HomeMy WebLinkAboutAgenda - 09-20-2022; 7-a - 2022-27 Orange County Master Aging Plan Presentation 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 20, 2022
Action Agenda
Item No. 7-a
SUBJECT: 2022-27 Orange County Master Aging Plan Presentation
DEPARTMENT: Aging and Advisory Board on Aging
ATTACHMENT(S): INFORMATION CONTACT:
2022-27 Orange County Master Aging Janice Tyler, Director, 919-245-4255
Plan Heather Altman, Chair, Advisory Board
on Aging
PURPOSE: To receive a presentation on the 2022-27 Orange County Master Aging Plan (MAP).
BACKGROUND: The 2022-27 Master Aging Plan (MAP) marks the fifth cycle of strategic
planning for the Orange County Department on Aging (OCDOA). This is the second MAP based
on the WHO / AARP Framework for an Age-Friendly Community (AFC). 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, community support and health services, communication and
information.
In addition to those domains, several cross cutting issues were addressed throughout the MAP
process. Those included racial equity and the diversity of the older adult population; urban/rural
differences; on-going concerns related to the global pandemic, including social isolation; and
desire of the older adults in the community to be included in all solutions.
The goals, objectives, strategies and indicators represent 940 community survey respondents,
and the work of over 150 persons, including Orange County residents, County and town
leadership, 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 2021 with a community needs assessment survey, followed by nine (9)
community engagement events and seven (7) work groups that met over a ten week period, and
ending in spring 2022 with a period of public comment.
This MAP comes at a particularly crucial point in the history of Orange County. In 2020, 21% of
the population was age 60+, and by 2040 it will be 26%. This represents a 47.8% change in just
20 years, whereas children aged 0-17 years were 17% of the population in 2020, and in 2040 will
decline to 15% of the population, representing a 4.5% change.
2
From 2010-18 Orange County's population grew by 12,325 residents, while its 65+ age group
grew by 7,575 residents. This means that 61.5% of Orange County's growth was from the
population 65+. Among peer counties, Orange County is second only to Chatham County (64.5%)
in the share of county growth driven by its 65+ age group. The share of growth in this age group
is substantially higher than the state (53.7%). The continued rise in the 60+ population reflects
the crucial importance of why this MAP is needed to plan for programs and services that will serve
Orange County's diverse older adult population.
The success of the MAP depends on continued collaboration and community involvement over
the next five years. Through working together, the goal is to build capacity to support the aging
population and make Orange County a great place to age well.
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.
FINANCIAL IMPACT: Year One strategies will be accomplished within the approved FY 2022-
23 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.
With this MAP covering the eight (8) 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.
ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal
impact associated with receiving this presentation.
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RECOMMENDATION(S): The Manager recommends the Board receive the 2022-27 Master
Aging Plan presentation and provide any comments or questions.
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Prepared under the leadership of: Workgroup Interns
Orange County Advisory Board on Aging Cheyanne Bierly
Master Aging Plan Steering Committee Jesse Bossingham
Master Aging Plan Leadership Team Kali Cannon
Master Aging Plan Racial Equity Team Christine Craig
Cass Dictus
Authorship Rachael Manasseh
Janice Tyler Takira Robinson
Director, Orange County Department on Aging
Anna Wakita
Kenesha Wood
UNC School of Social Work Intern MAP Racial Equity Team
Cass Dictus
UNC Partnerships in Aging, Doctoral student, Latonya Brown
UNC School of Nursing
Meghan Rushing
Master Aging Plan Workgroup Leaders Cydnee Sims
Sharon Williams
Myra Austin
Outdoor Spaces and Building
and Social Participation Special thanks to Melissa Blackburn, Graphic
Brandi Beeker Designer with the Orange County Community
Relations Department for our new MAP design
Transportation and Anshu Gupta, OCDOA Business Officer for
Mike Komives assistance with data tables.
Employment
Shenae McPherson and Kim Lamon-Loperfido
Community Support and Health Services
Cherie Rosemond and Ryan Lavalley
Housing
Beverly Shuford
Communication and Information
Please direct questions and comments regarding the Master Aging Plan to Janice Tyler, Director,
Orange County Department on Aging:jtyler@orangecountync.gov
2 Orange County Master Aging Plan
6
Table of Contents
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Goals and Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Development of the Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Demographics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Evaluation of 2017-22 MAP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Domain Goals, Objectives, Strategies,And Indicators. . . . . . . . . . . . . . . . . . . . . . . . . .23
DOMAIN 1:Outdoor Spaces and Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
DOMAIN 2:Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
DOMAIN 3: Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
DOMAIN 4: Social Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
DOMAIN 5: Respect and Social Inclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
DOMAIN 6:Civic Participation and Employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
DOMAIN 7:Community Support and Health Services . . . . . . . . . . . . . . . . . . . . . . . . . .40
DOMAIN 8:Communication and Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Frequently Used Acronyms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Index of Responsible Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Orange County Master Aging Plan 3
7
Executive Summary
The 2022-27 Master Aging Plan (MAP) marks the
fifth cycle of strategic planning for the Orange
County Department on Aging (OCDOA). However, '
this is the second MAP based on the AARP
Framework for an Age-Friendly Community(AFC).
The AFC framework contains 8 domains of livabilityJ#
that influence the quality of life for older adults:
outdoor spaces and buildings,transportation, -
housing, social participation, respect and social f -
f Y
inclusion,civic participation and employment, , =,
communication and information, and community
and health services.
This plan builds off of the 20 year history of formal The goals included in the 2022-27 MAP are
age-friendly planning in Orange County.We are intended to continue to make Orange County an
proud to be a model for comprehensive and age-friendly community,a place where structures
successful aging planning both in NC and the and services are adapted to be accessible to
nation. We are especially proud to be one of the and inclusive of older adults with varying needs
12 Age-Friendly Communities leading the way in and capacities. For this reason,the plan covers a
NC,as our state has joined with 9 other states and wide range of topics,from communication and
one territory to be designated as a Livable and information to housing and outdoor spaces and
Age-Friendly State. buildings.
For the first time in its development process,the The 2022-27 MAP was developed using the AARP
Orange County Master Aging Plan is including Age-Friendly Community Framework as a guide.
racial equity as a cross-cutting theme for each The goals, objectives, strategies and indicators
of the 8 domains in the 2022-2027 plan. In represent the work of a variety of stakeholders
partnership with the other county initiatives, such throughout the MAP planning process.These
as One Orange and the Government Alliance for stakeholders include Orange County residents,
Race& Equity,the focus on racial equity provides county and town leadership, major healthcare
an intentionality and builds off of important systems,faith-based and non-profit organizations,
discussions both locally and nationally to identify and older adult advocates.
and explore how race impacts the experience of
aging. All of these stakeholders were involved at different
times during the MAP's development, beginning in
This is a critical part of a larger effort to ensure summer 2021 with a community needs assessment
the Master Aging Plan is inclusive of ALL older survey and ending in spring 2022 with a period of
adults in Orange County. It is critical that EVERY public comment.
older adult (regardless of race,ethnicity, income,
location, language, sexual orientation, health
status, etc.) see themselves reflected in some way
in the MAP.We want to make sure this plan and
this process is relevant to all older adults in Orange
County.This is our community and our plan.
4 Orange County Master Aging Plan
8
In the fall of 2021 and winter of 2022,stakeholders
participated in 9 community engagement events,
33 work group meetings,and MAP Leadership and
Steering Committee meetings.The inclusion of
these diverse stakeholders in developing the MAP
is essential to ensuring that the plan meets the
I
needs of a growing older adult population. I
The 2022-27 MAP comes at a particularly crucial V
point in the history of Orange County.The
proportion of older adults within the general
population is growing rapidly at the national level
as well as right here in Orange County.
Orange County's aging population is diverse,
widespread,and representative of a variety of life
experiences.Achieving the goals and objectives
in the MAP is essential in preparing the county for a�
the influx of older adults who will be using county
and town programs and services.
The success of the MAP depends on continued
collaboration and community involvement over
the next five years.Without the participation of a
variety of community members and organizations,
an integrated countywide plan will not be
successful.
The achievement of this plan requires the
recognition that we all are aging,this plan affects
all of us,and an age-friendly community benefits
our county as a whole.Through working together
to meet the goals and objectives of the 2022-27
MAP, residents and diverse organizations will
help Orange County build capacity to support
our aging population and ultimately improve the
quality of life for everyone.
Orange County Master Aging Plan 5
9
Goals and Objectives
The following goals are Orange County's guiding
principles in serving our older adult population.
Goal 1 —Outdoor Spaces&Buildings:
Optimize usability of outdoor spaces and _
buildings for older adults.
Objective 1.1: Increase engagement of
older adults,emphasizing racially diverse
communities, in the planning and utilization ofr
outdoor spaces and buildings in Orange County
(OC). t
Objective 1.2: Improve equitable access,
availability,convenience, and use of outdoor
spaces and buildings by everyone.
Goal 2 —Transportation' Objective 3.3: Improve the preservation and
Increase access to and awareness of affordable, quality of homes for older adults through repair
and modifications.
safe,and equitable mobility options for older
adults in all parts of Orange County. Goal 4—Social Participation:
Objective 2.1: Increase access to transportation
Promote diverse and accessible opportunities for
information and travel training. participation and engagement of older adults
Objective 2.2: Expand availability and improve age 55+.
transportation options for older adults. Objective 4.1: Expand opportunities for
educational, intergenerational,and cultural
Objective 2.3: Improve collaboration among programming among older adults.
transportation and human service providers to
overcome barriers to mobility. Goal 5 — Respect&Social Inclusion:
Goal 3 — Housing: Uphold all older adults ages 55+ as valuable
members and provide equitable resources for
Improve choice,quality,affordability,and the community.
stability of housing for older adults.
Objective 5.1: Ensure a welcoming, inclusive, and
Objective 3.1: Expand the development of a livable community.
wide array of housing models that advance racial
equity, livable design, and social connections for
older adults.
Objective 3.2: Increase the number and types
of affordable housing options,for rent or
ownership, suitable for older adults.
6 Orange County Master Aging Plan
10
Goal 6— Employment: _
Connect older adults with resources that help -
them achieve their diverse employment and
career transition goals.
Objective 6.1. Match Job Seekers 55+with
appropriate employment opportunities for all
qualified Orange County residents including an
emphasis on racially diverse communities. 1 � -
Objective 6.2. Expand opportunities for older
adults to gain job-seeking guidance and job skills ; ��� ., • k
to secure living wage employment, including l
traditional,alternative,and entrepreneurial :•
options. I
Objective 6.3.Advocate for broad diversity,
equity,and inclusion (DEI),especially regarding
age and race,with local employers and business
organizations.
Goal 7—Community Support&Health Services:
Ensure the community has accessible and Goal 8—Communication&Information:
affordable resources to support individual health Awareness of and access to available services
and well-being goals throughout the aging and supports for older adults and their families
process. will increase for everyone.
Objective 7.1: Develop supports and resources to Objective 8.1: Increase the accessibility of
promote mental/behavioral health. information regarding available programs,
Objective 7.2: Expand enriching volunteer services,and resources
opportunities for older adults.
Objective 7.3:Coordinate local efforts to enhance
affordable health care support.
Objective 7.4: Expand services to help older
adults age in community.
Objective 7.5: Expand accessibility of available
health and wellness resources.
Objective 7.6: Increase access to services to
combat food insecurity.
Objective 7.7:Support planning for and
fulfillment of individual goals in all stages at the
end of life.
Orange County Master Aging Plan 7
11
Introduction
The Orange County Department on Aging -�
(OCDOA) created its first five-year Master Aging
Plan (MAP) in 2000. The current 2022-27 MAP ,
is the fifth round of comprehensive planning
for Orange County's growing older population.
It is designed with a continued value on strong ■■�'I
community member and stakeholder involvement _
in its development. R`
This plan is the first to include racial equity as
a cross-cutting theme incorporating the other
county initiatives, such as One Orange and the
Government Alliance for Race and Equity. This
focus on racial equity provides an intentionally
and builds off of important discussions both The 2022-27 MAP focuses mainly on older
locally and nationally to identify and explore how adults,who are defined in this MAP as
race impacts the aging experience. This also builds individuals age 60 and above. It will largely
off of the larger effort to ensure that the MAP is be implemented by the OCDOA; however,true
inclusive of all Orange County older adults improvement in the lives of Orange County
regardless of race,ethnicity,income, location, residents requires a broader perspective.We are
language,sexual orientation,or health status. all aging, meaning that the goals and objectives
In an attempt to be even more comprehensive outlined in the MAP affect everyone, not just older
in its planning,the OCDOA is for the second adults.County and town departments, health care,
time using the World Health Organization and other community service providers will need
(WHO) and AARP's Age-Friendly Communities to coordinate efforts for seamless integration of
(AFC)framework for the structure of the 2022- programs and services.The recognition that this
27 MAP. plan affects all of us,and we need to work together
to implement it, is essential to the success of the
This framework guided the focus of the MAP 2022-27 MAP.
design by organizing community subject matter
and discussions into relevant domains and The MAP begins with a description of the
workgroups.The OCDOA recruited students development process.An overview of current
through the UNC Partnerships in Aging,the and projected demographic characteristics of
UNC Gilling's School of Public Health, School of older adults in Orange County follows to highlight
Social Work,and School of Nursing to expand the importance of the plan for preparing the
its capacity to elicit feedback from older adults, county for an aging population. Finally,the goals,
service providers,government departments, and objectives, strategies,and indicators to guide this
other community stakeholders.These students preparation are outlined in detail.These are the
collaborated with members of the MAP Leadership steps we hope to take to continue making Orange
Team and the workgroups to support the year- County a more age-friendly community based on
long MAP development. WHO and AARP's domains of livability.
8 Orange County Master Aging Plan
12
WHO/AARP Age-Friendly Community Framework
AV QW Outdoor Spaces
and Buildings
Housing
Transportation
jjm O
O D
Social Communication
Participation / and Information
ODO — The 8 Domains of Livability —
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Other Areas
0000410 Cnj • Emergency Preparedness
O • Elder abuse
1 rl r • Public safety
• Dementia-friendly
Community
Support and Civic Participation
pp Respect and and Employment LEARN MORE
Health Services Social Inclusion
AARP.org/Livable
Orange County Departmenton AgingMission
Orange County Master Aging Plan 9
13
Development of the Plan
Plan Structure MAP Steering Committee and Leadership
In July of 2016,Orange County joined AARP's The MAP Leadership Team,along with the Orange
Network of Age-Friendly Communities (AFC). County Advisory Board on Aging, determined
The county and town leaders recognized the the group structure that would guide the
importance of encouraging and promoting age- development of the 2022-27 Master Aging Plan.
friendly policies and planning and agreed to Although the Orange County Board of County
actively work together toward making Orange Commissioners is ultimately responsible for
County an ideal place to live for people of all ages accepting the plan, several other bodies were
by using the AARP Age-Friendly Communities involved in developing and overseeing the plan.
(AFC)framework.This framework includes eight The MAP Steering Committee is a high-level
domains of livability that influence the quality committee made up of key representatives from
of life for older adults.The 2022-27 MAP reflects county and town leadership and governmental
this continued commitment by developing goals units, healthcare,faith-based organizations,
and objectives in each of the eight domains of non-profit community partners, and older adult
an Age-Friendly Community:outdoor spaces advocacy groups.The MAP Steering Committee
and buildings,transportation, housing, social is responsible for providing resources, strategic
participation, respect and social inclusion,civic vision and oversight to the development and
participation and employment,communication implementation of the plan. Members are able
and information,and community and health to identify their agencies as responsible for
services. carrying out specific strategies outlined in the
plan.All of the responsible parties were directly
Vision Statement involved in the MAP development process or
It is the vision of the 2022-27 MAP that Orange are natural partners in these efforts.Older adult
County and its municipalities meet the standards input came from participation in the workgroups,
of an age-friendly community. Creating age- the community engagement events and the
friendly community where structures and services community survey. Additionally,the OCDOA
are adapted to be accessible to and inclusive of welcomes other stakeholders not listed in the plan
older adults with varying needs and capacities. to assist in the implementation of the MAP.
Orange County aims to become an age-friendly Early in the discussions of developing this MAP the
community in all 8 domains by developing MAP Leadership Team embraced the commitment
and maintaining services that foster lifelong to racial equity and wanted this MAP to reflect that
engagement in community affairs, opportunities commitment. The MAP Leadership Team hosted
for creativity and productivity, meaningful the Government Alliance on Race and Equity
connections with others,and a sense of physical (GARE) training for workgroup leaders,Orange
and emotional wellbeing.As a result,Orange County Advisory Board on Aging members,and
County will be the ideal place to grow older and student interns that would be supporting the
age well. MAP work. This 8 hour training provided the
tools for these leaders to carry the One Orange
initiative forward in the development of the
goals, objectives,strategies and indicators for this
MAP.The One Orange Racial Equity Framework
10 Orange County Master Aging Plan
14
is designed to ensure that race no longer can In line with this MAP being developed with a
be used to predict life outcomes in the Orange racial equity lens,we disaggregated all data by
County community. In addition,the OCDOA White, Black,and Asian respondents (the number
Director appointed a MAP Racial Equity Team. of people in the other groups was too small).
This team received an additional DEI certification We also specifically asked about the frequency
and were a resource in all workgroup meetings. of discrimination.Compared to White and Asian
The MAP Leadership Team met weekly from respondents, Black respondents tended to
January-May 2022 to facilitate a collaborative have lower scores,which means they reported
process;discuss any cross cutting issues;and to experiencing discrimination more often (average
support each other in the workgroup process and scores 8.3,8.3 vs 7.7 respectively). (Refer to
development of the MAP. Appendix 1 and 2)
Community Needs Assessment Outdoor and Public Spaces-Top Three Priorities
During the summer of 2021 Orange County 1. Safe places to walk, such as sidewalks
Department on Aging,along with the UNC 2. Public spaces (including bathrooms) that are
Partnerships in Aging Program, led the MAP clean and accessible to people of different
Community Assessment Survey as part of the physical abilities
community engagement process to prepare for
development of the 2022-2027 MAP. The survey 3. Adequate benches and outdoor seating
was administered using both online and paper Racial differences:
versions.A small grant from UNC Center for Public
Service allowed for the survey to be translated Black respondents ranked"Well-lit streets"
into Spanish and Mandarin.Additionally,the among top 3 (but this was last among White
Refugee Support Center donated over 20 hours respondents)
of interpreting time to help community members
with different language needs complete the Transportation -Top Three Priorities
survey.The survey was widely publicized through 1. Public transportation outside of Chapel Hill/
a variety of channels including radio,social media, Carrboro
print publications, email listservs,and in-person 2. Convenient public transportation stops
events across the county with specific efforts to
reach out to diverse communities.A total of 1040 3. Plentiful parking
people responded:940 of whom were Orange Racial differences:
County residents.
• Black respondents ranked"Support with
The focus of the survey was to hear community transportation for other regular needs, such
members'priorities. For most of the MAP domains, ,-
as errands or the grocery store in top 3 (but
the survey included a list of 7-10 topics and "Plentiful parking"was near the bottom)
asked respondents to pick the three that needed
the most improvement in their community. For • Asian respondents ranked"Support with
the Communications domain,we asked several transportation to medical appointments"in top 3
more targeted questions about communication (but"Plentiful parking"at the bottom)
preferences.
Orange County Master Aging Plan 11
15
Housing-Top Three Priorities • Asian respondents ranked"Help searching for
and applying to jobs"in top 4 (this was ranked
1. Support to age in your community(instead of last among Black and White respondents)
moving into a facility)
2. Affordable housing options Community Support and Health Services—
3. Housing repair and maintenance programs Top Three Priorities
and services Adequate benches and outdoor 1. Affordable health care
seating 2. Quality and affordable in-home, respite,and
Racial differences: adult day care services
• Asian respondents ranked"Housing near services 3. Mental health services
or transportation options"in top 3 Racial differences:
• White respondents ranked"Physical housing Both Black and Asian respondents ranked
designs that support aging in place"in top 3 "Affordable, healthy food"among top 3 (ranked
Social Participation, Respect,and Inclusion —Top 4th by White residents)
Three Priorities Communications—Top Five Preferred ways to
1. Services for those experiencing social isolation get Community Information
and loneliness 1. Other internet sources (websites)
2. Opportunities for social connections among 2. Local TV stations
older adults
3. Social media
3. Inter-generational events and programs
(involve both younger and older people) 4. Word of mouth (family,friends, neighbors)
Racial differences: 5. Daily/weekly newspaper
• Black respondents ranked"Accessibility of events Racial differences:
and programs for people living with disabilities" . Black respondents selected"Community
in the top 3 (but was near the bottom among newspaper"and"Faith based organizations
White respondents) (churches, synagogues, mosques)"among the
• Asian respondents ranked"Cultural activities that top five
celebrate our diversity"and"Social clubs (book . Asian respondents also selected"Faith based
clubs,gardening,crafts,etc.)"in top 3 organizations (churches, synagogues, mosques)"
Employment-Top Three Priorities among the top five
1. Fair compensation for employment Community Engagement Events
2. Jobs that adapt to meet the needs of older In October 2021 OCDOA hosted 9 community
people engagement events to share the survey results
and to offer a time for any further comments on
3. Training opportunities to learn new job skills aging concerns in our community. 8 of these
Differences: events were held in person at the below locations
and one was offered virtually to accommodate
• Asian respondents ranked"Volunteer those persons that were not comfortable with an
experiences that fit my preferences and talents"
intop 3
12 Orange County Master Aging Plan
16
in-person event due to the pandemic. The MAP ` ,h ;.z
workgroup leaders were present at the community
engagement events and hosted posters about
the survey results from their respective domains,
as well as a poster highlighting their domain
accomplishments from 2017-present.The (; r
community engagement events also provided ,
an opportunity to recruit workgroup members.
The events had a total of 53 participants at the
following locations:
• Robert and Pearl Seymour Center (2 events)
• Jerry M. Passmore Center(2 events)
• Hargraves Community Center MAP Participant Structure
• Efland-Cheeks Community Center The structure of this MAP built off of the success
• Cedar Grove Community Center of the past four MAPS. For the 2017-22 MAP
six workgroups were created representing
• Rogers Road Community Center the age-friendly domains.Those groups were
• Virtual Event Transportation, Outdoor Space and Buildings,
Housing,Social Participations and Inclusion, Civic
Key Informant Interviews Participation and Employment,and Community
Throughout the fall 2021 and spring 2022,Janice Supports and Health Services. Those workgroups
Tyler, Director of the OCDOA conducted 15 key continued to meet quarterly for the past five
informant interviews with stakeholders across years to implement the 2017-22 MAP goals,
Orange County.These key informant interviews objectives, strategies and indicators. With these
were conducted with stakeholders in county workgroups and the addition of a workgroup for
and town government, healthcare,faith-based Information and Communication this MAP brought
organizations,and community service providers. together seven workgroups that held a total of
The purpose of the key informant interviews 33 meetings between January-March 2022. Six of
was to provide an overview of the work and the workgroups were led by OCDOA staff and one
programming of the OCDOA; identify areas of group was led by the UNC Partnerships in Aging.
concern for our aging population and generate The workgroups were supported administratively
ideas for improvements with community partners. with UNC graduate and undergraduate students.
In addition to gathering useful information about The workgroups each had a MAP Racial Equity
Orange County's preparedness for an aging Team member assigned to attend their meetings.
population,the key informant interviews were Each workgroup also had an Orange County
intended to generate buy-in,foster collaboration,
Advisory Board on Aging member.
understand how the work of the OCDOA intersects
with that of other stakeholders,and formulate a
comprehensive vision for aging in Orange County
over the next five years.
Orange County Master Aging Plan 13
17
MAP Participant Structure
Orange
1
Orange County Department on Aging OC Advisory Board on Aging
Public comment
MAP Steering Committee
MAP Leadership Team
Domain#1 Domain#2I
.
Domain
Workgroup Outdoor Workgroup
.
Workgroup
Transportation Workgroup Housing Participation/Social Employment Community Support Communication and
Respect and Inclusion and Health Services Information
Community Engagement Events
Community Survey
The workgroups ranged in size from 9-42 It should be noted the workgroup meetings
members. Workgroup members included were offered in a hybrid model with some
older adults,county and town staff, non-profit group members attending in-person meetings
organizations,and healthcare providers. while others were virtual. Although this type of
The workgroups were given workgroup process environment made it difficult at times to have
meeting guidelines and each workgroup met quality group dialogue,the general consensus
five times,except for the Housing Workgroup from workgroup members was the process worked
that met 3 times. Through the group process the and this MAP addresses the changing needs of our
workgroup members took a look at where we older adult community and highlights many areas
have been in our county with aging services; had that the pandemic have shown a light on.
a training on racial equity, as a lens for the MAP One of the key successes of the 2017-22 MAP was
development; reviewed survey data;focused on the workgroups remaining intact throughout
developing solutions;and finally prioritized their the implementation process. This structure will
work into what was feasible for a five year plan.The continue with this MAP. The workgroups will
workgroups were tasked with taking the top issues continue to meet on a quarterly basis to facilitate
from the community survey data with particular collaboration and to help sustain momentum to
emphasis on racial equity and develop goals, ensure the MAP goals are met. The MAP Reporting
objectives, strategies, and indicators.Workgroups matrix is updated quarterly by the workgroups
were responsible for researching topic areas, if with the assistance of the UNC Partnerships in
needed; identifying problems within the topic Aging PhD intern. This information is shared on
area in Orange County;and formulating goals, the OCDOA website, as well as with the Orange
objectives, strategies and indicators to address the County Advisory Board Aging.
issue.
14 Orange County Master Aging Plan
18
Cross-Cutting Issues Addressed
by All Work Groups
In addition to domain-specific issues, each work
group was instructed to address four crosscutting �
issues in its discussion and recommendations. '
These crosscutting issues included: -
1. Racial Equity and diversity of the older adult
population
a
2. Urban/Rural Differences
3. On-going concerns related to a global
pandemic, including social isolation
4. Including older adults in solutions Finally, all work groups were asked to utilize the
In the previous MAP communication and wisdom, energy,and political power inherent in
information was also a cross cutting issue, but for the older adult population within Orange County.
this MAP a separate workgroup was created and Implementation strategies should capitalize on
dedicated to this domain. In addition to working these strengths. There is a continual need for the
on their own goals,objectives, strategies,and voices of older adults and their leadership in order
indicators they received content from all of the to accomplish the strategies and objectives set
workgroups.Work groups remained conscious forth by the 2022-27 MAP.
throughout the process of the critical importance public Comment
of ensuring that older adults are able to easily
access the information needed in order to utilize After completing the workgroup meetings the
resources developed by partners of the MAP. workgroup leaders compiled each work group's
goals, objectives and strategies under the eight
Furthermore, each work group addressed matters Age-Friendly Community Domains.The draft of
of diversity and recognized economic barriers the Goals,Objectives, Strategies and Indicators
to the goals they set forth. It was important to were shared with the Orange County Advisory
consider the possible barriers that older adults Board on Aging and the MAP Steering Committee,
experience related to race, ethnic group,and the two bodies charged with oversight of the
economic status. progress of MAP.The MAP Steering Committee
Also, many older adults experience a wide range met in-person to review the document.This review
of health conditions that can make participation in process generated a draft of the final MAP,which
community life more difficult. Similar to economic was placed on the OCDOA website and a link was
and diversity considerations,geographic equity distributed via the OCDOA e-newsletter and by
was an issue for all work groups to consider.Work paper copies at the senior centers for the general
group members were asked to be cognizant of the public to comment.
varied and geographically separated nature of our
county population as it relates to the MAP's vision
for all residents to be considered in and to benefit
from the MAP.
Orange County Master Aging Plan 15
19
Demographics
Older Adults in the US and NC Growth and Longevity
With the most recent data from 2019 the U.S. Orange County can expect its older adult
population age 65 and older is 54.1 million, population to mirror similar growth patterns to
representing 16%of the population or more than those of the state and country in coming years. In
one in every seven Americans. The number of 2020, 21%of the population was 60+and by 2040
older Americans has increased by 14.4 million (or it will be 26%. This represents a 47.8%change in
36%) since 2009,compared to an increase of 3% just 20 years;whereas,children aged 0-17 years
for the under-65 population. By 2030,the number are 17%of the population in 2020 and in 2040 will
is expected to become 1 in 5 and for the first time decline to 15%of the population which represents
in history older adults will outnumber children. a 4.5% change.3
The older adult population is going to continue From 2010-2018 Orange County grew by 12,325
to grow as more than 41%of the"baby boomer" residents,while its 65+age group grew by 7,575
generation is now age 65 and older. By 2060 the residents (primarily from aging as well as some in-
number of adults in the US age 65+ is expected to migration).This means 61.5%of Orange County's
double reaching an estimated 98 million. growth was from the population 65+.Among
This national growth of the older adult population peer counties,Orange County is second only to
is true also for North Carolina. Chatham County in the share of county growth
North Carolinians 60+accounted for 23%of the driven by its 65+age group (64.5%).The share of
population in 2020, but are expected to makeup
growth in this age group is substantially higher
4
27%of the population by the year 2040. (Footnote than the state (53.7%)
NC Aging and Adult Services 2022 Aging Profile) Life expectancy at birth for Orange County
North Carolina ranks 8th nationally in the number residents was 82.1 years in 2018, up from 80.8
of people age 65+. In the next two decades,the years in 2015.3 Life expectancy at birth is higher
65 and older population will increase from 1.7 for women than men,and for Whites when
to 2.7 million,a projected growth of 52%. The compared to African Americans in Orange County.3
projected growth among the age groups 65-74 With the continued rise in the 60+ population
(25%), 75-84%and 85+ (116%) indicates that as it reflects the crucial importance of considering
the baby boomers continue to age,there will be Orange County's older adult community when
an increased proportion of older adults in the state allocating county and town resources in order to
creating challenges for long-term services and support them,as well as their care partners and
supports.2 Knowing this, our communities must pp
families.
answer the need to serve a growing older adult
population with relevant services. Demographic Patterns
North Carolina should expect stark increases in Orange County's older adult population of 65+
demands for services targeted toward our aging is 83%white, 111%African American, 3.3%Asian,
population as well as changes in the types of and 2.2% Hispanic or Latino.2 Since 1990 all
services that are demanded.Additionally, North racial/ethnic groups,specifically Hispanic and
Carolina's entire population can expect to benefit Asian groups have grown faster than others and
from the contributions of an aging workforce,so this can be seen by persons being served by the
long as space is created for those contributions to Orange County Department on Aging. In general
be made.
16 Orange County Master Aging Plan
20
the share of Orange County's population that is 5.2%older adults living below 100% poverty level
white or black has decreased from 1990 to 2018: and 13.3% living in the 100%-199% poverty level.
-11 percentage points and -5 percentage points, And lastly 25%of our older adults are living alone,
respectively. Meanwhile,the share of Hispanic which is slightly less than the state average.'
and Asian residents has increased: +8 and +5
percentage points, respectively.' Characteristics and Distribution
Other key demographics include 13.3%of our The following tables provide some basic
older adults are veterans. 26.7%of our older demographic characteristics of Orange County's
adults are living with a disability.While older total population as compared to its older adult
adults in Orange County are proportionately less population.The following data come from
educated than the general county population, the 2020 American Community Survey 5-year
education levels for adults in Orange County are Estimates for Orange County' and the North
consistently higher than averages at the state level. Carolina Division of Aging and Adult Services 2020
Older adults face less poverty in Orange County County Aging Profile.'
compared to the state averages, but we still have
Table 1.1 Orange County Age Projections
AGES 2020 040 % CHANGE
(2020-2040)
Total 19.9%
0-17 4.5%
18-44
45-59 18.5%
60+ 47.8%
65+ 67.9%
85+ 264.2%
'Administration for Community Living:2020 Profile of Older Americans.May 2021
https.Ilacl.gov/sites/default/files/Profile%20of%2OOA/2O2OProfileOlderAmericans_RevisedFinaL pdf
'North Carolina Aging and Adult Services,2020 Aging Profile,March 28,2022
h ttps://www.n cd h h s.go v/media/l 4887/o pen
3North Carolina Aging and Adult Services,Orange County Aging Profile,March 28,2022
https://www.ncdhhs.gov/media/14888/open
4Jess Stanford:Orange County,NC:How the population has changed.Carolina Demography
https://www.ncdemography.org/2021/02/05/orange-county-nc-how-the-population-has-changed/\
5U.S.Census Bureau.Population 60 years and over in the United States,2020 American Community Survey 5-year
Estimates for Orange County,NC
https://data.census.gov/cedsci/table?q=orange%20Coun ty%20NC&tid=ACSST5Y2020.S0102
Orange County Master Aging Plan 17
21
Table 1.2 Characteristics of Orange County Residents:Total Population vs.Age 60+
Orange Orange County Orange Orange County
County Total adults 60 years CountyTotal adults 60 years
Population and over Population and over
MARITAL STATUS
SEX AND AGE Population 15 years and over 123,211 29,247
Male 47.60% 44.30% Now married,except 46.10% 62.00%
separated
Female 52.40% 55.70% Widowed 3.60% 14.10%
Median age(years) 35.1 68.6
Divorced 8.10% 16.10%
RACE AND HISPANIC OR LATINO ORIGIN Separated 1.70% 1.60%
One race 96.40% 99.20%
Never married 40.60% 1 6.20%
White 75.20% 81.90% EDUCATIONAL ATTAINMENT
Black or African American 11.20% 11.70%
Population 25 years and over 91,282 29,247
American Indian 0.50% 0.50% Less than high school 0 0
and Alaska Native graduate 7.00% 8.50%
Asian 7.90% 4.10% High school graduate, 0 0
Native Hawaiian and o o GED,or alternative 12.50% 15.60/o
Other Pacific Islander 0.00% 0.00%
Some other race 1.60% 1.00% Some college 19.60% 19.60%
associates degree
Two or more races 3.60% 0.80% Bachelor's degree or higher 60.80% 56.30%
Hispanic or Latino origin 8.50% 2.90% YEARS
(of any race) Population 30 years and over 81,316 29,247
White alone,not Hispanic 69.40% 80.30% Living with grandchild(ren) 2.00% 2.50%
or Latino
RELATIONSHIP Responsible for 0.60% 0.50%
Population in households 134,261 28,909 Lgrandchild(ren)
VETERAN STATUS
Householder or spouse 59.50% 91.00%
Parent 1.10% 3.60% Civilian population 117,821 29,247
18 years and over
Other relatives 30.10% 2.20% Civilian veteran 4.70% 11.20%
Nonrelatives 9.30% 3.20% DISABILITY
Unmarried partner 2.20% 1.70% Civilian noninstitutionalized
145,713 29,016
HOUSEHOLDS BYTYPE population
Households 53,222 17,867 With any disability 8.40% 22.90%
Family households 61.80% 58.30% No disability 91.60% 77.10%
Married-couple family 50.10% 49.50% LANGUAGE SPOKEN AT HOME AND ABILITY TO SPEAK
Female householder, 8.30% 7.00% Population 5 years and over 139,833 29,247
no spouse present,family English only 84.00% 91.40%
Nonfamily households 38.20% 41.70% Language other than English 16.00% 8.60%
Householder living alone 27.80% 37.70% Speak English less than o 0
"very wel l" 4.80% 3.80/o
18 Orange County Master Aging Plan
22
Orange Orange County � . � .
County Tota I adults ,i years �
Population o 1 1 1 1 1
Population 16 years and over 121,514 29,247 10
In labor force 62.30% 33.50% Less than 30 percent 81.30% 80.70%
Civilian labor force 62.30% 33.50% 30 percent or more 18.70% 19.30%
Employed 59.80% 32.60% OWNER CHARACTERISTICS
Unemployed 2.50% 0.90% Median value(dollars) 331,800 330,400
Percent of civilian labor force 4.00% 2.70% Median selected monthly
owner costs with a mortgage 1,902 1,747
Armed forces 0.00% 0.00% (dollars)
Not in labor force 37.70% 66.500/6 Median selected monthly
POVERTY STATUS IN THE PAST 12 MONTHS owner costs without a 618 614
Population for whom poverty mortgage(dollars)
status is determined 134,474 29,016 Renter-occupied housing
units 19,272 3,456
Below 100 percent of the 12.40% 5.70%
poverty levelGROSS RENT AS A PERCENTAGE OF HOUSEHOLD INCOME IN THE
100 to 149 percent of the o o PAST 12 ONTHS
poverty level 6.20/0 6.50/o Less than 30 percent 52.30% 55.60%
At or above 150 percent 81.40% 87.80% 30 percent or more 47.70% 44.40%
of the poverty level GROSS ,
ENT
Occupied housing units 53,222 17,867 Median gross rent(dollars) 1,136 968
HOUSINGTENURE
Owner-occupied housing 63.80% 80.70%
units
Renter-occupied housing 36.20% 19.30%
units
Average household size of 2.66 2
owner-occupied unit
Average household size of 2.28 1.58
renter-occupied unit
Owner-occupied housing 33,950 14,411
units
::J
*The data is from United States Census Bureau American Community Survey
50102 POPULATION 60 YEARS ANDOVER IN THE UNITED STATES
2020:ACS 5-Year Estimates Subject Tables
https://data.census.gov/cedsci/table?q=orange%20County%20NC&tid=ACSST5Y202O.SO102
Orange County Master Aging Plan 19
23
This map shows the distribution of older adults age 60+throughout Orange County,based on 2020 voter data in 2020 US Census blocks.The
larger the red dot,the more older adults age 60+live in that area.
Active Voters 6o Years Old and Older by 2020 Census Blocks
irasweli Gounty
- --•--� -
----- --------
0 ; o ° � 00
0
e -
0 •.• �o, o Q49 15
r`
• '0 •
O86
0
'O 11057 0
001
1 0 0 1
Q ° o O o v, C°° o � ;
O O Q COO
O
Q o
°0� ,.
00 Q � 0
- _
70
Q
° ® 70A
70
00 '� o
s ..o Q o, 91 751
; Q o ° :_�
O ° o Q Qm 1
J
i o D o. - 000 Q o
0). o
0 .
f Q
15
_ City Limitsi o ° Q 54 501
ETJ
Active Voters 60 Years Q Q o
Old and Older o
1 -10 to ;0
0 11 -20
0 21 -50 - Q_
51 -100 - --
0��/// h h7 Chatham 11n=3 miles
County �Miles
Q 101+ 3
Planning and Inspections Department(K)
31�Uzozz
20 Orange County Master Aging Plan
24
Health
Knowing that adults are living longer,Orange AL
County must take preventive measures to
support residents'health overtime. Recognizing _
leading causes of death will be critical to this N
task.
I i
The top 5 leading causes of death for
older
adults .g• Orange
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.
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.
Orange County Master Aging Plan 21
25
Evaluation of 2017-22 MAP
With the development of four Master Aging Plans
and many years of community aging planning
there was recognition and desire by the MAP
Leadership Team and the Orange County Advisory
Board on Aging to complete a formal evaluation of
the 2017-22 MAP. With expertise in aging,as well ® �
as in program evaluation,the OCDOA engaged
the UNC Partnerships in Aging Program to lead
the evaluation of the 2017-2022 MAP.The goal of
the three-part evaluation was to determine what ` '~
worked well and what could be improved,with an
aim to develop recommendations for the next five-
year MAP.
First,the Evaluation Team examined the quarterly
tracking matrix documents to determine progress _
on the MAP indicators.At the end of year 4,
workgroups representing all 8 domains had met _
72%of indicators and made notable progress on ==�
another 19%. No progress was made on 4%of the
indicators,and the remaining 5%were deemed
not feasible or no longer relevant.
Second,the Evaluation Team conducted interviews
with the workgroup leaders to better understand
the implementation processes.Workgroup
leaders found great pride in the work and their service provision across rural and urban areas
accomplishments,especially around community of the county.The MAP facilitated individual
collaboration. However, sustaining engagement and organizational learning, collaboration,
with workgroup members and managing the accountability, and adaptability.
scope of the work was challenging. Finally, using these findings,the Evaluation
Third,the Evaluation Team conducted Ripple Team developed a list of key takeaways and
Effects Mapping to illustrate,and learn from, recommendations for the next 5-year MAP. First,
the positive ways MAP impacts the community. continue building on the many strengths that
Stakeholder stories demonstrated positive made this MAP a success. Second, refine and
ripple effects in eleven categories, including simplify the MAP and matrix.Third, enhance
housing affordability, home repair efficiencies, workgroup structure and process across domains.
food assistance,employment opportunities, Forth, prioritize strategic action on racial equity.
transportation access,communication A complete summary of results will be published
effectiveness, and expanded social participation. in an Evaluation Report at the end of year 5
Stakeholder investments of time and resources (June 30, 2022) and will be posted to the OCDOA
resulted in enhanced livability and equity of website.
22 Orange County Master Aging Plan
26
Domain Goals, Objectives, Strategies, And Indicators
DOMAIN 1:
Outdoor Spaces and Buildings
The accessibility of outdoor spaces and public
buildings affects 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; "
ty�- x
• Usable green spaces and walkways, adequate
outdoor seating for people who may need to sit . Traffic rules and regulations that consider
and rest, and public restrooms; pedestrians;
• Sidewalks and roads that are well-maintained . Some public spaces close to services;and
and safe for pedestrians, drivers,and cyclists;
• Accessible buildings.
Goal 1:Optimize the usability of outdoor spaces and buildings for older adults.
INDICATORSOBJECTIVE 1.1
STRATEGY 1.1.1
.O
1.1.1a At least one dedicated space for an older adult age 55+(or representative of OCDOA,OC Department of Environment,Agriculture,
older adults)is on every county and town Advisory Board that has input on Parks,and Recreation(DEAPR),Board of County
outdoor spaces and buildings. Commissioners(BOCC),Town of Chapel Hill(CH),Town of
Carrboro(CARR),Town of Hillsborough(HILLS),Town of
Mebane
1.1.1.b Other non-municipal and non-profit trail owners/groups are invited to join the OCDOA
MAP Outdoor Spaces workgroup.
1.1.1c Older adults are educated on how to access information about participating OCDOA,OC DEAPR,Town of CH,Town of CARR,Town of
in local government planning and are encouraged to contribute to meetings/ HILLS,Town of Mebane,OC Library
hearings about outdoor spaces and buildings.
1.1.1d Interactive strategies are developed to solicit input from older adults,with OCDOA,Town of CH,Town of CARR,Town of HILLS,Town
emphasis on racially diverse community members,regarding parks,outdoor of Mebane,
spaces,and community development needs.
Orange County Master Aging Plan 23
27
Goal 1:Optimize the usability of outdoor spaces and buildings for older adults,continued
OBJECTIVE 1.2
STRATEGY 1.2.1
INDICATORS RESPONSIBLE AGENCIES
1.2.1a Older adults'use of outdoor spaces is encouraged through multi-cultural special OCDOA,OC DEAPR,CH Parks&Recreation,CARR
events and educational programs organized by and/or for older adults. Parks&Recreation,nonprofit associations(e.g.,Eno
River Association,Triangle Land Conservancy)
1.2.1.b A different park is highlighted quarterly,on the OCDOA website and in the OCDOA,OC DEAPR,Town of CH,Town of CARR,Town
Endless Possibilities Activity Guide,with the encouragement of participation by of HILLS
everyone.
1.2.1c Community members are assisted by Senior Center staff in using interactive OCDOA
parks,greenways,and trails locator maps using short video tutorials.
1.2.1d Trail intersections in need of signs/trail markers are identified by older adults OCDOA,OC DEAPR,Town of CH,Town of CARR,Town
and community members,and identified locations are shared with Responsible of HILLS,Town of Mebane
Agencies and other non-municipal and non-profit trail owners.
1.2.1e Community members are educated on how to advocate and fund additional OCDOA,OC DEAPR,Town of CH,Town of CARR,Town
equipment(e.g.,benches,bathrooms)in public spaces. of HILLS,Town of Mebane
1.2.1f The inclusion of universal design principles is promoted as standards in the OCDOA,Town of CH,Town of CARR,Town of HILLS,
development review processes of each jurisdiction. Town of Mebane
STRATEGY 1.2.2
INDICATORS RESPONSIBLE
1.2.2a Outdoor areas(e.g.,activity stations,stationary games,adult playgrounds)are OCDOA,Town of CH,Town of HILLS
added to the Senior Centers.
1.2.2.b Outdoor areas at the Senior Centers are made more comfortable for increased OCDOA
usability in different seasons(e.g.,add outdoor heaters,shaded spaces,fans,
misting fans).
1.2.2c At least one bus stop in each town is converted into a wellness stop. OCDOA,Town of CH,Town of CARR,Town of HILLS
1.2.2d Volunteer opportunities are inclusive and inviting to all adults age 55+who OCDOA,Town of HILLS
enjoy working in community gardens(e.g.,vegetable gardens,flower gardens,
pollinator gardens).
1.2.2e Existing outdoor spaces within OC are identified and promoted that can be used OCDOA,Town of CH,Town of CARR,Town of HILLS,
as quiet meditation spaces for caregivers. Town of Mebane
*There were responses from the survey with significantly high numbers of responses regarding items that needed improvements but were
not included in the next MAP plan. These items for Outdoor Spaces and Buildings were:1)Safe places to walk,such as sidewalks and 2)
well-lit streets. While these items are important to the community and after careful review by the MAP Outdoor Spaces and Buildings Domain
planning workgroup,it was determined that the requirements to make such improvements are beyond the scope of work of the MAP Outdoor
Spaces and Buildings workgroup. *
24 Orange County Master Aging Plan
28
DOMAIN 2:
Transportation
Transportation is important in communities
because it links all residents to services, orangeLaunty _.
ro rammin ,employment,and en a
pement g gengagement
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 • Safe and comfortable vehicles;
transportation options; • Convenient stops and stations;
• Frequent and reliable service; . Easy to understand information about public
• Service to high priority destinations (e.g., transportation;
hospitals, parks, shopping); • Volunteer drivers;
• Accessible vehicles; . Well-maintained roads and regulated traffic;
• Specialized services for people with disabilities; and
• Priority seating for older adults; • Plentiful parking.
• Courteous transit workers and competent
drivers;
Goal 2: Increase access to and awareness of affordable,safe,and equitable mobility options for
older adults in all parts of Orange County.
OBJECTIVE 2.1
STRATEGY 2.1.1
INDICATORS RESPONSIBLE
2.1.1a Orange County Transportation Guide for Older Adults is updated every 2 years. OCDOA,with support from Orange County Public
Transit(OCPT),Chapel Hill Transit(CHT),GoTriangle
2.1.1b Easy to read user guides are published and regularly updated and made OCDOA,with support from OCPT,CHT,GoTriangle
available in formats that are accessible to community members with low vision,
low literacy,and Spanish,Mandarin,Karen,Burmese,and other emerging
priority languages as feasible.
2.1.1c Distribution locations that are accessible to racially diverse communities OCDOA,with support from OCPT,CHT,GoTriangle,OC
are identified and regularly replenished with printed schedules and other Public Library,CH Public Library
transportation information.
2.1.1d Regularly scheduled classes on subjects such as Bus Riding 101,bus safety, OCDOA,with support from OCPT,CHT,GoTriangle,OC
Uber/Lyft,mobile ticketing,and transit apps are held at Senior Centers, Public Library,CH Public Library
libraries and community centers,apartment complexes with a large number
of older adults,faith-based communities,etc.with supportive services(e.g.,
an interpreter)to ensure access and participation for people from diverse
backgrounds and with differing abilities.
2.1.1e The Department on Aging's Transportation Helpline is able to provide OCDOA
multilingual information to callers.
Orange County Master Aging Plan 25
29
Goal 2: Increase access to and awareness of affordable,safe,and equitable mobility options for older
adults in all parts of Orange County,continued
STRATEGY 2.1.2
INDICATORS RESPONSIBLE
2.1.2a Guided bus trips to popular destinations that are accessible by public transit are CPT,CHT,OCDOA
offered regularly by Senior Center.
2.1.2b Strategies for matching confident transit users with potential riders and less OCPT,CHT,OCDOA
experienced users are identified and promoted.
2.1.2c Universal symbols are used on all public buses,signs,and literature in Orange OCPT,CHT,GoTriangle,OCDOA
County to address language barriers and low literacy.
2.1.2d Riders of door-to-door services are given real-time information about bus arrival OCPT,CHT,GoTriangle,OCDOA
times and new technology for the call back response system is employed.
2.1.2e The Department on Aging'sTransportation Helpline is able to provide OCPT,CHT,GoTriangle,OCDOA
multilingual information to callers.
OBJECTIVE
INDICATORSSTRATEGY 2.2.1
.O
2.2.1a Fare-free transportation to Senior Centers is made available to older adults OCDOA,OCPT,CHT,GoTriangle
throughout the county.
2.2.1b An analysis of fare policies is completed to understand the goals of fare OCDOA,OCPT,CHT,GoTriangle
collection.
2.2.1c Surveys,public meetings,and other opportunities for public comment on OCDOA,OCPT,CHT,GoTriangle
transportation projects are promoted to the senior community to increase
resident engagement.
2.2.1d Results of transportation provider needs assessments,service changes,and OCDOA,OCPT,CHT,GoTriangle
major updates to services are published regularly in Senior Center publications.
2.2.1e Overall service hours and destinations are increased by transportation providers. OCDOA,OCPT,CHT,GoTriangle
26 Orange County Master Aging Plan
30
STRATEGY 2.2.2 1
INDICATORS RESPONSIBLE
2.2.2a Driver education seminars are offered regularly to encourage conversations, OCDOA,CHT,OCPT,GoTriangle,OC Public Library,CH
decrease stigma,and raise awareness of resources that are in place to help Public Library
older adults safely transition from driving alone to alternative modes of
transportation.
2.2.2b Strategies for improving access to areas with limited parking are identified and OCDOA,CHT,OCPT,GoTriangle,Chapel Hill Downtown
promoted to older adults and community leaders(e.g.,reduced parking rates Partnership
for seniors,event-specific parking guides,designated parking spaces for seniors,
promotion of public transportation options,increased curb access,the number
of accessible parking spaces).
2.2.2c At least one summary of available services,known deficiencies,and developing OCDOA,CHT,OCPT,GoTriangle
programs are shared with key stakeholders,including government leaders and
organizations that serve and represent communities of color.
2.2.2d Increase membership of the transportation workgroup,making sure that users OCDOA,CHT,OCPT,GoTriangle
from racially and economically diverse backgrounds are represented.
STRATEGY 2.2.3
INDICATORS RESPONSIBLE
2.2.3a 90%of ride requests are matched with a driver. OCDOA
2.2.3b The number of volunteer drivers is increased across all county zip codes. OCDOA
2.2.3c 10 new riders are added to the program annually. OCDOA
2.2.3d Expanded range of services is made available,including same-day service, OCDOA
grocery delivery,and ride coordination for special events and programs.
2.2.3e One annual campaign is held to increase participation and awareness of the OCDOA
program.
2.2.3f Demographic data of riders and drivers are collected and reviewed to identify OCDOA
and address inequities in service.
OBJECTIVE
STRATEGY 2.3.1
INDICATORS RESPONSIBLE
2.3.1a Workgroup meetings are held 4 times per year. OCDOA,with support from CHT,OCPT,UNC Health Care,
Piedmont Health,Duke Health,and Orange County Health
Department(OCHD)
2.3.1 b Information regarding non-emergency medical transportation offered through OCDOA,with support from CHT,OCPT,UNC Health Care,
insurance plans is made available. Piedmont Health,Duke Health,and OCHD
Orange County Master Aging Plan 27
31
STRATEGY 2.3.2
2.3.2a Options for simplifying the process for a two-part ride for cross county demand OCDOA,OUT,CHT,GoTriangle
response trips are explored.
2.3.2b Department on Aging's Mobility Manager meets regularly with transportation OCDOA,OUT,CHT,GoTriangle
providers,attends public meetings,and seeks out opportunities to engage with
planners,providers,and users of public transportation.
28 Orange County Master Aging Plan
32
DOMAIN 3:
Housing ■ � ��
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 j
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.
Goal 3: Improve choice,quality,affordability,and stability of housing for older adults.
OBJECTIVE
STRATEGY 3.1.1
INDICATORS RESPONSIBLE
3.1.1a The Senior Housing Guide is updated every two years. OCDOA,UNC Partnerships in Aging Program
3.1.1b The Aging in Community speaker series is revitalized and 2-4 learning events OCDOA,UNC Partnerships in Aging Program
per year are held.Example topics-Accessory Dwelling Units(ADU),Subdivision
of larger homes to include older adult apartments,Intergenerational housing,
Housing for Caregivers,Co-op housing,and CCRC-like options that are affordable
such as Manley Estates,Adelaide Walters,Elderspirit,and Warm Hearth.
Orange County Master Aging Plan 29
33
STRATEGY 3.1.2
INDICATORS RESPONSIBLE
3.1.2a Educational events,websites,and brochures are developed,promoted, OCDOA,Chapel Hill Department of Affordable Housing
and disseminated esp.to organizations and individuals from diverse racial and Community Connections,Town of Carrboro(CARR),
communities to advance knowledge of livable design. Town of Hillsborough(HILLS),OC Planning Department,
UNC Division of Occupational Science and Occupational
Therapy(OS/OT)
3.1.2b Local government-sponsored housing being rehabilitated is encouraged to add Chapel Hill Department of Affordable Housing and
livable design elements. Community Connections,Town of CARR,Town of HILLS,OC
Planning Department,UNC Division of OS/OT
3.1.2c New senior housing development applications under review by the local OCDOA,Chapel Hill Department of Affordable Housing and
government staff are reviewed by OCDOA staff for inclusion of livable design Community Connections,Town of CARR,Town of HILLS,OC
elements. Planning Department,UNC Division of OS/OT
3.1.2d Write a policy statement to be shared with and potentially adopted by elected RL Mace Universal Design,Chapel Hill Department of
officials indicating their desire to see livable design integrated into new Affordable Housing and Community Connections,Town
developments. of CARR,Town of HILLS,OC Planning Department,UNC
Division of OS/OT
OBJECTIVE 3.2
STRATEGY 3.2.1
INDICATORS RESPONSIBLE
3.2.1a Data identifying race-based,socioeconomic status,and income-based housing Triangle J Council of Governments(TJCOG),Chapel Hill
demographics in Orange County are collected. Department of Affordable Housing and Community
Connections,Town of CARR,Town of HILLS,OC Planning
Department,OC Department of Housing and Community
Development
3.2.1b Gaps and new information about housing inequities are disseminated in report TJCOG,Chapel Hill Department of Affordable Housing and
form and discussed broadly in the community and with key stakeholders(e.g., Community Connections,Town of CARR,Town of HILLS,
the Affordable Housing Coalition,Meeting of the Minds,Northside,Rogers Road, OC Planning Department,OC Department of Housing and
Latinx communities,Refugee Community Partnership,EI Centro). Community Development
3.2.1c A chart with data from Orange County and the Towns about the percent of TJCOG,Chapel Hill Department of Affordable Housing and
affordable housing stock that is available to those earning 30%,60%,80%, Community Connections,Town of CARR,Town of HILLS,
100%,and 120%AMI is produced and disseminated,especially to organizations OC Planning Department,OC Department of Housing and
and individuals from racially diverse communities. Include how many Community Development
households are in each AMI group.
30 Orange County Master Aging Plan
34
STRATEGY 3.2.2
INDICATORS RESPONSIBLE
3.2.2a Older adults'interests are represented through membership in Orange County's OCDOA,UNC Partnerships in Aging Program
Affordable Housing Coalition.
3.2.2b Review for approval of affordable housing development projects is expedited. Chapel Hill Department of Affordable Housing and
Community Connections,Town of CARR,Town of HILLS,
OC Planning Department,OC Department of Housing and
Community Development
3.2.2c A resource guide is disseminated,esp.to organizations and individuals from OC Department of Human Rights and Relations,Chapel
racially diverse communities,to understand the enforcement of Fair Housing Hill Department of Affordable Housing and Community
laws and ways to prevent discrimination in affordable housing development and Connections,Town of CARR,Town of HILLS
preservation.
STRATEGY 3.2.3
INDICATORS RESPONSIBLE
3.2.3a Policies and practices that support the build-out and financing of Accessory PeeWee Homes,Chapel Hill Department of Affordable
Dwelling Units are promoted. Housing and Community Connections,Town of CARR,
Town of HILLS,OC Planning Department
3.2.3b A pathway to connect seniors seeking shared housing is implemented. OCDOA,Community Empowerment Fund,Empowerment,
Inc.
OBJECTIVE 3.3
STRATEGY 3.3.1
INDICATORS RESPONSIBLE
3.3.1a The Orange County Home Preservation Coalition(OCHPQ effectively collects OCHPC,TJCOG,UNC City and Regional Planning
race-based data for homeowners and tenants requesting services from and Department,UNC Division of OS/OT
served by the coalition.
3.3.1 b Race-based OCHPC data,potentially in correlation with tax assessment data, OCHPC,TJCOG,UNC City and Regional Planning
poverty level,or other factors are regularly evaluated in correlation with home Department,UNC Division of OS/OT
preservation processes and provision.
3.3.1c The proportion of families who request services,based on race,from the OCHPC OCHPC,TJCOG,UNC Division of OS/OT
matches the proportion of services ultimately provided by the OCHPC,based on
race.
Orange County Master Aging Plan 31
35
INDICATORSSTRATEGY 3.3.2
. •
3.3.2a The OCHPC is sustained with ongoing,dedicated sources of financial support. OCHPC Partners,Hope Renovations,Habitat for Humanity
of Orange County,TJCOG,Chapel Hill Department of
Affordable Housing and Community Connections,Town of
CARR,Town of HILLS,and OC Planning Department,UNC
Division of OS/OT
3.3.2b Home Repair Navigators,paid positions situated within OCHPC partners,who OCHPC Partners,Hope Renovations,Habitat for Humanity
assist homeowners in walking through home repair service processes,are of Orange County,TJCOG,Chapel Hill Department of
established as supports. Affordable Housing and Community Connections,Town
of CARR,Town of HILLS,OC Planning Department,UNC
Division of OS/OT
3.3.2c Education resources and databases that are already available(e.g.,the Minority OCHPC Partners,Hope Renovations,Habitat for Humanity
and Women-Owned Business Enterprise State Database)are highlighted and of Orange County,TJCOG,Chapel Hill Department of
distributed to support older adults in connecting with contractors. Affordable Housing and Community Connections,Town
of CARR,Town of HILLS,OC Planning Department,UNC
Division of OS/OT
3.3.2d Education workshops catering to older adults continue to be offered around OCHPC Partners,Hope Renovations,Habitat for Humanity
minor to major home repairs. Notification of workshops is disseminated to of Orange County,TJCOG,Chapel Hill Department of
organizations and individuals from racially diverse communities. Affordable Housing and Community Connections,Town
of CARR,Town of HILLS,OC Planning Department,UNC
Division of OS/OT
STRATEGY 3.3.3
INDICATORS RW®
3.3.3a Sustainable funding is allocated to support minor home repair programs that OCHPC partners,OCDOA
specifically target small to medium size projects(e.g.,OCDOA Handy Helpers),
including administrative support and materials for repairs.
3.3.3b Workforce development initiatives,partnerships,and incentives are developed OCHPC partners,TJCOG
and sustained that increase the number of contractors providing small to
medium size home repairs to older adults.
3.3.3c Land-banking initiatives are continued,with additional provisions and policies OCHPC partners,Marian Cheek Jackson Center,TJCOG
that facilitate long-term residents to age in their communities,particularly for
individuals from diverse racial communities and those who cannot afford and
are not eligible for major necessary home repairs.
3.3.3d A"Last Resort"fund is explored and potentially developed in partnership with OCHPC partners,TJCOG
local funders to offer more flexible funding to homes that are complicated or
difficult and do not fall easily within the eligibility matrix.
3.3.3e Equity-based exemptions or modifications for"affordability"clauses in OCHPC partners,TJCOG
lien-based home repair programs are explored,considered,and potentially
implemented as policy.
32 Orange County Master Aging Plan
36
DOMAIN 4:
Social Participation
Social participation refers to the engagement
of oldereo le in recreation, socialization, and =
p p
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 . Promotion and awareness of programs;and
and programs;
• Type and location of facilities and community ' Reaching out to those who may be isolated.
integration;
Goal 4: Promote diverse and accessible opportunities for participation and engagement of older
adults age 55+.
OBJECTIVE
STRATEGY 4.1.1
INDICATORS RESPONSIBLE
4.1.1a Senior Centers'programming is intentionally offered with diversity,accessibility, OCDOA
and inclusiveness,including but not limited to cultural awareness,printed and
verbal information in Spanish,Mandarin,Karen,Burmese,and other emerging
priority languages as applicable,transportation,and programs offered both
in-person and virtually as feasible.
4.1.1b Develop neurodivergent programming(e.g.,people with learning differences) OCDOA,ARC of OC,Residential Services,Inc.(RSI),OC
with assistance from partner organizations. Library,University of North Carolina TEACCH Autism
Program
STRATEGY 4.1.2
INDICATORS RESPONSIBLE
4.1.2a Additional programming for older adults is made available within the Senior OCDOA,OC Library
Centers and in other settings;at least one"pop-up"event per quarter is offered
at a community location other than a Senior Center.
4.1.2b Senior centers add at least one additional program assistant,resources, OCDOA
and materials to handle increased programming as indicated by increased
participation numbers and the number of programs offered.
Orange County Master Aging Plan 33
37
STRATEGY 4.1.3
INDICATORS RESPONSIBLE
4.1.3a One intergenerational program per quarter is created and evaluated,which OCDOA,OC Sheriff,Other local Law Enforcement Orgs,
encourages older adults and younger people to work with each other. Faith-based orgs,Hannah Ruth Foundation,Local
Universities,SeymourTech,Durham Tech,Chapel Hill&
Carrboro(CHCA)/OC Schools
4.1.3b Partnerships are created with other agencies for intergenerational volunteer OCDOA,OC Sheriff's Office,Chapel Hill Police Department
opportunities in which both older adults and younger volunteers are giving time (CHPD),Carrboro Police Department(CPD),Hillsborough
and effort to a cause. Police Department(HPD),Faith-based organizations,
Hannah Ruth Foundation,Duke,UNC,North Carolina
Central University,Seymour Tech,Durham Tech
4.1.3c At least one program is offered annually to address the multigenerational OCDOA,CHCA/OC Schools
caregivers and services they can use to benefit themselves and those they care
for.
STRATEGY 4.1.4
INDICATORS RESPONSIBLE
4.1.4a Attendance based on racial and ethnic information of participants is tracked by OCDOA
the Senior Centers'registration system and checked quarterly quarter.
34 Orange County Master Aging Plan
DOMAIN 5: 38
Social Respect and Inclusion
Respect and social inclusion deal with the (�• ,a
attitudes, behaviors, and messages of other
people and the community as a whole towards
older people. An age-friendly community adheres
to the following characteristics:
• Asking for feedback from older adults regarding I
services;
I
-
• 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.
Goal 5: Uphold all older adults ages 55+as valuable members and provide equitable resources for
the community.
OBJECTIVE 5.1
STRATEGY 5.1.1
INDICATORS RESPONSIBLE
5.1.1a Sensitivity and inclusivity training is provided to OCDOA staff annually. OCDOA
5.1.1 b Staff and front desk volunteers are prepared to welcome,interact with,and OCDOA
help people with different abilities and assist community members with diverse
language backgrounds.
5.1.1c At least 4 opportunities,annually,are created to educate the broader OCDOA
community about the aging process and the value of older adults.
STRATEGY 5.1.2
INDICATORS RESPONSIBLE
5.1.2a Awareness about OCDOA services is increased and information is shared with OCDOA,EI Centro Hispano,church refugee initiatives;
pertinent organizations in their respective languages. churches that provide services in other languages;
Refugee Wellness Center;Refugee Support Center;
Refugee Community Partnership;Refugee Resettlement
Agencies;Seymour Center Spanish Social Club;apartment
complexes/retirement communities,OC Human Rights
and Relations
5.1.2b Services and programming are developed with identified groups,and at least OCDOA,EI Centro Hispano,OC Human Rights and
one event is created based on the reports provided every year. Relations
5.1.2c The number of individuals from identified groups who attend the Senior Center OCDOA,EI Centro Hispano,OC Human Rights and
programming and utilize services is increased. Relations
Orange County Master Aging Plan 35
39
STRATEGY 5.1.3
INDICATORS RESPONSIBLE
5.1.3a Programs are created or expanded to facilitate connections among Senior Center OCDOA,OC Community Centers
participants.
5.1.3b Community groups are surveyed every 2 years with an emphasis on racial and OCDOA
cultural equity to determine any barriers that may prevent participation at the
Senior Centers.
STRATEGY 5.1.4
INDICATORS RESPONSIBLE
5.1.4a A course/class is created with CHCA/OCS middle schools(similar to the Project OCDOA,CHCA/CCS Schools
Engage course)to help younger generations understand older adults,the aging
process,and the impacts of ageism in the community.
36 Orange County Master Aging Plan
40
DOMAIN 6:
Employment
Employment addresses opportunities for paid �
work.This domain is related to the economic , (f
determinants of aging.An age-friendly community
provides ways older people can continue to workAp
.
for pay. Some key characteristics include: r �'I ► .R.
• Employment options that are meaningful and
accessible;
• Training availability;
• Appreciation for contributions by older adults;
• Support for entrepreneurship;and
• Fair pay
Goal 6:Connect older adults with resources that help them achieve their diverse employment
and career transition goals.
INDICATORSOBJECTIVE 6.1
STRATEGY 6.1.1
. •
6.1.1a Employee Referral Program Notice is distributed to employers in Orange County OCDOA with Economic Development Departments,
and adjacent areas every 6-12 months that informs businesses of the referral Chambers of Commerce,Triangle Area Business Network
program and asks for either a link to theirjob postings website or another way International(BNI),OC Department of Social Services
of learning about job opportunities. (DSS)/NCWorks,Durham Tech,Ron Kunkel Technology
Consultant
6.1.1b Data on the local employment landscape includes information about older County andTowns'Economic Development Departments,
adults and racial equity and is reviewed in the workgroup annually. Chambers of Commerce
6.1.1c Job seekers'survey to learn more about employment needs,preferences,skills, OC DSS/NCWorks and OCDOA
motivations,and racial equity is administered,and a data summary specific to
older adults is shared with partners and used to inform workgroup services and
resources outlined elsewhere.
INDICATORSSTRATEGY 6.1.2
. •
6.1.2a List potential employers and links to theirjob postings on the OCDOA OCDOA
Employment Services webpage.
6.1.2b FREE Employment Referral program is initiated to help job seekers find positions OCDOA with OC DSS/NCWorks,and National Caucus and
that are a good fit and to provide employers with qualified candidates. Center on Black Aging(NCBA)
6.1.2c Job fairs are hosted in collaboration with partners,especially addressing critical OCDOA,OC DSS/NCWorks,and NCBA
staffing industries(e.g.,direct care workforce).
6.1.2d Use of the NCWorks website is encouraged and improved,and assistance with OCDOA,OC DSS/NC Works,OC Library
accessing the website is provided.
Orange County Master Aging Plan 37
41
OBJECTIVE
STRATEGY 6.2.1
INDICATORS RESPONSIBLE
6.2.1a Individual and group information and training sessions are facilitated with job OCDOA with OC DSS/NCWorks,NCBA,OC Library,Durham
seekers in locations that serve diverse communities across Orange County(e.g., Technical Community College
Cedar Grove,Rogers Road,and Efland-Cheeks Community Centers,OC and CH
Libraries,DSS/NCWorks Career Centers,Durham Technical Community College).
6.2.1b New information and training sessions around emerging topics(e.g.,job scams, OCDOA with OC DSS/NCWorks,NCBA,OC Library,Durham
discrimination,compensation,remote vs.in-office work options)are developed. Technical Community College
6.2.1c Job-seeking resources(e.g.,individual meetings,workshops)are evaluated and OCDOA with OC DSS/NCWorks,NCBA,OC Library,Durham
improved. Technical Community College
STRATEGY 6.2.2
INDICATORS RESPONSIBLE
6.2.2a Informational events to raise awareness of opportunities are hosted. OCDOA with OC DSS/NCWorks,OC Library,Durham
Technical Community College,Economic Development
Departments,Chambers of Commerce,The Entrepreneur's
Source,SCORE
6.2.2b Interested individuals are referred to existing entrepreneurial resources OCDOA with OC DSS/NCWorks,OC Library,Durham Tech,
(e.g.,Small Business Center of Durham Tech,Economic Development Economic Development Departments,Chambers of
Departments,Small Business Technology Development Center;SCORE,EntreDot, Commerce,The Entrepreneur's Source,SCORE
Entrepreneur's Source,UNC Business School,BNI,NC IDEA,EI Centro Tool Bank).
INDICATORSSTRATEGY 6.2.3
.O
6.2.3a Hands-on technical support,technology skills classes(e.g.,basic computer, OCDOA SeymourTech,DSS/NCWorks,OC Library,Durham
virtual meetings,social media),and technology access information are provided. Technical Community College,Kramden Institute
6.2.3b Quality vocational training,especially targeted at living-wage,critical staffing Durham Technical Community Colleges
(e.g.,direct care workforce),and emerging industries are promoted with
community colleges such as Wake Tech,Alamance,and Durham Tech.
6.2.3c Internship and on-the-job training programs are promoted(e.g.,referring NCBA with OCDOA,OC DSS/NCWorks,Live Well,Durham
seniors at the poverty line or facing other barriers and non-profits that can offer Technical Community College
training to NCBA/SCEP).
38 Orange County Master Aging Plan
42
STRATEGY 6.2.4
ORRESPONSIBLE
6.2.4a The OCDOA Employment Services Webpage content is improved and updated OCDOA
regularly so that it serves as a repository of community resources for older adult
job seekers(e.g.,job-seeking and entrepreneurial guidance,partners offering
technology and otherjob skills training and support,employers and theirjob
postings,upcoming events).
6.2.4b Relationships with non-employment organizations that serve populations of OCDOA with all Employment Workgroup members
interest(e.g.,Faith-based,immigrants,military associations,justice system
involvement,rural communities,communities of color,senior housing)are
forged to better understand needs and offer employment services resources to
promote the workgroup services and resources outlined elsewhere.
6.2.4c A list of relevant employment resources is created which outlines who is best OCDOA with OC DSS/NCWorks,NCBA,OC Library
served by each organization,specific services offered,and how to refer.
OBJECTIVE
INDICATORSSTRATEGY 6.3.1
. •
6.3.1a Promotional materials(e.g.,video,presentation,handouts),highlighting OCDOA with Economic Development Departments,
why it's good business to hire workers who are older and of racially diverse Chambers of Commerce,Small Business Technology
communities are created and shared. Development Center,Durham Tech,OC DSS/NCWorks,BNI,
Orange County Government Alliance for Race and Equity
(OC CARE)
INDICATORSSTRATEGY 6.3.2
. •
6.3.2a A list of best workplace practices to reduce age-and race-related biases and OCDOA with Durham Tech,Denise Bell Consulting,OC
increase diversity,equity,and inclusion for all is created with input from experts GARE
and shared.
6.3.2b A list of universal design principles to create a more accommodating workplace OCDOA,UNC Division of Occupational Science and
is created with input from experts and shared. Therapy(OS/OT)
Orange County Master Aging Plan 39
43
DOMAIN 7: - '
Community Support and T
Health Services!
Necessary care should be available,accessible,and
a
affordable to all. In an age-friendly community:
• Health and social services are distributed Ik'
community;
a
throughout ��' �`.• ��
g y, VOTE
• Information is clear and services are coordinated; .
e "
• 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; Civic participation and volunteerism address
• Residential care facilities are integrated into the opportunities for community engagement
neighborhoods in which they are situated; and unpaid work.This domain is related to
both the social environment and the economic
• Volunteers are available to help older adults age determinants of aging.An age-friendly community
in community;and provides ways older people can volunteer their
• Emergency planning is conducted with older skills, and be actively engaged in community life.
adults in mind. Some key characteristics include:
• Volunteer opportunities that are meaningful and
Civic Participation accessible;
and Volunteerism • Training availability;
• Participation by older adults in the community
Civic participation and volunteerism is represented on things like advisory boards, meetings,and
in this domain rather than under the Employment policy planning;
Domain,which is typically listed together for Age • Appreciation for contributions by older adults
Friendly Communities. For our planning purposes
and from the past MAP experience it is better
addressed by this workgroup.
Goal 7: Ensure the community has accessible and affordable resources to support individual health
and well-being goals throughout the aging process.
INDICATORSOBJECTIVE 7.1
STRATEGY 7.1.1
• •
7.1.1a At least 6 training sessions are offered quarterly. OCDOA,Alliance Health,UNC Geriatrics,Orange County
Health Department(OCHD),Orange County Sheriff's
Office(OCSO),Orange County Emergency Services(OCES)
7.1.1b At least 1 training per quarter is offered by Alliance Health in conjunction with Alliance Health
awareness months.
40 Orange County Master Aging Plan
44
STRATEGY 7.1.2
INDICATORS RESPONSIBLE
7.1.2a OCDOA staff are trained in screenings to make appropriate referrals. OCDOA
7.1.2b Local Management Entity/Managed Care Organizations(LME/MCOs)access and Alliance Health
information line is used.
7.1.2c Creation of organizational and agency partnerships for the dissemination of OCDOA,OCES,OCSO,OC Fire Departments,Alliance
materials identifying services and providers. Health,Meals on Wheels of Orange County NC
(MOWOCNC),CHPD,UNC Health
STRATEGY 7.1.3
7.1.3a Certified Older Adult Peer Specialist(CORPS)Program is implemented. OCDOA
7.1.3b Clinical Pastoral Education(CPE)Program is used. OCDOA,UNC Hospitals
7.1.3c Solo Agers support program is created and implemented. OCDOA,UNC Partnerships in Aging Program
7.1.3d Caregiver support programs are created and implemented. OCDOA
STRATEGY 7.1.4
INDICATORS RESPONSIBLE AGENCI�
7.1.4a Taskforce is created. OCDOA,OC Department of Social Services(DSS),OCES,
OCSO,OC Fire Departments
7.1.4b Training for professional and community members is created and implemented OCDOA,OC DSS,OCES,OC Fire Departments
twice a year.
OBJECTIVE
INDICATORSSTRATEGY 7.2.1
.O
7.2.1a A comprehensive list to connect older adults with desired opportunities is OCDOA
maintained by VC 55+.
7.2.1b VC 55+designee is contacted by community partners if they need volunteers. OCDOA,Orange County Emergency Services(OCES),
Orange County Sheriff's Office(OCSO),Meals on Wheels
Orange County North Carolina(MOWOCNC),SAGE Central
NC,Charles House,Creative Care Collaborative
Orange County Master Aging Plan 41
45
STRATEGY 7.2.2 1
INDICATORS RESPONSIBLE
7.2.2a Enrollment in volunteer opportunities is increased by 10%during 2022-2027. OCDOA,OCES,OCSO,MOWOCNC,SAGE Central NC,Charles
House,Creative Care Collaborative
7.2.2b The number of racially diverse,multilingual,and multigenerational volunteers OCDOA,OCES,OCSO,MOWOCNC,SAGE Central NC,Charles
is increased. House,Creative Care Collaborative
7.2.2c Volunteer training,networking,and appreciation events are held twice a year. OCDOA
STRATEGY 7.2.3
INDICATORS RESPONSIBLE
7.2.3a Two new partnerships within rural communities of color are established. OCDOA
7.2.3b One new partnership within each school system is established. OCDOA
7.2.3c Volunteer opportunities for older adult residents in long-term care facilities are OCDOA
established.
OBJECTIVE 7.3
STRATEGY 7.3.1
INDICATORS RESPONSIBLE
7.3.1a Understanding of how to use electronic health records(EHRs)is increased UNC Health,Duke,OCDOA,Piedmont Health,OCHD
through coordination with partner agencies.
7.3.1b Understanding of financial assistance programs is increased through UNC Health,Duke,OCHD,OCES,OCDOA,Piedmont Health
coordination with partner agencies.
7.3.1c At least one new OCHD program specific to older adults is created. UNC Health,Duke,OCES,OCDOA,Piedmont Health,OCHD
7.3.1d Partnership to promote awareness and greater access to OC mobile dental units UNC Health,Duke,OCHD,OCES,OCDOA,Piedmont Health
is created.
7.3.1e Medication management for older adults is supported in partnership with UNC Health,Duke,OCHD,OCES,OCDOA,Piedmont Health
community paramedics.
STRATEGY 7.3.2
INDICATORS RESPONSIBLE
7.3.2a Training,education,and skill-building programs for professionals and OCDOA,Creative Care Collaborative,Charles House
community members are held twice a year.
42 Orange County Master Aging Plan
46
STRATEGY 7.3.3
INDICATORS RESPONSIBLE
7.3.3a Chronic disease self-management programs are held quarterly. OCDOA,OCES,Duke,UNC,Piedmont Health,Creative Care
Collaborative
7.3.3b Safety and accessibility needs are assessed and fulfilled in coordination with OCDOA,OCES,Duke,UNC,Piedmont Health
home health agencies.
OBJECTIVE
STRATEGY 7.4.1
INDICATORS RESPONSIBLE
7.4.1a Accessibility to and participation in aging services for Asian older adults is UNC,OCDOA
increased through a partnership project between UNC-Apples Service-Learning
Students.
7.4.1b Access to multilingual social workers is increased. UNC,OCDOA,OC DSS,EI Futuro
7.4.1c Information resource hubs located within communities of color are created. OCDOA,OC DSS,Rodgers Road Community Center(RRCC),
Cedar Grove Community Center(CGCG),Efland-Cheeks
Community Center(ECCC),Marian Cheek Jackson Center
(Jackson Center),EI Futuro,Infinity Health and Wellness
Center
STRATEGY 7.4.2
INDICATORS RESPONSIBLE
7.4.2a The number of trained staff at partnering agencies is increased to ensure OCDOA,UNC,Creative Care Collaborative,Charles House,
dementia-friendly health services. Duke,Piedmont Health,OCHD,Infinity Health and
Wellness Center
7.4.2b A Dementia Capable OC Workgroup with representation of persons living with OCDOA,UNC,Creative Care Collaborative,Charles House,
dementia is created. Duke,Piedmont Health,Infinity Health and Wellness
Center
INDICATORSSTRATEGY 7.4.3
.O
7.4.3a County agency programs are used to provide support and training for OCDOA,OCES,OCSO,Chapel Hill Police Department
communities. (CHPD),Carrboro Police Department(CPD),Hillsborough
Police Department(HPD),
7.4.3b OCDOA Safety-net services are expanded. OCDOA
7.4.3c Resources are developed to enable community members to create community OCDOA,OCES,OCSO,CHPD,CPD,HPD,OC Fire
care neighborhoods. Departments,Infinity Health and Wellness Center
Orange County Master Aging Plan 43
47
STRATEGY 7.4.4 1
INDICATORS RESPONSIBLE
7.4.4a Focus groups with older adults from rural communities are created. OCDOA,OCES,OCSO,OC Fire Departments
7.4.4b County agency programs are used to provide support and training for OCDOA,OCES,OCSO,OC Fire Departments,Creative Care
communities. Collaborative
7.4.4c OCDOA Safety-net services are expanded. OCDOA
7.4.4d Resources are developed to enable community members to create community OCDOA,OCES,OCSO,OC Fire Departments,Creative Care
care neighborhoods. Collaborative
OBJECTIVE 7.5
STRATEGY 7.5.1
INDICATORS RESPONSIBLE
7.5.1a The number of multilingual instructors is increased. OCDOA
7.5.1 b Geographic and cultural barriers to participation are addressed. OCDOA,CGCC,ECCC,Schley Grange Hall(The Grange),
Orange County Public Transit(OCPT),Creative Care
Collaborative,Infinity Health and Wellness Center,OCES,
OC Fire Departments
7.5.1c Scheduled offerings are increased to account for varying schedules and class OCDOA,CGCC,ECCC,The Grange,OCPT,Creative Care
preferences. Collaborative,Infinity Health and Wellness Center,OCES,
OC Fire Departments
STRATEGY 7.5.2
INDICATORS RESPONSIBLE
7.5.2a Demo classes are offered as part of Health Fairs twice a year. OCDOA,CGCC,ECCC
7.5.2b Hosting of health education classes is expanded in rural areas. OCDOA,CGCC,ECCC
OBJECTIVE 7.6
STRATEGY 7.6.1
INDICATORS RESPONSIBLE
7.6.1a A standardized needs-based screening is created and implemented. OCDOA,MOWOCNC,Orange Congregations in Mission
(OCIM),DSS,Town of Chapel Hill(CH)
7.6.1 b A comprehensive list of food distribution services is created. OCDOA
7.6.1 c Educational programs are created to improve understanding of food assistance OCDOA,MOWOCNC,OCIM,OC DSS,Town of CH,OC
options(e.g.,SNAP,Senior Center lunch programs,Commodity Supplemental Cooperative Extension
Food Program).
7.6.1d Older adults are represented on OC Food Council. OCDOA,MOWOCNC,OCIM,OC DSS,Town of CH
44 Orange County Master Aging Plan
48
STRATEGY 7.6.2 1
INDICATORS RESPONSIBLE
7.6.2a Participation numbers are increased in rural communities with targeted OCDOA,MOWOCNC,OCIM,OC DSS,Town of CH,OCSO,
outreach. HPD,CHPD,OC Cooperative Extension
7.6.2b Enrollment fairs are conducted yearly at designated municipality locations. OCDOA,MOWOCNC,OCIM,DSS,Town of CH,OCSO,HPD,
CHPD,OC Cooperative Extension
7.6.2c Participation numbers are increased in communities of color with targeted OCDOA,MOWOCNC,OCIM,DSS,Town of CH,OCSO,HPD,
outreach. CHPD,OC Cooperative Extension
OBJECTIVE
STRATEGY 7.7.1
INDICATORS RESPONSIBLE
7.7.1a Education around end-of-life options with specific examples is increased. OCDOA,UNC Hillsborough,Clinical Pastoral Education
(CPE),SAGE Central NC,Dying Right NC,Green Burial
Project,Shrouding Sisters
7.7.1b Partnerships with communities of color are established. OCDOA,UNC Hillsborough,CPE,SAGE Central NC,Dying
Right NC,Green Burial Project,Shrouding Sisters
7.7.1c Partnerships with faith-based organizations are established to provide resources OCDOA,UNC Hillsborough,CPE,SAGE Central NC,Dying
and educational opportunities Right NC,Green Burial Project,Shrouding Sisters
STRATEGY 7.7.2
INDICATORS RESPONSIBLE
7.7.2a Educational workshops are established focusing on the incorporation of advance OCDOA,OCES,Creative Care Collaborative,Charles House,
directives within EHRs. UNC,Duke,Piedmont Health
7.7.2b Yearly training is offered by partnering agencies to their staff. OCDOA,OCES,Creative Care Collaborative,Charles House,
UNC,Duke,Piedmont Health
STRATEGY 7.7.3
INDICATORS RESPONSIBLE
7.7.3a Green Burial options are expanded. Bluestem Conservation Cemetery,OCDOA,Green Burial
Project,Shrouding Sisters,Dying Right NC
7.7.3b Affordable Green Burial financial options are identified and expanded. Bluestem Conservation Cemetery,OCDOA,Green Burial
Project,Shrouding Sisters,Dying Right NC
7.7.3b Education and information specific to Medical Assistance in Dying(MAID) Bluestem Conservation Cemetery,OCDOA,Green Burial
legislation are promoted by partnering with communities of color and rural Project,Shrouding Sisters,Dying Right NC
communities.
Orange County Master Aging Plan 45
49
DOMAIN 8:
Communication and Information
rt00
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.
Goal 8:Awareness of and access to available services and supports for older adults and their families
will increase for everyone.
OBJECTIVE 8.1
STRATEGY 8.1.1
INDICATORS RESPONSIBLE
8.1.1a Contacts are identified by individual employees,departments,and community Town of Chapel Hill,Town of Carrboro,Town of Hillsboro,
partners,and are used to create a contact list to be shared and maintained by and OC Departments,local organizations,and Orange
Orange County Community Relations. County Community Relations(OCCR)
8.1.1 b An Orange County Community Relations position that focuses on diversity OCCR
and inclusion is created,with responsibilities including maintaining resources,
relationships,and a comprehensive contact list.
8.1.1c Orange County Community Relations'community contact database will identify OCCR
and include racially diverse and underserved communities and contacts.
8.1.1d OCDOA information is distributed to contacts with collaborating organizations OCDOA
who report they have shared it with their organization.
46 Orange County Master Aging Plan
50
STRATEGY 8.1.2
INDICATORS RESPONSIBLE
8.1.2a Communications are distributed out to racially diverse,Spanish,Mandarin, OCCR,OCDOA,NC Reading Service
Karen,Burmese,and low-vision media outlets and are posted at relevant
locations and community agencies.
8.1.2b Key programs,resources,and services are made available in Spanish,Mandarin, OCCR,OCDOA
Karen,Burmese,and other emerging priority languages as feasible,using the
translation tools on the OCDOA website and social media.
8.1.2c "How to Use Our Website"information and translation tool are advertised in OCDOA
Spanish,Mandarin,Karen,Burmese,and other emerging priority languages as
feasible,on OCDOA products and outlets.
8.1.2d Key documents,ads,and resources are made accessible to people with vision OCDOA
and hearing impairments.
8.1.2e Tools,including contact forms,flyers,and signage,are created to support staff OCCR,OCDOA
and front desk volunteers to welcome,interact with,and assist community
members from diverse language backgrounds.
8.1.2f New,timely signage is displayed in Spanish,Mandarin,Karen,Burmese,and OCCR,OCDOA
other emerging priority languages as feasible,to welcome and direct visitors
where to get help at both senior centers.
8.1.28 Endless Possibilities activity guide programs are identified as multilingual OCCR,OCDOA
friendly and promoted in Spanish,Mandarin,Karen,Burmese,and other
emerging priority languages as feasible.
8.1.2h Local government agencies collaborate in outreach efforts to older adults using OCCR,OCDOA
multiple media sources.
8.1.2i Endless Possibilities quarterly review and program registration are offered in- OCDOA
person and in multiple languages at both senior centers.
8.1.2j Key Endless Possibilities programs are shared and recorded in multiple OCDOA
languages via Facebook Live.
8.1.2k Volunteer diversity is promoted to increase the recruitment of diverse OCDOA
volunteers.
INDICATORSSTRATEGY 8.1.3
.O
8.1.3a Senior Center registration forms,program registration,surveys,and volunteer OCDOA
applications include"How Did You Hear About Us?"data collection.
8.1.3b "How Did You Hear About Us?"data is continuously collected and reported twice OCDOA
a year.
8.1.3c "How Did You Hear About Us?"data is used to inform communication decisions OCDOA
and priorities.
Orange County Master Aging Plan 47
51
STRATEGY 8.1.4
INDICATORS RESPONSIBLE
8.1.4a OCDOA programs,services,and resources are shared with racially diverse and OCDOA,OCCR
underserved communities and events.
8.1.4b OCDOA welcome packets are created and made available for staff and volunteers OCDOA
to share in multiple languages.
8.1.4c Diverse radio stations,television stations,and newspapers are identified and OCDOA,OCCR
used to advertise OCDOA information.
48 Orange County Master Aging Plan
52
Conclusion
Orange County's population is aging, meaning
that the importance of the 2022-27 MAP will �.
only continue to grow as more older adults
and their families seek 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 2022-27 MAP. £ .
The 2022-27 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. .
r�
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 2022-27
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 4
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 2022-27 MAP affects all of us,will this
vision be achieved.
Orange County Master Aging Plan 49
53
Acknowledgements
MAP Steering Committee Elizabeth French -Associate Kristin Lavergne- Director,
Dean for Strategic Initiatives, Community Services, InterFaith
Committee Facilitators UNC School of Public Health Council
Marianne Ratcliffe -CEO, Carol Audrey Galloway-Associate Brian Litchfield - Director,
Woods Retirement Community State Director for Outreach and Chapel Hill Transit
Janice Tyler- Director,Orange Advocacy,AARP NC Ashley Moncado- Planner,
County Department on Aging Penny Gluck- Executive Dean Orange County Planning
Committee Members of Orange County Operations, Department
Heather Altman -Chair,Orange Durham Technical Community Travis Myren - Deputy Manager,
Count e
County Advisory Board on Aging College Orange Y
Sally Greene-Orange County Aaron Nelson - Director, Chapel
Jessica Anderson - Member, Board of County Commissioners
Town of Chapel Hill Town Hill Chamber of Commerce
Council Jerry Gregory- Member,Orange Eric Peterson -Town Manager,
Colin Austin - Member,Orange County Advisory Board on Aging Town of Hillsborough
County Advisory Board on Aging Bonnie Hammersley-County Renee Price-Chair,Orange
Manager,Orange County Count Board of Count
Pax Baptist-Associate State Y Y
Director,AARP NC James Harris- Member, Orange Commissioners
Rachel Bearman - Director, County Advisory Board on Aging Swarna Reddy- NC Division of
Meals on Wheels of Orange Jon Hartman-Brown- Director, Aging and Adult Services
County Dept. of Economic and Pilar Rocha-Goldberg -CEO, EI
Community Development,Town Centro
Charles Blackwood - Sheriff, of Carrboro
Orange County Corey Root- Director, Orange
Margaret Hauth -Assistant Town Count Housing and Community
CountSteve y Departmantley- ent of Economic Development
irector, Orange Development
Manager,Town of Hillsborough g y
Development Pam Hemminger- Mayor,Town Cherie Rosemond - Director,
Jan Busby-Whitehead - Director,
of Chapel Hill UNC Partnership in Aging
UNC Center for Aging and Health Cristine Henage-Assistant Erin Sapienza - Interim Director,
e
Director,Carolina Geriatric Oran Count Libraries
Jeff Charles- Member,Orange Education Center&Workforce g y
County Advisory Board on Aging Enhancement Program Kirby Saunders- Director,
Loryn Clark- Deputy Town Orange County Emergency
Maurice Jones-Town Manager, Services
Manager,Town of Chapel Hill Town of Chapel Hill
Nancy Coston - Director,Orange Damon Seils- Mayor,Town of
County Department of Social Paul Klever-Orange County Carrboro
provider representative, Charles
Services House Inc. Kristen Smith Young - Director,
Sharon Freeland - Director, UNC Community Relations
Eugenie Komives - Doctor, Duke
Orange Congregations in Healthcare Teepa Snow- President, Positive
Mission Approach to Care
50 Orange County Master Aging Plan
54
David Stancil - Director, Jenny Womack- Member, Orange Work Group Leaders
Orange County Department of County Advisory Board on Aging
Environment,Agriculture, Parks Myra Austin -Outdoor Spaces
Lee Worsley- Executive and Building and Social
and Recreation Director,Trian le J Council of
Triangle Participation
Quintana Stewart- Director, Governments
Orange County Health Brandi Beeker-Transportation
Department Orange County Advisory Board Mike Komives- Employment
on Aging
Jeff Strickler-Chief Operating Shenae McPherson/Kim Lamon-
Officer, UNC Hospitals/ Heather Altman,Chair Loperfido-Community Support
Hillsborough Campus Colin Austin and Health Services
Jeff Sumpter- Executive Rachel Bearman Cherie Rosemond/Ryan Lavalley
Director, Piedmont Health PACE - Housing
Jeff Charles
Vibeke Talley- Member,Orange Beverly Shuford -
County Advisory Board on Aging Jerry Gregory Communication and Information
Kim Tesoro-Chief Executive James Harris
Officer, Hillsborough Chamber of Vibeke Talley MAP Racial Equity Team
Commerce Richard White Latonya Brown
Jackie Thompson - Human Meghan Rushing
Services Coordinator,Town of Jenny Womack
Cydnee Sims
Chapel Hill MAP Leadership Team
Sharon Williams
Brian Toomey- Director, Heather Altman,Chair, Orange
Piedmont Health County Advisory Board on Aging Work Group Interns
Stephanie Trueblood - Public Janice Tyler, Director,Orange Cheyanne Bierly
Space Manager,Town of County Department on Aging Jesse Bossingham
Hillsborough Anshu Gupta, Business Officer,
Kali Cannon
Mary Warren - Director,Triangle Orange County Department on
J Area Agency on Aging Aging Christine Craig
Jenn Weaver- Mayor,Town of MAP Interns Cass Dictus
Hillsborough Rachael Manasseh
Cass Dictus- UNC Partnerships
Eleanor Wertman- UNC Health in Aging Doctoral student, UNC Takira Robinson
Alliance g g
School of Nursing Anna Wakita
Richard White- Manager,Town Kenesha Wood - UNC School of
of Carrboro Social Work Intern
Richard White- Member,Orange
County Advisory Board on Aging
Orange County Master Aging Plan 51
55
2022-27 Master Aging Plan Brenda Van Hook Laine Staton
Work Group Members Katrina Wall Anne Marie Vanaman
With gratitude and appreciation, Eleanor Wertman Erika Walker
we acknowledge the MAP work
group members. Richard White
Housing
Outdoor Spaces& Buildings Christine Abernathy Social Participation;
Delores Bailey Respect&Social Inclusion
Craig Benedict
Pax Baptist Lewis Atwater
Marabeth Carr
George Barrett Flicka Bateman
Ceresa Clarke
Diane Beckett Sadie Brooks
James Harris
Anna Blanchard Rosie Caldwell
Dana Hughes
Nate Broman-Fulks Maria Cardona
Josh Mayo
Erika Brown Haripriya Chinnaswamy
Ashley Moncado
Donna Carrington Ceresa Clark
Tina Moon
Carolyn Cattle Terry Colville
Susan Preston
Megan Culp Shu Fan
Kevin Robinson
JB Culpepper Sue Florence
Cydnee Sims
Maria Dewees Sujan Gulati
Cy Stober
Liz Evans Emilia Ismael
Stephanie Trueblood
Margaret Hauth Dazzie Lane
Kim Tyler G
c
Mike Mahe
Becki Horne y
Transportation
Kendall Kopchick Susan Preston
Leo Allison
Kate McAteer Alicia Reid
Jeff Charles u Janet Rupert
Ashley Moncado p
Elena Elms
Sarah Muskin Erin Sapienza
Dean Fox Caroline Shuft
Michael Rogers
Theo Letman
Corey Root Chris Shore
Mark Rodgers
Julia Sendor Cydnee Sims
Angie Steele Shontea Smith
Barbara Sigel
Jackie Stewart
Nora Spencer Mauricio Solano
Kim Tyler
52 Orange County Master Aging Plan
56
Virginia Taylor Community Support and Rupa Redding-Lallinger
Ann Wilkerson Health Services Daniel Robertson
Jenny Womack Edie Alfano-Sobsey Beth Rosenberg
Heather Altman Alison Smith
Employment Lydia Arnold Kat Stagner
Colin Austin Rachel Bearman Jeffery Strickler
Diane Beckett Trace Belles Jeffrey Sumpter
Denise Bell Cynthia Bucy Genie Taylor
Steve Brantley Sheila Clancy Jackie Thompson
Brenda Cogdell Marie Dagger Landon Weaver
Caraina Garris Sheila Evans Eleanor Wertman
Gwen Gattis Sue Florence Anne Weston
Robert Gilmore Ian Fowler Joe Wheeler
Steven Hand Dean Fox Sara Williams
Jon Hartman-Brown Katie Garvey Kim Woodward
Randy Haynes Jerry Gregory
Jackie Krohn Christine Henage Communication and
Ron Kunkel Suzanne Hitt Information
Marcia Ladd London Ivey Sor Angela
Neal McTighe Bria Janay Berry Melissa Blackburn
Lena Angelichio-Miller Kevin Jones Ceresa Clark
Mary Moore Paul Klever Elena Elms
Dan Prendergast Jimmy Lancaster Vicki Hill
Jason Richmond Shade Little Todd McGee
Sandra Robbins Dee Lowdermilk Corina Riley
Justin Simmons Jennifer Meade VibekeTalley
Shanika Williams Ashley Mercer
Sarah Pickhardt
Stephanie Rainey
Orange County Master Aging Plan 53
57
Frequently Used Acronyms
ADA Americans with Disabilities Act MOST Medical Orders for Scope of Treatment
ADU Accessory Dwelling Units NAMI National Alliance on Mental Illness
AFC Age-Friendly Community NCBA National Caucus and Center on Black
BNI Triangle Business Network Aging
International NCDOT North Carolina Department of
BOCC Board of County Commissioners Transportation
CARR Town of Carrboro OC Orange County
CASA Community Alternatives for OCAMS Orange County Asset Management
Supportive Abodes Services
CCRC Continuing Care Retirement OCBIRP Orange County Bus and Rail
Community Investment Plan
CGCC Cedar Grove Community Center OCCR Orange County Community Relations
CH Town of Chapel Hill OCDOA Orange County Department on Aging
CHCA Chapel Hill and Carrboro OCES Orange County Emergency Services
CHPD Chapel Hill Police Department OCHD Orange County Health Department
CHT Chapel Hill Transit OCHPC Orange County Home Preservation
Coalition
CPD Carrboro Police Department
OCIM Orange Congregations in Mission
CPE Clinical Pastoral Education
OCS Orange County Schools
CRC Community Resource Connection
OCPT Orange County Public Transit
DEAPR Department of Environment, OCSO Orange County Sheriff's Office
Agriculture, Parks and Recreation
DNR Do Not Resuscitate OT/OS Occupational Therapy and
Occupational Science
DSS Department of Social Services
PiAP (UNC) Partnerships in Aging
ECCC Efland-Cheeks Community Center
RRCC Rogers Road Community Center
EMS Emergency Medical Services
SALT Seniors and Law Enforcement
GARE Government Alliance for Race and Together
Equity
SCORE Senior Corps of Retired Executives
HILLS Town of Hillsborough
TEACCH UNCTEACCH Autism Program
HPD Hillsborough Police Department
TJCOG Triangle J Council of Government
IFC Interfaith Council for Social Services
VC55+ Volunteer Connect 55+
MAP Master Aging Plan
VDP Volunteer Driver Program
MOWOCNC Meals on Wheels of Orange
County NC WHO World Health Organization
54 Orange County Master Aging Plan
58
Index of Responsible Agency
Out ,
,,, Communication
SupportsBuildings Transportation Housing Participation Inclusion &Employment
Services
Alliance Health 7.1.1
7.1.2
Apartment Complexes/ 5.1.2
retirement communities
Arc of Orange County
Bluestem Conservation Cemetery 7.7.3
t j
Town of Carrboro 8.1.1
Town of Carrboro Economic
Development Department 6.1.1
Carrboro Police Department 4.1.3 7.4.3
Carrboro Recreation&Parks
Department
7.4.1
Cedar Grove Community Center 7.5.1
7.5.2
Community Empowerment Fund,
Empowerment,Inc
Town of Chapel Hill 7'6'1 8.1.1
7.6.2
Town of Chapel Hill Economic
Development Department 6.1.1
Chapel Hill Department
of Affordable Housing and
Community Connections
Chapel Hill Downtown
Partnership 2'2'2
Chapel Hill Parks and Recreation
Department
59
Outdoor
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Services
Chapel Hill Public Library 2.1.1
2.2.2
7.1.2
Chapel Hill Police Department 4.1.3 7.4.3
7.6.2
2.1.1
2.1.2
Chapel Hill Transit 2.2.1
2.2.2
2.3.1
2.3.2
Chapel Hill-Carrboro Chamber of 6.1.1
Commerce 6.2.2
6.3.1
Chapel Hill-Carrboro City Schools 4.1.3 5.1.4
7.2.1
7.2.2
Charles House 7.3.2
7.4.2
7.7.2
Church Refugee Initiatives 5.1.2
Churches that provide services in
other languages 5.1.2
Clinical Pastoral Education 7.7.1
7.2.1
7.2.2
7.3.2
Creative Care Collaborative 7.3.3
7.4.2
7.4.4
7.5.1
7.7.2
Denise Bell Consulting 6.3.2
7.3.1
Duke Health 2.3.1 4.1.3 7.3.3
7.4.2
7.7.2
60
Outdoor
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Services
6.1.1
6.2.1
Durham Technical Community 4.1.3 6.2.2
College 6.2.3
6.3.1
6.3.2
Dying Right NC 7.7.1
7.7.3
Economic Development 6.1.1
Departments 6.2.2
6.3.1
Efland-Cheeks Community 7.4.1
Center 7.5.1
7.5.2
Employment Workgroup
Members 6.2.4
EI Centro Hispano
EI Futuro 7.4.1
Faith-based Organizations 4.1.3
2.1.1
2.1.2
GoTriangle 2.2.1
2.2.2
2.3.2
Green Burial Project 7.7.1
7.7.3
Habitat for Humanity of Orange
County
Hannah Ruth Foundation 4.1.3
Town of Hillsborough 8.1.1
Town of Hillsborough Planning
and Economic Development 6.1.1
Department
Hillsborough Police Department 4.1.3 7.4.3
7.6.2
61
Outdoor
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Services
Hope Renovations
7.4.1
Infinity Health and Wellness 7.4.2
Center 7.4.3
7.5.1
Kramden Institute 6.2.3
Live Well 6.2.3
Local Universities 4.1.3
Marian Cheek Jackson Center 7.4.1
7.1.2
Meals on Wheels of Orange 7.2.1
County NC 7.2.2
7.6.1
7.6.2
6.1.2
National Caucus and Center on 6.2.1
Black Aging,Inc. 6.2.3
6.2.4
Nonprofit associations(e.g.,Eno
River Association and Triangle
Land Conservancy
North Carolina Reading Services 8.1.2
North Carolina Central University 4.1.3
Orange Congregations in Mission 7.6.1
7.6.2
Orange County Board of County
Commissioners
Orange County Community
Centers 5.1.3
Orange County Departments, 8.1.1
local organizations,and Orange 8.1.2
County Community Relations 8.1.4
Orange County Cooperative 7.6.1
Extension 7.6.2
62
7.1.1
7.1.2
7.1.3
7.1.4
7.2.1
7.2.2
6.1.1 7.23
2.1.1 6.1.2 7.3.1
2.1.2 4.1.1 5.1.1 6.2.1 7.3.2 8.1.1
Orange County Department on 2.2.1 4.1.2 5.1.2 6.2.2 7.3.3 8.1.2
Aging 2.2.2 4.1.3 5.1.3 6.2.3 7.4.1 8.1.3
2.3.1 4.1.4 5.1.4 6.2.4 7.4.2 8.1.4
2.3.2 6.3.1 7.4.4
6.3.2 7.5.1
7.5.2
7.6.1
7.6.2
7.7.1
7.7.2
7.7.3
Orange County Department of
Environment,Agriculture,Parks
and Recreation
Orange County Department
of Housing and Community
Development
6.1.1
6.1.2 7.1.4
Orange County Department of 6.2.1 7.4.1
Social Services/NC Works 6.2.2 7.6.1
6.2.3 7.6.2
6.2.4
6.3.1
Orange County Economic 6.1.1
Development 6.2.2
6.3.1
63
Outdoor
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Services
7.1.1
7.1.2
7.1.4
7.2.1
Orange County Emergency 7.21
Services 73.1
7.3.3
7.4.3
7.4.4
7.5.1
7.7.2
7.1.2
7.1.4
Orange County Fire Departments 7.4.3
7.4.4
7.5.1
Orange County GARE 6.3.1
6.3.2
Orange County Health 7.1.1
Department 2.3.1 7.3.1
7.4.2
Orange County Home
Preservation Coalition
Orange County Human Rights
and Relations 5.1.2
Orange County Planning
Department
6.1.2
4.1.1 6.2.1
Orange County Public Library 6.2.2
4.11
6.2.3
6.2.4
64
Outdoor
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Services
2.1.1
2.1.2
Orange County Public Transit 2.2.1 7.5.1
2.2.2
2.3.1
2.3.2
7.1.1
7.1.2
7.1.4
Orange County Sheriff's Office 4.1.3 7.2.1
7.2.2
7.4.3
7.4.4
7.6.2
Other local Law Enforcement
Organizations 4.1.3
PeeWee Homes
7.3.1
Piedmont Health 2.3.1 7.3.3
7.4.2
7.7.2
Refugee Community Partnership 5.1.2
Refugee Resettlement Agencies 5.1.2
Refugee Support Center 5.1.2
Refugee Wellness Center 5.1.2
Residential Services,Inc 4.1.1.
RL Mace Universal Design
Rogers Road Community Center 7.4.1
Ron Kunkel Technology
Consultant 6.1.1
7.2.1
SAGE Central NC 7.2.2
7.7.1
Schley Grange Hall(The Grange) 7.5.1
SCORE 6.2.2
Seymour Center Spanish Social
5.1.2
Club
65
Outdoor11 Services
Buildings Transportation Housing Participation Inclusion &Employment Supports&Health Information
Seymour Technical 4.1.3 6.2.3
Shrouding Sisters 7.7.1
7.7.3
Small Business Technology
Development Center 6.3.1
The Entrepreneur's Source 6.2.2
Town of Mebane
Triangle Area Business Network 6.1.1
International 6.3.1
Triangle 1 Council of Governments
UNC City and Regional Planning
Department
UNC Division of Occupational
Science and Occupational 6.3.2
Therapy
UNC Geriatrics 7.1.1
7.1.2
7.3.1
UNC Health Care 2.3.1 4.1.3 7.3.3
7.4.1
7.4.2
7.7.2
UNC Hillsborough 7.7.1
UNC Hospitals 7.1.3
UNC Partnerships in Aging
Program
UNCTEACCH Autism Program 4.1.1
66
Appendix 1
2021 MAP Community Survey:
TOTAL RESPONSES 1040 PRIMARY LANGUAGES SPOKEN IN YOUR
Online 828 80% •
ME (SELECT ALL THAT APPLY)
Paper 212 20% English 772 87%
Orange County Residents 940 90/o o Spanish 25 3%
(sample presented today) Chinese (including Mandarin, 30 3%
Cantonese,or other varieties)
Karen 11 1%
18-44 61 7% Burmese 7 1%
45-69 405 44% Kinyarwanda 5 1%
70+ 446 49% Swahili 3 <1%
French 4 <1%
Tamil 2 <1%
Man 216 26% Hindi 2 <1%
Woman
7 591 70% German 3 <1%
Trans man 1 <1% Other 6 1%
Trans woman 1 <1%
Gender queer/gender 2 <1% HOUSEHOLD
• ' INCOME
non-conforming
Less than $25,000 111 13%
RACE AND ETHNICITY $25,000 to $49,999 132 16%
(SELECT ALL THAT APPLY) $50,000 to $74,999 101 12%
African American or Black 108 12% $75,000 to $99,999 93 11%
American Indian or 11 1% $100,000 to $149,999 103 12%
Native American or Alaska Native
Asian 61 7% $150,000 or more 106 13%
Hispanic or Latinx 22 2% Prefer not to answer 1 170 20%
Pacific Islander or Native Hawaiian 2 <1% WHERE •
U LIVE
White 684 73% Chapel Hill/Carrboro 528 62%
Other 12 1% Rural Orange County 169 20%
Hillsborough 123 15%
Other 9 1%
Note:totals may not equal 100%.Some questions allowed for multiple answer selections.Additionally,we did not include
prefer not to answer"or no response options here when values were low.
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67
a
1 MAP Community Survey:
7Race • . , • • • • . • ,and Ethnicity Fair Very Good
All 96 11% 307 36%
African American or Black 20 19% 20 19%
American Indian, Native 2 18% 3 27%
American,or Alaskan Native
Asian 3 7% 17 40%
Hispanic or Latinx 4 20% 7 35%
Pacific Islander or Native Htt63
n 0 0% 1 50%
White 10% 244 39%
Other 3 27% 4 36%
DISCRIMINATION •R
African
All American Asian Hispanic White
or Black
am treated with less courtesy or respect
7.7 6.9 7.8 8.0 7.7
than other people
receive poorer service than other 8.2 7.6 8.2 8.3 8.4
people at restaurants or stores
People act as if they think I am not smart 8.0 7.6 8.1 8.1 8.1
People act as if they are afraid of me 8.6 8.0 8.7 8.5 8.7
1 am threatened or harassed 8.6 8.4 8.6 8.8 8.7
Note:Score possibilities ranged from 2-9.A lower value indicates experiencing discrimination more often.
Averages are not an ideal summary measure of this type of data,but give us a sense of trends.
64 Orange County Master Aging Plan
68
Appendix 2
Age-Friendly Orange County, NC - Master Aging Plan Survey
The community is coming together again to design the next 5-year Master Aging Plan.
This strategic plan will guide "all things aging" in Orange County. We want the goals of
the Master Aging Plan to reflect the issues that matter to you. We will use the results of
this survey to prioritize our services, policies, programs, and more!
We expect this anonymous survey to take about 20 minutes. Thank you for your time!
If you have any questions or concerns, please contact, Cass Dictus, Fellow at the UNC
Partnerships in Aging Program (cdictus@email.unc.edu). You may also call the Aging
Helpline (919-968-2087) for assistance.
Are you a resident of Orange County, North Carolina?
Yes
No
What is your age group? (select one)
Under 18 70-74
18-44 75-79
45-54 80-84
55-59 85-90
60-64 95+
65-69 Prefer not to answer
Which of the following best describes you? (select all that apply)
African American or Black
Asian
American Indian or Native American or Alaska Native
Hispanic or Latinx
Pacific Islander or Native Hawaiian
White
Other (please specify):
Prefer not to answer
Orange County Master Aging Plan 65
69
Section 2: Respect, Diversity, Equity, and Inclusion
Please note, the following are potentially difficult questions. These are an important part
of our survey. We strive to be sensitive to the treatment of our community members and
would like to better understand your experiences.
Thinking about your day-to-day life in your community, please rate the following
statements.
Less
Almost At least A few A few than
everyday once a times a times a once a Never
week month year
year
I am treated with
less courtesy or
respect than
other people
I receive poorer
service than
other people at
restaurants or
stores
People act as if
they think I am
not smart
People act as if
they are afraid of
me
I am threatened
or harassed
Do you feel that parts of your identity play a role in these experiences? Please explain.
(For example, race, age, religion, gender, sexual orientation, disability, income,
education, appearance.)
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Section 3: Community Assets and Needs
For this section, please take a few moments to reflect on the issues that matter most to
you in an age-friendly community.
For each topic area, please select the TOP THREE things that you think need
improvement in your community. There is space after each topic area if you want to
share any additional thoughts.
Outdoor and Public Spaces: What are the TOP THREE things that you think need
improvement in your community? (select 3)
Public gathering spaces for socializing
Adequate benches and outdoor seating
Public restrooms at outdoor spaces
Safe places to walk, such as sidewalks
Outdoor social events and educational programs
Well-lit streets
Public spaces (including bathrooms) that are clean and accessible to people of
different physical abilities
Outdoor and Public Spaces: Feel free to share any additional thoughts here. (Why did
you pick those things? Is there something important missing from the list? Do you have
any specific suggestions?)
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Housing: What are the TOP THREE things that you think need improvement in your
community? (select 3)
Affordable housing options
Housing near services or transportation options
Physical housing designs that support aging in place
Housing that supports being a part of a larger community
Support to age in your community (instead of moving into a facility)
Information for older adults about housing options
Housing repair and maintenance programs and services
Housing: Feel free to share any additional thoughts here. (Why did you pick those
things? Is there something important missing from the list? Do you have any specific
suggestions?)
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72
Social Participation: What are the TOP THREE things that you think need
improvement in your community? (select 3)
Intergenerational events and programs (involve both younger and older people)
Affordability of events and programs
Accessibility of events and programs for people living with disabilities
Events for people living with or caring for persons with dementia
Options to participate in social events and programs from home
Services for those experiencing social isolation and loneliness
Opportunities for social connections among older adults
Cultural activities that celebrate our diversity
Inclusivity in social events
Social clubs (book clubs, gardening, crafts, etc.)
Social Participation: Feel free to share any additional thoughts here. (Why did you
pick those things? Is there something important missing from the list? Do you have any
specific suggestions?)
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Civic Participation and Employment: What are the TOP THREE things that you think
need improvement in your community? (select 3)
Volunteer experiences that fit my preferences and talents
Fair compensation for employment
Help searching for and applying to jobs
Training opportunities to learn new job skills
Jobs that adapt to meet the needs of older people
Opportunities to advocate for legislative or substantive community change
Opportunities to participate in decision making bodies such as community
councils or committees
Civic Participation and Employment: Feel free to share any additional thoughts here.
(Why did you pick those things? Is there something important missing from the list? Do
you have any specific suggestions?)
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Health and Community Services: What are the TOP THREE things that you think
need improvement in your community? (select 3)
Affordable health care
Affordable, healthy food
Dementia-friendly programs and services
Resources available to assist older adults in making healthcare related decisions
Mental health services
Quality and affordable in-home, respite, and adult day care services
Health, wellness, and fitness programs and classes for older adults
Caregiver supports
Respectful and helpful hospital and clinic staff
Assistance connecting to health care virtually, such as telehealth
Health and Community Services: Feel free to share any additional thoughts here.
(Why did you pick those things? Is there something important missing from the list? Do
you have any specific suggestions?)
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75
Section 4: Communication and Services - Usage and Preferences
In order to serve you better, we want to understand how you prefer to get information
and interact with services and programming.
How do you prefer to get information about your community? (select all that apply)
Local TV stations
Local radio stations
Daily/weekly newspaper
Community newspaper
Social media
Other internet sources (websites)
Faith based organizations (churches, synagogues, mosques)?
Word of mouth (family, friends, neighbors)
Bulletin boards posted in public spaces
Other (please specify):
Do you regularly (at least weekly) use the internet with a computer/tablet/smart phone
for any reason?
Yes, at public space (library, senior centers)
Yes, at home
No (please explain more below)
If No, please tell us why you do not regularly use the internet? (select all that apply)
I do not have access to a device (computer, tablet, smart phone)
The internet costs too much money
There is not internet service where I live
I do not feel comfortable with this technology
I do not like using this technology
Other (please specify):
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76
Are you likely are you to engage in virtual programming (Zoom, GoToMeeting,
Facebook Live, or other Live Streaming events) in the future, after in-person events are
allowed?
Yes, weekly
Yes, monthly
Yes, but very rarely
No (please explain):
In what ways have you previously engaged with the Orange County Department on
Aging, including Passmore and Seymour Centers? (select all that apply)
Social activities and connections (book clubs, Friend to Friend program,
Telephone reassurance)
Caregiver Supports (support groups, Memory Cafe)
Educational programs (End of life panel, Movie screening)
Wellness activities (exercise classes, fitness memberships)
Staying safe at home (Durable Medical Equipment, Home safety or fall risk
assessment, Home repair or modifications)
Individual services (Aging Transitions, Options Counseling)
Individual short appointments or phone call assistance (notary services, Aging
Helpline)
Health Services (Fit feet, Covid testing, Vaccine distribution)
Information from website or newsletter
Targeted yearly programs (VITA tax assistance, Medicare Enrollment assistance)
Food programs (weekly lunch program, monthly food box)
Transportation (help finding options, volunteer driver program)
Employment services
Volunteering
Leadership (Project EngAGE, Senior Resource Teams, Workgroups, Boards)
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77
What types of activities or services do you wish the Department on Aging/Senior
Centers offered?
Other than the Department on Aging/Senior Centers, what are the main other
organizations you engage with to help meet your needs?
Is there anything else you would like to share about aging in Orange County?
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78
Section 5: About our community members
Please tell us a little bit more about you. We want to make sure we are hearing from a
broad range of community members. These questions will help give us a clearer picture
of people taking this survey. All your answers are anonymous.
Which best describes where you live? (select one)
Chapel Hill/Carrboro
Hillsborough
Rural Orange County
Other:
Prefer not to answer
How long have you lived in Orange County (total years)?
Less than 5 years
5 to 14 years
15 to 24 years
25 to 34 years
35 years or more
Prefer not to answer
How would you rate Orange County as a place for people to live as they age?
Poor
Fair
Good
Very good
Excellent
Prefer not to answer
Are you a U.S. military veteran?
Yes
No
Prefer not to answer
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79
What sex were you assigned at birth, on your original birth certificate?
Male
Female
Prefer not to answer
What is your current gender identity?
Man
Woman
Trans man
Trans woman
Genderqueer/gender non-conforming
Different identity (please specify):
Prefer not to answer
Do you think of yourself as: (select all that apply)
Straight/ Heterosexual
Gay or Lesbian/ Homosexual
Bisexual
Other (please specify):
Prefer not to answer
What are the primary languages spoken in your home? (select all that apply)
English
Spanish
Chinese (including Mandarin, Cantonese, or other varieties)
Karen
Other (please specify):
Prefer not to answer
76 Orange County Master Aging Plan
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What is your yearly household income before taxes? (select one)
less than $25,000
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 or more
Prefer not to answer
What is your employment status? (select all that apply)
Self-employed, full-time
Self-employed, part-time
Employed, full-time
Employed, part-time
Unemployed, and looking for work
Retired and volunteering
Retired, not working at all
Not in the labor force for other reason (please specify):
Prefer not to answer
Orange County Master Aging Plan 77