Canada’s Aging Population: Seizing the Opportunity ppt

Special Senate Committee on Aging Final Report Canada’s Aging Population: Seizing the Opportunity The Honourable Sharon Carstairs, P.C., Chair The Honourable Wilbert Joseph Keon, Deputy Chair April 2009 This report is dedicated to the seniors who have not had the support they need as our society has tried to come to terms with monumental societal shifts which have inadvertently shunted them to the sidelines. It is dedicated to seniors who have held onto the hope of a better world in which to age. It is dedicated to the seniors, advocates, caregivers, health care workers, academics and other experts who have devoted their lives and energies to bringing about this better world, who have so generously shared their passion with this Committee. For more information, please contact us by e-mail: age@sen.parl.gc.ca by phone: (613) 990-0088 toll free: 1 800 267-7362 by mail: The Special Senate Committee on Aging The Senate, Ottawa, Ontario, Canada, K1A 0A4 This report can be downloaded at: www.senate-senat.ca/age.asp Ce rapport est également offert en français Special Senate Committee on Aging Final Report Canada’s Aging Population: Seizing the Opportunity The Honourable Sharon Carstairs, P.C., Chair The Honourable Wilbert Joseph Keon, Deputy Chair April 2009 This report is dedicated to the seniors who have not had the support they need as our society has tried to come to terms with monumental societal shifts which have inadvertently shunted them to the sidelines. It is dedicated to seniors who have held onto the hope of a better world in which to age. It is dedicated to the seniors, advocates, caregivers, health care workers, academics and other experts who have devoted their lives and energies to bringing about this better world, who have so generously shared their passion with this Committee. For more information, please contact us by e-mail: age@sen.parl.gc.ca by phone: (613) 990-0088 toll free: 1 800 267-7362 by mail: The Special Senate Committee on Aging The Senate, Ottawa, Ontario, Canada, K1A 0A4 This report can be downloaded at: www.senate-senat.ca/age.asp Ce rapport est également disponible en français TABLE OF CONTENTS i Canada's Aging Population: Seizing the Opportunity Table of Contents MEMBERSHIP V ORDER OF REFERENCE VII A MESSAGE FROM THE CHAIR IX FOREWORD 1 A FEW WORDS ABOUT DEFINITIONS 2 SETTING THE VISION 5 WHAT THE COMMITTEE LEARNED 5 IMPLEMENTING THE COMMITTEE’S VISION 9 CHAPTER 1: COUNTERING AGEISM 11 1.1 DEFINING AGEISM 12 1.2 MOVING TOWARD A POSITIVE VIEW OF AGING 14 1.3 COMPETENCY 16 1.4 COMPETENCY AND DRIVING: NOT JUST A SENIORS ISSUE 19 1.5 COMPETENCY AND WORK 22 1.6 ABUSE AND NEGLECT 24 CHAPTER 2: INTEGRATING CARE 33 2.1 A MOVE TO INTEGRATED CARE 34 2.2 CONTINUUM OF SERVICES AND CARE FOR AGING IN THE PLACE OF CHOICE 41 CHAPTER 3: COMPARABLE ACCESS TO SERVICES ACROSS THE COUNTRY 63  3.1 SENIORS AND HEALTH CARE COSTS 63 3.2 HEALTH PROMOTION EFFORTS CAN HELP REDUCE HEALTH CARE COSTS 65 3.3 DEMOGRAPHIC PROJECTIONS FOR PROVINCES AND TERRITORIES 67 3.4 A SUPPLEMENTARY PROGRAM TO COMPENSATE FOR UNEVEN AGING ACROSS THE PROVINCES AND TERRITORIES 68 3.5 COMPARABLE ACCESS TO MEDICATIONS: A NATIONAL FORMULARY 70 TABLE OF CONTENTS ii Canada’s Aging Population: Seizing the Opportunity CHAPTER 4: ACTIVE AGING IN AGE-FRIENDLY CITIES AND RURAL COMMUNITIES 73 4.1 ACTIVE AGING 73 4.2 AGE-FRIENDLY CITIES AND RURAL COMMUNITIES 83 4.3 UNIVERSAL DESIGN 86 4.4 TRANSPORTATION 88 CHAPTER 5: ELIMINATING POVERTY 93 5.1 PENSIONS 94 5.2 SAVINGS 98 5.3 OLD AGE SECURITY/GUARANTEED INCOME SUPPLEMENT (OAS/GIS) 100 5.4 EARNINGS 106 5.5 THE INCOME SECURITY SYSTEM 111 CHAPTER 6: SUPPORTING CAREGIVERS 117 6.1 POLICY SUPPORTS TO HELP CAREGIVERS 119 6.2 A NATIONAL CAREGIVER STRATEGY 128 CHAPTER 7: SUPPORTING THE VOLUNTARY SECTOR 131 7.1 SENIORS AND THE VOLUNTARY SECTOR 131 7.2 NEW HORIZONS FOR SENIORS PROGRAM 136 CHAPTER 8: THE HEALTH AND SOCIAL CARE WORKFORCE 139 8.1 INCREASING THE SUPPLY OF TRAINED GERONTOLOGISTS AND GERIATRICIANS 142 8.2 ADAPTING TRAINING FOR AN AGING POPULATION 147 8.3 TRAINING OF HOME CARE AND PERSONAL SUPPORT WORKERS 149 CHAPTER 9: INCORPORATING RESEARCH AND NEW TECHNOLOGY 155 9.1 RESEARCH ON AGING 155 9.2 TELEMEDICINE AND TELEHOMECARE 158 9.3 ELECTRONIC HEALTH RECORD 161 CHAPTER 10: FEDERAL POPULATION GROUPS – LEADING BY EXAMPLE 165  10.1 DIRECT FEDERAL LEADERSHIP 165 10.2 VETERANS 165 10.3 FIRST NATIONS AND INUIT 171 TABLE OF CONTENTS iii Canada's Aging Population: Seizing the Opportunity 10.4 FEDERAL OFFENDERS 178 10.5 NATIONAL LEADERSHIP AND INDIRECT RESPONSIBILITY 182 10.6 OFFICIAL LANGUAGE MINORITY SENIORS 182 10.7 ABORIGINAL SENIORS 187 10.8 THE GOVERNMENT OF CANADA MOVES FORWARD AS LEADER 190 APPENDIX I: LIST OF RECOMMENDATIONS BY FRAMEWORK 193  APPENDIX II: COMPLETE LIST OF RECOMMENDATIONS 203 APPENDIX III: CHECKLIST OF ESSENTIAL FEATURES OF AGE-FRIENDLY CITIES 211  APPENDIX IV: LIST OF WITNESSES SECOND SESSION THIRTY-NINTH PARLIAMENT 215 APPENDIX V: COSTS: COMMUNITY VERSUS FACILITY 233 MEMBERSHIP v Canada's Aging Population: Seizing the Opportunity Membership The Honourable Sharon Carstairs, P.C., Chair The Honourable Wilbert Joseph Keon, Deputy Chair And The Honourable Senators: Maria Chaput Anne C. Cools Jane Cordy Terry M. Mercer Terry Stratton Ex-officio members of the Committee: The Honourable James Cowan, (or Claudette Tardif) and Marjory LeBreton, P.C., (or Gérald Comeau) Analysts from the Parliamentary Information and Research Service of the Library of Parliament: Julie Cool Havi Echenberg Nancy Miller Chenier Michael Toye Karin Phillips Senate Committees Directorate: Keli Hogan, Clerk of the Committee Monique Régimbald, Administrative Assistant Research Staff: Michelle MacDonald, Special Advisor to the Committee [...]... and that the committee retain all powers necessary to publicize its findings until 90 days after the tabling of the final report The question being put on the motion, it was adopted Paul C Bélisle Clerk of the Senate viii Canada’s Aging Population: Seizing the Opportunity A MESSAGE FROM THE CHAIR A Message from the Chair This Committee was originally struck by the Senate in the Fall of 2006 In the intervening... about their lives The Committee learned Illogical care decisions are made because we don’t provide the right services at the right time Seizing the opportunity of an aging population will mean enabling a shifting of resources from the acute care health system to 6 Canada’s Aging Population: Seizing the Opportunity SETTING THE VISION an integrated continuum of care which will allow people to age in the. .. of their income on the necessities of housing, food and clothing This report uses the terms low income cut-offs and poverty line interchangeably 7 Canada's Aging Population: Seizing the Opportunity SETTING THE VISION The Committee learned The current supports for caregivers are insufficient, and Canadians are forced to choose between keeping their jobs and caring for the ones they love Seizing the opportunity. .. being taken seriously, that others are taking control of their lives and taking away their rights to make their own decisions, testing 16 Canada’s Aging Population: Seizing the Opportunity CHAPTER 1: COUNTERING AGEISM their capacity and their competency when in fact they are totally competent.” 5 Laura Watts of the Canadian Centre for Elder Law Studies outlined for the Committee the enormous social and... inclusive Canada for the future The Honourable Sharon Carstairs, P.C Chair x Canada’s Aging Population: Seizing the Opportunity FOREWORD Foreword In November 2006, the Special Senate Committee on Aging was created with a broad mandate to review a wide range of complex issues to determine if Canada is providing the right programs and services at the right time to the individuals who need them The Committee... than the last Much attention has been paid to adding years to life The exponential growth of the oldest age groups makes front page news But the Special Senate Committee on Aging found another story as we travelled across the country speaking to seniors We heard a call to recognize the place of seniors as active, engaged citizens in our 5 Canada's Aging Population: Seizing the Opportunity SETTING THE. .. volunteers themselves are aging Seizing the opportunity of an aging population will require us to acknowledge the key role played by the voluntary sector With adequate preparation, the voluntary sector will be able to benefit from the accumulated knowledge and experience of retiring seniors to strengthen our social fabric At the same time, some seniors also rely on volunteers to help provide them with the. .. people to age in the place of their choice with the right services at the right time The Committee learned The unequal rate of the aging of the population across the country creates challenges for provinces to provide a comparable range of services Seizing the opportunity of an aging population will steps to make sure that comparable health and social available across the country, and that governments... benefited from the assistance of two very capable Committee Clerks during the life of the study, François Michaud and Keli Hogan Along with the administrative assistant to the Clerk of the Committee, Monique Régimbald, they were responsible for organizing all the meetings the Committee, including scheduling the appearances of all the witnesses, for overseeing the translation and printing of all the reports,... identified the gaps that exist in meeting their needs, and examined the implications for service delivery in the future as the population ages The Committee released an interim report in February 2007, Embracing the Challenge of Aging, which summarized the findings of the first phase of the study That report identified overarching questions, organised into four broad themes: defining seniors; the diversity . Committee on Aging Final Report Canada’s Aging Population: Seizing the Opportunity The Honourable Sharon Carstairs, P.C., Chair The Honourable. Committee on Aging Final Report Canada’s Aging Population: Seizing the Opportunity The Honourable Sharon Carstairs, P.C., Chair The Honourable