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The Elder Friendly Communities Project originated with an awareness of the increasing seniors’ population not only in Calgary, but also throughout Canada. As the seniors’ population increases an aging-in-place philosophy has become commonplace. This philosophy relates strongly to the concept of ‘elder friendly communities’ and to the participation of seniors in needs assessment, planning, development and delivery of services to seniors.
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  • 1. A PLACE TO CALL HOME Final Report of the Elder Friendly Communities Project June 2001 - Funded By - Family and Community Support Services, City of Calgary Health Promotions Initiatives Fund, Calgary Regional Health Authority Faculty of Social Work, The University of Calgary
  • 2. 2 A PLACE TO CALL HOME Final Report of the Elder Friendly Communities Project - Authors - Carol Austin, Ph.D., University of Calgary, Faculty of Social Work David Flux, MSW, RSW, City of Calgary, Seniors’ Division Laura Ghali, Ph.D., University of Calgary, Faculty of Medicine, Community Health Sciences Debra Hartley, MSW, RSW, Project Coordinator, Elder Friendly Communities Dan Holinda, MSW, RSW, CRHA, Health Promotion Analyst Robert McClelland, Ph.D., University of Calgary, Faculty of Social Work Jackie Sieppert, Ph.D., University of Calgary, Faculty of Social Work Timothy Wild, MA, RSW, MSW Student, University of Calgary, Faculty of Social Work This report will be available on the Faculty of Social Works web site at http://www.fsw.ucalgary.ca/ __________________________________________________________________________ Elder Friendly Communities Project – Final Report
  • 3. 3 TABLE OF CONTENTS ACKNOWLEDGEMENTS ......................................................................................................................... 6 EXECUTIVE SUMMARY .......................................................................................................................... 9 ORIGINS OF THE PROJECT ............................................................................................................................ 9 PROJECT GOAL ............................................................................................................................................ 9 METHODOLOGY........................................................................................................................................... 9 THEMES IDENTIFIED BY SENIORS AND COMMUNITY EXPERTS................................................................... 12 THEMES IDENTIFIED BY SERVICE PROVIDERS AND KEY INFORMANTS....................................................... 16 THE VOICE OF THE COMMUNITY: SUGGESTIONS FROM PARTICIPANTS...................................................... 18 1. THE ELDER FRIENDLY COMMUNITIES PROJECT .................................................................. 26 MAP OF THE CITY OF CALGARY, COMMUNITY DISTRICTS 1.1 PROJECT RATIONALE........................................................................................................................... 26 1.2 PROJECT GOAL .................................................................................................................................... 28 1.3 SELECTION OF THE TARGETED COMMUNITIES ..................................................................................... 29 1.4 METHODOLOGY................................................................................................................................... 32 1.5 PROJECT STRENGTHS AND LIMITATIONS ............................................................................................. 34 1.6 STRUCTURE OF THE REPORT................................................................................................................ 35 2. ACADIA SENIORS................................................................................................................................ 38 MAP OF ACADIA 2.1 BEING VALUED AND RESPECTED......................................................................................................... 39 2.2 STAYING ACTIVE................................................................................................................................. 40 2.3 BUILDING COMMUNITY ....................................................................................................................... 41 2.4 MAKING ENDS MEET........................................................................................................................... 42 2.5 A PLACE TO CALL HOME..................................................................................................................... 44 2.6 FEELING SAFE...................................................................................................................................... 45 2.7 GETTING WHAT YOU NEED................................................................................................................. 47 2.8 GETTING AROUND............................................................................................................................... 51 2.9 SUMMARY OF FINDINGS FROM ACADIA COMMUNITY.......................................................................... 52 2.10 THE VOICE OF THE COMMUNITY – SUGGESTIONS MADE BY ACADIA................................................ 53 PARTICIPANTS ........................................................................................................................................... 53 3. HAYSBORO SENIORS......................................................................................................................... 56 MAP OF HAYSBORO 3.1 BEING VALUED AND RESPECTED......................................................................................................... 57 3.2 STAYING ACTIVE................................................................................................................................. 58 3.3 BUILDING COMMUNITY ....................................................................................................................... 58 3.4 MAKING ENDS MEET........................................................................................................................... 60 3.5 A PLACE TO CALL HOME..................................................................................................................... 60 3.6 FEELING SAFE...................................................................................................................................... 61 3.7 GETTING WHAT YOU NEED................................................................................................................. 62 3.8 GETTING AROUND............................................................................................................................... 63 3.9 SUMMARY OF FINDINGS FROM HAYSBORO COMMUNITY..................................................................... 64 3.10 THE VOICE OF THE COMMUNITY – SUGGESTIONS MADE BY HAYSBORO.......................................... 65 PARTICIPANTS ........................................................................................................................................... 65 4. MARLBOROUGH AND MARLBOROUGH PARK SENIORS ....................................................... 68 MAPS OF MARLBOROUGH & MARLBOROUGH PARK 4.1 BEING VALUED AND RESPECTED......................................................................................................... 70 4.2 STAYING ACTIVE................................................................................................................................. 71 4.3 BUILDING COMMUNITY ....................................................................................................................... 74 4.4 MAKING ENDS MEET........................................................................................................................... 75 __________________________________________________________________________ Elder Friendly Communities Project – Final Report
  • 4. 4 4.5 A PLACE TO CALL HOME..................................................................................................................... 76 4.6 FEELING SAFE...................................................................................................................................... 77 4.7 GETTING WHAT YOU NEED................................................................................................................. 78 4.8 GETTING AROUND............................................................................................................................... 80 4.9 SUMMARY OF FINDINGS FROM THE MARLBOROUGH AND MARLBOROUGH PARK................................ 81 4.10 THE VOICE OF THE COMMUNITY – SUGGESTIONS MADE BY MARLBOROUGH AND ........................... 82 MARLBOROUGH PARK PARTICIPANTS ....................................................................................................... 82 5. VARSITY SENIORS.............................................................................................................................. 85 MAP OF VARSITY 5.1 BEING VALUED AND RESPECTED......................................................................................................... 86 5.2 STAYING ACTIVE................................................................................................................................. 87 5.3 BUILDING COMMUNITY ....................................................................................................................... 88 5.4 MAKING ENDS MEET........................................................................................................................... 88 5.5 A PLACE TO CALL HOME..................................................................................................................... 89 5.6 FEELING SAFE...................................................................................................................................... 91 5.7 GETTING WHAT YOU NEED................................................................................................................. 92 5.8 GETTING AROUND............................................................................................................................... 92 5.9 SUMMARY OF THE FINDINGS FROM THE VARSITY COMMUNITY .......................................................... 93 5.10 THE VOICE OF THE COMMUNITY – SUGGESTIONS MADE BY VARSITY .............................................. 93 PARTICIPANTS ........................................................................................................................................... 93 6. IN-HOME INTERVIEWS ..................................................................................................................... 96 6.1 BEING VALUED AND RESPECTED......................................................................................................... 98 6.2 STAYING ACTIVE................................................................................................................................. 99 6.3 BUILDING COMMUNITY ..................................................................................................................... 102 6.4 MAKING ENDS MEET......................................................................................................................... 104 6.5 A PLACE TO CALL HOME................................................................................................................... 105 6.6 FEELING SAFE.................................................................................................................................... 108 6.7 GETTING WHAT YOU NEED............................................................................................................... 110 6.8 GETTING AROUND............................................................................................................................. 118 6.9 SUMMARY OF THE FINDINGS FROM THE IN-HOME INTERVIEWS......................................................... 120 6.10 THE VOICE OF THE COMMUNITY: SUGGESTIONS MADE BY IN-HOME INTERVIEW.......................... 121 PARTICIPANTS ......................................................................................................................................... 121 7. SERVICE PROVIDERS’ FOCUS GROUPS & KEY INFORMANT INTERVIEWS .................. 124 7.1 AGING-IN-PLACE ............................................................................................................................... 126 7.2 ACCESS.............................................................................................................................................. 127 7.3 TRANSPORTATION ............................................................................................................................. 129 7.4 HOUSING ........................................................................................................................................... 131 7.5 ISOLATION ......................................................................................................................................... 132 7.6 FAMILY CAREGIVERS ........................................................................................................................ 133 7.7 PRIMARY CARE.................................................................................................................................. 134 7.8 COMMUNITY ASSOCIATIONS.............................................................................................................. 136 7.9 VOLUNTEERS..................................................................................................................................... 137 7.10 ADVOCACY...................................................................................................................................... 138 7.11 IN-HOME WORKERS ........................................................................................................................ 139 7.12 PHARMACISTS.................................................................................................................................. 140 7.13 HEALTH PROMOTION....................................................................................................................... 140 7.14 MENTAL HEALTH ............................................................................................................................ 141 7.15 COMMUNITY DEVELOPMENT AND SERVICE DELIVERY.................................................................... 143 7.16 SUMMARY OF THE FINDINGS FROM SERVICE PROVIDERS AND KEY INFORMANTS ........................... 144 7.17 THE VOICE OF PROFESSIONALS: SUGGESTIONS MADE BY SERVICE PROVIDERS.............................. 145 AND KEY INFORMANTS............................................................................................................................ 145 __________________________________________________________________________ Elder Friendly Communities Project – Final Report
  • 5. 5 8. DISCUSSION OF FINDINGS ............................................................................................................. 148 8.1 THE MEANING OF COMMUNITY......................................................................................................... 148 8.2 CULTURAL DIVERSITY....................................................................................................................... 148 8.3 LIMITED VARIATION ACROSS COMMUNITIES: COMMON THEMES ..................................................... 148 8.4 IN-HOME INTERVIEWS ....................................................................................................................... 150 8.5 CAPITAL INTENSIVE PROJECTS, COMMUNITY-BASED AND IN-HOME SERVICES ................................ 151 8.6 COMMUNITY DEVELOPMENT............................................................................................................. 151 8.7 LOOKING AHEAD............................................................................................................................... 152 9. REFERENCES...................................................................................................................................... 154 10. APPENDIX.......................................................................................................................................... 159 10.1 FOCUS GROUP QUESTIONS: SENIORS AND FAMILY CAREGIVERS .................................................... 159 10.2 FOCUS GROUP QUESTIONS: SERVICE PROVIDERS............................................................................ 159 10.3 FOCUS GROUP QUESTIONS: COMMUNITY EXPERTS & LEADERS ..................................................... 160 10.4 IN-HOME INTERVIEW QUESTIONS: SENIORS AND FAMILY CAREGIVERS.......................................... 160 10.5 KEY INFORMANT INTERVIEW QUESTIONS........................................................................................ 161 __________________________________________________________________________ Elder Friendly Communities Project – Final Report
  • 6. 6 ACKNOWLEDGEMENTS We would like to thank the individuals and organizations that have contributed to the success of the Elder Friendly Communities Project. A special thank you to everyone who participated in the focus groups and in-home interviews. Funders Family and Community Support Services; City of Calgary Health Promotions Initiatives Fund; Calgary Regional Health Authority Faculty of Social Work; University of Calgary Steering Committee Dr. Carol Austin, University of Calgary, Faculty of Social Work David Flux, City of Calgary, Seniors’ Division Debra Hartley, Project Coordinator, Elder Friendly Communities Project Dan Holinda, CRHA, Health Promotion Analyst Dr. Robert McClelland, University of Calgary, Faculty of Social Work Dr. Jackie Sieppert, University of Calgary, Faculty of Social Work Timothy Wild, MSW Student, University of Calgary, Faculty of Social Work Strategic Advisory Committee Norma Casini, CRHA, Director of Specialized Geriatric Services Dr. Penny Hawe, University of Calgary, Faculty of Medicine, Dept. of Community Health Sciences Dr. Sandra Hirst, University of Calgary, Faculty of Nursing Ken Hoffer, City of Calgary, Social Planner, Community Strategies Barb Howson, CRHA, Director of Seniors’ Health Program Rick Kanik, City of Calgary, Manager, Seniors Division, Dr. Candace Konnert, University of Calgary, Faculty of Psychology Dr. Colleen Maxwell, University of Calgary, Faculty of Medicine, Dept. of Community Health Sciences Myrta Reyes, Calgary Catholic Immigration Society Dr. Diana Turner, Acting Physician, Carewest Day Hospital, North Site Focus Group Facilitators Michelle Barr, BSW student, University of Calgary, Faculty of Social Work Judy Butler, Staff, Elder Friendly Communities Project Bonita Decaire, BSW Student, University of Calgary, Faculty of Social Work __________________________________________________________________________ Elder Friendly Communities Project – Final Report
  • 7. 7 Jennifer DiMarzo, City of Calgary , Neighbourhood Services Serrine Fares, City of Calgary , Neighbourhood Services David Flux, City of Calgary , Seniors’ Division Debra Hartley, Project Coordinator, Elder Friendly Communities Project Rose Lamoureux, City of Calgary , Neighbourhood Services Ejike Ohuegbe, City of Calgary , Neighbourhood Services Myrta Reyes, Calgary Catholic Immigration Society Timothy Wild, MSW Student, University of Calgary, Faculty of Social Work Interviewers Judy Butler, Staff, Elder Friendly Communities Project Dr. Laura Ghali, Staff, Elder Friendly Communities Project Debra Hartley, Project Coordinator, Elder Friendly Communities Project Organizations Acadia Pool & Fitness Centre Acadia Recreation Complex Calgary Chinese Elderly Citizens’ Association Calgary Family Services Cathedral Manor Seniors’ Apartment Building City of Calgary, City Links Francis Klein Centre Golden Age Club Haysboro Community Association Haysboro 50+ Club Heritage Seniors, St. Andrew’s Presbyterian Church Homecare, CRHA Indian Ex-Serviceman Immigrant Association Calgary Luther Place Seniors’ Apartment Building Marlb
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