The Seniors Providers Forum identified several key priorities and concerns regarding active aging in the Docklands area. These included difficulties reaching seniors who refuse help, home help funding cuts, a lack of primary care resources, poor public transportation access, alcoholism, falls risks, and the challenge of engaging the 40% of seniors not currently involved in community activities. The forum saw a need for better coordination of services, outreach workers, and economic analysis to support their advocacy and lobbying efforts.
Dr Shibley Rahman presentation on citizenship and dementiashibley
This is the talk I intend to give at the Arlington Centre on Saturday 11th July 2015. It centres around active citizenship of people with dementia, shaping the general discourse about dementia.
This newsletter provides information for those involved in youth work in Devon. It discusses developments over the past six months including a local authority scrutiny committee's positive recommendations regarding the voluntary sector. It also discusses Devon Youth Services' options appraisal exercise to identify the best future delivery model. Upcoming events and training courses are advertised. The annual VYS conference in February is announced which will focus on the "Big Society".
In this webinar, Roberta Newton, manager of the Los Angeles Office of the State Council on Developmental Disabilities speaks about:
> The importance of the Centers for Medicare and Medicaid Services (CMS) and Home & Community Based Services (HCBS) for people with developmental disabilities and their families.
> What changes are coming to HCBS and and how people with developmental disabilities will be affected.
> How to prepare for and participate in the development of new HCBS regulations.
The Talking point is one of the many initiatives from Alzheimer’s society to support people with dementia and their carers through online forum. They alone don’t consider this has as innovation. Through this report I showcase, how the online forum has all the potential to create awareness for all the people who are affected by dementia in all the countries.
This document discusses opportunities and challenges for scaling up HIV treatment and prevention. It summarizes discussions from community meetings in Asia and Africa. Key points include:
1) New evidence shows antiretroviral treatment can prevent HIV transmission, allowing treatment to be part of combination prevention. However, concerns were raised about potential shifts in resources away from treatment.
2) Reaching universal access goals and treatment as prevention will require overcoming challenges like ensuring sufficient funding.
3) Integrating HIV treatment and prevention services may require changes to current models of service delivery with a focus on testing and treating all eligible.
4) Communities emphasized the importance of human rights, key populations, and community-based service
Emergency task force on unsheltered homelessness recommendations to mayor murrayMayorEdMurray
The Emergency Task Force on Unsheltered Homelessness made recommendations to Mayor Murray in December 2014 to address Seattle's increasing unsheltered homeless population. The Task Force recommended expanding shelter capacity through youth shelters, using city facilities, a shelter toolkit for organizations, and streamlining permits. They also recommended allowing legal encampments through a new ordinance, funding for encampments, and developing small houses for homeless individuals. Their top three priorities were using city facilities for shelters, a new encampment ordinance, and expanding youth shelters and outreach. The Task Force operated with a short-term focus on immediate solutions but discussed longer-term needs around housing, services, and changing public perceptions of homelessness.
This monthly bulletin from ecdp provides updates on several topics:
1) ecdp has been working to evaluate the impact of personal budgets over three years and the final results will be published this week.
2) ecdp's employment program Essex Unite is now in its fifth week, and two participants recently met with the Minister for Disabled People to discuss role models.
3) ecdp will be holding its Annual General Meeting this month for members to hear about the organization's work over the last year and provide input on the new strategy.
Dr Shibley Rahman presentation on citizenship and dementiashibley
This is the talk I intend to give at the Arlington Centre on Saturday 11th July 2015. It centres around active citizenship of people with dementia, shaping the general discourse about dementia.
This newsletter provides information for those involved in youth work in Devon. It discusses developments over the past six months including a local authority scrutiny committee's positive recommendations regarding the voluntary sector. It also discusses Devon Youth Services' options appraisal exercise to identify the best future delivery model. Upcoming events and training courses are advertised. The annual VYS conference in February is announced which will focus on the "Big Society".
In this webinar, Roberta Newton, manager of the Los Angeles Office of the State Council on Developmental Disabilities speaks about:
> The importance of the Centers for Medicare and Medicaid Services (CMS) and Home & Community Based Services (HCBS) for people with developmental disabilities and their families.
> What changes are coming to HCBS and and how people with developmental disabilities will be affected.
> How to prepare for and participate in the development of new HCBS regulations.
The Talking point is one of the many initiatives from Alzheimer’s society to support people with dementia and their carers through online forum. They alone don’t consider this has as innovation. Through this report I showcase, how the online forum has all the potential to create awareness for all the people who are affected by dementia in all the countries.
This document discusses opportunities and challenges for scaling up HIV treatment and prevention. It summarizes discussions from community meetings in Asia and Africa. Key points include:
1) New evidence shows antiretroviral treatment can prevent HIV transmission, allowing treatment to be part of combination prevention. However, concerns were raised about potential shifts in resources away from treatment.
2) Reaching universal access goals and treatment as prevention will require overcoming challenges like ensuring sufficient funding.
3) Integrating HIV treatment and prevention services may require changes to current models of service delivery with a focus on testing and treating all eligible.
4) Communities emphasized the importance of human rights, key populations, and community-based service
Emergency task force on unsheltered homelessness recommendations to mayor murrayMayorEdMurray
The Emergency Task Force on Unsheltered Homelessness made recommendations to Mayor Murray in December 2014 to address Seattle's increasing unsheltered homeless population. The Task Force recommended expanding shelter capacity through youth shelters, using city facilities, a shelter toolkit for organizations, and streamlining permits. They also recommended allowing legal encampments through a new ordinance, funding for encampments, and developing small houses for homeless individuals. Their top three priorities were using city facilities for shelters, a new encampment ordinance, and expanding youth shelters and outreach. The Task Force operated with a short-term focus on immediate solutions but discussed longer-term needs around housing, services, and changing public perceptions of homelessness.
This monthly bulletin from ecdp provides updates on several topics:
1) ecdp has been working to evaluate the impact of personal budgets over three years and the final results will be published this week.
2) ecdp's employment program Essex Unite is now in its fifth week, and two participants recently met with the Minister for Disabled People to discuss role models.
3) ecdp will be holding its Annual General Meeting this month for members to hear about the organization's work over the last year and provide input on the new strategy.
In this webinar, speaker Lillibeth Navarro, Executive Director and Founder of CALIF (Communities Actively Living Independent and Free), will discuss:
- What an ILC is, and what services are available
- What “independent living” means when you have a disability
- Forward-thinking ideas about disability & services
- How contributions from people with disabilities can change the future
Building a livable commuity in Second LifeMatt Ganis
The document summarizes a contest held by the Westchester Alliance for Livable Communities to design livable communities for aging populations in the virtual world Second Life. Student teams from local colleges were tasked with creating 3D intergenerational community spaces that allow people to comfortably age in place. The winning team received $750, with second and third place receiving $500 and $250 respectively. The goal was to help students understand the needs of older adults to influence real world community design. Future contests will involve designing distinct community elements like streets, homes, and parks.
In this webinar, Christofer Arroyo, an advocate with the State Council on Developmental Disabilities in the Los Angeles office, will discuss:
- What a Person-Centered Plan is
- Why it is part of Self-Determination
- How it can be used with IPPs and IEPs now
- Who develops it
- How it is developed
- How it is used to plan the individual’s services
This document summarizes a collaboration between the Federal Government of Canada and local organizations to improve financial literacy among older women. It describes a project funded by Status of Women Canada from 2005-2010 that developed financial literacy tools and workshops delivered by peer educators. Over 470 older women participated across Canada, and results found increased understanding of financial topics. The partnerships and participatory approach allowed for awareness of community needs and responsive services. Lessons included continuing demand and considering expanding to more age groups and specific circumstances.
World conference on disaster management 2014Corey Makar
The World Conference on Disaster Management 2014 provided valuable information to emergency management professionals. Over 1000 participants and 70 speakers addressed topics including organizational resilience, community preparedness, and recovery planning. A key theme was the need to work quickly with new partners beyond traditional boundaries during disasters. The conference emphasized innovation, adaptability and building resilience in emergency management. Attending the next World Conference on Disaster Management in 2015 was highly recommended.
2021 Dutchess County CAC-EMC RoundtableSean Carroll
Lori Urbin
• 2021 Goals
o Host (2) Repair Cafes
o Administer DEC camp scholarships
o Ruth Oja Scholarship award marketing
o Bike/Pedestrian counts (supporting Dutchess County) x 2
o Participate in live streams for our community
o Increase social media presence
o Support Climate Smart Communities initiatives
• Successes
o Successful Repair Cafe event
o Awarded DEC camp scholarships
o Increased Ruth Oja Scholarship marketing
o Supported County bike/ped counts
o Participated in community live streams
• Challenges
o COVID restrictions on in-person events
o Maintaining volunteer base remotely
o Limited
A life of my own choosing, Ageing through the lens of abcdCormac Russell
The document discusses asset-based community development (ABCD) and focuses on a festival held in Thornton Heath, England to connect community members and discover local assets and skills. At the festival, local "connectors" talked to residents to learn their stories and skills. They mapped local associations and groups. Residents were invited to share their gifts and talents. The goal was to connect underutilized community assets and build relationships to empower residents to improve their community from within.
A life of my own choosing, health is determined by our community assetsCormac Russell
Cormac Russell's keynote speech at the Public Health Residential School at Dartington Hall this September (15th Annual gathering) 2011. Here Cormac articulates a vision for health that is asset based and not grounded in sickness or defecit. He argues that health is not a product to be consumed by a condition that results from strong association and connection to our assets and that of our family and neighbours. The asset based approach to health has grown in popularity over the last 10 years and is gathering momentum in the UK. www.nurturedevelopment.ie
Manchester workshop jim diers 7 principles to engagingCormac Russell
This document provides 7 keys to building broad and inclusive community engagement: 1) Have fun, 2) Start where people are in their lives, 3) Strive for results while not leaving people behind, 4) Leverage every individual's gifts, 5) Lead by stepping back and empowering others, 6) Celebrate successes and recognize caring neighbors, 7) Share stories to bring the community together. It advocates a inclusive approach that welcomes all neighbors regardless of their labels and engages people through their interests and networks to build a stronger, more participatory community.
This document discusses approaches to measuring well-being for use in policymaking. It defines well-being and outlines five conceptual approaches: preference satisfaction, basic needs, flourishing, hedonic, and evaluative. The document argues that well-being is best viewed as a dynamic process involving circumstances and psychological resources. It examines applications of well-being measurement in policy, including political acceptability, using indicators as means or ends, and applicability across the life course. Technical considerations discussed include bounded scales, set-points, and adaptation effects. The document concludes by assessing well-being indicators for policy using a SWOT analysis.
The document discusses asset-based community development and moving away from needs-based approaches. It argues for focusing on community assets like individuals' skills and gifts, local institutions, and physical spaces. An asset map identifies all these resources in a community. The document advocates empowering community members and leaders to solve problems themselves through relationships and taking responsibility rather than relying on outside agencies. It also discusses how to make services and organizations more accountable to the people and communities they serve.
This document discusses shifting approaches to international development in sub-Saharan Africa, from focusing on needs and deficiencies to emphasizing strengths and assets. It argues for using an asset-based approach that maps community capacities and looks inside communities to solve problems, rather than having outsiders impose help. An example asset map of pastoral communities in Kenya shows individual and collective skills, physical and economic resources, institutions, and stories that can form the basis for locally-led development. The document advocates combining sustainable livelihoods, participatory, rights-based and asset-based frameworks to support citizens in addressing their own needs.
The document summarizes a presentation given by Alexandre Kalache on longevity and healthy aging. It tells the story of a baby girl born in Sao Paulo, Brazil in 1900 to illustrate how public health advances have increased life expectancy over the past century. It then discusses projections that the global population and number of elderly people will increase substantially by 2050, presenting challenges for developing countries where many will age before their societies become wealthy. The presentation argues for policies promoting healthy aging across the life course and global solidarity in addressing aging issues.
This document summarizes efforts to pilot an asset-based community development (ABCD) approach in Thornton Heath. Local citizen connectors mapped the community's assets like associations, social spaces, and residents' skills. They held a festival to invite residents to share their gifts and make connections. The connectors have been visiting neighbors to learn their stories and identify assets. Their goal is to discover the community's hidden talents and build relationships to strengthen the community.
Measuring The Effect Of Neighbourhood Renewal On Local PeopleCormac Russell
This document provides a summary of a handbook that describes a method for measuring the effect of community projects on local people and their quality of life. The method involves local people in choosing indicators and collecting data, and was tested in 16 areas as part of Groundwork's Barclays SiteSavers programme. The handbook is intended to help project officers, citizens involved in projects, and decision-makers commissioning and using the results of such evaluations. It covers deciding whether and how to measure a project's effects, and provides practical guidance on measurement steps including agreeing what to measure, choosing indicators, gathering information, and taking action based on the results.
Community-based participatory research (CBPR) in public health is an approach that equitably involves community members in all aspects of the research process. CBPR has several benefits including bridging cultural gaps between partners, providing local knowledge and continuity, and integrating findings into improving community health and well-being. The American Public Health Association urges support for CBPR through funding, training, equitable distribution of resources among partners, and engaging communities in policymaking.
The document outlines five ways to improve wellbeing: connect with others, be physically active, take notice of one's surroundings, keep learning new things, and help others in the community. It was commissioned by the UK Foresight Project to develop evidence-based actions people can take to enhance their wellbeing and mental health. The five ways framework was created by the New Economics Foundation center for wellbeing.
The document discusses 12 domains that are uniquely within the power of people to change through grassroots, community-led solutions. These domains include health and well-being, safety and security, the environment, nurturing the local economy, mindful food consumption and production, and raising children. The document argues that community connections and social networks are more important determinants of health outcomes than access to healthcare. It provides examples of grassroots environmental initiatives and emphasizes that local economic development is fueled by small, community-based enterprises. Overall, the document advocates for community empowerment and people-powered change as a way to positively impact many important areas of society.
Abcd in action, 2 day workshop in blackpoolCormac Russell
The document provides an agenda for a 2-day ABCD in Action workshop focusing on the ABCD approach being held in Blackpool, UK on April 24-25, 2012. It outlines the sessions for each day, including an overview of the ABCD approach, asset mapping exercises, inclusion discussions, and next steps. The workshop aims to promote more citizen-led action in Blackpool communities using an asset-based lens.
A life of my own choosing, health through the lens of abcdCormac Russell
The document discusses asset-based community development (ABCD), an approach that focuses on strengths rather than deficiencies. It provides examples of ABCD in action, where communities come together to connect individuals' skills and talents to improve neighborhoods. The ABCD Institute, founded in 1995, promotes this strengths-based approach worldwide by helping communities map local associations and assets to empower residents to drive change from within.
This document proposes an "asset-based" approach to reforming the UK's National Health Service (NHS) that recognizes patients and frontline staff as underutilized assets. It argues the prevailing consumer model views patients only as recipients of healthcare products and services, ignoring opportunities for greater participation. An asset-based approach like "co-production", used in the US, could engage patients and communities to help address structural problems in the NHS and curb rising costs from passive, deferential relationships between providers and recipients of care.
In this webinar, speaker Lillibeth Navarro, Executive Director and Founder of CALIF (Communities Actively Living Independent and Free), will discuss:
- What an ILC is, and what services are available
- What “independent living” means when you have a disability
- Forward-thinking ideas about disability & services
- How contributions from people with disabilities can change the future
Building a livable commuity in Second LifeMatt Ganis
The document summarizes a contest held by the Westchester Alliance for Livable Communities to design livable communities for aging populations in the virtual world Second Life. Student teams from local colleges were tasked with creating 3D intergenerational community spaces that allow people to comfortably age in place. The winning team received $750, with second and third place receiving $500 and $250 respectively. The goal was to help students understand the needs of older adults to influence real world community design. Future contests will involve designing distinct community elements like streets, homes, and parks.
In this webinar, Christofer Arroyo, an advocate with the State Council on Developmental Disabilities in the Los Angeles office, will discuss:
- What a Person-Centered Plan is
- Why it is part of Self-Determination
- How it can be used with IPPs and IEPs now
- Who develops it
- How it is developed
- How it is used to plan the individual’s services
This document summarizes a collaboration between the Federal Government of Canada and local organizations to improve financial literacy among older women. It describes a project funded by Status of Women Canada from 2005-2010 that developed financial literacy tools and workshops delivered by peer educators. Over 470 older women participated across Canada, and results found increased understanding of financial topics. The partnerships and participatory approach allowed for awareness of community needs and responsive services. Lessons included continuing demand and considering expanding to more age groups and specific circumstances.
World conference on disaster management 2014Corey Makar
The World Conference on Disaster Management 2014 provided valuable information to emergency management professionals. Over 1000 participants and 70 speakers addressed topics including organizational resilience, community preparedness, and recovery planning. A key theme was the need to work quickly with new partners beyond traditional boundaries during disasters. The conference emphasized innovation, adaptability and building resilience in emergency management. Attending the next World Conference on Disaster Management in 2015 was highly recommended.
2021 Dutchess County CAC-EMC RoundtableSean Carroll
Lori Urbin
• 2021 Goals
o Host (2) Repair Cafes
o Administer DEC camp scholarships
o Ruth Oja Scholarship award marketing
o Bike/Pedestrian counts (supporting Dutchess County) x 2
o Participate in live streams for our community
o Increase social media presence
o Support Climate Smart Communities initiatives
• Successes
o Successful Repair Cafe event
o Awarded DEC camp scholarships
o Increased Ruth Oja Scholarship marketing
o Supported County bike/ped counts
o Participated in community live streams
• Challenges
o COVID restrictions on in-person events
o Maintaining volunteer base remotely
o Limited
A life of my own choosing, Ageing through the lens of abcdCormac Russell
The document discusses asset-based community development (ABCD) and focuses on a festival held in Thornton Heath, England to connect community members and discover local assets and skills. At the festival, local "connectors" talked to residents to learn their stories and skills. They mapped local associations and groups. Residents were invited to share their gifts and talents. The goal was to connect underutilized community assets and build relationships to empower residents to improve their community from within.
A life of my own choosing, health is determined by our community assetsCormac Russell
Cormac Russell's keynote speech at the Public Health Residential School at Dartington Hall this September (15th Annual gathering) 2011. Here Cormac articulates a vision for health that is asset based and not grounded in sickness or defecit. He argues that health is not a product to be consumed by a condition that results from strong association and connection to our assets and that of our family and neighbours. The asset based approach to health has grown in popularity over the last 10 years and is gathering momentum in the UK. www.nurturedevelopment.ie
Manchester workshop jim diers 7 principles to engagingCormac Russell
This document provides 7 keys to building broad and inclusive community engagement: 1) Have fun, 2) Start where people are in their lives, 3) Strive for results while not leaving people behind, 4) Leverage every individual's gifts, 5) Lead by stepping back and empowering others, 6) Celebrate successes and recognize caring neighbors, 7) Share stories to bring the community together. It advocates a inclusive approach that welcomes all neighbors regardless of their labels and engages people through their interests and networks to build a stronger, more participatory community.
This document discusses approaches to measuring well-being for use in policymaking. It defines well-being and outlines five conceptual approaches: preference satisfaction, basic needs, flourishing, hedonic, and evaluative. The document argues that well-being is best viewed as a dynamic process involving circumstances and psychological resources. It examines applications of well-being measurement in policy, including political acceptability, using indicators as means or ends, and applicability across the life course. Technical considerations discussed include bounded scales, set-points, and adaptation effects. The document concludes by assessing well-being indicators for policy using a SWOT analysis.
The document discusses asset-based community development and moving away from needs-based approaches. It argues for focusing on community assets like individuals' skills and gifts, local institutions, and physical spaces. An asset map identifies all these resources in a community. The document advocates empowering community members and leaders to solve problems themselves through relationships and taking responsibility rather than relying on outside agencies. It also discusses how to make services and organizations more accountable to the people and communities they serve.
This document discusses shifting approaches to international development in sub-Saharan Africa, from focusing on needs and deficiencies to emphasizing strengths and assets. It argues for using an asset-based approach that maps community capacities and looks inside communities to solve problems, rather than having outsiders impose help. An example asset map of pastoral communities in Kenya shows individual and collective skills, physical and economic resources, institutions, and stories that can form the basis for locally-led development. The document advocates combining sustainable livelihoods, participatory, rights-based and asset-based frameworks to support citizens in addressing their own needs.
The document summarizes a presentation given by Alexandre Kalache on longevity and healthy aging. It tells the story of a baby girl born in Sao Paulo, Brazil in 1900 to illustrate how public health advances have increased life expectancy over the past century. It then discusses projections that the global population and number of elderly people will increase substantially by 2050, presenting challenges for developing countries where many will age before their societies become wealthy. The presentation argues for policies promoting healthy aging across the life course and global solidarity in addressing aging issues.
This document summarizes efforts to pilot an asset-based community development (ABCD) approach in Thornton Heath. Local citizen connectors mapped the community's assets like associations, social spaces, and residents' skills. They held a festival to invite residents to share their gifts and make connections. The connectors have been visiting neighbors to learn their stories and identify assets. Their goal is to discover the community's hidden talents and build relationships to strengthen the community.
Measuring The Effect Of Neighbourhood Renewal On Local PeopleCormac Russell
This document provides a summary of a handbook that describes a method for measuring the effect of community projects on local people and their quality of life. The method involves local people in choosing indicators and collecting data, and was tested in 16 areas as part of Groundwork's Barclays SiteSavers programme. The handbook is intended to help project officers, citizens involved in projects, and decision-makers commissioning and using the results of such evaluations. It covers deciding whether and how to measure a project's effects, and provides practical guidance on measurement steps including agreeing what to measure, choosing indicators, gathering information, and taking action based on the results.
Community-based participatory research (CBPR) in public health is an approach that equitably involves community members in all aspects of the research process. CBPR has several benefits including bridging cultural gaps between partners, providing local knowledge and continuity, and integrating findings into improving community health and well-being. The American Public Health Association urges support for CBPR through funding, training, equitable distribution of resources among partners, and engaging communities in policymaking.
The document outlines five ways to improve wellbeing: connect with others, be physically active, take notice of one's surroundings, keep learning new things, and help others in the community. It was commissioned by the UK Foresight Project to develop evidence-based actions people can take to enhance their wellbeing and mental health. The five ways framework was created by the New Economics Foundation center for wellbeing.
The document discusses 12 domains that are uniquely within the power of people to change through grassroots, community-led solutions. These domains include health and well-being, safety and security, the environment, nurturing the local economy, mindful food consumption and production, and raising children. The document argues that community connections and social networks are more important determinants of health outcomes than access to healthcare. It provides examples of grassroots environmental initiatives and emphasizes that local economic development is fueled by small, community-based enterprises. Overall, the document advocates for community empowerment and people-powered change as a way to positively impact many important areas of society.
Abcd in action, 2 day workshop in blackpoolCormac Russell
The document provides an agenda for a 2-day ABCD in Action workshop focusing on the ABCD approach being held in Blackpool, UK on April 24-25, 2012. It outlines the sessions for each day, including an overview of the ABCD approach, asset mapping exercises, inclusion discussions, and next steps. The workshop aims to promote more citizen-led action in Blackpool communities using an asset-based lens.
A life of my own choosing, health through the lens of abcdCormac Russell
The document discusses asset-based community development (ABCD), an approach that focuses on strengths rather than deficiencies. It provides examples of ABCD in action, where communities come together to connect individuals' skills and talents to improve neighborhoods. The ABCD Institute, founded in 1995, promotes this strengths-based approach worldwide by helping communities map local associations and assets to empower residents to drive change from within.
This document proposes an "asset-based" approach to reforming the UK's National Health Service (NHS) that recognizes patients and frontline staff as underutilized assets. It argues the prevailing consumer model views patients only as recipients of healthcare products and services, ignoring opportunities for greater participation. An asset-based approach like "co-production", used in the US, could engage patients and communities to help address structural problems in the NHS and curb rising costs from passive, deferential relationships between providers and recipients of care.
Sandwell presentation, building communities from inside out, an asset based a...Cormac Russell
The document discusses an asset-based community development (ABCD) approach. [1] It focuses on identifying the skills, talents, and assets within communities rather than viewing communities as having deficiencies. [2] The ABCD approach involves asset mapping to uncover the talents and associations within communities that can be mobilized to address issues. [3] This strengths-based perspective views community members as leaders and citizens who can drive positive change rather than problems to be dealt with.
IAAG Africa Regional Conference - Dr Alex Kalache Robert Butler Mermorial Pre...ILC- UK
ILC South Africa together with the Institute of Ageing in Africa at the University of Cape Town co organised the AFRICA AGEING Conference, held in Cape Town, South Africa on 17-20 October 2012.
This document is a glossary of terms for community health care and services for older persons published by the World Health Organization in 2004. It contains definitions for terms related to health care, services, administration, management, financing, and research involving community care for older adults. The glossary was developed through a literature review and consultations with over 100 global experts to standardize terminology and promote common understanding in this field. It is intended to facilitate international exchange on policies, programs, education and research related to community health for older populations.
College Athletes Should Get Paid Argument Essay. Should CollegeJoe Osborn
The document discusses how women's roles in television have changed over the last 60 years, noting that in early television women often took stereotypical roles, but as technology advanced and television became more widespread, female representations diversified. It notes that television first emerged in the 1920s but didn't reach 90% of American households until the 1960s, during which time perceptions of women began shifting away from stereotypes.
This report summarizes the findings of a community engagement project conducted in the Melville Hill area of Torbay. It identifies several key issues in the area based on input from local residents, including lack of social connections, poor environmental conditions, and higher than average health issues and deprivation. The report recommends addressing these issues by taking a collaborative, asset-based approach that empowers the community and improves conditions related to housing, cleanliness, community facilities and public health. Taking proactive steps as outlined in the report could lead to happier, healthier residents and reduce the burden on local health services.
Maximising the potential of the UK's ageing population. Lessons from Asia and...ILC- UK
On Thursday, 21st April 2016 the International Longevity Centre and the Global Aging Institute hosted a roundtable discussion with European Commissioners on maximising the potential of Europe's ageing population in reference to Asian best practice, supported by Prudential Plc.
The discussion focused on how different Asian countries address the demographic challenge posed by an ageing society, and how they respond to the social mood relating to work and retirement; participants also considered how healthcare can meet the challenges posed by rapidly ageing societies across Europe.
Collydean Community Connections in Fife aimed to bring together residents from different parts of the neighborhood and different age groups to improve community health. Through a survey and discussions, residents identified priorities such as developing green spaces, intergenerational activities, and job support. With funding for a part-time community worker, residents organized activities and decided on expenditures to address their priorities. This community-led approach helped strengthen community spirit and engagement between all parts of Collydean.
The document discusses plans to reform the Disability Living Allowance (DLA) benefit in the UK. It proposes replacing DLA with a new benefit called Personal Independence Payment (PIP). Key points include:
- DLA has become too complex and unclear over time, and the rising caseload is unsustainable. Reform is needed to target support better and make the system simpler.
- PIP will be introduced in 2013/14 and will assess working-age DLA recipients' needs in a new, objective way focusing on daily living and mobility. It aims to prioritize support for those facing the greatest challenges.
- Automatic entitlements based just on health conditions will end. Each case will consider the
Social marginalization is a common issue in development. Physically handicapped people, elderly people, mentally ill people, widows, etc., are the main categories who have been marginalized in the process of development. As their voices are not strong enough to receive the attention of others, hardly anyone seems to notice them. Due to this discrimination, they have been invisible in society and such groups have been put away from development benefits.
The livelihood project of Practical Action with Creative Action and Development with Disabled Network have jointly initiated a programme to test the idea of inclusion of most marginalized categories into the mainstream development process with 300 families living in Koggala area. The project staff had a few rounds of discussions with government officials to create awareness about the intended intervention. Their support was obtained to organize village level sensitization workshops. Families were selected based on the findings of sensitization programmes conducted within 14 villages in the Koggala Divisional Secretariat division. These sensitization programmes had two objectives. The first was to create awareness on marginalization of communities and the second was to identify the most marginalized people for the development process.
Selecting volunteer groups was the next step. Volunteers were from among the same community members who showed interest in working for most marginalized people. There were volunteers from among the most marginalized categories as well. These volunteers had been trained to deal with their issues. Capacity development programmes for most marginalized people on life skills and livelihood skills were conducted throughout the project period of one year. As a result, nearly 126 people initiated self employment activities in the area. It has developed networks among these marginalized groups through the formation of self help groups (SHGs). These SHGs have been empowered to make their voices heard and gain access to services from outside. Savings were encouraged through SHGs and over Rs.100,000 savings have been observed within the groups. The other stakeholders including both state and non-state actors, were organized at divisional secretariat level and linked with entire layers. The idea of this whole exercise was to develop recognition for the most marginalized people within the family, within the neighbourhood and thereby within the society through strengthening their economic livelihoods.
1) The document summarizes a livelihood development project in Koggala, Sri Lanka that aimed to include the most marginalized communities, such as the disabled, elderly, and female-headed households, in mainstream development efforts.
2) The project conducted sensitization workshops to identify and select 300 marginalized families, and trained volunteers from those communities. It formed self-help groups for beneficiaries and provided livelihood and financial skills training.
3) As a result, over 120 families started new income-generating activities. Savings groups enabled over $100,000 in community savings. Partnerships with local government and organizations expanded services for beneficiaries. The project demonstrated strategies for meaningfully including marginalized communities in development.
This document discusses developing a new disability strategy in the UK to enable disabled people to fulfill their potential and have opportunities to play a full role in society. It seeks input on how to overcome barriers, tackle discrimination and outdated attitudes, and give disabled people more choice and control in their lives. The minister for disabled people invites ideas on practical ways to make progress and prioritize those facing the greatest challenges to independent living. Organizations welcome the strategy's focus on disabled people's lived experiences and involvement in shaping the strategy.
Cormac Russell ABCD Training courses reportscarletdesign
We are hosting a 1 day 'ABCD - Asset Based Community Development' training course in Torfaen on 24/09/15. This summary report of the 1 day training course (November 2014) and 2 day training course (February 2015) which Cormac Russell led in RCT provides background to the course. It also includes the Nurture Development guidesheets.
This document summarizes a conference on harnessing health and wellbeing in older age. It discusses:
1) Presentations from experts on using innovation and collaboration across sectors to improve outcomes for older adults, such as developing digital health tools and exercise programs to prevent falls and strokes.
2) The concept of an "innovation ecosystem" to deliver solutions that improve lives and how these solutions can be scaled up. Examples of specific innovations developed in the North of England are mentioned.
3) The need for a common outcomes framework and additional funding to support preventative programs and a focus on living well in older age rather than just treating illness.
4) Systems leadership approaches that focus on relationships and influence to
This document is a capstone project submitted by Miranda Anderson for a Master of Public Policy degree. It evaluates how successful Calgary, Alberta has been in becoming an Age-friendly City based on the World Health Organization's framework. The paper acknowledges the aging population and growing needs of seniors. It reviews the experiences of three cities that joined the WHO's Age-Friendly Cities Network - New York City, London, Ontario, and Edmonton, Alberta. The paper finds opportunities for Calgary to partner with private enterprises to help seniors and recommends areas like public health, economics, accessibility, and anti-discrimination that cities should consider in their age-friendly efforts.
The document contains notes from an emergency budget action planning meeting discussing various topics related to health and social care, grants, youth and service user involvement, community development, rural services, promoting local services, influencing funding reviews, personalization and direct payments, and the role of small to medium VCS organizations in delivering public services. Actions were identified for many topics around improving partnership, communication, involvement, and representation across sectors.
WCMT Fellowship Report - Specialist Spinal Vocational RehabilitationMelissa Kelly
The Rusk Institute in New York pioneered vocational training for people with disabilities including spinal cord injuries. It follows a multidisciplinary team approach to rehabilitation addressing physical, psychological, social, and vocational needs. The vocational program provides counseling, evaluations, work readiness training, and job skills training to support patients returning to work. The holistic approach aligns with New Zealand's Te Whare Tapa Whā model of wellbeing which recognizes the importance of physical, mental, family, and spiritual dimensions of health.
Update by Mel Barsky, Director at Centre for Aging + Brain Health Innovation ...SharpBrains
During Expo Day selected Summit Sponsors and Partners showcased their most promising brain health & wellness initiatives and solutions.
Mel Barsky, Director at Centre for Aging + Brain Health Innovation (CABHI), will introduce a new call for innovation where CABHI will be funding novel ideas from point-of-care workers that can help to improve brain health in older adults.
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Social Fitness Report by Proludic | Sports Legacy ZoneProludic Ltd
A Picture of the Health and Fitness of UK Community Leisure Facilities from Proludic as part of the Sports Legacy Zone package in partnership with Steve Backley and Roger Black
The end of the beginning: Private defined benefit pensions and the new normalILC- UK
Held on Wednesday, 18th January 2017 in the House of Lords, this event launched the ILC-UK report 'The end of the beginning? Private defined benefit pensions and the new normal'.
Primary health care (PHC) aims to provide essential health care that is universally accessible, socially acceptable, and affordable. The key elements of PHC include disease prevention, health promotion, nutrition, maternal and child care, immunizations, treatment of common illnesses, and access to clean water and sanitation. PHC should prioritize the needs of vulnerable groups, integrate a range of essential services, and encourage community participation to promote self-reliance. Achieving PHC requires collaboration across health and development sectors.
Disability Inclusion - Learning_from_Savings_Groups_Project_Model - April 2013Hitomi Honda
The document discusses three approaches to including persons with disabilities in savings groups programs:
1. Intentional inclusion in mainstream savings groups, as seen in Sierra Leone and Solomon Islands, where there are not enough disabled persons to form their own group. This requires close monitoring and building trust.
2. Creating disability-specific groups within a mainstream program, seen in Ghana, where enough disabled persons exist to form their own group. This allows flexibility and feels more comfortable.
3. Disability-specific groups with separate funding, as in DRC, where a group of disabled persons received startup funds for small businesses.
All approaches require addressing challenges like stigma, lack of skills or money, and ensuring programs are
Asset based community development-response; renewal; resurgence Cormac Russell
The document discusses asset-based community development and creating citizen-led spaces for community building. It poses four questions about engagement and risk-taking at a workshop. It then discusses challenges like the "Humpty Dumpty effect", the importance of relationships, exchange and community. Examples are given of community development successes on Martha's Vineyard and through Judith Snow's work. The document advocates for a power sharing system with citizens in the lead and closing with small group discussion on courage required to deepen citizen leadership.
The document outlines an agenda for a workshop on moving from presence to citizenship. It discusses engaging personally and taking risks to learn. Participants will discuss dilemmas in becoming citizens and the courage needed to deepen citizen-led spaces. Small groups will talk about what citizenship requires and how to create room for others. The goal is to discuss community building and moving from bystanders to active members.
This document discusses building education around community assets and moving away from deficit thinking. It outlines six building blocks of education that utilize local resources, including gifts and skills of residents, local associations, institutions, environmental and economic assets, and cultural heritage. The document advocates listening to community members, convening residents to develop plans of action, and supporting resident initiatives rather than assuming schools are solely responsible for problem-solving. It provides examples of how schools have added various programs and responsibilities over time. The document concludes by outlining three principles for determining what issues the community can address themselves and where school/government assistance is needed.
This document outlines an approach to community development called asset-based community development. It focuses on utilizing seven community powers: enabling health; assuring security; stewarding ecology; shaping local economies; contributing to local food production; raising children; and co-creating care. The overall goal is to build communities from the inside out by empowering residents and leveraging existing community strengths and assets.
This document contains copyright information for Nurture Development and provides contact details for their UK and Irish offices, including addresses, telephone numbers, and a website URL. It establishes Nurture Development as an organization operating in both the UK and Ireland focused on power sharing and development work.
This document contains contact information for the UK and Irish offices of Nurture Development. It lists the addresses, phone numbers, website, and email for Nurture Development. The document also contains repeated copyright notices and brief mentions of counterfeit communities, conflict/conversion communities, consent/contributing communities, and beloved communities.
Edmonton Presentation, Tamarack Foundation, May 2019 Cormac Russell
This document contains contact information for the UK and Irish offices of Nurture Development. It lists the addresses, phone numbers, website, and email for Nurture Development. It also includes references to videos, presentations, and discussions related to community development work done by Nurture Development.
Nurture Development is an organization with offices in the UK and Ireland that works on development projects. It provides contact information for its UK office in Cheltenham and Irish office in Dublin. The document also contains copyright notices and mentions a 2003 European heatwave that caused 70,000 deaths, as well as concepts like power sharing, and encourages contacting Nurture Development for more information.
Cormac Russell's social interpretation of pascal's law (hydrauilic effect) ...Cormac Russell
This document contains contact information for Nurture Development's UK and Irish offices, including addresses, phone numbers, and email. It also mentions a heatwave in Europe in 2003 that caused 70,000 heat-related deaths and contains brief references to power sharing systems and locations like Emalia Romagna and Kulin, WA. The document is copyrighted to Nurture Development in 2015.
Service design in government, conference, edinburgh, 2019Cormac Russell
"Shifting the focus from quality of services to quality of life": An Asset-Based Community Development perspective on the challenges in service Design in Local Government. Cormac Russell, ABCD Institute
Understanding integrated community care, september 2018Cormac Russell
This document provides contact information for Nurture Development and lists their learning sites in the UK and internationally. It discusses asset-based community development and moving from deficit-based approaches to recognizing community strengths. Images show community members sharing gifts and talents at a neighborhood festival. The document advocates an approach of "done with" rather than "done to" or "done for" by empowering communities to build on their own assets.
This document contains contact information for the offices of Nurture Development in the UK and Ireland. It also includes brief passages about power sharing, a festival day event in Thornton Heath, the Seattle neighborhood matching fund approach, and six building blocks of community building including local gifts and assets. The document emphasizes moving beyond traditional forms of helping to community building.
Singapore Tour, July, 2018 : Health Beyond HealthcareCormac Russell
This document provides contact information for Nurture Development, an organization that promotes community building. It lists the UK and Irish office addresses and phone numbers. It also lists 12 UK learning sites and notes presence in East Africa, South Africa, and other countries. The document advocates an asset-based community development (ABCD) approach and includes quotes and photos from community building efforts in the UK that identify and connect local assets/gifts. It discusses moving from deficit-based to asset-based perspectives in areas like education, social work, and healthcare.
This document contains information about Nurture Development, including their contact information for UK and Irish offices. It also contains summaries of different approaches and principles for community development, including using the gifts and assets of local residents, growing social movements, identifying community needs and strengths, and moving from a helping to a community building approach. The document emphasizes making connections rather than conversions, discovery over delivery, and focusing on community strengths rather than weaknesses. It encourages working with and by communities rather than just for or to them.
The document provides contact information for Nurture Development's UK and Irish offices. It discusses a festival day in Thornton Heath where people were invited to share their gifts. It also outlines the Seattle Approach to community development, which involves matching public funds cent-for-cent, focusing on community assets, and using grants to strategically support associations. Finally, it discusses four levels of helping - relief, rehabilitation, advocacy, and community building.
Scottish Highlands & Islands Enterprise presentation, Aviemore, Sept 22Cormac Russell
This document contains contact information for Nurture Development's UK and Irish offices. It discusses Nurture Development's approach of using six building blocks - the gifts of local residents, local associations, institutions, environmental assets, economic resources, and cultural assets - to support community building. It also outlines a progression from relief to rehabilitation to advocacy to community building as a framework for helping communities. The document is copyrighted material from Nurture Development from 2015.
West Yorkshire & Harrogate STP, NHS England. Cormac Russell
This was delivered at a facilitated one day workshop/conversation with West Yorkshire & Harrogate STP (NHS England supported event), opened by Olivia Butterworth. The focus was on getting in 'right relationship' with communities, in an asset-based community development way. Facilitated by Cormac Russell, Nurture Development supported by Chris Chinnock, Nurture Development. Asset-based Community Development approach was used as the primary lens through which to progress the conversation and explorations. Attached is the morning presentation which was used to stimulate discussion and some searching debate.
This document contains information about Nurture Development, including their offices in the UK and Ireland. It discusses the Asset-Based Community Development (ABCD) approach, moving from deficit thinking to focusing on community strengths and assets. It outlines the six building blocks of ABCD and different levels of helping communities from relief to community building. Contact information is provided at the end.
8 touch stones p owerpoint keynote powerpopint feb 15Cormac Russell
The document outlines eight touchstones for community building: finding a community building team, recruiting a community animator, hosting conversations to discover community assets and priorities, engaging local groups, building connections through shared activities, visioning and planning, implementing changes, and celebrating accomplishments. The touchstones provide a framework for strengthening communities through asset-based and participatory processes.
Starting a business is like embarking on an unpredictable adventure. It’s a journey filled with highs and lows, victories and defeats. But what if I told you that those setbacks and failures could be the very stepping stones that lead you to fortune? Let’s explore how resilience, adaptability, and strategic thinking can transform adversity into opportunity.
Best Competitive Marble Pricing in Dubai - ☎ 9928909666Stone Art Hub
Stone Art Hub offers the best competitive Marble Pricing in Dubai, ensuring affordability without compromising quality. With a wide range of exquisite marble options to choose from, you can enhance your spaces with elegance and sophistication. For inquiries or orders, contact us at ☎ 9928909666. Experience luxury at unbeatable prices.
Discover timeless style with the 2022 Vintage Roman Numerals Men's Ring. Crafted from premium stainless steel, this 6mm wide ring embodies elegance and durability. Perfect as a gift, it seamlessly blends classic Roman numeral detailing with modern sophistication, making it an ideal accessory for any occasion.
https://rb.gy/usj1a2
Unveiling the Dynamic Personalities, Key Dates, and Horoscope Insights: Gemin...my Pandit
Explore the fascinating world of the Gemini Zodiac Sign. Discover the unique personality traits, key dates, and horoscope insights of Gemini individuals. Learn how their sociable, communicative nature and boundless curiosity make them the dynamic explorers of the zodiac. Dive into the duality of the Gemini sign and understand their intellectual and adventurous spirit.
Discover innovative uses of Revit in urban planning and design, enhancing city landscapes with advanced architectural solutions. Understand how architectural firms are using Revit to transform how processes and outcomes within urban planning and design fields look. They are supplementing work and putting in value through speed and imagination that the architects and planners are placing into composing progressive urban areas that are not only colorful but also pragmatic.
𝐔𝐧𝐯𝐞𝐢𝐥 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐄𝐧𝐞𝐫𝐠𝐲 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐰𝐢𝐭𝐡 𝐍𝐄𝐖𝐍𝐓𝐈𝐃𝐄’𝐬 𝐋𝐚𝐭𝐞𝐬𝐭 𝐎𝐟𝐟𝐞𝐫𝐢𝐧𝐠𝐬
Explore the details in our newly released product manual, which showcases NEWNTIDE's advanced heat pump technologies. Delve into our energy-efficient and eco-friendly solutions tailored for diverse global markets.
Profiles of Iconic Fashion Personalities.pdfTTop Threads
The fashion industry is dynamic and ever-changing, continuously sculpted by trailblazing visionaries who challenge norms and redefine beauty. This document delves into the profiles of some of the most iconic fashion personalities whose impact has left a lasting impression on the industry. From timeless designers to modern-day influencers, each individual has uniquely woven their thread into the rich fabric of fashion history, contributing to its ongoing evolution.
Dive into this presentation and learn about the ways in which you can buy an engagement ring. This guide will help you choose the perfect engagement rings for women.
The Genesis of BriansClub.cm Famous Dark WEb PlatformSabaaSudozai
BriansClub.cm, a famous platform on the dark web, has become one of the most infamous carding marketplaces, specializing in the sale of stolen credit card data.
Zodiac Signs and Food Preferences_ What Your Sign Says About Your Tastemy Pandit
Know what your zodiac sign says about your taste in food! Explore how the 12 zodiac signs influence your culinary preferences with insights from MyPandit. Dive into astrology and flavors!
Call8328958814 satta matka Kalyan result satta guessing➑➌➋➑➒➎➑➑➊➍
Satta Matka Kalyan Main Mumbai Fastest Results
Satta Matka ❋ Sattamatka ❋ New Mumbai Ratan Satta Matka ❋ Fast Matka ❋ Milan Market ❋ Kalyan Matka Results ❋ Satta Game ❋ Matka Game ❋ Satta Matka ❋ Kalyan Satta Matka ❋ Mumbai Main ❋ Online Matka Results ❋ Satta Matka Tips ❋ Milan Chart ❋ Satta Matka Boss❋ New Star Day ❋ Satta King ❋ Live Satta Matka Results ❋ Satta Matka Company ❋ Indian Matka ❋ Satta Matka 143❋ Kalyan Night Matka..
Garments ERP Software in Bangladesh _ Pridesys IT Ltd.pdfPridesys IT Ltd.
Pridesys Garments ERP is one of the leading ERP solution provider, especially for Garments industries which is integrated with
different modules that cover all the aspects of your Garments Business. This solution supports multi-currency and multi-location
based operations. It aims at keeping track of all the activities including receiving an order from buyer, costing of order, resource
planning, procurement of raw materials, production management, inventory management, import-export process, order
reconciliation process etc. It’s also integrated with other modules of Pridesys ERP including finance, accounts, HR, supply-chain etc.
With this automated solution you can easily track your business activities and entire operations of your garments manufacturing
proces
Digital Marketing with a Focus on Sustainabilitysssourabhsharma
Digital Marketing best practices including influencer marketing, content creators, and omnichannel marketing for Sustainable Brands at the Sustainable Cosmetics Summit 2024 in New York
1. Report on the Proceedings of workshops
with the Docklands Seniors Providers
Forum and Docklands Seniors Forum on
Active Aging in the Docklands
Co-Facilitated by Dr Alexander Kalache, New York
Academy of Medicine & Cormac Russell, Nurture
Development, ABCD Institute.
Funded by the Dublin Docklands Development
Authority.
1
2. Contents Pg
1.0 Introduction 3
2.0 Priorities of the Docklands Seniors
Providers Forum and Docklands Seniors Forum 5
3.0 Theme of Alex’s presentation: Active Ageing 9
4.0 Combined Action Plan/Road Map to enhance 21
Active Aging among Seniors in the Docklands
5.0 Conclusion 25
2
3. 1.0 Introduction
The Dublin Docklands Development Authority is pleased to present the following
report on the proceedings of Dr. Alexander Kalache’s (NY Academy of Medicine)
two workshops on Active Aging in the Docklands. The workshops took place on
July 9th 2008, the first workshop was with the Docklands Seniors Providers
Forum between 9.30-12noon. This was followed by a workshop with the Seniors
Forum from 12-2.30pm.
Both workshops shared a common purpose: to provide both Forums with an
international perspective to direct them in developing an action plan to promote
Active Aging in the Docklands into the future. When Dr Kalcahe addressed the
DDDA 2008 Annual Social Regeneration Conference in January of this year he
set many challenges, not least of which was the recommendation that the
Authority facilitate the establishment of a Seniors Forum.
This recommendation came as much from the conference delegates as it did
from Dr Kalache, indeed he would be first to recognise that the merit of the
recommendation is found in the fact that it was something that the Seniors of the
Docklands themselves called for. Since Dr Kalcahe’s visit to Killarney, at which
he first addressed the issue of Active Aging in the Docklands, much progress has
been made in this regard. The Seniors Forum has been established as has the
Seniors Providers Forum; both Forums have agreed their respective terms of
reference and view themselves as working in close partnership with the Authority
and each other for the benefit of all Seniors in the Docklands.
In introducing Dr Kalache, Mr Gerry Kelly (DDDA Director of Social
Regeneration) noted that Alex was an obvious choice in supporting and
facilitating both Forums to develop their action plans going forward. Gerry
acknowledged Alex’s contribution in Killarney as memorable on two counts, firstly
he arrived on the evening before he addressed the conference with a view to
learning about the priorities of Seniors in the Docklands and then stayed on after
he inspired all present with his superb presentation, to build even stronger links
with Seniors and the Authority.
This is a measure of Alex’s commitment to Seniors in the Docklands and why he
has been asked by the Authority to work with the Forum’s on this important next
step. Before handing over to Dr Alex, Gerry Kelly acknowledged Owen Binchy’s
contribution in promoting the rights of Seniors to a central voice in Social
Regeneration when in 2007 he contacted the Authority to request that they place
the issue of Seniors on the Agenda for the next Social Regeneration Conference.
In so doing he pointed out a big oversight on the part of the Authority, one which
Gerry note is now -with the help of both Forums- being put right.
3
4. 1.1 Structure of the report
The report is divided into five separate sections. Section one, the current section
offers an introduction to the workshops and the report which records the
proceedings of the workshops. Section two offers a summary account of the
issues and concerns that were identified by members of each of the Forums
following an invitation by Dr Kalache to share their key issues and concerns in
relation to active aging.
While the workshops took place separately for the purposes of the report the
feedback of participants from both groups is given pride of place. It is felt that this
is as it should be, after all, it the members of both Forums who know best what
the issues on the ground are, they are the experts, and are therefore entitled to
have their voices heard at the very begin of such a report at this.
Section three offers a detailed accounted of Dr Kalache’s input to both Forum’s in
response to the issues and concerns that they raised, because of the overlap
between both presentations, Dr Kalache’s input is presented as one piece within
the report. Section four presents an action plan for review by the Forums, the
DDDA and indeed other relevant Agencies.
Section five concludes the report with a suggestion that both Forums and
relevant agencies use the action plan to guide their work programme for the year
ahead.
4
5. 2.0 Priorities of the Docklands Seniors Providers Forum and
Seniors Forum:
Following Gerry’s introduction Dr Alex warmly greeted both Forum’s separately
over the morning, noting his excitement at having the opportunity to return once
again to address the subject of active Aging in the Dublin Docklands. Alex noted
in particular his pleasure at the establishment of both Forums since the
Regeneration Conference in January 2008.
Alex opened both workshops by inviting participants to share with him what they
perceived to be the challenges that Seniors face in terms of Active Aging. As will
become evident later in the report he based his presentations on the views
expressed by workshops participants, recognising that they in fact are the
experts on matters of Active Aging in the Docklands, not he.
2.1 Senior Providers Forum
As noted above Alex invited the membership of the Seniors Providers Forum to
identify key issues/concerns. Cormac Russell ongoing facilitator of both Forums
proceeded to facilitate a discussion: to follow is a brief summary:
2.1.1 Issues and Concerns of the Seniors Providers Forum
• Seniors who need help but who won’t accept it are the hardest to reach.
• There are Home help funding concerns. The budget in 2007 has not all
gone to Seniors. The government and the HSE need to be challenged.
The HSE have been told to create a waiting list for Home help services,
this is a retrograde step and will not serve the needs of Seniors.
• Primary care can not be introduced without the requisite resources in
terms of staff, which currently are not available. A degree of honesty and
realism needs to enter the discussion when it comes to primary care;
otherwise we run the risk of substandard services being rolled out or none
at all given the current economic climate.
• It is not possible to retain basic grade NGNs because of the cost of living.
• Primary care teams are required rather than the current fire brigade
service. ICON and other groups including the Forum should lobby for
these services.
• There is no register for Seniors which means that services don’t know who
is over a certain age and or where they are to be found, we are effectively
blind in terms of service delivery before we even get off the starting block,
this is outrageous and surely can be addressed.
• It is important to think about Seniors in a ‘wellness model’ as opposed to a
‘sickness model’.
• A lot of seniors do not drive and therefore are reliant on public transport.
Seniors should be brought to supermarkets so that they can do their
shopping and buy in bulk. Dublin Bus provides an 80 seater bus for €100
5
6. per day for exactly this kind of activity, with coordination could this become
a regular service, thereby ensuring Seniors from every part of the
Dockland have access to affordable quality food?
• Literacy and adult life long learning is an issue.
• Alcohol is a huge issue with both men and women drinking at home.
There is a cycle of drinking which results in a breakdown in terms of
hygiene and nutrition. People then become housebound and stop
engaging with services putting them at huge risk.
• It is important to involve an economist or indeed a local economic firm like
PWC interested in assisting the Forum to look at cost benefit analysis for
everything it lobbies for, it is only then that we will start to bring about real
change, because only then will we be really listened to.
• A Falls Prevention Programme should be introduced as should an
effective exercise programme. We should also encourage gyms when not
overly busy to run programmes for Seniors e.g. Heart SMART
programmes. The facilities are there by and large – they just require co-
ordination and encouragement.
• The missing 40% of Seniors who are not engaging with service or
community based activities are of huge concern and in this context door to
door contact is important, in fact it is the only way to reach such people.
• It is particularly difficult for men to tap into services.
• Daily contact with Seniors is vital if we are to monitor progress and
deterioration. Outreach workers for Seniors are required who are able to
track and link agencies and service providers with Seniors and family
caregivers.
• There are Seniors in hospital who are unintentionally blocking beds, but
who cannot be moved because no appropriate nursing home care can be
found for them.
• There is a need for Nursing Homes within the community and/or home
care packages e.g. Lusk. Summerhill Court works well as does the St.
Laurence O’Toole Centre.
• Sometimes there is a stigma attached to day services.
• A tiered level of support is required which would encompass evening care.
Services are also not automatically informed when someone has been
discharged from hospital this needs to be addressed quickly.
• Once someone registers for a medical card, a health prevention interview
should be carried out and then they can be linked in with services. In
Denmark services come to Seniors, here Seniors have to go to Services,
we have once again gotten things the wrong way round.
• People have to pay for Chiropody which costs a minimum of €15-€20 per
session. This is preventing some people from availing of these services.
Currently there is no College of Chiropody in Ireland. In some instances
Chiropody practitioners are not being paid their agreed rate. Chiropody
service issues should be resolvable at local level, and would be under
normal circumstances but national issues are complicating what should a
very straight forward matter.
6
7. • The provision of Senior housing should be incorporated into the
Docklands Master Plan.
• Families have been dislocated and as a result there are many Seniors
who are isolated and living alone. Seniors summer programmes would be
of benefit to this group.
• Seniors have a lot to contribute and it is about activating their skills and
resources. The voice of Seniors needs to be heard, and they too need to
be more demanding. The Seniors Forum is a place where seniors tap into
each other’s talents and it is doing tremendous work, I applaud them.
• It is important that the library has benches with back support. Seating is
extremely important if Seniors are to use the facilities.
• There are no bus shelters in Ringsend, this should be a quick easy fix,
let’s get to it!
• Fuel allowance and living alone allowance needs to be reviewed upwards.
• Elder abuse is linked to financial abuse: property and greed. Perhaps
there is an opportunity to speak with Financial institutions about specific
financial packages for Seniors that are more ethical than commercial.
2.2 Seniors Forum Meeting with Alex
Following his session with Docklands Senior Providers Forum Alex introduced himself to
the Seniors Forum and again stated that he was not there as a consultant but rather to
listen and share: after all no one knows Seniors needs better than Seniors he asked. He
spoke about his work and the desire to create an Active Ageing agenda across the
world.
Alex noted that we need a system to protect people who are most vulnerable. He stated
that society owes it to Seniors to ensure that they are active players. Alex pointed out
that the purpose of his visit with the group was to listen to them and then to share with
them his experiences; his focus therefore is on commencing a dialogue.
In that spirit Alex invited the membership of the Seniors Forum to identify key
issues/concerns. To follow is a brief summary:
2.2.1 Issues and Concerns of the Seniors Forum
• Seniors are prisoners in their own homes.
• Primary Care (Health) is key but no one really knows what it means or when its
coming-we’d like some straight answers.
• Transport is a major issue for Senior, in many cases that is why people are
trapped in their own homes.
• 40% of Seniors are not engaging with services or local activities; how can we
reach them? This is our greatest challenge.
• Respite care in the community is needed, we should have local respite services
to support people.
• Low cost contact line (telephone helpline) for isolated Seniors, and those
experiencing abuse is needed.
7
8. • We need more people of all ages to engage in volunteering, our numbers are
dropping and this is having a serious impact on meals on wheels and other
services to Seniors.
• Seniors with disabilities and mobility issues are all too often forgotten because
they are so hard to reach.
• Cut backs mean that we will have to fight even harder for basic services; it is a
disgrace that you have to spend your life working and then spend your retirement
fighting for your just deserts.
• Agencies are not listening; some service providers are arrogant and abuse their
power. I can recount instances of bullying against Seniors by professionals paid
to look after them, lets take that on as an issue, that would make a real
difference, it is not always about getting new stuff, sometimes it’s about getting
basic respect.
• Dublin Bus/Bus Eireann need step up and address the transport issues in this
area.
• Baggot Street no longer provides respite this is a tremendous loss to the area.
• Insurance for group mini buses and the sourcing of dedicated drivers continues
to be a real problem locally for services promoting active aging among Seniors.
• We need to share information and resources more among our groups maybe
then we might resolve issues like the bus driver issue for example, why can’t all
the services sit down and see if it is possible to pool our resources?
8
9. 3.0 Theme of Alex’s presentation: Active Ageing
Alex thanked all members of both Forum’s for their wonderful and insightful
comments. He noted that his presentations -which are recorded below as one
integrated piece- are designed to echo many of the sentiments expressed, but
also to work towards a practical and achievable set of actions that will enhance
Active Ageing in the Docklands.
If ageing is to be a positive experience, longer life must be accompanied by
continuing opportunities for health, participation and security. The World Health
Organization has adopted the term “active ageing” to express the process for
achieving this vision.
3.1 What is “Active Ageing”?
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 applies to both individuals and population groups. It allows people
to realize their potential for physical, social, and mental well being throughout the
life course and to participate in society according to their needs, desires and
capacities, while providing them with adequate protection, security and care
when they require assistance.
Maintaining autonomy and independence as one grows older is a key goal for
both individuals and policy makers (see box on definitions). Moreover, ageing
takes place within the context of others – friends, work associates, neighbours
and family members. This is why interdependence as well as intergenerational
solidarity (two-way giving and receiving between individuals as well as older and
younger generations) are important tenets of active ageing. Yesterday’s child is
today’s adult and tomorrow’s grandmother or grandfather.
The quality of life they will enjoy as grandparents depends on the risks and
opportunities they experienced throughout the life course, as well as the manner
in which succeeding generations provide mutual aid and support when needed.
Some key defi nitions
Autonomy is the perceived ability to control, cope with and make personal
decisions about how one lives on a day-to-day basis, according to one’s own
rules and preferences.
Independence is commonly understood as the ability to perform functions
related to daily living – i.e. the capacity of living independently in the community
with no and/or little help from others.
Quality of life is “an individual’s perception of his or her position in life in the
context of the culture and value system where they live, and in relation to their
goals, expectations, standards and concerns. It is a broad ranging concept,
incorporating in a complex way a person’s physical health, psychological state,
9
10. level of independence, social relationships, personal beliefs and relationship to
salient features in the environment.” (WHO, 1994). As people age, their quality of
life is largely determined by their ability to maintain autonomy and independence.
Healthy life expectancy is commonly used as a synonym for “disability-free life
expectancy”. While life expectancy at birth remains an important measure of
population ageing, how long people can expect to live without disabilities is
especially important to an ageing population.
The active ageing approach is based on the recognition of the human rights of
Seniors and the United Nations Principles of independence, participation, dignity,
care and self-fulfillment. It shifts strategic planning away from a “needs-based”
approach (which assumes that Seniors are passive targets) to a “rights- based”
approach that recognizes the rights of people to equality of opportunity and
treatment in all aspects of life as they grow older. It supports their responsibility
to exercise their participation in the political process and other aspects of
community life.
3.1.1 A Life Course Approach to Active Ageing
A life course perspective on ageing recognizes that Seniors are not one
homogeneous group and that individual diversity tends to increase with age.
Interventions that create supportive environments and foster healthy choices are
important at all stages of life (see Figure 4).
3.1.2 Active Ageing Policies and Programmes
An active ageing approach to policy and programme development has the
potential to address many of the challenges of both individual and population
ageing. When health, labour market, employment, education and social policies
support active ageing there will potentially be:
• fewer premature deaths in the highly productive stages of life
• fewer disabilities associated with chronic diseases in older age
• more people enjoying a positive quality of life as they grow older
• more people participating actively as they age in the social, cultural, economic
and political aspects of society, in paid and unpaid roles and in domestic, family
and community life
• lower costs related to medical treatment and care services.
Active ageing policies and programmes recognize the need to encourage and
balance personal responsibility (self-care), age-friendly environments and
intergenerational solidarity.
Individuals and families need to plan and prepare for older age, and make
personal efforts to adopt positive personal health practices at all stages of life. At
the same time supportive environments are required to “make the healthy
choices the easy choices.”
10
11. There are good economic reasons for enacting policies and programmes that
promote active ageing in terms of increased participation and reduced costs in
care. People who remain healthy as they age face fewer impediments to
continued work. The current trend toward early retirement in industrialised
countries is largely the result of public policies that have encouraged early
withdrawal from the labour force.
As populations age, there will be increasing pressures for such policies to
change – particularly if more and more individuals reach old age in good health,
i.e. are “fit for work.” This would help to offset the rising costs in pensions and
income security schemes as well as those related to medical and social care
costs. With regard to rising public expenditures for medical care, available data
increasingly indicate that old age itself is not associated with increased medical
spending. Rather, it is disability and poor health – often associated with old age –
that are costly. As people age in better health, medical spending may not
increase as rapidly.
Policymakers need to look at the full picture and consider the savings achieved
by declines in disability rates since it is often less costly to prevent disease than
to treat it. For example, it has been estimated that a one-dollar investment in
measures to encourage moderate physical activity leads to a cost saving of $3.2
in medical costs (U.S. Centers for Disease Control, 1999).
11
12. 3.2 The Determinants of Active Ageing: Understanding the Evidence
Alex went on to summarizes what we know about how the broad determinants of
health affect the process of ageing. These determinants apply to the health of all
age groups, although the emphasis here is on the health and quality of life of
Seniors. At this point, it is not possible to attribute direct causation to any one
determinant; however, the substantial body of evidence on what determines
health suggests that all of these factors (and the interplay between them) are
good predictors of how well both individuals and populations age.
Below is a diagrammatic representation of the determinants of active ageing.
Employment, which is a determinant throughout adult life greatly influences one’s
financial readiness for old age. Access to high quality, dignified long-term care is
particularly important in later life. Often, as is the case with exposure to pollution,
the young and the old are the most vulnerable population groups.
3.2.1 Culture, which surrounds all individuals and populations, shapes the
way in which we age because it influences all of the other determinants of
active ageing.
Cultural values and traditions determine to a large extent how a given society
views Seniors and the ageing process. When societies are more likely to attribute
symptoms of disease to the ageing process, they are less likely to provide
prevention, early detection and appropriate treatment services. Culture is a key
factor in whether or not co-residency with younger generations is the preferred
way of living.
12
13. 3.2.2 Gender is a “lens” through which to consider the appropriateness of
various policy options and how they will affect the well being of both men
and women.
In many societies, girls and women have lower social status and less access to
nutritious foods, education, meaningful work and health services. Women’s
traditional role as family caregivers may also contribute to their increased poverty
and ill health in older age. Some women are forced to give up paid employment
to carry out their caregiving responsibilities.
3.2.3 Determinants Related to Health and Social Service Systems
To promote active ageing, health systems need to take a life course
perspective that focuses on health promotion, disease prevention and
equitable access to quality primary health care and long-term care.
Health and social services need to be integrated, coordinated and cost-effective.
There must be no age discrimination in the provision of services and service
providers need to treat people of all ages with dignity and respect.
Curative Services
Despite best efforts in health promotion and disease prevention, people are at
increasing risk of developing diseases as they age. Thus access to curative
services becomes indispensable. As the vast majority of Seniors in any given
country live in the community, most curative services must be offered by the
primary health care sector. This sector is best equipped to make referrals to the
secondary and tertiary levels of care where most acute and emergency care is
also provided.
Long-term care
Long-term care is defined by WHO as “the system of activities undertaken by
informal caregivers (family, friends and/or neighbours) and/or professionals
(health and social services) to ensure that a person who is not fully capable of
self-care can maintain the highest possible quality of life, according to his or her
individual preferences, with the greatest possible degree of independence,
autonomy, participation, personal fulfillment and human dignity”.
Mental Health Services
Mental health services, which play a crucial role in active ageing, should be an
integral part of long-term care. Particular attention needs to be paid to the under-
diagnosis of mental illness (especially depression) and to suicide rates among
Seniors.
13
14. 3.2.4 Behavioural Determinants: The adoption of healthy lifestyles and
actively participating in one’s own care are important at all stages of the
life course. One of the myths of ageing is that it is too late to adopt such
lifestyles in the later years. On the contrary, engaging in appropriate
physical activity, healthy eating, not smoking and using alcohol and
medications wisely in older age can prevent disease and functional decline,
extend longevity and enhance one’s quality of life.
Physical Activity
Participation in regular, moderate physical activity can delay functional declines.
It can reduce the onset of chronic diseases in both healthy and chronically ill
Seniors. For example, regular moderate physical activity reduces the risk of
cardiac death by 20 to 25 percent among people with established heart disease.
It can also substantially reduce the severity of disabilities associated with heart
disease and other chronic illnesses. Active living improves mental health and
often promotes social contacts.
Being active can help Seniors remain as independent as possible for the longest
period of time. It can also reduce the risk of falls. There are thus important
economic benefits when Seniors are physically active.
Healthy Eating
In Seniors, malnutrition can be caused by limited access to food, socioeconomic
hardships, a lack of information and knowledge about nutrition, poor food choices
(e.g., eating high fat foods), disease and the use of medications, tooth loss,
social isolation, cognitive or physical disabilities that inhibit one’s ability to buy
foods and prepare them, emergency situations and a lack of physical activity.
Excess energy intake greatly increases the risk for obesity, chronic diseases and
disabilities as people grow older.
Oral Health
Poor oral health – primarily dental caries, periodontal diseases, tooth loss and
oral cancer – cause other systemic health problems.
Alcohol
While Seniors tend to drink less than younger people, metabolism changes that
accompany ageing increase their susceptibility to alcohol-related diseases,
including malnutrition and liver, gastric and pancreatic diseases. Seniors also
have greater risks for alcohol-related falls and injuries, as well as the potential
hazards associated with mixing alcohol and medications. Treatment services for
alcohol problems should be available to Seniors as well as younger people.
According to many of the participants at both sessions, alcohol addiction is a
serious problem for many Seniors living in the Docklands.
14
15. Medications
Because Seniors often have chronic health problems, they are more likely than
younger people to need and use medications– traditional, over-the-counter and
prescribed.
Medications are sometimes over prescribed to Seniors (especially to older
women) who have insurance/medical cards, or the means to pay for these drugs.
Adverse drug-related reactions and falls associated with medication use
(especially sleeping pills and tranquilizers) are significant causes of personal
suffering and costly preventable hospital admissions.
Psychological Factors
During normal ageing, some cognitive capacities (including learning speed and
memory) naturally decline with age. However, these losses can be compensated
by gains in wisdom, knowledge and experience. Often, declines in cognitive
functioning are triggered by disuse (lack of practice), illness (such as
depression), behavioural factors (such as the use of alcohol and medications),
psychological factors (such as lack of motivation, low expectations and lack of
confidence), and social factors (such as loneliness and isolation), rather than
ageing per se.
Other psychological factors that are acquired across the life course greatly
influence the way in which people age. Self-efficacy (the belief people have in
their capacity to exert control over their lives) is linked to personal behaviour
choices as one ages and to preparation for retirement. Coping styles determine
how well people adapt to the transitions (such as retirement) and crises of ageing
(such as bereavement and the onset of illness).
Men and women who prepare for old age and are adaptable to change make a
better adjustment to life after age 60. Most people remain resilient as they age
and, on the whole, Seniors do not vary significantly from younger people in their
ability to cope.
3.2.5 Determinants Related to the Physical Environment
Physical Environments
This of course is of particular interest to you given that you are residents of the
Dublin Docklands area, and area of Physical and Social Regeneration. Physical
environments that are age friendly can make the difference between
independence and dependence for all individuals but are of particular importance
for those growing older. For example, Seniors who live in an unsafe environment
or areas with multiple physical barriers are less likely to get out and therefore
more prone to isolation, depression, reduced fitness and increased mobility
problems.
Accessible and affordable public transportation services are needed in areas
such as the Docklands so that people of all ages can fully participate in family
15
16. and community life. This is especially important for Seniors who have mobility
problems.
Hazards in the physical environment can lead to debilitating and painful injuries
among Seniors and therefore need to be address where they exist. Injuries from
falls, fires and traffic collisions are the most common.
Safe Housing
Safe, adequate housing and neighbourhoods are essential to the well being of
young and old. For Seniors, location, including proximity to family members,
services and transportation can mean the difference between positive social
interaction and isolation.
Building codes need to take the health and safety needs of Seniors into account.
Household hazards that increase the risk of falling need to be remedied or
removed. Worldwide, there is an increasing trend for Seniors to live alone –
especially unattached older women who are mainly widows and are often poor,
even in developed countries. Others may be forced to live in arrangements that
are not of their choice, such as with relatives in already crowded households.
Falls
Falls among Seniors are a large and increasing cause of injury, treatment costs
and death. Environmental hazards that increase the risks of falling include poor
lighting, slippery or irregular walking surfaces and a lack of supportive handrails.
Most often, these falls occur in the home environment and are preventable.
The consequences of injuries sustained in older age are more severe than
among younger people. For injuries of the same severity, Seniors experience
more disability, longer hospital stays, extended periods of rehabilitation, a higher
risk of subsequent dependency and a higher risk of dying.
The great majority of injuries are preventable; however, the traditional view
of injuries as “accidents” has resulted in historical neglect of this area in
public health.
3.2.6 Determinants Related to the Social Environment
Social support, opportunities for education and lifelong learning, peace, and
protection from violence and abuse are key factors in the social environment that
enhance health, participation and security as people age. Loneliness, social
isolation, illiteracy and a lack of education, abuse and exposure to conflict
situations greatly increase Seniors’ risks for disabilities and early death.
16
17. Social Support
Inadequate social support is associated not only with an increase in mortality,
morbidity and psychological distress but a decrease in overall general health and
well being. Disruption of personal ties, loneliness and conflictual interactions are
major sources of stress, while supportive social connections and intimate
relations are vital sources of emotional strength. In Japan, for example, Seniors
who reported a lack of social contact were 1.5 times more likely to die in the next
three years than were those with higher social support.
Seniors are more likely to lose family members and friends and to be more
vulnerable to loneliness, social isolation and the availability of a “smaller social
pool”. Social isolation and loneliness in old age are linked to a decline in both
physical and mental well being. In most societies, men are less likely than
women to have supportive social networks. However, in some cultures, older
women who are widowed are systematically excluded from mainstream society
or even rejected by their community.
Violence and Abuse
Seniors who are frail or live alone may feel particularly vulnerable to crimes such
as theft and assault. A common form of violence against Seniors (especially
against older women) is “elder abuse” committed by family members and
institutional caregivers who are well known to the victims. Elder abuse occurs in
families at all economic levels. It is likely to escalate in societies experiencing
economic upheaval and social disorganization when overall crime and
exploitation tends to increase.
Elder abuse includes physical, sexual, psychological and financial abuse as well
as neglect. Seniors themselves perceive abuse as including the following societal
factors: neglect (social exclusion and abandonment), violation (human, legal and
medical rights) and deprivation (choices, decisions, status, finances and respect).
Elder abuse is a violation of human rights and a significant cause of injury,
illness, lost productivity, isolation and despair. Typically, it is underreported in all
cultures.
Confronting and reducing elder abuse requires a multisectoral, multidisciplinary
approach involving justice officials, law enforcement officers, health and social
service workers, labour leaders, spiritual leaders, faith institutions, advocacy
organizations and Seniors themselves. Sustained efforts to increase public
awareness of the problem and to shift values that perpetuate gender inequities
and ageist attitudes are also required.
17
18. 3.3 Economic Determinants
Three aspects of the economic environment have a particularly significant effect
on active ageing: income, work and social protection.
Income
Active ageing policies need to intersect with broader schemes to reduce poverty
at all ages. While poor people of all ages face an increased risk of ill health and
disabilities, Seniors are particularly vulnerable. Many Seniors especially those
who are female, and live alone do not have reliable or sufficient incomes. This
seriously affects their access to nutritious foods, adequate housing and health
care.
The most vulnerable are older women and men who have no assets, little or no
savings, no pensions or social security payments or who are part of families with
low or uncertain incomes. Particularly, those without children or family members
often face an uncertain future and are at high risk for homelessness and
destitution.
Social Protection
In all countries of the world, families provide the majority of support for Seniors
who require help. However, as societies develop and the tradition of generations
living together begins to decline, countries are increasingly called on to develop
mechanisms that provide social protection for Seniors who are unable to earn a
living and are alone and vulnerable. In developing countries, Seniors who need
assistance tend to rely on family support, informal service transfers and personal
savings.
Work
Throughout the world, if more people would enjoy opportunities for dignified work
(properly remunerated, in adequate environments, protected against the
hazards) earlier in life, people would reach old age able to participate in the
workforce. Thus, the whole of society would benefit. In all parts of the world,
there is an increasing recognition of the need to support the active and
productive contribution that Seniors can and do make in formal work, informal
work, unpaid activities in the home and in voluntary occupations.
Concentrating only on work in the formal labour market tends to ignore the
valuable contribution that Seniors make in work in the informal sector (e.g.,
small scale, self-employed activities and domestic work) and unpaid work
in the home.
18
19. 3.4 The Policy Response
Ultimately, a collective approach to ageing and Seniors will determine how
we, our children and our grandchildren will experience life in later years.
The policy framework for active ageing shown below is guided by the United
Nations Principles for Seniors (the outer circle). These are independence,
participation, care, self-fulfillment and dignity. Decisions are based on an
understanding of how the determinants of active ageing influence the way that
individuals and populations age.
The policy framework requires action on three basic pillars:
• Health
• Participation
• Security
Health. When the risk factors (both environmental and behavioural) for chronic
diseases and functional decline are kept low while the protective factors are kept
high, people will enjoy both a longer quantity and quality of life; they will remain
healthy and able to manage their own lives as they grow older; fewer older adults
will need costly medical treatment and care services.
For those who do need care, they should have access to the entire range of
health and social services that address the needs and rights of women and men
as they age.
19
20. Participation. When labour market, employment, education, health and social
policies and programmes support their full participation in socioeconomic, cultural
and spiritual activities, according to their basic human rights, capacities, needs
and preferences, people will continue to make a productive contribution to
society in both paid and unpaid activities as they age.
Security. When policies and programmes address the social, financial and
physical security needs and rights of people as they age, Seniors are ensured of
protection, dignity and care in the event that they are no longer able to support
and protect themselves. Families and communities are supported in efforts to
care for their older members.
3.5 Intersectoral Action. Attaining the goal of active ageing will require action in
a variety of sectors in addition to health and social services, including education,
employment and labour, finance, social security, housing, transportation, justice
and urban development. While it is clear that the health sector does not have
direct responsibility for policies in all of these other sectors, they belong in the
broadest sense within the scope of public health because they support the goals
of improved health through intersectoral action. This kind of an approach
stresses the importance of the numerous different public health partners and
reinforces the role of the health sector as a catalyst for action.
Furthermore, all policies need to support intergenerational solidarity and include
specific targets to reduce inequities between women and men and among
different subgroups within the older population. Particular attention needs to be
paid to Seniors who are poor and marginalized, and who live in rural areas.
An active ageing approach seeks to eliminate age discrimination and recognize
the diversity of older populations. Seniors and their caregivers need to be actively
involved in the planning, implementation and evaluation of policies, programmes
and knowledge development activities related to active ageing this is why the
Docklands Seniors Forum and the Docklands Seniors Providers Forum are so
important to the overall well being and Social Regeneration of Dublin Docklands.
20
21. 4.0 Combined Action Plan/Road Map to enhance Active Aging
among Seniors in the Docklands
The following actions are designed to address the three pillars of active ageing:
health, participation and security. Some are required directly of various
institutions, in particular the HSE and the DDDA, while others are within the
combined capacity of the Forums, the lead agents for each action are recorded
at the end of each action in italics. All actions are practical and therefore
achievable, moreover if achieve in all or in part they will have a significant
positive impact on the quality life of Seniors in the Docklands.
4.1. Health
• Prevention and effective treatments.
Make screening services that are proven to be effective, available and affordable
to women and men as they age. Make effective, cost-efficient treatments that
reduce disabilities (such as cataract removal and hip replacements, accessible
Chiropody services) more accessible to Seniors with low incomes. (HSE)
• Age-friendly, safe environments. Create age-friendly health care centres and
standards that help prevent the onset or worsening of disabilities. Prevent injuries
by protecting older pedestrians in traffic, making walking safe, implementing fall
prevention programmes, eliminating hazards in the home and providing safety
advice. (DDDA, DCC)
• Barrier-free living. Develop barrier-free housing options for ageing people with
disabilities. Work to make public buildings and transportation in the Docklands
accessible for all people with disabilities. Provide accessible toilets in public
places and workplaces. (DDDA, DCC)
• Quality of life. Enact policies and programmes that improve the quality of life of
people with disabilities and chronic illnesses. Support their continuing
independence and interdependence by assisting with changes in the
environment, providing rehabilitation services and community support for
families, and increasing affordable access to effective assistive devices (e.g.,
corrective eyeglasses, walkers). (HSE)
Social support. Reduce risks for loneliness and social isolation by supporting
community groups run by Seniors, traditional societies, self-help and mutual aid
groups, peer and professional outreach programmes, neighbourhood visiting,
telephone support programmes, and family caregivers. Support intergenerational
contact and provide housing in communities that encourage daily social
interaction and interdependence among young and old. (Forums)
• Mental health. Promote positive mental health throughout the life course by
providing information and challenging stereotypical beliefs about mental health
problems and mental illness. (HSE)
21
22. 4.1.2 Reduce risk factors associated with major diseases and increase
factors that protect health throughout the life course.
• Physical activity. Develop culturally appropriate, population-based information
and guidelines on physical activity for older men and women. Provide accessible,
pleasant and affordable opportunities to be active (e.g., safe walking areas and
parks). Support peer leaders and groups that promote regular, moderate physical
activity for people as they age. Inform and educate people and professionals
about the importance of staying active as one grows older. (HSE, DDDA)
• Healthy eating. Develop culturally appropriate, population-based guidelines for
healthy eating for men and women as they age. Support improved diets and
healthy weights in older age through the provision of information (including
information specific to the nutrition needs of Seniors), education about nutrition at
all ages, and food policies that enable women, men and families to make healthy
food choices. (HSE)
• Psychological factors. Encourage and enable people to build self-efficacy,
cognitive skills such as problem-solving, prosocial behaviour and effective coping
skills throughout the life course. Recognize and capitalize on the experience and
strengths of Seniors while helping them improve their psychological well being.
(HSE, VEC)
• Alcohol and drugs. Determine the extent of the use of alcohol and drugs by
people as they age and put practices and policies in place to reduce misuse and
abuse through the Public Health Nurse support system. (HSE)
4.1.3. Develop a continuum of affordable, accessible, high quality and age
friendly health and social services that address the needs and rights of
women and men as they age.
• A continuum of care throughout the life course. Taking into consideration
their opinions and preferences, provide a continuum of care for women and men
as they grow older. Re-orient current systems that are organized around acute
care to provide a seamless continuum of care that includes health promotion,
disease prevention, the appropriate treatment of chronic diseases, the equitable
provision of community support and dignified long-term and palliative care
through all the stages of life. (HSE)
• Affordable, equitable access. Ensure affordable equitable access to quality
primary health care (both acute and chronic), as well as long-term care services
for all. (HSE)
• Informal caregivers. Recognize and address gender differences in the burden
of caregiving and make a special effort to support caregivers, most of whom are
older women who care for partners, children, grandchildren and others who are
sick or disabled. (HSE)
• Mental health services. Provide comprehensive mental health services for
men and women as they age, ranging from mental health promotion to treatment
services for mental illness, rehabilitation and re-integration into the community as
required. Pay special attention to increased depression and suicidal tendencies
due to loss and social isolation. Provide quality care for Seniors with dementia
and other neurological and cognitive problems in their homes and in residential
22
23. facilities when appropriate. Pay special attention to ageing people with long-term
intellectual disabilities. (HSE)
• Ageing at home and in the community. Provide policies, programmes and
services that enable people to remain in their homes as they grow older, with or
without other family members according to their circumstances and preferences.
Support families that include Seniors who need care in their households. Provide
help with meals and home maintenance, and at-home nursing support when it is
required. (HSE)
• Partnerships and quality care. Provide a comprehensive approach to long-
term care (by informal and formal caregivers) that stimulates collaboration
between the public and private sectors and involves all levels of government, civil
society and the not-for-profit sector. Ensure high quality standards and
stimulating environments in residential care facilities for men and women who
require this care, as they grow older. (HSE, DDDA)
• Register of all over 65s with identification of those most at risk. Develop
a register of all Seniors over 65 with a view in the first place to identifying the
actual location of the most vulnerable Seniors and thereafter ensuring that they
receive the long term and primary care that they require.
• WHO Toolkit for age friendly primary health care. HSE should refer to the
WHO Toolkit for age friendly primary health care when developing its primary
care services for the Docklands area. (HSE)
• Screening interview at 70 when medical card is given out. At a minimum
a standarised health screening interview should take place for all Seniors
receiving a medical card, followed by regular screening interviews thereafter.
(HSE)
4.2. Participation
• Basic education and health literacy.
Make basic education available to all across the life course. Aim to achieve
literacy for all. Promote health literacy by providing health education throughout
the life course. Teach people how to care for themselves and each other as they
get older. Educate and empower Seniors on how to effectively select and use
health and community services. ((VEC (NALA))
• Lifelong learning. Enable the full participation of Seniors by providing
policies and programmes in education and training that support lifelong learning
for women and men as they age. Provide Seniors with opportunities to develop
new skills, particularly in information technologies. (VEC)
• Voluntary activities. Recognize the value of volunteering and expand
opportunities to participate in meaningful volunteer activities as people age,
especially those who want to volunteer but cannot because of health, income, or
transportation restrictions. (Volunteer Bureau)
• Transportation. Provide accessible, affordable public transportation services in
rural and urban areas so that Seniors (especially those with compromised
mobility) can participate fully in family and community life. (Dublin Bus, Bus
Eireann, DDDA etc)
23
24. • Leadership. Involve Seniors in political processes that affect their rights.
Include older women and men in the planning, implementation and evaluation of
locally based health and social service and recreation programmes. (DDDA/NCI
Active Citizenship Course)
• A society for all ages. Provide greater flexibility in periods devoted to
education, work and care giving responsibilities throughout the life course.
Develop a range of housing options for Seniors that eliminate barriers to
independence and interdependence with family members, and encourage full
participation in community and family life. Provide intergenerational activities in
schools and communities. Encourage Seniors to become role models for active
ageing and to mentor young people. Recognize and support the important role
and responsibilities of grandparents. Foster collaboration among
nongovernmental organizations that work with children, youth and Seniors.
(HSE, DDDA, DCC, Forums, CDPs)
• A positive image of ageing. Work with groups representing Seniors and the
media to provide realistic and positive images of active ageing, as well as
educational information on active ageing. Confront negative stereotypes and
ageism. (Seniors Forum & Media)
4.3. Security
3.1 Ensure the protection, safety and dignity of Seniors by addressing the
social, financial and physical security rights and needs of people as they
age.
• Social security. Support the provision of a social safety net for Seniors who
are poor and alone, as well as social security initiatives that provide a steady and
adequate stream of income during old age. Encourage young adults to prepare
for old age in their health, social and financial practices. (Forums to collaborate
with local financial institutions to develop an innovative local
demonstration model)
• Shelter. Explicitly recognize Seniors’ right to and need for secure, appropriate
shelter, especially in times of crisis. Provide housing assistance for Seniors and
their families when required (paying special attention to the circumstances of
those who live alone) through rent subsidies, cooperative housing initiatives,
support for housing renovations, etc. (DDDA Master Plan, DCC Housing
practice)
• Elder abuse. Recognize elder abuse (physical, sexual, psychological, financial
and neglect) and encourage the prosecution of offenders. Train law enforcement
officers, health and social service providers, spiritual leaders, advocacy
organizations and groups of Seniors to recognize and deal with elder abuse.
Increase awareness of the injustice of elder abuse through public information and
awareness campaigns. Involve the media and young people, as well as Seniors
in these efforts. (An Garda Siochana, Forums, Media, Youth Forum)
24
25. 5.0 Conclusion
The above report should serve to direct the individual planning processes of the
Docklands Seniors Forum and the Docklands Seniors Providers Forum in that it
captures the views of both groups, and then situates them within an international
best practice context.
It is hoped that on reviewing the above that both Forums will agree to adopt the
proposed actions and thereafter to divide them as appropriate into individual
work programmes for the year ahead.
Report written by Cormac Russell, Independent facilitator of both Docklands
Forums, and Dr Alexander Kalache, New York Academy of Medicine, July 2008.
25