Global Aging "Urban Perspective" of a St. Louis Missouri Skilled Facility

1. Global ageing and urbanization: meeting the challenge of humanity’s success The number of people aged 60 and over as a proportion of the global population will double from 11% in 2006 to 22% by 2050. There will be more older people than children (aged 0–14 years) in the population for the first time in human history

2. Developing countries are ageing at a much faster rate than developed countries 2005 , 60% of the World’s population elderly live in developing countries, 2050, This number will reach 80%!!! 2007, over half of the global population now lives in cities cities with 10 million inhabitants or more, increased tenfold from 2 to 20 during the 20th century Global ageing and urbanization

3. In developing countries the share of older people in urban communities will multiply 16 times from about 56 million in 1998 to over 908 million in 2050. In 2050 older people will comprise one fourth of the total urban population in less developed countries Global ageing and urbanization

4. Population ageing and urbanization are the culmination of successful human development during last century Urban growth is associated with a country’s technological and economic development Vibrant cities benefit a country’s entire population – urban and rural Urban and Rural? Global ageing and urbanization

5. Active ageing is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. Active ageing: Future Focus directsa framework for age-friendly cities

6. An age-friendly city, policies, services, settings and structures support and enable people to age actively by: recognizing the wide range of capacities and resources among older people; anticipating and responding flexibly to ageing-related needs and preferences; Active Ageing: Continued

7. An age-friendly city, policies, services, settings and structures support and enable people to age actively by: respecting their decisions and lifestyle choices; protecting those who are most vulnerable; and promoting their inclusion in and contribution to all areas of community life. Active Ageing: Continued

8. Active ageing depends on a variety of influences or determinants that surround individuals, families and nations They include material conditions as well as social factors that affect individual types of behavior and feelings The interaction between these factors play an important role in affecting how well individuals age. Active Ageing: Continued

9. Determinants of Active Ageing Gender Culture

10. Chart Rehab Maintaining Functional Capacity over Life’s Course Adult Life Maintaining highest possible level of function Older Age Maintaining independence and preventing disability Early Life Growth & Development Range of Function Disability Threshold Rehabilitation and ensuring the quality of life

12. Affordability

13. Essential Services

14. Design Support

15. Modification Support

16. Maintenance Services

17. Aging In Place – Active Aging

18. Community Integration

19. Housing Options

20. Living EnvironmentFuture Focus Community

21. Affordability Housing for older & disabled adults Virtually Maintenance-free exterior construction Eco-friendly design quality and material usage No Hassle's Easy Access FFC – Community Assessments

22. Essential Services Nutrition Site on campus Wellness Educational Services Housekeeping Services Maintenance Support Social Support Caregiver Coordination FFC – Community Assessments, Cont.

24. Housing made of Appropriate Materials

25. Sufficient Space to enable older adult to Function

26. Housing has Appropriate Environmental Conditions

27. Housing is Accessible to active or disabled Older AdultFFC – Community Design Assessments

28. Modifications Housing is modified to meet senior needs Modifications are Affordable Equipment for Modification is Accessible Financial Assistance is Available Competent Assistance provided FFC – Community Assessments –Rehabbing Existing Inventory

29. Maintenance Maintenance services are Affordable to seniors Qualified and Reliable service providers to perform maintenance work Public Housing, rental accommodation and common areas are well-maintained FFC – Community Assessments, Maintenance Free!

31. Housing is located close to services

32. Services are Affordable and support senior to remain at Home

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

34. Home-Care services are provided to support independence

35. Respite care is provided on a “Care Sharing Model”FFC – Community Assessments, Can I Stay Here?

37. Housing design facilitates continued Integration of seniors into the Fabric of the Community

38. Transportation services supportive to Greater Community

39. Employment, Enterprise, and Volunteerism is supported throughout the CommunityFFC – Community Integration Assessment

40. Housing Options Range of Appropriate and Affordable Housing Options for Seniors Seniors are well informed of options Sufficient number of houses or living options Range of services to support senior needs Seniors housing is integrated into surrounding community Facility-based care based on Eden Alternative Principles FFC – Community Housing Assessments

42. Housing not Overcrowded

43. Older people Comfortable

44. Housing not in areas Prone to Natural Disasters

45. Older people feel Safe!

46. Financial Assistance for Housing Security measuresFFC – Community Assessments, Living Safely!

47. Future Focus Community and its Collaborative Organizations Social & Behavioral Responsibility outreach efforts to Seniors desiring to contribute to their community-FWOP Education Economic Environment Empowerment Energy Integrated Approach – FWOP & FFC

48. The three plagues of loneliness, helplessness and boredom account for the bulk of suffering among our Elders – FFC, Loneliness, Isolation & Depression An Elder-centered community commits to creating a Human Habitat where life revolves around close and continuing contact with plants, animals and children. It is these relationships that provide the young and old alike with a pathway to a life worth living. Loving companionship is the antidote to loneliness. Elders deserve easy access to human and animal companionship. FFC’s Guiding Principles “Eden Alternative”

49. L.I.D. Theory Loneliness Isolation Depression

52. An Elder-centered community honors its Elders by de-emphasizing top-down bureaucratic authority, seeking instead to place the maximum possible decision-making authority into the hands of the Elders or into the hands of those closest to them. Creating an Elder-centered community is a never-ending process. Human growth must never be separated from human life. Wise leadership is the lifeblood of any struggle against the three plagues. For it, there can be no substitute. Guiding Principles “Eden Alternative”

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

56. Village Connectivity Emotional Wellbeing Vocational Connectivity Physical Wellbeing Social Connectivity Spiritual Wellbeing Resident/Staff Intellectual Wellbeing Connectivity Spiritual Care at Ackert

57. Music for the Soul If the Walls of Ackert Park could Talk-!

58. Artist and his Feline Friend Lou & Rocky Friends for over 15 years …best plan for Lou’s Rehabilitation Rocky moves in with Lou-!

59. Dorothy’s Card-nection Families need a friend Birthdays…or just a kind note, Dorothy is there

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

61. Is it really Culture Change we seek… …or is it Culture we’ve lost! Let our Campuses reflect the Communities Culture that surrounds us Give up the sterility of Medicine Give in the …. Persons should direct care Culture Change?