The number of people aged 60 and over as a proportion of the global population will double from 11% in 2006 to 22% by 2050.

There will be more older people than children (aged 0–14 years) in the population for the first time in human history

Global ageing and urbanization: meeting the challenge of humanity’s success

Developing countries are ageing at a much faster rate than developed countries◦ 2005 , 60% of the World’s population elderly live

in developing countries,◦ 2050, This number will reach 80%!!!

2007, over half of the global population now lives in cities◦ cities with 10 million inhabitants or more,

increased tenfold from 2 to 20 during the 20th century

Global ageing and urbanization

In developing countries the share of older people in urban communities will multiply 16 times from about 56 million in 1998 to over 908 million in 2050.

In 2050 older people will comprise one fourth of the total urban population in less developed countries

Global ageing and urbanization

Population ageing and urbanization are the culmination of successful human development during last century

Urban growth is associated with a country’s technological and economic development

Vibrant cities benefit a country’s entire population – urban and rural◦ Urban and Rural?

Global ageing and urbanization

Active ageing is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age.

Active ageing: Future Focus directsa framework for age-friendly cities

An age-friendly city, policies, services, settings and structures support and enable people to age actively by:◦ recognizing the wide range of capacities and

resources among older people;◦ anticipating and responding flexibly to ageing-

related needs and preferences;

Active Ageing: Continued

An age-friendly city, policies, services, settings and structures support and enable people to age actively by:◦ respecting their decisions and lifestyle choices;◦ protecting those who are most vulnerable; and◦ promoting their inclusion in and contribution to

all areas of community life.

Active Ageing: Continued

Active ageing depends on a variety of influences or determinants that surround individuals, families and nations◦ They include material conditions as well as

social factors that affect individual types of behavior and feelings

◦ The interaction between these factors play an important role in affecting how well individuals age.

Active Ageing: Continued

Active Ageing

Economic Determinants

Health & Social Services

Behavioral Determinants

Physical Environment

Personal Determinants

Social Determinants

Determinants of Active Ageing

Gender

Culture

Chart Rehab

Maintaining Functional Capacity over Life’s Course

Early LifeGrowth & Development

Adult LifeMaintaining highestpossible level of function

Older AgeMaintaining independenceand preventing disability

Disability Threshold

Rehabilitation and ensuring the quality of life

Range of Function

Rural Community Assessments◦ Affordability◦ Essential Services◦ Design Support◦ Modification Support◦ Maintenance Services◦ Aging In Place – Active

Aging◦ Community Integration◦ Housing Options◦ Living Environment

Future Focus Community

Affordability◦ Housing for older & disabled adults◦ Virtually Maintenance-free exterior construction◦ Eco-friendly design quality and material usage◦ No Hassle's◦ Easy Access

FFC – Community Assessments

Essential Services◦ Nutrition Site on campus◦ Wellness Educational Services◦ Housekeeping Services◦ Maintenance Support◦ Social Support ◦ Caregiver Coordination

FFC – Community Assessments, Cont.

Design Features◦ Housing made of

Appropriate Materials◦ Sufficient Space to

enable older adult to Function

◦ Housing has Appropriate Environmental Conditions

◦ Housing is Accessible to active or disabled Older Adult

FFC – Community Design Assessments

Modifications◦ Housing is modified to meet senior needs◦ Modifications are Affordable◦ Equipment for Modification is Accessible◦ Financial Assistance is Available◦ Competent Assistance provided

FFC – Community Assessments –Rehabbing Existing Inventory

Maintenance◦ Maintenance

services are Affordable to seniors

◦ Qualified and Reliable service providers to perform maintenance work

◦ Public Housing, rental accommodation and common areas are well-maintained

FFC – Community Assessments, Maintenance Free!

Aging In Place◦ Housing is located close to

services◦ Services are Affordable and

support senior to remain at Home

◦ Seniors are well informed of services to help them age in place

◦ Home-Care services are provided to support independence

◦ Respite care is provided on a “Care Sharing Model”

FFC – Community Assessments, Can I Stay Here?

Community Integration◦ Housing design facilitates

continued Integration of seniors into the Fabric of the Community

◦ Transportation services supportive to Greater Community

◦ Employment, Enterprise, and Volunteerism is supported throughout the Community

FFC – Community Integration Assessment

Housing Options◦ Range of Appropriate and Affordable Housing

Options for Seniors◦ Seniors are well informed of options◦ Sufficient number of houses or living options◦ Range of services to support senior needs◦ Seniors housing is integrated into surrounding

community◦ Facility-based care based on Eden Alternative

Principles

FFC – Community Housing Assessments

Living Environment◦ Housing not

Overcrowded◦ Older people

Comfortable◦ Housing not in areas

Prone to Natural Disasters

◦ Older people feel Safe!◦ Financial Assistance for

Housing Security measures

FFC – Community Assessments, Living Safely!

Future Focus Community and its Collaborative Organizations Social & Behavioral Responsibility outreach efforts to Seniors desiring to contribute to their community-FWOP◦ Education◦ Economic◦ Environment◦ Empowerment◦ Energy

Integrated Approach – FWOP & FFC

The three plagues of loneliness, helplessness and boredom account for the bulk of suffering among our Elders – FFC, Loneliness, Isolation & Depression

An Elder-centered community commits to creating a Human Habitat where life revolves around close and continuing contact with plants, animals and children. It is these relationships that provide the young and old alike with a pathway to a life worth living.

Loving companionship is the antidote to loneliness. Elders deserve easy access to human and animal companionship.

FFC’s Guiding Principles “Eden Alternative”

L.I.D. Theory Loneliness

Isolation

Depression

Guiding Principles “Eden Alternative”

Meaningless activity corrodes the human spirit. The opportunity to do things that we find meaningful is essential to human health.

Medical treatment

should be the servant of genuine human caring, never its master.

An Elder-centered community creates opportunity to give as well as receive care. This is the antidote to helplessness.

An Elder-centered community integrates daily life with variety and spontaneity by creating an environment in which unexpected and unpredictable interactions and happenings can take place. This is  the antidote to boredom.

Guiding Principles “Eden Alternative”

An Elder-centered community honors its Elders by de-emphasizing top-down bureaucratic authority, seeking instead to place the maximum possible decision-making authority into the hands of the Elders or into the hands of those closest to them.

Creating an Elder-centered community is a never-ending process. Human growth must never be separated from human life.

Wise leadership is the lifeblood of any struggle against the three plagues. For it, there can be no substitute.

Guiding Principles “Eden Alternative”

Clothing Room Donation Room Community Care An Artist and … ….his Cat “Rocky” Spiritual Connectivity & Expression Gardening for the Community Caring Connections – re-cycled cards Dough-Nations, social responsibility Music Man delivers Holistic Therapy

Eden’s evolution at Ackert Park

Expand Clothing Closet (Activity has been operational since January, 2010)

Sponsor and oversee a clothing donation and distribution program to provide appropriate clothing for residents in need. In addition to clothing – residents can use, radios, tape and CD players that you no longer need.

Donation Room – Clothes 4-All

Village Connectivity Emotional Wellbeing

Vocational Connectivity Physical Wellbeing

Social Connectivity Spiritual Wellbeing

Resident/Staff Intellectual Wellbeing

Connectivity

Spiritual Care at Ackert

Music for the SoulIf the Walls of Ackert Park could Talk-!

Artist and his Feline Friend

Dorothy’s Card-nection

Ackert Community Gives Back

Ackert Park sites along an old Trolley path called Ackert Way. It serves as our Walking Rehab Trail, connection to Community Gardens and a place to shared nature with our neighbors-!

Is it really Culture Change we seek… …or is it Culture we’ve lost!

Let our Campuses reflect the Communities Culture that surrounds us◦ Give up the sterility of Medicine ◦ Give in the ….

Persons should direct care

Culture Change?