2014 Hamilton's Plan for an Age-Friendly City - WHO ...
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Contents
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Definitions/Terminology.................................................................................................................................................................2
SeniorsandOlderAdultsinHamilton.............................................................................................................................................3
AgeͲFriendlyCities..........................................................................................................................................................................6
DevelopingHamilton’sPlan............................................................................................................................................................7
ThePlan...........................................................................................................................................................................................9
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Vision.............................................................................................................................................................................................11
Principles.......................................................................................................................................................................................12
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1.Housing.....................................................................................................................................................................................13
2.GettingAroundGreaterHamilton:Mobility,OutdoorSpaces&PublicBuildings...................................................................18
3.Communication&Information.................................................................................................................................................26
4.Health&CommunityServices:AginginCommunitySafely&Securely...................................................................................32
5.SocialParticipation:Recreation,Learning,Arts&Culture.......................................................................................................37
6.CivicEngagement,Volunteerism&Employment.....................................................................................................................43
7.AgeͲFriendlyPublicService.......................................................................................................................................................47
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Implementation&Monitoring.....................................................................................................................................................51
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Abbreviations................................................................................................................................................................................52
Glossary.........................................................................................................................................................................................53
Acknowledgements.......................................................................................................................................................................55
We need to change our thinking about people in the over-sixty age group, in radical
ways. Longevity has advanced to the point where conditions like old age and frailty
can no longer be defined by numerical age. Past stereotypes developed in past
centuries no longer hold. When a 100-year-old man finishes a marathon, as happened
last year, we know that conventional conceptions of old age must change.
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OpeningremarksonWorldHealthDay,April4,2012
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2 urpopulationisaging.Thenumberofolder
adultsandseniorsinHamiltonisexpectedto
doubleoverthenexttwodecades.Thisrepresents
strategicpriorityintheCity’s2012Ͳ2015Strategic
Plan.TheNeighbourhoodandCommunityInitiatives
DivisionpartneredwiththeHamiltonCouncilon
thefastestgrowingsegmentofthepopulation. Agingin2013tobeginthiswork.Hamilton’sPlanfor
anAgeͲFriendlyCityistheresult.
DevelopingaplanforanageͲfriendlycitywillhelp
municipaldecisionͲmakers,staff,andcommunity Hamilton’sPlanwasnotdevelopedinisolation,but
stakeholdersidentifyandaddressneedsand alignswith,andbuildson,goodworkthatisalready
prioritiesrelatedtoolderadults.HavinganageͲ underway.TheplanlinkstootherkeyCityinitiatives,
friendlyPlanmeansthatHamiltonwillformally includingtheHousingandHomelessnessActionPlan,
participateinthegrowinglocal,nationaland thePedestrianMobilityPlan,RapidReadyandthe
internationalageͲfriendlymovementandwillhave CulturalPlan.Thereisalsoalignmentwiththe
theopportunitybothtolearnfromother mandatoryaccessibilitystandardsforpeoplewith
communitiesandcontributetotheirlearning. disabilitiesbeingdevelopedundertheAccessibility
forOntarianswithDisabilitiesAct(AODA)2005.
InApril2012,HamiltonCityCouncilidentifiedthe
developmentofanageͲfriendlyinitiativeasa
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Definitions/Terminology Ourconsultationsconfirmedthatsomepeople,
typicallythoseover70,prefertobeidentifiedasa
Whendoes“oldage”start?55?60?65?Aswelive
“senior”,whileothersinthatagecohortdislikedthe
longerandremainhealthier,ideasaboutthisare
label.Infact,acommonreasonwhypeopledonotgo
changing.Thereisnosingledefinitionofwhoisan
toseniorscentresisthattheydonotidentifywithall
olderadultorasenior.Peopleofthesameagediffer
ofthe“olderpeople”theythinktheywillfindthere.
widelyintheirinterests,abilities,healthandlevelof
independence.Municipal,provincialandfederal Forthepurposesofthisreport,theterm“older
governmentshavedifferentdefinitionsdependingon adult”willrefertoastageoflifeinsteadofaspecific
programrequirements.Whileachronologicalageof age.Thiswouldincludepeopleintheirfiftiesand
65yearsisusuallyassociatedwithretirementandthe older.Whentheterm“seniors”isused,itwillrefer
ageoneiseligibletoreceivepensionbenefits,not exclusivelytopeople65yearsofageandolder.
every65ͲyearͲoldconsidersthemselvesasenior.
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SeniorsandOlderAdultsinHamilton
ThenumberofseniorslivinginHamiltonisincreasing.Peoplearelivinglonger.LifeexpectancyofCanadiansover
theageof80hasincreasedbyapproximately10years1.
Basedonthe2011Census,thereare147,810adultsage55+inHamilton,or28%ofthetotalpopulation
(Figure1.).Thisisexpectedtoincreaseto32%ofthepopulationby2021andstandat31%in2031(Figure2)2.
FIGURE1.PopulationofHamilton,2011Census FIGURE2.PercentageofPopulation55YearsandOlder
1
WorldBank.(2013).Retrievedfromhttp://databank.worldbank.org/data/home.aspx
2
StatisticsCanada.(2011).Age(131)andsex(3)forthepopulationofCanada.Provinces,Territories,CensusDivisions,CensusSubdivisionsand
Disseminationareas,2011Census.Catalogueno.98Ͳ311ͲXCB2011018.,StatisticsCanada.(2006).ProfileofageandsexforCanada,Provinces,
Territories,CensusDivisions,andCensusSubdivisions,2006Census.Catalogueno.94Ͳ575ͲXCB2006001.StatisticsCanada.(2001).Profileofage
andsex,forCanada,Provinces,Territories,CensusDivisionsandCensusSubdivisions,2001Census.Catalogueno.95F0486XCB01001.Hemson
ConsultingLtd.(2012).GreaterGoldenHorseshoegrowthforecaststo2041:Technicalreport(November2012)addendum.Toronto:Author.
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SeniorsresideinallpartsofHamiltonwith Beingabletoaffordareasonablestandardofliving
concentrationsincertainareasofthecity(Figure3). canbecomedifficultforseniorslivingonlimited
However,overthenexttwodecades,othersuburban incomesascostsincrease,butincomesdonot.
andruralareasofHamiltonwillexperiencemore Approximately8percent4ofseniors(65+)inHamilton
rapidagingthanareasofcurrentconcentration. liveonlowincome5.Whetherbychoiceornecessity,
increasingnumbersofolderadultsareworking
Aspeopleage,theirincomedecreases.In2011,
beyondretirementage.
Hamiltoniansage55Ͳ64haveanaverageannual
incomeofapproximately$48,000;whilethoseage Itisimportanttonotethatthenextgenerationof
65+haveanaverageincomeofapproximately seniors,theBabyBoomers,willbedifferent.They
$37,000.Overallforolderadultsage55+,theaverage grewupinaverydifferentsocial,politicaland
annualincomeis$37,000,whiletheannualincome economicenvironment,andbasedontheir
forCanadianandOntarioseniorsis$36,000and experiences,willhavedifferentexpectations.
$39,0003.
3
StatisticsCanada,IncomeStatisticsDivision.(2011).AnnualEstimatesforCensusFamiliesandIndividuals.(Table5,Catalogueno.SCͲT1FFͲSͲ05Ͳ
2011ͲFSALDUͲR).
4
StatisticsCanadaNationalHouseholdSurvey.(2011)SemiͲcustomprofileforCanada,Provinces,Territories,CensusDivisions,Census
SubdivisionsandDisseminationAreas,NationalHouseholdSurvey,2011.(Table2,Catalogueno.99Ͳ004ͲXWEͲSF0106Ͳ2).
5
LowincomeisdefinedusingStatisticsCanada’sLowIncomeMeasure(LIM).TheLIMisafixedpercentage(50%)ofmedianadjustedhousehold
income,where"adjusted"indicatesthathouseholdneedsaretakenintoaccount.Adjustmentforhouseholdsizesreflectsthefactthata
household'sneedsincreaseasthenumberofmembersincreases.
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AgeͲFriendlyCities
TheWorldHealthOrganization(WHO)developeditsAgeͲfriendlyCities
frameworkin2008inpartnershipwithseveralinternationalorganizations
includingthePublicHealthAgencyofCanada.Theconceptof“ageͲfriendly
cities”isbasedonextensiveresearchwitholderadultsin33citiesaroundthe
world,includingfourinCanada6.Itsetsoutavisionofhowcommunitiescan
createanenvironmentthatencourages“activeaging,”7andidentifieseight
coreageͲfriendlyfeatures:housing,transportation,outdoorspacesand
buildings,communitysupportandhealthservices,communicationand
information,civicparticipationandemployment,respectandsocialinclusion,
andsocialparticipation.
Hamilton’sPlanforanAgeͲFriendlyCitywasinformedby,andalignswith,the
WHOframework.Hamiltonwilljoinagrowingglobalcommunityofpracticethat
aimstomakecitiesmoreinclusiveforallages.
Hamilton’sPlanisalsoinfluencedbythephilosophyof“personhood”.Compassion
isattheheartofthisidea.Itasksthatweacknowledgeandhonourpeoplefor
whotheyare:theirstrengths,accomplishments,identityandhistory,theirmind,
bodyandspirit.Weareaskedtolookbeyondageiststereotypes.
Personhood
6
Saanich(BC),PortagelaPrairie(MB),Sherbrooke(QC),andHalifax(NS)
7
Activeagingrefersto“continuingparticipationinsocial,economic,cultural,spiritualandcivicaffairs,notjusttheabilitytobephysicallyactive
ortoparticipateinthelabourforce.”FromAgeingandLifeCourse:Whatis“activeageing”retrievedNovember10,2013from
http://www.who.int/ageing/active_ageing/en/index.html.
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DevelopingHamilton’sPlan
TheCityhasbeenworkinginpartnershipwiththe andcontributedto,thedevelopmentofthePlan.This
HamiltonCouncilonAging(HCoA)todevelop wasaccomplishedthroughaseriesofsixpublic
Hamilton’sPlanforanAgeͲFriendlyCity.TheHCoAis consultationsessionsheldacrossHamilton,focus
aseniorͲled,nonͲprofitvoluntaryorganizationthat groups,smallgroupdiscussionscompletedby
advocatesforanimprovedagingexperienceforolder individuals/groupsinthecommunityusingthe
adultsinHamilton.Itisstaffedbyindividuals, PlanningforanAgeͲFriendlyHamiltonDiscussion
primarilyvolunteers,withabroadrangeof Guide,andanonͲlinesurvey.Specialeffortswere
experienceinresearch,planningandcommunity madetoengageolderadultswithdiverse
engagement,andworksthroughanumberof backgroundsandawiderangeoflivedexperience
communitynetworks.TheCityofHamilton’sSeniors includingAboriginalresidents,residentslivingwitha
AdvisoryCommitteewasalsoakeypartnerinthis lowincome,personswithdisabilities,residentsfrom
undertaking. differentethnoͲculturalcommunities,andurbanand
Theplanningprocesswasdividedintothreephases: ruralresidents.
1)backgroundresearchandplanning;2)community Citystaffwerealsoconsultedatvariousstagesofthe
engagementandconsultation;3)analysisandplan planningprocess.Individualinterviewsandgroup
development.ThePlanrespondstoresearchand discussionswereconductedwith48stafffrom
best/promisingpractices,andmostimportantly, variousdepartments/divisions.
whatwasheardinconversationswitholderadultsin Resultsfromtheconsultationsaresummarizedinthe
Hamilton. report“PlanningforanAgeͲFriendlyHamilton:What
Over700hundredolderadultsandcommunity WeHeard”(Aug.2014).
stakeholdersfromvarioussectorswereengagedin,
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Insummary,thePlanwasinformedby:
Aprojectsteeringcommitteecomprisedofstaffandkey
communitystakeholders
TheCity’sSeniorsAdvisoryCommittee
HamiltonCouncilonAginganditsAgeͲFriendlyHamilton
Committee
TheWorldHealthOrganization’sAgeͲFriendlyCities
initiative
Areviewofrelevantliteratureonpublicpolicyandaging
Areviewofothermunicipalplansforolderadultsand
seniors
AdemographicanalysisofHamilton’solderpopulation
AninternalscanofexistingCityofHamiltonprogramsand
servicesforolderadultsandseniors
Consultationwithover550olderadultsinthecommunity
Consultationwithover100communitystakeholders
Individualandgroupdiscussionswith48stafffromkey
Citydepartments
TheCityManagerandSeniorManagementTeam
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ThePlan
Hamilton’sPlanforanAgeͲFriendlyCityoutlinesavisionand
identifiesprinciplesforpolicydevelopmentandservice
delivery.ThePlanisorganizedaroundsevenareasoffocus
orstrategicgoals,andcommitstoaseriesofobjectivesand
actionstoachievethesegoals.
Eachofthesevenareasoffocusincludeanoverviewof
issuesidentifiedthroughresearchandconsultation,andan
environmentalscanthatlistsassets,gapsandchallenges.
Itshouldbenotedthattheactionsarepreliminaryand
requirerefinementthroughadditionaldialoguewith
broadergroupsofbothinternalandexternalstakeholders.
Subsequently,implementationplansmustbedevelopedto
ensuretheactionsarerobustandmeasureable.Potentially
moreobjectivescouldbeidentifiedinthefuturetoachieve
thegoals.Assuch,Hamilton’sPlanshouldbeconsidereda
“living”document.
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Timeline
ActionscontainedinthePlanincludeaproposedimplementationtimeframe.
ShortTerm Î Actionsthatcanbeginimmediatelyorwithinoneyear
MediumTerm Î Actionsthatcanbeginwithintwoorthreeyears
LongTerm Î Actionsthatcanbeginwithinfouryearsorbeyond
Stakeholders
Initialstakeholdersarelistedforeachaction.Theseareorganizationsthathavean
interestorexpertiseinthedeliveryofservicestoseniors.Confirmingleadpartners
andidentifyingadditionalstakeholderswillbepartofnextsteps.
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Vision
C reatingamoreageͲfriendlyHamiltonisashared
responsibility.Itrequirescoordinatedadvocacy
andplanningcommitmentsfromallthreelevelsof
All residents of Hamilton are respected
and included in community life regardless
government,theprivatesector,thenonͲprofitsector of age, ethnicity, race, gender, ability and
andthecommunity.Inimplementingthisplan, background; policy and planning engages
Hamiltonwillbecomeabetterplaceforpeopleto
live,play,work,learn,raiseachildandgrowold residents, reflects diversity, fosters social
when: connectivity and the opportunity for active
living and to age in place. Social
connectivity links people to each other,
place and services thus advancing health
and well-being, while increasing the city’s
social capital.
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Principles
SevenprinciplesguidedtheconsultationprocessandthedevelopmentofHamilton’sPlanfor
anAgeͲFriendlyCity.
1. Creatingsupportiveandenablingenvironments1wherehospitalityispracticedand
accessibilityisthenorm
2. Optimizingopportunitiesforhealth,participation,security4andlifeͲlonglearningacross
thelifeͲcycle2.Healthreferstophysical,mentalandsocialwellͲbeing
3. Equity,inclusionandrespect3;recognizingthediversityofolderadultsincludingtheirwide
rangeofinterests,culturalpreferences,capacitiesandresources1whilereducingbarriersto
socialconnectivitythatresultfromdifferences
4. Aninformedcommunitythatpracticesaccountabilityandtransparencywhilefacilitating
personal,socialandsystemconnectivity1
5. Neighbourhoodcapacitybuilding2
6. Effectivepublicservice,deliveredwithintegrity,thatisadaptive,dynamicandusesan
equityandinclusionlensandisresponsivetoindividualandcollectiveneedsaswellas
emergingopportunitieswhiledeliveringvalueformoneyspent3
7. Communityengagement2wherepeoplehavemeaningfulopportunitiestohaveasayin
designingservicesandinfluencingdecisionsthataffectthem1
Theseprinciplesarebasedonthefollowingdocuments:(1)AgeͲfriendlyCommunitiesPractice;(2)CityofHamilton(2010)“ThePlaybook:A
FrameworkforHumanServicesPlanninginHamilton”;(3)CityofHamiltonCorporateCulturePillars;(4)Dr.Sinha’sReportproducedforthe
MinistryofHealthandLongͲTermCare,“LivingLonger,LivingWell”
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TheIssues
Appropriatehousingisoneofthemostsignificantdeterminantsofqualityaging.Being
appropriatelyhousedincreasesthechancesofoptimalaging.
Olderadultsvoicedconcernsaboutthelackofappropriatehousingchoicesinspecificareasofthe
city(i.e.,Waterdown,Ancaster,StoneyCreek,ruralareas).
Manyothers,includingthoseinethnoͲculturalcommunities–somewhocannotaffordorchoose
nottomove–aretroubledbymobilityandtransportationissuesthatresultfromhomeand
communitydesign.
EnvironmentalScan
Assets Gaps Challenges
OfficialUrbanandRuralPlans,Secondary Nosustainedfundingfromthefederalor Needforactionbyfederalandprovincial
Plans provincialgovernmentsforsocialhousing governments
AODABuildingStandardseffectiveJanuary Nosinglepointofaccessforinformation Lackofaffordableandappropriate
2015 onavailabilityofsocialhousingincluding housingoptionsforseniorsinsome
CityofHamilton’sHousingand location,typeofunitandaccessibility communities,i.e.,Ancaster,partsof
HomelessnessActionPlan Limitedlowcostassistedlivingoptions StoneyCreek,Waterdown
Anincreaseddensitymeansmore Apartmentbuildingsdonottypically Seniorscanstillfeelisolatedwithina
condominiumsarebeingbuilt,whichare fostercommunity(i.e.,nocommon seniorscomplex
oftensuitablefordownsizing spaces) Agingsocialhousingstock
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Marketrespondingtodemand/profitby FewcoͲhousingoptionsinHamilton Newchallengesfacedinresidentialcare
buildingretirementhomes,adultlifestyle (i.e.,HomeShare) withamoreheterogeneouspopulation
communities,condominiums LimitedcoͲophousinginHamilton Manypeoplearereluctanttomoveinto
Communityleadersarebeginningto Accessibleunitsnotbeingplannedfor/ more“appropriate”housingwhilethey
explorenewhousingoptions/modelsfor includedincondos canstilleasilyadapttothischange
olderadults(i.e.,coͲop,coͲhousing,peers, Olderhomeownersonlowincomesmay
Fewnewrentalunitscomingonthe
youngerpeople) notbeabletoaffordnecessaryhome
market
City’sSeniorsTaxRebateProgramforlowͲ adaptationsorhomerepairs
Increasingnumbersofolderadultswho
incomeseniorhomeowners
arehomelessoratͲriskofhomelessness
GOAL–HOUSING
Everyoneshouldhaveaplacetolive.Peoplearesupportedinwaysthatmakesensefortheirunique
circumstanceswithafullrangeofhousingoptionsintheirneighbourhoods.8
RECOMMENDATIONS
OBJECTIVE1.1Olderadultscaneasilyaccesstheinformationtheyneedwithrespecttovarioushousingoptions,andhavetools
availabletohelpthemplanfortheiraging.
Actions Timeline InitialStakeholders*
1.1.1Developahousingresourceguideforolderadultstohelpthemplan ShortTerm SeniorsAdvisoryCommittee
9
foragingandtonavigatethesocialhousinglandscapeinHamilton. ** CityofHamiltonHousingServices
Division,PublicHealthServices
1.1.2Increaseawarenessoffinancialsupportsavailabletofundhome ShortTerm CityofHamiltonHousingServices
adaptations(i.e.,OntarioRenovatesProgramforHomeowners). Division
ProvinceofOntario
8
ThisgoalisadaptedfromtheCityofHamilton’sHousingandHomelessActionPlan(2013).“Everyoneshouldhaveaplacetolive”hasreplaced
theoriginallanguageof“hasahome”.
9
Modeledon“HousingOptionsforSeniorsinHalton,”http://www.halton.ca/common/pages/UserFile.aspx?fileId=14855
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1.1.3Investigatetheviabilityofcreatingadatabaseofsocialhousingunits MediumTerm CityofHamiltonHousingServices
thatincludesfeaturessoolderadultscaneasilyfindinformationonthe Division
availabilityofappropriatehousing(i.e.,typesofunits,accessibility, SeniorsAdvisoryCommittee
condition).**
OBJECTIVE1.2Olderadults’housingaffordability,stabilityandchoiceisincreasedandmaintainedovertime.*
1.2.1Ensurethatallmunicipalplanningdecisionswithrespecttomixand ShortTerm CityofHamiltonPlanning&
rangefollowthepolicydirectionoftheUrbanandRuralHamiltonOfficial EconomicDevelopment
Plans.+ CityCouncil
1.2.1.1Exploreopportunitiesforhousingmixesthatincludetheneedsof ShortTerm CityofHamiltonPlanning&
oneandtwopersonhouseholds,buildaccessibleunits,includedifferent EconomicDevelopment
ownershipmodelssuchascoͲophousingandcoͲhousing,retirement CityCouncil
homes,somecityparkspaceandrecreationfacilitieswhennoneare
nearby.
1.2.2AsHHAPisimplemented,conveneacommitteeofolderadultsto MediumTerm CityofHamiltonHousingServices
lookatincreasingolderadults’housingaffordability,stabilityandchoice Division
incommunitiesacrosstheGreaterHamiltonarea+. SeniorsAdvisorCommittee
OlderAdults
1.2.4AdvocatetothefederalgovernmentforafundedNationalHousing LongTerm CityCouncil
Strategy+. HousingSector
Philanthropicsector
OBJECTIVE1.3Peoplereceiverespectful,qualityserviceswithina“userͲfriendly”systemandexperienceequityandinclusion
whenaccessingsocialhousing.
1.3.1BuildonpracticesofpersonͲcentrednesswiththesystemofhousing MediumTerm CityofHamiltonHousingServices
andhomelessnessservices+. Division
Tenants
1.3.2Ensurethateveryonewhoaccesseshousingandhomelessness ShortTerm CityofHamiltonHousingServices
servicesismeaningfullyengagedinplanninganddecisionͲmakingthat Division
impactstheirlives+. Tenants
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OBJECTIVE1.4Ensureolderadultshavetheindividualizedsupportstheyneedtohelpthemobtainandmaintainhousing.*
1.4.1Connectsystemnavigatorswithsocialhousingbuildingstohelp ShortTerm CityofHamilton
olderadultsmeettheirhousingandsupportneeds. HousingServicesDivision,
ParamedicServices
CCAC
Voluntarysector
1.4.2PartnerwiththeHamiltonNiagaraHaldimandBrant(HNHB) MediumTerm CityofHamiltonHousingServices
CommunityCareAccessCentre(CCAC)todoabetterjobofdischarge Division
planningfromhospitalsandsupportingpeoplebeyonddischarge HNHBCCAC
planning.+ Homecareagencies
1.4.3Implementassessmentandsupportprocessesaspartofthe“wait MediumTerm CityofHamiltonHousingServices
list”forseniors’socialhousingtobetteraddresstheneedsofthe (indevelopment) Division,ParamedicServices
applicants.+ CCAC
HomeCareagencies
1.4.4Ensurehighquality,traumaͲinformedservicesandsupportsforolder MediumTerm CityofHamiltonHousingServices
adultsinhomelessnessand/orinsecurehousingsituations.+ Division
1.4.5Planandimplementcommunitybuildingeffortsthatwilldevelopa ShortTerm CityofHamiltonHousingServices
senseofcommunityinallsocialhousing.+ (inprogress) Division
1.4.6Continuetoencourageapartmentownerstocreatecommonspace ShortTerm HCoA
andopportunitiesforinformationsharing(i.e.,apartmentbulletinboard, SeniorsAdvisoryCommittee
newsletters)thatwillfosterasenseofcommunityandenhance ApartmentOwnersAssociation
opportunitiesformutualsupport.
1.4.7Encouragethevoluntarysectortoseekfundingopportunitiesto MediumTerm Voluntarysector
workinprivatelyownedapartmentbuildingsandestablishprogramsand CityofHamiltonPublicHealth
practicesthatwillreducesocialisolationandhelpconnectpeopleto Services
services. PhilanthropicSector
ApartmentOwnersAssociation
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1.4.8Encouragelandlordstoinstalladaptations(grabbars,modifieddoor ShortTerm HCoA
handles,etc.)uponrequestatlittleornocosttothetenant. ApartmentOwnersAssociation
1.4.9RaiseawarenesswithinCityͲoperatedlongtermcareandsocial ShortTerm CityofHamilton
housingfacilitiesoftheneedsofdiversepopulations(i.e.,ethnoͲcultural MacassaandWentworthLodges
communities,lesbian,gay,bisexual,andtransgenderedolderadults). CityHousingHamilton
*Initialstakeholdersareindicatedforeachaction.Identifyingadditionalstakeholderswillbepartofnextsteps.
**DenotesobjectivesoractionsdevelopedbytheSeniorsAdvisoryCommittee
+
DenotesobjectivesoractionsadaptedfromtheHousingandHomelessnessActionPlan
PrinciplesincorporatedintoActions
;1.Creatingsupportiveandenablingenvironments
;2.Optimizingopportunitiesforhealth,participation,securityand
lifeͲlonglearning
;3.Equity,inclusionandrespect
;4.Aninformedcommunity
;5.Neighbourhoodcapacitybuilding
;6.Effectivepublicservice
;7.Communityengagement
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3XEOLF%XLOGLQJV
TheIssues–Mobility
GreaterTorontoandHamiltonMedicalOfficersofHealthhaveidentifiedseverenegativehealthimpactsthat
resultfromhowcommunitieshavebeendesignedtorelyoncars.TheyassertthatimplementingMetrolinx’s
“TheBigMove”10wouldincreasephysicalactivityinawaythatpreventsprematuredeathandchronicdisease,
particularlydiabetes.Further,planninghealthy,compact,completecommunitiesisneededtosupportgreater
useofpublictransitandactivetransportation11.
Mostoftheolderadultswhoparticipatedinconsultationsaboutthisgoaluseacarastheirprimarymodeof
transportation;othersusethebusregularly,whilestillothershavelittleornoaccesstoacarorpublic
transportation.
OlderadultswhouseHamiltonStreetRailway(HSR)indicatedthatbusstopsandsheltersareoften
inconvenientlylocated,thereisalackofbenchesandageͲfriendlysignage,somebusdriversdonottakeolder
passengers’needsintoconsideration,andthecostcanbeanissue.
MostEnglishͲspeakingtransitusersexpressedsatisfactionwiththeHSRservice.However,someolderadults
withfunctionallimitationsstatedthattheyhaddifficultygettingtobusstopsortheirultimatedestination
oncetheydisembarked,andtakingthebuswasnotalwaysanoption.
Languageandotherculturalbarrierspreventmanyindividualsfromaccessinginformationontransitoptions
andutilizingtheHSR.
Manyolderadultsfinditdifficulttoobtaintickets/passesortopuptheirPrestoCard.
10
TheBigMoveistheGreaterTorontoandHamilton’s(GTHA’s)multiͲmodallongͲrangeregionaltransportationplan.
11
Mowat,D.,Gardner,C.,McKeown,D.,Tran,N.,Moloughney,B.,&Bursey,G.(2014).ImprovinghealthbydesignintheGreaterTorontoͲ
HamiltonArea.Author:(n.p.).Retrievedfromhttp://www.peelregion.ca/health/resources/healthbydesign/pdf/mohͲreport.pdf
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DisabledandAgedRegionalTransportationSystem(DARTS)clientsreportedchallengesrelatedtowaittimes,
bookingproceduresandeligibilitycriteria.Complaintshavequadrupledthisyear12.
Olderdriversexpressedfearaboutpotentiallylosingtheirabilitytodriveastheyarenotfamiliarwiththe
transitsystem(whereoneisavailable)oralternativetransportationoptions.
Thosewhorelyonvolunteerdriversareconcernedaboutthelimitedavailabilityandthefactthatthismode
cannotbeaccessedforalltypesoftrips.Furthermore,theexistenceofthistypeofservice,eitherthrougha
volunteerdriverorthroughacommunityshuttlebus,isnotwidelypublicized.
ThoserelyingonprivateͲsectoraccessibletransitcomplainedaboutitshighcost.Thistypeoftransitis
subsidized.
TheIssues–OutdoorSpacesandPublicBuildings
ImprovingHealthbyDesignstatesthat“Activetransportationdependsuponthepresenceofdestinations,
desirablestreetscapes,andkeepingtripdistancesshort.Theseinturnareinfluencedbydensityandlanduse
mix.Distanceisalsoimpactedbythedirectnessofroutes(i.e.,streetnetworkconnectivity).”
Olderadultswhoparticipatedinthisconsultationexpressedadesiretowalk,butwereconcernedabout
pedestriansafetyincludingthelocationofcrosswalks,timingoflights,volumeandspeedoftraffic,
appropriateageͲfriendlysignage,availabilityofbenches,andpublicaccesstowashrooms.
Gettingaroundinthewintermonthsisdifficult:sidewalks,busstopsandintersectionsareoftennotclearedof
snowinatimelyorthoroughmanner.
12
VanDongen,M.(2014,June4).DARTSComplaintsspurcallforreview.HamiltonSpectator.Retrievedfromhttp://www.thespec.com/newsͲ
story/3253224ͲdartsͲcomplaintsͲspurͲcallsͲforͲreview/
+DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\ *RDOV±2EMHFWLYHV±$FWLRQV
EnvironmentalScan
Assets Gaps Challenges
OfficialUrbanandRuralPlans,Secondary InfrequentornonͲexistentbusservicein Individuals’attachmenttotheircars
Plans lessdenselypopulatedareas Manypeopledon’tknowwherebusesgo
Publictransitinfrastructureincludinglow Limitedawarenessofhowandwhereto andhowtoplanroutes
floorbuses,automatedstop purchaseMonthly/GoldenAgetransit Difficultforadultswithfunctional
announcementanddisplayonallbuses passes,andfewpointsofsale limitationsornonͲdriverstogetto
RapidReadyReport Lackofinformationontransitoptionsin locationswherebuspassesaresold
MasterPlansforTransportation, languagesotherthanEnglish Difficultforolderadultswithfunctional
PedestrianMobility,Cyclingand FewDARTSusershaveaccessto limitationstogettobusstops
RecreationTrails smartphonesortabletstouse“where’s DissatisfactionwithDARTSscheduling/
TransitEnhancementReview,DARTS myride”site lengthoftrips/transparencyof
Review Noadaptedtaxiscurrentlyinservice informationoneligibilitycriteria
Volunteerdrivingorganizedby Limitedavailabilityofvolunteerdrivers Competingneedsofpedestrians,cyclists,
communityserviceagencies Limitednumberofmixeduse scooters,publicandparaͲtransitandcars
Adaptabletaxilicensesavailablein2014 neighbourhoods Costofparkingatmedicalfacilitiescanbe
Reducedbusratesfor65+,freeGolden Lackofpublicaccesstowashrooms expensive
AgePassfor80+ StreetsignageisnotageͲfriendly Trendtowardsbigboxstoresdoesnot
“ImprovingHealthbyDesigninthe facilitatepedestrianaccess,but
Nocompletestreetspolicy
GreaterTorontoͲHamiltonArea”by necessitatesdriving
MedicalOfficersofHealthinGreater Pedestriansafety
TorontoͲHamiltonAreapromoting
“completecommunities”
HamiltonPublicLibrarydoingageͲfriendly
auditsofallbranchesusingatool
developedbytheHCoA
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GOAL–GETTINGAROUNDGREATERHAMILTON
TheCity’stransportationsystems,urbandesignandphysicalinfrastructureenablepeopletoparticipatein
communitylifeastheychoose,aswellasageintheircommunity.13
RECOMMENDATIONS
TRANSPORTATION
OBJECTIVE2.1EnsuretheideasandconcernsexpressedinthisplaninformtheMasterTransportationPlan
Actions Timeline InitialStakeholders*
2.1.1Summarizetheinputgatheredviathisplanningprocessandreferit ShortTerm HamiltonCouncilonAging
totheTransitMasterPlanningprocess. SAC
OBJECTIVE2.2Investigatethedesign,feasibilityandfundingopportunitiesfordevelopingasharedridemodelthatprovidesthe
“right”amountofdoorͲtoͲdoorconveniencemixedwiththecosteffectivenessofsharedride.
2.2.1Conveneacommitteetoinvestigatewaysofexpandingthecapacity MediumTerm RedCross
ofvolunteerdrivingbasedonexperienceinothercommunities(i.e., CityofHamiltonHSR,DARTS
NiagaraConnects,Stratford’s“EasyRide”). HamiltonCouncilonAging
Communityserviceagencies
providingvolunteerdriving
Healthsector
MinistryofTransportation
OBJECTIVE2.3Buildingonexistingservicesandcapacity,identifyopportunitiestoexpandusageofcommunitybusshuttlesor
volunteerdriversasawayofgettingpeopledirectlytowheretheywanttogo.
2.3.1DevelopapilotprojectvolunteerdrivingprograminWaterdownthat ShortTerm WaterdownSeniorsSteering
willtakeseniorstoRecreationprogramswhenthenewseniors’facility RecreationCommittee
opens. FlamboroughCommunity&
InformationServices
13
Mowat,D.,Gardner,C.,McKeown,D.,Tran,N.,Moloughney,B.,&Bursey,G.(2014).ImprovinghealthbydesignintheGreaterTorontoͲ
HamiltonAreaGTHA.Author:(n.p.).Retrievedfromhttp://www.peelregion.ca/health/resources/healthbydesign/pdf/mohͲreport.pdf
+DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\ *RDOV±2EMHFWLYHV±$FWLRQV
2.3.2Workwithmajorgrocerychainsprovidingshuttlebusservicetotheir ShortTerm HamiltonCouncilonAging
grocerystore,exploreopportunitiestoextendtheservicetomorepublic Majorgrocerychains
andconvenientpickupvenues(i.e.,outsidelibraries). HamiltonPublicLibrary
InformationHamilton
OBJECTIVE2.4Improvetheeaseofusingpublictransit.
2.4.1IncreasethenumberoflocationswherepeoplecanpurchaseSeniors ShortTerm CityofHamiltonHSR
ticketsandpasses. SeniorsAdvisoryCommittee
2.4.2OffertripͲplanningassistanceinnumerouslanguages. ShortTerm CityofHamiltonHSR
SeniorsAdvisoryCommittee
2.4.3Improveinformationatbusstops. ShortTerm CityofHamiltonHSR
SeniorsAdvisoryCommittee
2.4.4Hostworkshopsteachingpeoplehowtotakethebus,basedon ShortTerm CityofHamiltonHSR
HCoAworkshop“Let’sTaketheBus”includinginnumerouslanguages. SeniorsAdvisoryCommittee
OBJECTIVE2.5ImprovetheDisabled&AgedRegionalTransportationSystem(DARTS)
2.5.1ImproveandexpandDARTSservice. MediumTerm DARTS
CityCouncil
SeniorsAdvisoryCommittee
AdvisoryCommitteeforPersons
withDisabilities
HCoA
2.5.2IncreasethevarietyofvehiclesusedbyDARTS. MediumTerm DARTS
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ACTIVETRANSPORTATION
OBJECTIVE2.6Withnewdevelopmentsandwherepossiblewithredevelopment,implementacompletecommunitiespolicy.
Actions Timeline Stakeholders
2.6.1ContinuetoimplementthePedestrianMobilityPlanusinganolder MediumTerm CityCouncil
adultlens(i.e.,improvedpedestriancrossings,signaltimes,community CityofHamiltonPublicWorks
safetyaudits,streetfurniture,accesstowashrooms,neighbourhoodsafety
audits).
2.6.2EnsurethereisarepresentativefromSAConthePedestrianMobility ShortTerm PublicWorks
Committee,whichistobestruckasperthePlan. SAC
2.6.3EncourageNeighbourhoodAssociationsandBIAstoconduct MediumTerm NeighbourhoodAssociations
walkability/accessibilityoftheirparticularenvironmentsusing BIAs
questionnairesprovidedbyPublicHealthortheHCoA. HCoA
2.6.3.1Forwardresultsofwalkability/accessibilityauditstoPublic MediumTerm EnvironmentHamilton
Worksforconsiderationwhenrepairs,replacements,upgradesand/or
reconstructionsofstreetsarebeingplanned.
2.6.4ContinuetoimplementrecommendationsfromtheCyclingMaster MediumTerm CityCouncil
Planusinganolderadultlens. CityofHamiltonPublicWorks
2.6.5Developacyclingworkshopgearedtoolderadults,includingsafety ShortTerm CityofHamiltonPublicWorks,
measures,rulesoftheroadandtestingofabilitysothatolderadultswill RecreationDivision,
safelyridebicyclesandtakeadvantageofbikeͲsharerentalprograms. SeniorsCentres
YWCAandYMCA
HCoA
2.6.6Createanadhoccommittee,whichincludesrepresentativesfrom ShortTerm CityofHamiltonPublicWorks
SACandtheDisabilitiesAdvisoryCommittee,toexamineexisting SAC
regulationsandbyͲlawswithregardtouseofmobilitydeviceson DAC
sidewalksandmakerecommendations.
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SPACESANDPLACES
Actions Timeline Stakeholders
2.6.7Provideinformationonaccessibletrailstothepublic. ShortTerm HCoA
CityofHamiltonPublicWorks
HamiltonConservationAuthority
HamiltonBurlingtonTrailCouncil
2.6.8Whenopportunitiesarise,encouragemunicipalandcommunity MediumTerm CityofHamilton
servicestocoͲlocatetosimplifyaccess,andincreaseresidents’exposureto
informationandavailableservices.
2.6.9EstablishawayͲfindingprocessfortheCityofHamiltonthroughuse MediumTerm CityofHamiltonPublicWorks
ofvisualinformationusingstandardizedinternationalsymbolsasmuchas
possible,forsuchthingsaslandmarks,signage,pathwaysand
environmentalcues,tohelpresidentsandnewcomersnavigatetheirway
throughHamiltonwithease.Includeolderadults/pedestriansinthe
developmentofwayͲfindingsignage.
2.6.10Areaszonedformixeduseshallprovideforamixofcomplementary LongTerm CityofHamiltonPlanning&
usesthatexpandthediversityofexperiencesandoptionsavailableto EconomicDevelopment
residents(i.e.,easyaccessbetweenretail,employment,residential,public,
socialandhealthservices,educationandrecreationuses).
2.6.10.1CreateacrossͲdepartmental‘CompleteCommunities’
committeetoexploreintegrationofmixeduse,increaseddensity,a MediumTerm CityofHamiltonDepartments
widerrangeoftransportationoptionsandhousingchoices.This
includeslocalwalkableaccesstooptionsforfood,transportation,
housing,recreation,education,retail,employment,andinformation
services.
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2.6.11Collaboratewithstakeholderstoimprovethequalityandfeatures MediumTerm CityofHamiltonPublicWorks,
ofpublicspacetopromotesocialengagementandreduceisolation. PublicHealthServices
2.6.12Developpartnershipagreementsbetweenthemunicipality,school MediumTerm CityofHamiltonPublicWorks,
boards,privatesectorandthecommunityfortheshareduseofschool RecreationDivision
grounds,schoolsthatareclosing,municipalfacilitiesandprivateand SchoolBoards
publicspacesforlowtonocostleisureandrecreationaluse. HamiltonPublicLibrary
*Initialstakeholdersareindicatedforeachaction.Identifyingadditionalstakeholderswillbepartofnextsteps.
PrinciplesincorporatedintoActions
; 1.Creatingsupportiveandenablingenvironments
; 2.Optimizingopportunitiesforhealth,participation,securityand
lifeͲlonglearning
; 3.Equity,inclusionandrespect
; 4.Aninformedcommunity
; 5.Neighbourhoodcapacitybuilding
; 6.Effectivepublicservice
; 7.Communityengagement
+DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\
&RPPXQLFDWLRQ ,QIRUPDWLRQ
TheIssues
Consultationparticipantsconsistentlystatedthatitisverychallengingtoknowwhatisavailable
tothemandhowtofindoutaboutservices.Thechallengeworsensintheinstanceofcrisis.14
LimitedEnglishlanguageabilityexacerbatesproblemswithaccesstoinformation.Whiletranslationserviceis
availableat546ͲCITY,211andHNHBCCAC,thatfactisnotreadilydiscoverableifyoudon’tknowtolookor
ask.
Whileinternetusageisincreasingamongolderadults,olderindividualstypicallylookforinformationinthe
phonebook,otherprintedformatslikethenewspaper,orbyaskingfamilyandfriends.SomealsowatchCable
14.Manydonotconsidersearchingforinformationonline.
Thedigitaldivide:government,nonͲprofitandprivatesectorareallmovingtodigitalformsofcommunication
andinformationandnotdistributingprintedformsofinformation,leavinglargenumbersofpeoplebehind,
particularlyseniors.Manyparticipantsidentifiedalackofprintedmaterialasproblematicforthem.
Somepeopleassumeprograms,servicesandsupportsarenotavailableandthereforedonotlookfor
informationatall.
Participantsemphasisedthatinformationmustbeinaccessibleformats.Manyidentifiedtheneedfor
materialsinlargeprint.
Devicestoaccommodatespecialcommunicationneedsarenotreadilyavailableinthecommunity.
Theneedforthetypeofassistanceprovidedbysystemnavigatorswasfrequentlymentioned.
14
Denton,M.,Ploeg,J.,Tindale,J.,Hutchison,B.,Brazil,K.AkhtarͲDanesh,N.,Quinlan,M.,Lillie,J.,Millen,J.,&Boos.(2008).Wherewouldyou
turnforhelp?Olderadults'awarenessofcommunitysupportservices.CanadianJournalonAging,27(4),359Ͳ370.
+DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\ *RDOV±2EMHFWLYHV±$FWLRQV
Olderadultsarelookingforopportunitiestolearnabouttheuseofcomputersandotherinformation
technology.
EnvironmentalScan
Assets Gaps Challenges
AODAActandRegulations ManynonͲprofitorganizationsdonot 905Ͳ546ͲCITYprovidestranslationin149
AccessandEquityPolicies havebudgetstosupportadvertisingand languages,butmanyresidentsarenot
promotion awareofthisservice
Effectiveinformationandreferral
systems:905Ͳ546ͲCITY,Redbook Informationisoftennotavailablein TheCityisalargeandcomplex
Hamilton,211Ontario accessibleorageͲfriendlyformats organizationmakingitdifficulttoget
Limitedawarenessofpotentialimpactof informationouttopeople
Translationservicesthrough211and905Ͳ
546ͲCITY agingdemographic Technologicalbarrierstodistributingand
FrontlinestaffarenotalwaysupͲtoͲdate accessinginformation
Healthdatabases(MyHealthGPS,
Healthline) andinformed Competingprioritiesforfunding,i.e.,big
Localinformationhubs(i.e.,Municipal Manyolderadultsprefertospeak/interact capitalinfrastructureneeds
ServiceCentres,Libraries,Recreation witha“real”person Clientbaseisfragmented–arangeof
Centres,SeniorsCentres,YWCAand ThereisalowlevelofawarenessofWHO ages,stagesandgeographicallocations
YMCA,communityinformationservices) AgeͲfriendlyCitiesapproachorprovincial Cityresources–needtodevelopinterͲ
Coursesofferedontheuseoftechnology report“LivingLonger,LivingWell”among departmentaldialogueandestablish
throughRecreationCentres(Seniors, decisionmakers opportunitiesforcollaboration
YWCA,etc.),HamiltonPublicLibraries NoonͲgoingpublicawarenesscampaign
for211
NoconsistentuseofageͲfriendly
communication
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GOAL–COMMUNICATIONANDINFORMATION
Olderadultshaveaccesstoinformationandsystemsthatarebetterconnected,andareabletoinfluenceand
designthetypeofinformationsystemstheyneed;customerserviceandwayͲfindingareintentionaland
responsivetoindividualneedsandcapacities.
RECOMMENDATIONS
OBJECTIVE3.1Increaseawarenessoflocal“trustedsources”ofinformation,i.e.,905Ͳ546ͲCITY,Redbook.ca,211
Actions Timeline InitialStakeholders*
3.1.1Promote905Ͳ546ͲCITY,Redbook.caand211throughthe ShortTerm CityofHamilton
developmentofaconsumerawarenesscampaigntargetedatolderadults. UnitedWayBGH
InformationHamilton
211Ontario
3.1.2CoordinatewithInformationHamiltontoensurethatlinkstoCity, ShortTerm CityofHamilton
recreation,andotherservicesforseniorsandolderadultsarecurrentand InformationHamilton
comprehensive. Communitysector
3.1.3LearningfromtheevaluationoftheDundasInfoSpot55+pilot ShortTerm CityofHamiltonRecreation
project15,investigatethevalueofplacinginformationtouchscreensin Division,PublicHealthServices
selectlocationsacrossthecity,i.e.,cityfacilities(includinglibraries)and HamiltonPublicLibrary
throughaprivateͲpublicpartnershipwithretailers(i.e.,grocerystores, HamiltonCouncilonAging
pharmacies). HumanServices
OBJECTIVE3.2ImprovecommunicationbetweentheCityofHamiltonandolderresidents
3.2.1Developadedicatedolderadults’pageonthenewCityofHamilton ShortTerm CityofHamilton
websitethatprovidesacentralsourceofinformationonservicesand
supportsforolderadults.
15
TheDundasInfoSpot55+projectwillhaveatouchscreenmonitorwithinformationonservicesforolderadultsinDundaslocatedinthePublic
LibraryandRecreationCentre.
+DPLOWRQ¶V3ODQIRUDQ$JH)ULHQGO\&LW\ You can also read