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HomeMy WebLinkAboutCSD-17-030 - Age Friendly Communities REPORT TO: Community and Infrastructure Services Committee DATE OF MEETING: April 3, 2017 SUBMITTED BY: Mark Hildebrand, Director Community Programs and Services, 519-741-2200 ext. 7687 PREPARED BY: Lori Palubeski, Manager Program and Resource Services, 519-741-2200 ext. 7623 WARD(S) INVOLVED: All DATE OF REPORT: March 16, 2017 REPORT NO.: CSD-17-030 SUBJECT: AGE-FRIENDLY KITCHENER-DRAFT ACTION PLAN ___________________________________________________________________ RECOMMENDATION: That the draft Age-Friendly Kitchener Action Plan, attached as Appendix A to CSD-17-030, be endorsed as the City guiding document for age- friendly planning, decision making and program/service delivery for older adults; and further, That the implementation of the draft Action Plan be referred to the corporate business planning process. BACKGROUND: Older adults are the fastest growing demographic in Canada. Statistics Canada estimates that the proportion of Canadians aged 65 and older will grow from one in seven Canadians in 2011 to approximately one in four by 2036 (Federation of Canadian Municipalities, 2013). Kitchener is not excluded from this trend and will see a dramatic est that by 2031, people over 55 years of age will represent 29.7% (n=73,353) of the population in Kitchener. Those over 65 years will represent approximately 20% of the population (n=61,000). The greatest increase is expected to be in the 65-69 and 70-74 year age cohorts (ESRI ArcGIS Online data Enrichment (2016); Data from Environics Analytics Demographic Data 2015). In 2015, the Province of Ontario launched the Age-Friendly Community Planning grant program. The intention of this grant was to support local governments and community organizations -the implementation of strategic *** This information is available in accessible formats upon request. *** Please call 519-741-2345 or TTY 1-866-969-9994 for assistance. 13 - 1 planning processes and the development of, senior focused, local aging plans. The City of Kitchener was one of several communities to receive a grant to develop an Age- Friendly Community Action Plan and has, since late 2015, began working with an Age- Friendly Community Advisory Committee to engage with older adults to determine priorities for ensuring that this community is prepared for and responsive to an aging cohort. Age-friendly communities create supportive social and physical environments that enable older residents to live active, safe and meaningful lives so that they can continue to contribute to all aspects of the community. Characteristics of age-friendly communities include; measurable characteristics (e.g. residential density, land-use mix, street connectivity, access to parks and trails), subjective measures (e.g. concerns about crime, safety, noise, neighbourhood aesthetics), social factors (e.g. neighbourhood stability, presence of relatives or close friends, degree of social interaction), accessibility (e.g. barrier free design, accessible sidewalks and paths of travel) and support (e.g. continued participation in social, economic, cultural and civic affairs in the community). Municipalities that plan and take action to accommodate the changing needs of older residents ensure that their communities remain attractive places to live with features that not only benefit older adults, but support the health, safety and participation of residents of all ages. REPORT: As the research and trends indicate, our community is living longer and healthier lives than ever before. The oldest members of the baby boomer generation turned 65 in han double (Finding the Right Fit, Age-Friendly Community Planning 2013). Action Plan for Seniors (2013) identifies three main goals in order to respond to this demographic change; Healthy Seniors, Senior-Friendly Communities and Safety and Security. Supporting communities to become age-friendly is one of the ways the Province is working to ensure that Ontario communities continue to be healthy, thriving places for families to live, work, learn and play. In an age-friendly community, policies, services, settings and structures are reviewed and/or developed to enable older adults to age actively by: Recognizing the wide range of capacities and resources among older adults, Anticipating and responding flexibly to age-related needs and preferences, Respecting decisions and lifestyle choices, Engaging with and supporting those most vulnerable; and Promoting inclusion and contribution in all areas of community life. 13 - 2 Ensuring that our communities are age-friendly however cannot only happen at the provincial level. Municipalities, individuals and organizations across Ontario are also working together to create age- Accessible, inclusive and age-friendly neighbourhoods, services, programs and outdoor spaces impact the wellbeing of our community. Age-friendly initiatives allow older adults to age actively, live safely, enjoygood health and to participate fully in civic life. In order to ensure that our community is appropriately prepared, the City of Kitchener has beg In 2015, the City of Kitchener was successful in securing a grant from the Ontario -Friendly Community Planning Grant program. Two year funding was awarded to support the implementation of a community planning process and the development of an action plan with the vision of creating an Age-Friendly Kitchener. Since 2015, staff, with the guidance of anage-friendly community advisory community, engaged with the community to highlight -friendly assets andto determine opportunities for further improvements. As a result of this engagement, a draft action plan (Appendix A) has been developed that will support our municipality in being responsive to the needs and interests of an aging community. Age-Friendly Kitchener Project Overview: Project Phases and Timelines Under the requirements of the provincial grant, the project had expected milestones and a determined completion date of April 2017. While it is expected that the implementation of the action plan will be phased in over the next five years, provincial funding for the planning stages (phases 1 to 3) of this project will end in April 2017. Project Phases: Phase 1 Phase 2 Development of Age-Community Friendly Priniciples Engagment Phase 3 Phase 4 AFC Action Plan Implementation & Development & Evaluation Priority Setting 13 - 3 Project Timelines and Details: Phase 1Phase 2Phase 3Phase 4 September 2015 to May 2016 toSeptember 2016 to May 2017 to April 2016August 2016April 2017Year 2022 Development of AFC Action Plan Community Implementation & Age-Friendly Development & EngagementEvaluation PrinciplesPriority Setting Recruitment & Community Data analysisProject selection of AFC awareness implementation & Development of Advisory buildingevaluation AFC action plan in Committee 4 community collaboration with Projectreport Development of workshops the AFC steering submitted to the project vision & committee &staffProvince Online &paper guiding principles surveyPrioritize Implementation of Determine local recommendations Action Plan via Face-to-face AFC assetscontained in action the corporate surveying at planbusiness planning Creation of an events & in process AFC demographic facilities Present AFC profileaction plan to City Council for Development of endorsement project communication Staff workshops plan Development of project plan & engagement plan Project Governance An age-friendly community advisory committee was established to guide the development age-friendly community action plan. Members of the committee included older adult residents, community partners and subject matter experts from the University of Waterloo. Overall project management and support was provided by staff team from the Program and Resource Services. AFC Advisory Committee: David Dirks, community member Ernie Ginsler, community member Doug McKlusky, community member Pam Ritz, community member Martha Stauch, community member Bethany Galbraith, Alzheimer Society Waterloo Wellington 13 - 4 Linda Fleming, Community Support Connections Lisa Loiselle, MAREP, University of Waterloo Emily Lambe, MAREP, University of Waterloo Councillor Bil Ioannidis, City Council representative Michael May, Deputy CAO & Project Champion Lori Palubeski, Manager, Program and Resource Services Bethany Pearce, Supervisor, Older Adult Services Carolyn Cormier, Adult 55+ Coordinator Christine Dainard, Communication and Marketing Associate In addition, the following staff project team was developed to provide support throughout the duration of the project and to action the work of the AFC Advisory committee: Deb Campbell, Manager, Community Centres Carolyn Cormier,Adult 55+ Coordinator Christine Dainard,Communication and Marketing Associate Josh Joseph, Community Engagement Consultant Cindy Hanby, Facilitator Dylan Matthews, Analyst, CSD LoriAnn Palubeski,Manager, Program and Resource Services Bethany PearceSupervisor, Older Adult Services Charmaye Rivest, AFC Assistant Chris Hohol, AFC Assistant Age-Friendly Kitchener Demographic Profile: A Profile of Aging in Kitchener (Appendix B) was developed as a tool to assist with the planning process. The purpose of the demographic profile was to use evidence and data to better understand the current and future social-demographic make-up of Kitchener,to inform the community engagement plan and to assist with the development of the draft AFC Action Plan. Age-Friendly Kitchener Vision and Guiding Principles: Using community input, the AFC advisory committee developed the following vision: A community in which we can live well and age well This vision reflects the importance that residents place on aging in their neighbourhoods and having both the physical and social infrastructure necessary to enable them to do so. To support and achieve this vision, the AFC advisory committee developed the following guiding principles: 13 - 5 Respect and Support for all Citizens - All citizens, regardless of age, are vital members of this community and have the right to be treated with dignity and respect. Diversity is celebrated and recognized. Access and Belonging - Respond to the needs of all citizens by ensuring access to adequate services, supports and spaces that are flexible to the changing needs of individuals as they age. Community Engagement and Decision-Making - Value the perspectives and experiences of older adults and develop relationships that actively include older adults in all aspects of decision making and program development. Quality of Life - Recognize that well-being includes all aspects of community living such as, but not limited to: safety, vibrant accessible public spaces, social opportunities and affordable and accessible housing and transportation options. Accountability - Programs and services are planned and delivered in a manner that is transparent, effective, and efficient and responsive to the needs of all citizens. Age-Friendly Kitchener - Community Engagement: An age-friendly community values the participation of older adults in all aspects of decision making and program development. This approach strengthens communities and ensures that programs and services meet the needsof residents.Utilizing an asset- based approach, older adults age 55+ in Kitchener were engaged through a series of workshops to determine their goals for an age-friendly community as defined by the World Health Organization (Appendix C). The information gathered during the workshops formed the basis of a survey that was used to gather additional information andexplore thethemes that arose during the workshops. To ensure that the workshops and subsequent survey format used in this project were responsive to the needs of older adults, the Murray Alzheimer Research and Education Program (MAREP) at the University of Waterloo was contracted to support staff in the first two phases of this project. Developing Community Awareness A comprehensive, multi-dimensional communication plan was implemented in order to inform the identified audience about the project. Information was communicated through local papers, radio stations, social media, advisory committees and printed posters. Additionally, committee members and staff were present at the Kitchener Market every Saturday morning during the month of May to hand out post cards and inform the public about the workshops. Community Engagement Process There were many engagement initiatives implemented which included community workshops, staff workshops, student and committee-led public surveying, online 13 - 6 engagement and a social media campaign. In the spirit of age-friendly planning principles, it was important to ensure that the engagement tools and initiatives were broad and inclusive. Based on forecasted engagement targets, the community engagement process was a success.Close to 1,200 residents were engaged through the process: 1,048 surveys completed 110 community workshop participants and 35 staff workshop participants. A high level review of some of the engagement strategies are as follows: Community Workshops (4) The Murray Alzheimer Research and Education Program (MAREP) developed the content for the workshops and the AFC advisory committee members served as facilitators. th The workshop details: Forest Heights Community Centre (May 9, 2016 th 1:30-3:30 p.m.),Rockway Centre (May 16, 2016 1:30-3:30 p.m.),Victoria th Hills Community Centre (May 18, 2016 6:00-8:00 p.m.) and Doon th Pioneer Park Community Centre (May 30, 1-3 p.m.). Survey Questionnaire In partnership with the Murray Alzheimer Research and Education Program (MAREP), a survey was developed that built upon information gathered during the workshops.The survey was available in both an online and paper format. To encourage additional public engagement, AFC advisory committee members and summer students attended community events and were present at retirement homes and community support service programs to elicit survey feedback and to provide additional project awareness. To engage with socially isolated residents, Community Support Connections assisted by arranging for their volunteers to deliver and pick up paper copies of the AFC survey to all of their Kitchener meals on wheels clients. The chart below summarizes the surveying activities and associated response totals: AFC Survey Summary: Surveys Location completed Bankside Terrace15 Highland Place Retirement Home 20 Multicultural Festival 180 Fergus Place Retirement Home 18 13 - 7 Surveys Location completed Winston Park Retirement Home30 Trinity Village Retirement Home 35 Meals on Wheels39 Community dining site-Franklin Street18 Community dining site-Forest Heights United Church15 Community dining site-Highland Baptist church18 City of Kitchener Senior Day Program20 Trinity Village Care Centre-Day Program32 City of Kitchener Community Centres52 Total number paper surveys received & entered 492 into the engage Kitchener platform Add: total number of surveys received through engage 556 Kitchener Total number of AFC surveys completed1048 Analysis of Community Feedback The engagement process was designed in order to seek input into three specific areas as it relates to the vision of an age-friendly community. Residents were asked to identify their ideas on; existing community/neighbourhood strengths/ assets, existing gaps/barriers that may prevent people from aging in neighbourhoods and solution based actions to achieving an age-friendly community. Overlap Associates was retained to assist staff and the AFC advisory committee to review andanalyze the engagement data, to determine community priorities and to develop appropriate actions. The first outcome of the analysis was the development of 4 priority areas for action as steps towards achieving the vision: 1.Accessible and Affordable Neigbourhoods - Residents want to age in place and live in their neighborhoods for as long as possible. This requires coordinated, accessible and affordable programs and services including transportation and housing, at the neighbourhood level. 2.Access to Information - This community offers numerous programs, services and activities that people value and want to continue to use as they age. Older adults experience difficulties finding and accessing information and supports which limits their participation. In an age-friendly community, information is centralized and available in a variety of formats. 3.Belonging - There is tremendous pride that exists in this community and a willingness to give back. Older adults want to be engaged in decisions 13 - 8 that impact them and to have their views heard and respected by government. Our community must value its diversity and be inclusive and welcoming to all residents. 4. Connectedness and Well-being - Older adults want to be active and vital members of the community through increased opportunities for connectedness and well-being. To achieve this they need a network of supports to help them feel safe, connected and valued, which can include neighbours helping neighbours. This means reducing isolation, feeling safe physically and emotionally, having positive mental and physical wellness and ensuring we have trails and barrier free outdoor spaces. Age-Friendly Kitchener - Action Plan As a result of this two year planning process we are pleased to share the first Age- Friendly Kitchener Action Plan (Appendix A). Ensuring that the planning process itself was age-friendly was an important principle in this project and much learning was gleaned as a result. Working collaboratively with community partners and organizations, partnering with the University, using an asset-based approach to planning and, more importantly, engaging and consulting with older adults haslead to the success of this project. A second principle embedded in the planning process was to ensure that the recommended actions supported existing corporate strategies, initiatives andor projects. Given the demographic profile of Kitchener and the role of our municipality, it was not surprising to uncover through the process that many age-friendly approaches or actions not only improve access for older adults but have broad and far reaching benefits to our neighbourhoods as a whole. The close alignment and synergy of the Age-Friendly Kitchener Action Plan with the Neighbourhood Strategy (2017) is ideal from an implementation and coordination perspective. Additionally, the action plan also supports the directions of; Digital Kitchener (2017),Fire MasterPlan (2017), Older Adult Strategy (2009), Leisure Access Card Strategy (2007), Volunteer Strategy (2010), and Leisure Facilities Masterplan Update (2013). The recently endorsed Neighbourhood Strategy (2017) and the draft Age-Friendly Kitchener Action Plan (Appendix A) have identified similar recommended actions which strengthen and confirm the results for both planning processes. Both processes identified similar themes as they relate to how residents define great places and the importance of being connectedand belonging neighbourhood. Project communication,collaboration and the sharing of resources/ findings between the staff project teams ensured that the planning processes were aligned, that duplication was minimized and that the implementation of the identified outcomes would be effective and supportive. Essentially, the concurrent approach to planning and implementation ensured the application of -. 13 - 9 The Age-Friendly Kitchener Action Plan is achievable and willrequire Council and staff commitment to achieve the vision of creating a community in which we can live well and age well.Council and staff are challenged to achieve this by applying the following approaches in their daily work: Respecting and valuing the contribution that older adults bring to this community Supporting older adults to be engaged in decisions that impact them Applying an age-friendly lens to decision making he other levels of government on issues of concern. The approaches are not necessarily goals to be achieved, but rather a focus on building organizational capacity and commitment to support an aging population. Age-Friendly Kitchener Action Plan - Implementation and Leadership Following Council approval, staff will transition oversight of this project from the AFC for Kitchener Seniors (MACKS). Acomprehensive implementation plan will be outlined that will address the actions in the plan and will guide the work over the next five years. To ensure accountability, an annual community report card will be developed as it relates to the progress of the action plan. In order to ensure the viability and success of the plan, it will be necessary to designate staff leadership and oversight. Management will ensure that staff resources and priorities are aligned to support the actions outlined in the plan. Additionally, in order to respond to the expressed interest heard from staff during the workshops and to build corporate capacity, Program and Resource Services staff will work with a variety of divisions to determine gaps for supporting an aging population with the goal of enhancing resources, information, training, programs and customer service. Age- Friendly Kitchener Action Plan Evaluation Two evaluation stages have been designed: 1. Project Evaluation (Phases 1 to 3) Up to and including Action Plan development: Formative evaluation during these phases consisted of ongoing feedback from staff, committee members and consultants, meeting project milestones and report submissions to the Province. Additionally, an evaluation component was built into the community engagement process. 2. Project Evaluation (Phase 4) - Implementation: 13 - 10 Post evaluation of the planning process will be implemented after approval of the action plan. Evaluation components will be included in the implementation plans for actions as appropriate. A summative evaluation effectiveness in improving the community for older adults and can be accomplished through a variety of methods such as focus groups and surveys. Based upon these evaluations a sustainability plan will be developed to ensure that the progress made is sustained and that age-friendly planning is entrenched in our corporate culture. Finally, an annual report card will be produced. ALIGNMENT WITH CITY OF KITCHENER STRATEGIC PLAN: Strategic Priority:Safe & Thriving Neighbourhoods 3.1 Give citizens the tools and opportunities to play an active leadership role in creating great neighbourhoods and fostering a stronger sense of community belonging. 3.5 Continue to encourage active participation in existing recreational facilities while moving forward with the provision of new recreational opportunities in underserved areas of the city. 3.6 Provide opportunities and support for citizens to lead the way in creating active and happiness and well-being by capitalizing on local community assets such as community centres, pools, arenas, libraries, parks, trails and other public spaces. FINANCIAL IMPLICATIONS: The funding for phases one to three of this project ($50,000) were funded by the Government of Ontario. A project budget is attached as Appendix D. It is expected that implementation of many of the actions identified in the Action Plan require amendments to program and service delivery approaches, processes, procedures, etc. Any costs identified during the development of the implementation plan will be included in the annual budget planning consideration. PREVIOUS CONSIDERATION OF THIS MATTER: CSD-15-011 Age-Friendly Communities Grant ACKNOWLEDGED BY: Michael May, Deputy CAO, Community Services 13 - 11 Age- &±¨¤­£«¸ Kitchener A community in which we can live well and age well 2017 Action Plan 13 - 12 What is an Age-Friendly Community? All across the world, governments have recognized the need to make communities more age-friendly to respond to the increasing aging population. The World Health Organization (WHO) has been a leader in supporting communities to be more age- friendly through the development of a number of tools and resources. The WHO defines an age- urban environment that promotes active aging through supportive policies, services and . In 2012 the Ontario Government released a report entitled Living Longer, Living Well that committed to making the Province the best place to grow up and grow old. In order to achieve this commitment, the Province and Municipalities are working together to ensure that communities are accessible and have the physical and social infrastructure in place to enable older adults to age in their neighborhoods. To support municipalities in becoming age-friendly, the Province of Ontario developed a grant program to assist with the development of local age-friendly action plans. The City of Kitchener was one of several communities to receive a grant from the Ontario government to develop an age-friendly community action plan. Since late 2015, staff has been working with an age-friendly advisory committee to engage with older adults to determine priorities for ensuring that this community is prepared for, and responsive to an aging cohort. How did we create the Age-Friendly Kitchener Action Plan? We Engaged. Through the spring and summer of 2016, we engaged with close to 1200 older adults in our community to hear their ideas and better understand their needs. We Built a Vision. Residents told us that it was important for people to be able to age in their neighborhoods but policies, services and supports are required to enable them to do so. To ensure we are working towards this goal, the following community vision was developed: 1 | Page Age-Friendly Kitchener Action plan 13 - 13 WeIdentified our Priorities using Community Feedback. Through focus groups and surveys, we identified existing community assets and gaps as they relate to age-friendly principles. Using this feedback, the age-friendly advisory committee developed 4 priority areas for action as afirst step towards achieving our vision. 1.Accessible and Affordable Neigbourhoods Residentswant toage in place and live in their neighborhoods for as long as possible. This requires coordinated, accessibleand affordable programs and services including transportation and housing, at the neighbourhood level. 2.Access to Information This community offers numerous programs, services andactivities that people value and want to continue to use as they age. Older adults experience difficulties finding and accessing information and supports which limit their participation. In an age- friendly community, information is centralized and available in a variety of formats. 3.Belonging There is tremendous pride that exists in this community and a willingness to give back. Older adults want to be engaged in decisions that impact them and to have their views heard and respected by government. This was reinforced in our consultation. Our community must value its diversity and be inclusive and welcoming to all residents. 4.Connectedness and Well-being Older adults want to be active and vital members of the community through increased opportunities for connectedness and well-being. To achieve this they need a network of supports to help them feel safe, connected and valued, which can include neighbours helping neighbours. This means reducing isolation, feeling safe physically and emotionally, having positive mental and physical wellness, and ensuring we have trails and barrier free outdoor spaces We Developed an Action Plan. The Age-Friendly Kitchener Action Plan was created in collaboration with older adult community members and is the foundation for creating an age-friendly community.This plan contains 19 actions focused around the four themes. A number of these actions align with plannedor existing City of Kitchener and community strategies,initiativesand projects. Thisplan is achievableand will require collaboration between the City of Kitchener and different organizations, associations, community groups and levels of government. 2 | Page Age-Friendly Kitchener Action plan 13 - 14 We are Planning for Implementation. After the Action Plan is endorsed Advisory Council for Kitchener Seniors, will begin implementation planning.It is expected that these actions will be implemented over the next five years. We believe that the implementation of these actions will help move Kitchener closer to our vision of being a community where we can live well and age well. We are committed. Council and staff of the City of Kitchener are committed to working together to accomplish this vision through: Respecting and valuing the contribution that older adults bring to this community Supporting older adults to be engaged in decisions that impact them Applying an age-friendly lens to decision making older adults to the other levels of government on issues of concern. 3 | Page Age-Friendly Kitchener Action plan 13 - 15 Accessible and Affordable Neigbourhoods 1. Age-Friendly Neighbourhood Programming As recommended in the Neighbourhood Strategy, improve access to programs and services for older adults at the neighbourhood level. Resident led and City supported systematic planning processes will be developed to: Increase the number of older adult programs in community centres and aquatic facilities Create neighbourhood demographic profiles Create an inventory of neighbourhood age-friendly assets and resources Support the development of neighbourhood action plans (as recommended in the Neighbourhood Strategy),by engaging with older adults to identify their needs for programs, services and supports Develop a new tool within the neighbourhood action plan guide and toolkit to help ensure the inclusion of older adults 2. Promote the Leisure Access Service Educate and develop awareness within the older adult community about the City of Kirvice. 3. Age-Friendly Parks, Trails and Outdoor Spaces Create intergenerational opportunities and experiences for our parks, trails and public spaces by: Engaging with older adults and service providers during the design stage of new or redeveloped parks, trails and public spaces increase the number of rest areas and public seating when developing/redeveloping public spaces such as in the downtown, parks and trails 4 | Page Age-Friendly Kitchener Action plan 13 - 16 4. Sidewalk Maintenance and Snow Clearance Safe, accessible and clear sidewalks were frequently identified as important factors in keeping older adults active and engaged in community life. Provincially, legislation related to winter sidewalk maintenance standards is currently under review. It is anticipated that any changes could have an impact on municipal processes, budgets, by-laws etc. Once the outcome is known, staff will inform and engage with the community to determine age-friendly, opportunities, creative programs, services etc. This item was repeatedly identified by the community as a barrier to aging in place and iskey to ensuring that older adults, those with disabilities,and many other members of our community are able to accomplish day to day activities within their neighbourhoods. 5.Transportation Training Program In partnership with the Region of Waterloo, offer transit and LRT training workshops that are applicable to both transit users and drivers to educate and support older adults in navigating our local transportation system. has information related to transportation supports available to older adults. Access to Information 1. Age-Friendly Communication Strategies Provide information in a variety of formats and in contexts that are inclusive of older adults interests to ensure that the information is readily available and easily accessible. 2. Improve Availability and Access of I Website Develop a dedicated older adults page on the City of Kitchener website that provides a central source of information on directly delivered City programs, services and supports for older adults, and ensure that this information is frequently reviewed for accuracy. 3. Improving Technology Literacy of Older Adults As recommended in Digital Kitchener, promote opportunities for digital access and literacy through collaboration with local organizations and partners. 5 | Page Age-Friendly Kitchener Action plan 13 - 17 Belonging 1. Inclusive Volunteering Opportunities Develop and provide supportive and inclusive volunteering opportunities to ensure older adults of all abilities can fully participate in civic life. 2. Community Ambassador Program within City Facilities Create meaningful volunteering opportunities and welcoming City facilities, by developing an ambassadors program in locations which older adults frequently visit. The role of the ambassador is to enhance the experience of the older adult by orienting them about programs and services and assisting them in locating recreational opportunities to meet their needs and interests. 3. Development of Supportive and Inclusive Programs and Activities Engage and partner with community organizations to develop and implement programming opportunities that support the diverse needs of older adults in the community. This includes the LGBTQ+ community, persons with dementia, and aging adults with physical and intellectual disabilities as well new Canadians and individuals from diverse backgrounds. 4. Age-Friendly Community Engagement Engage and consult with the Muncil for Kitchener Seniors (MACKS) in the development of the Special Outreach Strategy,as recommended in the C to support the inclusion of age-friendly practices. 5. Recognizing the Contributions of Older Adults Expand communications, events and activities to recognize and celebrate the contributions of older adults in this community . 6. Age-Friendly Business Recognition Program Explore opportunities to partner with the Kitchener Chamber of Commerce and the Downtown Business Improvement Association to provide training regarding accessibility and age-friendly business practices. Develop a recognition program for businesses that provides exceptional age-friendly customer service. 6 | Page Age-Friendly Kitchener Action plan 13 - 18 Connectedness and Well-being 1. Block Connector Approach Provide support to the development and implementation of the Block Connector Approach, as recommended in the Neighborhood Strategy. This approach is an excellent opportunity to connect socially isolated older adults to their neighbourhoods and needed community supports. 2. Neighbourhood Links Explore the feasibility of developing Neighbourhood Links to support the concept of aging in place and social connectedness. Neigbourhood Links are a collaboration of organizations and groups that work together to provide services and supports to older adults within a designated neighbourhood. The goal is to enable residents to access multiple services and supports in one location while providing social spaces for connectedness, as described in the Older Adult Strategy 3. Prevention and Education Workshops Expand prevention and educational workshops in partnership with community health and social service agencies. Workshop topics will be guided by input from older adults to ensure these are responsive to their interests. Age-friendly Kitchener 1. MACKS The Mayors Advisory Council for Kitchener Seniors (MACKS) in collaboration with staff to provide ongoing oversight of this action plan and provide an age-friendly lens to City programming.To support transparency, develop an annual community report card related to the AFC action plan progress. 2. Coordination of External Grant Opportunities external grants related to older adults. This will ensure that grant opportunities are maximized and are meeting the identified priorities as it relates to age-friendly community planning and the vision of living well and aging well in Kitchener. 7 | Page Age-Friendly Kitchener Action plan 13 - 19 APPENDIX B Profile of Aging in Kitchener 2016 13 - 20 Report Overview This report provides a profile of the older adult population in Kitchener and sets the stage for the development of an Age-Friendly Community needs assessment and action plan. Throughout this is used to describe individuals 55 years and older. However, in some cases, statistics are presented for slightly older or younger age ranges (e.g. 65+ years) depending on the availability of the data. It is important to note that, although the term is used to describe a population according to their age, this group of individuals is widely varied in terms of health status, social participation, income status, education levels, and other diverse needs and interests. Population Trends In Canada Older adults are the fastest growing demographic in Canada. In July 2015, estimates showed that for the first time in Canadian history, there were more people in Canada i aged 65 years and older than children aged 0-14 years. Further, the proportion of Canadians aged 65 years and older is expected to grow from one in seven Canadians in ii 2011 to approximately one in four by 2036. Additionally, individuals who reach the age of 65 can expect to live longer than in the past. For instance, from July 1, 2014 to June 30, 2015, older adults in their late nineties were the fastest-growing age group proportionally during the 2014/2015 period, at a rate of 9.8% for women and 14.1% for iii men. In Ontario, 14.8% of the population was 65 years and older in 2011 (Appendix A).The Atlantic Provinces, particularly New Brunswick, had the highest proportion (19%) of persons 65 years and older, whereas Nunavut and the Territories had the lowest ivth proportion (3.7%) of older adults. Ontario ranked 6 highest among Canadian provinces and territories. In Kitchener In 2011, 12.1% of the population of Waterloo Region was 65years and over, ranking th 30 of the 33 Canadian census metropolitan areas (CMAs) (Appendix B). While this proportion was slightly lower than the Canadian average of 14.8%, it is anticipated that Waterloo Region will experience a rapid growth in the aging population in coming years. Kitchener is the largest municipality in Waterloo Region with a population of approximately 219,050 residents. Adults 55 years and over represent 23.6% (or 51,815 v people) of the total Kitchener population. In coming years, Kitchener will see a dramatic demographic shift as the baby boomers continue to age. By 2031, projections suggest that adults over 55 years will represent 29.7% of the population (or 77,353 people) in Kitchener. Those over 65 years will ΐ Ȟ Page Kitchener AFC Profile Report 2016 13 - 21 represent approximately 20% of the population (or 61,000 people).The greatest vi increase is expected to be in the 65-69 and 70-74 years age groups. Housing In Canada In 2011, 89.9% of women aged 65 and over lived in private households, compared to 94.7% of oldermen, while others lived in collectivehouseholds or dwellings (e.g. long- term care homes). The proportions of older adults living in private households decreased with age; however, the majority of women (64.8%) and men (77.4%) still lived in private vii households at aged 85 and over. Although many older adultslive as part of a couple, living alone was the second most common living arrangement for both women and men; however, the number of couples living together generally declined with age. For older women, 24.0% of those aged 65 to 69 lived alone, compared to 40.2% of those aged 80 to 84, and 36.6% of those aged 85 and over. For older men, 14.4% of those aged 65 to 69 lived alone, compared to 21.8% viii of those aged 85 and over. Living alone, as a person ages, can have implications for an older adult,including issues of isolation, safety, and financial stability. Care is often required from family or friends of older adults to help them remain in their homes. In Kitchener In 2006, 78% of older adults in Waterloo Region lived in family households.For older adults aged 85 and older, approximately 59.8% of females lived on their own, whereas ix only 27.8% of males lived alone. As older adults in Waterloo Region age, they generally spend more of their income on housing. In 2006, 30.4% of older adults aged 55-64 spent more than 30% of their x income on housing costs, compared with nearly half of those aged 75 years and older. Within the City of Kitchener, there are anumber of neigbourhoods with a higher concentration of residents aged 60 years and older. A large majority of older adults reside in the west-central area of Kitchener followed by the Centreville Chicopee, Kingsdale, Rockway, Doon Pioneer Park, Breithaupt and Forest Heights communities (Appendix C). Among other factors, affordability and availability of housing can have a major impact on quality of life and the ability for older adults to age in their home comfortably. Α Ȟ Page Kitchener AFC Profile Report 2016 13 - 22 Employment, Income, and Education In Canada In 2011,41.7% of adults 65 years and over in Canada had completed post-secondary xi education, compared to 69.5% of 25-44 years. Between 2005 and 2015, the employment rate in Canada among women aged 65 and over nearly doubled, increasing from 4.8% in 2005 to 9.1% in 2015. For oldermen, the xii employment rate also increased from 11.7% to 17.2%. F or women aged 65 and over, the median total income from all sources increased from $19,300 in 2003 to $21,900 in 2013. Olderwomen had a lower median income compared with oldermen, whose income also rose during this time period, from $28,700 xiii to $32,300. As per the National Household Survey, low- threshold is half the Canadian median of after- family size. In 2010, the low-income threshold for an individual living alone was $19,460 xiv or less. In 2010,8.3% of older adults aged 65 and over had low-income statusin Ontario, compared to 13.4% of those in Canada (Appendix D). In Kitchener Only39.2% of individuals 65 years and older had achieved a post-secondary credential, compared to 65.6% of the population aged 25-44 based upon 2011 Statistics Canada xv data. In 2011,Kitchener residents had significant participation in the workforce, compared with xvi neighbouring municipalities within the Region. However, adults over the age of 65 only represented 3% of the total labour force (Appendix E).In 2011, the number of Kitchener adults with an occupation declined with age and the age group with the fewest number of workers was 65 and over. xvii In 2010,8.6% of adults 65 years and over in Kitchener had low-income status. In 2012, a higher percentage of females aged 65 and older were living in poverty, compared to men of the same age category. Β Ȟ Page Kitchener AFC Profile Report 2016 13 - 23 Civic and Social Participation In Canada Based on data from Statistics Canada, Canadians aged 55 years and over are the least likely age group to volunteer; however, those that do volunteer contribute the most volunteer hours of any age group (Appendix F). Further, the number of older adult volunteers in Canada is increasing as the general population ages. In 2013, 28% of all xviii Canadian volunteers were 55 and older, compared to 23% in 2004. Social participation is strongly connected to good health and well-being throughout life. Participating in leisure, social, cultural and spiritual activities in the community, as well as with family and friends, allows older adults to contribute to all areas of community life and to establish supportive and caring relationships. Increased civic and social participation is beneficial to the community at large, and has been shown to improve xix quality of life and key health outcomes for the individual. According to research, if older adults lack friendship and the feeling translates into xx loneliness, it could be a risk factor in the loss of functional capacity and even death. According to the 2013 General Social Survey on Social Capital, Canadian adults aged 65 years and older without close friends were less likely to positively rate their physical health. In particular, only 34% of older adults with no close friends stated that their health was excellent or very good, compared with 54% of those who reported having three or xxi more close friends. In Kitchener Within the City of Kitchener, there are numerous programs and services available that enable older adults to connect socially. A large number of these programs are offered at three of the City community centres that focus on older adult programs, namely: Rockway Centre Breithaupt Centre Downtown Community Centre. However, many programs and services for older adults are also provided by neighbourhood associations at other City-owned community centres. In 2011, over 500 different programs and workshops for older adults were xxii community centres, serving 8,837 participants. Additionally, religious organizations and churches, non-profit groups, health agencies, the Region of Waterloo, the YMCA, and private businesses also provide social, recreational and wellness programs and related services for older adults in Kitchener. Older adults in Kitchener also actively engage in civic life for a number of reasons, including to have their voices heard and to give back through volunteer activities. In the Region of Waterloo, 44% of older adults aged 55 years and over living in Kitchener belong to a volunteer organization, for example, United Way or YMCA (Appendix G). Γ Ȟ Page Kitchener AFC Profile Report 2016 13 - 24 In the 2014 municipal election in Kitchener, older adults 55 years and over had the largest turnout (25%) of any age group. Older adults age 55 years and over who were eligible to vote made up 34% of the total number of eligible electors. Older adults 55 years and over who voted represented approximately 56% of the total number of votes xxiii counted. Cultural Diversity & Immigration In Canada In 2011, 28.5% of people living in Ontario were immigrants, whereas 70.4% were xxiv Canadian born and 1.1% were non-permanent residents. xxv Additionally, 13.9% of the Aboriginal population in Ontario was 65 years and over. In Kitchener Since 1991, immigration in the Waterloo Region has been steadily rising (Appendix H). Most recently, Kitchener has seen an influx of Syrian immigrants. In 2011, 56,435 people (26.1%) living in Kitchener were immigrants, whereas 157,710 people (73%) were born in Canada, and 1,810 people (0.8%) were non-permanent .xxvi residentsWaterloo Region has the fifth highest per capita immigrant population of all urban areas in Canada, accounting for approximately 22.3% of the population, many of whom are older adults.In2006,approximately 37% of older adultsover the age of 55 xxvii wereimmigrants to Waterloo Region. In 2011, 1.5% (or 3,155 people) living in Kitchener identified as Aboriginal, of which xxviii 11.4% were 65 years and over. Kitchener is a community of diverse cultures, in which many languages are spoken.In 2011, 74.5% of the population of the Kitchener CMA reported English-only as their mother tongue, while 1.2% reported French-only, and 22.6% reported other languages. Similarly, 84.3% spoke only English most often at home, 0.4% spoke only French, and xxix 11.9% spoke only a non-official language. Given that nearly 1 in 4 individuals in Kitchener speak a language other than English, it is important for information to be shared to older adults in a variety of languages and formats. Δ Ȟ Page Kitchener AFC Profile Report 2016 13 - 25 Health In Canada Older adults are living healthier lives than in the past; however, individuals can xxx experience an increase in health issues as as they age. As chronic disease and disability is prevalent among older adults, there is a need for increased support, especially since this population is steadily growing and living longer. In 2014, the average life expectancy in Canada was 81.7 years. However, after the age of 65, functional health tends to decline with more severe disability occurring on average xxxi around the age of77. In 2006, 1.85 million Ontario residents (15.5%) reported that xxxii they were living with a disability. Of olderwomen living in private households in 2014, 84.4% had at least one chronic health conditionthat is, a condition that has lasted or is expected to last six months or more and that has been diagnosed by a health professional (e.g. diabetes, heart xxxiii disease). The likelihood of having at least one chronic condition increases with age. For instance, while 80.9% of women aged 65 to 74 had at least one chronic health condition, the same was true for 91% of women aged 85 and over. Overall, a smaller proportion (82.2%) of older men than older women had at least one chronic health condition. Although dementia is not a normal part of aging, the incidence of dementia also increases with age. In Canada, 564,000 people were living with dementia in 2016 and xxxiv this number is expected to increase by 66% to 937,000 by 2031. Caregiving is a critical issue for people living with health conditions. For instance, one in five Canadians aged 45 years and older provides some form of care to older adults living with long-term health issues. Further, 25% of all family caregivers in Canada are older xxxv adults themselves; a third of them (more than 200,000) are older than 75 years. In Kitchener In 2010, 79.6% of older adults in Waterloo Region rated their general health as good or better, compared with 77.5% of those in Ontario. Between 2007-2008, approximately 39% of older adults in Waterloo Region reported being moderately active or active, which is lower than the provincial percentage of 43.7%. Further, approximately 65% of older adults in Waterloo Region were overweight or obese in 2007-2008 compared to xxxvi 60.5% of older adults in Ontario. In 2009, the prevalence of people living with a disability in Kitchener was 18% (or 36,525 xxxvii people). Further, 43.9% of older adults in Kitchener reported experiencing activity limitations due to a disability (Appendix I). By 2020, it is estimated that 20% of the Kitchener population will have a disability. In the area served by theWaterloo Wellington Local Health Integration Network (LHIN), more than 10,000 older adults over the age of 65 were living with dementia in 2012. Between 2012 and 2020, the total number of older adults with dementia in the Waterloo xxxviii Wellington area is expected to increase by 34% to more than 13,500 people. Ε Ȟ Page Kitchener AFC Profile Report 2016 13 - 26 Focusing on healthy aging can help to delay and minimize the negative health implications of aging and the development of chronic diseases. Eating healthy, increasing physical activity, staying socially connected, refraining from smoking, and xxxix minimizing falls can help to contribute to a longer and healthier life. Safety and Security In Canada Every year, approximately 10% of older adults in Canada are victims of crime, with the vast majority of cases related to property crime. About 4.5% of older adultsreport experiencing some form of abuse from age 65 and over, with financial abuse and emotional abuse being the most prevalent.Up to 1% of Canadian older adults xl experience violent crimes or physical abuse. However, many cases of abuse are never reported. In Kitchener According to the 2008 Kitchener-Waterloo Metropolitan Survey, more than 50% of older adults in the Waterloo Region felt unsafe walking in parks at night. Further, 45% felt unsafe at night in the downtown area and 28% felt unsafe in their xli neighbourhood. In Kitchener, the prevalence of abuse against older adults can only be estimated, as many cases are never reported. According to the local Elder Abuse Response Team (EART)which receives calls from concerned citizens regarding elder abuse in the Waterloo Regionof the 202 calls received in 2008, the most common form of abuse reported was financial abuse. This was followed by offenses of neglect, psychological abuse, and physical abuse.Adult children were most often the perpetrators of the abuse xlii in these calls. The fear of crime can have negative consequences for older adults, as they are more likely to stay home and isolate themselves, compared with younger adults who are more likely to alter their behaviours to protect themselves. Communication In Canada Older adults are not a homogenous group and have different ways of accessing and communicating information. Some older adults appreciate face-to-face and written communication, whereas others utilize online technology to access and communicate information. Ζ Ȟ Page Kitchener AFC Profile Report 2016 13 - 27 In 2013, the majority of Canadian older women (54%) and older men (59%) living in private households reported that they had used the internet in the past 12 months. Internet use was more common with older adults in younger age brackets. For instance, 69% of those aged 65 to 74 years reported using the internet compared with 35% of xliii those aged 75 years and older. In Kitchener According to Statistics Canada, in 2012, 42.5% of older adults 65 years and over in the Kitchener-Waterloo CMA had used the internet i n the past 12 months, compared to xliv younger age groups: 45-64 years (86.1%), 25-44 years (95.6%), and 16-24 (87.6%). Little is known on how older adults in Kitchener access information. However, it is recognized that having access to information in a wide variety of formats is important to meet the varied needs and preferences of older adults. Next Steps Becoming Age-Friendly As the baby boomers continue to age, many industrialized countries have taken steps or are in the process of planning ways to meet the diverse social, economic and health- related needs of this large cohort. Across the world, governments have recognized the need to make communities more age-friendly to respond to the increase in the aging population. The World Health Organization (WHO) defines an age-friendly community as xlv . Active aging is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. The World Health Organization has been a leader in supporting communities to become age-friendly through the development of a number of tools and resources. In Global Age-Friendly Cities: A Guide (2007), eight key categories are included as part of a framework for age-friendly cities. These categories include: Outdoor spaces and buildings Transportation Housing Social participation Respect and social inclusion Civic participation and employment Communication and information Community support and health services Image: (WHO, 2007) Η Ȟ Page Kitchener AFC Profile Report 2016 13 - 28 In 2012, the Government of Ontario committed to making the province the best place in xlvi The Province of Ontario released a report that encourages provinces and municipalities to work together to ensure that communities are accessible, and that they have the physical and social infrastructure in place that enables older adults to age in their own neighbourhoods. Many communities across Ontario are taking steps to become age-friendly, including neighbouring municipalities of Waterloo and Cambridge. Age-Friendly Community Planning Grant To support municipalities in becoming age-friendly, the Province developed a grant program to enable the development of local age-friendly action plans. The City of Kitchener is one of 56 recipients of the Government of Ontario's Age-friendly Community Planning Grant. This program is designed to assist municipalities and non-profit organizations to promote healthy and active aging and support older adults in maintaining their independence and having access to the community supports and services they require. The objectives of the Kitchener Age-Friendly Community Project are to plan and create a community that is responsive to the changing needs of older adults, and to ensure that there is ongoing social infrastructure in place to support older adults so that they can continue to contribute to all aspects of community life. As the population of Kitchener continues to age, the City is taking steps to plan and create a community that is responsive to the changing needs of older adults. Asteering committee has been established and will consult with individuals 55 years and older to get their input on priorities and areas of concern. Feedback from the older adult population will help to ensure that there is ongoing social infrastructure in place to support older adults so that they can continue to contribute to all aspects of community life. Next steps under the Age-Friendly Community Planning Grant include defining local age friendly principles, conducting a community needs assessment, developing an age- friendly community action plan, and prioritizing recommendations of the action plan. Input will be gathered from citizens at four public workshops in community centres across Kitchener in May 2016. In addition, an age-friendly community survey will be available in print and online. Information gathered from the survey will be analyzed and community priorities will be identified. Citizens will be invited to review these priorities and provide additional feedback in September and October of 2016. Feedback will be considered as staff develops recommendations for Kitchener City Council to consider in the spring of 2017. This project will also assist staff with continuing to address and implement the recommendations of the Older Adult Strategy that was created in 2010. Θ Ȟ Page Kitchener AFC Profile Report 2016 13 - 29 Appendix A Proportion (%) of population aged 65 and over Canadian provinces and territories (2006 and 2011) Source: Statistics Canada, censuses of population, 2006 and 2011. https://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-311-x/2011001/fig/fig7- eng.cfm (accessed February 12, 2016) ΐΏ Ȟ Page Kitchener AFC Profile Report 2016 13 - 30 Appendix B Proportion of population (%) aged 65 and over Canada - Census Metropolitan Areas (CMAs) (2011) Source: Statistics Canada, Census of Population, 2011, https://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-311-x/2011001/fig/fig9- eng.cfm (accessed February 12, 2016) ΐΐ Ȟ Page Kitchener AFC Profile Report 2016 13 - 31 Appendix C City of Kitchener Age Distribution Map ΐΑ Ȟ Page Kitchener AFC Profile Report 2016 13 - 32 Appendix D Income status based on after-tax low-income measure (LIM-AT) in 2010, Kitchener, Ontario, Canada Table 6 Income status based on after-tax low-income measure (LIM-AT) in 2010, Kitchener, Ontario, Canada Kitchener Income statusOntarioCanada (CY) Total -Persons in private households for 215,95512,600,23032,386,170 low income (count) Proportion in low income (based on LIM-AT) 13.413.914.9 (%) Under 18 years (%)17.117.317.3 Under 6 years (%)19.118.418.1 18 to 64 years (%) 13.013.914.4 65 years and over (%)8.68.313.4 Source: (Statistics Canada, 2015b) Notes for low-income measure: Statistics Canada excluded individuals living in a First Nations community or the territories (Statistics Canada 2015b). Statistics Canada excluded individuals who are working part-time; thus, this does not illustrate the plight of those who are under-employed/living in poverty. ΐΒ Ȟ Page Kitchener AFC Profile Report 2016 13 - 33 Appendix E Waterloo Region Labour Force Composition, 2011 Source: (Region of Waterloo, 2014) ΐΓ Ȟ Page Kitchener AFC Profile Report 2016 13 - 34 Appendix F Distribution of volunteers and total hours contributed by age group ΐΔ Ȟ Page Kitchener AFC Profile Report 2016 13 - 35 Appendix G Adults 55+, Members of a Voluntary Organization, Waterloo Region, 2003 ΐΕ Ȟ Page Kitchener AFC Profile Report 2016 13 - 36 Appendix H Immigrant Population Waterloo Region Source: Social Planning Council of Cambridge & North Dumfries, 2014. ΐΖ Ȟ Page Kitchener AFC Profile Report 2016 13 - 37 Appendix I Activity Limitations - Adults 55+ in Waterloo Region, 2007-2008 Source: (Razzaq, Tavares, Hutchison, MacArthur, Deming, & Ellens-Clark, 2010) ΐΗ Ȟ Page Kitchener AFC Profile Report 2016 13 - 38 References i Statistics Canada (September 29, 2015), July 1, 2015. Retrieved from: http://www.statcan.gc.ca/daily- quotidien/150929/dq150929b-eng.pdf ii graphic Shift. Retrieved from: https://www.fcm.ca/Documents/reports/Canadas_Aging_Population_The_Municipal_Rol e_in_Canadas_Demographic_Shift_EN.pdf iii Women in Canada: A Gender-based Statistical Report, by Tamara Hudon and Anne Milan, Statistics Canada, March 30, 2016 Retrieved from: http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14316-eng.pdf iv Statistics Canada (September 29, 2015), July 1, 2015. Retrieved from: http://www.statcan.gc.ca/daily- quotidien/150929/dq150929b-eng.pdf v Data used obtained from ESRI ArcGIS Online data Enrichment (2016); Data from Environics Analytics Demographic Data 2015 retrieved February 2016 from ArcGIS Online. vi Data used obtained from ESRI ArcGIS Online data Enrichment (2016); Data from Environics Analytics Demographic Data 2015 retrieved February 2016 from ArcGIS Online. vii Women in Canada: A Gender-based Statistical Report, by Tamara Hudon and Anne Milan, Statistics Canada, March 30, 2016. Retrieved from: http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14316-eng.pdf viii Women in Canada: A Gender-based Statistical Report, by Tamara Hudon and Anne Milan, Statistics Canada, March 30, 2016. Retrieved from: http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14316-eng.pdf ix T Services Planning Report. Waterloo, ON: Social Planning, Policy and Program Administration. Retrieved from: http://communityservices.regionofwaterloo.ca/en/seniorsServices/resources/Seniors__S ervices_Planning_Report.pdf x T Services Planning Report. Waterloo, ON: Social Planning, Policy and Program Administration. Retrieved from: http://communityservices.regionofwaterloo.ca/en/seniorsServices/resources/Seniors__S ervices_Planning_Report.pdf xi Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Educational attainment.Retrieved from: https://www12.statcan.gc.ca/nhs-enm/2011/as- sa/fogs-spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 ΐΘ Ȟ Page Kitchener AFC Profile Report 2016 13 - 39 xii Women in Canada: A Gender-based Statistical Report, by Tamara Hudon and Anne Milan, Statistics Canada, March 30, 2016. Retrieved from: http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14316-eng.pdf xiii Women in Canada: A Gender-based Statistical Report, by Tamara Hudon and Anne Milan, Statistics Canada, March 30, 2016. Retrieved from: http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14316-eng.pdf xiv Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Income Composition. Retrieved from: https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/fogs- spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xv Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Educational attainment.Retrieved from: https://www12.statcan.gc.ca/nhs-enm/2011/as- sa/fogs-spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xvi The Regional Municipality of Waterloo (2014). Employment and Education National Household Bulletin, 2011 NHS Bulletin Series, Kitchener, Ontario. 2014. Retrieved from: http://www.regionofwaterloo.ca/en/doingbusiness/resources/nhsbulletin4employmentand education2014access.pdf xvii Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Income Composition. Retrieved from: https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/fogs- spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xviii General Social Survey of Volunteering and Participating, 2013. Retrieved from: http://www.statcan.gc.ca/pub/89-652-x/89-652-x2015001-eng.htm xix Sinha, Samir (2012). Living Longer, Living Well: Report Submitted to the Minister of Health and Long-Term Care and the Minister Responsible for Seniors on recommendations to inform a Seniors Strategy for Ontario. Retrieved from: http://www.alzheimer.ca/~/media/Files/on/PPPI%20Documents/seniors_strategy.ashx xx Social Science and Medicine, vol. 74 xxi Statistics Canada. (2015). Trends in Social Capital in Canada. Retrieved from: http://www.statcan.gc.ca/pub/89-652-x/89-652-x2015002-eng.htm xxii Rockway Feasibility Study and Business Case.(2013). Prepared by The Rethink Group. Retrieved from: https://www.kitchener.ca/en/livinginkitchener/resources/SRS_Final_Report_- _Rockway_Centre_Feasibility_Study_and_Business_Case.pdf xxiii City of Kitchener (2016) Municipal election statistics received from the City of Kitchener Clerk. xxiv Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Immigration and Ethnocultural Diversity. Retrieved from: ΑΏ Ȟ Page Kitchener AFC Profile Report 2016 13 - 40 https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/fogs- spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xxv Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Aboriginal Peoples. Retrieved from:https://www12.statcan.gc.ca/nhs-enm/2011/as- sa/fogs-spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xxvi Statistics Canada. (2015c). NHS Focus on Geography Series: Kitchener, City: Immigration and Ethnocultural Diversity.Retrieved from http://www12.statcan.gc.ca/nhs- enm/2011/as-sa/fogs-spg/Pages/FOG.cfm?lang=E&level=4&GeoCode=3530013 xxvii T Services Planning Report. Waterloo, ON: Social Planning, Policy and Program Administration. Retrieved from: http://communityservices.regionofwaterloo.ca/en/seniorsServices/resources/Seniors__S ervices_Planning_Report.pdf xxviii Statistics Canada (2015). NHS Focus on Geography Series: Kitchener, City: Aboriginal Peoples. Retrieved fromhttps://www12.statcan.gc.ca/nhs-enm/2011/as- sa/fogs-spg/Pages/FOG.cfm?lang=E&level=3&GeoCode=541 xxix Statistics Canada. (2012). Focus on Geography Series, 2011 Census. Statistics Canada Catalogue no. 98-310-XWE2011004. Ottawa, Ontario. Analytical products, 2011 Census. Last updated October 24, 2012. Retrieved from: https://www12.statcan.gc.ca/census-recensement/2011/as-sa/fogs-spg/Facts-cma- eng.cfm?LANG=Eng&GK=CMA&GC=541 xxx Region of Waterloo Public Health (2010). Older Adults Health Status Report. Waterloo, ON. Retrieved from: http://chd.region.waterloo.on.ca/en/researchResourcesPublications/resources/OlderAdul ts.pdf xxxi Statistics Canada (2014). National Seniors Day by the Numbers. Retrieved from: http://www.statcan.gc.ca/eng/dai/smr08/2014/smr08_191_2014 xxxii Region of Waterloo Public Health (2010). Older Adults Health Status Report. Waterloo, ON. Retrieved from: http://chd.region.waterloo.on.ca/en/researchResourcesPublications/resources/OlderAdul ts.pdf xxxiii Public health in the future (Publication No.140286). Retrieved from: http://www.phac- aspc.gc.ca/cphorsphc-respcacsp/2014/index-eng.php xxxiv Alzheimer Society of Canada (2016). Prevalence and Monetary Costs of Dementia in Canada. Retrieved from: http://www.alzheimer.ca/~/media/Files/national/Statistics/PrevalenceandCostsofDementi a_EN.pdf Αΐ Ȟ Page Kitchener AFC Profile Report 2016 13 - 41 xxxv Canswick, K. & Dosman, D. (2008). Eldercare: What We Know Today. Canadian Social Trends(86). Retrieved from: http://www.statcan.gc.ca/pub/11-008- x/2008002/article/10689-eng.htm xxxvi Region of Waterloo Public Health (2010). Older Adults Health Status Report. Waterloo, ON. Retrieved from: http://chd.region.waterloo.on.ca/en/researchResourcesPublications/resources/OlderAdul ts.pdf xxxvii Social Planning Council of Kitchener, 2009 as cited by dmA Planning & Management Services in the City of Kitchener Older Adult Strategy report (2010) xxxviii Alzheimer Society of Ontario (2012). Dementia Evidence Brief, Waterloo Wellington Local Health Integration Network July 2012. xxxix Region of Waterloo Public Health (2010). Older Adults Health Status Report. Waterloo, ON. Retrieved from: http://chd.region.waterloo.on.ca/en/researchResourcesPublications/resources/OlderAdul ts.pdf xl Statistics Canada. (2015). Crime and Abuse Against Seniors: A Review of the Research Literature With Special Reference to the Canadian Situation. Retrieved from: http://www.justice.gc.ca/eng/rp-pr/cj-jp/fv-vf/crim/sum-som.html xli Th Services Planning Report. Waterloo, ON: Social Planning, Policy and Program Administration. Retrieved from: http://communityservices.regionofwaterloo.ca/en/seniorsServices/resources/Seniors__S ervices_Planning_Report.pdf xlii T Services Planning Report. Waterloo, ON: Social Planning, Policy and Program Administration. Retrieved from: http://communityservices.regionofwaterloo.ca/en/seniorsServices/resources/Seniors__S ervices_Planning_Report.pdf xliii Statistics Canada. (2013). General Social Survey on Social Identity. xliv Statistics Canada. (2012). Canadian Internet Use Survey xlv World Health Organization (2007) Global Age-Friendly Cities: A guide. Retrieved from: http://www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf ΑΑ Ȟ Page Kitchener AFC Profile Report 2016 13 - 42 - The WHO Guide to Age-Friendly Communities identifies the physical and social features that contribute to independent and active agingand these include: 1.Outdoor spaces and public buildings are pleasant, clean, secure and physically accessible 2.Public transportation is accessible and affordable 3.Housing that is affordable, appropriately located, well built, well designed and secure 4.There are opportunities for seniors to participate in leisure, social, cultural and spiritual activities with people of all ages and cultures 5.Older people are treated with respect and are includedin civic life 6. interests and abilities 7.Age-friendly communication and information is available 8. - 13 - 43 APPENDIX D Project Budget Staffing Expenses Administrative staff to support project 6 hours per week X 40 weeks 6,300 University of Waterloo Murray Alzheimer Research and Education program to assist 3,000 developing focus groups and survey questions Total Staffing 9,300 Benefit costs 1,575 Total Benefit expenses 1,575 Project Marketing and communications (posters, advertising, post cards, pens) 3,000 Total Program Expenses 3,000 Supplies for the committee (binders, photocopying, etc.) 500.00 Mileage and parking for staff and committee members 500.00 Refreshments for AFC committee meetings (12 meetings) 925.00 Total Administrative Expenses 1,925 Total Expenses Year One 15,800 Administrative staff to support project 6 hours per week X 52weeks 8,800 University of Waterloo Murray Alzheimer Research and Education Program to assist with 4,000 action plan development (part-time 20-24 hours per week for two months) Part time staff to assist in surveying the community (10 students) 9,700 Total Staffing 22,500 Benefit costs 2,200 Total Benefit expenses 2,200 Project Marketing and communications (posters, advertising, post cards, social media fees, 5,500 display stand) Costs associated with community consultations (photocopies, refreshments, paper, 2,000 markers, flip charts) Total Program Expenses 7,500 Committee expenses (refreshments, photocopying ,recognition) 1,000 Mileage and parking for staff and committee members 1,000 Total Administrative Expenses 2,000 Total Expenses Year Two 34,200 TOTAL PROJECT EXPENSES (YEAR 1 & 2) 50,000 TOTAL GRANT FUNDING FROM THE PROVINCE OF ONTARIO 50,000 13 - 44