10 Things You Need to Know about Older Adults in Harris County - - PowerPoint PPT Presentation

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10 Things You Need to Know about Older Adults in Harris County - - PowerPoint PPT Presentation

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10 Things You Need to Know about Older Adults in Harris County Jane Bavineau Care for Elders Leadership Briefing November 17, 2010 Goals for Today Provide overview of key issues facing older adults Share what Care for Elders has

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10 Things You Need to Know about Older Adults in Harris County

Jane Bavineau Care for Elders Leadership Briefing November 17, 2010

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Goals for Today

  • Provide overview of key issues

facing older adults

  • Share what Care for Elders has learned
  • Present you with options and
  • pportunities for impact at

multiple levels

  • Individual
  • Organizational
  • Community
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Care for Elders

  • Partnership of organizations and

individuals

  • More than 80 since 1999
  • Goals
  • Increase access to services
  • Enhance the quality of care
  • Improve the quality of life
  • Visit us at www.careforelders.org
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???

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#1

If everybody knows about the age wave, why aren’t we doing more to prepare?

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Why…

  • 7,600 geriatricians when need 20,000? (1)
  • So few caregiver education programs

in companies?

  • No crosswalks or timed crossing

signals at all fatal intersections?

  • Only about half of older adults

have advanced directives?

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#2

It’s not just the heart attack that will kill you anymore.

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47% increase in deaths attributable to

Alzheimer’s Disease (2)

Falls

Leading underlying cause of accidental deaths in Harris County (3)

Medication related problems

Responsible for 28% of hospitalizations (1)

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Today’s health challenge –Chronic Disease

74% – High Blood Pressure (4)

  • 17% increase since 2002 (4)

52% – Arthritis (4) 36% – Diabetes (4)

  • 22.7% in Older Texans (5)

26% – Heart Disease (4)

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Serious…

65.8% of older

adults in the Houston area are obese or

  • verweight (5)
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The impact …

65,000 older adults in our community who can’t manage daily living tasks (4)

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Chronic Disease Self Management Program

Stanford University

http://patienteducation.stanford.edu/programs/cdsmp.html
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#3 and #4

#3 There are some challenges that cut across all socio-economic levels. AND #4 Love doesn’t have anything to do with whether you end up in a nursing home.

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Alzheimer’s Disease and Dementia

Estimated 140,000 individuals with Alzheimer’s or dementia in Southeast Texas (6) Effects nearly half – 47% of people over 85 (7)

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Alzheimer’s Disease and Dementia

Every 70 seconds, someone in America develops Alzheimer’s (8)

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Alzheimer’s Disease and Dementia

Every 70 seconds, someone in America develops Alzheimer’s By mid-century, reduced to every 33 seconds (8)

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Family members provide the care 30% of adults in Houston are

caregivers (9)

833,000 people 1 in 3 of us!

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Not going to get easier

Shrinking pool of family members to draw from In 1990, ratio of 11 to 1 (10)

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Not going to get easier

By 2050, ratio shrinks 4 to 1 Shrinking pool of family members to draw from In 1990, ratio of 11 to 1

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45% increase in

demand for paid helpers (11)

Not going to get easier

Labor pool expected to

increase by only 2% ()

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Caregiving is Hard Work!

More likely to have health issues

  • Diabetes
  • High cholesterol
  • High blood pressure
  • Heart disease

20% suffer with depression (12)

Up to $660,000 in lost wages (13)

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#5 and #6

#5 Older adults and boomers could use a lesson or two about long-term care costs. AND #6 Individuals and families aren’t the only ones being

  • verwhelmed by them.
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Older adults don’t know how expensive long term care is…

Cost of Nursing Home Care (4)

  • 12% didn’t know
  • 50% underestimated
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  • Nursing Home – $80,000 per year
  • Assisted Living – $40,000 per year
  • Home Care – $26,000 per year
  • $16 to $18 per hour at just 4 hours per day

Average Costs in Harris County

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Older adults don’t know who pays for long term care …

50% don’t know if Medicare or

Medicaid pays for personal assistance services (4)

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Not Just Effecting Families

Corporations incurring costs ranging from $17.1 to $33.6 billion annually (13)

  • 8% differential in health care costs

alone for working caregivers (14)

  • Estimated $13.4 billion/year (14)

Public sector spending in excess of $5 billion in Medicaid for long-term services and supports in Texas (15)

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Care for Elders Consumer Priority Setting Process (17)

  • Surveyed 1,200 individuals
  • 830 (70%) older adults
  • 132 (11%) family caregivers
  • 240 (20%) professionals
  • Based on Aging Agenda
  • How to make Houston elder-friendly
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8 Domains

  • Health and Well-Being
  • Access to Quality Care
  • Basic Needs
  • Housing
  • Transportation and Mobility
  • Safety and Security
  • Civic Engagement/Volunteerism and

Employment

  • Spirituality, Culture, Recreation and

Lifelong Learning

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#7

Transportation and mobility still lead the pack in “opportunities for improvement.”

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58% of respondents

Improve how current transportation programs

  • perate so that they

better meet seniors needs (17)

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Not just a “supply” issue…

  • 47% reported concerns about

“safety” while using public

transportation (17)

  • Nearly 40% – carrying

packages or bags made using

transportation difficult (18)

  • 32% reported cost as a problem (17)
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Top 5 Priorities (17)

Transportation – only one that rated #1 by all three groups Make it easier to get help with paying electric and utility bills Teach older adults about scams and how to protect themselves from being taken advantage of

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Make it a law that all home care and “hands on” workers must be trained before they help a senior Work with businesses to encourage them to hire older workers

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Themes from ALL Studies

  • Older adults want to take care of and

protect themselves

  • They want to be able to get out

and about

  • They want to work and feel productive
  • They want to be safe & feel safe
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#8 and #9

#8 You can teach an old dog new tricks. AND #9 Older adults are spending their encore years in a wide variety of ways.

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Many are working (19)

  • 19% of the U.S. workforce in 2009
  • Up from 12% in 1999
  • 25% by 2019

More are volunteering (20)

  • 41% of adults 65-74
  • 39% of adults age 75+

Raising grandchildren

  • 45.2% in Harris County (21)
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New Tricks

  • Self-Management of Health Conditions
  • 50,000 older adults in U.S. to be trained

in CDSMP (22)

  • Internet and Social Media
  • 922.7% growth in Facebook

users age 55 and older in 2009 (23)

  • 16% increase – Harris County

seniors relying on the internet (4)

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#10

#10 We know what it takes to live a long and healthy life!

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Individuals who live long and healthy lives…

  • Take control of their health
  • Eat a healthy diet
  • Remain physically active
  • Engage with other people
  • Have a sense of purpose
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Call to Action

  • Create opportunities for healthy

aging

  • Ensure services and supports for

family caregivers

  • Honor the voice of the older adults

in this community

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Contact Information

Jane Bavineau

Executive Director, Care for Elders Vice President, Sheltering Arms Senior Services

713-685-6506 jbavineau@careforelders.org www.careforelders.org

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References

1. Alliance for Aging Research. 2009 Task Force on Aging Research Funding. Retrieved from http://www.agingresearch.org/content/article/detail/2366 2. Texas Department of State Health Services. Alzheimer’s Disease Statistics. Retrieved from http://www.dshs.state.tx.us/alzheimers/statistics.shtm 3. Harris County Public Health & Environmental Services. Harris County Public Health & Environmental Services Annual Report 2009. Retrieved from http://www.hcphes.org/ 4. Cannon, J. and Kim, J. Mathematica Policy Research, Inc. The Community Partnerships for Older Adults Program: Second Survey of Older Adults. Houston/Harris County. February 22, 2010. 5. Texas Department of State Health Services. Texas Chronic Disease Burden Report. (2010). Retrieved from http://www.dshs.state.tx.us/chronic/publications.shtm 6. Alzheimer’s Association- Houston and Southeast Texas Chapter. Retrieved from http://www.alz.org/texas 7. Fillit, H.M., & Picariello, G. (1998). Practical geriatric assessment. London: Greenwich Medical Media. 8. Alzheimer’s Association. Texas Alzheimer Statistics. Retrieved from http://alz.org/documents_custom/ALZ_FF_Texas.pdf?type=interior_map 9. Kinder Institute for Urban Research. Houston Area Survey, 2009. Retrieved from http://has.rice.edu/content.aspx?id=2334 10. National Alliance for Caregiving & American Association of Retired Persons. (1997). Family caregiving in the United States. Retrieved from http://www.caregiving.org/finalreport.pdf 11. Direct Care Alliance. Texas Direct Care Fact Sheet. Retrieved from http://directcarealliance.org/_data/global/images/DCA%20state%20fact%20sheets_Texas.pdf
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References

12. National Alliance for Caregiving. The MetLife Caregiving Cost Study: Productivity Losses to U.S. Businesses. (2006). http://www.caregiving.org/data/Caregiver%20Cost%20Study.pdf 13. Day, T. Guide to Long Term Care Planning. National Care Planning Council. Retrieved from http://www.longtermcarelink.net/eldercare/long_term_care.htm 14. MetLife Mature Market Institute. Market Survey of Long Term Care Costs. The 2009 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services and Home Care Costs. October 2009.. Retrieved from http://www.metlife.com/assets/cao/mmi/publications/studies/mmi-market-survey-nursing-home-assisted-living.pdf 15. National Alliance for Caregiving. The MetLife Study of Working Caregivers and Employer Health Care Costs. (2010). Retrieved from http://www.caregiving.org/data/Caregiver_Costs_Study_Web_FINAL_2-12-10.pdf 16. Kaiser Family Foundation State Health Facts. Texas: Medicaid Spending. Retrieved from http://www.statehealthfacts.org/profileind.jsp?cat=4&sub=47&rgn=45 17. Bhaloo, T. [2010] Stakeholder Priorities for an Elder Friendly Community: Results of Care for Elders 2009/10 Consumer Input Initiative Final Report. http://careforelders.org/files/DDF/Consumer%20Input%20Report%20FINAL.pdf 18. Texas Citizen Fund. Assessing Transportation Challenges: Findings and Opportunities. Retrieved from http://www.texascitizenfund.org/files/United%20Way%20of%20Greater%20Houston- Texas%20Citizen%20Fund%20Transportation%20Report.pdf 19. National Council on Aging. Mature Workers Fact Sheet. Retrieved from http://www.ncoa.org/press-room/fact-sheets/mature-workers- fact-sheet.html 20. Harvard School of Public Health- MetLife Foundation Initiative on Retirement & Civic Engagement. Reinventing Aging: Baby Boomers and Civic Engagement. (2004). Retrieved from http://www.reinventingaging.org/ 21. U.S. Census Bureau. 2005-2009 American Community Survey 5-Year Estimates. Harris County, Texas. Retrieved from http://www.factfinder.census.gov/servlet/ADPTable?_bm=y&-geo_id=05000US48201&-qr_name=ACS_2009_5YR_G00_DP5YR2&- ds_name=&-_lang=en&-redoLog=false
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References

22. Administration on Aging (AoA). American Recovery and Reinvestment Act Communities Putting Prevention to Work: Chronic Disease Self-Management Program. Retrieved from http://www.aoa.gov/AoARoot/AoA_Programs/HPW/ARRA/index.aspx 23.
  • Istrategylabs. Facebook Demographics and Statistics Report 2010. Retrieved from http://www.istrategylabs.com/2010/01/facebook-
demographics-and-statistics-report-2010-145-growth-in-1-year/
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