2021-2023 Action Plan: Age-Friendly Jefferson County Colorado

2021-2023 Action Plan:Age-Friendly JeffersonCounty ColoradoSUMMER 2021

PREPARED BY

Acknowledgments

Karin Stewart, Jefferson County Department of Human ServicesAll participants of the Aging Well/Age-Friendly Jefferson County work groupsJefferson County Council on AgingAll the interviewees and survey respondents

Rachel B. Cohen, CEOAssociates: Chantalle Hanschu, Dave LaRocca, and Ashley Beck

Thank you to the following individuals and groups who made this report possible:

Community engagement and report preparation completed by Aging Dynamics consulting firm:

Executive Summary.................................................................................................................................01Letter from County Leadership..............................................................................................................02Establishing Age-Friendly Jefferson County..........................................................................................03Certifying Age-Friendly Jefferson County..............................................................................................04Background.............................................................................................................................................. 05Action Plan Strategy & Development of a Community-Informed Action Plan.................................08

Action Plan Strategy....................................................................................................................09Action Planning Priorities...........................................................................................................10Development of a Community-Informed Action Plan............................................................11

Inclusion in Action....................................................................................................................................12Recommendations & Supporting Evidence

Action Step 1: Build a Strong Foundation................................................................................14Action Step 2: Foster Social Inclusion.......................................................................................16Action Step 3: Enhance Communication and Information Exchange...................................20Action Step 4: Design an Inclusive Built Environment............................................................23

Conclusion................................................................................................................................................26

AppendicesAppendix A: Age-Friendly Jefferson County Action Plan Steps Summary............................28Appendix B: References.............................................................................................................39Appendix C: Interview Protocol.................................................................................................41Appendix D: List of Interviewees...............................................................................................42Appendix E: Survey Questions (English and Spanish)............................................................43Appendix F: Survey Distribution List.........................................................................................52Appendix G: Steering Committee Members............................................................................53

Table of Contents

Build a Strong Foundation: Designing anage-friendly community relies on establishinga clear, shared vision, measurable steps, and astrong network of collaborators.

Foster Social Inclusion: All communitymembers need to be included in the designingand evolution of an age-friendly community.Intergenerational programs and spaces fostersocial inclusion, but we must address capacitybarriers to creating such connections.

Enhance Communication and InformationExchange: Ongoing, personal communicationfosters social inclusion and ensuresinformation flows between organizations andcommunity members. This communicationneeds to include consistent messaging to keepcommunity members engaged in co-creatingage-friendly communities.

Design an Inclusive Built Environment:Build age-friendly communities aroundequitable access, where the physicalinfrastructure and social environment worktogether to help everyone be included.

Age-friendly communities are places where people of allages and backgrounds can grow up and grow older.

Building on the previous age-friendly initiatives across Jefferson County andincorporating community voices, this action plan outlines the next steps to creatingmore age-friendly communities. This plan is intended to guide government, nonprofits,businesses, and individuals in taking tangible actions together. Creating an age-friendlycounty requires a collaborative and inclusive effort.

Previous work of thoseinvolved in Age-FriendlyJefferson County coordinatedby Jefferson CountyDepartment of HumanServicesCommunity engagementthrough interviews and asurvey about vision andelements of age-friendlycommunities Research and best practices.

Action plan informed by:

Community engagementstrategy principles: be curious,equitable, and open.

Executive Summary

2021-2023 Action Plan for Age-Friendly Jefferson County Colorado 01

Action Plan HighlightsApproach

Letter from County Leadership

022021-2023 Action Plan for Age-Friendly Jefferson County Colorado

Establishing Age-FriendlyJefferson County


Certifying Age-Friendly JeffersonCounty


BackgroundWhat is an Age-Friendly Community?Age-friendly communities are designed so that every community member has opportunities tobe active, connected, and contribute to their community. We need to make it easy for people toaccess all areas of their community whether as pedestrians (walking or rolling) or through publictransportation. Events should be engaging and of interest to diverse audiences, gathering areasshould offer appropriate seating and washrooms. People of every age should be encouraged toparticipate in the economic, social, and cultural life of their cities, counties, and states. Thisbenefits every generation within a community.

05

Jefferson County's Priority Areas


Jefferson County Department of Human Services launched astrategic initiative in 2008 with the goal of becoming an age-friendly county. The initiative, Aging Well, was informed bycommunity feedback to highlight and focus on areas of needand opportunity.

2008

Why Now: Jefferson County’s Age-Friendly Efforts to Date

Background

06

Since 2008, Jefferson County Department of Human Servicescoordinated commissioners, Jefferson County Council on Aging(JCCOA), and community partners to work together to improvefive specific areas of life for all ages.

2008-2019

From the Aging Well 2019 Annual Report


AARP designated Colorado an age-friendly state, the third stateto receive the designation (State of Colorado, 2021).

Jefferson County pledged to become an AARP-designated age-friendly county (Jefferson County, 2019).

Aging Well committed to “develop a strategy to recruit moreolder adults, from a variety of socioeconomic situations andfrom various areas throughout the county, including urban andrural areas to be involved with the initiative” (Jefferson County &AARP, 2019).

2019

Aging Well was renamed Age-Friendly Jefferson County.

Age-Friendly Jefferson County contracted Aging Dynamics consulting firm to conduct a series of in-person communitylistening sessions. The sessions would have asked what it meansto be an age-friendly county and participants' visions for thefuture. With the COVID-19 pandemic, rather than waiting to holdin-person listening sessions, alternative engagement (i.e.interviews and surveys) would inform the initial co-creation of anaction plan.

2020

Why Now: Jefferson County’s Age-Friendly Efforts to Date

Background

07

The State of Colorado demonstrated a commitment to age-friendly communities by establishing Lifelong Colorado, apartnership between the state, communities, and supportiveorganizations to ensure that communities across Coloradodevelop and implement age-friendly strategies (State ofColorado, 2021).

2018


https://www.aging-dynamics.com/

Action Plan Strategy &Development of a Community-Informed Action Plan

08

To build age-friendly communities andpolicies, we have to engage all communitymembers in the planning process from thebeginning. Cultivating safe, open communitydialogue ensures community membersshare their insights and experiences andhelps communities respond to evolvingneeds. This isn’t just once, but in an ongoingand equitable manner.

We recognize that this can be challenging.Still, we must commit to serving everyone tomake Jefferson County a friendly communityfor all who live, work, and play here. Theaction plan puts community voices at thecenter of Jefferson County’s age-friendlywork. We seek to include voices from allbackgrounds, identities, languages, ages, andlocations within Jefferson County so thatdecisions, programs, and policies serve allcommunity members.

Our Lens: Age-FriendlyCommunities Are Co-Createdby All Community Members

Action Plan Goals

Set a series of strategies to establish astrong foundation for the Age-FriendlyJefferson County initiative.

Build on previous and existing effortsof the Aging Well work groups andlocal municipalities who haveconducted the Boomer Bondassessment and/or are developing andimplementing age-friendly strategies.

Be attainable and realistic, yet movethe initiative forward.

Begin to craft a community-informedvision in which people of all ages cansee themselves.

Engage underrepresented voices anddiverse geographic, cultural, ethnic,socioeconomic, and age perspectives.

1

2

3

4

5

Inclusive and ongoing community engagement is the mosteffective way to build age-friendly communities. Genuinely involving community members, including olderadults, in the planning process is necessary to create age-friendly policies that work. (Lui et al., 2009; Sánchez-González et. al., 2020; Steels, 2015)


Action Plan Strategy

09

Building on the previous efforts of the Age-Friendly Jefferson County work groups, the AgingDynamics team developed a community engagement strategy based on the principles of beingcurious, equitable, and open. The team conducted 30 interviews with organizations acrossJefferson County engaged in health, social services, land use planning, parks and recreation,County leadership, housing and more. A survey (paper and online) was distributed widely acrossthe County with 572 completed and analyzed. Questions were designed with input from Age-Friendly Jefferson County participants and informed by existing tools, frameworks, and theexperience of other age-friendly community initiatives nationwide.

Approach

Ultimately, We Wanted to Answer:What are the priorities for creating more age-friendly communities?What can we do to help everyone feelrespected, connected, and valued?How can we enhance communicationexchange between community members andorganizations?How can government, nonprofits, faith-basedorganizations, and community members getcreative together to realize the vision of anage-friendly community?

This engagement served as an additionalopportunity to raise awareness of and recruitparticipants to Age-Friendly Jefferson County.

Social inclusionCommunication and information.

The Age-Friendly Jefferson County work groups previously explored aspects of several of theAARP eight livability domains. The 2021-2023 action plan builds on those efforts by raising uptwo particular domains:

Research in this phase focused on these domains with the goal of continuing to expand focus asefforts are completed and capacity is increased.

Focus on Social Inclusion and Communication & Information


Action Planning Priorities

10

Conducting outreach with both organizations and individualsConducting interviews on the phoneOffering the survey in both Spanish and English Providing Spanish interpretation for interviewsOffering the survey both online and on paper Recruiting trusted community partners to distribute the survey (see Appendix F).

This action plan recognizes communities as inherently diverse. Every individual communitymember has unique abilities, desires, and needs. They live in different geographic areas, speakdistinct languages, and are diverse in their cultures, ethnicities, sexual preferences, and genderidentities. Age-Friendly Jefferson County partners should work to engage as many people fromdiverse backgrounds as possible in its action plan and age-friendly work. They should alsoconsider who in our community has access to what resources and why.

The community engagement approach sought input from people from all backgrounds in thefollowing ways:

Despite these efforts, we need to do even more to genuinely engage diverse communities sothe action plan benefits everyone. The survey responses do not accurately represent JeffersonCounty community members in regards to age, race, and ethnicity.

Focus on Equity: Openness, Resources, and Commitment

Recommendations for Future Community Engagement

Engage trusted community leaders in specific underrepresented and marginalizedcommunities so that their members feel comfortable engaging in planning andimplementation. Future outreach should target people who claim diverse:

Racial and ethnic identities (e.g. American Indian/Alaska Native, Asian,

Gender identitiesSexual orientationsAge groupsFirst languages.

Translate outreach materials and meetings into more languages present in Jefferson Countysuch as Russian and Vietnamese. Tailor outreach to rural/mountain communities. Gather broad enough perspective so that data can be disaggregated into what people fromspecific backgrounds need and want.Designate specific resources for robust, diverse community engagement.Reach out to more community members under age 34.

Black or African American, Latina/Latino or Latinx)


Development of a Community-Informed Action Plan

11

Purpose: Gather broad perspectives about the elements of and priorities for amore age-friendly Jefferson County Data informed survey questions and action plan 30 interviews with county, municipal, and organizational leaders See Appendix C: Interview Protocol and Appendix D: List of Interviewees.

Organizational Leader Interviews

Purpose: Gather broad input frompeople who live, work, and play inJefferson County570 English responses, 2 Spanishresponses516 completed online; 56 completedpaper surveysSee Appendix E: Survey Questions.

Community Member Surveys

How Interviews Capture Broad Ideas and Tee Up Future Steps


Urban/suburban areas typically receivemore focus in age-friendly planning (Luiet al., 2009; WHO, 2007).Aging in rural communities can offerbenefits such as greater access to freshair, peace and quiet, and feeling safefrom crime (Davis & Bartlett, 2008).Rural areas have greater access tocommunity leaders to advocate forchange, more community self-reliance,and a strong sense of community(Menec et al., 2015).

Jefferson County spans urban, suburban,and mountain communities. It’s naturalthat age-friendliness will look and feeldifferent in each setting.

Access to resources and benefits ingeographic settings vary in ways we canlearn from:

Pause, is this equitable and inclusive?When this icon appears in the action plan (see

Appendix A), there is a particular opportunity toconsider how that action will affect people ofdifferent geographies, races and ethnicities,

incomes, and ages.

To illustrate how diverse perspectives enrich the design process of an age-friendly JeffersonCounty, let’s consider two aspects of diversity: geography and marginalized communities.

Inclusion in Action

12

A Closer Look at Equity in Decision-Making

Geography


Before considering a strategy to solve a certainproblem, decision-makers should ask:

PracticingInclusion

How can we creativelyensure that people haveaccess to servicesregardless of their location?

What strengths dorural/mountain orurban/suburbancommunities have that canbe built upon?

of interviewees noted thatJefferson County is more age-friendly in urban/suburbanareas than rural areas (e.g. moreaccess to transportation andcommunity services such aslibraries and recreation centers).

65%

Inclusion in Action

13

A Closer Look at Equity in Decision-Making

Marginalized Communities

Research shows that age-friendlypolicies may adversely affect alreadymarginalized racial and ethnic groups ifdecision-makers do not specificallytailor policies.

48% of Jefferson County partnerinterviewees recognized that thepriorities may be different for peoplewith lower incomes.

When considering a new policy or program,decision-makers should evaluate whetherthe action has equitable effects acrosscommunities, or if the decision may haveadverse impacts.

Let’s consider two considerations inparticular: people with different incomesand people from different racial and ethnicbackgrounds.


Before considering a strategy to solve a certainproblem, decision-makers should ask:

PracticingInclusion

Does this policy/actionbenefit everyone equitably?

Are there groups that willbe left behind or negativelyaffected?

How can the policy/actionbe modified to ensure it isequitable?

Research/Evidence

Recommendations & Supporting Evidence

Without a solidfoundation,communities struggleto move fromplanning to action.The World HealthOrganization (WHO)has called uponcommunities aroundthe world to move tomore active,measurable age-friendly initiatives(WHO, 2020).

Community Input

57% emphasized age-friendly includes access forall ages, not only older adults. 43% focused solely on older adults.

Jefferson County partner interviews indicated thatthere is room for stakeholders to expand their visionof age-friendliness through resources andpartnerships. Of those interviewed:

Jefferson County partner interviewees recognize theinitiative's work towards becoming age-friendly, andare ready to commit to taking concrete steps forward.All municipality contacts interviewed are interested ina network to help them learn from one another,develop best practices, and form supportivepartnerships.

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Action Step 1: Build a Strong Foundation

Designing an age-friendly community relies on establishing a clear, shared vision,measurable steps, and a strong network of collaborators.

Key Finding


Establish Age-Friendly Jefferson County networkstructure.

Create an advisory committee to provide guidance, connections,and strategic oversight.Mobilize municipalities who have previously completed the BoomerBond or other age-friendly assessments (e.g. Edgewater, Wheat Ridge, Littleton, Arvada).

Actively collaborate with other Lifelong/Age-Friendlycommunities and statewide initiatives.

Seek funding.

Raise start-up and foundational funds.

Establish pilot project funding.

Build a library of tools and resources to enhance theknowledge and capacity of partners.

Develop/adapt/adopt tools to assist municipal efforts forassessment and planning with a specific focus on equity includingconsideration of age, culture, ethnicity, geography, andsocioeconomic status.Develop/adapt/adopt an age-friendly decision-making frameworkthat guides planning and implementation in considering age-friendly specific dynamics.Provide technical assistance/consultation for assessment, planning,and development of age-friendly projects/programs/policies.


How to Build a Strong Foundation

See Appendix A for more detail

15

Action Step 1: Build a Strong Foundation


Research/Evidence


Research shows that age-friendlypolicies may adversely affectalready marginalized racial andethnic groups if decision-makersdo not specifically tailor policies.Urban/suburban areas typicallyreceive more focus in age-friendlyplanning (Lui et al., 2009; WHO,2007).However, aging in ruralcommunities can offer benefitssuch as greater access to fresh air,peace and quiet, and feeling safefrom crime (Davis & Bartlett, 2008)as well as greater access tocommunity leaders to advocate forchange, more community self-reliance, and a strong sense ofcommunity (Menec et al., 2015).

People with the greatest needs mostoften systematically lack the resourcesto meet those needs (WHO, 2015).

Blanket solutions cannot be used toadequately address a nuancedcommunity with diverse needs.

Community Input

Interviewees agreed that whenconsidering a new policy orprogram, decision-makers shouldcarefully evaluate whether theaction has equitable effects acrossall communities. They highlightedtwo considerations in particular:people with different income levelsand people from diverse racial andethnic backgrounds.

The diversity between JeffersonCounty municipalities is also animportant factor to residents anddecision-makers.

65% of interviewees noted thatJefferson County is more age-friendly in urban/suburban areasthan rural areas (e.g. more access totransportation and communityservices).

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Action Step 2: Foster Social Inclusion

All community members need to be included in the designing and evolution of an age-friendly community.

Key Finding #1



Creating affordable activities for all residentsand a variety of cultural activities for diversepopulations. For all ages, these are the twomost important activities for feelingwelcomed in your community.

Tailoring programs and events to communityneeds. 70% of interviewees reported thattheir organizations consider tailoring as amechanism for fostering inclusion.

Interviewees and surveys highlighted severalways Jefferson County prioritizes social inclusion:

Despite the known benefits of intergenerationalprograms, only 26% of interviewees built orwitnessed intentional intergenerationalprograms.

Research/Evidence


One of the most effective waysto fight social isolation andalleviate social inclusion isthrough intergenerationalprograms and meaningfulcross-age relationships.

Intergenerational programs canincrease older adults’ sense ofbelonging, self-esteem, andwell-being (Henkin & Butts,2012; Sakurai et al., 2016;Thompson & Weaver, 2015;Young & Janke, 2013).

Intergenerational programs canimprove outcomes for children,youth, and young adults, dispelnegative age-relatedstereotypes on both ends of theage spectrum, and addresscritical community issues fromhunger and nutrition, tohousing and transportation(Henkin & Butts, 2012;Thompson & Weaver, 2015). SeeMaking the Case forIntergenerational Programsfrom Generations United, whichexplains how intergenerationalprograms benefit all.

Community Input

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Intergenerational programs and spaces foster social inclusion.Key Finding #2


How organizations create opportunities forcommunity members to feel included

Social inclusion happens when people feel valued (AARP, 2021) andhave opportunities to take part in society (World Bank, n.d.)

What is SocialInclusion?

https://www.gu.org/resources/making-the-case-for-intergenerational-programs/

Research/Evidence


The government has a role inbuilding age-friendly plans,largely as a convener, butcannot be the sole entityimplementing the plan (Lui etal., 2007; WHO, 2020).

Bottom-up action plans aremore likely to generate broad-based community support, butthe government must maintainits leadership and support (Luiet al., 2009).

Community Input

43% reported a lack of capacity (e.g.,funding, staff, innovative partnerships). 35% reported a lack of intentionality (35%).

43% expressed a desire for moreintentional intergenerational interactions inthe community and to overcome barriers. 57% envisioned a community with multi-generational interactions and socialparticipation.

When interviewees were asked to identify theirorganizations’ barriers to providingintergenerational programming:

Interviewees reported a desire to address thesebarriers.

Interviewees believed innovative partnerships,particularly between faith communities,government, and nonprofit service providers,could maximize people-power without asignificant financial burden.

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Creating intergenerational programs requires overcoming capacity and intentionality barriers.

Key Finding #3


Establish Community ChampionsRecruit and develop individual Community Champions.

Recruit and develop organizational and business Community

Champions.

Create capacity for intentional intergenerationalconnections, programs, and spaces.

Establish an intergenerational committee, goals, and metrics.Launch pilot programs.Assess opportunities for intergenerational shared sites.

Create opportunities for more expansive communityengagement to further define the vision and action steps.Carry out focused outreach and relationship-building to includeunderrepresented voices from initial outreach phase.


How to Foster Social Inclusion


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Action Step 3: Enhance Communicationand Information Exchange

Research/Evidence

The reliance on personal andorganizational networks is part of whymulti-sector collaborations are soimportant (Lui et al., 2009). Iforganizations primarily find out whatcommunity members need and alsoshare information through theirnetworks/partners, those networksneed to be working well to ensureprograms meet community needs.

This communication exchange isessential to the ongoing work ofcreating an age-friendly community.Leaders and providers must gatheradequate information about what theircommunity needs and wants, or theyrisk wasting time and resources rollingout programs or protocols that don’tactually benefit those they serve(Sánchez-González et al., 2020).

Community Input

52% rely on their networks toSHARE information withcommunity members.

56% rely on their networks toGATHER information/feedbackabout what communitymembers may need.

30% rely on communitymembers’ personal contacts, likefamily and friends, to distributeinformation to them.

Survey respondents of all agesreported that the three mostimportant resources for findinginformation were: friends andfamily, the internet, and email.

Jefferson County partners rely onpersonal and network contacts tosend and receive information withcommunity members. Of thoseinterviewed:

Ongoing, personal communication fosters social inclusion and ensures information flowsbetween organizations and community members.

Key Finding #1


How information flows through a community and who has access towhat information and in what way (AARP, 2021)

What isCommunication

and Information?


Research/Evidence

Age-friendly frameworks and initiativesemphasize that age-friendliness is foreveryone not only older adults,‘creating a place to grow up and growold.' This helps create a shared visionin which all community members cansee themselves (AARP, 2021).

Speaking consistently about the visionand why it matters for everyone willbring in more supporters who can findtheir own place in the vision.Otherwise, we risk communitymembers feeling like the vision doesnot apply to them.

Community Input

65% of interviewees suggestedthat the messaging around age-friendliness needs to change.

Interviewees suggested"improving messaging" morefrequently as a top priority overspecific policies and programs.

We asked how Age-Friendly JeffersonCounty can focus its efforts toaccomplish its vision. Intervieweescited improving messaging aroundwhat it means to be age-friendly andbuilding awareness of the initiative.

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Consistent messaging is key to engaging community members in co-creating age-friendly communities.

Key Finding #2


Interviewees mentioned

more frequently than any

other strategy that the

messaging around age-

friendliness needs to be

more clear and consistent

Measure age-friendly impacts.Define impact metrics for each of the focus areas aligned with thegoals established by committees.Create a dashboard to visually communicate the initiative's impact.Provide training and resources to community organizations andChampions to collect necessary data and apply analysis.

Launch countywide campaign to raise awareness of Age-Friendly efforts and what it means to be age-friendly.

Update current Age-Friendly social media messaging to be moreinclusive/expansive across the age spectrum. Collectively develop ashared vision and definitions for age-friendliness.Co-create community-led education campaign about age-friendlycommunities.


How to Enhance Communication and Information Exchange


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Research/Evidence


“An age-friendly community is barrier-free, designed for diversity, inclusiveand cohesive. For example accessibleand safe road and transportinfrastructure, barrier-free access tobuildings and houses, and publicseating and sanitary facilities, amongothers. Age-friendly environmentsenable people to stay active, connected,and able to contribute to the economic,social, and cultural life in theircommunity. Becoming age-friendly canmake a city a city of choice for allgenerations – a great place to live, havea family, and grow older in,” (WHO, n.d.,para. 6).

Community Input

87% emphasized the importanceof access.65% noted the importance ofphysical access. 57% envisioned a communitywith multi-generationalinteractions and socialparticipation.

the built environment (closeoutdoor spaces, accessiblebuildings) community amenities (libraries,recreation centers, yard services) access to basic needs (healthcare, mental health care,housing, financial security, food).

Jefferson County partners agree thataccess is important. When askedwhat an age-friendly communitylooks or feels like:

Jefferson County interviewees do notagree on what “access” means,however. Work needs to be done sothat everyone is working towardsthe same vision. They interpretedaccess widely, between a narrowvision, such as transportation, towider concepts, including:

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Action Step 4: Design an Inclusive BuiltEnvironment

Age-Friendly communities are largely built around equitable access. Key Finding #1


87%of people

interviewed said

age-friendliness

is about

access

https://extranet.who.int/agefriendlyworld/why-become-more-af/

Research/Evidence


There are six major age-friendly models and all agree upon the necessarycomponents of both the built infrastructure and the social environment. In theirinternational review of age-friendly communities, Lui et al. (2009) compared thevarious age-friendly models and found that the physical and social environments lieon a continuum (see below) and that the built and social environments are mutuallyreinforcing. The research also shows that age-friendly communities are usually builtfrom the bottom-up (i.e. community-led) rather than top-down (e.g., mandates).

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Age-friendly initiatives are on a continuum of physical infrastructure and social environment.Key Finding #2

Age-Friendly Models are on a Continuum of Physical Infrastructure and Social Environment,

with Components Reinforcing Each OtherAdapted from Lui et al., 2009


Develop resources for planners and leadership for betterpractices for incentivizing affordable, adequate housing.

Establish Age-Friendly Jefferson County as an expert inage-friendly built environment issues.

Provide consultation to county and local municipalities on age-friendly housing, visitability, land use, etc.Create a speakers bureau on age-friendly housing andneighborhood planning.


How to Design an Inclusive Built Environment


25


Provide leadership and expertise in mobilitymanagement.

Increase awareness of mobility management needs, options like

the 15-minute community for urban areas, and explore rural-

focused concepts.

Collaborate with municipal staff (see above), county, and regional

leadership to provide input on transportation plans locally,

countywide, and across the region.


This action plan creates a foundation for the Age-Friendly Jefferson County initiative tostrengthen Jefferson County’s commitment to becoming an age-friendly county. Throughcross-sector collaboration and by learning from age-friendly research and best practices, theefforts of the last decade will expand to engage more people and organizations throughoutJefferson County. Central to meaningful transformation will be community input fromdiverse perspectives in every phase, from the vision process to the way information iscommunicated to the equitable design of policies and programs. This action plan is intendedto help government, nonprofits, businesses, and individuals take tangible steps to build acommunity that is accessible for all who live, work, and play in Jefferson County to grow upand grow old.

Conclusion

26

Karin StewartProgram Manager, Community Assistance DivisionJefferson County Department of Human ServicesP: (303) [email protected]

For questions or to learn more aboutgetting involved with Age-FriendlyJefferson County, please contact:


Appendices

Appendix A: Age-Friendly Jefferson County Action Plan Steps Summary

Phase 1: 9/1/21-2/28/22 Pause, is this equitable and inclusive?Phase 2: 3/1/22-8/30/22 When this icon appears in the action plan, there’s particular opportunity to consider howPhase 3: 9/1/22-2/28/23 that action will affect people of different geographies, races and ethnicities, incomes,Phase 4: 3/1/23-8/30/23 and ages. See pages 11-12 of the main report.

Action Step Who How When Resources Needed

Build a Strong Foundation

1. Establish Age-Friendly JeffersonCounty network structure

JeffersonCounty HumanServices (JCHS):Convener,AdministrativeSupport;Organizations;Municipalities;Individuals(residents,employees,recreators)

Identify two .5 FTE staff (coordinatorand administrative support); follow upon interest from survey participants(70+), share action plan, and create3-5 opportunities toengage; establishadvisory committeeand 1-3 newcommittees based onthe action plan

Phase 1 Funding for 1.5 FTE(coordinator 1.0 and admin.5 FTE) at JCHS; additionalfunds needed for printing,events,translation/interpretation,communication system,consultant for communityengagement, technicalassistance, etc.

a. Create an advisory committeeto provide guidance,connections, and strategicoversight

JCHS Recruit diverse group of 8-10individuals a mix of people previouslyinvolved with Aging Well and new;organizational representatives andindividuals tasked with guiding theimplementation of thisaction plan andrecruiting individualsand organizations

Phase 1 Coordinator time foroutreach, facilitation, andestablishing group normsand process; translationand interpretation servicesas needed

1


b. Mobilize municipalitieswho have previouslycompleted the Boomer Bondor other age-friendlyassessments (Edgewater,Wheat Ridge, Littleton,Arvada)

JCHS Identify key staff (planning, economicdevelopment, administrativeleadership, etc.) to form a subgroup toshare experiences, identify barriers toaction, and tools needed such as anage-friendly assessment tool or policyguide; members of this subcommittee are encouraged toparticipate in other committees

Phases 2and 3

Coordinator time foroutreach, facilitation, andestablishing group normsand process; translationand interpretation servicesas needed

2. Build a library of tools andresources to enhance theknowledge and capacity ofpartners

Committees;consultant

Phases 3thru 4

Age-friendly communitiesconsultant to guidedevelopment of onlineresource library andcollaboration withstatewide partners

a. Develop/adapt/adopt tools toassist municipal efforts forassessment and planning witha specific focus on equityincluding consideration of age,culture, ethnicity, geography,socioeconomic status


Building on efforts from National CivicLeague (equity tool), AARP, DRCOG(Boomer Bond), and others, assessexisting age-friendly assessment toolssuch as Boomer Bond, LEEDNeighborhood Program or similar;walkability/mobility assessment andeither adopt or adapt a tool andresources that will guide assessmentand planning; customize for JeffersonCounty; create an online library

Phases 3thru 4

Age-friendly communitiesconsultant; resources fordevelopment of printedand online tools includingtranslation



b. Develop/adapt/adopt an age-friendly decision-makingframework that guidesplanning and implementationin considering age-friendlyspecific dynamics


Similar to health equity assessmenttools, develop/adapt/adopt a tool toguide decision making to assure thatall aspects of an age-friendlycommunity are considered foractivities like community planning,development, events, and programdevelopment. The tool would guideindividuals in asking key questions,seeking additionalinformation, anddesigning options;development oftrainings and ongoingguidance by committee members forbroad adoption

Phases 3thru 4

Age-friendly communitiesconsultant; resources fordesign of printed andonline resources includingtranslation

c. Provide technicalassistance/consultation forassessment, planning anddevelopment of age-friendlyprojects/programs/policies

Selectedcommitteemembers;consultant

Recruit and vet experts (formal andinformal) from committees andcommunities with general andspecialized expertise in housing,transportation, mobility, socialinclusion, etc.

Phase 3andongoing

Funding for a bank ofprofessional technicalassistance consultation;Age-friendly consultant

3. Actively collaborate with otherLifelong/Age-Friendly communitiesand statewide initiatives

JCHS andcommittees

Participate in regional and statewidenetworks; share lessons learned, toolsdeveloped, metrics dashboard;collaborate on larger scale policy andfunding advocacy efforts

Phase 1andongoing

JCHS staff and committeetime



4. Seek funding JCHS andmembers

Identify and meet with potentialfunders including Jefferson CountyHuman Services Foundation;Community First Foundation,NextFifty Initiative, and others todiscuss potential funding

Phase 1 Grant writer; JCHS stafftime

a. Raise start up andfoundational funds

JCHS andcommittees

Develop budget and narrativedescribing funding to establish theJCHS staffing; remuneration forcommunity engagement; additionalcommunity engagement;organizational structure, recruitmentetc.

Phase 1 Grant writer, letters ofsupport

b. Establish pilot project funding JCHS andcommittees

Fundraise for flexible funding tosupport pilot projects developed bycommittees in collaboration withCommunity Champions

Phases 2and 3

Grant writer, letters ofsupport

Foster Social Inclusion

1. Create opportunities for moreexpansive community engagementto further define the vision andaction steps

Communityengagementconsultant,committees,and CommunityChampions

Create customized outreach tacticswith representatives of each of thediverse groups toensure qualityengagement both nowand in the long term;tactics could include communityvisioning sessions, interviews, focus

Phase 2andongoing

Community engagementconsultant;interpretation/translation;extensive time andadditional resources torecruit and compensatechampions andparticipants



groups; consider developing acommunity navigator/connectorastype program for outreach

a. Carry out focused outreachand relationship building toinclude underrepresentedvoices from initial outreachphase

Communityengagementconsultant,committees,and CommunityChampions

Underrepresented voices at aminimum included: Latinx community(residents, businesses, organizations);Vietnamese, AmericanIndian, and Veterans,mountain communityresidents andbusinesses; morediverse age groups; varyingsocioeconomic status

Phase 2andongoing

Community engagementconsultant;interpretation/translation;extensive time andadditional resources torecruit and compensateChampions andparticipants

2. Establish CommunityChampions

JCHS andcommittees

Establish dynamic team of individuals,organizations, and businessescommitted to sharing aboutage-friendly practices and identifyingopportunities for action

Phase 2andongoing

JCHS staff time foroutreach; marketing fortraining materials

a. Recruit and develop individualCommunity Champions

Committeesand FamilyLeadershipTrainingInstitute (FLTI)

Establish cohort withinFLTI to build capacity ofindividuals interested inengaging with theAge-Friendly initiative; individualprojects should be connected withpriorities of committees

Phase 2andongoing

Funding to supportongoing special FLTIcohorts



b. Recruit and developorganizational CommunityChampions

JCHS andcommittees

Identify individuals from public andprivate organizations asChampions to providebrief presentationswithin their networks,identify and share opportunities toapply an Age-Friendly lens to adecision or a policy

Phase 2andongoing

JCHS staff time foroutreach; marketing fortraining materials

3. Create capacity for intentionalintergenerational connections,programs, and spaces

Committeesand CommunityChampions

Partner with the LinkAGES Coloradointergenerational initiative to learnmore about the value ofintergenerational connections; how todevelop and sustain programs; how tocreate connections and foster goodcommunication between people ofvarious ages; and how to developpartnerships to implement theprogramming

Phase 3andongoing

JCHS staff time; consultantfamiliar withintergenerationalprogramming and sites;funding for trainings orother skills buildingresources

a. Establish intergenerationalcommittee, goals, and metrics

JCHS andcommittees

Recruit individuals of diverseages/generations with experience orinterest in intergenerationalprogramming

Phase 3andongoing

JCHS staff time

b. Launch pilot programs Committees Identify organizations/communitygroups interested or with programideas to pilot a program

Phases 3and 4

JCHS staff, see above aboutacquiring pilot funds


https://www.linkagescolorado.org/


c. Assess opportunities forintergenerational shared sites

Committees Build understanding of value andoptions through existing toolkits fromGenerations United; speak withoperators of intergenerationalspaces/places; meet with potentialcommunity partners;develop business plan or sharedstrategy

Phase 4 Consultant to developbusiness plan and supportcommittees in siteidentification andassessment

Enhance Communication and Information Exchange

1. Launch countywide campaign toraise awareness of Age-Friendlyefforts and what it means to beage-friendly

JCHS,committees,Countyagencies,Health Alliance,CommunitiesThat Care (CTC)other existingnetworks

Create community and individualspotlights to celebrate age friendlyefforts across the county

Phases 2and 3

Marketing and brandingconsultant; JCHS staff

a. Update current Age-Friendlysocial media messaging to bemore inclusive/expansiveacross the age spectrum

JCHS marketingandAge-Friendlycoordinator;committees

Expand current messaging beyondolder adults focus to include photosand messages relevant to all agesdemonstrating the value of anage-friendly community; incorporateChanging the Narrative guidelines

Phase 1 JCHS marketing staff time


https://changingthenarrativeco.org/


i. Collectively develop ashared vision anddefinitions forage-friendliness

Diversestakeholders;communityengagementconsultant

Utilize communityvisioning sessions;focus groups andinterviews engageindividual andorganizational stakeholders acrossdiverse geographies, cultures, andethnicities

Phases 2and 3

This should be done aspart of the outreachreferenced in Foundations;refer to resources needed

b. Co-create community lededucation campaign aboutage-friendly communities

Diversestakeholders,communityengagementconsultant,committees

Co-create materials (translated inmultiple languages) including shortpresentations, videos, and fact sheetsthat can be shared by amultitude ofstakeholders; topicscould include housingoptions (both availableand needed), mobility issues,intergenerational spaces, and civicengagement

Phases 3and 4

Communications andcommunity engagementconsultant

2. Measure age-friendly impacts JCHS, SAPGA Phases 2andongoing

Evaluation consultant

a. Define impact metrics for Committee with Research metrics from other Phase 2 Evaluation consultant



each of the focus areasaligned with the goalsestablished by committees

evaluationconsultant

jurisdictions, AARP, and WHO; tailormetrics

b. Create a dashboard to visuallycommunicate initiative’simpact

JCHS, SAPGA,Age-friendlycommunitynetwork (to becreated bystate)

Utilize county or state expertise tocreate a dashboard

Phase 3 Evaluation consultant

c. Provide training andresources to communityorganizations and Championsto collect necessary data andapply analysis

Committees Develop materials to build skills andknowledge for how to collect, analyzedata, and apply the results

Phase 3andongoing

Consultant with expertisein skills building; practicalapplication of researchfindings and organizationaland collaborative dynamics

Design an Inclusive Built Environment (e.g. housing, transportation, mobility, parks, arts/culture, community spaces, etc.)

1. Establish Age-Friendly JeffersonCounty as an expert in age-friendlybuilt environment issues

JCHS,committees,CommunityChampions

Provide annualeducation sessions toCommissioners,County, and municipalleadership across diversedepartments including planning,human services, public health,economic development andcommunity development about allaspects of age-friendly communities(physical to social)

Phase 3andongoing

Graphic design andeducational content;consultation for creation ofbranded educationalmaterials includingPowerPoint presentations;JCHS staff time; stipendsfor Community Champions



a. Provide consultation to countyand local municipalities onage-friendly housing,visitability, land use, etc.

Committee,champions,consultants asneeded

Recruit team of experts includingCommunity Champions (FLTI cohort);train on toolscreated/adapted/adopted

Phase 3andongoing

JCHS staff time;age-friendly consultanttime for training andoversight of technicalquestions

b. Create speakers bureau onage-friendly housing andneighborhood planning

Committee Recruit speakers on a variety of topicsrelated to age-friendly housing andneighborhoods; prepare 15-30 minutepresentations with associatedresources (see Foundation 1B) andrecommended action steps

Phase 3 Graphic design andeducational content forcreation of standardizededucational materials

2. Develop resources for plannersand leadership for better practicesfor incentivizing affordable,adequate housing

Committee,consultant asneeded

Assess age-friendly zoning codeslocally and around thecountry that facilitate awide range of housing-in particular accessible,visitable, and flexiblehousing options;convene sessions with planners anddevelopers to discuss and brainstormadditional supportive policy andcodes; develop recommendations andimplementation strategies;collaborate with regional andstatewide age-friendly network

Phases 3and 4

Age-friendly planningconsultant



3. Provide leadership and expertiseon mobility management

Committee Expand currentmembership to includelocal municipality staffand individuals; privatecompanies and mobilityexperts; identify strengths and areasof expertise; establish policy prioritiesand advocacy strategies

Phase 2andongoing

JCHS staff time

a. Increase awareness ofmobility management needs,options like the 15-minutecommunity for urban areas,and explore rural focusedconcepts

Committee Develop educational materials,presentations and issue papers; hostspeakers on related topics for allcommittees and the general public;prepare social media posts tospotlight work and localaccomplishments

Phase 2andongoing

Writing and researchsupport; honorariums forspeakers; web hostingplatform

b. Collaborate with municipalstaff (see above), County, andregional leadership to provideinput on transportation planslocally, countywide, andacross the region

Committee Through the municipal networkestablished in Foundation 1A, seeabove, identify opportunities/needsfor expertise

Phase 2andongoing

JCHS staff time;age-friendly consultanttime for training andoversight of technicalquestions


Appendix B: References


AARP. (2021, February). The 8 Domains of Livable Communities: An Introduction. Retrieved fromhttps://www.aarp.org/livable-communities/network-age-friendly-communities/info-2016/8-domains-of-livability-introduction.html

AARP Foundation & United Health Foundation. (2020, October 6). The Pandemic Effect: A Social Isolation Report.Retrieved from https://connect2affect.org/wp-content/uploads/2020/10/The-Pandemic-Effect-A-Social-Isolation-Report-AARP-Foundation.pdf

Build Healthy Places Network and NeighborWorks America. (2020, September). Community DevelopmentCounteracts Isolation. Retrieved from https://buildhealthyplaces.org/content/uploads/2020/12/BHPN_Factsheet-Community_Development_Counteracts_Isolation.pdf

Cao, Q., Dabelko-Schoeny, H. I., White, K. M., & Choi, M. (2020). Age-Friendly Communities and PerceivedDisconnectedness: The Role of Built Environment and Social Engagement. Journal of Aging and Health, 32(9), 937-948. doi:10.1177/0898264319865421

Carroll, S. (2020). Co-designing Age-friendly Cities And Communities: Towards an Age-friendly Spatial Practice. RoyalDanish Academy. Retrieved fromhttps://adk.elsevierpure.com/ws/portalfiles/portal/63808051/Carroll_2020_Co_designing_Age_friendly_Cities_and_Communities.pdf

Choi, Y. J. (2020). Age-friendly features in home and community and the self-reported health and functional limitation of older adults: The role of supportive environments. Journal of Urban Health, 97(4), 471-485. https://doi.org/10.1007/s11524-020-00462-6

Emlet, C. A., & Moceri, J. T. (2011). The Importance of Social Connectedness in Building Age-Friendly Communities.Journal of Aging Research, 2012, 173247-9.

Fässberg, M. M., Cheung, G., Canetto, S. S., Erlangsen, A., Lapierre, S., Lindner, R., Draper, B., Gallo, J. J., Wong, C., Wu,J., Duberstein, P., & Wærn, M. (2016). A systematic review of physical illness, functional disability, and suicidalbehaviour among older adults. Aging & Mental Health, 20(2), 166-194. https://doi.org/10.1080/13607863.2015.1083945doi:10.1155/2012/173247

Greenfield, E. A., Oberlink, M., Scharlach, A. E., Neal, M. B., & Stafford, P. B. (2015). Age-Friendly CommunityInitiatives: Conceptual Issues and Key Questions. The Gerontologist, 55(2), 191-198. doi:10.1093/geront/gnv005

Henkin, N. Z., & Butts, D. M. (2012). Intergenerational practice in the United States: past, present and future. Qualityin Ageing and Older Adults, 13(4), 249-256.

Hanschu, C. (2021). Case Study: Perspectives from Stakeholders on the Vision and Priorities for an Age-Friendly Jefferson County, Colorado. Unpublished manuscript, but available here in full or as a summary.

Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and social isolation as riskfactors for mortality: A meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237.https://doi.org/10.1177/1745691614568352

Jefferson County. (2019). Aging Well in Jefferson County: Annual Report 2019. Retrieved fromhttps://www.jeffco.us/DocumentCenter/View/22007/2019-Aging-Well-Annual- Report?bidId=

Jefferson County & AARP. (2019, March 20). Membership Application. Retrieved from https://www.aarp.org/content/dam/aarp/livable-communities/age-friendly-network/application-letters-resolutions/2019/CO-Jefferson%20County-Application-2019-Final.pdf

https://doi.org/

https://drive.google.com/file/d/1hHV9WTsSON5Ufwd5LsnZ-aw4yVgXKfCS/view?usp=sharing

https://drive.google.com/file/d/1A096cEwNirCLSNA-6QIh4ygQ7xIUGbg3/view?usp=sharing

Appendix B: References


Kluth, M. (2019). Creating and Age-Friendly Jefferson County, Colorado. Unpublished manuscript.

Lui, C., Everingham, J., Warburton, J., Cuthill, M., & Bartlett, H. (2009). What Makes a Community Age-Friendly: AReview of International Literature. Australasian Journal on Ageing, 28(3), 116-121. doi:10.1111/j.1741-6612.2009.00355.x

Nicholson, N. R. (2012). A review of social isolation: an important but underassessed condition in older adults. Thejournal of primary prevention, 33(2-3), 137-152.

Sakurai, R., Yasunaga, M., Murayama, Y., Ohba, H., Nonaka, K., Suzuki, H., ... & Rebok, G. W. (2016). Long-term effectsof an intergenerational program on functional capacity in older adults: results from a seven-year follow-up of theREPRINTS study. Archives of Gerontology and Geriatrics, 64, 13-20.

Sánchez-González, D., Rojo-Pérez, F., Rodríguez-Rodríguez, V., & Fernández-Mayoralas, G. (2020). Environmental andPsychosocial Interventions in Age-Friendly Communities and Active Ageing: A systematic review. InternationalJournal of Environmental Research and Public Health, 17(22), 8305. doi:10.3390/ijerph17228305

Smith, M. L., Steinman, L. E., & Casey, E. A. (2020). Combatting Social Isolation Among Older Adults in a Time ofPhysical Distancing: The COVID-19 social connectivity paradox. Frontiers in Public Health, 8, 403-403.doi:10.3389/fpubh.2020.00403

State of Colorado. (2021). Lifelong Colorado. Retrieved from https://cdola.colorado.gov/lifelong-colorado-initiative

Steels, S. (2015). Key characteristics of age-friendly cities and communities: A review. Cities, 47, 45-52.doi:10.1016/j.cities.2015.02.004

Vaughan, M., LaValley, M. P., AlHeresh, R., & Keysor, J. J. (2016). Which features of the environment impactcommunity participation of older adults? A systematic review and meta-analysis. Journal of Aging and Health, 28(6),957-978. doi:10.1177/0898264315614008

Webb Hopper, M., Nápoles, A. M., & Pérez-Stable, E. J. (2020, May 11). COVID-19 and racial/ethnic disparities. Journalof the American Medical Association. [Epub Ahead of Print]. https://doi.org/10.1001/jama.2020.8598.

Walsh, K., Walsh, K., Scharf, T., Scharf, T., Keating, N., & Keating, N. (2017). Social exclusion of older persons: Ascoping review and conceptual framework. European Journal of Ageing, 14(1), 81-98. https://doi.org/10.1007/s10433-016-0398-8

Weissbourd, R., Batanova, M., Lovison, V., & Torres, E. (2021). Loneliness in America: How the Pandemic HasDeepened an Epidemic of Loneliness and What We Can Do About It. Making Caring Common Project. Retrieved fromhttps://mcc.gse.harvard.edu/reports/loneliness-in-america

World Bank. (n.d.). Social Inclusion. Retrieved from https://www.worldbank.org/en/topic/socialinclusion

World Health Organization. (2007) Global Age-Friendly Cities: A guide. France: WHO Press. Retrieved from https://www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf

World Health Organization. ( 2015) . Measuring the age-friendliness of cities: a guide to using core indicators.Retrieved from https://apps.who.int/iris/handle/10665/203830

World Health Organization. (2020). Decade of Healthy Aging Baseline Report. Geneva: World Health Organization.Licence: CC BY-NC-SA 3.0 IGO. Retrieved from https://www.who.int/publications/i/item/9789240017900

Young, T. L., & Janke, M. C. (2013). Perceived benefits and concerns of older adults in a community intergenerationalprogram: Does race matter?. Activities, Adaptation & Aging, 37(2), 121-140.

Appendix C: Interview Protocol


Starting broadly, if you were to look around a community and think to yourself, wow, this is reallyan age-friendly community, what would that look like or feel like?Given that description, do you think that the communities in Jefferson County are age-friendly?

Which areas are/are not age-friendly, and why or why not?What do you think are the top three priorities we need to focus on to help Jefferson Countybecome (more) age-friendly?

Where geographically does your organization focus? How does your organization create opportunities for older adults to feel respected and included?How does your organization/your community create opportunities for people from multiplegenerations to connect with each other?

What’s an example of this happening?What made that opportunity possible?What barriers exist to creating (or expanding) programs where multiple generations cometogether?

How does your organization distribute information to older adults and community members?How does your organization find out what older adults and community members want or needto know? What are the barriers to this communication between your organization and older adults andcommunity members?

Is there anything I haven’t asked about regarding JeffCo becoming an age-friendly communitythat you think I need to know?We’d love to hear from all sorts of people for these interviews. Who else should we contact?

Notes on organizational interviews: held via phone; 30 minutes in length; recorded.Please note this protocol was only used for organizational interviews, not municipal leaderinterviews. Municipal leader interviews included different questions focused on previous age-friendlyassessment efforts.

Hi, my name is Chantalle Hanschu, and I’m an Associate of Aging Dynamics. Have you been involved withany of the Aging Well or Age-Friendly Jefferson County initiatives? I can give you a little context for how thisinterview fits into the Age-Friendly Jefferson County initiative. Since 2008, Jefferson County has beenworking toward an age-friendly community, through several workgroups focused on a variety of topics.They’ve recently decided to step back and re-evaluate priorities, and so they are gathering informationfrom stakeholders and also input from community members about what’s important in terms of age-friendly communities. We will use the input from this interview to inform the survey, and then we’ll takewhat we find from the interviews, the surveys, and the prior action plans of the workgroups and create aconcrete action plan, which will be released this summer.

I know you saw the informed consent information when you signed up for this interview, but I want to letyou know I am recording this interview for my own purposes, and you might also hear me typing as I takesome notes of our conversation. Are we ready to dive in?

Now that we’ve looked broadly at what a more age-friendly Jefferson County might look like, I want to talkspecifically about your organization.

Appendix D: List of Interviewees


Appendix E: Survey Questions(English)








Appendix E: Survey Questions(Spanish)










Appendix F: Survey DistributionList


Age-Friendly Jefferson County WorkgroupsArvada FacebookDenver Indian CenterCity of Lakewood Senior Support Services OfficeEvergreen Chamber of CommerceHoyer Senior Placement (Arvada)Jefferson County Council on AgingJefferson County Health AllianceJefferson County Department of Human Services social mediaPower of Partnership newsletterPrime Time News websiteResidents of Eaton Senior CommunitiesSouth Lakewood Business AssociationSeveral personal social media accounts of interviewees and people involved in Age-FriendlyJefferson County, including Commissioner DahlkemperWeir Gulch Gardens Community GroupWheat Ridge Active Adult CenterWheat Ridge Facebook

Appendix G: Steering CommitteeMembers


Ashleigh Phillips, Porter Adventist Hospital Dave Ruchman, Community Member Dawn Sluder, City of Lakewood Donna Mullins, Mullins Youngdahl Design Company Cary Johnson, Jefferson County District Attorney’s Office Chris Lynn, Seniors’ Resource Center Mike Hughes, West Corridor Transportation Management Association Jane Barnes, Benefits In Action Jean Bogar, Seniors' Resource Center Joe Lamers, Community Member Roberto Rey, Colorado AARP

Documents

2021-2023 Action Plan: Age-Friendly Jefferson County Colorado