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HomeMy WebLinkAboutAgenda - 05-16-2017 - 4-d - Acceptance of the 2017-22 Orange County Master Aging Plan 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 16, 2017 Action Agenda Item No. 4-d SUBJECT: Acceptance of the 2017-22 Orange County Master Aging Plan DEPARTMENT: Aging and Advisory Board on Aging ATTACHMENT(S): INFORMATION CONTACT: 2017-22 Orange County Master Aging Janice Tyler, Director, 919-245-4255 Plan Margaret Cohn, Chair, Advisory Board on Aging Mary Fraser, MAP Committee Chair PURPOSE: To review and accept the 2017-22 Orange County Master Aging Plan (MAP). BACKGROUND: The 2017-22 Master Aging Plan (MAP) marks the fourth cycle of strategic planning for the Orange County Department on Aging(OCDOA).However, this is the first MAP based on the World Health Organization/American Association of Retired Persons (WHO/AARP) Framework for an Age-Friendly Community (AFC). This framework was chosen after deciding to be the first NC county to work toward becoming an age-friendly community. The AFC framework contains eight (8) domains of livability that influence the quality of life for older adults: outdoor spaces and buildings, transportation, housing, social participation, respect and social inclusion, civic participation and employment, communication and information and health services. In addition to these domains several cross cutting issues were addressed throughout the MAP process. Those included communication and information; the diversity of the older adult population; the desire for intergenerational opportunities; and also the desire of the older adults in the community to be included in all solutions. The goals, objectives, strategies and indicators represent 860 community survey respondents, and the work of over 200 persons, including Orange County residents, County and Town leadership, major healthcare systems, faith-based and non-profit services groups and older adult advocates. All of these stakeholders were involved at different times during the MAP's development, beginning in summer 2016 with a community needs assessment survey, followed by five work groups that met over a ten week period and ending in spring 2017 with a period of public comment. 2 This MAP comes at a particularly crucial point in the history of Orange County, as there are more older adults in the County than there are children in school. Orange County's aging population is diverse, widespread and representative of a variety of life experiences. The success of the MAP depends on continued collaboration and community involvement over the next five years. Through working together community members will build capacity to support the aging population and make Orange County a great place to age well. The UNC School of Public Health - Health Policy and Management Capstone Team and Melissa Hunter, a UNC Graduate School of Social Work Intern, for their assistance in helping create the plan that will be used to guide aging services for the next five years. In addition to guiding the County, this planning process has been shared with other communities as a model for creating an aging plan for their communities. As with the 2012-2017 MAP, the planning process is being organized into a "toolkit" that will be available on-line as a resource for other communities to develop an aging plan. FINANCIAL IMPACT: None at this time. Over the summer, staff will be creating an implementation plan for the first year of the MAP. Staff has already identified strategies that will be accomplished within the proposed 2017-18 budget. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. • GOAL: ESTABLISH SUSTAINABLE AND EQUITABLE LAND-USE AND ENVIRONMENTAL POLICIES The fair treatment and meaningful involvement of people of all races, cultures, incomes and educational levels with respect to the development and enforcement of environmental laws, regulations, policies, and decisions. Fair treatment means that no group of people should bear a disproportionate share of the negative environmental consequences resulting from industrial, governmental and commercial operations or policies. • GOAL: ENABLE FULL CIVIC PARTICIPATION Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation 3 With the MAP covering the eight domains of the Age-Friendly Communities framework and in partnership with the County, the Towns, and 30+ community partners, it is a comprehensive plan that touches all of the BOCC's Social Justice goals. RECOMMENDATION(S): The Manager recommends that the Board review and accept the 2017-22 Master Aging Plan. 4 2 017®2 022 Orange County Master Aging Plan ORANGE COUNTY MASTER AGING PLAN Colt VU110 ifif lP//ll N� 117 ° 1 "' ,�„ �� r�i 011�l°ll�P11111 err U It,, Cat° / Goals, objectives, Strategies, and 1 / 1//////// Indicators Prepared under the leadership of: The Master Aging Plan Steering Committee The Orange County Advisory Board on Aging The Master Aging Plan Leadership Committee Members of the Bachelor of Public Health Capstone Team Health Policy and Management Department University of North Carolina at Chapel Hill 5 2017-2022 Orange County Master Aging Plan AUTHORSHIP UNC Bachelor of Public Health Capstone Team Cecilia Blomberg Stephanie Chien Sadiyya Ingawa Makayla Nichols Breana Sharer UNC Graduate School of Social Work Intern Melissa Hunter Orange County Department on Aging Staff Janice Tyler—Director Mary Fraser— MAP Committee Chair Please direct questions and comments regarding the Master Aging Plan to Janice Tyler, Director of the Orange County Department on Aging: ityler @orangecountync.gov 6 2017®2022 Orange County Master Aging Plan Orange County Master Aging Plan Table of Contents Executive Summary 1 Introduction 5 Development of the Plan 6 Demographics 11 DOMAIN: Outdoor Spaces and Buildings 17 DOMAIN:Transportation 21 DOMAIN: Housing 24 DOMAIN: Social Participation 28 DOMAIN: Respect and Social Inclusion 31 DOMAIN: Civic Participation and Employment 34 DOMAIN: Community Support and Health Services 38 DOMAIN: Communication and Information 44 Conclusion 47 Acknowledgements 48 Frequently Used Acronyms 52 Glossary 53 Index of Responsible Agency 55 References 61 7 2017®2022 Orange County Master Aging Plan IIF:xec utive S urn rn ry The 2017-2022 Master Aging Plan (MAP) marks In the fall and winter of 2016, stakeholders the fourth cycle of strategic planning for the participated in a community kick-off event, Orange County Department on Aging (OCDOA). work group meetings, and periodic MAP However, this is the first MAP based on the Leadership and Steering Committee meetings. AARP Framework for an Age-Friendly The inclusion of these diverse stakeholders in Community (AFC). The AFC framework developing the MAP is essential to ensuring contains 8 domains of livability that influence that the plan meets the needs of a growing the quality of life for older adults: outdoor older adult population. spaces and buildings, transportation, housing, social participation, respect and social The 2017-2022 MAP comes at a particularly inclusion, civic participation and employment, crucial point in the history of Orange County. communication and information, and The proportion of older adults within the community and health services. general population is growing rapidly at the national level as well as right here in Orange The goals included in the 2017-2022 MAP are County. Orange County's aging population is intended to make Orange County an age- diverse, widespread, and representative of a friendly community, a place where structures variety of life experiences. Achieving the goals and services are adapted to be accessible to and objectives in the MAP is essential in and inclusive of older adults with varying needs preparing the county for the influx of older and capacities. For this reason, the plan covers adults who will be using county and town a wide range of topics, from communication programs and services. and information to housing and outdoor spaces and buildings. The success of the MAP depends on continued collaboration and community involvement over The 2017-2022 MAP was developed using the the next five years. Without the participation of AARP Age-Friendly Community Framework as a a variety of community members and guide. The goals, objectives, and strategies organizations, an integrated countywide plan represent the work of a variety of stakeholders will not be successful. The achievement of this throughout the MAP planning process. These plan requires the recognition that we all are stakeholders include Orange County residents, aging, this plan affects all of us, and an age- county and town leadership, major healthcare friendly community benefits our county as a systems, faith-based and non-profit service whole. Through working together to meet the groups, and older adult advocates. All of these goals and objectives of the 2017-2022 MAP, stakeholders were involved at different times residents and diverse organizations will help during the MAP's development, beginning in Orange County build capacity to support our summer 2016 with a community needs aging population and ultimately improve the assessment survey and ending in spring 2017 quality of life for our older adults. with a period of public comment. 1 8 2017-2022 Orange County Master Aging Plan 'w IF ()hied Ives The following goals are Orange County's guiding principles in serving our older adult population. Goal.......g........—.....Outdoor.....Spaces...... ....... .. '...!!..�... ...!!..n..gs.... OIptiiirruiize usaIbii ity of outdoor spaces and Ibaii diiiregs for older adults ❑ Objective 1.1: Increase engagement of older adults in planning, monitoring, and maintenance processes. ❑ Objective 1.2: Improve accessibility, availability, convenience, and use of outdoor spaces and buildings. ❑ Objective 1.3: Create and implement county and town development and construction regulations and standards that address senior mobility challenges. Goa I.......) - ra s„Iportp; li ! � Expand services and iiimIprove infrastructure for safe, acressiiIble, and affordable travel within the community ❑ Objective 2.1: Expand availability and improve transportation options for older adults. ❑ Objective 2.2: Improve collaboration among public and private transportation services to overcome barriers to mobility. ❑ Objective 2.3: Increase access to transportation information and travel training. Goa �,, !I! g hm Ip it o v e choice, quality, and a ff o r d a Ib ii ii t y of housing, ii ire c I u cfi ire g housing wfth services and long-term care OIptiiOns ❑ Objective 3.1: Modify, eliminate, or create policies that result in full realization of the MAP housing goal. ❑ Objective 3.2: Develop new affordable senior housing (rental and ownership, including supported housing). ❑ Objective 3.3: Modify and repair existing housing for safety and accessibility. ❑ Objective 3.4: Educate the public about housing options in later life, emphasizing the importance of accessibility, safety, and maintenance. ❑ Objective 3.5: Activate the community to support and improve quality of life for older adults living in long-term care settings. ❑ Objective 3.6: Support Orange County residents to age in community. 2 9 2017-2022 Orange County Master Aging Plan Goal 5o !!aIPar fi !!JP,g,; ! ! Promote diverse and a c c e s s ii Ib I e opportunities for participation and engagement of Olden adults: ❑ Objective 4.1: Expand opportunities for educational, intergenerational, and cultural programming. Goal Respect 5o !!aIh c lusII ! Uphold a l l older a d cu I is as valuable members and resources of the coinincunfty ❑ Objective 5.1: Ensure a welcoming, inclusive, and livable community. ❑ Objective 5.2: Promote social inclusion and community cohesion at the senior centers and other community locations. Goal........6.........—......C..i.vil.c........Engagement....... ........E..!m..P...l...o..Y..im.e..n..:t: Connect older a d cu I is who are seeking paid d employment or ireeaniiirngfcuI volunteer experience with a diverse array of opportunities. ❑ Objective 6.1: Create effective pathways for older adults to secure fairly compensated employment, including traditional, alternative, and entrepreneurial options. ❑ Objective 6.2: Expand opportunities for older adults to gain both job-seeking and on-the-job skills. ❑ Objective 6.3: Promote the value of an experienced workforce to local employers. ❑ Objective 6.4: Expand enriching volunteer opportunities for older adults. Goal 7 — Communty Suppprt & Health Sehullceso Ensure the communfty has accessiiIble and aHoirdaIble resources to support iiirediiviidcuaI health and wellIbeiing goals throughout the aging Ipirocess. ❑ Objective 7.1: Increase awareness and use of available health and wellness resources. ❑ Objective 7.2: Expand services to help older adults age in their homes and communities. ❑ Objective 7.3: Improve collaboration between medical providers and OCDOA. ❑ Objective 7.4: Address the problem of food insecurity among older adults. ❑ Objective 7.5: Promote and support the growth of the "village"/neighborhood model of community support across all of Orange County for individuals aging in their homes. 3 10 2017-2022 Orange County Master Aging Plan El Objective 7.6: Support planning for and fulfillment of individual goals in all stages at the end of life. Empower older adults and theft fa0NWeS to make ftrf0r0Ned dedSk)nSand to easHy access avaHabe services and supports. El Objective 8.1: Increase the accessibility of information regarding available programs, services, and resources. Cross-Cutting Issues Addressed by All Work Groups Communication and information Diversity of the older adult population Intergenerational opportunities Including older adults in solutions 11 2017®2022 Orange County Master Aging Plan r'. ucti i n. The Orange County Department on Aging The 2017-2022 MAP focuses mainly on older (OCDOA) created its first five-year Master Aging adults, who are defined in this MAP as Plan (MAP) in 2002. The current 2017-2022 individuals age 60 and above. It will largely be MAP is the fourth round of comprehensive implemented by the OCDOA; however, true planning for Orange County's growing older improvement in the lives of Orange County population. It is designed with a continued residents requires a broader perspective. We value on strong community member and are all aging, meaning that the goals and stakeholder involvement in its production. objectives outlined in the MAP affect everyone, not just older adults. County and town In an attempt to be even more comprehensive governmental units, health care, and private in its planning, the OCDOA has chosen the service providers will need to coordinate efforts World Health Organization (WHO) and AARP's for seamless integration of programs and Age-Friendly Communities (AFC) framework services. The recognition that this plan affects for the structure of the 2017-2022 MAP. This all of us, and we need to work together to framework guided the focus of the MAP design implement it, is essential to the success of the by organizing community subject matter and 2017-2022 MAP. discussions into relevant domains and workgroups. The OCDOA recruited students The MAP begins with a description of the from the University of North Carolina Gilling's development process. An overview of current School of Public Health, Graduate School of and projected demographic characteristics of Social Work, School of Nursing, and City and older adults in Orange County follows, to Regional Planning to expand its capacity to highlight the importance of the plan for elicit feedback from older adults, service preparing the county for an aging population. providers, government departments, and other Finally, the goals, objectives, strategies, and community stakeholders. These students indicators to guide this preparation are collaborated with members of the MAP outlined in detail. These are the steps we hope Leadership Committee to support the year-long to take to make Orange County a more age- MAP design. friendly community based on WHO and AARP's domains of livability. 5 12 2017®2022 Orange County Master Aging Plan WHO Age Friendly Community Framework 1 e iota 00) our di'AtrliCe" 1,4 A Friendly IC Ott Orange County Department on Aging Mission Statement To provide leadership in planning and operating a system of integrated aging services through state of the art senior centers, serving as focal points for coordinated community and individualized programs designed to educate seniors and their families and maximize the health, well-being, community engagement, and independence of older adults at all functional levels. II[. .llr if Il f :IIP 1 n Pi tt Sired: ut e objectives in each of the eight domains of an In July of 2016, Orange County joined AARP's AFC: outdoor spaces and buildings, Network of Age-Friendly Communities (AFC). transportation, housing, social participation, This means county and town leaders agreed to respect and social inclusion, civic participation actively work together toward making Orange and employment, communication and County an ideal place to live for people of all information, and community and health ages by using the AARP AFC framework. This services. framework includes eight domains of livability tt that influence the quality of life for older It is the vision of the 2017-2022 MAP that adults. The 2017-2022 MAP reflects this commitment by developing goals and Orange County and its municipalities meet the 6 13 2017®2022 Orange County Master Aging Plan standards of an age-friendly community. An The second community assessment activity was age-friendly community is a place where an electronic survey emailed to all Orange structures and services are adapted to be County government employees and a 2,000- accessible to and inclusive of older adults with person listsery maintained by the senior varying needs and capacities. Orange County centers, with a total of 860 respondents. The aims to become an age-friendly community in survey was also distributed to various all 8 domains by developing and maintaining neighborhood and association listservs. The services that foster lifelong engagement in guiding questions of the survey were 1) What community affairs, opportunities for creativity are you worried about when you thinking about and productivity, meaningful connections with aging? 2) What is Orange County already doing others, and a sense of physical and emotional well? and 3) What would you like to see wellbeing. As a result, Orange County will be happen? What are some "magic wand" ideas the ideal place to grow older and age well. you have? Cm .110,110 1010 t : los Assessmeni: Key fttC t ro ti iniermws Between May and September of 2016, the Throughout summer 2016, the OCDOA OCDOA conducted a community needs conducted 34 key informant interviews in 26 assessment, which was intended to provide agencies across Orange County. These key community members with an opportunity to informant interviews were conducted with voice their vision for aging in Orange County stakeholders in county and town government, over the next five years. The first community healthcare, faith-based organizations, and assessment activity was a series of 13 focus community services. The purpose of the key groups held at various locations throughout the informant interviews was to identify ideas and seven townships of Orange County. These focus areas of concern for the aging population groups were held in English, Mandarin, and among the different agencies in the county. In Spanish. Focus groups had a total of 63 addition to gathering useful information about participants and were held at the following Orange County's preparedness for an aging locations: population, the key informant interviews were intended to generate buy-in, foster • Robert and Pearl Seymour Center collaboration, understand how the work of the • Rogers Road Community Center OCDOA intersects with that of other • Efland-Cheeks Community Center • Maple View Farms Agricultural Center stakeholders, and formulate a comprehensive • Carrboro Century Center vision for aging in Orange County over the next • Cedar Grove Community Center five years. • Schley Grange Hall • Chapel Hill Public Library t tti Si � i �t • Jerry M. Passmore Center In its first months, the MAP Leadership • Orange County Public Library Committee determined the group structure • El Centro Hispano de Carrboro that would guide the development of the 2017- 2022 Master Aging Plan. Although the Orange County Board of County Commissioners is 7 14 2017®2022 Orange County Master Aging Plan ultimately responsible for accepting the plan, Members are able to identify their agencies as several other bodies were involved in responsible for carrying out specific strategies developing and overseeing the plan. The MAP outlined in the plan. All of the responsible Steering Committee is a high-level committee parties were directly involved in the MAP made up of key representatives from county development process or are natural partners in and town leadership and governmental units, these efforts. Resident input came from major healthcare systems, faith-based participation in the workgroups and the public organizations, non-profit service groups, and comment sessions. Additionally, the OCDOA older adult advocacy groups. The MAP Steering welcomes other stakeholders not listed in the Committee is responsible for providing plan to assist in the implementation of the resources, strategic vision and oversight to the MAP. development and implementation of the plan. MAP Participant Structure l liu 11 io'Hhool llho iuu hoi ufll uu�iiu Vi iu mIll i iol dh i Ili �000 II e MAP Steering Committee Public Comment �. .. MAP Leadership i Committee Work Work Work Work Work Group#1 Group#2 Group#3 group#4 Group#5 C VI m.VI m ut V Kuck if Eveni Communities, and the results from the focus The OCDOA sponsored two community forums groups and surveys. Participants then split into in October of 2016. These forums took place at nine discussion groups to identify priorities in the Seymour Center and Passmore Center the eight domains of age-friendly communities. where nearly 100 people attended. The One facilitator and one note-taker were at each purpose of these events was to present the table to record interactions and main points for community assessment results to a broader each domain. Participants discussed missing audience and gain community input to further areas to address and ranked their top choices identify priorities in the eight domains of age- for prioritizing objectives for the MAP using the friendly communities. The event started with a "WHO Checklist of Essential Features of an Age series of presentations about the context of Friendly Community". These priorities were aging, Orange County's participation with the collected and compiled to find the areas of WHO/AARP Network of Age-Friendly most concern to community members. This 8 15 2017®2022 Orange County Master Aging Plan allowed the leadership committee to narrow • Spaces oriented to the needs to older the scope of the eight domains to five major adults workgroups. iransportation: cwt" u p s • Volunteer driving program The five work group topics identified from the • Access to transportation outside of community assessment and the community Chapel Hill/Carrboro forums were Transportation and Outdoor • Coordination between transportation agencies, both public and private, in the Spaces and Buildings, Housing, Social Triangle Participation and Inclusion, Civic Participation • Planning processes include older adults and Employment, and Community Supports and their needs and Health Services. The eighth domain, • Easy to understand and accessible Communication and Information, was identified information about transportation as a crosscutting issue that all work groups options included. Work groups met over a five-meeting Housing: sequence from January 2017 to March 2017 in • Housing policies and their impact on a standardized process across groups. One senior housing OCDOA staff member or volunteer led each • Information for older adults about their work group consisting of 20-30 community options members. Each group was further split into • Long-term care facilities and housing subgroups to discuss more specific issues. UNC with services graduate and undergraduate students assisted • Housing repair and maintenance with facilitation and note-taking during these services for older adults • Affordable and quality housing discussions. Work groups were responsible for researching the topic area, identifying Soci�. 11 Participation and Incllusion: problems within the topic area in Orange • Intergenerational opportunities County, and formulating objectives and • Identification of those who are at risk of strategies to address that problem. The final exclusion output from each work group was a concise list • Continued education programs for older of objectives and strategies that were then filed adults under the broader group goal. Below is a • Disparities in engagement between geographic areas of the county summary of the main discussion points of each • Utilization of space outside of the senior of the MAP Work Groups. centers Outdoor Spaces and BuHdings: • Involvement in planning processes and Civic P�. rtBcBp�.tBon and Eirplloyirento • Fair compensation for those who need public schedules employment • Maintenance of public areas and • Searching for jobs and application addition of benches, public restrooms, process etc. • Multigenerational workforce • Accessibility of sidewalks, especially in preparation rural areas 9 16 2017®2022 Orange County Master Aging Plan • Volunteer experience in new areas throughout the process of the critical • Expanding current volunteer programs importance of ensuring that older adults are able to easily access the information needed in Community Supports and Health Services: order to utilize resources developed by • Economic barriers impeding access to partners of the MAP. health and community support services • Clear and accessible information is In addition, each work group addressed matters provided about health and social of diversity and recognized economic barriers services to the goals they set forth. It was important to • Food access, particularly in rural areas consider the possible barriers that older adults experience related to race, ethnic group, and • A range of health and community economic status. Also, many older adults services offered for promoting, experience a wide range of health conditions maintaining and restoring health that can make participation in community life • Coordinated and administratively simple more difficult. Similar to economic and services diversity considerations, geographic equity was • Resources available to assist older an issue for all work groups to consider. Work adults in making life decisions group members were asked to be cognizant of • Dementia-friendly services and spaces the varied and geographically separated nature • Quality and affordable in-home, respite, of our county population as it relates to the and adult day care services MAP's vision for all residents to be considered • Mental health services in the in and to benefit from the MAP. community In focus groups and community meetings, older pmt" lsc 10 1tt folio i it" ' i by jj adults repeatedly expressed the desire to retain vv „Irk cwt" u ,S opportunities for intergenerational In addition to domain-specific issues, each work engagement as they age. Instead of separating group was instructed to address four older adults from the rest of the community, crosscutting issues in its discussion and work groups were asked to consider recommendations. These crosscutting issues recommendations that would serve the entire included: community and foster social interaction. 1. Communication and information Finally, all work groups were asked to utilize 2. Diversity of the older adult population the wisdom, energy, and political power 3. Intergenerational opportunities inherent in the older adult population within 4. Including older adults in solutions Orange County. Implementation strategies should capitalize on these strengths. There is a Instead of isolating communication and information dissemination into one domain continual need for the voices of older adults work group, the MAP Leadership Committee and their leadership in order to accomplish the asked each work group to consider the best strategies and objectives set forth by the 2017- ways to share information with older adults 2022 MAP. who will be affected by its recommendations and those who will be collaborating to pollobitc c VI m.Vl mt : implement them, with a special eye toward the After completing the five work group meetings, pros and cons of using available and emerging UNC undergraduate students and OCDOA staff technology. Work groups remained conscious compiled each work group's goals, objectives 10 17 2017®2022 Orange County Master Aging Plan and strategies under the eight Age-Friendly North Carolina should expect stark increases in Community Domains. The MAP draft was then demands for services targeted toward our shared with the OCDOA Advisory Board on aging population as well as changes in the types Aging and the MAP Steering Committee, the of services that are demanded. Additionally, two bodies charged with oversight of the North Carolina's entire population can expect progress of MAP. This review process to benefit from the contributions of an aging generated a draft of the final MAP, which was workforce, so long as space is created for those placed on the OCDOA website and distributed contributions to be made. via email and by paper copy to the general public for comment. OCDOA scheduled two Growth and ogevtr Orange County can expect its older adult public comment sessions at each of the population to mirror similar growth patterns to county's two senior centers to collect in-person those of the state and country in coming years. feedback about the MAP draft. In 2015, 18% of the population was 60+ and by 2035 it will be 26%. By 2030, this population ems • hics will more than double from its size in 2015, reaching an estimated 43,621 people and 011 t lon. inc US tt N i making up 26% of all Orange County mjtt individuals.' Life expectancy at birth for Orange The population of older adults is growing County residents was 80.8 years in 2015, up across the United States. In 2014, adults ages from 77.2 years in 1992.3 In 2015, life 65 and older accounted for approximately 1 in expectancy was reported to have grown to 82 7 Americans. By 2035, that number is expected years in Orange County.4 Life expectancy at to become 1 in 5.' The number of adults in the birth is higher for women than men, and for US age 65+ is expected to double by 2060, Whites when compared to African Americans in reaching an estimated 98 million.2 As the Orange County.3 Boomer generation ages, the US population will experience growth in the proportions of older The 2010 US Census data states that the adults in each age group.2 Exact estimates vary, proportion of adults age 55+ in Orange County but there is no disputing the fact that our aging was approximately equal to the proportion of population is growing fast. This is true for youth under age 18 (21.1% vs. 20.9%, national growth of the older adult population respectively).5 County-wide age demographic as well as growth in North Carolina. projections suggest that the scales will tip further in favor of older adults in coming years. North Carolinians 60+ accounted for 20.9% of By 2035, persons aged 60+ will represent 26% the population in 2015, but are expected to of Orange County; whereas, children aged 0-17 make up 26.4% of the population by the year years will only represent 17% of the county's 2035.2 Knowing this, our communities must population. This reflects the crucial importance answer the need to serve a growing older of considering Orange County's older adult adult population with relevant services. community when allocating county and town 11 18 2017-2022 Orange County Master Aging Plan resources in order to support them, as well as population, education levels for adults in their caregivers and families. Orange County are consistently higher than averages at the state level.6 Older adults face Demographic Patterns less poverty in Orange County, but are Orange County's older adult population proportionately more likely to be living alone. appears to be whiter than the county's population as a whole. The older adult Characteristics and Distribution population also has a larger proportion of The following tables provide some basic people who are veterans as well as of people demographic characteristics of Orange County's who are married. As one might expect, older total population as compared to its older adult adults have a larger proportion of people who population. The following data come from the have a disability when compared to Orange 2011-2015 American Community Survey Five- County's population as a whole. While older Year Estimates7 and the North Carolina Division adults in Orange County are proportionately of Aging and Adult Services 2015 County Aging less educated than the general county Profile8. Table 1.1 Orange County Age Projections Ages 2015 2035 %Change # % # % (2015-2035) Total 140,144 171,058 22% 0-17 26,906 19% 28,677 17% 7% 18-44 59,694 43% 69,384 41% 16% 45-59 27,979 20% 29,376 17% 5% 60+ 25,565 18% 43,621 26% 71% 65+ 17,180 12% 35,096 21% 104% 85+ 1,799 1% 5,212 3% 190% 12 19 2017-2022 Orange County Master Aging Plan Figure 1.1 Orange County Population Change Population Change 50,000 - Age 60+ 40,000 - 30,000 - _ 20,000 - 10,000 - —A Age 85+ 1999 2015 2035 Table 1.2 Characteristics of Orange County Residents: Total Population vs. Age 65+ Characteristics Orange County Total Orange County Older Population Adults SEX Male 47.7% 43.9% Female 52.3% 56.1% RACE White 75.0% 84.4% Black or African American 11.7% 12.5% American Indian and Alaska Native 0.4% 0.4% Asian 7.3% 2.5% Some other race 2.6% 0.0% Two or more races 3.0% 0.2% Hispanic or Latino origin (of any race) 8.3% 1.9% White alone, not Hispanic or Latino 69.8% 82.7% POVERTY STATUS IN THE PAST 12 MONTHS Below 100 percent of the poverty level 15.8% 5.2% 100 to 149 percent of the poverty level 7.7% 6.5% At or above 150 percent of the poverty level 76.6% 88.3% 13 20 2017-2022 Orange County Master Aging Plan Characteristics Orange County Total Orange County Older Population Adults EMPLOYMENT STATUS In labor force 65.8% 23.5% Employed 61.6% 22.8% Unemployed 4.2% 0.7% Not in labor force 34.2% 76.5% LANGUAGE SPOKEN AT HOME English only 83.3% 91.9% Language other than English 16.7% 8.1% Speak English less than "very well" 6.4% 2.5% DISABILITY STATUS With any disability 8.3% 27.2% No disability 91.7% 72.8% VETERAN STATUS Veterans 5.4% 18.6% EDUCATIONAL ATTAINMENT Less than high school graduate 7.9% 10.5% High school graduate, GED, or alternative 15.6% 22.1% Some college or associate's degree 19.8% 19.6% Bachelor's degree or higher 56.6% 47.8% MARITAL STATUS Now married, except separated 45.2% 62.0% Widowed 3.3% 18.1% Divorced 8.8% 14.5% Separated 1.5% 0.7% Never married 41.2% 4.6% HOUSEHOLDS BY TYPE Households 51,880 9,153 Family households 60.4% 56.0% Married-couple family 47.7% 49.0% Female householder, no husband present, family 9.8% 5.1% Nonfamily households 39.6% 44.0% Householder living alone 29.3% 42.5% Homeowners 60.4% 82.4% These data are from the 2011-2015 American Community Survey and are estimates based on a sample of the population, rather than data from the US Census. 14 21 2017-2022 Orange County Master Aging Plan Orange County, NC Active Voters 60 Years Old and Older by 2010 Census Blocks Caswell Haan ' iii";' . r 4 41 FATIII iki rq es.F4gt i• 0* .)! . 0 V ..4141/411,0pli, ,jJiy &pi • ••• ' . WITS ; —1 f3 * ! "..7— 1:it ' s .0. 11.e.,, 0 • RIMittalli rrarlk*Ortilg 0 _ :t,, co__ . • • - ict "re-r .' 1.irJ-L% is ia , • .:zia tr.4„v. "toin Z .7.. -1.4 • r 1, Ofk) . 414?-• 0:- ; Jr_ 4110! f i J41BIIlalCi .44:111 1* 1 ° � WM"0°.©0° . • /ill .4 111 at;'-'1 1D -4 • Iii-Tiowm-i -c,Vali. • Om 1) 6111„__64,11-cl I iire woe ilb At( ludv, a . ...r . • 43 0 r- NW • • .. 4_41• IV ......Aethn Voters OD Years Old 4 " � ' �{ and Older Mall 80171 * { +"r *� i I oterclCincuc Eloolr) j• + . tS * I ; 0 11-20 IN 'd i `4.7 *.P:Ar°409r-fiii -:,...., ' • .2t' l. 0 si-im IZZ/MI op.- i e ,• . l r fit• 701+ a ' -X a r , 4 ,• _ --- Gensus=017 Ecclu A ,r,.j - C Y} _rrti A 1111 o i ETJ "."q"s�"''"`yra r.rrm•. wr Cr,.I.?,:-n' This map shows the distribution of older adults age 60+throughout Orange County, based on 2017 voter data in 2010 US Census blocks.The larger the blue dot,the more older adults age 60+live in that area. 15 22 2017-2022 Orange County Master Aging Plan I ieaith Knowing that adults are living longer, Orange County must take preventive measures to support residents' health over time. Recognizing leading causes of death will be critical to this task. The top 5 leading causes of death for older adults age 65+ in Orange County are9: 1. Cancer 2. Heart Disease 3. Cerebrovascular Diseases 4. Alzheimer's Disease 5. Chronic Lower Respiratory Diseases This list displays a ranking change since the last MAP. Deaths related to chronic lower respiratory diseases were ranked 4th in 2010. These county rankings are similar to that of the state, but the leading cause of death for older adults in all of North Carolina is heart disease rather than cancer. These issues should all be considered high priority in the discussion of how to best serve our community's older adult population. When considering diseases like Alzheimer's disease, it is also important to consider the needs of caregivers. Through serving their needs, we also serve the needs of the aging community. Summary The description of Orange County's older adult population provided here offers context to understand our proposed goals, objectives, and strategies. Additionally, these data influenced the work groups and guided discussions in a variety of ways, both directly and indirectly. As the OCDOA works over the next five years to implement the following recommendations, we will continue to consider the intersecting identities of the older adults that we serve. 16 23 2 017-2 022 Orange County Master Aging Plan DOMAIN GOALS, OBJECTIVES, STRATEGIES, AND INDICATORS ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... The accessibility of outdoor spaces and public buildings affect mobility, independence, and quality of life for people of all ages, especially older adults. An age-friendly community should have: • Public gathering spaces that are pleasant, clean, and safe, with low noise levels and appropriate lighting; • Usable green spaces and walkways, adequate outdoor seating for people who may need to sit and rest, and public restrooms; • Sidewalks and roads that are well-maintained and safe for pedestrians, drivers, and cyclists; • Traffic rules and regulations that take pedestrians into consideration; • Some public spaces close to services; and • Accessible buildings. loAP I.I;; Optimize usability of outdoor spaces and buildings for older adults. "bjective :1 :1 Increase engagement of older adults in planning, monitoring, and maintenance processes. le,oy mm ; Increase channels of communication and collaboration between older adults and planning organizations in Orange County relative to outdoor spaces and buildings. INDICATORS 1.1.1a.A representative from the Orange County Department on Aging (OCDOA)Advisory Board on Aging is added to the Intergovernmental Parks Workgroup. 1.1.1b. A survey is conducted specifically dealing with natural areas to assess desires of older adults regarding natural surface trails, amenities, and ways to publicize characteristics of the natural areas. 1.1.1c. Increased communication from and to nature-related organizations regarding natural areas and other public outdoor spaces is achieved through town Planning and Parks and Recreation Departments. RESPONSIBLE AGENCIES: OCDOA, in collaboration with Orange County Department of Environment, Agriculture, Parks and Recreation (DEAPR), and town Planning and Parks and Recreation Departments C, y. mm , Provide both traditional and innovative means of monitoring and reporting maintenance issues about the condition of outdoor spaces and public buildings. INDICATORS 1.1.2a.A variety of systems are available to the public to report maintenance issues. 1.1.2b. Staff are assigned to respond to public building maintenance requests, with status updates and explanations for actions taken/not taken. 1.1.2c.Training programs on using monitoring and reporting systems are provided at OCDOA. RESPONSIBLE AGENCIES: Orange County Asset Management Service (OCAMS), DEAPR, town Public 17 24 2 017®2 022 Orange County Master Aging Plan Works and Parks and Recreation departments, OCDOA 2 �a e, y. .13 Enhance advocacy efforts by and on behalf of older adults relative to the planning and use of public outdoor spaces and buildings. INDICATORS 1.1.3a.At least one older adult is on every county and town Advisory Board that has input on outdoor spaces and buildings. 1.1.3b. A volunteer workgroup focused on advocacy for outdoor spaces is formed and facilitated by OCDOA. RESPONSIBLE AGENCIES:Advisory Board on Aging, OCDOA 2 �a e, y. .1.4 Increase awareness on the part of older adults about design/planning standards and guidelines relative to outdoor spaces and public buildings. INDICATORS 1.1.4a. Presentations to groups with large numbers of older adults (e.g., nature groups, talks at senior centers, and residential groups) on standards and guidelines are made by county and town planning departments at least annually. RESPONSIBLE AGENCIES: Orange County and town Planning Departments, DEAPR, and OCAMS, with support from the OCDOA "bjective :1 2 Improve accessibility, availability, convenience, and use of outdoor spaces and buildings. 2, . ;2.1 Increase accessibility and safety of public outdoor spaces and buildings to older adults of all abilities. INDICATORS 1.2.1a. Suggestion boxes are located in natural areas to solicit feedback from the public. 1.2.1b. Use of outdoor spaces by older adults is encouraged through special events organized by and/or for older adults. 1.2.1c. Lighting in public parks and walking trails is improved so that older adults feel safe using them. 1.2.1d. Park informational brochures are available at the Seymour and Passmore Centers. 1.2.1e.A different park is highlighted every month on the OCDOA website and in the Senior Times. 1.2.1f. Senior center staff members are trained on teaching community members how to use the interactive locator map. 1.2.1g. Maps of trails with locations of benches are available at the entrance to natural areas. 18 25 2 017-2 022 Orange County Master Aging Plan 1.2.1h. Signs/trail markers are added at intersections of longer trails. RESPONSIBLE AGENCIES: DEAPR, OCDOA, OCAMS C, y. mm . Enhance the connectivity and maintenance of sidewalks and greenways to improve usability for older adults of all abilities. INDICATORS 1.2.2a.An inventory is created that details the number of missing sidewalks and includes a map of these sidewalk gaps. 1.2.2b. An inventory is created of the county's crosswalk network (including details on the following features: countdown time,flashing beacons, voice warnings, etc.) and gaps identified during the inventory process are remedied. 1.2.2c. Maps are available that show completed sidewalk routes within the towns of Chapel Hill, Carrboro and Hillsborough. 1.2.2d. Internship opportunities are created with university students to help complete the work. RESPONSIBLE AGENCIES:Town Public Works departments,with support from OCDOA, North Carolina Department of Transportation (NCDOT) C, y. mm." . Explore innovative design materials when constructing new sidewalks to improve usability for older adults of all abilities. INDICATORS 1.2.3a.The use of new materials, such as glow in the dark sidewalk paint, is encouraged to enhance usability of sidewalks for older adults. 1.2.3b. A pilot program is conducted to find best practices for using innovative materials. RESPONSIBLE AGENCIES:Town Public Works departments C, .1;2.4: Increase the availability of small-scale outdoor areas and gathering spaces. INDICATORS 1.2.4a.The number of areas without manmade constructions obstructing nature is increased. 1.2.4b. Permeable surface paving options (e.g., porous types such as that used in the NC Botanical Garden parking lot) are used in new paving done in natural areas. 1.2.4c. Intergenerational outdoor spaces and activity stations are established at the senior centers. 1.2.4d. New developments are mandated to include small-scale parks. 19 26 2017®2022 Orange County Master Aging Plan 1.2.4e.At least one bus stop in each town is converted into a wellness stop/integrated garden. Responsible Agencies:Town Planning Departments, OCAMS, with involvement from DEAPR, Chapel Hill Transit (CHT), Orange Public Transportation (OPT), and OCDOA "bjective :1 3 Create and implement county and town development and construction regulations and standards that address senior mobility challenges. le,oy .3.1 Review design and construction regulations and standards to ensure that built environments are accessible and easy to visit. INDICATORS 1.3.1a. Existing public spaces are reviewed for compliance with Americans with Disabilities Act(ADA) standards and feedback is provided to county and town Planning Boards. 1.3.1b. New design regulations and standards are created as needed. 1.3.1c. In historic districts or circumstances where it is not feasible to provide ADA access per code, alternative means of ensuring access to structures and safe places to cross streets (e.g., move street crossings to other areas, wayfinding for disability access) are sought by towns. RESPONSIBLE AGENCIES: Orange County and town Planning Departments, Orange County Disability Awareness Council C, y. m." m , Foster partnerships between public and private agencies to improve public infrastructure. INDICATORS 1.3.2a. Partnerships are encouraged between public and private sector agencies to help finance accessibility improvements to buildings, outdoor spaces, and public transportation, such as benches and bus shelters. RESPONSIBLE AGENCIES: OCDOA 20 27 2 017-2 022 Orange County Master Aging Plan DO I Tr ➢1 wir r%• t+ t r'•n Transportation is important in communities because it links all residents to services, programming, employment, and engagement opportunities. Communities should have transportation options that allow individuals to get from place to place easily and affordably. An age-friendly community will have: • Affordable rates for public and private transportation options; • Frequent and reliable service; • Service to high priority destinations (e.g., hospitals, parks, shopping, etc.); • Accessible vehicles; • Specialized services for people with disabilities; • Priority seating for older adults; • Courteous transit workers and competent drivers; • Safe and comfortable vehicles; • Convenient stops and stations; • Easy to understand information about public transportation; • Volunteer drivers; • Well-maintained roads and regulated traffic; and • Plentiful parking. lo AP 2 I;; Expand services and improve infrastructure for safe, accessible, and affordable travel within the community. "bjective 2 :I Expand availability and improve transportation options for older adults. 2, y mm ; Increase the capacity of the current Volunteer Driver Program. INDICATORS 2.1.1a. Funding is maintained for the Volunteer Driver Program. 2.1.1b. Increased number of volunteer drivers. 2.1.1c. Increased ridership. 2.1.1d. Scheduling software is evaluated and purchased. 2.1.1e. Expanded range of services is made available, including weekly errand trips and same day service. 2.1.1f.Volunteer Driver Program is included in the Orange County Comprehensive Transportation Plan. RESPONSIBLE AGENCIES: OCDOA, with support from OPT 2, y mm . Pursue solutions to meet the need for increased transit service hours and access to more destinations. INDICATORS 2.1.2a.A needs assessment is conducted to define the needs and gaps in service hours and destinations. 2.1.2b. Service hours and destinations are increased by OPT and EZ Rider. 21 28 2 017-2 022 Orange County Master Aging Plan 2.1.2c. Affordable options are created for wheelchair transport to non-medical destinations for residents living outside of Chapel Hill/Carrboro. 2.1.2d. Same day service to urgent care appointments is established. 2.1.2e. Orange County Bus and Rail Investment Plan (OCBIRP) is reviewed to see that funds address the needs of older adults. RESPONSIBLE AGENCIES: OCDOA, with support from CHT and OPT "bjective 2 2 Improve collaboration among public and private transportation services to overcome barriers to mobility. 2, y ;2.1 Establish a medical transportation work group that meets quarterly with representatives from transit, health, and aging services focused on improving coordination of medical transportation and other issues. INDICATORS 2.2.1a.Work group meetings are held 4 times per year. 2.2.1b. Grant opportunities are identified and pursued. 2.2.1c. Older adult riders are able to travel from Orange County into neighboring counties for medical appointments and between Chapel Hill/Carrboro and Hillsborough. 2.2.1d.Transit dependent patients are identified by healthcare providers and assisted with securing transportation to appointments. 2.2.1e. A pilot program is created for training medical appointment schedulers to help transit dependent patients with ride reservations to follow up appointments. RESPONSIBLE AGENCIES: OCDOA,with support from CHT, OPT, UNC Health Care, Piedmont Health, Duke Health, and Orange County Health Department 2, y mm . Establish streamlined door-to-door transportation across county lines and between Orange County and Chapel Hill/Carrboro. INDICATORS 2.2.2a. Older adult riders are able to travel from Orange County into neighboring counties and between Chapel Hill/Carrboro and Hillsborough. 2.2.2b. Options are explored for simplifying the reservation process for a two-part ride. RESPONSIBLE AGENCIES: OPT, CHT 22 29 2017-2022 Orange County Master Aging Plan �a C y ;23 Educate transit dependent older adults about emergency/disaster preparedness and planning. INDICATORS 2.2.3a. Education about notification processes and options for assistance in times of emergency is provided to transit dependent older adults. 2.2.3b. Volunteer Driver program recipients are assisted in making plans for emergency preparedness. RESPONSIBLE AGENCIES: OCDOA, Orange County Emergency Services (EMS) "bjective 2 3 Increase access to transportation information and travel training. �a 2 y .3.1 Educate older adults to access transit information. INDICATORS 2.3.1a. Education is provided regarding information available on transportation websites relevant to county and town services. 2.3.1b. Easy to read user guides are published and regularly updated. 2.3.1c. Distribution locations for transportation information are identified and supplied with updated information. 2.3.1d. Regularly scheduled classes on subjects such as Bus Riding 101, Uber/Lyft, and Transit Apps for smartphone users are held at Senior Centers, libraries and community centers, senior apartment complexes. 2.3.1e.Transportation Help Line and Go Triangle Call Center phone numbers are widely distributed. RESPONSIBLE AGENCIES: OCDOA,with support from OPT, CHT, and public libraries �a2y 3m . Improve door-to-door and fixed route services to increase comfort and confidence of older adult riders. INDICATORS 2.3.2a. Universal symbols are used on all public buses, signs, and literature in Orange County to overcome language barriers and low literacy. 2.3.2b. Riders of door-to-door services are given real time information about bus arrival time and new technology for call back response system is employed. 2.3.2c.Travel training for new bus riders is offered on a regular basis. RESPONSIBLE AGENCIES: OPT, CHT, OCDOA 23 30 2017-2022 Orange County Master Aging Plan DO I H's O s t➢1.;• Housing is an important part of safe and comfortable aging in communities. Housing in age-friendly communities should: • Be affordable; • Be close to services, or have transportation options; • Have accessible design or offer modifications and maintenance; • Provide a wide range of living options; • Be integrated into the community at large, especially long-term care facilities; and • Be safe and comfortable. lo AP Improve choice, quality, and affordability of housing, including housing with services and long-term care options. ject e 3 I Modify, eliminate, or create policies that result in full realization of the MAP housing goal. C, y." mm ;Create an inter-governmental Senior Housing Workgroup to study and recommend changes to relevant local and state housing policies, especially during times of key policy reviews. INDICATORS 3.1.1a.A Housing Task Force is developed. 3.1.1b. A list of state and local polices to target is created and changes are recommended. RESPONSIBLE AGENCIES: OCDOA, with support from Orange County and town Planning Departments, and Orange County and Town of Chapel Hill Housing Departments ject e 3 2 Develop new affordable senior housing (rental and ownership, including supported housing). 2, y." mm ;Advocate for incentives and financing that encourages affordable and age- friendly housing development, both conventional and innovative. INDICATORS 3.2.1a.Additional public-private partnerships are developed to increase affordable housing options for older adults. 3.2.1b. Support is provided for senior housing proposals for County Bond funding, if appropriate. 3.2.1c. A pilot project focused on shared, supportive housing models is created. 3.2.1d. One site for development of age-friendly housing is identified in each of the Orange County jurisdictions: Carrboro, Chapel Hill, Hillsborough, and the county. 3.2.1e.Tax incentives are created that encourage accessible housing design and repair. 24 31 2017-2022 Orange County Master Aging Plan 3.2.1f. OCDOA is consulted with by developers and financers at the conceptual stage to ensure home and neighborhood designs are age-friendly. 3.2.1g.The number of units built that are targeted to older adults is increased by at least 20%. 3.2.1h.The number of age-friendly units built within larger mixed income developments is increased. RESPONSIBLE AGENCIES: OCDOA, Advisory Board on Aging, Orange County Housing Department, Triangle J Council of Governments (TJCOG) ject e J J Modify and repair existing housing for safety and accessibility. 4 �ae, y3m3m : Increase and expedite repairs and modifications of existing housing. INDICATORS 3.3.1a.The public bidding process for the County Urgent Repair Program is replaced with a newly created and vetted list of approved contractors. 3.3.1b. New pathways for project permitting are developed through collaboration by regulatory organizations. 3.3.1c.Jobs are completed faster for clients in the Urgent Home Repair Program. 3.3.1d.Wait times are decreased for residents needing urgent home repairs. 3.3.1e. Number of accessibility repairs performed is increased. 3.3.1f. Skilled workers who can provide home repair/remodels for community members are identified by Local Fire Districts. 3.3.1g. Managers of existing senior housing developments consult with OCDOA about accessible repairs and modifications. RESPONSIBLE AGENCIES: Orange County Housing Department, Orange County Planning Department, Orange County Fire Marshal and town Fire Departments, OCDOA ject e 34 Educate the public about housing options in later life, emphasizing the importance of accessibility, safety, and maintenance. 4 �a e,•y 3.4. :Offer community events and educational materials to assist residents and family members in planning for their housing needs in later life. INDICATORS 3.4.1a.Aging in Community series is continued to educate the public about age-friendly housing models, especially"missing middle" housing (i.e., duplexes and small scale apartments with courtyards). 3.4.1b. Aging Readiness Campaign is created with yard signs, interactive websites, and resources that 25 32 2 017-2 022 Orange County Master Aging Plan can help older adults and family members plan for their future housing needs. 3.4.1c. Residents are educated on how to prevent future need for repairs and modifications, and connected to appropriate organizations and services. RESPONSIBLE AGENCIES: OCDOA, Orange County and Town of Chapel Hill Housing Departments C, y."14.'2:Create opportunities to improve relationships between residents, inspectors, and planning officials. INDICATORS 3.4.2a. Orange County Planning Department website is updated to include frequently asked questions. 3.4.2b. Programs are developed to make information about inspections available and decrease misconceptions. 3.4.2c. Programs are developed to decrease misconceptions about partial repairs. RESPONSIBLE AGENCIES: Orange County and town Planning Departments "bjective 3 3 Activate the community to support and improve quality of life for older adults living in long-term care settings. C, y." m. m. ; Engage community volunteers in long-term care facilities and home care services. INDICATORS 3.5.1a.Volunteer Connect 55+ (VC55+) utilized as a clearinghouse of volunteer opportunities for people who are interested in enriching the lives of residents receiving long-term care services. 3.5.1b. Opportunities are created for long-term care residents to get out into the community,with the help of volunteers. 3.5.1c. Nursing Home and Adult Care Home Advisory Committee members promote activities that support resident/staff well-being and that reduce social isolation. 3.5.1d. Community mental health services provided to long-term care facilities are expanded. RESPONSIBLE AGENCIES: Nursing Home and Adult Care Home Advisory Committees, OCDOA, Cardinal Innovations Healthcare, Piedmont Health/PACE "bjective 3 C Support Orange County residents to age in community. C,•y." m, .1 Create and fund a new OCDOA housing specialist position to educate, activate, and coordinate the community in achieving MAP housing goals. 26 33 2 017-2 022 Orange County Master Aging Plan INDICATORS 3.6.1a. Position is created and filled with support from housing agency partners. 3.6.1b. Older adults are connected to and supported to live in housing options of their choice. RESPONSIBLE AGENCIES: OCDOA, with support from Orange County and Town of Chapel Hill Housing Departments,TJCOG C, y m ,Collaborate across repair/remodel organizations to better communicate, share cases, and refer to specialized services. INDICATORS 3.6.2a. Network of repair/remodel organizations is developed. 3.6.2b. Collaboration coordinator is selected. 3.6.2c. Representative from each organization is designated to network. 3.6.2d. Referrals are increased across organizations. 3.6.2e. Multiple repairs are provided by multiple organizations through use of coordinated repair network. 3.6.2f. More comprehensive repairs are provided to residents. 3.6.2g. Data are collected and shared regarding safety and well-being of residents who receive home repairs or modifications. 3.6.2h. Funding is increased for repairs and remodels that partially, but not entirely, bring a home up to code. 3.6.2i.Training is developed for OCDOA employees and others who make home visits regarding home safety resources and services. RESPONSIBLE AGENCIES: OCDOA, Orange County Housing Department, Orange County Planning Department, Orange County Health Department, Seniors and Law Enforcement Together(SALT), Habitat for Humanity, Orange County Fire Marshal 27 34 2 017®2 022 Orange County Master Aging Plan DO IVIA IN:: Sid'I IP' rti t n Social participation refers to the engagement of older people in recreation, socialization, and cultural, educational, and spiritual activities. It is connected to lifelong health and wellbeing. Participating in activities allows older adults to find new skills and continue hobbies, build respect within the community, and establish supportive relationships. Some important aspects of social participation are: • Accessibility, affordability, and range of events and programs; • Type and location of facilities and community integration; • Promotion and awareness of programs; and • Reaching out to those who may be isolated. lo AP cwt 4 I;; Promote diverse and accessible opportunities for participation and engagement of older adults. jeet e 4 :I Expand opportunities for educational, intergenerational, and cultural programming. tt �ate, ytmtmt: Ensure that programming is accessible, sensitive, and inclusive to people based on a broad variety of needs and abilities. INDICATORS 4.1.1a.Assistive technologies (e.g., listening devices, large text or audio, mobility assistance, etc.) are made available for people who need it. 4.1.1b. Programming is made available in multiple languages, in partnership with community groups. 4.1.1c. Consultation is sought out from organizations like North Carolina Assistive Technologies, North Carolina Division of Deaf and Hard of Hearing, North Carolina Division of Services for the Blind, and Club Nova. 4.1.1d. Programming is attended by older adults from diverse populations (e.g., minority, LGBTQ, refugee, faith communities, and people with physical, mental, cognitive, and/or intellectual disabilities). RESPONSIBLE AGENCIES: OCDOA, with support from Orange County Health Department and El Centro Hispano t �ate, ytmtm . Expand space availability for social/educational programming to meet anticipated growth of older adult population. INDICATORS 4.1.2a. Senior centers are expanded to include more space for recreational activities, kitchen/cooking space, theater space, common space that encourages groups to intermingle, health services space, exercise rooms, and storage space. 4.1.2b. Additional programming for older adults is made available within the senior centers and in other settings. 4.1.2c. More people participate at the senior centers. 4.1.2d. Senior centers have more staff, resources, and materials to handle increased programming and 28 35 2 017®2 022 Orange County Master Aging Plan space. RESPONSIBLE AGENCIES: OCDOA, in partnership with Orange County and town community centers, public libraries, schools, and parks and recreation 14,•414.1.3:.Create more opportunities for intergenerational programming. INDICATORS 4.1.3a. One intentional intergenerational program per year is created and evaluated, which encourages older adults and younger people to work with each other (e.g., Prime Time Players works with high school drama department to put on show, co-sponsored community service project). 4.1.3b. Partnerships are created with other agencies for intergenerational opportunities (e.g., schools, daycare centers, colleges/universities, scout troops, faith communities, fraternities and sororities, YMCA, local businesses, etc.). 4.1.3c. More young people are involved in senior center programming. RESPONSIBLE AGENCIES: OCDOA C, y .1.4. Expand awareness and availability of scholarships/fee reductions. INDICATORS 4.1.4a.Awareness of availability of scholarships/fee reductions is increased. 4.1.4b. More scholarships/fee reductions are utilized for programming. 4.1.4c. Increased demand for scholarships/fee reductions is met, as needed, through additional sponsors. 4.1.4d. Assistance is provided to participants who need help filling out a scholarship/fee reductions form. RESPONSIBLE AGENCIES: OCDOA, Friends of the Senior Centers le,oy 4.1.5:Create a "Senior Center Without Walls" project for older adults who are unable to leave their homes but want to participate in senior center activities. INDICATORS 4.1.5a.A pilot of the program is created, launched, and evaluated. 4.1.5b. Funding is secured to implement the program. 4.1.5c. Volunteers are recruited to manage cameras, edit, work on AV, etc. 4.1.5d. A YouTube channel is created with an available queue of options. 29 36 2017-2022 Orange County Master Aging Plan 4.1.5e. A library of DVDs with programming is available for check out. 4.1.5f.The number of views and DVD checkouts increases as the program continues. RESPONSIBLE AGENCIES: OCDOA, with support from Orange County Public Library 30 37 2 017-2 022 Orange County Master Aging Plan :Resltect 1 nd Sold'I inclusi i n Respect and social inclusion deals with the attitudes, behaviors, and messages of other people and of the community as a whole towards older people. An age-friendly community adheres to the following characteristics: • Asking for feedback from older adults regarding services; • A positive depiction and public education around aging and older adults; • Inclusion in the community at large; and • Access to services and programming regardless of socioeconomic status. 'YIII Uphold all older adults as valuable members and resources of the community. je `tve 5, I Ensure a welcoming, inclusive, and livable community. tt �atC, y. mtmt; Ensure that all programs and services provided through OCDOA are based on cultural humility and inclusivity. INDICATORS 5.1.1a. Sensitivity and inclusivity training is provided to OCDOA staff once per year. 5.1.1b. Signage at OCDOA is welcoming and inclusive to all. 5.1.1c. Clientele is surveyed to learn what languages would be most important to include on signs and forms. Signs and forms are adjusted to reflect that data. 5.1.1d. Senior centers are attended by older adults from diverse groups. 5.1.1e. OCDOA works with organizations and individuals who advocate for diverse populations and barriers are identified and overcome. RESPONSIBLE AGENCIES: OCDOA tt tC, y 5.1;2 Continue and expand outreach to growing refugee and immigrant populations to build interest in services and presence at senior centers. INDICATORS 5.1.2a.Awareness about OCDOA services is increased and information is shared with pertinent organizations (e.g., church refugee initiatives; churches that provide services in other languages; Refugee Wellness Center; Refugee Support Center; Refugee Community Partnership; Refugee Resettlement Agencies; Spanish Social Club; El Centro Hispano; apartment complexes/retirement communities). 5.1.2b. OCDOA staff work with these groups to find out what services and programming they are most interested in, and those services are provided. 5.1.2c. Activities and information are offered in relevant languages. 5.1.2d. Number of individuals from identified groups who attend the Senior Center programming and utilize services increase. 31 38 2017-2022 Orange County Master Aging Plan RESPONSIBLE AGENCIES: OCDOA, Orange County Health Department le,oy.2.13 Continue and expand efforts to make Orange County a dementia-capable community. INDICATORS 5.1.3a. Funding is secured to continue work of Administration for Community Living Dementia Capable Community grant,which ends September 2018. 5.1.3b. More people are aware of and attend the Dementia 101 trainings, Memory Cafés, and Memory Cafés on the Move. 5.1.3c. An on-going volunteer group for recruiting businesses and providing Dementia Friendly Business training is created. 5.1.3d. More caregivers are referred to and served each year by the OCDOA. 5.1.3e. Strategies and supports are developed for individuals living alone with dementia. RESPONSIBLE AGENCIES: OCDOA, in partnership with agencies that provide assistance to older adults (EMS, Orange Congregations in Mission [OCIM], Inter-Faith Council [IFC], Chapel Hill-Carrboro Meals on Wheels, SALT, hospital systems) and Chapel Hill and Hillsborough Chambers of Commerce, and with support from Towns of Chapel Hill, Carrboro, and Hillsborough e, y R.1.4. Improve accessibility within the senior centers. INDICATORS 5.1.4a. OCDOA staff is trained on accessibility issues and resources. 5.1.4b. Funding is secured by OCDOA/Orange County Asset Management Services (OCAMS) to implement needed improvements as identified in the county's accessibility checklist. 5.1.4c. OCDOA staff work with groups who are navigating the senior centers to learn what is problematic. 5.1.4d. Participants and family members are aware of what kind of equipment is available at the centers to improve accessibility, where it is located, and how to use it. RESPONSIBLE AGENCIES: OCDOA, OCAMS, Orange County Board of County Commissioners (BOCC) je `t e "') 2 Promote social inclusion and community cohesion at the senior centers and other community locations. 32 39 2 017-2 022 Orange County Master Aging Plan C,•y. %1 Increase awareness of transportation options so that people are better able to access events and services. INDICATORS 5.2.1a.Transportation Specialist is listed as a resource on publications for events. 5.2.1b. A ride sharing board is created to organize carpooling to special events, especially in the evenings. RESPONSIBLE AGENCIES: OCDOA C, y. mm , Provide and encourage social connections between older adults. INDICATORS 5.2.2a. More social groups are developed. 5.2.2b. More opportunities for one-on-one activities are made available. 5.2.2c. People come to the senior centers to socialize. 5.2.2d. More older adults are served at the senior centers, as measured through increased attendance, participation, and demand. 5.2.2e. A welcoming program is created at senior centers for new members. 5.2.2f. A"Meet Your Neighbor" or"Bring A Friend" day is held quarterly, during which members are encouraged to bring others to the senior center. RESPONSIBLE AGENCIES: OCDOA 33 40 2 017-2 022 Orange County Master Aging Plan Ilf I I:I Civic :IP' 1 nd Ern r Civic participation and employment address opportunities for citizenship, unpaid work, and paid work. This domain is related to both the social environment and to the economic determinants of aging. An age-friendly community provides ways older people can continue to work for pay,volunteer their skills, and be actively engaged in community life. Some key characteristics include: • Volunteer and employment options that are meaningful and accessible; • Training availability; • Participation by older adults in the community on things like advisory boards, meetings, and policy planning; • Appreciation for contributions by older adults; • Support for entrepreneurship; and • Fair pay. lo AP 6R. Connect older adults who are seeking paid employment or meaningful volunteer experience with a diverse array of opportunities. 6bieritiv e 6 :I Create effective pathways for older adults to secure fairly compensated employment, including traditional, alternative, and entrepreneurial options. 6 �a e, y .1.1 Create an Older Adult Employment Collaborative that is actively involved in creating and supporting employment opportunities for older workers. Partners should include: OCDOA, Orange County Department of Social Services (DSS), Orange County Economic Development, AARP, Chapel Hill and Hillsborough Chambers of Commerce, and Durham Technical Community College (Durham Tech), National Caucus and Center on Black Aging, Inc. INDICATORS 6.1.1a. Program plan is created, outlining best practices, action steps, and implementation timeline. 6.1.1b. An Older Adult Employment Specialist position, housed at the OCDOA, is funded to coordinate work of the Older Adult Employment Collaborative, champion older adult employment interests, and work directly with job seeking older adults. 6.1.1c. Employment pathways are identified or created, and disseminated through a centralized location. 6.1.1d. Interested older adults secure meaningful, fairly compensated employment, including traditional, alternative, and entrepreneurial options. RESPONSIBLE AGENCIES: Older Adult Employment Collaborative 6 �a6, y mm . Promote alternative and entrepreneurial employment opportunities for older adults. INDICATORS 6.1.2a. Classes are provided to older adults at senior centers and public libraries to explore entrepreneurial employment opportunities. 6.1.2b. A group for older adults looking for alternative and entrepreneurial work is created and 34 41 2 017-2 022 Orange County Master Aging Plan supported. 6.1.2c. Alternative and entrepreneurial job seeking older adults report securing or connecting with desired job opportunities. RESPONSIBLE AGENCIES: Older Adult Employment Collaborative, in partnership with the Orange County Public Library 6 �a e, y .1.2 Host a job fair and networking event to connect older adults with interested employers. INDICATORS 6.1.3a. Seminars for older adult job seekers are held to prepare them for successful networking at event. 6.1.3b.Job fair and networking events are held,with transportation options. RESPONSIBLE AGENCIES: OCDOA, in collaboration with DSS, AARP, and Chapel Hill and Hillsborough Chambers of Commerce 6 �a e, y .1 f.Create "Senior Internship" opportunities, whereby older adults obtain internships with possibility of future hire. INDICATORS 6.1.4a. Research is conducted and recommendations are created about best practices for a "Senior Internship". 6.1.4b. "Senior internships" are created with partners in the county. 6.1.4c. Older adults are hired after completing their"internships". RESPONSIBLE AGENCIES: Older Adult Employment Collaborative "bjective 6 2 Expand opportunities for older adults to gain both job-seeking and on-the-job skills. 6 �a e, y .2.1 Expand existing and create additional resources for older adults seeking employment. INDICATORS 6.2.1a.An inventory of what services already exist in the county is created and research on best practices is conducted. 6.2.1b. More older adults report utilizing and benefiting from these resources and services. 6.2.1c. Resources and services are offered in Orange County locations in addition to Durham Tech. 6.2.1d. New training opportunities are held and evaluated. 35 42 2 017-2 022 Orange County Master Aging Plan RESPONSIBLE AGENCIES: Older Adult Employment Collaborative, with support from Orange County Public Library "bjective 6 3 Promote the value of an experienced workforce to local employers. 6 �a e,•41 m." m. :Create awareness campaign designed to (1) promote older adults as productive, experienced, reliable, and entrepreneurial members that positively impact the labor force; (2) highlight employers that are successfully integrating older adult workers; and (3) provide information to Orange County employers to best serve an older adult workforce. INDICATORS 6.3.1a. Research is conducted to better understand barriers and facilitators to employing older adults. 6.3.1b. Public campaign is created and evaluated. RESPONSIBLE AGENCIES:AARP, in collaboration with OCDOA, Chapel Hill and Hillsborough Chambers of Commerce, and Orange County Economic Development 6 �a e, y 342 Advocate for creating tax credits for employers who hire older adults. INDICATORS 6.3.2a. Research is conducted on existing policies, feasibility of new policies, and key players. 6.3.2b. Members of the Older Adult Employment Collaborative promote new policies to provide tax credits with key stakeholders and decision makers. 6.3.2c.Tax credits for employers hiring older adults become available. RESPONSIBLE AGENCIES: Older Adult Employment Collaborative,with support from Orange County Advisory Board on Aging jee e 6 4 Expand enriching volunteer opportunities for older adults. 6 �a e, y .4.1:Create and expand substantive, skills-based, and intergenerational volunteer opportunities for older adults. INDICATORS 6.4.1a. Older adults are matched to volunteer opportunities based on skills and interests. 6.4.1b. Older adult volunteers report feeling satisfied and supported in their volunteer roles. 6.4.1c. Older adult seeking volunteer opportunities outside of OCDOA are referred to appropriate organizations, such as Hands on Triangle. 6.4.1d. More people are educated through Project EngAGE to become volunteer leaders and develop senior resource team projects. 36 43 2017-2022 Orange County Master Aging Plan RESPONSIBLE AGENCIES: OCDOA C, y .4.2: Plan and implement community-based volunteer programs that support persons to age in community. INDICATORS 6.4.2a: Existing community-based volunteer programs around aging in community are sustained and expanded (i.e., Handy Helpers, Volunteer Drivers, Friend to Friend, SALT). 6.4.2b: New community-based volunteer programs are planned and implemented that address social isolation and support persons to age in community. RESPONSIBLE AGENCIES: OCDOA, Orange County Sherriff's Office 37 44 2 017-2 022 Orange County Master Aging Plan DO IVIAIN C"Immunity Su nd IV II Services rt Necessary care should be available, accessible, and affordable to all. In an age-friendly community: • Health and social services are distributed throughout a community; • Information is clear and services are coordinated; • The cost of care does not make it out of reach; • A wide array of services is available to help people age well in their homes and communities; • Residential care facilities are integrated into the neighborhoods in which they are situated; • Volunteers are available to help older adults age in community; and • Emergency planning is conducted with older adults in mind. lo AP 7 I;; Ensure the community has accessible and affordable resources to support individual health and wellbeing goals throughout the aging process. jee e °' :1 Increase awareness and use of available health and wellness resources. cyy .1.1 Offer and promote health and wellness programs in the senior centers, and throughout the community, for older adults of all abilities. INDICATORS 7.1.1a. Health and wellness programs, including evidence-based programs, are offered in senior centers and throughout the community(including in rural locations). 7.1.1b. Participation in health and wellness programs is increased. 7.1.1c. More "baby boomers" attend OCDOA health and wellness programs. 7.1.1d. Seymour Center fitness studio is expanded and redesigned to increase capacity and update technology. 7.1.1e. More older adult opportunities are offered in SportsPlex Fieldhouse expansion. 7.1.1f. Marketing campaign is conducted targeting older adults in different life stages. RESPONSIBLE AGENCIES: OCDOA, with support from DEAPR, UNC Health Care,Towns of Carrboro, Chapel Hill, and Hillsborough, and the Orange County SportsPlex Icyy 7.1.2: Provide behavioral health support and programming to older adults and their caregivers. INDICATORS 7.1.2a. More support groups are provided (e.g., health, grief, depression, life transitions, substance abuse, etc.) in various locations. 7.1.2b. Directory of mental health therapists and support groups appropriate for older adults is created and updated. 7.1.2c. Mental health (e.g., Mental Health First Aid) training is provided at least twice per year at senior centers, public libraries, and long-term care facilities. 38 45 2 017-2 022 Orange County Master Aging Plan 7.1.2d. Informational workshops are provided at both senior centers at least annually. 7.1.2e. Healthy IDEAS program is provided at the senior centers. RESPONSIBLE AGENCIES: OCDOA, in partnership with Cardinal Innovations Healthcare, NAMI, UNC Health Care, and Orange County Public Library "bjective °' 2 Expand services to help older adults age in their homes and communities. 2, 7:2.1 Expand community-based health and support programs that support older adults' health and safety. INDICATORS 7.2.1a.The capacity of the OCDOA Aging Transitions program is expanded to help more older adult residents "age in place". 7.2.1b. EMS/OCDOA Stay Up and Active Program is expanded, allowing more people to access follow-up services after a fall is reported and expanding capacity to provide fall risk. 7.2.1c. More older adult patients are served in their home settings through medical outreach programs like REACH and Doctors Making Housecalls. 7.2.1d. "Remembering When" home inspections to correct fire-related concerns(e.g., batteries, smoke/CO2 detectors, minor electrical/lighting, dryer venting) are conducted. 7.2.1e. Educational programs are provided at the senior centers yearly to increase awareness and use of technology for home safety. 7.2.1f.Workforce development strategies are planned and implemented so that people caring for older adults are well-trained. RESPONSIBLE AGENCIES: EMS, OCDOA, UNC Health Care, Piedmont Health, Orange County Fire Marshal, Durham Tech Community College, UNC Allied Health Department 2, 2mm . Identify and expand service areas that volunteers can assist with or create to reduce cost and expand availability. INDICATORS 7.2.2a.A resource pool of retired nurses and doctors is created that can help older adults successfully use the healthcare system for prevention and curative services. 7.2.2b. A health coordination pilot program is established between UNC Hospital-Hillsborough and at least one faith-community. 7.2.2c. Volunteers are recruited and supported to help older adults manage instrumental tasks of daily living (e.g., mail processing, check writing, bookkeeping, etc.). 39 46 2017-2022 Orange County Master Aging Plan 7.2.2d. Policies at OCDOA are reviewed to make it easier for volunteers and concerned citizens to refer at-risk individuals to the OCDOA for services. 7.2.2e. Handy Helpers volunteer home maintenance team is expanded to serve more older adults. RESPONSIBLE AGENCIES: OCDOA, with support from Orange County Health Department and UNC Health Care (Senior Alliance) St gat 4: y 772734 Emergency preparedness education reflects and incorporates the needs of older adults. INDICATORS 7.2.3a. Emergency Preparedness Checklist is revised to reflect senior issues. 7.2.3b. Issues specific to older adults are included in crisis intervention team training. RESPONSIBLE AGENCIES: EMS, Orange County Sheriff's Office, Chapel Hill and Carrboro Police Departments jeete °'t t Improve collaboration between medical providers and OCDOA. tr to t " °'t t :I Develop collaborative projects between OCDOA and healthcare providers. INDICATORS 7.3.1a.At least one collaborative project is created between the OCDOA and UNC Health Care (Senior Alliance), focused on assembling an inventory of social services available to seniors in a centralized database. 7.3.1b. At least one collaborative project is created between the OCDOA and Piedmont Health. RESPONSIBLE AGENCIES: UNC Health Care, OCDOA, Piedmont Health jeet e °' 1, Address the problem of food insecurity among older adults. SI 1 4:oy 7.4.1: Increase capacity to provide more home-delivered meals and groceries to older adults, especially those in rural areas. INDICATORS 7.4.1a. More volunteers are recruited and trained to assist with meal preparation and/or meal delivery. 7.4.1b. Funding is increased through collaborative grant writing and coordination of funding drives. 7.4.1c. New drop-off and pick up points for meal delivery volunteers are established in rural areas. 7.4.1d. Number of donations and client referrals from community service agencies is increased. 40 47 2 017-2 022 Orange County Master Aging Plan 7.4.1e. Development of a farmer's market collaborative and/or a new farmer's market in Cedar Grove is explored. 7.4.1f. Quarterly meetings between relevant organizations are established to discuss eligibility criteria and geographic coverage for each organization and to increase coordination. RESPONSIBLE AGENCIES: Chapel Hill-Carrboro Meals on Wheels, OCIM, Orange County Rural Alliance (OCRA), OCDOA, DEAPR le,oy 7.4.2: Improve representation for older adults on food and nutrition-related community organizations. INDICATORS 7.4.2a. Person advocating for the needs of older adults is represented on the Orange County Food Council. RESPONSIBLE AGENCIES: Orange County Advisory Board on Aging tt gat , y 7.4.2: Increase awareness of food services for older adults. INDICATORS 7.4.3a. Increased participation in programs like SNAP, Commodity Supplemental Food Program, and Meals on Wheels. RESPONSIBLE AGENCIES: OCDOA, DSS, IFC, OCIM, Chapel Hill-Carrboro Meals on Wheels, OCRA j °t u " '!'!) Promote and support the growth of the "Village" neighborhood model of community support across all of Orange County for individuals aging in their homes. tC, y .5.1 Increase the number and variety of"village" model programs/neighborhoods. INDICATORS 7.5.1a. Increased number of village groups in Orange County. 7.5.1b. A rural village model developed and piloted. 7.5.1c. "Care navigator" programs are created by village groups to assist members with aging in place needs and connect residents to OCDOA. RESPONSIBLE AGENCIES: OCDOA 41 48 2 017-2 022 Orange County Master Aging Plan jeet e °' 6 Support planning for and fulfillment of individual goals in all stages at the end of life. tt l6, .1 Build awareness about end of life planning by increasing visibility of end of life issues, normalizing end of life conversations, and supporting educational initiatives for community members. INDICATORS 7.6.1a. End of Life awareness campaign is created, including dissemination of end of life planning materials and promotion of end of life planning conversations. 7.6.1b. Health Care Decisions Day and/or Advance Care Planning Awareness month are recognized and promoted. 7.6.1c. Information and ongoing educational opportunities about end of life issues are offered through OCDOA(e.g.,webpage, seminars, speakers, and written materials). 7.6.1d. Five Wishes and other documents are available for Orange County residents at multiple locations (e.g., senior centers, libraries, major healthcare systems) and in various languages. 7.6.1e. More people are aware of and are using OCDOA notary services. 7.6.1f. Connections with diverse community partners, including schools, faith-based organizations, long- term care facilities, etc., are created to promote end of life discussions. 7.6.1g. Volunteer legal service is made available twice yearly to assist older adults in writing/changing wills and other legal documents (e.g., power of attorney, living will). RESPONSIBLE AGENCIES: OCDOA, in collaboration with the UNC Partnerships in Aging Program, UNC Health Care, Orange County Health Department, OCIM, and IFC l6, m . Reduce provider-side barriers to access and use of completed Advanced Care Planning forms when needed and support provider education. INDICATORS 7.6.2a. Local healthcare systems incorporate Advanced Care directives in Electronic Medical Records and actively educate providers on how to use/access. 7.6.2b. Healthcare providers incorporate end-of-life discussions into routine care, and provide/complete Medical Orders for Scope of Treatment (MOST) and Do Not Resuscitate (DNR)forms for their patients as appropriate. 7.6.2c. EMS task force on mobile MOST/DNR forms recommends ways to authorize MOST/DNR care wishes when away from home. 7.6.2d. UNC promotes professional training on end of life issues and palliative medicine in curriculum, and continuing education opportunities. RESPONSIBLE AGENCIES: UNC Health Care, Duke Health, UNC Allied Health, Piedmont Health, UNC 42 49 2 017®2 022 Orange County Master Aging Plan Partnerships in Aging Program, EMS C, y Support legislation and policy change to facilitate end of life planning and increase choice. INDICATORS 7.6.3a. Legislation is supported to remove notary requirements to completing Advance Care Planning. 7.6.3b. Legislation is supported to increase choice at end of life. 7.6.3c. Green burial options are expanded. RESPONSIBLE AGENCIES: Orange County Advisory Board on Aging, with support from Towns of Chapel Hill, Carrboro and Hillsborough, Orange County Health Department 43 50 2017-2022 Orange County Master Aging Plan �s m m n ic i n. n Infirm s n. Staying connected to and aware of available events, programs, and people is important for everyone, regardless of age.The ways that people communicate have changed over time, leaving gaps in outreach. Internet access and smartphones are not universal and information must be disseminated through a variety of mediums. Communication and information sharing in an age-friendly community: • Is distributed widely; • Is provided both orally and in print; • Uses plain language; • Has easy to understand automated communication; and • Ensures that the internet and computers are widely available. lo AP Empower older adults and their families to make informed decisions and to easily access available services and supports. jee e :1 Increase the accessibility of information regarding available programs, services, and resources. C, y ".1.1 Identify liaisons within medical offices, faith-based organizations, civic and community organizations, libraries, etc. to post/distribute OCDOA information. INDICATORS 8.1.1a. Comprehensive list of liaisons is created and maintained. 8.1.1b. Information sharing is facilitated by liaisons within their organizations. 8.1.1c. Information is distributed at least quarterly to designated liaisons. 8.1.1d. Liaisons are created with non-English organizations. 8.1.1e. Liaisons are created with neighborhood groups. RESPONSIBLE AGENCIES: OCDOA, Orange County Public Library C, .1;2 Make OCDOA communications available in a variety of languages. INDICATORS 8.1.2a. Communications are sent out to non-English media sources and posted at relevant locations and community agencies. RESPONSIBLE AGENCIES: OCDOA C, y ".1.3 Improve the Senior Times to be more readable and user-friendly. INDICATORS 8.1.3a. Print versions of the Senior Times are in larger print and with less information. 8.1.3b. Additional versions of the Senior Times are explored, including print and online versions in 44 51 2 017®2 022 Orange County Master Aging Plan Spanish and Mandarin (and other languages as needed) and an audible version. 8.1.3c. Drop off locations are expanded. RESPONSIBLE AGENCIES: OCDOA C, .1.4: Expand capacity for electronic/digital information dissemination. INDICATORS 8.1.4a. OCDOA webpage hits increased each year. 8.1.4b. OCDOA Facebook page has more friends/hits each year. 8.2.4c. Number of Listsery members increased each year. 8.2.4d. New methods established to keep up with technological advances. 8.1.4e. People report they are hearing about events/programming through these sources when they register. RESPONSIBLE AGENCIES: OCDOA, Orange County Community Relations Department C, y ".1.5 Continue to use media sources that do not rely on electronic sources. INDICATORS 8.1.5a. Local radio stations,television stations, and newspapers are used to advertise OCDOA events/programming. 8.1.5b. OCDOA program, service, and resource information is distributed at community events. 8.1.5c. Information "Toolkits" are created that volunteers can use to share OCDOA program and service information with others. 8.1.5d.The number of Project EngAGE graduates is increased each year. 8.1.5e. People report they are hearing about events/programming through these sources when they register. RESPONSIBLE AGENCIES: OCDOA, Orange County Community Relations Department C, .1. ; Partner with other organizations to promote and publicize each other's events and information. INDICATORS 8.1.6a. Community groups, organizations, and key liaisons are identified. 45 52 2 017-2 022 Orange County Master Aging Plan 8.1.6b. Events are publicized by multiple organizations. 8.1.6c. Senior center events/programming is advertised in community center newsletters, calendars, and on-site. 8.1.6d. Community center events are posted at senior centers and included in listsery mailings. 8.1.6e. A link to program information is established on DEAPR's website, and vice versa. RESPONSIBLE AGENCIES: OCDOA, with support from DEAPR C, .1.7:Collect data on how people prefer to be communicated with and/or how they find out about events. INDICATORS 8.1.7a. People are asked about how they found out about events/programming upon registration, and that data is utilized in communication plan. RESPONSIBLE AGENCIES: OCDOA 46 53 2017®2022 Orange County Master Aging Plan C n.cl usi 9i n. Orange County's population is aging, meaning that the importance of the 2017-2022 MAP will only continue to grow as more older adults and their families seek county services. The OCDOA is committed to improving the lives of Orange County's older adults and their families through active use of the MAP. Careful monitoring of the indicators and strategies as well as drawing upon new and existing partnerships with other organizations will help ensure that the plan's goals and objectives are met. There is a continual need for collaboration between the OCDOA and other existing community organizations in order to ensure the future success of the 2017- 2022 MAP. The 2017-2022 MAP recommends mechanisms for collaboration between the OCDOA and community organizations, but these strategies will not be accomplished without the direct support from the community organizations themselves. In the implementation of the objectives and strategies, older adults also have to ensure that their voices are heard in all 8 domains. The voice and leadership of older adults is essential to fulfilling the goals set out by the 2017-2022 MAP. For example, advocacy and involvement in public hearings are steps that can be taken to ensure that the perspective of older adults is considered throughout various planning processes. With the voice and leadership of older adults in the community, the vision of Orange County as an age-friendly community can become a reality. The goals and objectives listed in this plan represent a comprehensive vision for the future of Orange County as an age-friendly community. Only through working together, and recognizing that the 2017-2022 MAP affects all of us,will this vision be achieved. 47 54 2 017-2 022 Orange County Master Aging Plan Ackn.'. em en its lo AP Si:Cenn c i mJ�m i ; CC Committee Facilitator Pat Sprigg—CEO, Carol Woods Retirement Community Committee Members Heather Altman—Member, Orange County Advisory Board on Aging Jessica Anderson—Member,Town of Chapel Hill Town Council David Andrews—Manager,Town of Carrboro Craig Benedict—Director, Orange County Planning Department Charles Blackwood—Sheriff, Orange County Beverly Blythe—President, Friends of the Passmore Center Steve Brantley—Director, Orange County Department of Economic Development Mia Burroughs—Member, Orange County Board of County Commissioners Jan Busby-Whitehead—Director, UNC Center for Aging and Health Dorothy Cilenti—Interim Director, Orange County Health Department Loryn Clark—Director,Town of Chapel Hill Housing and Community Development Peggy Cohn -Chair, Orange County Advisory Board on Aging Linda Convissor—Director, UNC Community Relations Nancy Coston—Director, Orange County Department of Social Services Doug Dickerson—Director, AARP of North Carolina Sharon Freeland—Director, Orange Congregations in Mission Audrey Galloway—Director, AARP of the Triangle Penny Gluck—Executive Dean of Orange County Operations, Durham Technical Community College Bonnie Hammersley—County Manager, Orange County Katherine Handley—UNC Health Care Pam Hemminger—Mayor,Town of Chapel Hill Dinah Jeffries—Director, Orange County Department of Emergency Management Services Paul Klever—Orange County provider representative, Charles House Inc. Eugenie Komives—Doctor, Duke Healthcare Annette Lafferty—Director, Carrboro Department of Economic and Community Development Lydia Lavelle—Mayor,Town of Carrboro Kristin Lavergne—Co-director, InterFaith Council Theo Letman—Director, Orange Public Transportation Brian Litchfield—Director, Chapel Hill Transit Stacy Mays—UNC Health Care Earl McKee—Chair, Orange County Board of County Commissioners Annette Moore—Interim Director, OC Housing, Human Rights and Community Development Ken Moore—President, Friends of the Seymour Center Lucinda Munger—Director, Orange County Libraries Peter Murphy —Administrator, Orange Public Transportation Travis Myren - Deputy Manager, Orange County Aaron Nelson—Director, Chapel Hill Chamber of Commerce Eric Peterson—Town Manager,Town of Hillsborough Marianne Ratcliffe— Executive Director, Piedmont Health PACE Swarna Reddy—NC Division of Aging and Adult Services 48 55 2 017-2 022 Orange County Master Aging Plan Barbara Rimer— Dean, UNC School of Public Health Pilar Rocha-Goldberg—CEO, El Centro Cherie Rosemond—Director, UNC Partnership in Aging Roger Stancil—Town Manager,Town of Chapel Hill Tom Stevens—Mayor,Town of Hillsborough Jeff Strickler—Associate Vice-President, UNC Hospitals/Hillsborough Kim Tesoro—Chief Executive Officer, Hillsborough Chamber of Commerce Brian Toomey—Director, Piedmont Health Stephanie Trueblood—Public Space Manager,Town of Hillsborough Mary Warren—Director,Triangle J Area Agency on Aging Richard White—Member, Orange County Advisory Board on Aging Danielle Woodall—Cardinal Innovations Healthcare Lee Worsley—Executive Director,Triangle J Council of Governments 49 56 2017-2022 Orange County Master Aging Plan lo AP ..COO�iCJ"S1V mVlm.Vlm.VFee A,0v ,ry D 1a s 0 fpm A,t m t I" embers s rpm llls ,up Cep ° lll. ts pr s Heather Altman Myra Austin Peggy Cohn Eileen Baca Keith Cook Will Bayliss Richard White Chris Bendix Lisa Berley C° ,nsu ta mmts Latonya Brown Marcia Perritt Peggy Cohn Cherie Rosemond Terry Colville Kim Lamon-Loperfido Strom, em t "esea re Illm Analysts Ryan Lavalley Sallie Allgood Shenae McPherson Mo Devlin Cydnee Sims �p Ills _a up Fa m:mlll ts pr s Stu,0em t ,te t lker s Mary Fraser Cecilia Blomberg Melissa Hunter Stephanie Chien Yvette Missri Michelle Gonzales Cherie Rosemond Brittany Green Jenny Womack Angela Henzel Brooke Hess Sadiyya Ingawa Nick Peak Breanna Sharer 50 57 2017-2022 Orange County Master Aging Plan 2;11..7-2i 122 :I .'1sterA n; :IPi n W•rk !,1rsuop :Members With gratitude and appreciation,we acknowledge the MAP work group members. ut,,--r Spaces& Susan Levy Thomas Cain 0 uill,,mn s, Frimnsp tats 1ln Mark Marcoplos Audrey Galloway Susan Adams Ashley Moncado Robert Gilmore Tom Altieri Gaylon Moss Penny Gluck Bill Barrows Maria Palmer Kacki Hammon Marabeth Carr Dustin Rawlings Vicki Hill Alex Castro Michael Rettie Mike Komives Jeff Charles David Saconn Janet Lloyd Huazhe Cheng Jason Shepherd Lee Anne McClymont Judy Close Barbara Sigel Mike McGahey Keith Cook Sarah Vinas Mary Moore Maria de Bruyn Richard White Jason Richmond Lisa Edwards Charlie Williams Kim Shaw Glenn Flynn Danielle Woodall Justin Simmons Jenny Halsey Debbie Suchoff m�mlll t� Beth Vasquez 5�p�`m�mlll. Q.�mm t �'°� pmt Margaret Hauth Q cs cat&S fnt Illus ,n Marnie Holder Zhenzhen Yu Donna King Sallie Anderson f', thmn 5�� m t im t��, Lewis Atwater un ity Sup p, Lavergne Health 5cm vm�`cs Tim Miles Sally Binkowski Kai Monast Nancy Brickman Star Chang Mary Kate Morookian Ceresa Clarke Cris Clark Brian Morton Susan Clifford Mary Crawford Peter Murphy Garry Crites Susan Cresser Ellen Perry Marie Dagger Sheila Evans Abigaile Pittman Sue Fan Nansi Gegor-Holt John Ragosta Nancy Gustaveson Kathryn Handley Tim Schwantes Rose Hetzell Trish Hussey Lynn Shields Linda Kolstee-Ozkaynak Mary Kay Kraft Stephanie Trublood Betty Melanson Kristen Lavergne Yvonne Mendenhall Brenda McCall Don Willis Stephanie Miller Mary Beth McGranaghan 11,us n, Marsha Pate Mark Mengering Adwoa Asare Nancy Phillips Ashley Mercer Keri Boyette Alicia Reid Sandy Nash Nate Broman-Fulks Erin Sapienza Ellen Ozier Richard Brunson Carolyn Schuft Ken Rosati Bethany Chaney Beverly Shuford Beth Rosenberg Cresha Cianciolo Gwen Stephens Naomi Sliflin JB Culpepper Virginia Taylor Kay Stagner Archie Daniel Kim Tyler Jeff Strickler Steve Drake Ann Wilkerson Vibeke Talley Tom Driscol Tim Williams Blake Tedder Tara Edwards Steve Wright Jackie Thompson John Goddin Ed Tiryakian Civic Q.a rticipatc,n & Anne Weston Emily Gordon Julia Katz Ent.p III.,,yrn.tint Norma White Paul Klever Helen Antipov Glenn Withrow Greta Lee Colin Austin Danielle Woodall Steve Brantley Stacy Yusko 51 58 .. .... 2 017-2 022 Orange County Master Aging Plan Frequently G Ised i n ADA Americans with Disabilities Act AFC Age-Friendly Community BOCC Board of County Commissioners CHT Chapel Hill Transit CRC Community Resource Connection DEAPR Department of Environment, Agriculture, Parks and Recreation DNR Do Not Resuscitate DSS Department of Social Services EMS Emergency Medical Services IFC Inter-Faith Council MAP Master Aging Plan MOST Medical Orders for Scope of Treatment NAMI National Alliance on Mental Illness NCDOT North Carolina Department of Transportation OCAMS Orange County Asset Management Services OCBIRP Orange County Bus and Rail Investment Plan OCDOA Orange County Department on Aging OCIM Orange Congregations in Mission OCRA Orange County Rural Alliance OPT Orange Public Transportation PiAP [UNC] Partnerships in Aging Program SALT Seniors and Law Enforcement Together TJCOG Triangle J Council of Government VC55+ Volunteer Connect 55+ WHO World Health Organization 52 59 2 017-2 022 Orange County Master Aging Plan ' ry Assisted living facilities Facilities that provide support services and supervision to residents in order to ensure their safety and wellbeing. Built environment Encompasses the physical components of where people live and work (i.e. homes, buildings, streets, open spaces, infrastructure). The built environment ultimately influences an individual's level of physical activity.1° Chatham-Orange CRC The Chatham-Orange Community Resource Connection (CRC) is a collaboration of more than 25 public and private agencies, health care providers, non-profits, and social service providers. This partnership provides a one-stop-shop for aging adults and adults with disabilities looking for resources and information on services and supports. Complete Streets policy Complete Streets policies promote transportation systems that incorporate multiple modes of travel, including bicycling, walking, driving, and using public transportation, and that are safe and easy to use for people of all ages and abilities. In this way, these policies support health and quality of life." Family Care home An adult care home that provides housing and services and has no more than six residents. Goal A broad statement of what a program will accomplish and who will be affected. A goal should be simple, attainable, and ambitious. It needs not be measurable or have a deadline.12 Housing stock The total number of physical dwelling units in an area (not to be confused with households). Housing subsidies Housing subsidies are government funding to aid low-income tenants in renting housing. Indicator These are the most specific activities that will be measured to evaluate the fulfillment of an objective.12 Long-term care facilities A variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods of time. Natural area Term includes nature reserves. Nursing homes Also called skilled nursing unit, skilled nursing facilities, care home, or long- term care facility. Please see Long-term care facility for a definition. 53 60 2017-2022 Orange County Master Aging Plan Objective Identifies how a goal will be achieved in concrete, measurable terms. Objectives provide a framework for evaluation. Ideally, they should be SMART (Specific, Measurable, Achievable, Realistic, Time-bound). When possible, objectives state who will change, by how much, by when, and how the change will be measured.'2 Older adult In this MAP, residents age 60 or older are addressed as older adults. Palliative care An area of healthcare that focuses on alleviating and preventing patient suffering, particularly for those nearing the end of life. Patient-centered care An approach to healthcare that serves each patient with individual support, unbiased guidance, and views the patient as a whole-person within the context of his or her family, religion, and life history. Rental assistance A federal program that provides rental assistance to low-income families who are unable to afford market rents. Strategy These are the specific actions or activities needed to fulfill an objective. They should also be SMART, when possible. (See definition of Objective above for further explanation of SMART).12 Universal design A design approach that produces buildings, products, and environments that are usable and effective for everyone, not just people with disabilities. 54 61 2017-2022 Orange County Master Aging Plan Index of Responsible Agency 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information AARP 6.1.1, 6.1.2, 6.1.3, 6.1.4, 6.2.1, 6.3.1, 6.3.2 Cardinal Innovations 3.5.1 7.1.2 Healthcare Town of Carrboro 5.1.3 7.1.1, 7.6.3 Carrboro 1.1.4, 1.2.4, 3.1.1, 3.4.2 Department of 1.3.1 Planning,Zoning& Inspections Carrboro Fire-Rescue 3.3.1 Department Carrboro Police 7.2.3 Department Carrboro Public 1.1.2, 1.2.2, Works Department 1.2.3 Carrboro Recreation 1.1.1, 1.1.2 4.1.2 & Parks Department Town of Chapel Hill 5.1.3 7.1.1, 7.6.3 Chapel Hill Fire 3.3.1 Department Chapel Hill Office of 3.1.1, Housing and 3.4.1, 3.6.1 Community Chapel Hill Office of 1.1.4, 1.2.4, 3.1.1, 3.4.2 Planning and 1.3.1 Sustainability 55 62 2017-2022 Orange County Master Aging Plan 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information Chapel Hill Parks and 1.1.1, 1.1.2 4.1.2 Recreation Department Chapel Hill Police 7.2.3 Department Chapel Hill Public 2.3.1 4.1.2 Library Chapel Hill Public 1.1.2, 1.2.2, Works Department 1.2.3 Chapel Hill Transit 1.2.4 2.1.2, 2.2.1, 2.2.2, 2.3.1, 2.3.2 Chapel Hill Chamber 5.1.3 6.1.1, 6.1.2, of Commerce 6.1.3, 6.1.4, 6.2.1, 6.3.1, 6.3.2 Chapel Hill-Carrboro 4.1.2 City Schools Chapel Hill-Carrboro 5.1.3 7.4.1, 7.4.3 Meals on Wheels Duke Health 2.2.1 5.1.3 7.6.2 Durham Technical 6.1.1, 6.1.2, 7.2.1 Community College 6.1.4, 6.2.1, 6.3.2 El Centro Hispano 4.1.1 Friends of the Senior 4.1.4 Centers Habitat for Humanity 3.6.2 Town of Hillsborough 5.1.3 7.1.1, 7.6.3 56 63 2017-2022 Orange County Master Aging Plan 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information Hillsborough 1.1.1, 1.1.2, 3.1.1, 3.4.2 4.1.2 Planning Department 1.1.4, 1.2.4, 1.3.1 Hillsborough Public 1.1.2, 1.2.2, Works Department 1.2.3 Hillsborough 5.1.3 6.1.1, 6.1.2, Chamber of 6.1.3, 6.1.4, Commerce 6.2.1, 6.3.1, 6.3.2 Inter-Faith Council 5.1.3 7.4.3, 7.6.1 National Alliance on 7.1.2 Mental Illness National Caucus and 6.1.1, 6.1.2, Center on Black 6.1.4, 6.2.1, Aging,Inc. 6.3.2 North Carolina 1.2.2 Department of Transportation Nursing Home and 3.5.1 Adult Care Home Advisory Committees Orange 5.1.3 7.4.1, 7.4.3, Congregations in 7.6.1 Mission Orange County 1.1.3 3.2.1 6.3.2 7.4.2, 7.6.3 Advisory Board on Aging Orange County Asset 1.1.2, 1.1.4, 5.1.4 Management 1.2.1, 1.2.4 Services 57 64 2017-2022 Orange County Master Aging Plan 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information Orange County Board 5.1.4 of County Commissioners Orange County 8.1.4, 8.1.5 Community Relations Department Orange County 1.1.1, 1.1.2, 2.1.1, 2.1.2, 3.1.1, 4.1.1,4.1.2, 5.1.1, 6.1.1, 6.1.2, 7.1.1, 7.1.2, 8.1.1, 8.1.2, 8.1.3, Department on Aging 1.1.3, 1.1.4, 2.2.1, 2.2.3, 3.2.1, 4.1.3,4.1.4, 5.1.2, 6.1.3, 6.1.4, 7.2.1, 7.2.2, 8.1.4, 8.1.5, 8.1.6, 1.2.1, 1.2.2, 2.3.1, 2.3.2 3.3.1, 4.1.5 5.1.3, 6.2.1, 6.3.1, 7.3.1, 7.4.1, 8.1.7 1.2.4, 1.3.2 3.4.1, 5.1.4, 6.3.2, 6.4.1, 7.4.3, 7.5.1, 3.5.1, 5.2.1, 5.2.2 6.4.2 7.6.1 3.6.1, 3.6.2 Orange County 1.1.1, 1.1.2, 4.1.2 7.1.1, 7.4.1 8.1.6 Department of 1.1.4, 1.2.1, Environment, 1.2.4 Agriculture, Parks and Recreation Orange County 6.1.1, 6.1.2, 7.4.3 Department of Social 6.1.3, 6.1.4, Services 6.2.1, 6.3.2 Orange County 1.3.1 Disability Awareness Council Orange County 6.1.1, 6.1.2, Economic 6.1.4, 6.2.1, Development 6.3.1, 6.3.2 Orange County 2.2.3 5.1.3 7.2.1, 7.2.3, Emergency Services 7.6.2 Orange County Fire 3.3.1, 3.6.2 7.2.1 Marshal Division Orange County 2.2.1 3.6.2 4.1.1 5.1.2 7.2.2, 7.6.1, Health Department 7.6.3 58 65 2017-2022 Orange County Master Aging Plan 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information Orange County 3.1.1, Housing, Human 3.2.1, Rights and 3.3.1, Community 3.4.1, Development 3.6.1, 3.6.2 Department Orange County 1.1.4, 1.3.1 3.1.1, Planning and 3.3.1, Inspections 3.4.2, 3.6.2 Department Orange County 2.3.1 4.1.2,4.1.5 6.1.2, 6.2.1 7.1.2 8.1.1 Public Library Orange County Rural 7.4.1, 7.4.3 Alliance Orange County 4.1.2 Schools Orange County 6.4.2 7.2.3 Sherriff's Office Orange County 7.1.1 SportsPlex Orange Public 1.2.4 2.1.1, 2.1.2, Transportation 2.2.1, 2.2.2, 2.3.1, 2.3.2 Orange Rural Fire 3.3.1 Department Piedmont Health 2.2.1 3.5.1 5.1.3 7.2.1, 7.3.1, 7.6.2 Seniors and Law 3.6.2 5.1.3 Enforcement Together Triangle J Council of 3.2.1, 3.6.1 Governments UNC Allied Health 7.2.1, 7.6.2 59 66 2017-2022 Orange County Master Aging Plan 1.Outdoor S. Respect 6.Civic 7.Community 8. Spaces& 2. 4.Social &Social Participation & Supports& Communication & Buildings Transportation 3. Housing Participation Inclusion Employment Health Services Information UNC Health Care 2.2.1 5.1.3 7.1.1, 7.1.2, 7.2.1, 7.2.2, 7.3.1, 7.6.1, 7.6.2 UNC Partnerships in 7.6.1, 7.6.2 Aging Program 60 67 2017®2022 Orange County Master Aging Plan References 1. Gillings School of Global Public Health Data. Aging in Orange County: Facts at a Glance. September 14, 2011. Available at: http://www.orangecountync.gov/document_center/Aging/8_MAP2012Toolkit_CEMtglDemogr aphics.pdf Accessed 30 March 2017. 2.Vincent, G.K and Velkoff, V.A. The Next Four Decades: The Older Population in the United States: 2010 to 2050. U.S. Census Bureau Current Population Reports. Administration on Aging. 2010. Available at http://www.aoa.gov/AoARoot/Aging_Statistics/future_growth/ DOCS/p25- 1138.pdf. Accessed 30 March 2017. 3. North Carolina State Center for Health Statistics (SCHS). Life expectancy: North Carolina 1990-1992 and 2006-2008, State and County, for Orange County. North Carolina State Center for Health Statistics. 2010. Available at http://www.schs.state.nc.us/SCHS/data/lifexpectancy/. Accessed 30 March 2017. 4. 2015 Orange County North Carolina Community Health Assessment. By Orange County Health Department and Healthy Carolinians of Orange County. Available at: http://www.ora ngecountync.gov/FINAL%200ra nge%20County%202015%20Com m u nity%20Hea Ith%20Assessment%207-16.pdf. Accessed 30 March 2017. 5. U.S Census Bureau (Census). Profile of general population and housing characteristics: 2010, for Orange County, North Carolina and North Carolina. American FactFinder. 2010. Available at http://factfinder2.census.gov/. Accessed 30 March 2017. 6. U.S Census Bureau (Census). Population 65 years and over in the United States, 2006-2010 American Community Survey 5-year estimates for Orange County, North Carolina. American FactFinder. 2010. Available at http://factfinder2.census.gov/. Accessed 30 March 2017. 7. U.S Census Bureau (Census). Population 65 years and over in the United States, 2011-2015 American Community Survey 5-year estimates for Orange County, North Carolina. American FactFinder. 2011-2015 American Community Survey Five-Year Estimates. Available at http://factfinder2.census.gov/. Accessed 30 March 2017. 8. North Carolina Aging and Adult Services. 2015 Aging Profile. Retrieved from https://www.ncdhhs.gov/divisions/daas/data-reports 9. North Carolina Health and Human Services. Leading Causes of Death in North Carolina. Health Data Query System. Available at: http://www.schs.state.nc.us/interactive/query/lcd/lcd.cfm. Accessed 30 March 2017. 61 68 2017®2022 Orange County Master Aging Plan 10. Centers for Disease Control and Prevention. (2011). Impact of the Built Environment on Health. Retrieved from https://www.cdc.gov/nceh/publications/factsheets/impactofthebuiltenvironmentonhealth.pdf. Accessed 30 March 2017. 11. Smart Growth America. (2017). National Complete Streets Coalition. Retrieved from https://smartgrowthamerica.org/program/national-complete-streets-coalition/. Accessed 30 March 2017. 12. Mckenzie J. (2005). Chapter 6: Mission statements, goals, and objectives. Planning, Implementing, and Evaluating Health Promotion Programs: A Primer. London: Benjamin Cummings; 127-142. 62