Older Adult Plan

 

Background Research:

Setting the Stage

 

 

 

 


Table of Contents

Introduction. 1

Project scope and methodology. 2

Community Context. 3

Older adults in Ottawa: Key facts and trends. 7

Quick facts about Ottawa seniors. 7

The population is aging rapidly. 8

The older population is diverse. 13

The majority of Ottawa seniors are financially secure. 16

The next generation of older adults will be different. 19

City of Ottawa: Serving older adults. 21

Definition of older adults. 21

Corporate older adults portfolio. 22

Service delivery areas: How the City of Ottawa is serving older adults. 23

1. Outdoor spaces and buildings. 23

2. Transportation. 24

3. Housing. 27

4. Social and recreational participation. 29

5.  Civic participation, volunteerism, and employment. 32

6.  Community support services. 34

7.  Health Services. 36

8. Communication and information. 39

Discussion. 40

Towards an older adult strategy and action plan. 44

References. 46

Acknowledgements. 47

 

Introduction

 


Text Box: Terminology

Coming up with the right terminology for this population is not an easy task.  Our idea of what constitutes old age is changing as we live longer.  People of the same age can show dramatic differences in their health, independence level, and interests.   Moreover, cultural groups tend to define old age differently.

For the purpose of this project, the term ‘older adult’ is used to refer to a stage of life instead of a specific age-based definition.  This would certainly include individuals in their fifties and up.  On the other hand, the term ‘senior’ is used when referring exclusively to people 65 years of age or over.  

Older adults represent a vibrant and vital segment of the Ottawa population.  Most seniors experience a high quality of life and are active and integral members of our community. They provide unpaid help to families and friends, volunteer groups and various causes.  They are engaged socially as well as in the political arena.  Their taxes and purchasing power strengthen the Ottawa economy.  

 

In short, the contributions that older adults make to the overall well-being of our community are significant.  However, some seniors continue to face unique barriers and challenges to inclusion and active aging.[1] 

 

Ottawa seniors’ population is increasing dramatically.  In the next 20 years, the number of seniors will more than double.  By 2031, it is predicted that seniors will make up 22% of the Ottawa population.  This means that more than one in five residents will be over the age of 65.   

 

Dramatic change comes with great opportunity.  Our city can prepare for the phenomenon of population aging to make sure that it is embraced in a way that enriches our community.  Proactive and purposeful planning will ensure that the infrastructure, programs and services meet the changing needs of this growing segment of the population.  Moreover, an age-friendly city is a city that is friendlier to all ages.  The time to act is now.     

 

In 2009, City Council approved a motion to refine and refresh the City’s Seniors Strategy and develop a comprehensive action plan moving forward.  The Older Adult Plan project will assist Council, management, and staff to better understand issues related to older adults and to facilitate informed planning decision-making around services for Ottawa’s older adults now and into the future.  

 

This project began with thorough background research (Phase I).  This discussion paper summarizes the findings of the research phase and sets the stage for the following phases, involving community consultations and the development of an older adult plan.[2]  The information presented in this document is by no means exhaustive and the reader is invited to refer to a number of reference documents that were prepared during the research phase.[3]

 

The document begins by providing more information about the Older Adult Plan project.  The next sections introduce the broader community context, a summary of the key facts and trends about the Ottawa seniors’ population, and a look at how the City of Ottawa is currently serving this population.   Following a discussion section, the document concludes by offering some thoughts on the development of a city-wide strategy and action plan moving forward. 

 

Project scope and methodology

 


In 2005, the City of Ottawa began looking at the needs and expectations of seniors through the Seniors’ Agenda initiative.  At the time, a community consultation involving 300 residents identified three priorities: housing (including developing the ability for seniors to remain independent in their homes and in their communities), transportation and mobility, and communication.   Several successful initiatives were then undertaken under each of these priorities, many through partnerships with various community agencies.  The Seniors’ Agenda officially wrapped up in 2007 and responsibilities were transitioned to relevant departments and corporate-wide coordination was transitioned to the Organizational Development and Performance Department. 

 

On October 14, 2009, Ottawa City Council approved a motion from the Community and Protective Services Committee, originally submitted by the Seniors Advisory Committee, to refine and refresh the Seniors’ Strategy and create a comprehensive and forward-looking Older Adult Plan for the City of Ottawa:    

 

1.      That the Organization Development and Performance (ODP) Department work with the Seniors Advisory Committee, City Departments and Community Partners to refine and refresh a Seniors Strategy and action plan development;

2.      That the investigation done to refine and refresh a Seniors Strategy include income data to compare the seniors data with that of other age groups;

3.      That ODP include any requirement for external consulting services in its 2010 budget estimates; and,

4.      That the review also consider the first recommendation from the Seniors Advisory Committee to undertake a formal initiative to develop a comprehensive Ottawa Older Adult Plan to include service delivery, organization and management, partnerships with agencies and governments, volunteer support, financial incentives and subsidies, and accessibility among other issues.

 

 

The scope for the project is limited to infrastructure, policies, and programs and services that are within the responsibility of the City of Ottawa.   Three project phases were identified at the onset of the project: 1) Background research and environmental scan; 2) Engagement and consultation with older adults; and 3) Development of an action plan.[4]

 

The purpose of the background research was to enhance corporate understanding of the current - as well as future - characteristics and trends pertaining to the older population in Ottawa, identify organizational and service delivery strengths as well as potential gaps, and identify opportunities moving forward.   

 

The following activities were undertaken during the research phase: a review of the literature and the work of other municipalities; a scan of key community-based priorities and initiatives;  demographic and socio-economic profiling of the Ottawa older adult population (including population projections to 2031), an internal review of how the City is currently organized to serve older adults, a scan of community priorities and initiatives related to the older adult population, and a review of previous consultations with Ottawa’s older adults.   

 

Community Context

 


The City of Ottawa plays a significant role in providing services to the older population in key areas like transportation, housing, and recreation and learning.  However, addressing the needs and priorities of the aging population is not solely the responsibility of the City of Ottawa.  It was therefore important to take a look at the roles and priorities of the other community players that serve seniors in order to better situate the City’s older adult plan efforts.  

This was accomplished through individual meetings with several community agencies and organizations.  In addition to increasing our knowledge about – and establishing relationships with - community-based organizations, the exercise highlighted a number key service delivery priorities and trends that are of significance to the City of Ottawa.  Two are presented below.

 

 

Age Friendly Cities  - Age Friendly Ottawa

Text Box: Age friendly cities

According to the WHO, an age-friendly city is “an inclusive and accessible urban environment that promotes active aging." In practical terms, an age-friendly city adapts its structure and services to be accessible to and inclusive of older people with varying needs and abilities.

In 2006, the World Health Organization (WHO) spearheaded the Age-friendly Cities project to identify the key elements of the urban environment that support healthy and active aging.[5]   The project used focus groups to consult with older persons - as well as community leaders and experts in 33 cities and 22 countries.  Four Canadian cities were involved: Saanich, British Columbia; Portage La Prairie, Manitoba; Sherbrooke, Quebec; and Halifax, Nova Scotia.

 

The focus was on the "lived" experience of older people (what seniors experience as age-friendly in their daily lives in the community) and involved them as full partners from start to finish.  The result of that project was the Global Age-friendly Cities Guide (2007) which outlines a framework for assessing the “age-friendliness” of a city and can be used by urban communities to stimulate and guide advocacy, community development and policy change towards age-friendliness. 

 

The following cycle towards age-friendliness is promoted by the WHO: 1) Develop a baseline assessment of the age-friendliness of the city (through public consultation sessions with older adults, caregivers, service providers, private businesses, and youth); 2) Develop a city-wide action plan based on the findings of the assessment; 3) Take action and monitor accomplishments on the priorities.  Furthermore, eight key domains of active aging should be examined: 

 

1.  Outdoor spaces and public buildings

2.  Transportation

3.  Housing

4.  Respect and social inclusion

5.  Social participation

6.  Communication and information

7.  Civic participation and employment

8.  Community support and health services

 

The Age Friendly model is gaining international attention and momentum and is being adopted in cities throughout Canada and the world.  In Ottawa, the Council on Aging is leading the Age Friendly Ottawa initiative, which aims to make Ottawa an age-friendly city according to the guidelines developed by the World Health Organization. 

 

The three-year initiative is supported by a steering committee which includes representatives from the Council on Aging, City of Ottawa, Public Health Agency of Canada, University of Ottawa, United Way as well as other senior-serving community organizations.  Funding commitments were secured from the Community Foundation of Ottawa, New Horizons for Seniors and the Trillium Foundation.  Age Friendly Ottawa is currently poised to begin the first step of the age-friendly cycle, namely consultations with Ottawa seniors.    

 

The Age Friendly Ottawa initiative, and the framework on which it is based, is very relevant to the City of Ottawa’s Older Adult Plan project.  Both initiatives are mutually supportive in their goal of proposing changes that will enhance active and healthy aging for the Ottawa older adult population.  The City of Ottawa has been a partner of the Age Friendly Ottawa initiative from the onset and City representatives have been active participants on the project’s Steering Committee.  

 

In addition, the WHO age-friendly model and framework has already inspired several Older Adult Plan project activities.  For example, the age-friendly domains have provided the structure for the City’s inventory of programs and services that was developed during the research phase.  Collaboration between the two initiatives will continue throughout the fall, in the form of joint public consultations, and later during the development of the plans.  While the City of Ottawa plan will deal strictly with the City’s areas of responsibility, the Age Friendly Ottawa plan will target the entire community.  

 

 

Aging in Place

Aging in place (that is, the ability to continue living in one’s current home and familiar community for as long as possible) is another concept that is gaining ground in and outside Ottawa.  It is generally being recognized more and more that older adults prefer to ‘age in place.’  According to the Canadian Mortgage and Housing Corporation, at least 85 per cent of those over age 55 plan to remain in their present home for as long as possible, even if there were changes in their health.[6]

 

Locally, major funders like the local United Way and the Champlain Local Health Integration Network have prioritized ‘aging in place’ and are investing significantly in community projects that enhance the capacity of older adults to stay in their home.  Examples of funded supports include: supportive housing, caregiver support and education, transportation and meals, physical activity, and wellness and preventive care.  The overarching goal of these investments is to allow older persons to remain in their homes for as long as possible, therefore reducing pressure on the long-term care system. [7]   

 

The aging in place trend is important for the City of Ottawa, since it acts as both service provider and another major funder of community agencies.  The preference of older adults to age in place could mean growing demands for home adaptations, home maintenance and support services, as well as transportation options in order for older persons to have the capacity to stay at home.  From a funding perspective, an aging in place priority of major funders will likely drive the direction and work of community-based organizations in the coming years. 

 


Older adults in Ottawa: Key facts and trends  

 

 


The aging of the Ottawa population represents the most relevant phenomenon currently at play in the city of Ottawa.   However, there are other key factors and trends about the Ottawa seniors’ population that also have important implications related to service delivery.  They are presented in this section along with a discussion about what might be the implications for the City of Ottawa.  Note that a detailed profile of the Ottawa seniors’ population was prepared and is available in a separate document A Portrait of Ottawa Seniors: Demographic and Socio-Economic Characteristics. 

 

Quick facts about Ottawa seniors[8]

 

·         Three quarter of the seniors’ population lives in the urban areas (inside the National Capital Greenbelt[9]), 18% live in suburban areas, and another 8% live in rural areas.

 

·         Municipal wards located in the central areas of the city (Bay, College, and Alta Vista) have the largest numbers and concentrations of seniors. 

 

·         The majority of seniors live in private dwellings, with 72% of seniors owning their own homes. 

 

·         Approximately 25% of seniors live alone, with women more likely to live alone than men. 

 

·         Approximately 9% of the seniors’ population lives in collective dwellings (long-term care facilities and hospitals), compared to the national figure of 7%.

 

·         20% of seniors identify as francophone, 31% are foreign born, 10% belong to a visible minority, and 0.5% are Aboriginal.

 

·         Most foreign-born seniors came to Canada decades ago, with only about 14% having immigrated since 1991.  An estimated 200 seniors immigrate to Ottawa every year. 

 

·         The most common mother tongue for seniors is English (58%), followed by other languages (23%) and French (18%).  Approximately 7% of seniors do not speak English and 4% do not speak either official language. 

 

·         The after-tax low income rate of seniors is 6.8%.  Women and individuals living alone are more likely to live on low income.  Somerset, Rideau-Vanier, Rideau-Rockcliffe, and Kitchissippi wards show high concentrations of older adults living on low income.

 

·         11% of seniors are employed, with men being more likely to be employed than women.     

 

·         About half of seniors perceive their health to be very good or excellent and 73% perceive their mental health as being very good or excellent.

 

·         About 19% of seniors report often having difficulties with daily activities:  11% require help with heavy chores, 11% with everyday housework, and 9% with shopping.

 

·         78% of seniors drive their own car, 10% have a family member drive them, and 9% use public transportation.

 

·         48% of seniors provide unpaid voluntary help for a non-profit or charitable organization and 60% provide unpaid help to other family members, neighbours, and friends. 

 

The population is aging rapidly

Ottawa’s population is aging.  In 1981, 9% of the population was over the age of 65.  This figure had grown to 12% in 2006 and is projected to increase to about 22% by 2031.  In twenty years, more than one in five residents will be over the age of 65 years old.   While the population has been aging for a while, what is unprecedented – and what we must pay attention to - is that the growth rate of seniors began to accelerate significantly in 2011. 

Seniors now make up the fastest-growing age group in Ottawa, with other age groups lagging far behind.   While the number of seniors is projected to grow by 115% between 2011 and 2031, the number of people between the ages of 55 and 64 years old will grow by about 20%, while the 45 to 54 age group will increase by a modest 5%.[10]   By 2031, there will be more seniors than children under the age of 15 years old for the first time in history.

Why is the older population growing so fast?  Declining fertility rates and increased longevity certainly play a role.  However, the main reason is the large number of baby boomers[11] who started turning 65 years old in 2011.  Over the next twenty years, the baby boomers will act as a wave that will first swell the ranks of the ‘younger’ seniors before starting to have a significant impact on the 74-85 age group beginning around 2021.  While the group of ‘oldest’ seniors (85 years old and over) will not feel the impact of the baby boomer generation for another twenty years or so, this age group is nevertheless expected to double in size between 2011 and 2031, to a projected 34,220 individuals in 2031. 

 

Discussion of implications & opportunities for the City of Ottawa

 

The fact that the seniors’ population is predicted to more than double over the next 20 years is important from a planning perspective.  Even in the short-term, the fact that 30,000 individuals will be turning 65 in the next 5 years provides enough rationale to review the City’s ability to sustain and promote seniors’ well-being and successful aging. 

 

A larger older adult population will influence shifts in public policy and spending to areas reflecting the wants and needs of older adults.  At the least, population aging will lead to increasing demand for several municipal programs and services, especially in the areas of health services, social services, recreation, transportation, and housing.   

 

Infrastructure requirements will also change, as demand shifts away from schools and playgrounds, large and low-density housing, and family-friendly amenities to services and facilities targeting increasing numbers of mature adults.  The issue of accessibility of facilities, outdoor spaces, programs, and public transportation will become even more important to address.  Finally, population aging may also have an impact on City of Ottawa revenues (e.g. related to registration/user fees for recreational programs).

 

 

A general increase in the older adult population also means a corresponding increase in the number of vulnerable older adults (isolated, living on low income or with disabilities). Vulnerable older adults, as well as the “oldest” seniors, typically require extensive and cost-intensive services and supports.  It is therefore reasonable to expect accentuated long term pressures on paramedic services, public health services, in-home supports, and financial assistance programs.  

There are a number of opportunities that can also accrue from an aging population.  The sudden increase in “younger” seniors in the next 10 years, brought on by the baby boomers, could translate in increasing demand for revenue-generating programs and services, such as recreational programs and the arts.  Larger numbers of “younger” retired individuals may also lead to an increased interest for new recreational opportunities during the day time, when City facilities tend to be available.   The increase in the number of older adults could also translate in an increased pool of volunteers for the City of Ottawa to tap into. 

 

Suburban and rural areas will see largest growth in seniors

The majority of seniors currently live in the central areas of Ottawa.  The Bay, College, and Alta Vista wards show the largest numbers and proportions of seniors.  For example, approximately 21% of the Bay ward population is over 65 years old, which is almost double the 12% rate for Ottawa as a whole.  Also of importance is the fact that the College and Bay wards show the largest numbers of ‘oldest’ seniors (85 years old and over). 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On the other hand, areas that are further away from the city centre show much lower numbers and proportions of older adults.  These include the Gloucester-South Nepean, Cumberland, West Carleton-March, and Barrhavan wards.   For example, seniors living in the Barrhavan ward make up only 5.6% of the total ward population. 

 

 

 

The distribution of older adults across Ottawa is expected to change over the next 20 years, with the number and proportion of seniors increasing significantly in the suburban and rural areas (outside the National Capital Greenbelt).  In fact, the number of seniors living in rural areas is projected to increase by 183% between now and 2031.[12]  This represents an increase of 11,000 seniors just in the rural areas. 

 

This geographic shift can be explained by looking at the current distribution of middle-age individuals (between 45 and 64 years old) across Ottawa.  These individuals are already concentrated in the suburban and rural areas, having chosen these areas to raise their families.   The fact that older adults typically prefer to stay in their community as they age, [13] should lead to a gradual shift in the number of older people in these areas between now and 2031.    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discussion of implications & opportunities for the City of Ottawa

In the short-term, knowledge about which areas show the largest numbers and concentrations of older adults is key to providing the right services where they are needed or desired most.   Wards such as Bay, College and Alta Vista therefore represent the highest priority for place-based programs and services targeting older adults.

 

In the longer-term, demand for municipal services (transportation, housing, recreation, outdoor spaces, emergency services, and in-home services) will start to increase in the suburban and rural areas.  This increasing demand will be accompanied by increasing per capita costs for distance-sensitive services typically used by the older population, such as public transit and emergency medical services.

 

Suburban and rural communities are different from the urban core, especially considering the abundance of single family units and longer distances to get to shopping and other services.  Residents of these areas rely heavily on the automobile for transportation.  Population aging in these areas will lead to a different set of challenges, especially related to acess to services, with transportation at the heart of the issue. 

 

The older population is diverse

There were 18,615 francophone seniors[14] living in Ottawa at the time of the 2006 Census, representing exactly 20% of the total seniors’ population.  The francophone older population is projected to grow at about the same rate as the overall older population over the next 20 years, and therefore should continue to represent about one-fifth of all seniors.[15] 

 

Older francophone residents tend to live on the East side of Ottawa, in the traditional francophone neighbourhoods.  Wards with the highest numbers of francophone older adults are Rideau-Vanier and Rideau-Rockcliffe, but all areas on the East side show high numbers of francophone older adults.  Anecdotal evidence suggests that the distribution of francophone older adults is changing, with growing francophone areas as far West as Kanata.  The upcoming 2011 Census data should be consulted in order to substantiate this trend.      

 

 

 

According to the 2006 Census, 31% of Ottawa seniors (31,480 individuals) are foreign-born.  However, the vast majority of these individuals immigrated to Canada decades ago and only 14% of them arrived since 1991.  Slightly over 200 older immigrants (over 65 years old) arrive in Ottawa every year, and this number appears to have been fairly consistent over the last 10 years.  As for the francophone population, the older immigrant population is projected to grow at about the same rate as that of the general older population over the next 20 years.  Recent immigrant seniors (less than 10 years) tend to be located in the Gloucester-South Nepean, Kanata North, and Barrhaven wards. 

 

What is changing is the make-up of the immigrant population, with more and more visible minorities being represented in the future.[16]  The growth of the visible minority population is due to the increasing number of immigrants coming from non-European countries.  The most common visible minority groups in the older population currently include Chinese and South Asians.  If current immigration trends continue, Ottawa’s visible minority older population will grow more quickly than the non-visible minority older population.  

  

 

 

 

The total Aboriginal population (all ages) in Ottawa is relatively small, with 12,965 individuals at the time of the 2006 Census, representing only 1.6% of the total Ottawa population.[17]   Just over half of Aboriginal people in Ottawa identify as First Nations, 37% as Métis, and 5% as Inuit. The Aboriginal population shows a younger age structure than the general population, with only 3.6% being over 65 year old.  However, the older Aboriginal group is expected to grow by an impressive 405% over the next 20 years to about 3,250 individuals.[18]     

 

Discussion of implications & opportunities for the City of Ottawa

Francophone, new immigrant and Aboriginal older adults have unique needs and face different challenges than the general population of older adults.  Francophone seniors prefer to be served in French and have access to culturally-sensitive programming.   Aboriginal individuals have a lower life expectancy than the general population and tend to suffer from higher rates of certain chronic health problems.

Immigrants to Canada, particularly those who arrive as adults, often have a reduced financial capacity to save, and the length of time they reside in Canada has implications for their for Old Age Security eligibility.[19] Many ethno-diverse cultures also have distinct approaches to caring for their elderly that may indicate that a broader range of models and services for older adults should be explored.[20]  Another issue relates to language barriers which tend to increasingly isolate older adults, especially women. 

Diversity suggests a need for flexibility and choice when we think about adapting services to an aging population.  Increasing numbers of francophone, new immigrant and Aboriginal older adults will be accompanied by an increasing need for programs and services that are culturally sensitive and accessible linguistically.  Increasing ethnic diversity in the City will have implications for communication, marketing and outreach, program offerings, and overcoming the barriers faced by new Canadians in accessing these services.

Knowledge about city areas with high numbers or concentrations of francophone and new immigrant older adults is key to tailoring programs and services in the right areas. 

The majority of Ottawa seniors are financially secure   

Several indicators of financial security paint an encouraging picture of the economic situation of Ottawa seniors.  To begin, the median total income of $31,000 for older adults (2006) is 32% higher than the Ontario median and 48% higher that the Canadian median. 

 

Median Total Income by Age Group, for Ottawa, Ontario, and Canada, 2006

55-64

65-74

75+

65+

Ottawa

$40,100

$29,300

$32,600

$31,000

Ontario

$33,600

$24,000

$22,800

$23,400

Canada

$30,700

$21,800

$20,400

$21,000

Source: Statistics Canada, Small Area and Administrative Data Division, 2007, Annual Estimates for Census Families and Individuals, 13C0015

 

More Ottawa seniors are found in the higher income brackets (compared to Ontario and Canada as a whole) and fewer in the lowest income brackets.   Ottawa seniors draw a larger percentage of their income from private pensions (42%) when compared to Ontario and Canada (13% and 29% respectively). 

 

At the same time Ottawa seniors rely less on government transfers (such as OAS) than the average for Ontario and Canada.  This can probably be attributed to the fact that a large portion of Ottawa seniors are retired public sector employees who are three times more likely to accumulate savings in employer-sponsored pension plans than private sector employees.[21] 

 

Finally, Ottawa seniors show the lowest rate of low income of all age groups.   Approximately 7% of Ottawa seniors are considered living on low income, meaning that they have after-tax incomes below Statistics Canada’s Low Income Cut-Offs (LICOs).[22]  In comparison, the low income rate for individuals between the ages of 18 and 24 is 23%.   Also in comparison, Gatineau seniors have a low income rate of 10%. 

 

 

Low Income (After Tax) by Age and Gender, Ottawa, 2005

 

Total

Men

Women

<18 years

15%

15%

15%

18 to 24 years

23%

21%

24%

25 to 44 years

12%

11%

12%

45 to 64 years

9%

9%

9%

>65 years

7%

5%

8%

Source: Statistics Canada, 2006 Census

 

However, while most Ottawa seniors appear to be relatively secure financially, individuals living on low income tend to be some of the most vulnerable in the community.  A 7% low income rate translates to approximately 6,300 individuals over 65 years old and this number is projected to increase to about 15,000 individuals by 2031.   

This group is vulnerable as low income affects one’s health status, mobility, and ability to participate and contribute to the community.  Three groups of seniors are particularly susceptible to be experiencing low income: unattached individuals, women, and recent immigrants.  For example, almost three-quarters of older seniors who are on low income live alone and 70% are women.  Older women tend to have lower incomes because they have spent less time working or worked in lower paid jobs and because they live longer and are at greater risk of using up their savings.  A significant number of recent immigrant seniors do not qualify for the certain government transfers, which puts them at a disadvantage financially. 

 

Higher concentrations of seniors living on low income are found in the urban core, in the Somerset (20% of the total seniors’ population), Rideau-Vanier (15%), Rideau-Rockcliffe (12%) and Kitchissippi wards.  Rural wards show the lowest rates of low income in the seniors’ population.  In fact, three rural wards show rates of less than 1%: Rideau-Goulbourn (0.4%), Osgoode (0.5%), and Cumberland (0.8%).

 

 

Discussion of implications & opportunities for the City of Ottawa

 

The City of Ottawa has traditionally provided general subsidies to all seniors based on age, mostly in the areas of recreation, culture and transit.  A significant increase in the number of seniors over the next 20 years will certainly impact this model of subsidization.  A general subsidy model based on age may not be sustainable or meet all needs due to increasing costs of financial subsidies/assistance for low income seniors.[23]

 

There is an obvious need and opportunity for the City of Ottawa to continue supporting older adults who are economically disadvantaged.  Any place-based programs specifically targeting low income older adults should take into consideration areas with high concentrations of economically disadvantaged seniors (Somerset, Rideau-Vanier, Rideau-Rockcliffe and Kitchissippi wards).

 

Financial assistance programs are currently in place , e.g. Essential Health and Social Supports (EHHS), Home Support Services, Property Tax Deferral, Snow Go Assist, and Hand in Hand Recreation and Culture Fee Support.  Demand for these programs (and thus financial pressures) will surely increase as the number of older adults living on low income more than doubles over the next 20 years.  The increase in the number of vulnerable older adults will also have an impact on demand for affordable housing options.     

 

 

The next generation of older adults will be different

There are currently more than twice as many baby boomers in Ottawa as there are seniors.  Due to their sheer numbers, the baby boom generation has always played a significant role in shaping almost every aspect of society and most observers think that this will continue to be the case in older adulthood.  In Ottawa, approximately 250,000 baby boomers will become seniors in the next 20 years. 

 

Baby boomers grew up in a different social and economic climate and bring a different set of life experiences that will affect their needs, preferences, and attitudes about aging.   Much of the literature indicates that future older adults will live longer, work longer and engage in a wider range of activities and pursuits. They will likely be more confident about being old and refuse to tolerate the ageism of others.[24] 

 

Certain facts and trends about this generation are relevant from a planning perspective:

 

Ø  The marital situation of Ottawa baby boomers and seniors is markedly different.  For example, 12.7% of Ottawa baby boomers have never married compared to 6.7% of current seniors.  Baby boomers also have a higher divorce rate than today’s seniors (13% compared to 6% for current seniors).[25]  The other significant difference is that baby boomers had fewer children than the previous generation.    

Ø  Ottawa baby boomers have a higher education level than today’s seniors.  Approximately 35% of Ottawa adults between the ages of 45 and 64 have a university degree compared to 21% of the over 65 age group.  Individuals with a university degree are 5 times more likely to be involved in cultural, educational, civic or hobby activity than those with less than a high school degree.[26]

Ø  Nearly 70 per cent of baby boomers plan to work after the age of 65.  Seventy-two per cent said they wanted to continue working to remain mentally active and 57 per cent said they want to stay socially active.[27] 

Ø  Baby boomers tend to give more time to education and research organizations, whereas existing seniors tend to do more with religious organizations, hospitals and service organizations.  Boomers also tend to want volunteer opportunities that serve personal needs and interests.[28]

Ø  Baby boomers are early adopters and skilled users of new technologies.  Seniors are significantly less likely to be online than boomers, although this gap is closing.[29]

Ø  Ottawa female seniors are less likely to drive their own car and more likely to be driven by another family member than men.[30]  However, the rate of women drivers is much higher among baby boomers. [31]   

 

Discussion of implications & opportunities for the City of Ottawa

 

The general trends that characterize the baby boomer generation (as listed above) have several implications for the City of Ottawa.  For example, there may be a shift in the types of recreational, leisure, and cultural programs that older adults are interested in.  Aged baby boomers will be more likely to demand stimulating volunteer experiences that respond to personal needs and interests.

 

The fact that baby boomers are skilled users of technology implies that new and innovative means of communication with older adults will need to be developed, away from the use of the telephone and one-on-one contacts.  An increase of women drivers may also lead to an increase number of senior drivers on the city’s roads.  Less informal supports available to aged baby boomers (who had no or few children) may lead to an increased demand for formal in-home supports.  Finally, aged baby boomers working past the traditional age of retirement could have an impact on the City of Ottawa work force.

 

The baby boom generation differs enough from that of current seniors as to constitute an emerging new market.   It may be useful to begin thinking about two distinct older adult markets, a more ‘traditional’ group on the one hand and the ‘baby boomer’ group on the other hand.  This distinction is important as each group shows different characteristics, needs and interest that should inform the types – and delivery methods - of programs and services being offered.   We can expect that the mix of older adults will slowly change from the current ‘traditional’ majority to the new generation of older adults over the course of the next 20 years. 


City of Ottawa: Serving older adults

 


Municipalities respond to the needs of older adults in many ways and on an everyday basis.  And while municipalities do not control many of the major services that affect older adults’ lives (like the health care system and income supports), they are the “front line” and can have a profound effect on the well-being of older residents. 

 

Core municipal responsibilities include the physical infrastructure and the ‘nuts and bolts’ of city operations such as roads, sewers, waste disposal, recreation, library, transit, and housing.    In addition, municipalities can make a difference in the lives of older adults by paying attention to the physical environment,  encouraging more housing options and supports, improving transportation, promoting healthy active living, using senior-friendly means of communication, and encouraging social inclusion.   

 

This section describes how the City of Ottawa currently supports and serves older adults.  The larger corporate picture is first introduced, followed by a summary of City programs and services, categorized using the age-friendly areas developed by the World Health Organization. 

 

Of note, the recently adopted Term of Council Strategic Priorities clearly identify older adults as a key target population.  As such, the Healthy and Caring Community Strategic Objective reads: “To achieve equity and inclusion for an aging and diverse population.”  Accommodating the needs of a diverse aging population will be accomplished by effectively planning and implementing changes to major infrastructure development and service delivery.”[32]

 

Definition of older adults

There is no formal definition or consensus in terms of what constitutes a senior or older adult at the City of Ottawa.  Individual departments have developed their own way of defining this population, typically by setting a minimal age for access to programming or benefits. 

As a result, various age-based definitions are used across departments and even within a single department.  In general, older adulthood is defined by City departments as beginning anywhere between 50 and 65 years of age.   

 

 

 

 

Age Definitions for Various City of Ottawa Programs and Services

Department & Programs/Services

Age

Parks, Recreation & Cultural Services

Programming

Registration discounts

Seniors Centres

 

50+

65+

50+ or 55+

Community and Social Services

Social Housing

 

60+

Finance

Tax Deferral Program

 

65+

Public Library

55+

Transit Services

Seniors discount

 

65+

Public Health

65+

Public Works

Snowgo and Snowgo Assist Programs

 

60+

 

Programs offering financial discounts or subsidies generally use the minimal age of 65 to determine eligibility (except for the Snow Go Assist program for which the minimal age is 60).  On the other hand, older adult programming (e.g. recreation, leisure, cultural) is typically geared to the adult 50 and over.  Social housing is provincially legislated to consider an older adult to be someone over 60 years.   We also note that the four Seniors Centres operated by the City of Ottawa each define older adults differently, ranging from 50 to 55 and over.  

 

Corporate older adults portfolio

The older adult portfolio was transitioned to the Client Service Strategies (CSS) Branch of the Organizational & Development Performance Department when the Seniors Agenda project wrapped up in 2007.   This ensures that the City’s efforts to address older adult issues and service are more deliberate, operational, integrated and coordinated into the everyday business of the City.  

 

City of Ottawa staff has been working collaboratively across departments as well as with community partners through a self-directed internal Seniors Work Group, facilitated by the CSS Branch.  This staff group was formed in 2005 to oversee the work and progress of the Seniors Agenda.  It is composed of departmental representatives who have expertise or responsibility for liaising with older clients and planning or overseeing initiatives.  The internal Seniors Work Group has been able to achieve a coordinated approach to community events. 

 

Corporate Accessibility Initiatives

The efforts of the City of Ottawa in the area of accessibility have undeniable benefits for older residents who are experiencing age-related mobility, hearing or vision issues. The Corporate Accessibility Office (CAO) coordinates the implementation of all corporate-wide accessibility initiatives at the City of Ottawa.  Assisted by the Accessibility Working Group and in collaboration with the Accessibility Advisory Committee, the CAO supports departments in their implementation of corporate strategic directions addressing accessibility issues in City services, programs, by-laws, policies and practices as identified by the Corporation, the community and legislated requirements. 

 

The City supports the intent of new provincial legislation called the Accessibility for Ontarians with Disabilities Act (AODA).  Under the AODA, private, public and non-profit organizations are required to identify, remove and prevent barriers in order to make the Province accessible for all people with disabilities by 2025. The AODO legislates standards in five key areas: customer service, transportation, information and communications, employment, and the built environment.  Every year, the City of Ottawa Municipal Accessibility Plan (COMAP) is written to report on steps the City has taken to increase accessibility for visitors, staff and residents and outlines the work proposed for the upcoming year.  The 2011 COMAP reflects the City of Ottawa’s commitment to the successful implementation of the AODA Standards as they take effect.  

 

 

Service delivery areas: How the City of Ottawa is serving older adults

1. Outdoor spaces and buildings

Outdoor spaces and buildings refer to the natural and built environments and how these enable older people to get around easily and safely in the community.  Age-friendly environments can have positive impacts on the mobility, independence and quality of life of older people.  Examples of natural and built environments include green spaces, outdoor seating, pavements, roads, walkways and cycle paths, and City of Ottawa buildings and parking lots.    

 

 

Age-friendly features include:

 

·         Walkable sidewalks, pathways and trails, free of obstacles and barriers (e.g. snow removed)

·         Adjustments and adaptations that help older adults feel safe and secure in the community

·         Good accessibility to and within public buildings (few stairs, wheelchairs ramps that are not too steep, accessible washrooms)

·         Provision of services within walking distance of where many older adults live

·         Along footpaths, accessible washrooms and rest areas, including benches that are an appropriate height

·         Safe pedestrian crossings

 

The main responsibility for outdoor spaces and City buildings rests with the Public Works and Infrastructure Services departments.  Over the winter months, the City of Ottawa clears snow and ice from roadways, sidewalks, bridges, bus stops and the Transitway.  In addition, a number of specific programs and services are of benefit to older adults:   

 

 

·         Audible and Countdown Pedestrian Signals – Audible Pedestrian Signals are the sounds heard at intersections that indicate when and in what direction pedestrians can safely cross intersections.   Pedestrian Countdown Signals during the flashing ‘Don’t Walk’ interval inform pedestrians about how much time they have to safely cross the intersection.  Pedestrian signals provide improved security for visually impaired pedestrians and pedestrians with reduced mobility.  Currently, 48% of signalized intersections are equipped with audible signals and 24% are equipped with countdowns. 

 

·         Local road 40 km/h request.  Residents have the ability to request, by means of a petition, a reduction in the speed limit to 40 km/h on streets designated as ‘local residential.’  The opportunity to reduce the speed limit on designated streets may appeal to seniors living in areas with a high older population.   

           

 

2. Transportation

Transportation (driving, taking the bus, walking, cycling) is an important component of older people’s ability to remain independent and active, to participate in social, cultural, volunteer and recreational activities, as well as enabling them to go to work, shop or go to appointments.   Age friendly transportation options relate to convenience, safety, and the ability for older persons to go wherever they want or need in Ottawa.   

 

 

 

 

Age-friendly features include:

 

For older drivers:

  • Good roads, light traffic flow
  • Prompt snow removal on roads

·         Adequate parking, including parking for persons with disabilities

For older non-drivers:

·         Public transportation, subsidized for low income, accessible vehicles, with travel destinations aligned with destinations of choice for older adults, and transport stops and stations that are age-friendly

  • Adequate signage and lighting

·         Volunteer drivers and/or informal networks that provide transportation services

 

·         Assisted public transportation for older persons who cannot use public transit (with wheelchair lifts)

 

·         Affordable and accessible taxis

 

 

The most recent transportation-related information on Ottawa seniors comes from the Successful Aging Survey (2004), which asked seniors what mode of transportation they used most often.  The vast majority (78%) reported getting around by driving the family car, 10% being driven by another family member, 7% taking regular public transportation, and 2% taking Para Transpo.   Taxis, walking, bicycling or using a volunteer driver each were reported by about 1% of seniors. 

 

The Successful Aging Survey found that men are much more likely to drive than women, and groups who are less likely to have sufficient access to transportation include seniors with household incomes under $20,000, female seniors, and those over 85 years old.  The use of taxis and Para Transpo increases with age.[33] 

 

Getting around poses different challenges in small towns and rural areas than in large cities, as there are often fewer options and rural residents generally live further away from friends, family and services.  The car is often the only practical transportation option which puts women non-drivers at a disadvantage especially if they are widowed, live alone, and/or have low income.   

Text Box: Potential implications of demographic trends on transportation
•	An increase demand for transit services should be expected, with increasing demand in the suburban and rural areas.  
•	Increased demand for route changes to destinations popular with older adults (e.g. seniors centres, seniors residences, shopping malls, hospitals, clinics, etc).
•	Increased demand for customized services like pick-up and drop-off closer to point of origin or destination.  
•	Increased demand for fleet and facilities to be fully accessible.  
•	Increased boarding times due to additional wheelchair ramp deployments and/or use of the kneeling feature on low floor buses.   
•	Increasing difficulty to accommodate increasing numbers of mobility devices on vehicles.
Several high level corporate plans shape the policies and decisions made around the issues of transportation at the City of Ottawa.  The current Transportation Master Plan (2008) guides the City’s day-to-day transportation decisions as it strives to achieve a sustainable transportation system.[34]

 

The Ottawa Cycling Plan (2008) is a long-term (20-year) strategy that builds upon the existing network of on and off-road cycling facilities and programs in the City, as well as supports efforts and initiatives of several area cycling groups to help improve cycling conditions in Ottawa and encourage more people to cycle more often.[35]  

 

The Ottawa Pedestrian Plan (2009) is a long term (20- year) strategy to develop, strengthen and support a pedestrian culture throughout the City of Ottawa. Specifically, the plan identifies and recommends changes in infrastructure, policies and programs that will encourage more people to walk more often.[36]

 

OC Transpo, Ottawa’s Transit Service, runs two types of public transportation services, which are becoming progressively more integrated: conventional transit services (buses and light rail) and specialized service for people with disabilities (Para Transpo).  OC Transpo reports that approximately 7,700 monthly senior passes are sold each month.  Seniors make up the majority of Para Transpo registered clients (69%), but only account for 46% of total trips made. 

 

The following OC Transpo services specifically target the older adult population:   

 

·         Discounted monthly and annual passes.  Discounted passes are available to seniors 65 years of age and older and are valid on all routes. 

·         Ride free days. Seniors 65 years of age and older (with proof-of-age identification) ride free on all routes on Mondays and Fridays (after noon) as well as on Wednesdays (all day).  

·         Immigrant seniors pass/ID card.  Immigrant seniors without official ID can apply for an OC Transpo Senior Pass, which allows them to receive the proper discounts. 

·         Seniors-oriented service design and routing.  Service design on a number of OC Transpo bus routes is tailored to reach the largest number of older riders.  OC Transpo also prioritizes the installation of bus shelters in locations with a high proportion of older adults. 

 

In addition, a number of OC Transpo accessibility-specific initiatives are of benefit to the older adult population.  Some of these initiatives include: low floor buses, attendant cards, co-operative seating, next stop announcement system, destination cards, medical emergency cards, bus hailing kits, night stops, taxi link, and service animal cards.[37] 

 

3. Housing

The availability of affordable, accessible and suitable housing options is particularly important for older people, and will become even more of a priority as the Ottawa population continues to age. 

 

Many older adults (or baby boomers) live in dwellings that were designed for families and that cannot accommodate increasing frailty related to aging, unless modifications are made to facilitate aging in place.  Oldest seniors or those living on low income, with disabilities or without family supports are disadvantaged when it comes to aging in place and require other housing options and choices within their community.  

 

Age friendly features include:

 

·        Affordable housing options , including condos and smaller homes, subsidized housing, assisted living, and long-term care options

·        Accessible and affordable home services and supports

·        Homes designed with older persons in mind

·        Close proximity to services

 

The majority of Ottawa older adults live in private households and 72% own their homes.  Most live with family members, including a spouse, children or other relatives and approximately 25% live alone. There are considerable differences depending on age and gender. 

Text Box: Potential implications of demographic trends on housing
•	Increased need for housing adaptations and home supports as increased numbers of seniors want to age in place.
•	Changing nature of the housing demand. For example, there may be an increasing demand for single-storey homes (no stairs), condominiums for a maintenance-free lifestyle, or housing that allows multiple family generations living together.  
•	Increased demand for infill housing that is close to available services and public transportation.
•	Increased need to modernize and adapt the social housing stock to make this housing suitable for increasing numbers of seniors.  
•	Increased demand for long-term care beds as well as residents’ level and complexity of needs.      
•	Increased demand for supportive housing choices for older seniors who live alone, are frail, or have disabilities.

For example, the likelihood of living with family decreases with age.  Women are also less likely to be living with family members and more likely to live alone than men the same age.  This is largely due to the overall aging of the population, an increase in the divorce rate, and to different life expectancies for men and women.

 

It is estimated that 9% of Ottawa older adults lived in an institutional setting in 2006.[38]  There is a substantial wait list of approximately 3,700 individuals for long-term care beds in the Champlain Region and this wait list is considerably longer than those observed in other parts of the province. [39]  Some observe that this is due, in part, to few housing options currently available for individuals who require help with activities of daily living and who are living on a low(er) income.

 

The City of Ottawa is involved in the entire housing continuum:  

·         Property Tax Deferral Program.  The City of Ottawa offers a full property tax deferral program for low income home owners over the age of 65 years old. There are currently just over 60 low income older adult home owners benefiting from this program.   

·         Long-Term Care.  The City owns and operates four Long-Term Care (LTC) homes:  Centre d'Accueil Champlain (French), Garry J. Armstrong (English), Peter D. Clark (English), and Carleton Lodge (English).   The four LTC homes have a total of 717 beds, of which 96% are occupied by adults 65 or over. 

o   26% of housing units are occupied by older adults (60 and over);

o   Approximately 90% of older adults in social housing live in one of the 35 senior-specific buildings; 

o   18% of the social housing waitlist is made up of older adults;

o   Wait time for older adults on the wait list is 2.7 years (compared to 4.3 years for non-older adults).

·         Domiciliary Hostels.  The City subsidizes the cost of lodging and services for adults residing in domiciliary hostels.  Domiciliary Hostels are privately owned residences that provide safe and supportive housing to vulnerable adults who need supervision and some assistance with daily living activities.  There are approximately 1,000 clients residing in domiciliary hostels (no wait list) with the following age breakdown: 

o  Age 55-59: 31% of all clients

o  Age 60-64: 22% of all clients

o  Age 65+: 40% of all clients

·         Affordable Housing. The City Housing Branch is responsible for facilitating the development of affordable housing for low-income individuals and families in Ottawa. Provincial/federal funding dedicated to affordable housing projects (including seniors units) is administered by the City.  Several affordable housing projects that will directly benefit older adults are currently underway. 

·         Emergency shelters.  The City owns and operates 2 family emergency shelters and contracts with 8 emergency shelters, with overflow accommodated off-site (e.g. YMCA, hotels, etc).  There are no shelters specifically designated for older adults.   

·         Homelessness Program.  The Homelessness Initiative Program (combination of federal, provincial and municipal funding) allows the City to contract with local non-profit agencies to provide homelessness prevention services, housing search and stabilization services, and outreach services to those experiencing or at risk of homelessness.  Senior households represent only 0.5% of households served by this program.

4. Social and recreational participation

Social networks, social participation and feelings of belonging are important to healthy living, disease prevention and the reduction of isolation among older adults. Research shows that those who remain actively engaged in life and socially connected are happier, physically and mentally healthier, and better able to cope with life’s transitions common in older age.  Regular and moderate exercise can cut age declines in half and significantly reduce the risk of all diseases.[40]

 

Age friendly features include:

 

·         Opportunities for physical recreation or sports, including spectator sports

·         Lifelong learning opportunities

·         Activities located in areas that are convenient and accessible to older adults

·         Affordable activities

·         Non-physical recreation activities

·         Cultural activities

·         Integenerational and family (multigenerational) oriented activities

 Approximately 45% of older adults (65 and over) living in the Champlain Region are active or moderately active during leisure time, compared to 41% for Ontario and 43% for Canada.[41]  Older men are significantly more active than older women. 

 

The most recent leisure-related data for Ottawa seniors comes from the Successful Aging Survey (2004), which asked seniors to report on their participation in leisure activities.  On average, respondents reported participating in six activities over the course of one year.  Respondents aged 65 to 74, those in excellent or very good health, and those with household incomes of $50,000 or more participated more in leisure activities than the average.

 

Leisure activities that Ottawa seniors report being engaging in - over a one year period

Went to the movies

55%

Participated in a sport

48%

Attended a sporting event

36%

Went to the casino or bingo hall

34%

Went camping or hiking

21%

Visited an art gallery or museum

59%

Worked on a craft project or hobby

48%

Went hunting or fishing

8%

Played a musical instrument

14%

Played cards

53%

Went to a concert

67%

Participated in a community event

44%

Took a course

21%

Did some traveling

71%

Source: Successful Aging Ottawa Survey Report (2005)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The City’s Parks, Recreation & Cultural Services Department has been working on the development of a 50+ Recreation Strategy. The purpose of the strategy is to provide Council and staff with an overview of the future challenges resulting from an increasing demographic of older residents and the policy, program recommendations to ensure that residents in the 50+ age category have proper access to parks and recreation services. 

 

The plan contains 5 strategic directions (with recommended actions) to structure services and programs provided to the 50+ population.  One of the specific projects involves mapping programs/services provided by the City along with those of other service providers against the top five wards with the highest 50 + population to identify potential gaps and to assist in informing long range planning. 

 

Text Box: Potential implications of demographic trends on social and recreational participation
•	Potential increase in demand for recreational, arts and in-library programming
•	Increased number of subsidised users of programs  
•	A shift in demand towards recreational programming geared to healthy living but also clinical-type programming (e.g. for clients with heart issues, arthritis, or post-stroke)   
•	Requirement for specialized staff will increase
•	Increased demand on library collection budgets to meet demands of older adults, including large print books and books on tape
•	Increased demand for library outreach services like home delivery services
•	General pressure for accessible facilities and equipment 
Ottawa Public Libraries offer a variety of services to the community including the opportunity to borrow books and other materials, access to computers and the Internet, and participation in numerous in-branch workshops and events.  Ottawa Public Libraries recently developed a Position Statement on Services for Seniors which will guide staff as they create, maintain, and improve services for older adults.  The Library has also developed a System-Wide Adult Programming Strategy which identified older adults as a target group.  The Library will be hiring a programmer to develop and implement system-wide programs (programs occurring in at least 2 branches) for adults, including older adults.    

 

 

 

 

 

 

 

The City of Ottawa offers a wide range of fitness, recreation, arts, culture and library programs and services designed to keep residents of Ottawa active and engaged in their community.  Some highlights include:

·         Recreation, fitness and arts programming.  Several recreation, fitness and arts programs are designed specifically for adults who are 50 years and over.  Residents 65 years and over currently receive a 10% discount on fitness and wellness memberships, recreation and fitness programs, arts programming, and museum entrance fees.     

·         Senior Centres.  The City of Ottawa operates four senior centres that offer programs in English, as well as drop-ins for older residents: Churchill Seniors Centre (50+); Heron Seniors Centre (50+); Kanata Seniors Centre (50+) and the Nepean Seniors Recreation Centre (55+).  Approximately 1,800 seniors are members of the Senior Centres and over 53,000 drop-in visits are tallied on a yearly basis. 

 

5.  Civic participation, volunteerism, and employment

Older adults have a great variety of skills, knowledge and time to contribute to their communities in a range of areas, including civic participation, volunteer activities and paid employment. Their participation is linked not only to the economic prosperity and viability of the community, but also to maintaining their own mental and physical health, and social connectedness.

 

 

Age friendly features include:

 

·      Volunteer options for older people and recognition and appreciation for the work of older volunteers

·        Opportunities for older adults to be politically active and engaged in municipal affairs

·      Opportunities for paid employment

·        Value older people for their contributions to the workplace and the community

 

Many older Ottawa residents stay active in their community by volunteering.  The Successful Aging Survey (2004) found that about half (48%) of seniors had provided unpaid voluntary help for a non-profit or charitable organization in the six months prior to the survey.  This included help with activities such as canvassing, fundraising, teaching, office work, driving people around, delivering meals, friendly visiting, sitting on boards and related activities.  There did not appear to be a difference in volunteering by gender but volunteering tends to decline with advancing age. 

 

In addition to providing voluntary help for organizations, about sixty percent of older adults provide unpaid help to other family members, neighbours and friends.  Men are more likely to help with activities such as housework, home repairs or yard work, and driving people places.  Women are more likely to help with things like making meals and personal care.  Help given to others tends to decline with advancing age.

 

Approximately 11% of older adults in Ottawa were employed at the time of the 2006 Census.   As expected, the employment rate is higher for individuals who are between the ages of 65 to 74 years old than for adults over 75 years old.  Older men are also twice more likely to be working than women, with 17% of men over 65 working compared to 7.5% of women.[42] 

 

Statistics Canada reports that employment rate among Canadian seniors has been on the rise in recent years, after registering declines in the 1980s and early 1990s to settle at 14.8% for men and 5.8% for women.   Among the employed, many work on a full-time, full-year basis (41.6% of men and 30.6% of women).  Men and women in the bottom and top income quintiles are more likely to be employed compared to those in the middle. [43]      

 

At the City of Ottawa, the average age of retirement for employees is 60 years old.  This average age has been relatively stable for the last four years.  Approximately 1% of City of Ottawa employees are over the age of 65 years old.  Employees from Parks, Recreation and Cultural Services account for 34% of employees over 65 years old, Ottawa Public Library for 15%, Community and Social Services employees for 13%, and Transit Services for 11%.[44]

Text Box: Potential implications of demographic trends on civic participation, volunteerism, and employment
•	Potential increase in seniors engaging in civic affairs
•	Potential increase in the volunteer pool (who may have different interests than existing volunteers), which may lead the City to review volunteer opportunities and procedures 
•	Aging of City of Ottawa staff would also create Human Resources pressures in the area of succession planning, benefits plans, flexible working arrangements, and training and development
The Seniors Advisory Committee is a citizen advisory committee reporting to Council through the Community and Protective Services Standing Committee.  The Seniors Advisory Committee is composed of members from a wide cross-section of the senior and senior support community.  The Committee regularly receives reports and presentations from City departments and agencies on programs related to older adults and provides input into key initiatives or proposed decisions.

 

The City of Ottawa also offers a wide spectrum of volunteering opportunities in virtually every department.   Opportunities exist at the City’s theatres, arts centres, museums, archives, fitness facilities, libraries, long-term care facilities, environmental programs, public health programs, and at a variety of special events. 

Other opportunities for older adults to get involved include:  Adopt-a-Roadway and Adopt-a-Park programs, Cleaning the Capital Program, and the Graffiti Management Program.

6.  Community support services

There is an increasing tendency for older adults to want to “age in place”, to stay in one’s home (and community) as long as possible.  However, the ability to live independently in one’s own home depends on a range of factors, including good health, finances and the availability of support services.   

Community support services provide assistance to older adults with routine household activities, home maintenance, personal care, respite care, and even transportation.  In many cases, community support services allow older adults to fulfill their dream of remaining in their own home. 

 

Age friendly features include:

 

·         An adequate range of community support services is offered for promoting, maintaining and restoring health

·         Clear and accessible information provided about social services for older people

·         Coordinated and administratively simple delivery of services

·         Respectful, helpful, and trained staff

·         Minimized economic barriers impeding access to community support services

·         Voluntary services by people of all ages are encouraged and supported

Text Box: Potential implications of demographic trends on community support services
•	Increased demand for in-home support services and personal care services
•	Increased demand for City-funded programs (e.g. EHSS, Snow Go Assist, etc) which will create budget pressures
•	Increasing complexity in clients’ needs, including language barriers
•	Increased pressure on community agencies offering services to seniors

The Successful Aging Ottawa Survey (2004) found that about 20% of seniors require assistance with heavy chores, 11% with everyday housework, and 9% with shopping.   About one in four older adults report requiring assistance with at least one activity, while about 6% need help with three or more activities. 

Assistance is more often required by women, the oldest (85 and over), and those living alone.  Home adaptations are also important features for seniors who are aging at home.  The majority of seniors (62%) surveyed by Successful Aging Ottawa reported that their home has special features to make it easier for them to live there as they grow older.  One common example includes grab bars in the bathroom.  Again, the oldest individuals (85 and over), those living alone and/or those using a mobility aid are more likely to report home adaptations in their homes. 

 

A wide range of community support services are provided by the City of Ottawa:

 

 

 

 

 

 

The Snow Go Assist Program and the EHSS Program are 100% City-funded while the other programs are cost-shared with the province, with the City’s contribution at 20%. 

 

Through the Community Funding Program, the City of Ottawa provides renewable funding contributions to community agencies that provide community support, recreation and health services to older adults.  Community Funding contributions support the provision of services that increase access to basics by supporting inclusion of people who are low-income, vulnerable, and isolated or otherwise marginalized, and promote quality of life for the full diversity of citizens.  Approximately 6% (or $1.4 million/year) of the total Renewable Community Funding Envelope is allocated to agencies that directly support older adults and it is estimated that approximately 50,600 seniors are reached every year.  A Seniors’ Agency Funding Review looking into variations in levels of City funding for community agencies serving seniors is in progress.

 

 

7.  Health Services

As the population ages, older adult health issues will assume increasing importance. 

An age-friendly community has the potential both to address and to prevent health problems.  The capacity to address problems includes transportation services to and from health care facilities and home- and community-based care services.  The capacity to protect and improve residents’ health and wellness includes an environment that encourages physical activity, preventive health programs, and creative efforts to engage older adults in community life. 

 

 

Age friendly features include:

 

·  Adequate range of health services for promoting, maintaining and restoring health

·  Clear and accessible information provided about health promotion, prevention and care services for older people

·  Availability of in-home health services

·  Respectful, helpful, and trained staff

·  Coordinated and administratively simple delivery of services

·  Community emergency planning that takes into account the vulnerabilities and capacities of older people

 

 

 

About half (47%) of seniors living in the Champlain Region (which includes Ottawa)perceive their health as very good or excellent while 23% perceive it as being fair or poor.  In the case of mental health, about three-quarters of seniors perceive their mental health as very good or excellent. [45] 

 

Text Box: Potential implications of demographic trends on health services
•	Anticipated increase in demand for health promotion activities (e.g walking clubs) and crisis management services
•	Increased frequency of calls for emergency medical assistance as older adults experience more medical emergencies and other needs for assistance (e.g. lift assist for fallen persons)  
•	Time on task by paramedic staff should also increase as it typically takes longer to respond to a senior’s call. 
•	Nature of emergency medical calls should change - to heart attacks, chest pain, falls, diabetes, stroke, generalized weakness.
•	Increased demand for emergency and public health in suburban and rural areas.
•	Increased number of calls from nursing homes as the level of care of clients will also increase.
 

According to Ottawa Public Health, the specific health issues facing seniors in Ottawa include: physical inactivity and nutrition, injuries, mental illness, social isolation, dementia /Alzheimer, vulnerability to environmental hazards, and dependency on family caregivers.[46] 

 

The City of Ottawa’s Paramedic Services program provides pre-hospital emergency medical patient care and delivers advanced urgent medical care and medically required inter-hospital transport. In 2010, 46% of total patients were 55 and over and 35% were over 65.  Of the most acute patients, 45% were 65 or over.   

 

The Ottawa Paramedic Service is currently partnering with the Champlain Community Care Assess Center (CCAC) for a study that will evaluate paramedics making direct referral of patients to the Champlain CCAC. The objective is to increase the quality of life for vulnerable older patients while decreasing paramedic responses and recurrent emergency department visits, by linking the patient with available community services that better match their unmet needs. 

 

Finally, the Emergency and Protective Services Department is also developing a Paramedic Service Master Plan (2011-2020) that will assist the Branch in estimating and mitigating the impact of the predicted service demand pressures on response times, reliability and quality clinical care, due to the growth of the older adult population. 

 

Ottawa Public Health (OPH) has legislated responsibility for delivering public health services including health protection, disease and injury prevention, control of communicable diseases, family health services and responses to public health issues.  Public Health programs and services are delivered in a variety of settings including workplaces, day care centres, schools, private households, seniors’ care and health care facilities, and community spaces.   Ottawa Public Health recently presented a plan to develop a Seniors’ Healthy Aging Strategy to the new Ottawa Board of Health.[47]  In addition, one of the recommended opportunities for Strategic Initiatives for 2012 include Seniors Community Caregiver Support which involves the creation of a comprehensive strategy to increase awareness and access to information and support for informal caregivers in Ottawa.[48] 

 

The following programs and services are also provided by Ottawa Public Health:

 

·         Healthy Aging Program.  This program provides training and education to older adults by Public Health Nurses to promote safe and healthy behaviours with a priority on physical activity, nutrition, self care and social support.  This program reached over 3,700 seniors in 2010.

·         Fall Prevention Program. Public Health Nurses work with older adults, groups and the community to increase awareness of the risk factors for falls and encourage fall prevention action.  Ottawa Public Health also leads the Ottawa Falls Prevention Coalition, a network of over 35 service providers, industry and older adults.  Fall prevention sessions reached 655 seniors and 265 service providers in 2010.  

·         Caregiver support.  Telephone support or counseling is provided to informal caregivers of older adults by Public Health Nurses.   Approximately 400 informal caregivers were provided support in 2010.

·         Reaching Out to Vulnerable Seniors.  Ottawa Public Health works in partnership with other community health agencies to provide support to low-income older adults through the Aging in Place project.  In 2010, 2,776 contacts were made with older adults in these apartment buildings.  Public Health nurses also participate on two community coalitions that focus on Elder Abuse and Isolated, vulnerable older adults.

·         Health Hazard Prevention and Management.  This program provides services to individuals who are experiencing a crisis due to deteriorating health and living conditions.  About 85 older clients were served in 2010. 

·         Rural Health, Multicultural Health, and Francophone Health Programs.  These programs target specific population groups (all ages). 

·         Friendly Corner Seniors Drop-In. Public Health Nurses work in partnership with St Laurent Centre and 28 volunteers to offer activities to older adults including mall walking, strength training, chair exercises, health information sessions, special events.  Over 8,000 older clients participated in these activities in 2010.

·         Immunization. Public Health staff deliver community immunization clinics for influenza.  5,288 vaccines were given to older adults in 2010.

·         Outbreak Management. Public Health inspectors and nurses provide advice and guidance to help prevent the spread of infectious diseases and manage outbreaks of communicable diseases in long-term care and retirement homes. In 2010, Ottawa Public Health responded to 116 outbreaks.  Public Health inspectors also conducted routine environmental and food safety inspections to ensure that the health of senior residents is protected within these homes. 

 

8. Communication and information

Staying connected and getting timely and practical information about events, services and resources is essential for active and healthy aging.  This implies that older adults should be getting the right information, at the right time and in the right format. 

Normal changes accompany aging, and even healthy older adults experience losses that can affect their access, level of interest and/or capacity to receive and understand information.  Therefore, communicating and serving older adults well means adapting, where necessary, communication about services to meet the needs of an aging community. 

 

Age friendly features should include:

 

·  A basic, effective communication system that reaches community residents of all ages

·    Printed information with large lettering, clear headings and bold-face type

·  Centralized access to information

·    Computer training and public access to computers

·  Choice to speak with someone (not just a recording)

·  Special efforts to reach older adults at risk of social isolation

·    Minimized communication barriers (low literacy, language)

 

 

Understanding the habits and preferences of older people is the key to effective communication.  While Canadian seniors represent the age group least likely to use the Internet, the overall rate of use is growing steadily.[49]  In Ottawa, it was found that more affluent, educated, and younger seniors are more likely to use modern technology such as email, the internet and cell phones.[50] 

 

Of interest, 35% of Canadian older adults use the Internet to search for government information (53% for boomers) and 27% used the Internet for researching community events (42% for boomers).[51]  It is expected that the increase in Internet use rates among older Canadians will persist as boomers begin to move into their older years. 

 

Text Box: Potential implications of demographic trends on communication and information
•	Staff pressures are likely to emerge since it generally takes more time to serve seniors.
•	Demand shift related to preferred communication channels.
•	Pressure to keep up with new technologies related to communication and information exchange.

 

For a portion of Ottawa older adults, language barriers can be an issue.  While almost all seniors in Ottawa speak either English or French (or both), there are approximately 4,100 seniors who cannot speak either official language (4% of the total seniors population).  

 

In total, about 7% of the total older adult population do not speak English well enough to carry on a conversation.  The inability to speak English seems to be more pronounced for adults over the age of 75 years old.

 

The City of Ottawa currently communicates with older adults in the following ways:

 

·         A seniors’ section on the City of Ottawa web site is dedicated to senior-specific information pertaining to municipal programs and services.

·         A seniors section on the OC Transpo web site is dedicated to senior riders. 

·         Several hotlines are available for seniors to use including the Access OC Hotline (OC Transpo), Ottawa Public Health Information Line, and the Library Infoservice.

·         The City’s 3-1-1 line is also available for general inquiries.

 


Discussion

The ultimate goal of the Older Adult Plan project is to meet the evolving needs of Ottawa older adults by optimizing the environment, policies and services that are under City responsibility. 

As a first step, it was important to provide the “lay of the land” by gathering information about Ottawa older adults and the manner in which the City of Ottawa currently serves this population, while taking into consideration the broader community context.  A high level analysis of the information collected pointed to a number of themes or opportunities to keep in consideration moving forward.   

 

Corporate commitment to older adults

It is clear that the City of Ottawa already shows a strong commitment to serving and meeting the needs of older adults and the initiation of the Older Adult Plan project confirms this.  In addition, the Term of Council Strategic Priorities recently identified older adults as a key target population.[52]  In the past, the Seniors’ Agenda (2005-2007) was successful at raising awareness of older adult issues within the corporation, developing community partnerships, and moving several older adult initiatives forward.[53] 

 

The City of Ottawa also has a Seniors Advisory Committee, a cross-departmental Seniors working group, and a defined corporate older adult portfolio.   On a daily basis, the City provides a multitude of programs, services and financial assistance to older adults, in all domains known to be essential for active and healthy aging.  Through the community funding program, the City of Ottawa also provides $1.4 million to more than 30 community agencies that provide various programs and services to Ottawa older adults. 

 

A few opportunities were identified that could build on this foundation, including the establishment of a corporate definition and terminology for seniors, the adoption of a corporate older adult “lens” to be used consistently in policy and program planning, a formal link between the Seniors Advisory Committee and staff working groups, increased accountability for the staff working group, and a means to measure older adult satisfaction with City services. 

 

Cross-departmental coordination

The City of Ottawa’s commitment to the older population extends at the departmental level.  A few key client-centric departments have dedicated staff to develop programs and work with the older population and some departments have also began purposeful planning exercises to analyze the impact of the projected demographic shifts on services and establish plans as a response.  However, in the current model, departments have been operating more or less independently from each other when it comes to older adult issues and this so-called “silo” approach has been seen to result in fragmentation and duplication of services. 

 

The fact that the issues and challenges surrounding older adulthood and active aging are multi-dimensional and interrelated in nature suggests that a model supporting horizontal linking or cross-department key points of contact would seem favourable.  In fact, there was found to be strong support within the City of Ottawa for this idea of cross-departmental coordination and collaboration around older adult issues, programs, and services. Cross-departmental collaboration would be especially beneficial in the case of vulnerable older adults who are typically connected to several services from various departments. 

 

Meeting the needs of all older adults

Text Box: “Effective seniors’ programs and policies take into account the increasing diversity of seniors as a group and consider the needs of seniors at different stages of their lives.  They are responsive to the needs of seniors today and in the future.” 

Federal/Provincial/Territorial Ministers Responsible for Seniors 

The demographic scan highlighted the wide diversity that exists within the older adult population.  Diversity takes many forms including skills, physical abilities, ethnic backgrounds, languages, support systems, living arrangements, levels of education, health and wealth.  In addition, this level of diversity is not expected to recede and will likely increase with the coming of the baby boom generation. 

The notion of striving to meet the needs of all Ottawa older adults was found to be widely supported within the City of Ottawa.  The Equity and Inclusion Lens already emphasizes the City’s commitment to inclusiveness.  There are several City programs and services targeting francophone older adults as well as those on low-income and/or with disabilities.  However, few are specifically intended to serve the unique needs of older immigrants, and none specifically support older adults from the Aboriginal or the gay and lesbian communities.   Older rural residents are often at a disadvantage as fewer programs and services are offered in these areas.

 

A culture of inclusiveness underscores the importance of understanding the full diversity of older adults and the unique needs, barriers, and expectations of various segments.  A process of continued dialogue and consultation with groups of older adults with unique needs over time will contribute to increasing this understanding.  At this time, programming, services and facilities can be targeted and tailored according to existing knowledge about the geographic distribution and characteristics of various older adult segments.  There is also an opportunity to pay particular attention to and support the most vulnerable older adults, which were identified as women, seniors on low income, and those living alone.  Finally, the importance of supporting caregivers of older adults was also noted by several staff members who participated in focus groups.      

 

The link with accessibility efforts

The City of Ottawa has been addressing accessibility issues in City services, programs, by-laws, policies, practices, and buildings for several years, through the Corporate Accessibility Office, assisted the Accessibility Working Group and supported by the Accessibility Advisory Committee.   New provincial legislation called the Accessibility for Ontarians with Disabilities Act (AODA), states that municipalities, as well as businesses and organizations will have to meet certain accessibility standards in five areas by 2025: customer service, transportation, information and communications, employment, and the built environment. 

 

The link between accessibility and older adults is obvious and a natural one.  The Accessibility Directorate of Ontario states that efforts in the area of accessibility have undeniable benefits for all residents, including older persons who are experiencing age-related mobility, hearing or vision issues.[54]  For example, the concept of universal design, which aims to make the built environment usable to the greatest extent possible by everyone, is relevant to both persons with disabilities and older adults.   During the course of the background research, many have recommended a stronger link between the corporate older adult and accessibility portfolios to explore synergies and collaborative opportunities. 

 

The value of community partnerships  

The City of Ottawa has a long history of partnering with community organizations and contributing to various community-based coalitions and committees.  As mentioned previously, the City of Ottawa is currently a major partner in the Age Friendly Ottawa initiative and this collaboration will continue over the coming months, in the form of joint public consultations, and later during the development of respective action plans. 

City departments with a large older adult clientele regularly participate in community-led initiatives or partnerships aimed at enhancing the quality of life or services for this population.  The City’s Community Funding program manages formal relationships with approximately thirty organizations serving older adults.  The community scan also revealed that there are a multitude of community agencies specializing in serving segments of the older adult population with very specific needs.  Finally, interest for partnering with the City of Ottawa was found to be high among the organizations consulted as part of this project. 

Therefore, there is an opportunity for the City of Ottawa to leverage existing partnerships, formal or informal, with community organizations for the benefit of older adults.  On a formal basis, community-based partnerships would seem particularly indicated in the area of aging in place.  Such a model could also serve as a means to reach older adults with very unique needs, or those living in rural areas, especially when this capacity does not exist internally.   

 

Design/redesign for age friendly communities

The way communities are designed and built can have a significant impact on the health and well-being of older adults and their quality of life.  Low density urban development, dispersed development patterns, and automobile dependency all present significant obstacles to the independence of older adults.  A safe pedestrian environment, easy access to shopping centres, a mix of housing choices, nearby health centres and recreational facilities are all important elements that can positively affect the aging experience.

Rapid population aging in the suburban and rural areas of the city – and its implications – provides a reason to rethink how new communities are designed and how existing communities can be redesigned to remove some of the barriers faced by an increasing older population.  However, the process of designing or redesigning communities is a long one.  The City of Ottawa is uniquely positioned to be a leader in this field by raising awareness among the community, developing and implementing age-friendly community design plans, strategies and policies, and working collaboratively with other major players in the housing industry.  

 


Towards an older adult strategy and action plan 

 


Service Excellence at the City of Ottawa involves rethinking the way services are delivered in order to enhance client experiences, connect with clients, and improve public satisfaction with City services.  The City of Ottawa is thoughtfully exploring how to best meet the needs of older adults now and in the future, in light of significant projected demographic changes, through the Older Adult Plan project. 

 

To date, extensive background research has been conducted which generated a large amount of information on the current and future make-up of the older population, the implications of some key demographic forces on the City of Ottawa, and the way in which the City of Ottawa is currently organized to serve older adults.  Several opportunities were identified moving forward. 

 

Phase II of the Older Adult Plan project calls for public consultations with Ottawa older adults, service providers, and caregivers.[55]  This phase is important in order to better quantify existing strengths and gaps in service delivery and pinpoint specific and tangible opportunities for improvement in the eight key service domains (as identified by the World Health Organization) including: outdoor spaces and buildings; transportation; housing; respect and inclusion; social participation; communication and information; civic participation and employment; and health and social services. 

 

The secondary purpose of the consultations will be to gather information about the unique needs of certain sub-groups of the older adult population: francophone, Aboriginal, immigrant, and gay and lesbian older adults, as well as those on low income, living alone, living in rural areas, or with disabilities. The focus groups will be structured using the World Health Organization age-friendly research protocol. 

 

Finally, Phase III of the project involves the development of an action plan of concrete and actionable deliverables to address the evolving needs of older adults living in Ottawa. [56] The findings of the research phase underscored the need for the action plan to be anchored within the context of an overall strategy, itself linked with the Council’s strategic priorities.  In this respect, a corporate-wide strategy would:

 

·         Create a cultural mind shift by articulating the City’s commitment to older adults and providing a lens to guide planning and programming for this population across the organization;

·         Define and articulate the City of Ottawa’s roles and responsibilities in responding to the needs of older adults and of an aging population.  Doing so would provide clarity to City of Ottawa staff, community players, and older adults about how the City intends to act in a number of key areas and how publicly-funded resources will be allocated.

·         Facilitate collaborative policy and program development among departments to achieve alignment.  A larger and more diverse aging population will necessitate enhanced integration across multiple departments that provide programs, services and supports to older adults. 

 

The action plan, anchored within the strategy, will propose a series of concrete recommended actions that are prioritized and aligned to a specific timeline (immediate, short-term, and longer-term). It will also include rationale, projected benefit, estimated cost to implement, proposed lead department or committee, monitoring indicators (for each recommended action). This action plan will be fully informed by and based on the research findings and the input of Ottawa older adults with the goal of supporting active aging through service enhancements, while proactively mitigating the impacts of the projected demographic shifts. 


References

Balance of Care Research Group (2009). The Champlain Balance of Care Project: Final Report.

 

Bess, I. (1999).  Seniors Behind the Wheel.  Statistics Canada.     

 

Canadian Mortgage and Housing Corporation (2008).  Impacts of the Aging of the Canadian Population on Housing and Communities.  Socio-economic Series Issue 08-003.

 

City of Ottawa (2010).  Equity and Inclusion Lens: A User’s Guide, Ottawa: City of Ottawa.  Available at:   http://ottawa.ca/doc_repository/guides/equity_inclusion_en.pdf.

 

Council on Aging (2009).  Fact Book on Aging: Seniors in Ottawa.  Ottawa: Council on Aging.

 

Health Canada, 1999.  Canada’s Physical Activity Guide to Healthy Active Living for Older Adults. Minister of Supply and Services

 

Hemson Consulting Ltd (2010).  City of Ottawa Older Adult Plan: Demographic Characteristics Forecast 2006-2031.  Ottawa: Hemson Consulting Ltd. 

 

Hodge, G. (2009). The Geography of Aging: Preparing Communities for the Surge in Seniors, Montreal: McGill-Queen's University Press.

 

National Seniors Council. (2010). Report of the National Seniors Council on Volunteering among Seniors and Positive and Active Aging.  Government of Canada.

 

Ontario Professional Planning Institute (2009). Planning for Age-Friendly Communities: A Call to Action.  Available at www.ontarioplanners.on.ca/pdf/Call%20to%20Action%20Age-Friendly%20Communities%20June%2018,%202009.pdf.

 

Statistics Canada (2009).  Online Activities of Canadian Boomers and Seniors. (2008).  Catalogue No. 11-008-X.

 

Statistics Canada (2006).  A Portrait of Seniors in Canada.  Catalogue No. 89-519-XIE

 

Statistics Canada (2003).  Canada’s Retirement Programs: A Statistical Overview 1990-2000.

Social Data Research Ltd (2005).  Successful Aging Ottawa: 2004 Seniors Survey Report of Results. 

World Health Organization (2007). Global Age Friendly Cities: A Guide, Geneva: WHO Press. Available at www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf.

 


Acknowledgements 

 


We wish to acknowledge the championship, support, and contribution of members of the City of Ottawa Older Adult Plan Steering Committee, Inter-Departmental Staff Work Group, and Seniors Advisory Committee. Thank you for your time and participation both during meetings and individual discussions.  Your input and guidance informed and shaped the direction and contents of this report.  We also would like to thank the numerous community organizations that participated in conversations and supported the process undertaken by the City of Ottawa.  Through dialogue, relationships were developed across City departments and with community partners that will support the ongoing efforts of better understanding Ottawa’s older adult population.  

 

Older Adult Plan Steering Committee

 

Thanks to (in alphabetical order):

Marcia Aronson

Jocelyne Bégin

Jennifer Bionda

Adam Brown

Peter Dodsworth

 

Clara Freire

Raymond Garner

Janice Marks

Don Mason

Esther Moghadam

 

Paul Sauvé

Pat Scrimgeour

Norma Strachan

Christopher Tuck

Older Adult Plan Cross-Departmental Staff Work Group

 

Thanks to (in alphabetical order):

Bernard Bélanger

Lucille Berlinguette-Saumure

Isabelle Bossé

Jules Bouviers

Adam Brown

Thomas Crowley

 

Karen Devries

André Gervais

Susan Hall

Rocco Iamello

Myriam Jamault

Kari Keays

 

Jocelyne Marciano

Mae-Ling Patey

AJ Ryland

Leslie Vanclief

Seniors Advisory Committee

 

Thanks to (in alphabetical order):

Blake Batson

Dianne Breton

Margaret Dunn

Raoul Larivière

Pierre Michaud

 

Jacqueline Nyiramukwende

Carol Rannie

Margaret Saumweber

Suzanne Sicard

Peter van Boeschoten

 



[1] City of Ottawa, 2010; Successful Aging Ottawa, 2005.   

[2] Note that this document represents the first of several reports, each summarizing one major phase/activity related to Older Adult Plan project.  As such, reports will be prepared on the upcoming Seniors’ Summit, public consultation phase, and older adult strategy/action plan.    

[3] A Demographic and Socio-Economic Portrait of Ottawa Seniors; City of Ottawa Older Adult Plan: Demographic Characteristics Forecast 2006-2031; City of Ottawa Inventory of Programs and Services for Older Adults.

[4] ACS2010-COS-ODP-0010 Older Adult Plan – Scope and Work Plan.

[5]World Health Organization, 2007.

[6] Canadian Mortgage and Housing Corporation, 2008.

[7] The recent Champlain Balance of Care study (2009) reported that approximately 14% of individuals currently waiting for a long-term care placement in the Champlain region could safely remain in the family residence with service-by-service delivery of supports (for a direct cost equal to or less than the direct cost of a long-term care bed). 

[8] Statistics Canada (Census (2006), Small Area and Administrative Data Division (2007), Canadian Community Health Survey (2009) and Successful Aging Ottawa survey (2005).

[9] The National Capital Greenbelt, with a total area of 207.7 km2, provides a separation between the urban area and the suburban area beyond it.

[10] Hemson Consulting Ltd, 2010.

[11] A baby boomer is a person who was born during the demographic Post-World War II baby boom, between 1946 and 1965.  A significant number of people were born during that period, when compared to the smaller generations that came before and after.    

[12] Hemson Consulting Ltd, 2010.

[13] Of the Canadian seniors aged 65 to 74 who moved between 1996 and 2001, two-thirds remained in the same geographic area in which they have previously resided. Thus, every community's older population is largely (75% or more) made up of those who have lived there for some time.  Some have speculated that “baby boomers” could have different predispositions and values towards moving.  The research is divided on this topic. 

[14] The new Inclusive Definition of Francophone (IDF) recently adopted by the Office of Francophone Affairs of the Ontario Government in 2009 is used.  The new IDF estimates the number of persons whose mother tongue is French, plus those people whose mother tongue is neither French nor English (allophones) but who speak French.  

[15] Hemson Consulting Ltd, 2010.

[16] Council on Aging, 2009.

[17] There are several definitions of “Aboriginal”, including Aboriginal on reserve, Registered Indian, person who identifies as Aboriginal, and person with Aboriginal ancestry.  In this report, Aboriginal refers specifically to the Census definition which includes people who reported identifying with at least one Aboriginal group, that is North American Indian, Métis or Inuit, and/or those who reported being a Treaty Indian or a registered Indian as defined by the Indian Act of Canada, and/or those who reported they were members of an Indian band or First Nation.   

[18] Hemson Consulting Ltd, 2010.

[19] Statistics Canada, 2008. 

[20] Ontario Professional Planning Institute, 2009. 

[21] Statistics Canada, 2003.

[22] Statistics Canada uses the concept of Low-Income Cut-Offs (LICOs) to estimate low income, which is a well established and widely recognized approach.  In 2006, the After Tax Low Income Cut-Off was set at $21,384 for a family of 2 people and at $17,570 for a family of one person (for communities with populations larger than 500,000 individuals). 

[23] A principle in the recreation master plan supports the movement towards an ability to pay model and this was generally supported through consultations on the Parks and Recreation proposed 50+ Recreation Strategy. 

[24] Hodge, 2009.

[25] Statistics Canada, 2006.

[26] Statistics Canada, 2006.

[27] Harris/Decima Survey, 2010.  Retrieved from http://www.cbc.ca/consumer/story/2011/01/04/con-retirement-survey.html.  These findings are in line with those from a 2005 Merrill Lynch in-depth exploration of US baby boomers and their views on retirement.  That study also supported the idea that boomers are not interested in pursuing a traditional retirement of leisure.  The retirement survey showed that 76% of US baby boomers plan to keep working and earning an income during retirement, but will do so by cycling between periods of work and leisure, thus creating a new model of retirement.

[28] National Seniors Council, 2010.

[29] Statistics Canada, 2009.

[30] Successful Aging Ottawa, 2005.

[31] Bess, 1999.   

[32] Term of Council 2011-2014 Priorities (AC2001 -COS-ODP-0011), Document 1 – City of Ottawa Strategy Map.  

[33] Successful Aging Ottawa, 2005.

[34] http://ottawa.ca/city_hall/master_plans/tmp/tmp_en.pdf

[35] http://ottawa.ca/residents/onthemove/cycling/plan_2008_en.pdf

[36] http://ottawa.ca/residents/onthemove/walking/pedestrian/pedestrian_plan_en.html

[37] Please refer to the document Inventory of Programs and Services for Older Adults for a more complete description. 

[38] Council on Aging, 2009.  As reported by the Champlain Community Care Access Centre (CCAC), April 2009. 

[39] Balance of Care Research Group, 2009.  

[40] Health Canada, 1999.

[41]Canadian Community Health Survey, 2009. Respondents are classified as active, moderately active or inactive based on an index of average daily physical activity over the past 3 months. Active – Equivalent of walking an hour/day or jogging 20 minutes/day; Moderately active – Equivalent of walking 30 to 60 minutes/day or taking an hour-long exercise class three times a week.

[42] Statistics Canada, 2006 survey

[43] Statistics Canada, 2010.  

[44] Human Resources Department, City of Ottawa

[45] Canadian Community Health Survey, 2009.

[46] Seniors’ Healthy Aging Strategy, ACS2011-OPH-HPDP-0001.

[47] Ibid.

[48] Ottawa Board of Health’s Strategic Priorities ACS2011-OPH-IQS-003.

[49] Statistics Canada, 2009.

[50] Successful Aging Ottawa Survey, 2005.

[51] Ibid.

[52] Term of Council 2011-2014 Priorities (AC2001 -COS-ODP-0011), Document 1 – City of Ottawa Strategy Map.  

[53] The Seniors’ Agenda (2005-2007) was created as one of the Department of Community and Protective Services Priority Project to identify and respond to priority areas and strengthen partnerships with community based senior’s organizations.

[54] Accessibility Directorate of Ontario, 2011. 

[55] Note that focus groups will be conducted jointly with the Age Friendly Ottawa Initiative during the period between October and December 2011.  A clear methodology will be developed to identify issues and opportunities directly under City of Ottawa responsibility, in order to strategically inform the development of the older adult plan. 

[56] This last phase of the project will be completed by mid-2012.