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Village Programs: Helping Older Adults Age in Place
Virginia Blueprint for Livable CommunitiesHearing
May 9, 2014
Candace Baldwin
Director of Strategy, Aging in Community
Why is the Village Model the Right Model Now?
Because there are more people age 65 and older than in any
time in our history.
US Residents Over Age 65:
In 2006 there were 37 million
In 2030 there will be 71.5 million
By 2025, 25% of Virginia population will be 60+
Age Wave Opportunities
71.5 MILLION
Because people over age 85 are the fastest
growing segment of the US population.
Because 85% of people age 45 and older say they want to age in their own homes and communities.
Because we cannot build enough senior communities and retirement facilities to house all of us.
It would take too long and cost too much.
Cross Sector Coordination as a Foundation
Element Features Basic Needs -- Safe, Accessible, and Affordable
Accessible and affordable housing and community areas Provides information about services Fosters safety
Community Engagement Fosters meaningful connections Promotes active community engagement Opportunities for paid or volunteer work
Health and Well Being Facilitates access to medical and social services Promotes health behaviors Supports community activities that enhance well being
Independence and Autonomy
Mobilizes in-home supports and services Coordinates or offers transportation Supports family and other caregivers
New Way to Define Social Networking• Research beginning to identify
importance of social connections on health outcomes
• Aging in community best chance to remain connected
• Aging in Community vs. Aging in Place
• ACA – focus on care and systems
coordination– home and community based
services
Village Model
Village Model has a Set of Guiding Principles
• Self-governing, self-supporting, grassroots membership-based organizations
• Consolidate and coordinate services to members• Create innovative strategic partnerships that
leverage existing community resources and do not duplicate existing services
• Holistic, person-centered, and consumer-driven• Promote volunteerism, civic engagement, and
intergenerational connections
Village Provides the Mechanism to Support Aging in Community
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Local Leadership Development
Health and Wellness
Livable, Age Friendly Community
Economic and Community
Development
Village Builds Strong Communities
Platform for local policy/program
innovation
Model for successful aging
Support Individuals to reach highest
potential
Resources to stimulate growth
Villages are Unique to the Communities they Serve
12
• Villages vary the organization to reflect the needs and leverage available resources
• Core services address gaps and preference• Funded through membership fees and fundraising
from private sources• Nearly all Villages offer options for both individual or
household membership• Average age of Village member is between 74 years of
age
Village Model is about Individuals
• Sense of Belonging– A place where I can be myself
• Mutual Support– A place where I can give and get
support
• Greater Influence– High level of self efficacy and worth
• Exploration– A place where I can explore new
ideas/activities
Villages Foster a Strong Sense of Community
• Combination of paid staff, volunteers and community-based partnerships:– Facilitate connection to existing community
services– Assist members to navigate medical, non-
medical and social support needs– Create social networks and expand social
capital to support aging in community
• 51% of Village members volunteer for their Village – truly “neighbor helping neighbor”
Member Benefits include a Wide Range of Services
• Unique to individual Village based upon community needs• Services provided by volunteers:
– Transportation– Social events and exercise classes– Caregiver support– Friendly visitor/Respite– Healthcare/Medical advocacy– Care transition coordination
• Discounted services provided by providers and community partners– Transportation– In-home technologies– Home maintenance/repair– Personal/Home care
Connecting Local Innovations with National Priorities
• Villages partnering to reduce hospital readmissions and increase patient engagement
• Care transitions - Newton at Home – Newton, MA– Key to reducing hospital readmissions– Measuring impact of Village
• Patient Readiness/Engagement - Avenidas Village – Palo Alto, CA– Patients - improved their understanding of the
goals and priorities of the visit– Physicians - helped them address specific patient
concerns and increased satisfaction with quality of visit
“This is a very simple but powerful tool, which
allows us to provide better care, and improve patient
satisfaction” – PAMF Physician
Village to Village Network
Village to Village Network is Critical to Replication
• VtV Network Objectives– Promote Village model
– Assist new, emerging and established Villages
– Gather feedback on how member benefits and programs can be revised to meet needs of individual Villages
– Research and evaluate impact of Villages on a number of social and health factors
• Current membership - 210 organizations from across the country in 40 states and 4 countries
145 Villages Open and Over 120 Communities in Development Phase
District of Columbia
1-3
4-9
10-14
15-25
Existing Villages (124 total open and operating)
Source: Information on Village activity known and reported to the Village to Village Network, LLC as of 01/2014
Communities Engaged in Village
Villages Movement in Virginia
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• Open Villages– At Home Alexandria– Arlington Neighborhood Villages– Clifton Fairfax Station– Colonial Beach Village– Lake Barcroft Village– McLean Community Village– Mt. Vernon at Home– Park View Village– The Fan Village (Richmond)
• Villages in Development– C-Ville Village (Charlottesville)– Greenwood Village (Charlottesville)– Neighbor to Neighbor Village (Blacksburg)– Vertical Village – VOA (Arlington)
Village Impact: Research Findings from University of
California Berkeley
Social Impacts of Village Membership
– 79% know more people than they used to
– 60% feel more connected with other people
– 49% participate in activities and events more
– 41% feel less lonely
– 37% leave their home more than they used to
Information derived from University of California Berkeley Evaluation of CA Villages (2013)
Well-Being Impacts
• 51% report improved quality of life
• 46% say they are happier
• 35% say their health is better
Information derived from University of California Berkeley Evaluation of CA Villages (2013)
Service Access Impacts
• Access• 82% are more likely to know how to get assistance when they need it• 77% know more about community services• 44% use community services more
• Efficacy• 29% have an easier time taking care of home• 25% have an easier time taking care of themselves
• Aging in Place• 77% feel they are more likely to be able to stay in their own homes as
they get older
Information derived from University of California Berkeley Evaluation of CA Villages (2013)
Potential Community Impacts
• 38% of Villages work on making their community more aging-friendly
• 22% are engaged in political advocacy• 10% work on improvements in the built
environment
• 6% sponsor public educational events
Information derived from University of California Berkeley Evaluation of CA Villages (2013)
Creating a Vision of Comprehensive Aging Services
• Individuals and Caregivers• Better health, prevention and wellness
through social engagement outlets• Individualism + active lifestyle = not
“old”• Impact on connection of health and social
support• Increase awareness and ability to navigate
system• Local and Community Providers
• Identify and champion individual preference• Break up the ‘medical’ model• Identify and embrace connection of social
and health interventions
THANK YOU.
For More Information
www.vtvnetwork.org
Candace Baldwin
Director of Strategy, Aging in Community
