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As with most subjects in our times, the subject of ageing in place is diverse, multi-faceted or if you will, so broad in its narrative for anyone to speak about it appropriately in a 30 second soundbite. And after attending the National Institute on Ageing (NIA) one-day conference Envisioning Ageing in Place in Toronto on November 23rd, it became even more apparent, that in order for the general public to appreciate it, the story does need to be unpacked.

While the panel presenters conducted the unpacking exercise fairly well at this NIA conference over a full day, (all be it at a fast pace), it is important that we understand how every element is inter-connected; and that the way we view ageing in place takes on many individual preferences or perspectives. The other thing to remember is that over time in our later life continuum, that place, that home if you will, may change; our needs will change as our circumstances change incrementally, such as our health condition.

At what stage and time does someone become proactive about, (as the title of one panel discussion described), “future-proofing” housing? That’s only one way of asking the question about ageing in place, which is put in the context of home design and renovation for the eventuality of delivering accessible home care and self-ability to stay and live in home for as long as possible.

Even before that question, at an earlier stage of later life such as late 50’s, when health is reasonably good and an active life of work and other social or community engagement continues, the proactive question may be about “where do we want our place, our home, our community to be – at least in the foreseeable future?” Our sense of place is subject to constant review as our life course evolves.

There was talk at the conference about the current dialogue Canadians over age 50 are having about either moving to a smaller town or downsizing to a smaller home or condo. Great options exist for those fortunate, reasonably affluent and socially connected individuals but the other side of the story, which is gathering more attention is the concern around affordable housing for those on low or fixed incomes.

In many cases for those facing an advanced stage of later life with limited ability to finance their longevity, the options for ageing in place appear less than attractive or feasible – as things stand now, whether it’s the where of the place and/or the how of the delivery of services in home. However, while there are positive examples that are emerging today, where communities are waking up to the future, there is still a slow movement on the part of municipalities to address the opportunities of improving the options.

Glenn Miller, Senior Associate at the Canadian Urban Institute commented at the front end of the panel titled – “Shifting Towards Inclusive Municipal Planning Processes & land Use Policies to be More Effectively Support Ageing in Place”, that while 500 communities across Canada have embraced the 2007 WHO Age Friendly Cities (AFC) framework, “the planning departments of those municipalities have not taken the obvious step of acknowledging the AFC commitment in their land use plans.”

Obvious opportunity indeed, as we look forward; opportunity to make this ageing in place, ageing in community a prominent issue in our upcoming 2018 Ontario election cycle, both provincial and municipal. Yet as I have since moved on from the NIA conference with time to think, it strikes me that affordable and accessible housing is more than a political or social issue for older adults.

Talking with others in younger age groups these days, the highlight on housing is just as important to them, even if ageing in place is not the lens they are looking through right now. As I read it, the spirit of the WHO Age Friendly movement is an inter-generational affair. In many cases it is also the younger adults who are helping their older parents with ageing in place decisions. Yes, the search for innovative approaches to housing, home and community design is our common thread.

Mark Venning

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One year after their first conference, the Ryerson based National Institute on Ageing is holding a one-day event in Toronto on November 23rd – Envisioning Ageing in Place. This is good to see especially because the NIA has taken a focused approach on one topic area as a drill down from the wider sweeping event held last November. Planet Longevity members will attend again this year.

Communities are now and into the future going through significant redesign as we consider how, not only older populations will be making new choices on how they want to live, but also younger generations. It’s a mistake to think that this discussion about “options for ageing in place” is only about “ageing Boomers” as the note for one of the opening speakers suggests.

As I repeatedly say, decisions we make today about overall community design, individual home design and alternative options for adapting for ageing in place are just as much a concern for those in Gen-X who are now entering their 50’s and are serving in roles as caregivers for older parents. And for that matter even those south of age 40, are watching and listening even though it may not appear so.

The four panel presentations at the 2017 NIA conference look quite solid and should not only be of relevance to the individual but especially for those whose business or career focus is on serving the changing needs of an ageing population as the years ahead unfold. In many ways in fact, we have not really reached the crest of the demographic curve where those Boomers meet their older age.

Yet, this is all the more reason why we should think ahead on this matter of envisioning ageing in place. How will this trend play out? How, for example, will Real Estate agents interact more effectively when older clients decide a downsize move? How would a network of municipal planners, realtors, home designers and contractors work to present a unified offering in partnerships with care consultants and community services?

Later life living is not going to be an even experience for everyone, in spite of how advertising messages currently present “adult living” or “retirement living” to silver haired, smiling, affluent, reasonably healthy agile “seniors”. How will ageing in place accommodate everyday people as they age, who will potentially be unable to do so for whatever reason, healthily or financially? That question is of growing importance.

With that in mind for me therefore, the final NIA conference panel of the day will be one that merits more focus, longer than the hour allows. Lisa Salapatek, the Chief Program & Public Policy Officer at the Alzheimer Society of Ontario will lead the discussion on Emerging Residential Models for Complex and/or Specialized Populations to Age in Place. Of course Alzheimer’s as huge a concern as we know it to be, is but one of the many pieces that may live alongside other conditions in this complexity.

While technologies for ageing in place will likely thread discussions at this conference, the fact that this theme appears to be absent from the preliminary agenda is not bothersome, in the sense that while it cannot be excluded from the equation, it certainly gets more than its share of attention at other designated events. Everything considered, this conference is worthy of attending. Ageing in place is increasingly becoming a major part of everyday family conversations.

Mark Venning

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