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.
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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.
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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
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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
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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:
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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
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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
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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
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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 -.
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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:
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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
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Age-
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Kitchener
A community in which we can
live well and age well
2017 Action Plan
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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:
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Age-Friendly Kitchener Action plan
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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.
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Age-Friendly Kitchener Action plan
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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.
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Age-Friendly Kitchener Action plan
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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
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Age-Friendly Kitchener Action plan
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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.
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Age-Friendly Kitchener Action plan
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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.
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Age-Friendly Kitchener Action plan
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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
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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.
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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.
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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).
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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.
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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.
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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.
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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)
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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.
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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)
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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)
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Appendix C
City of Kitchener Age Distribution Map
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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.
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Appendix E
Waterloo Region Labour Force Composition, 2011
Source: (Region of Waterloo, 2014)
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Appendix F
Distribution of volunteers and total hours contributed by age group
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Appendix G
Adults 55+, Members of a Voluntary Organization, Waterloo Region, 2003
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Appendix H
Immigrant Population Waterloo Region
Source: Social Planning Council of Cambridge & North Dumfries, 2014.
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Appendix I
Activity Limitations - Adults 55+ in Waterloo Region, 2007-2008
Source: (Razzaq, Tavares, Hutchison, MacArthur, Deming, & Ellens-Clark, 2010)
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http://chd.region.waterloo.on.ca/en/researchResourcesPublications/resources/OlderAdul
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ts.pdf
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Th
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xlii
T
Services Planning Report. Waterloo, ON: Social Planning, Policy and Program
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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.
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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
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