011Census.Catalogueno.98Ͳ311ͲXCB2011018.,StatisticsCanada.(2006).ProfileofageandsexforCanada,Provinces, Territories,CensusDivisions,andCensusSubdivisions,2006Census.Catalogueno.94Ͳ575ͲXCB2006001.StatisticsCanada.(2001).Profileofage andsex,forCanada,Provinces,Territories,CensusDivisionsandCensusSubdivisions,2001Census.Catalogueno.95F0486XCB01001.Hemson ConsultingLtd.(2012).GreaterGoldenHorseshoegrowthforecaststo2041:Technicalreport(November2012)addendum.Toronto:Author. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG SeniorsresideinallpartsofHamiltonwith Beingabletoaffordareasonablestandardofliving concentrationsincertainareasofthecity(Figure3). canbecomedifficultforseniorslivingonlimited However,overthenexttwodecades,othersuburban incomesascostsincrease,butincomesdonot. andruralareasofHamiltonwillexperiencemore Approximately8percent4ofseniors(65+)inHamilton rapidagingthanareasofcurrentconcentration. liveonlowincome5.Whetherbychoiceornecessity, increasingnumbersofolderadultsareworking Aspeopleage,theirincomedecreases.In2011, beyondretirementage. Hamiltoniansage55Ͳ64haveanaverageannual incomeofapproximately$48,000;whilethoseage Itisimportanttonotethatthenextgenerationof 65+haveanaverageincomeofapproximately seniors,theBabyBoomers,willbedifferent.They $37,000.Overallforolderadultsage55+,theaverage grewupinaverydifferentsocial,politicaland annualincomeis$37,000,whiletheannualincome economicenvironment,andbasedontheir forCanadianandOntarioseniorsis$36,000and experiences,willhavedifferentexpectations. $39,0003. 3 StatisticsCanada,IncomeStatisticsDivision.(2011).AnnualEstimatesforCensusFamiliesandIndividuals.(Table5,Catalogueno.SCͲT1FFͲSͲ05Ͳ 2011ͲFSALDUͲR). 4 StatisticsCanadaNationalHouseholdSurvey.(2011)SemiͲcustomprofileforCanada,Provinces,Territories,CensusDivisions,Census SubdivisionsandDisseminationAreas,NationalHouseholdSurvey,2011.(Table2,Catalogueno.99Ͳ004ͲXWEͲSF0106Ͳ2). 5 LowincomeisdefinedusingStatisticsCanada’sLowIncomeMeasure(LIM).TheLIMisafixedpercentage(50%)ofmedianadjustedhousehold income,where"adjusted"indicatesthathouseholdneedsaretakenintoaccount.Adjustmentforhouseholdsizesreflectsthefactthata household'sneedsincreaseasthenumberofmembersincreases. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG AgeͲFriendlyCities TheWorldHealthOrganization(WHO)developeditsAgeͲfriendlyCities frameworkin2008inpartnershipwithseveralinternationalorganizations includingthePublicHealthAgencyofCanada.Theconceptof“ageͲfriendly cities”isbasedonextensiveresearchwitholderadultsin33citiesaroundthe world,includingfourinCanada6.Itsetsoutavisionofhowcommunitiescan createanenvironmentthatencourages“activeaging,”7andidentifieseight coreageͲfriendlyfeatures:housing,transportation,outdoorspacesand buildings,communitysupportandhealthservices,communicationand information,civicparticipationandemployment,respectandsocialinclusion, andsocialparticipation. Hamilton’sPlanforanAgeͲFriendlyCitywasinformedby,andalignswith,the WHOframework.Hamiltonwilljoinagrowingglobalcommunityofpracticethat aimstomakecitiesmoreinclusiveforallages. Hamilton’sPlanisalsoinfluencedbythephilosophyof“personhood”.Compassion isattheheartofthisidea.Itasksthatweacknowledgeandhonourpeoplefor whotheyare:theirstrengths,accomplishments,identityandhistory,theirmind, bodyandspirit.Weareaskedtolookbeyondageiststereotypes. Personhood 6 Saanich(BC),PortagelaPrairie(MB),Sherbrooke(QC),andHalifax(NS) 7 Activeagingrefersto“continuingparticipationinsocial,economic,cultural,spiritualandcivicaffairs,notjusttheabilitytobephysicallyactive ortoparticipateinthelabourforce.”FromAgeingandLifeCourse:Whatis“activeageing”retrievedNovember10,2013from http://www.who.int/ageing/active_ageing/en/index.html. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG DevelopingHamilton’sPlan TheCityhasbeenworkinginpartnershipwiththe andcontributedto,thedevelopmentofthePlan.This HamiltonCouncilonAging(HCoA)todevelop wasaccomplishedthroughaseriesofsixpublic Hamilton’sPlanforanAgeͲFriendlyCity.TheHCoAis consultationsessionsheldacrossHamilton,focus aseniorͲled,nonͲprofitvoluntaryorganizationthat groups,smallgroupdiscussionscompletedby advocatesforanimprovedagingexperienceforolder individuals/groupsinthecommunityusingthe adultsinHamilton.Itisstaffedbyindividuals, PlanningforanAgeͲFriendlyHamiltonDiscussion primarilyvolunteers,withabroadrangeof Guide,andanonͲlinesurvey.Specialeffortswere experienceinresearch,planningandcommunity madetoengageolderadultswithdiverse engagement,andworksthroughanumberof backgroundsandawiderangeoflivedexperience communitynetworks.TheCityofHamilton’sSeniors includingAboriginalresidents,residentslivingwitha AdvisoryCommitteewasalsoakeypartnerinthis lowincome,personswithdisabilities,residentsfrom undertaking. differentethnoͲculturalcommunities,andurbanand Theplanningprocesswasdividedintothreephases: ruralresidents. 1)backgroundresearchandplanning;2)community Citystaffwerealsoconsultedatvariousstagesofthe engagementandconsultation;3)analysisandplan planningprocess.Individualinterviewsandgroup development.ThePlanrespondstoresearchand discussionswereconductedwith48stafffrom best/promisingpractices,andmostimportantly, variousdepartments/divisions. whatwasheardinconversationswitholderadultsin Resultsfromtheconsultationsaresummarizedinthe Hamilton. report“PlanningforanAgeͲFriendlyHamilton:What Over700hundredolderadultsandcommunity WeHeard”(Aug.2014). stakeholdersfromvarioussectorswereengagedin, +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG Insummary,thePlanwasinformedby: Aprojectsteeringcommitteecomprisedofstaffandkey communitystakeholders TheCity’sSeniorsAdvisoryCommittee HamiltonCouncilonAginganditsAgeͲFriendlyHamilton Committee TheWorldHealthOrganization’sAgeͲFriendlyCities initiative Areviewofrelevantliteratureonpublicpolicyandaging Areviewofothermunicipalplansforolderadultsand seniors AdemographicanalysisofHamilton’solderpopulation AninternalscanofexistingCityofHamiltonprogramsand servicesforolderadultsandseniors Consultationwithover550olderadultsinthecommunity Consultationwithover100communitystakeholders Individualandgroupdiscussionswith48stafffromkey Citydepartments TheCityManagerandSeniorManagementTeam +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG ThePlan Hamilton’sPlanforanAgeͲFriendlyCityoutlinesavisionand identifiesprinciplesforpolicydevelopmentandservice delivery.ThePlanisorganizedaroundsevenareasoffocus orstrategicgoals,andcommitstoaseriesofobjectivesand actionstoachievethesegoals. Eachofthesevenareasoffocusincludeanoverviewof issuesidentifiedthroughresearchandconsultation,andan environmentalscanthatlistsassets,gapsandchallenges. Itshouldbenotedthattheactionsarepreliminaryand requirerefinementthroughadditionaldialoguewith broadergroupsofbothinternalandexternalstakeholders. Subsequently,implementationplansmustbedevelopedto ensuretheactionsarerobustandmeasureable.Potentially moreobjectivescouldbeidentifiedinthefuturetoachieve thegoals.Assuch,Hamilton’sPlanshouldbeconsidereda “living”document. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
,QWURGXFWLRQ %DFNJURXQG Timeline ActionscontainedinthePlanincludeaproposedimplementationtimeframe. ShortTerm Î Actionsthatcanbeginimmediatelyorwithinoneyear MediumTerm Î Actionsthatcanbeginwithintwoorthreeyears LongTerm Î Actionsthatcanbeginwithinfouryearsorbeyond Stakeholders Initialstakeholdersarelistedforeachaction.Theseareorganizationsthathavean interestorexpertiseinthedeliveryofservicestoseniors.Confirmingleadpartners andidentifyingadditionalstakeholderswillbepartofnextsteps. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
9LVLRQ 3ULQFLSOHV Vision C reatingamoreageͲfriendlyHamiltonisashared responsibility.Itrequirescoordinatedadvocacy andplanningcommitmentsfromallthreelevelsof All residents of Hamilton are respected and included in community life regardless government,theprivatesector,thenonͲprofitsector of age, ethnicity, race, gender, ability and andthecommunity.Inimplementingthisplan, background; policy and planning engages Hamiltonwillbecomeabetterplaceforpeopleto live,play,work,learn,raiseachildandgrowold residents, reflects diversity, fosters social when: connectivity and the opportunity for active living and to age in place. Social connectivity links people to each other, place and services thus advancing health and well-being, while increasing the city’s social capital. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
9LVLRQ 3ULQFLSOHV Principles SevenprinciplesguidedtheconsultationprocessandthedevelopmentofHamilton’sPlanfor anAgeͲFriendlyCity. 1. Creatingsupportiveandenablingenvironments1wherehospitalityispracticedand accessibilityisthenorm 2. Optimizingopportunitiesforhealth,participation,security4andlifeͲlonglearningacross thelifeͲcycle2.Healthreferstophysical,mentalandsocialwellͲbeing 3. Equity,inclusionandrespect3;recognizingthediversityofolderadultsincludingtheirwide rangeofinterests,culturalpreferences,capacitiesandresources1whilereducingbarriersto socialconnectivitythatresultfromdifferences 4. Aninformedcommunitythatpracticesaccountabilityandtransparencywhilefacilitating personal,socialandsystemconnectivity1 5. Neighbourhoodcapacitybuilding2 6. Effectivepublicservice,deliveredwithintegrity,thatisadaptive,dynamicandusesan equityandinclusionlensandisresponsivetoindividualandcollectiveneedsaswellas emergingopportunitieswhiledeliveringvalueformoneyspent3 7. Communityengagement2wherepeoplehavemeaningfulopportunitiestohaveasayin designingservicesandinfluencingdecisionsthataffectthem1 Theseprinciplesarebasedonthefollowingdocuments:(1)AgeͲfriendlyCommunitiesPractice;(2)CityofHamilton(2010)“ThePlaybook:A FrameworkforHumanServicesPlanninginHamilton”;(3)CityofHamiltonCorporateCulturePillars;(4)Dr.Sinha’sReportproducedforthe MinistryofHealthandLongͲTermCare,“LivingLonger,LivingWell” +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV +RXVLQJ TheIssues Appropriatehousingisoneofthemostsignificantdeterminantsofqualityaging.Being appropriatelyhousedincreasesthechancesofoptimalaging. Olderadultsvoicedconcernsaboutthelackofappropriatehousingchoicesinspecificareasofthe city(i.e.,Waterdown,Ancaster,StoneyCreek,ruralareas). Manyothers,includingthoseinethnoͲculturalcommunities–somewhocannotaffordorchoose nottomove–aretroubledbymobilityandtransportationissuesthatresultfromhomeand communitydesign. EnvironmentalScan Assets Gaps Challenges OfficialUrbanandRuralPlans,Secondary Nosustainedfundingfromthefederalor Needforactionbyfederalandprovincial Plans provincialgovernmentsforsocialhousing governments AODABuildingStandardseffectiveJanuary Nosinglepointofaccessforinformation Lackofaffordableandappropriate 2015 onavailabilityofsocialhousingincluding housingoptionsforseniorsinsome CityofHamilton’sHousingand location,typeofunitandaccessibility communities,i.e.,Ancaster,partsof HomelessnessActionPlan Limitedlowcostassistedlivingoptions StoneyCreek,Waterdown Anincreaseddensitymeansmore Apartmentbuildingsdonottypically Seniorscanstillfeelisolatedwithina condominiumsarebeingbuilt,whichare fostercommunity(i.e.,nocommon seniorscomplex oftensuitablefordownsizing spaces) Agingsocialhousingstock +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV Marketrespondingtodemand/profitby FewcoͲhousingoptionsinHamilton Newchallengesfacedinresidentialcare buildingretirementhomes,adultlifestyle (i.e.,HomeShare) withamoreheterogeneouspopulation communities,condominiums LimitedcoͲophousinginHamilton Manypeoplearereluctanttomoveinto Communityleadersarebeginningto Accessibleunitsnotbeingplannedfor/ more“appropriate”housingwhilethey explorenewhousingoptions/modelsfor includedincondos canstilleasilyadapttothischange olderadults(i.e.,coͲop,coͲhousing,peers, Olderhomeownersonlowincomesmay Fewnewrentalunitscomingonthe youngerpeople) notbeabletoaffordnecessaryhome market City’sSeniorsTaxRebateProgramforlowͲ adaptationsorhomerepairs Increasingnumbersofolderadultswho incomeseniorhomeowners arehomelessoratͲriskofhomelessness GOAL–HOUSING Everyoneshouldhaveaplacetolive.Peoplearesupportedinwaysthatmakesensefortheirunique circumstanceswithafullrangeofhousingoptionsintheirneighbourhoods.8 RECOMMENDATIONS OBJECTIVE1.1Olderadultscaneasilyaccesstheinformationtheyneedwithrespecttovarioushousingoptions,andhavetools availabletohelpthemplanfortheiraging. Actions Timeline InitialStakeholders* 1.1.1Developahousingresourceguideforolderadultstohelpthemplan ShortTerm SeniorsAdvisoryCommittee 9 foragingandtonavigatethesocialhousinglandscapeinHamilton. ** CityofHamiltonHousingServices Division,PublicHealthServices 1.1.2Increaseawarenessoffinancialsupportsavailabletofundhome ShortTerm CityofHamiltonHousingServices adaptations(i.e.,OntarioRenovatesProgramforHomeowners). Division ProvinceofOntario 8 ThisgoalisadaptedfromtheCityofHamilton’sHousingandHomelessActionPlan(2013).“Everyoneshouldhaveaplacetolive”hasreplaced theoriginallanguageof“hasahome”. 9 Modeledon“HousingOptionsforSeniorsinHalton,”http://www.halton.ca/common/pages/UserFile.aspx?fileId=14855 +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV 1.1.3Investigatetheviabilityofcreatingadatabaseofsocialhousingunits MediumTerm CityofHamiltonHousingServices thatincludesfeaturessoolderadultscaneasilyfindinformationonthe Division availabilityofappropriatehousing(i.e.,typesofunits,accessibility, SeniorsAdvisoryCommittee condition).** OBJECTIVE1.2Olderadults’housingaffordability,stabilityandchoiceisincreasedandmaintainedovertime.* 1.2.1Ensurethatallmunicipalplanningdecisionswithrespecttomixand ShortTerm CityofHamiltonPlanning& rangefollowthepolicydirectionoftheUrbanandRuralHamiltonOfficial EconomicDevelopment Plans.+ CityCouncil 1.2.1.1Exploreopportunitiesforhousingmixesthatincludetheneedsof ShortTerm CityofHamiltonPlanning& oneandtwopersonhouseholds,buildaccessibleunits,includedifferent EconomicDevelopment ownershipmodelssuchascoͲophousingandcoͲhousing,retirement CityCouncil homes,somecityparkspaceandrecreationfacilitieswhennoneare nearby. 1.2.2AsHHAPisimplemented,conveneacommitteeofolderadultsto MediumTerm CityofHamiltonHousingServices lookatincreasingolderadults’housingaffordability,stabilityandchoice Division incommunitiesacrosstheGreaterHamiltonarea+. SeniorsAdvisorCommittee OlderAdults 1.2.4AdvocatetothefederalgovernmentforafundedNationalHousing LongTerm CityCouncil Strategy+. HousingSector Philanthropicsector OBJECTIVE1.3Peoplereceiverespectful,qualityserviceswithina“userͲfriendly”systemandexperienceequityandinclusion whenaccessingsocialhousing. 1.3.1BuildonpracticesofpersonͲcentrednesswiththesystemofhousing MediumTerm CityofHamiltonHousingServices andhomelessnessservices+. Division Tenants 1.3.2Ensurethateveryonewhoaccesseshousingandhomelessness ShortTerm CityofHamiltonHousingServices servicesismeaningfullyengagedinplanninganddecisionͲmakingthat Division impactstheirlives+. Tenants +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV OBJECTIVE1.4Ensureolderadultshavetheindividualizedsupportstheyneedtohelpthemobtainandmaintainhousing.* 1.4.1Connectsystemnavigatorswithsocialhousingbuildingstohelp ShortTerm CityofHamilton olderadultsmeettheirhousingandsupportneeds. HousingServicesDivision, ParamedicServices CCAC Voluntarysector 1.4.2PartnerwiththeHamiltonNiagaraHaldimandBrant(HNHB) MediumTerm CityofHamiltonHousingServices CommunityCareAccessCentre(CCAC)todoabetterjobofdischarge Division planningfromhospitalsandsupportingpeoplebeyonddischarge HNHBCCAC planning.+ Homecareagencies 1.4.3Implementassessmentandsupportprocessesaspartofthe“wait MediumTerm CityofHamiltonHousingServices list”forseniors’socialhousingtobetteraddresstheneedsofthe (indevelopment) Division,ParamedicServices applicants.+ CCAC HomeCareagencies 1.4.4Ensurehighquality,traumaͲinformedservicesandsupportsforolder MediumTerm CityofHamiltonHousingServices adultsinhomelessnessand/orinsecurehousingsituations.+ Division 1.4.5Planandimplementcommunitybuildingeffortsthatwilldevelopa ShortTerm CityofHamiltonHousingServices senseofcommunityinallsocialhousing.+ (inprogress) Division 1.4.6Continuetoencourageapartmentownerstocreatecommonspace ShortTerm HCoA andopportunitiesforinformationsharing(i.e.,apartmentbulletinboard, SeniorsAdvisoryCommittee newsletters)thatwillfosterasenseofcommunityandenhance ApartmentOwnersAssociation opportunitiesformutualsupport. 1.4.7Encouragethevoluntarysectortoseekfundingopportunitiesto MediumTerm Voluntarysector workinprivatelyownedapartmentbuildingsandestablishprogramsand CityofHamiltonPublicHealth practicesthatwillreducesocialisolationandhelpconnectpeopleto Services services. PhilanthropicSector ApartmentOwnersAssociation +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV 1.4.8Encouragelandlordstoinstalladaptations(grabbars,modifieddoor ShortTerm HCoA handles,etc.)uponrequestatlittleornocosttothetenant. ApartmentOwnersAssociation 1.4.9RaiseawarenesswithinCityͲoperatedlongtermcareandsocial ShortTerm CityofHamilton housingfacilitiesoftheneedsofdiversepopulations(i.e.,ethnoͲcultural MacassaandWentworthLodges communities,lesbian,gay,bisexual,andtransgenderedolderadults). CityHousingHamilton *Initialstakeholdersareindicatedforeachaction.Identifyingadditionalstakeholderswillbepartofnextsteps. **DenotesobjectivesoractionsdevelopedbytheSeniorsAdvisoryCommittee + DenotesobjectivesoractionsadaptedfromtheHousingandHomelessnessActionPlan PrinciplesincorporatedintoActions ;1.Creatingsupportiveandenablingenvironments ;2.Optimizingopportunitiesforhealth,participation,securityand lifeͲlonglearning ;3.Equity,inclusionandrespect ;4.Aninformedcommunity ;5.Neighbourhoodcapacitybuilding ;6.Effectivepublicservice ;7.Communityengagement +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*HWWLQJ$URXQG*UHDWHU+DPLOWRQ0RELOLW\2XWGRRU6SDFHV 3XEOLF%XLOGLQJV TheIssues–Mobility GreaterTorontoandHamiltonMedicalOfficersofHealthhaveidentifiedseverenegativehealthimpactsthat resultfromhowcommunitieshavebeendesignedtorelyoncars.TheyassertthatimplementingMetrolinx’s “TheBigMove”10wouldincreasephysicalactivityinawaythatpreventsprematuredeathandchronicdisease, particularlydiabetes.Further,planninghealthy,compact,completecommunitiesisneededtosupportgreater useofpublictransitandactivetransportation11. Mostoftheolderadultswhoparticipatedinconsultationsaboutthisgoaluseacarastheirprimarymodeof transportation;othersusethebusregularly,whilestillothershavelittleornoaccesstoacarorpublic transportation. OlderadultswhouseHamiltonStreetRailway(HSR)indicatedthatbusstopsandsheltersareoften inconvenientlylocated,thereisalackofbenchesandageͲfriendlysignage,somebusdriversdonottakeolder passengers’needsintoconsideration,andthecostcanbeanissue. MostEnglishͲspeakingtransitusersexpressedsatisfactionwiththeHSRservice.However,someolderadults withfunctionallimitationsstatedthattheyhaddifficultygettingtobusstopsortheirultimatedestination oncetheydisembarked,andtakingthebuswasnotalwaysanoption. Languageandotherculturalbarrierspreventmanyindividualsfromaccessinginformationontransitoptions andutilizingtheHSR. Manyolderadultsfinditdifficulttoobtaintickets/passesortopuptheirPrestoCard. 10 TheBigMoveistheGreaterTorontoandHamilton’s(GTHA’s)multiͲmodallongͲrangeregionaltransportationplan. 11 Mowat,D.,Gardner,C.,McKeown,D.,Tran,N.,Moloughney,B.,&Bursey,G.(2014).ImprovinghealthbydesignintheGreaterTorontoͲ HamiltonArea.Author:(n.p.).Retrievedfromhttp://www.peelregion.ca/health/resources/healthbydesign/pdf/mohͲreport.pdf +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV DisabledandAgedRegionalTransportationSystem(DARTS)clientsreportedchallengesrelatedtowaittimes, bookingproceduresandeligibilitycriteria.Complaintshavequadrupledthisyear12. Olderdriversexpressedfearaboutpotentiallylosingtheirabilitytodriveastheyarenotfamiliarwiththe transitsystem(whereoneisavailable)oralternativetransportationoptions. Thosewhorelyonvolunteerdriversareconcernedaboutthelimitedavailabilityandthefactthatthismode cannotbeaccessedforalltypesoftrips.Furthermore,theexistenceofthistypeofservice,eitherthrougha volunteerdriverorthroughacommunityshuttlebus,isnotwidelypublicized. ThoserelyingonprivateͲsectoraccessibletransitcomplainedaboutitshighcost.Thistypeoftransitis subsidized. TheIssues–OutdoorSpacesandPublicBuildings ImprovingHealthbyDesignstatesthat“Activetransportationdependsuponthepresenceofdestinations, desirablestreetscapes,andkeepingtripdistancesshort.Theseinturnareinfluencedbydensityandlanduse mix.Distanceisalsoimpactedbythedirectnessofroutes(i.e.,streetnetworkconnectivity).” Olderadultswhoparticipatedinthisconsultationexpressedadesiretowalk,butwereconcernedabout pedestriansafetyincludingthelocationofcrosswalks,timingoflights,volumeandspeedoftraffic, appropriateageͲfriendlysignage,availabilityofbenches,andpublicaccesstowashrooms. Gettingaroundinthewintermonthsisdifficult:sidewalks,busstopsandintersectionsareoftennotclearedof snowinatimelyorthoroughmanner. 12 VanDongen,M.(2014,June4).DARTSComplaintsspurcallforreview.HamiltonSpectator.Retrievedfromhttp://www.thespec.com/newsͲ story/3253224ͲdartsͲcomplaintsͲspurͲcallsͲforͲreview/ +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV EnvironmentalScan Assets Gaps Challenges OfficialUrbanandRuralPlans,Secondary InfrequentornonͲexistentbusservicein Individuals’attachmenttotheircars Plans lessdenselypopulatedareas Manypeopledon’tknowwherebusesgo Publictransitinfrastructureincludinglow Limitedawarenessofhowandwhereto andhowtoplanroutes floorbuses,automatedstop purchaseMonthly/GoldenAgetransit Difficultforadultswithfunctional announcementanddisplayonallbuses passes,andfewpointsofsale limitationsornonͲdriverstogetto RapidReadyReport Lackofinformationontransitoptionsin locationswherebuspassesaresold MasterPlansforTransportation, languagesotherthanEnglish Difficultforolderadultswithfunctional PedestrianMobility,Cyclingand FewDARTSusershaveaccessto limitationstogettobusstops RecreationTrails smartphonesortabletstouse“where’s DissatisfactionwithDARTSscheduling/ TransitEnhancementReview,DARTS myride”site lengthoftrips/transparencyof Review Noadaptedtaxiscurrentlyinservice informationoneligibilitycriteria Volunteerdrivingorganizedby Limitedavailabilityofvolunteerdrivers Competingneedsofpedestrians,cyclists, communityserviceagencies Limitednumberofmixeduse scooters,publicandparaͲtransitandcars Adaptabletaxilicensesavailablein2014 neighbourhoods Costofparkingatmedicalfacilitiescanbe Reducedbusratesfor65+,freeGolden Lackofpublicaccesstowashrooms expensive AgePassfor80+ StreetsignageisnotageͲfriendly Trendtowardsbigboxstoresdoesnot “ImprovingHealthbyDesigninthe facilitatepedestrianaccess,but Nocompletestreetspolicy GreaterTorontoͲHamiltonArea”by necessitatesdriving MedicalOfficersofHealthinGreater Pedestriansafety TorontoͲHamiltonAreapromoting “completecommunities” HamiltonPublicLibrarydoingageͲfriendly auditsofallbranchesusingatool developedbytheHCoA +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV GOAL–GETTINGAROUNDGREATERHAMILTON TheCity’stransportationsystems,urbandesignandphysicalinfrastructureenablepeopletoparticipatein communitylifeastheychoose,aswellasageintheircommunity.13 RECOMMENDATIONS TRANSPORTATION OBJECTIVE2.1EnsuretheideasandconcernsexpressedinthisplaninformtheMasterTransportationPlan Actions Timeline InitialStakeholders* 2.1.1Summarizetheinputgatheredviathisplanningprocessandreferit ShortTerm HamiltonCouncilonAging totheTransitMasterPlanningprocess. SAC OBJECTIVE2.2Investigatethedesign,feasibilityandfundingopportunitiesfordevelopingasharedridemodelthatprovidesthe “right”amountofdoorͲtoͲdoorconveniencemixedwiththecosteffectivenessofsharedride. 2.2.1Conveneacommitteetoinvestigatewaysofexpandingthecapacity MediumTerm RedCross ofvolunteerdrivingbasedonexperienceinothercommunities(i.e., CityofHamiltonHSR,DARTS NiagaraConnects,Stratford’s“EasyRide”). HamiltonCouncilonAging Communityserviceagencies providingvolunteerdriving Healthsector MinistryofTransportation OBJECTIVE2.3Buildingonexistingservicesandcapacity,identifyopportunitiestoexpandusageofcommunitybusshuttlesor volunteerdriversasawayofgettingpeopledirectlytowheretheywanttogo. 2.3.1DevelopapilotprojectvolunteerdrivingprograminWaterdownthat ShortTerm WaterdownSeniorsSteering willtakeseniorstoRecreationprogramswhenthenewseniors’facility RecreationCommittee opens. FlamboroughCommunity& InformationServices 13 Mowat,D.,Gardner,C.,McKeown,D.,Tran,N.,Moloughney,B.,&Bursey,G.(2014).ImprovinghealthbydesignintheGreaterTorontoͲ HamiltonAreaGTHA.Author:(n.p.).Retrievedfromhttp://www.peelregion.ca/health/resources/healthbydesign/pdf/mohͲreport.pdf +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV 2.3.2Workwithmajorgrocerychainsprovidingshuttlebusservicetotheir ShortTerm HamiltonCouncilonAging grocerystore,exploreopportunitiestoextendtheservicetomorepublic Majorgrocerychains andconvenientpickupvenues(i.e.,outsidelibraries). HamiltonPublicLibrary InformationHamilton OBJECTIVE2.4Improvetheeaseofusingpublictransit. 2.4.1IncreasethenumberoflocationswherepeoplecanpurchaseSeniors ShortTerm CityofHamiltonHSR ticketsandpasses. SeniorsAdvisoryCommittee 2.4.2OffertripͲplanningassistanceinnumerouslanguages. ShortTerm CityofHamiltonHSR SeniorsAdvisoryCommittee 2.4.3Improveinformationatbusstops. ShortTerm CityofHamiltonHSR SeniorsAdvisoryCommittee 2.4.4Hostworkshopsteachingpeoplehowtotakethebus,basedon ShortTerm CityofHamiltonHSR HCoAworkshop“Let’sTaketheBus”includinginnumerouslanguages. SeniorsAdvisoryCommittee OBJECTIVE2.5ImprovetheDisabled&AgedRegionalTransportationSystem(DARTS) 2.5.1ImproveandexpandDARTSservice. MediumTerm DARTS CityCouncil SeniorsAdvisoryCommittee AdvisoryCommitteeforPersons withDisabilities HCoA 2.5.2IncreasethevarietyofvehiclesusedbyDARTS. MediumTerm DARTS +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV ACTIVETRANSPORTATION OBJECTIVE2.6Withnewdevelopmentsandwherepossiblewithredevelopment,implementacompletecommunitiespolicy. Actions Timeline Stakeholders 2.6.1ContinuetoimplementthePedestrianMobilityPlanusinganolder MediumTerm CityCouncil adultlens(i.e.,improvedpedestriancrossings,signaltimes,community CityofHamiltonPublicWorks safetyaudits,streetfurniture,accesstowashrooms,neighbourhoodsafety audits). 2.6.2EnsurethereisarepresentativefromSAConthePedestrianMobility ShortTerm PublicWorks Committee,whichistobestruckasperthePlan. SAC 2.6.3EncourageNeighbourhoodAssociationsandBIAstoconduct MediumTerm NeighbourhoodAssociations walkability/accessibilityoftheirparticularenvironmentsusing BIAs questionnairesprovidedbyPublicHealthortheHCoA. HCoA 2.6.3.1Forwardresultsofwalkability/accessibilityauditstoPublic MediumTerm EnvironmentHamilton Worksforconsiderationwhenrepairs,replacements,upgradesand/or reconstructionsofstreetsarebeingplanned. 2.6.4ContinuetoimplementrecommendationsfromtheCyclingMaster MediumTerm CityCouncil Planusinganolderadultlens. CityofHamiltonPublicWorks 2.6.5Developacyclingworkshopgearedtoolderadults,includingsafety ShortTerm CityofHamiltonPublicWorks, measures,rulesoftheroadandtestingofabilitysothatolderadultswill RecreationDivision, safelyridebicyclesandtakeadvantageofbikeͲsharerentalprograms. SeniorsCentres YWCAandYMCA HCoA 2.6.6Createanadhoccommittee,whichincludesrepresentativesfrom ShortTerm CityofHamiltonPublicWorks SACandtheDisabilitiesAdvisoryCommittee,toexamineexisting SAC regulationsandbyͲlawswithregardtouseofmobilitydeviceson DAC sidewalksandmakerecommendations. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV SPACESANDPLACES Actions Timeline Stakeholders 2.6.7Provideinformationonaccessibletrailstothepublic. ShortTerm HCoA CityofHamiltonPublicWorks HamiltonConservationAuthority HamiltonBurlingtonTrailCouncil 2.6.8Whenopportunitiesarise,encouragemunicipalandcommunity MediumTerm CityofHamilton servicestocoͲlocatetosimplifyaccess,andincreaseresidents’exposureto informationandavailableservices. 2.6.9EstablishawayͲfindingprocessfortheCityofHamiltonthroughuse MediumTerm CityofHamiltonPublicWorks ofvisualinformationusingstandardizedinternationalsymbolsasmuchas possible,forsuchthingsaslandmarks,signage,pathwaysand environmentalcues,tohelpresidentsandnewcomersnavigatetheirway throughHamiltonwithease.Includeolderadults/pedestriansinthe developmentofwayͲfindingsignage. 2.6.10Areaszonedformixeduseshallprovideforamixofcomplementary LongTerm CityofHamiltonPlanning& usesthatexpandthediversityofexperiencesandoptionsavailableto EconomicDevelopment residents(i.e.,easyaccessbetweenretail,employment,residential,public, socialandhealthservices,educationandrecreationuses). 2.6.10.1CreateacrossͲdepartmental‘CompleteCommunities’ committeetoexploreintegrationofmixeduse,increaseddensity,a MediumTerm CityofHamiltonDepartments widerrangeoftransportationoptionsandhousingchoices.This includeslocalwalkableaccesstooptionsforfood,transportation, housing,recreation,education,retail,employment,andinformation services. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV 2.6.11Collaboratewithstakeholderstoimprovethequalityandfeatures MediumTerm CityofHamiltonPublicWorks, ofpublicspacetopromotesocialengagementandreduceisolation. PublicHealthServices 2.6.12Developpartnershipagreementsbetweenthemunicipality,school MediumTerm CityofHamiltonPublicWorks, boards,privatesectorandthecommunityfortheshareduseofschool RecreationDivision grounds,schoolsthatareclosing,municipalfacilitiesandprivateand SchoolBoards publicspacesforlowtonocostleisureandrecreationaluse. HamiltonPublicLibrary *Initialstakeholdersareindicatedforeachaction.Identifyingadditionalstakeholderswillbepartofnextsteps. PrinciplesincorporatedintoActions ; 1.Creatingsupportiveandenablingenvironments ; 2.Optimizingopportunitiesforhealth,participation,securityand lifeͲlonglearning ; 3.Equity,inclusionandrespect ; 4.Aninformedcommunity ; 5.Neighbourhoodcapacitybuilding ; 6.Effectivepublicservice ; 7.Communityengagement +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
&RPPXQLFDWLRQ ,QIRUPDWLRQ TheIssues Consultationparticipantsconsistentlystatedthatitisverychallengingtoknowwhatisavailable tothemandhowtofindoutaboutservices.Thechallengeworsensintheinstanceofcrisis.14 LimitedEnglishlanguageabilityexacerbatesproblemswithaccesstoinformation.Whiletranslationserviceis availableat546ͲCITY,211andHNHBCCAC,thatfactisnotreadilydiscoverableifyoudon’tknowtolookor ask. Whileinternetusageisincreasingamongolderadults,olderindividualstypicallylookforinformationinthe phonebook,otherprintedformatslikethenewspaper,orbyaskingfamilyandfriends.SomealsowatchCable 14.Manydonotconsidersearchingforinformationonline. Thedigitaldivide:government,nonͲprofitandprivatesectorareallmovingtodigitalformsofcommunication andinformationandnotdistributingprintedformsofinformation,leavinglargenumbersofpeoplebehind, particularlyseniors.Manyparticipantsidentifiedalackofprintedmaterialasproblematicforthem. Somepeopleassumeprograms,servicesandsupportsarenotavailableandthereforedonotlookfor informationatall. Participantsemphasisedthatinformationmustbeinaccessibleformats.Manyidentifiedtheneedfor materialsinlargeprint. Devicestoaccommodatespecialcommunicationneedsarenotreadilyavailableinthecommunity. Theneedforthetypeofassistanceprovidedbysystemnavigatorswasfrequentlymentioned. 14 Denton,M.,Ploeg,J.,Tindale,J.,Hutchison,B.,Brazil,K.AkhtarͲDanesh,N.,Quinlan,M.,Lillie,J.,Millen,J.,&Boos.(2008).Wherewouldyou turnforhelp?Olderadults'awarenessofcommunitysupportservices.CanadianJournalonAging,27(4),359Ͳ370. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV Olderadultsarelookingforopportunitiestolearnabouttheuseofcomputersandotherinformation technology. EnvironmentalScan Assets Gaps Challenges AODAActandRegulations ManynonͲprofitorganizationsdonot 905Ͳ546ͲCITYprovidestranslationin149 AccessandEquityPolicies havebudgetstosupportadvertisingand languages,butmanyresidentsarenot promotion awareofthisservice Effectiveinformationandreferral systems:905Ͳ546ͲCITY,Redbook Informationisoftennotavailablein TheCityisalargeandcomplex Hamilton,211Ontario accessibleorageͲfriendlyformats organizationmakingitdifficulttoget Limitedawarenessofpotentialimpactof informationouttopeople Translationservicesthrough211and905Ͳ 546ͲCITY agingdemographic Technologicalbarrierstodistributingand FrontlinestaffarenotalwaysupͲtoͲdate accessinginformation Healthdatabases(MyHealthGPS, Healthline) andinformed Competingprioritiesforfunding,i.e.,big Localinformationhubs(i.e.,Municipal Manyolderadultsprefertospeak/interact capitalinfrastructureneeds ServiceCentres,Libraries,Recreation witha“real”person Clientbaseisfragmented–arangeof Centres,SeniorsCentres,YWCAand ThereisalowlevelofawarenessofWHO ages,stagesandgeographicallocations YMCA,communityinformationservices) AgeͲfriendlyCitiesapproachorprovincial Cityresources–needtodevelopinterͲ Coursesofferedontheuseoftechnology report“LivingLonger,LivingWell”among departmentaldialogueandestablish throughRecreationCentres(Seniors, decisionmakers opportunitiesforcollaboration YWCA,etc.),HamiltonPublicLibraries NoonͲgoingpublicawarenesscampaign for211 NoconsistentuseofageͲfriendly communication +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
*RDOV±2EMHFWLYHV±$FWLRQV GOAL–COMMUNICATIONANDINFORMATION Olderadultshaveaccesstoinformationandsystemsthatarebetterconnected,andareabletoinfluenceand designthetypeofinformationsystemstheyneed;customerserviceandwayͲfindingareintentionaland responsivetoindividualneedsandcapacities. RECOMMENDATIONS OBJECTIVE3.1Increaseawarenessoflocal“trustedsources”ofinformation,i.e.,905Ͳ546ͲCITY,Redbook.ca,211 Actions Timeline InitialStakeholders* 3.1.1Promote905Ͳ546ͲCITY,Redbook.caand211throughthe ShortTerm CityofHamilton developmentofaconsumerawarenesscampaigntargetedatolderadults. UnitedWayBGH InformationHamilton 211Ontario 3.1.2CoordinatewithInformationHamiltontoensurethatlinkstoCity, ShortTerm CityofHamilton recreation,andotherservicesforseniorsandolderadultsarecurrentand InformationHamilton comprehensive. Communitysector 3.1.3LearningfromtheevaluationoftheDundasInfoSpot55+pilot ShortTerm CityofHamiltonRecreation project15,investigatethevalueofplacinginformationtouchscreensin Division,PublicHealthServices selectlocationsacrossthecity,i.e.,cityfacilities(includinglibraries)and HamiltonPublicLibrary throughaprivateͲpublicpartnershipwithretailers(i.e.,grocerystores, HamiltonCouncilonAging pharmacies). HumanServices OBJECTIVE3.2ImprovecommunicationbetweentheCityofHamiltonandolderresidents 3.2.1Developadedicatedolderadults’pageonthenewCityofHamilton ShortTerm CityofHamilton websitethatprovidesacentralsourceofinformationonservicesand supportsforolderadults. 15 TheDundasInfoSpot55+projectwillhaveatouchscreenmonitorwithinformationonservicesforolderadultsinDundaslocatedinthePublic LibraryandRecreationCentre. +DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
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