SLIDE 1 Conducting Needs Assessments | October 3, 2012
Th The Fu e Futur ure e of
Aging ng in th n the e To Town wn
Chat atham ham
Chatha ham Counci cil l on Ag Aging Needs s As Asses essme sment nt St Study
Jan E. Mutchler, PhD
Center for Social & Demographic Research on Aging Gerontology Institute John W. McCormack School of Policy & Global Studies University of Massachusetts Boston
April 11, 2016
SLIDE 2
Outline of Today’s Pres esent entatio ation: n:
▸ Goals of the Chatham needs assessment study ▸ Methods of investigation ▸ Key findings ▸ Recommendations
SLIDE 3 Go Goal als s of
he Ch Chat atham ham ne need eds assess essment ment study dy
▸ To investigate and document current and future needs and preferences of Chatham’s
▸ Primary focus is on the Council on Aging ▸ Secondary focus is on Town amenities and
SLIDE 4
Me Methods ds
▸ Demographic data
▸ U.S. Census Bureau ▸ Projections from the Donahue Institute, UMass system
▸ Resident survey
▸ All Chatham residents age 50+ eligible ▸ Mail-back survey with web response option ▸ Re Response se rate e of 39% (19% for those age 50-59; 42% for those age 60-79; 51% for those 80+)
SLIDE 5
Me Methods ds (cont.)
▸ Three focus groups: municipal organizations; nonprofits; residents ▸ Seven key informant interviews ▸ COA comparisons with 5 other communities ▸ A summer resident survey
SLIDE 6
DEMOGRAPHIC SUMMARY
SLIDE 7
Age distribution of Chatham (2010)
Number Percentage Under age 18 749 12% Age 18-49 1,506 25% Age 50-59 929 15% Age 60-79 2,157 35% Age 80 and older 784 13% Total 6,125 100%
SLIDE 8 Age distribution of Chatham (2010)
Number Percentage Under age 18 749 12% Age 18-49 1,506 25% Age 50-59 929 15% Age 60-79 2,157 35% Age 80 and older 784 13% Total 6,125 100%
48% are age 60 or
SLIDE 9 Expected senior growth in Chatham
3,821 3,184 1,941 2,758 2,941 2,696 6,579 6,125 4,637 1990 2000 2010 2020* 2030* 2035*
Under age 60 Age 60+ Total population
Seniors will
under age 60
SLIDE 10 An older age profile in Chatham is expected
49% 37% 32% 9% 15% 10% 33% 35% 39% 9% 13% 19%
0% 20% 40% 60% 80% 100% 1990 2000 2010 2020* 2030* 2035*
Under Age 50 Age 50 to 59 Age 60 to 79 Age 80+
SLIDE 11 Over half of Chatham homeowners are age 60+
11% 15% 25% 25% 64% 60% 0% 20% 40% 60% 80% 100% Owner Occupied All Households Younger than 45 45 to 59 60+
SLIDE 12 More than 1 in 4 older residents lives alone
Lives with
67% Lives alone, 28% Group quarters, 5%
SLIDE 13 Median household income is lower among Chatham seniors than middle-aged households
$81,083 $50,952 Age 45 to 64 Age 65+
SLIDE 14 Disability is higher among older residents
14% 28% 65 to 74 75+
Percent with disability
SLIDE 15
CHATHAM SURVEY RESPONSES
SLIDE 16 Chatham’s seniors are committed to aging in place
▸ Tw Two-th third irds of the seniors have lived in Chatham for at least 15 years; one
quarte rter for 35 years
▸ 92% 92% say it is “very important” or “somewhat important” to live in Chatham as long as possible ▸ 70% 70% think their current home is where they will always live
SLIDE 17 Maintaining and adapting homes can be a challenge
66% 9% 70% 8% 0% 10% 20% 30% 40% 50% 60% 70% 80% Homes need modification Can't afford to modify
Age 60-79 Age 80+
▸ I am concerned about managing the stairway to my apartment, and finding another that is as reasonable.
SLIDE 18 Residents are receptive to higher density housing
31% 41% 17% 10% 39% 40%
Housing preference if health required a move
Age 80+ Age 60-79
▸ Our present home is too large to manage and very isolated. We’d like to move to an independent living that offers progression to memory care.
SLIDE 19 Many Chatham residents restrict their driving
▸ I am concerned about having adequate transportation to lead an active life.
2% 11% 39% 61% 0% 20% 40% 60% 80% 60-79 80+ Non-driver Drive with modifications
SLIDE 20 Transportation options used in Chatham
Non-drivers Drive with modifications Drive without modifications Spouse/partner
67% 32% 18% Friends or neighbors 34% 13% 5% DART Dial-A- Ride 8% 1% ˂1% FISH for medical appointments 14% 3% 1% COA transportation 18% 2% ˂1%
How do I get around if I can’t drive?
SLIDE 21 Satisfaction levels are mixed with respect to transportation options
51% 43% 44% 31% 37% 33% 18% 20% 22% Driver no modifications Drive with modifications Nondriver Completely or very satisfied Somewhat satisfied Slightly or not satisfied
SLIDE 22 Survey respondents are socially connected: using phone, email, social media, or getting together
64% 55% 43% 19% 26% 34% 8% 10% 14% 9% 9% 9% Age 50 to 59 Age 60 to 79 Age 80+ Every day Several times a week 1-2 times a week Less than once a week
SLIDE 23 But some respondents lack relationships with neighbors
85% 67% 58% 83% 70% 54% 84% 71% 42% Have talked with neighbors in past month Would ask a neighbor for help Have helped neighbors Age 50-59 Age 60-79 Age 80+
SLIDE 24 Many Chatham residents need services and supports to stay at home
0% 20% 40% 60% 80% 100% Age 50 to 59 Age 60 to 79 Age 80+
% with long-term care insurance
No coverage Have coverage Not sure
I am concerned about staying healthy enough to live
- n my own or finding a suitable place to live with
assistance
SLIDE 25 Many Chatham residents are involved in caregiving
50% 42% 44% Age 50-59 Age 60-79 Age 80+
Found providing care to be very or somewhat challenging
58% 48% 40% Age 50-59 Age 60-79 Age 80+
Provided caregiving within past 5 years
My greatest concern is the lack of a senior-care day center respite for caregivers
SLIDE 26
Working, retiring, and uncertainty
▸ 39% of respondents age 60-79 say they have done no financial planning for retirement, or need to do more ▸ One-third of respondents age 60-79 work for pay ▸ Among these individuals, 52% do not anticipate retiring, or are “not sure” when they will retire
SLIDE 27 “During my retirement, I expect to have adequate resources to meet my financial needs, including home maintenance, real estate taxes, healthcare, and other expenses”
27% 20% 40% 38% 25% 27% 8% 15% 0% 20% 40% 60% 80% 100% Age 60-79 Age 50-59 Strongly agree Agree Unsure Disagree or strongly disagree
I am concerned about being able to stay in Chatham and living on Social Security at age 67. I am still working full-time to be able to pay the bills, eat, and put gas in the tank with little left over.
SLIDE 28
ABOUT THE CHATHAM COUNCIL ON AGING
SLIDE 29
Chatham atham Council uncil on Aging ing is s a community munity asset et
▸ A source of services and activities, referral and leadership ▸ A resource for older adults and caregivers ▸ A bridge between community amenities and residents aging in place
SLIDE 30 Expect pect grow
th in use e of f th the COA OA
0% 5% 10% 15% 20% 25% 30% 35% 40% Age 50-59 Age 60-69 Age 70-79 Age 80+ Percentage of survey respondents currently using programs and services at Chatham COA
SLIDE 31 High likelihood of participating in COA programs and services in the future
17% 21% 42% 42% 28% 24% 6% 7% 7% 6% 0% 20% 40% 60% 80% 100% Age 50-59 Age 60+ Very Likely Somewhat Likely Neither Likely Nor Unlikely Somewhat Unlikely Very Unlikely
SLIDE 32
Residents rate service functions of the Chatham COA as important
(% rating service as important to them or their family) Age 50-59 Age 60-79 Age 80+ Outreach services 56% 58% 49% Chatham COA transportation 50% 58% 44% SHINE 49% 53% 41% Health and wellness screening 53% 53% 51%
SLIDE 33
Activity functions of the COA are priorities for expansion
▸ Top-rated program/service for seniors was learning opportunities and educational seminars—also a top priority for expansion ▸ Fitness activities were well rated in importance and for expansion ▸ Survey respondents highlighted aerobic exercise/strength training and life-long learning as priorities for expansion
SLIDE 34 Some residents travel to senior centers in other towns
12% 23% 30% 10% 0% 5% 10% 15% 20% 25% 30% 35% Age 60-79 Age 80+ Participate in Chatham COA Do not participate in Chatham COA
SLIDE 35 Visibility and public awareness of the COA could be improved
4% 7% 25% 0% 20% 40% 60% 80% 100% Age 50-59 Age 60-79 Age 80+
Frequency of internet use
Daily Never
▸ A common problem accessing the COA was “not knowing what programs and services are available”
SLIDE 36
Selected comments about the COA
▸ At 76, I still have energy. Would like to exercise but not ready for chair exercises yet. ▸ The Chatham COA does not meet the needs of people who are over 80 years old…the real old people need health care not recreation!!
SLIDE 37
Selected comments about the COA
▸ The COA building is inefficient for any senior to navigate. The parking is a nightmare. ▸ You are doing a great job! Your building is beautiful and easy to access, and in a perfect location. ▸ I feel the COA is doing an excellent job serving our older population. We are blessed to have them.
SLIDE 38 Focus groups on the COA
▸ Better communication is needed ▸ Service function is the top priority, but active programs including exercise are important. Socialization programs are important in reducing isolation. ▸ Adult day program: “Chatham should take care
▸ Seniors need to advocate for themselves
SLIDE 39
Interviews on the COA
▸ The COA plays an important role in Chatham ▸ Service function is priority, but activities are also important.
▸ Opportunities for partnerships? Life-long learning programs with the library? ▸ Programs that would help seniors plan: planning for retirement, how reverse mortgages work, etc. ▸ More entertainment programs may be needed, especially in winter.
▸ Better publicity, awareness are needed ▸ Space needs are recognized
SLIDE 40
Community comparisons
Community All-age population Population age 60+ % age 60+ Median HH $ Chatham 6,125 2,941 48% $64,936 Brewster 9,820 3,768 38% $60,515 Eastham 4,956 2,169 44% $58,356 Falmouth 31,531 10,857 35% $60,973 Harwich 12,243 4,629 38% $62,927 Orleans 5,890 2,984 51% $60,303
SLIDE 41 Features of comparison senior centers
Community Population age 60+ Dedicated square footage SqFt/ senior Number of floors Chatham 2,941 9,004 3.1 2+ Brewster 3,768 6,760 1.8 2+ Eastham 2,169 5,400 2.5 2+ Falmouth 10,857 4,020 0.4 Single level Harwich 4,629 32,000* 6.9 Single level Orleans 2,984 8,350 2.8 Single level
*Community center; COA has full access
SLIDE 42
Our recommendations
▸ Pl Plan for growth th in the senio ior r popula latio tion, n, inclu ludi ding ng the 80+ popul ulatio ation
▸ By 2035, nearly 20% of Chatham’s residents are expected to be age 80 or older ▸ The 80+ population may require more or different services
▸ Pr Promote te housi sing g optio ions ns for aging ng in place ce in Chatha ham
▸ Information on home modifications may be helpful ▸ Receptivity to Senior Independent Living and Assisted Living ▸ Recognize limitations posed by restrictions on housing density
SLIDE 43 ▸ Pr Promote te awaren enes ess s of trans nspo porta rtatio tion n optio ions ns already ady avail ilabl able, e, and expand and trans nspor portati tation
servi vices ces for senior
▸ Many older adults modify their driving in ways that restrict access ▸ Transportation barriers have implications for isolation, socialization, and accessing services ▸ Need more transportation options including for trips that are not medical visits ▸ Need more transportation options for out-of- town medical visits
Our recommendations (cont.)
SLIDE 44
Our recommendations (cont.)
▸ Pr Protec ect t and potenti ntiall ally y expan and d outreac each h progra rams, s, espec ecia ially lly those se direc ected ted towar ard d the “at risk” senior population
▸ Isolation is a concern in Chatham, especially in the wintertime ▸ Identifying seniors who may be at risk is a challenge ▸ Build awareness in the community about isolation concerns and associated resources
SLIDE 45 ▸ Ex Expand d caregi give ver r suppor
t progra rams s in Chatha ham, , inclu ludin ing g acce cess ss to adult lt day care
▸ Caregiving is a common experience, and often a challenging experience ▸ Caregiver respite is a commonly expressed need
▸ St Strengt ngthe hen n CO COA c A capac acity ity and program ramming ing
▸ Protect the service functions ▸ Consider expanding the activity functions ▸ Expect increased demand for COA services
Our recommendations (cont.)
SLIDE 46 ▸ Improv
e visib ibili ility ty and public ic awarene ness ss of the COA COA ▸ Nu Nurture ure exist isting ing cross ss-dep depart artment ental al and public ic-pr priv ivate ate relati ation
ship ips s in Chatha ham
▸ Emergency services-COA ▸ Nonprofits-COA ▸ The COA has a role in organizing and maintaining these networks
Our recommendations (cont.)
SLIDE 47
Th Thank nk you!
Jan E. Mutchler: jan.mutchler@umb.edu
http://www.umb.edu/demographyofaging
