WEBVTT

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music

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welcome so I am -- 

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Margaret Manoogian I am the

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Department Head for

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Gerontology here at

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Western Oregon University and

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Aging Well - Aging with Others

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started actually four years ago it

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was a collaborative effort

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between Kathy Bolen in our

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human resources office Kathy

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wave your hand back there and

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the time Sue Teal who is the

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Director of the Senior Center

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and it was our way to talk

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about some of these topics that

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we think are really relevant

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to staff and faculty and

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community members our students

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have access to our classrooms

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all the time but what we do

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is so applied -- and helpful

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I believe I wouldn't be doing

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this if I didn't think so so

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first speaker so Melissa is

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a assistant professor in our

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program gerontology aging in

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older adulthood she got her

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doctorate in urban studies

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and gerontology were her

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field areas at

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Portland State University she also

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has a graduate certificate

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in gerontology and her

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bachelor's degree is in community

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development and her concentration

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was housing and economic

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development so that tells you

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why she's particularly well

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suited for this session her

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general research areas include

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environmental gerontology which

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is really exciting because it's

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a field that is fairly new and

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she will talk in an applied way

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about it with you today

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age friendliness Western just was

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designated as an age friendly

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university so I'm thrilled

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to see our community members

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here it's really important to

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our program we love having you

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on campus and hope we can

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continue to have you on campus

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community health home and

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community based services health

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disparities service learning

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she's interested in policies

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that create healthy inclusive

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cities and communities for

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people across the life course

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and programs that support

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healthy aging and improve the

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quality of care among older

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adults so without any further

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ado let's welcome Dr. Cannon

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applause

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alright thank you Dr. Manoogian so

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my presentation is Aging in

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the Right Place: Options and

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Decisions About Where We Live

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as We Age and I'm just going

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to walk through -- some of

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the objectives for today and I

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think what I'll do is probably

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have -- questions just at the

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end -- there's a fair amount

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that I have to get through but

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I'll try to leave some time at

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the end so that we can do some

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question and answer so my

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objectives for today are to

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do an overview of housing

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options for people as they

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grow older to go over some of

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the important considerations

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that we have when evaluating

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these options and some of the

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basics of transitioning to

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long term care just to start

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off there are a lot of ways

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that we can kind of think

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about home and home is a very

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important part of our lives

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and as we continue to age in

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and of themselves a lot of times

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when we think about home we

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think about a house or some

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sort of a structure and really

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in and of themselves those

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things have no meaning they're

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locations that are devoid of

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meaning they're empty spaces or

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structures so it's not until

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we attach meaning to them

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that they become something we

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also have these more kind of

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ethereal notions of home so

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you might hear people talking

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about going home to God for

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example or there's a song that

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says home is wherever I'm with

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you so there are different

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conceptions of what kind of

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what home means to people in

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most cases when we're talking

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about home we're describing a

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relationship between ourselves

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and a place that we have

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inhabited right that

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has been a dwelling for us in

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some way and it has been called

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the most intense expression of

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our relationship with place the

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place that we call home what

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would be some dimensions of

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home so when you think about

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home what are some things that

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come to mind for you all you

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can just raise your hand family

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okay what else yeah creative

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spaces excellent what else

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comfort a haven gardens where

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your bed is where you sleep

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right okay what else food okay

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homegrown food very important

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right all your cooking all

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your meals anything else safety

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security okay private spaces

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absolutely your comfort zone

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good okay I think we've got

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a really good list going here

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and I have some of these up

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here already you know home is

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a place where we feel like

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we can be centered where we

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can go and relax and kind of

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have some centering there's

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a sense of permanence to a home

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right so even if you're renting

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typically you have a lease and

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you feel this kind of sense

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of this is where you're going

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to be for a while that kind

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of goes along with ownership

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when you feel ownership of a

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home that's really important

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safety privacy relaxation

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self expression art space

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right and you know sometimes

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we don't think about some of

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the challenging things about

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home but it's also a place

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you know there's a lot of

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responsibility tied into a

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home a lot of maintenance and

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there could even be some other

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things that are challenging

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about a home but typically

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we think about these kinds of

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positive aspects of home it's

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really important to think about

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this in the context of aging

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because older adults spend an

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increasing proportion of time

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at home oftentimes older adults

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spend eighty percent or more

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of their time in their own home

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and sometimes that's even in

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a single room or an area right

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so you might know individuals

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who spend a lot of time in

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even just like one particular

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chair or room right and that

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constitutes kind of their space

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where they feel comfortable

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and where they you know kind

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of -- are safe and -- feel at

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home in general US

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residents move around a lot

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right that's kind of something

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that's unique to the United

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States is that we tend to

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move quite a bit overall on

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average we relocate about ten

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times during our life course

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and oftentimes this becomes

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necessary when we reach older

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adulthood so when you think

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about the transition from

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to older adulthood why might

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somebody want to relocate what

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would be like one particular

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reason because of health

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downsizing right yeah so

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downsizing was the main one

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and we'll get to some other

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things as well but downsizing

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is a big one right so when you

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kind of get to a sense -- you know

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you you have a sense of maybe

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you've raised your family in this home

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and it was perfect for that

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too much space and too much

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maintenance for what you need

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and so downsizing becomes

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necessary and a lot of research

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shows that relocating can be

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associated with a lot of stress

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right there's a term called

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transference which is kind

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of a way to describe how when

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we move to a -- new home

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it's not just about you know

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walking over to a different

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structure and all of a sudden

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living inhabiting a different

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structure you know like a new

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shell or something it's about

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having to move all kinds of

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aspects that you've been used

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to in your home so the way

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you arranged your furniture

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even things like that right so

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that can be a very stressful

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experience it's also important

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to touch on homeownership

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homeownership is very common

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here in the United States among

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older adults in the United

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States about seventy seven

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percent of individuals own

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their own home married couples

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in particular are likely

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to own their own homes most

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married couples do in fact

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older households older adults

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living and owning their own

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homes most of these families

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are single family detached

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houses which I'll kind of get

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into a little bit later -- why

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that might present some issues

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but that's just something to

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keep in mind that most people

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are living in single family

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homes that are detached from

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one another okay and one of the

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reasons I bring this up is that

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homeownership has been really

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central to wealth generation

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in the United States right so

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people who buy a home you know

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you if your property value

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goes up you're able to maybe

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take that equity and reinvest it

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or put it towards a down

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payment for your children's

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home and so generation through

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generation homeownership is

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one of those really central

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tools to wealth generation and

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that's not to say that there

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aren't costs also associated

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with homeownership you know

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there are high energy costs

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maintenance costs if you

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think back to the recession

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around 2008

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is that about when it started

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yeah 2008 -- a

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lot of people who had these

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adjustable rate mortgages

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started -- you know

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experiencing these high costs

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had to take out second or

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third mortgages were underwater

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on their loans and so there

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are a lot of examples where

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homeownership still can be very

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expensive and can cause people

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to have to make really tough

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decisions in terms of you know

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do I pay my mortgage this month

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or do I put my money toward

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my medications those sorts

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of things but in general when

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we think about homeownership

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we think about this as really

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central to wealth generation

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and one of the reasons I bring

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this up that's really important

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as well is it does help

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explain a lot of the income

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inequality that we have here

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in America back in the 1930s

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the Home Owners' Loan Corporation

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which was a federal

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agency created what we called

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residential security maps and

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what these were were geographic

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representations for they --

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they would literally redline

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neighborhoods where there are

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high concentrations of people

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of color so the result of this

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this is -- what what

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this was for was for banks to

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determine where it was risky

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to provide loans or credit

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right so there were areas of

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the United States that were

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cut off from access to credit

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either through mortgages or

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just in general for reinvesting

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in their in investment in their

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communities what this did is

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over the over time further

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segregated people by race and

00:10:48.000 --> 00:10:50.000
concentrated poverty so we have

00:10:50.000 --> 00:10:52.000
to keep in mind too that there

00:10:52.000 --> 00:10:53.000
are certain groups who have had

00:10:53.000 --> 00:10:55.000
a very difficult time getting

00:10:55.000 --> 00:10:57.000
access to homeownership -- and

00:10:57.000 --> 00:10:59.000
we continue seeing that today

00:10:59.000 --> 00:10:61.000
so when we look across home

00:11:01.000 --> 00:11:03.000
owner -- homeownership rates

00:11:03.000 --> 00:11:05.000
across race and ethnicity we

00:11:05.000 --> 00:11:07.000
still see that there are people

00:11:07.000 --> 00:11:09.000
of color who don't own their

00:11:09.000 --> 00:11:10.000
own homes and have not been

00:11:10.000 --> 00:11:12.000
able to generate that wealth

00:11:12.000 --> 00:11:14.000
over the course of decades so

00:11:14.000 --> 00:11:15.000
it's just kind of important

00:11:15.000 --> 00:11:16.000
to kind of keep in mind too

00:11:16.000 --> 00:11:17.000
that when we talk about home

00:11:17.000 --> 00:11:19.000
ownership not everybody's had

00:11:19.000 --> 00:11:22.000
access to that okay I'm gonna

00:11:22.000 --> 00:11:23.000
switch gears a little bit so in

00:11:23.000 --> 00:11:26.000
gerontology we use what we call

00:11:26.000 --> 00:11:28.000
the bio-psycho-social framework a

00:11:28.000 --> 00:11:31.000
lot and what we mean by that is

00:11:31.000 --> 00:11:34.000
that when we talk about aging

00:11:34.000 --> 00:11:36.000
we have to think about physical

00:11:36.000 --> 00:11:38.000
or biological issues that

00:11:38.000 --> 00:11:39.000
are going on with the aging

00:11:39.000 --> 00:11:43.000
process right we also have to

00:11:43.000 --> 00:11:45.000
think about psychological and

00:11:45.000 --> 00:11:47.000
emotional issues involved with

00:11:47.000 --> 00:11:51.000
aging and then social issues

00:11:51.000 --> 00:11:52.000
as well and I'm going to kind

00:11:52.000 --> 00:11:54.000
of walk through some examples

00:11:54.000 --> 00:11:55.000
of these things as they pertain

00:11:55.000 --> 00:11:57.000
to housing but this is the

00:11:57.000 --> 00:11:58.000
framework that we use a lot

00:11:58.000 --> 00:11:59.000
of times when we think about

00:11:59.000 --> 00:11:61.000
the aging process and all the

00:12:01.000 --> 00:12:02.000
different needs that we have

00:12:02.000 --> 00:12:04.000
as we continue to age so I'm gonna

00:12:04.000 --> 00:12:06.000
give you some examples when

00:12:06.000 --> 00:12:08.000
you think about housing as

00:12:08.000 --> 00:12:10.000
we're aging when we think about

00:12:10.000 --> 00:12:11.000
our housing we already kind

00:12:11.000 --> 00:12:13.000
of touched on this one thing

00:12:13.000 --> 00:12:14.000
that's a physical consideration

00:12:14.000 --> 00:12:16.000
that we might make is the

00:12:16.000 --> 00:12:18.000
size of the home is the home

00:12:18.000 --> 00:12:20.000
too big for me now now that

00:12:20.000 --> 00:12:22.000
I no longer have kids and I'm

00:12:22.000 --> 00:12:24.000
not really using these rooms

00:12:24.000 --> 00:12:25.000
right that might be something

00:12:25.000 --> 00:12:27.000
that you want to consider

00:12:27.000 --> 00:12:29.000
as you are thinking about

00:12:29.000 --> 00:12:31.000
your next home okay

00:12:31.000 --> 00:12:32.000
the floor plan we seem to kind

00:12:32.000 --> 00:12:35.000
of change over time in terms of

00:12:35.000 --> 00:12:36.000
popular floor plans right like

00:12:36.000 --> 00:12:38.000
I grew up in a home that was

00:12:38.000 --> 00:12:39.000
built in the 1970s

00:12:39.000 --> 00:12:42.000
and -- it's very different

00:12:42.000 --> 00:12:44.000
from like an open floor plan

00:12:44.000 --> 00:12:45.000
where you know the the hallway

00:12:45.000 --> 00:12:47.000
was kinda narrow and rooms

00:12:47.000 --> 00:12:48.000
were kind of blocked off you

00:12:48.000 --> 00:12:51.000
know in a way and so -- some

00:12:51.000 --> 00:12:53.000
people now really gravitate

00:12:53.000 --> 00:12:54.000
toward having an open floor

00:12:54.000 --> 00:12:55.000
plan where they can kind of see

00:12:55.000 --> 00:12:57.000
everything that's going on you

00:12:57.000 --> 00:12:58.000
know they can be in the kitchen

00:12:58.000 --> 00:12:60.000
cooking and watching TV in the

00:13:00.000 --> 00:13:02.000
living room at the same time

00:13:02.000 --> 00:13:03.000
that sort of thing so those

00:13:03.000 --> 00:13:05.000
are important considerations

00:13:05.000 --> 00:13:07.000
accessibility is a big one

00:13:07.000 --> 00:13:10.000
to add to that the potential

00:13:10.000 --> 00:13:12.000
for modifying a home so if

00:13:12.000 --> 00:13:14.000
a home is not accessible

00:13:14.000 --> 00:13:16.000
now -- which is the case for

00:13:16.000 --> 00:13:19.000
most individuals if you were

00:13:19.000 --> 00:13:20.000
to have to use a mobility

00:13:20.000 --> 00:13:22.000
device and the doorways are

00:13:22.000 --> 00:13:24.000
not large are not wide enough

00:13:24.000 --> 00:13:26.000
and there is no ramp there

00:13:26.000 --> 00:13:29.000
are no grab bars there's a

00:13:29.000 --> 00:13:32.000
step to get into the shower

00:13:32.000 --> 00:13:33.000
that could be problematic for

00:13:33.000 --> 00:13:36.000
some people -- but there may

00:13:36.000 --> 00:13:37.000
be potential for modifying

00:13:37.000 --> 00:13:38.000
the home so it's important

00:13:38.000 --> 00:13:40.000
to kind of think of that as

00:13:40.000 --> 00:13:41.000
well if it's not accessible

00:13:41.000 --> 00:13:43.000
now are there changes that

00:13:43.000 --> 00:13:46.000
can be made maintenance needs

00:13:46.000 --> 00:13:47.000
the housing conditions if the

00:13:47.000 --> 00:13:49.000
house is an older home it's

00:13:49.000 --> 00:13:51.000
probably going to need a lot of

00:13:51.000 --> 00:13:52.000
maintenance right there could

00:13:52.000 --> 00:13:54.000
also be some dangerous things

00:13:54.000 --> 00:13:56.000
to living in an old home like

00:13:56.000 --> 00:13:58.000
exposure to mold and asbestos

00:13:58.000 --> 00:13:59.000
so those are some other

00:13:59.000 --> 00:13:62.000
physical considerations access

00:14:02.000 --> 00:14:05.000
to care so when we talked about

00:14:05.000 --> 00:14:06.000
earlier when I asked you know

00:14:06.000 --> 00:14:07.000
what you think about when you

00:14:07.000 --> 00:14:09.000
have to maybe transition to a

00:14:09.000 --> 00:14:12.000
new home your health if your

00:14:12.000 --> 00:14:14.000
health is declining can you

00:14:14.000 --> 00:14:16.000
quickly get access to health

00:14:16.000 --> 00:14:19.000
care either in home health care

00:14:19.000 --> 00:14:21.000
or by getting to care in some

00:14:21.000 --> 00:14:23.000
way right and we also have to

00:14:23.000 --> 00:14:24.000
think about when we talk about

00:14:24.000 --> 00:14:27.000
health in terms of wellness

00:14:27.000 --> 00:14:28.000
are you living in a food

00:14:28.000 --> 00:14:29.000
desert or do you have access

00:14:29.000 --> 00:14:30.000
to healthy nutritious foods

00:14:30.000 --> 00:14:33.000
around you -- can you easily

00:14:33.000 --> 00:14:35.000
get physical activity in

00:14:35.000 --> 00:14:37.000
during the day so that would be

00:14:37.000 --> 00:14:40.000
another physical consideration

00:14:40.000 --> 00:14:42.000
climate is another one right

00:14:44.000 --> 00:14:45.000
to they get to a point where

00:14:45.000 --> 00:14:46.000
the climate they're living is

00:14:46.000 --> 00:14:48.000
no longer suitable for them it

00:14:48.000 --> 00:14:50.000
presents too many challenges

00:14:50.000 --> 00:14:51.000
for them and they might want

00:14:51.000 --> 00:14:53.000
to move somewhere different

00:14:53.000 --> 00:14:54.000
and then transportation in

00:14:54.000 --> 00:14:56.000
general when we think about

00:14:56.000 --> 00:14:57.000
you know what can you walk to

00:14:57.000 --> 00:14:59.000
in your neighborhood I talk a

00:14:59.000 --> 00:14:61.000
lot in my classes about how --

00:15:01.000 --> 00:15:02.000
when you think about where you

00:15:02.000 --> 00:15:04.000
live you have to really think

00:15:04.000 --> 00:15:05.000
about your community and what

00:15:05.000 --> 00:15:07.000
you have access to what can

00:15:07.000 --> 00:15:09.000
you walk to is there public

00:15:09.000 --> 00:15:11.000
transportation even the airport

00:15:11.000 --> 00:15:12.000
is there you know if you're

00:15:12.000 --> 00:15:14.000
traveling a lot how far away

00:15:14.000 --> 00:15:16.000
is the airport so these are

00:15:16.000 --> 00:15:18.000
all part of what we consider

00:15:18.000 --> 00:15:20.000
physical considerations okay

00:15:20.000 --> 00:15:21.000
so some of the psychological

00:15:21.000 --> 00:15:25.000
considerations memories right

00:15:25.000 --> 00:15:27.000
both positive and negative

00:15:27.000 --> 00:15:29.000
memories can be associated

00:15:29.000 --> 00:15:31.000
with a home and can cause

00:15:31.000 --> 00:15:32.000
you to decide either that

00:15:32.000 --> 00:15:33.000
you really want to stay in

00:15:33.000 --> 00:15:35.000
that home or not something

00:15:35.000 --> 00:15:36.000
else might be you know your

00:15:36.000 --> 00:15:37.000
emotional investment what

00:15:37.000 --> 00:15:41.000
might make you particularly

00:15:41.000 --> 00:15:42.000
invested or attached to your

00:15:42.000 --> 00:15:45.000
home emotionally does anyone

00:15:45.000 --> 00:15:47.000
wanna tell me what they think

00:15:47.000 --> 00:15:51.000
yeah if you've made changes or upgrades

00:15:51.000 --> 00:15:53.000
yourself okay so if you've put

00:15:53.000 --> 00:15:55.000
work into your home essentially

00:15:55.000 --> 00:15:57.000
made changes or upgrades

00:15:57.000 --> 00:15:60.000
you actually physically did it yourself

00:16:00.000 --> 00:16:01.000
right if you physically did that

00:16:01.000 --> 00:16:02.000
especially if you built that

00:16:02.000 --> 00:16:05.000
home from scratch right yeah

00:16:05.000 --> 00:16:07.000
if you've raised your kids there

00:16:07.000 --> 00:16:08.000
if you've raised your

00:16:08.000 --> 00:16:09.000
kids there right you kind

00:16:09.000 --> 00:16:10.000
of feel that emotional

00:16:10.000 --> 00:16:12.000
attachment for that reason as well

00:16:12.000 --> 00:16:14.000
our grandchild was born in the living room

00:16:14.000 --> 00:16:15.000
or a grandchild being born in

00:16:15.000 --> 00:16:18.000
your living room yeah right

00:16:18.000 --> 00:16:23.000
absolutely yeah your neighbors

00:16:23.000 --> 00:16:25.000
absolutely right so there are

00:16:25.000 --> 00:16:26.000
some reasons that we might

00:16:26.000 --> 00:16:29.000
be particularly attached or

00:16:29.000 --> 00:16:30.000
emotionally invested in our

00:16:30.000 --> 00:16:32.000
homes as well some people

00:16:32.000 --> 00:16:33.000
feel like it's their sense of

00:16:33.000 --> 00:16:36.000
identity if you say you know

00:16:36.000 --> 00:16:38.000
Rick who lives up the road

00:16:38.000 --> 00:16:40.000
and has the the llama farm

00:16:40.000 --> 00:16:41.000
and that's been his llama

00:16:41.000 --> 00:16:43.000
farm for the last fifty years

00:16:43.000 --> 00:16:45.000
that's probably a big part of

00:16:45.000 --> 00:16:46.000
his identity and people know

00:16:46.000 --> 00:16:48.000
him for that you know that

00:16:48.000 --> 00:16:50.000
kind of thing so that is a

00:16:50.000 --> 00:16:52.000
psychological consideration

00:16:52.000 --> 00:16:55.000
proximity to loved ones and

00:16:55.000 --> 00:16:56.000
that can include neighbors

00:16:56.000 --> 00:16:58.000
as well but really kind

00:16:58.000 --> 00:16:59.000
of thinking about you know

00:16:59.000 --> 00:16:61.000
your close social

00:17:01.000 --> 00:17:04.000
support that ties in that's

00:17:04.000 --> 00:17:05.000
kind of crossing both the

00:17:05.000 --> 00:17:07.000
social and the psychological

00:17:07.000 --> 00:17:09.000
considerations of home okay

00:17:09.000 --> 00:17:10.000
so some of the other social

00:17:10.000 --> 00:17:13.000
considerations your ability

00:17:13.000 --> 00:17:15.000
to have people over right for

00:17:15.000 --> 00:17:17.000
some people gathering people

00:17:17.000 --> 00:17:18.000
together in their home is very

00:17:18.000 --> 00:17:20.000
important especially for a lot

00:17:20.000 --> 00:17:22.000
of grandparents being able to

00:17:22.000 --> 00:17:24.000
have those generations coming

00:17:24.000 --> 00:17:25.000
together in that one place can

00:17:25.000 --> 00:17:28.000
be really really valuable --

00:17:28.000 --> 00:17:30.000
we use the term visitability

00:17:30.000 --> 00:17:33.000
actually to describe -- you

00:17:33.000 --> 00:17:34.000
know if you're getting older

00:17:34.000 --> 00:17:36.000
and you have peers and friends

00:17:36.000 --> 00:17:38.000
who do use mobility devices

00:17:38.000 --> 00:17:40.000
even if you don't yourself is

00:17:40.000 --> 00:17:42.000
your home visitable to them if

00:17:42.000 --> 00:17:44.000
you wanted to have somebody

00:17:44.000 --> 00:17:45.000
over to your house who's in a

00:17:45.000 --> 00:17:48.000
wheelchair can they come over

00:17:48.000 --> 00:17:50.000
for a meal right and that so

00:17:50.000 --> 00:17:51.000
that kind of crosses over into

00:17:51.000 --> 00:17:53.000
the physical consideration as

00:17:53.000 --> 00:17:56.000
well -- so in most cases you

00:17:56.000 --> 00:17:57.000
want someone to be able to

00:17:57.000 --> 00:17:58.000
access at least the living room

00:17:58.000 --> 00:17:60.000
the kitchen and the bathroom

00:18:00.000 --> 00:18:01.000
that would -- be what we

00:18:01.000 --> 00:18:04.000
consider visitable okay so that's

00:18:04.000 --> 00:18:06.000
really important to consider

00:18:06.000 --> 00:18:08.000
as well proximity to friends

00:18:08.000 --> 00:18:11.000
and loved ones is part of this

00:18:11.000 --> 00:18:13.000
what kind of shared space you

00:18:13.000 --> 00:18:14.000
have so this is where I kind

00:18:14.000 --> 00:18:15.000
of think about you know your

00:18:15.000 --> 00:18:17.000
neighbors so as part of your

00:18:17.000 --> 00:18:20.000
home who is sharing your space

00:18:20.000 --> 00:18:21.000
the people in your home and

00:18:21.000 --> 00:18:24.000
outside of your home how you

00:18:24.000 --> 00:18:26.000
can get to again transportation

00:18:26.000 --> 00:18:28.000
particularly getting to social

00:18:28.000 --> 00:18:30.000
things getting to the senior

00:18:30.000 --> 00:18:33.000
center or the library or the

00:18:33.000 --> 00:18:35.000
coffee shop things that I refer

00:18:35.000 --> 00:18:37.000
to as third places a barber

00:18:37.000 --> 00:18:39.000
shop in some communities is

00:18:39.000 --> 00:18:40.000
a third place for a lot of

00:18:40.000 --> 00:18:42.000
people it's where they gather

00:18:42.000 --> 00:18:44.000
to get their social interaction

00:18:44.000 --> 00:18:45.000
right and that is an important

00:18:45.000 --> 00:18:47.000
aspect of home that a lot of

00:18:47.000 --> 00:18:49.000
times we don't necessarily

00:18:49.000 --> 00:18:51.000
think about how to spend your

00:18:51.000 --> 00:18:53.000
retirement years okay this

00:18:53.000 --> 00:18:54.000
is kind of a social aspect

00:18:54.000 --> 00:18:56.000
of as well what sorts of

00:18:56.000 --> 00:18:57.000
things you want to do in your

00:18:57.000 --> 00:18:59.000
retirement and is your home

00:18:59.000 --> 00:18:60.000
going to allow you to do those

00:19:00.000 --> 00:19:02.000
things there are also some

00:19:02.000 --> 00:19:04.000
other things like that I would

00:19:04.000 --> 00:19:05.000
put in the social categories

00:19:05.000 --> 00:19:07.000
such as your perceptions

00:19:07.000 --> 00:19:09.000
of crime and safety in the

00:19:09.000 --> 00:19:11.000
neighborhood and also kind

00:19:11.000 --> 00:19:12.000
of financial considerations

00:19:12.000 --> 00:19:14.000
like if you are experiencing

00:19:14.000 --> 00:19:17.000
housing cost burden and what

00:19:17.000 --> 00:19:18.000
I mean by that is are you

00:19:18.000 --> 00:19:20.000
spending over thirty percent

00:19:20.000 --> 00:19:22.000
of your expenditures on your

00:19:22.000 --> 00:19:24.000
house that's what we consider

00:19:24.000 --> 00:19:26.000
housing cost burden or is it

00:19:26.000 --> 00:19:28.000
more of an investment you know

00:19:28.000 --> 00:19:30.000
you might be mortgage free and

00:19:30.000 --> 00:19:32.000
you own your own -- you own your

00:19:32.000 --> 00:19:33.000
home outright and so you're

00:19:33.000 --> 00:19:36.000
seeing it as an investment --

00:19:36.000 --> 00:19:38.000
so all of these things are kind

00:19:38.000 --> 00:19:40.000
of important considerations

00:19:40.000 --> 00:19:42.000
using that bio-psycho-social

00:19:42.000 --> 00:19:45.000
framework right the major sort

00:19:45.000 --> 00:19:46.000
of things that we focus on in

00:19:46.000 --> 00:19:48.000
gerontology and particularly

00:19:48.000 --> 00:19:49.000
in environmental gerontology

00:19:49.000 --> 00:19:52.000
which Dr. Manoogian mentioned

00:19:52.000 --> 00:19:54.000
is this concept of aging in

00:19:54.000 --> 00:19:56.000
place now what we mean by

00:19:56.000 --> 00:19:60.000
this is people are kind of you

00:20:00.000 --> 00:20:01.000
know expressing an interest in

00:20:01.000 --> 00:20:03.000
staying in their homes and in

00:20:03.000 --> 00:20:04.000
their communities we used to

00:20:04.000 --> 00:20:06.000
kind of think of aging in place as

00:20:06.000 --> 00:20:08.000
literally people being able to

00:20:08.000 --> 00:20:10.000
just stay in their homes but

00:20:10.000 --> 00:20:11.000
over the years we're thinking

00:20:11.000 --> 00:20:14.000
of it more broadly so aging in

00:20:14.000 --> 00:20:15.000
the right place which is the

00:20:15.000 --> 00:20:18.000
title of my presentation so

00:20:18.000 --> 00:20:20.000
what is the ideal place to grow

00:20:20.000 --> 00:20:23.000
older right and what we find

00:20:23.000 --> 00:20:25.000
is most people want choices

00:20:25.000 --> 00:20:27.000
about where they live and how

00:20:27.000 --> 00:20:30.000
they age most people do express

00:20:30.000 --> 00:20:31.000
that they want to stay in

00:20:31.000 --> 00:20:33.000
their current residence or at

00:20:33.000 --> 00:20:36.000
least in their community but in

00:20:36.000 --> 00:20:38.000
terms of kind of how that plays

00:20:38.000 --> 00:20:41.000
out what they want is choices

00:20:41.000 --> 00:20:43.000
right so consistently when

00:20:43.000 --> 00:20:45.000
people are surveyed people

00:20:45.000 --> 00:20:47.000
sixty five and over over eighty

00:20:47.000 --> 00:20:49.000
percent say they want to stay

00:20:49.000 --> 00:20:50.000
in their own homes and in their

00:20:50.000 --> 00:20:53.000
own communities and mostly what

00:20:53.000 --> 00:20:54.000
what they're referring to I

00:20:54.000 --> 00:20:56.000
think there which we'll get into

00:20:56.000 --> 00:20:57.000
is they don't want to have to

00:20:57.000 --> 00:20:59.000
move into an assisted living

00:20:59.000 --> 00:20:60.000
facility or something else

00:21:00.000 --> 00:21:02.000
right so we'll get to that a

00:21:02.000 --> 00:21:04.000
little bit later here but we we

00:21:04.000 --> 00:21:06.000
refer to this as aging in place

00:21:06.000 --> 00:21:08.000
staying in your current home

00:21:08.000 --> 00:21:10.000
and community as you age when

00:21:10.000 --> 00:21:11.000
you ask people who are between

00:21:11.000 --> 00:21:13.000
fifty and sixty four there's

00:21:13.000 --> 00:21:15.000
a smaller number of people

00:21:15.000 --> 00:21:16.000
who express that but still a

00:21:16.000 --> 00:21:18.000
pretty relatively high number

00:21:18.000 --> 00:21:20.000
about seventy one percent who

00:21:20.000 --> 00:21:21.000
say that they want to age in

00:21:21.000 --> 00:21:24.000
place so it's it's important

00:21:24.000 --> 00:21:26.000
to be thinking about for people

00:21:26.000 --> 00:21:27.000
who are in their fifties and

00:21:27.000 --> 00:21:29.000
sixties perhaps they should be

00:21:29.000 --> 00:21:33.000
thinking about if they do move

00:21:33.000 --> 00:21:34.000
are they gonna move again after

00:21:34.000 --> 00:21:35.000
that or is that kind of the one

00:21:35.000 --> 00:21:37.000
place that they want to stay

00:21:37.000 --> 00:21:39.000
and if it is what's that going

00:21:39.000 --> 00:21:41.000
to look like ten years down

00:21:41.000 --> 00:21:42.000
the road so if you're in your

00:21:42.000 --> 00:21:45.000
sixties you move to a new place

00:21:45.000 --> 00:21:47.000
there for more than ten years

00:21:47.000 --> 00:21:49.000
is it going to be appropriate

00:21:49.000 --> 00:21:50.000
for you based on those

00:21:50.000 --> 00:21:52.000
considerations we discussed

00:21:52.000 --> 00:21:54.000
for that amount of time or

00:21:54.000 --> 00:21:56.000
are you gonna have to move again

00:21:56.000 --> 00:21:58.000
which is very stressful okay

00:21:58.000 --> 00:21:59.000
so this is just the definition

00:21:59.000 --> 00:21:61.000
of aging in place it's living

00:22:01.000 --> 00:22:02.000
where you've lived for years

00:22:02.000 --> 00:22:04.000
not typically in a health care

00:22:04.000 --> 00:22:06.000
environment or nursing home

00:22:06.000 --> 00:22:08.000
using the products services

00:22:08.000 --> 00:22:09.000
and conveniences that allow

00:22:09.000 --> 00:22:11.000
you to remain in your home as

00:22:11.000 --> 00:22:13.000
your circumstances change in

00:22:13.000 --> 00:22:15.000
other words you continue to

00:22:15.000 --> 00:22:16.000
live in the home of your choice

00:22:16.000 --> 00:22:18.000
safely and independently as

00:22:18.000 --> 00:22:20.000
you age and I think the safety

00:22:20.000 --> 00:22:23.000
and independence -- to that

00:22:23.000 --> 00:22:26.000
are especially important we

00:22:26.000 --> 00:22:27.000
find that people when they talk

00:22:27.000 --> 00:22:30.000
about aging in place they say

00:22:30.000 --> 00:22:32.000
it's important for their self

00:22:32.000 --> 00:22:35.000
esteem it also is important

00:22:35.000 --> 00:22:37.000
for again their social

00:22:37.000 --> 00:22:38.000
interaction maintaining the

00:22:38.000 --> 00:22:40.000
ties in their community right

00:22:40.000 --> 00:22:42.000
with their neighbors people

00:22:42.000 --> 00:22:45.000
around them and the emotional

00:22:45.000 --> 00:22:46.000
bonds that they have to the

00:22:46.000 --> 00:22:48.000
house again it's it's a source

00:22:48.000 --> 00:22:50.000
of self identity for people so

00:22:50.000 --> 00:22:52.000
it's very important for a lot

00:22:52.000 --> 00:22:55.000
of people to be able to age in

00:22:55.000 --> 00:22:56.000
place in their own community

00:22:56.000 --> 00:22:59.000
we know that for sure so the

00:22:59.000 --> 00:22:60.000
problem with this and it's

00:23:00.000 --> 00:23:02.000
not really a problem I guess

00:23:02.000 --> 00:23:03.000
the challenge associated with

00:23:03.000 --> 00:23:05.000
this is that if people want to

00:23:05.000 --> 00:23:06.000
remain in their own homes and

00:23:06.000 --> 00:23:09.000
communities do we have them set

00:23:09.000 --> 00:23:10.000
up in a way that allows them to

00:23:10.000 --> 00:23:14.000
do that and this is where a lot

00:23:14.000 --> 00:23:15.000
of the research I've been doing

00:23:15.000 --> 00:23:16.000
is kind of looking at how do we

00:23:16.000 --> 00:23:18.000
create communities that are age

00:23:18.000 --> 00:23:20.000
friendly so if we know people want

00:23:20.000 --> 00:23:21.000
to stay in the community how

00:23:21.000 --> 00:23:24.000
do we make them age friendly

00:23:24.000 --> 00:23:26.000
and what we mean by that this

00:23:26.000 --> 00:23:28.000
is a World Health Organization

00:23:28.000 --> 00:23:31.000
sort of designation what it

00:23:31.000 --> 00:23:32.000
means is that we're building

00:23:32.000 --> 00:23:34.000
on we're not just thinking

00:23:34.000 --> 00:23:35.000
about the things that older

00:23:35.000 --> 00:23:37.000
adults need we're thinking

00:23:37.000 --> 00:23:39.000
about their strengths and what

00:23:39.000 --> 00:23:40.000
they can contribute to their

00:23:40.000 --> 00:23:43.000
communities right age friendly

00:23:43.000 --> 00:23:45.000
communities should be enabling

00:23:45.000 --> 00:23:47.000
they should be inclusive of

00:23:47.000 --> 00:23:49.000
people of different ages and

00:23:49.000 --> 00:23:52.000
equitable and kind of focusing

00:23:52.000 --> 00:23:55.000
on this life course component

00:23:55.000 --> 00:23:57.000
right the idea that we are

00:23:57.000 --> 00:23:59.000
inter dependent on each other

00:23:59.000 --> 00:23:61.000
across generations and if we

00:24:01.000 --> 00:24:03.000
have communities where people

00:24:03.000 --> 00:24:05.000
can all live together where

00:24:05.000 --> 00:24:06.000
there's age integration we can

00:24:06.000 --> 00:24:09.000
kind of see those strengths sort

00:24:09.000 --> 00:24:11.000
of adding to one another --

00:24:11.000 --> 00:24:12.000
because right now here in the

00:24:12.000 --> 00:24:14.000
United States we tend to kinda

00:24:14.000 --> 00:24:16.000
segregate people by age right

00:24:16.000 --> 00:24:18.000
so this is the idea is that

00:24:18.000 --> 00:24:20.000
you're creating communities

00:24:20.000 --> 00:24:21.000
that are friendly for people

00:24:21.000 --> 00:24:23.000
of all ages so it's not about

00:24:23.000 --> 00:24:24.000
being elder friendly it's

00:24:24.000 --> 00:24:26.000
about being age friendly it's

00:24:26.000 --> 00:24:28.000
about being accessible and

00:24:28.000 --> 00:24:30.000
inclusive to people across

00:24:30.000 --> 00:24:32.000
the life course so we need to

00:24:32.000 --> 00:24:33.000
be thinking about how to do

00:24:33.000 --> 00:24:35.000
this -- and in order to allow

00:24:35.000 --> 00:24:36.000
people to kind of age where

00:24:36.000 --> 00:24:39.000
they are this is the sort

00:24:39.000 --> 00:24:40.000
of way that the World Health

00:24:40.000 --> 00:24:43.000
Organization has conceptualized

00:24:43.000 --> 00:24:46.000
an age friendly community and

00:24:46.000 --> 00:24:48.000
it's almost similar to what

00:24:48.000 --> 00:24:49.000
I was talking about earlier

00:24:49.000 --> 00:24:51.000
there's there are things

00:24:51.000 --> 00:24:52.000
that are kind of the built

00:24:52.000 --> 00:24:53.000
environment so things like

00:24:53.000 --> 00:24:56.000
housing transportation and --

00:24:56.000 --> 00:24:58.000
buildings accessibility that

00:24:58.000 --> 00:24:60.000
kind of stuff there are things

00:25:00.000 --> 00:25:02.000
that are more social so are

00:25:02.000 --> 00:25:04.000
there volunteer opportunities

00:25:04.000 --> 00:25:06.000
is there a lot of social

00:25:06.000 --> 00:25:08.000
inclusion and respect in

00:25:08.000 --> 00:25:09.000
the community those sorts of

00:25:09.000 --> 00:25:11.000
things and then what kind of

00:25:11.000 --> 00:25:13.000
services are available are

00:25:13.000 --> 00:25:15.000
there enough health services

00:25:15.000 --> 00:25:17.000
is there a lot of good

00:25:17.000 --> 00:25:19.000
communication and information

00:25:19.000 --> 00:25:20.000
out in the community what

00:25:20.000 --> 00:25:22.000
kinds of community services

00:25:22.000 --> 00:25:23.000
are available those sorts of

00:25:23.000 --> 00:25:25.000
things so this is another way

00:25:25.000 --> 00:25:27.000
to kind of think about how do

00:25:27.000 --> 00:25:29.000
how do we you know address

00:25:29.000 --> 00:25:31.000
if people want to age in place

00:25:31.000 --> 00:25:33.000
we need to create places that

00:25:33.000 --> 00:25:34.000
are really age friendly that's

00:25:34.000 --> 00:25:38.000
kind of the the take away there

00:25:38.000 --> 00:25:39.000
I'm gonna talk about some other

00:25:39.000 --> 00:25:40.000
independent housing options

00:25:40.000 --> 00:25:43.000
so for people who maybe don't

00:25:43.000 --> 00:25:44.000
own their home in a single

00:25:44.000 --> 00:25:46.000
like a single family home

00:25:46.000 --> 00:25:48.000
in a suburban community for

00:25:48.000 --> 00:25:49.000
example what are some other

00:25:49.000 --> 00:25:52.000
kinds of options and that is

00:25:52.000 --> 00:25:53.000
there is an option there which

00:25:53.000 --> 00:25:55.000
I'll get to here in a second

00:25:55.000 --> 00:25:58.000
but we know that as people

00:25:58.000 --> 00:25:60.000
age community becomes more

00:26:00.000 --> 00:26:02.000
important a lot of times people

00:26:02.000 --> 00:26:04.000
turn to community to ease what we

00:26:04.000 --> 00:26:06.000
what we consider some of the

00:26:06.000 --> 00:26:08.000
burdens of the aging process

00:26:08.000 --> 00:26:10.000
right so neighbors community

00:26:10.000 --> 00:26:13.000
members family we can kind of

00:26:13.000 --> 00:26:14.000
turn to them for instrumental

00:26:14.000 --> 00:26:16.000
support as we start to need

00:26:16.000 --> 00:26:18.000
help with certain things things

00:26:18.000 --> 00:26:20.000
like you know running errands

00:26:20.000 --> 00:26:22.000
or getting from one place to

00:26:22.000 --> 00:26:25.000
another or -- you know home

00:26:25.000 --> 00:26:27.000
maintenance cleaning that kind

00:26:27.000 --> 00:26:29.000
of stuff we can kind of turn

00:26:29.000 --> 00:26:31.000
to people in that way a third

00:26:31.000 --> 00:26:33.000
of the baby boomers are single

00:26:33.000 --> 00:26:35.000
and as they are they're not

00:26:35.000 --> 00:26:36.000
just approaching retirement

00:26:36.000 --> 00:26:38.000
they're now well into retirement

00:26:38.000 --> 00:26:40.000
many of them we know that

00:26:40.000 --> 00:26:42.000
the community can offer some

00:26:42.000 --> 00:26:45.000
of those relationships right

00:26:45.000 --> 00:26:47.000
okay so we have something

00:26:47.000 --> 00:26:49.000
that naturally occurs which is

00:26:49.000 --> 00:26:50.000
called a naturally occurring

00:26:50.000 --> 00:26:52.000
retirement community and

00:26:52.000 --> 00:26:54.000
this can happen in you know

00:26:54.000 --> 00:26:55.000
it's for people who own their

00:26:55.000 --> 00:26:57.000
own homes in like a suburban

00:26:57.000 --> 00:26:58.000
neighborhood or anywhere this

00:26:58.000 --> 00:26:60.000
can also happen in what we

00:27:00.000 --> 00:27:02.000
call a vertical NORC that's

00:27:02.000 --> 00:27:03.000
an apartment complex where

00:27:03.000 --> 00:27:06.000
everybody has been there for a

00:27:06.000 --> 00:27:08.000
very long period of time these

00:27:08.000 --> 00:27:09.000
are communities where people

00:27:09.000 --> 00:27:10.000
have aged in place they've

00:27:10.000 --> 00:27:12.000
maybe moved in around the same

00:27:12.000 --> 00:27:14.000
time raised their families and

00:27:14.000 --> 00:27:16.000
continued staying there and

00:27:16.000 --> 00:27:18.000
so it's a naturally occurring

00:27:18.000 --> 00:27:20.000
retirement community and this

00:27:20.000 --> 00:27:21.000
can be a very beneficial place

00:27:21.000 --> 00:27:24.000
for a lot of people because it

00:27:24.000 --> 00:27:25.000
allows them to kind of develop

00:27:25.000 --> 00:27:27.000
these positive roles in their

00:27:27.000 --> 00:27:29.000
community and feel empowered in

00:27:29.000 --> 00:27:31.000
that sense and they have a lot

00:27:31.000 --> 00:27:33.000
of social connections so that

00:27:33.000 --> 00:27:36.000
that can be really beneficial

00:27:36.000 --> 00:27:37.000
but not everybody has this kind

00:27:37.000 --> 00:27:41.000
of a situation right and key

00:27:41.000 --> 00:27:42.000
is the availability of services

00:27:42.000 --> 00:27:43.000
so if there's a lot of older

00:27:43.000 --> 00:27:46.000
people in a neighborhood do

00:27:46.000 --> 00:27:47.000
they have the right supports

00:27:47.000 --> 00:27:48.000
and services to continue aging

00:27:48.000 --> 00:27:51.000
there another kind of naturally

00:27:51.000 --> 00:27:52.000
occurring retirement community

00:27:52.000 --> 00:27:54.000
perhaps or a place where you

00:27:54.000 --> 00:27:55.000
you just might see a higher

00:27:55.000 --> 00:27:56.000
concentration of people who

00:27:56.000 --> 00:27:58.000
are older are mobile homes

00:27:58.000 --> 00:27:60.000
mobile home communities tend

00:28:00.000 --> 00:28:02.000
to be affordable secure housing

00:28:02.000 --> 00:28:04.000
options they're a little bit

00:28:04.000 --> 00:28:06.000
unique because people become

00:28:06.000 --> 00:28:08.000
both renters and owners in

00:28:08.000 --> 00:28:10.000
most situations they own their

00:28:10.000 --> 00:28:12.000
their home but they rent the

00:28:12.000 --> 00:28:14.000
property that it's on although

00:28:14.000 --> 00:28:16.000
some parks do allow for --

00:28:16.000 --> 00:28:17.000
lot ownership and for it to

00:28:17.000 --> 00:28:19.000
be run cooperatively and this

00:28:19.000 --> 00:28:21.000
can be very popular in more

00:28:21.000 --> 00:28:23.000
warm regions or for seasonal

00:28:23.000 --> 00:28:25.000
migration so we do see that

00:28:25.000 --> 00:28:27.000
as a popular option for people

00:28:27.000 --> 00:28:30.000
as they age we also have

00:28:30.000 --> 00:28:32.000
retirement communities these

00:28:32.000 --> 00:28:35.000
are you know apartment style

00:28:35.000 --> 00:28:37.000
typically for people who are

00:28:37.000 --> 00:28:39.000
fifty five and over typically

00:28:39.000 --> 00:28:41.000
and sometimes they're

00:28:41.000 --> 00:28:43.000
co-located with long term care

00:28:43.000 --> 00:28:44.000
which I'll kind of talk about

00:28:44.000 --> 00:28:46.000
that a little bit here later --

00:28:46.000 --> 00:28:49.000
how we see sometimes retirement

00:28:49.000 --> 00:28:51.000
communities integrated into

00:28:51.000 --> 00:28:54.000
long term care intentionally

00:28:54.000 --> 00:28:55.000
so those those are a couple

00:28:58.000 --> 00:28:59.000
that some people might be

00:28:59.000 --> 00:28:60.000
really interested in is

00:29:00.000 --> 00:29:03.000
co-housing co-housing can mean a

00:29:03.000 --> 00:29:05.000
couple of different things so

00:29:05.000 --> 00:29:06.000
if you think about the

00:29:06.000 --> 00:29:08.000
Golden Girls for example it can be

00:29:08.000 --> 00:29:09.000
like unrelated people who are

00:29:09.000 --> 00:29:11.000
sharing a home and we actually

00:29:11.000 --> 00:29:13.000
are seeing an increase in

00:29:13.000 --> 00:29:15.000
single older women who are

00:29:15.000 --> 00:29:19.000
choosing to live together --

00:29:19.000 --> 00:29:20.000
ala you know Golden Girls

00:29:20.000 --> 00:29:22.000
style right we are actually

00:29:22.000 --> 00:29:25.000
seeing a trend with that --

00:29:25.000 --> 00:29:26.000
so it can mean that it can also

00:29:26.000 --> 00:29:28.000
mean that there's a communal

00:29:28.000 --> 00:29:30.000
type housing situation where

00:29:30.000 --> 00:29:32.000
people have separate units but

00:29:32.000 --> 00:29:34.000
they share a common space and

00:29:34.000 --> 00:29:36.000
so they might share a space

00:29:36.000 --> 00:29:38.000
that allows them to you know

00:29:38.000 --> 00:29:41.000
host parties and cook meals

00:29:41.000 --> 00:29:43.000
things like that there could

00:29:43.000 --> 00:29:44.000
be like a bicycle maintenance

00:29:44.000 --> 00:29:45.000
place you know you name it

00:29:45.000 --> 00:29:47.000
there's all kinds of examples

00:29:47.000 --> 00:29:48.000
and we have a lot of co-housing

00:29:48.000 --> 00:29:50.000
developments in this area in

00:29:50.000 --> 00:29:52.000
Oregon so that can be an option

00:29:52.000 --> 00:29:55.000
for certain people as well

00:29:55.000 --> 00:29:58.000
another example of a way that

00:29:58.000 --> 00:29:61.000
somebody can perhaps downsize

00:30:01.000 --> 00:30:03.000
and have a little bit of --

00:30:03.000 --> 00:30:05.000
social interaction as well

00:30:05.000 --> 00:30:07.000
is by living in an accessory

00:30:07.000 --> 00:30:08.000
dwelling unit and we're

00:30:08.000 --> 00:30:10.000
seeing a huge increase in the

00:30:10.000 --> 00:30:11.000
building of these what we call

00:30:11.000 --> 00:30:14.000
ADUs you may have also heard

00:30:14.000 --> 00:30:16.000
these called mother-in-law units

00:30:16.000 --> 00:30:18.000
or sister-in-law units

00:30:18.000 --> 00:30:20.000
they're essentially homes that

00:30:20.000 --> 00:30:21.000
are built on the property of

00:30:21.000 --> 00:30:23.000
another house that are usually

00:30:23.000 --> 00:30:26.000
about a third of the size and

00:30:26.000 --> 00:30:28.000
some people as they're getting

00:30:28.000 --> 00:30:31.000
older might choose to move into

00:30:31.000 --> 00:30:33.000
the ADU from their own

00:30:33.000 --> 00:30:35.000
home and rent out their home

00:30:35.000 --> 00:30:38.000
to other people other times

00:30:38.000 --> 00:30:39.000
they might you know maybe their

00:30:39.000 --> 00:30:41.000
their children are living

00:30:41.000 --> 00:30:43.000
in the larger home and they'll

00:30:43.000 --> 00:30:44.000
move into the smaller home

00:30:44.000 --> 00:30:47.000
or some variation of that so

00:30:47.000 --> 00:30:49.000
ADUs are offering -- a unique

00:30:49.000 --> 00:30:51.000
opportunity for a lot of people

00:30:51.000 --> 00:30:54.000
as well there's also you know

00:30:54.000 --> 00:30:56.000
examples of kind of other

00:30:56.000 --> 00:30:57.000
types of shared housing and

00:30:57.000 --> 00:30:59.000
free market housing so a lot

00:30:59.000 --> 00:30:62.000
of people now are using Airbnb

00:31:02.000 --> 00:31:05.000
for example as a way to maybe

00:31:05.000 --> 00:31:07.000
rent out part of their home

00:31:07.000 --> 00:31:09.000
and have kind of regular people

00:31:09.000 --> 00:31:11.000
coming in coming in and out

00:31:11.000 --> 00:31:12.000
they get to kind of interact

00:31:12.000 --> 00:31:13.000
with them and it gets them a little

00:31:13.000 --> 00:31:15.000
extra income right there is

00:31:15.000 --> 00:31:17.000
a higher number of people

00:31:17.000 --> 00:31:19.000
who are fifty five and older

00:31:19.000 --> 00:31:20.000
participating in this sort of

00:31:20.000 --> 00:31:22.000
work compared to people of

00:31:22.000 --> 00:31:24.000
other age groups what we call

00:31:24.000 --> 00:31:26.000
the sharing economy and that's

00:31:26.000 --> 00:31:28.000
things like also like Uber

00:31:28.000 --> 00:31:30.000
and Lyft those types of things

00:31:30.000 --> 00:31:31.000
it allows people to get some

00:31:31.000 --> 00:31:32.000
extra money while also getting

00:31:32.000 --> 00:31:35.000
some social interaction so

00:31:35.000 --> 00:31:36.000
it's a really good option for

00:31:36.000 --> 00:31:39.000
people the last example I will

00:31:39.000 --> 00:31:40.000
talk about in terms of like

00:31:40.000 --> 00:31:42.000
independent housing options

00:31:42.000 --> 00:31:44.000
are villages we're starting

00:31:44.000 --> 00:31:46.000
to see these as well kind of

00:31:46.000 --> 00:31:48.000
popping up all over the place

00:31:48.000 --> 00:31:49.000
there's several now in Portland

00:31:51.000 --> 00:31:52.000
there's almost eleven in the

00:31:52.000 --> 00:31:55.000
Portland metro area -- and

00:31:55.000 --> 00:31:56.000
one being developed in Salem

00:31:56.000 --> 00:31:59.000
I believe these are membership

00:31:59.000 --> 00:31:61.000
driven grassroots nonprofit

00:32:01.000 --> 00:32:03.000
organizations that come into a

00:32:03.000 --> 00:32:06.000
community and basically harness

00:32:06.000 --> 00:32:08.000
volunteers to coordinate and

00:32:08.000 --> 00:32:11.000
provide services to individuals

00:32:11.000 --> 00:32:13.000
so they'll coordinate services

00:32:13.000 --> 00:32:15.000
through vetted and discounted

00:32:15.000 --> 00:32:17.000
service providers like

00:32:17.000 --> 00:32:19.000
maintenance you know plumbing

00:32:19.000 --> 00:32:20.000
that sort of stuff but they'll

00:32:20.000 --> 00:32:21.000
also have volunteers that are

00:32:21.000 --> 00:32:24.000
able to offer transportation

00:32:24.000 --> 00:32:26.000
people can kind of trade off if

00:32:26.000 --> 00:32:27.000
somebody is particularly good

00:32:27.000 --> 00:32:29.000
at gardening maybe they'll help

00:32:29.000 --> 00:32:31.000
somebody with their gardening

00:32:31.000 --> 00:32:33.000
and that person will help them

00:32:33.000 --> 00:32:34.000
drive their pet to the vet or

00:32:34.000 --> 00:32:36.000
something like that so there's

00:32:36.000 --> 00:32:37.000
a lot of different ways that

00:32:37.000 --> 00:32:39.000
villages can work and they

00:32:39.000 --> 00:32:41.000
kind of allow for that one

00:32:41.000 --> 00:32:43.000
stop shopping so people who are

00:32:43.000 --> 00:32:45.000
living in the same community

00:32:45.000 --> 00:32:47.000
can stay in their own home

00:32:47.000 --> 00:32:49.000
safely get the things that they

00:32:49.000 --> 00:32:51.000
need through this one place

00:32:51.000 --> 00:32:54.000
for volunteers so this is a

00:32:54.000 --> 00:32:56.000
a very interesting kind of

00:32:56.000 --> 00:32:57.000
opportunity that we're starting

00:32:57.000 --> 00:32:59.000
to see more and more of --

00:32:59.000 --> 00:32:61.000
across the world the Village to

00:33:01.000 --> 00:33:02.000
Village Network has a map that

00:33:02.000 --> 00:33:05.000
shows you all of the villages

00:33:05.000 --> 00:33:06.000
that have now sprung up in the

00:33:06.000 --> 00:33:09.000
around so I'm going to shift over

00:33:09.000 --> 00:33:11.000
talking about long term care

00:33:11.000 --> 00:33:12.000
and we kind of think about all

00:33:12.000 --> 00:33:15.000
these things as a continuum

00:33:15.000 --> 00:33:16.000
right so you might want to

00:33:16.000 --> 00:33:18.000
move into like a co-housing

00:33:18.000 --> 00:33:20.000
development or be part of the

00:33:20.000 --> 00:33:21.000
village because you just need

00:33:21.000 --> 00:33:23.000
a little bit of support with

00:33:23.000 --> 00:33:25.000
some things right and when we

00:33:25.000 --> 00:33:27.000
start talking about long term

00:33:27.000 --> 00:33:29.000
care it's a little bit of an

00:33:29.000 --> 00:33:32.000
extra step beyond that so now

00:33:32.000 --> 00:33:34.000
you might have some limitations

00:33:34.000 --> 00:33:37.000
that are you know causing

00:33:37.000 --> 00:33:38.000
you to maybe not be able to

00:33:38.000 --> 00:33:40.000
function quite as independently

00:33:40.000 --> 00:33:42.000
as you were previously able

00:33:42.000 --> 00:33:45.000
to do we know that the need

00:33:45.000 --> 00:33:47.000
for long term care coverage is

00:33:47.000 --> 00:33:49.000
going to continue to rise and

00:33:49.000 --> 00:33:51.000
so this is going to be a huge

00:33:51.000 --> 00:33:54.000
area of you know need as as the

00:33:54.000 --> 00:33:56.000
population gets older we need a

00:33:56.000 --> 00:33:60.000
lot more long term care usually

00:34:00.000 --> 00:34:01.000
long term care is provided

00:34:01.000 --> 00:34:04.000
by the family and it depends on

00:34:04.000 --> 00:34:07.000
the situation it depends on that

00:34:07.000 --> 00:34:09.000
family's level of income there

00:34:09.000 --> 00:34:11.000
are cultural factors when we're

00:34:11.000 --> 00:34:13.000
talking about -- for example

00:34:13.000 --> 00:34:14.000
Asian and Latinx

00:34:14.000 --> 00:34:16.000
families they're much more

00:34:16.000 --> 00:34:19.000
likely to have family doing the

00:34:19.000 --> 00:34:20.000
care provision because that's

00:34:20.000 --> 00:34:23.000
just part of their culture --

00:34:23.000 --> 00:34:25.000
but -- and you know it could

00:34:25.000 --> 00:34:26.000
have to do with you know if you

00:34:26.000 --> 00:34:28.000
have children some people don't

00:34:28.000 --> 00:34:30.000
have children and so they may

00:34:30.000 --> 00:34:32.000
not have family to provide that

00:34:32.000 --> 00:34:34.000
care for them but typically we

00:34:34.000 --> 00:34:36.000
see family doing the majority

00:34:36.000 --> 00:34:39.000
of care here in America so when

00:34:39.000 --> 00:34:40.000
thinking about long term care

00:34:40.000 --> 00:34:43.000
options it's important to talk

00:34:43.000 --> 00:34:45.000
to people before making any

00:34:45.000 --> 00:34:48.000
decisions to kind of understand

00:34:48.000 --> 00:34:49.000
what the options are so it's

00:34:49.000 --> 00:34:51.000
always a good idea for people

00:34:51.000 --> 00:34:53.000
to talk to their families

00:34:53.000 --> 00:34:54.000
their doctors or health care

00:34:54.000 --> 00:34:57.000
providers perhaps a person

00:34:57.000 --> 00:34:59.000
centered counselor or a social

00:34:59.000 --> 00:34:61.000
worker case manager or what we

00:35:01.000 --> 00:35:03.000
call an options counselor you

00:35:03.000 --> 00:35:05.000
can find options counselors

00:35:05.000 --> 00:35:07.000
and case managers at any kind

00:35:07.000 --> 00:35:10.000
of area agency on aging and so

00:35:10.000 --> 00:35:11.000
and they would be able to kind

00:35:11.000 --> 00:35:13.000
of walk you through what are

00:35:13.000 --> 00:35:14.000
all these different options

00:35:14.000 --> 00:35:15.000
and considerations that you

00:35:15.000 --> 00:35:18.000
need to be making the best

00:35:18.000 --> 00:35:22.000
place to start for any sort of

00:35:22.000 --> 00:35:23.000
kind of guidance as to where

00:35:23.000 --> 00:35:25.000
to find services and supports

00:35:25.000 --> 00:35:28.000
and options counselors is what

00:35:28.000 --> 00:35:29.000
we call the ADRC so I put the

00:35:29.000 --> 00:35:32.000
website down here adrcoforegon.org

00:35:32.000 --> 00:35:34.000
is the first

00:35:34.000 --> 00:35:36.000
place you would want to go to

00:35:36.000 --> 00:35:38.000
find out where to get help with

00:35:38.000 --> 00:35:40.000
just about anything so there

00:35:40.000 --> 00:35:42.000
are a lot of home and community

00:35:42.000 --> 00:35:43.000
based services available to

00:35:43.000 --> 00:35:45.000
people as they're aging and

00:35:45.000 --> 00:35:47.000
we would consider this part

00:35:47.000 --> 00:35:48.000
of that continuum of long term

00:35:48.000 --> 00:35:51.000
care so for example Medicaid

00:35:51.000 --> 00:35:53.000
covers a lot of different

00:35:53.000 --> 00:35:56.000
services things like home care

00:35:56.000 --> 00:35:57.000
which could include cooking

00:35:57.000 --> 00:35:60.000
cleaning daily activities home

00:36:00.000 --> 00:36:03.000
health services transportation

00:36:03.000 --> 00:36:07.000
to medical care personal care

00:36:07.000 --> 00:36:08.000
respite care so getting some

00:36:08.000 --> 00:36:10.000
time away if you are a care

00:36:10.000 --> 00:36:13.000
giver yourself and of and then

00:36:13.000 --> 00:36:15.000
hospice it's important to note

00:36:15.000 --> 00:36:18.000
that Medicare does not cover

00:36:18.000 --> 00:36:22.000
any long term care Medicaid

00:36:22.000 --> 00:36:24.000
can cover some things if you

00:36:24.000 --> 00:36:26.000
are eligible for Medicaid based

00:36:26.000 --> 00:36:28.000
on the income requirements

00:36:28.000 --> 00:36:29.000
the only thing that Medicare

00:36:29.000 --> 00:36:30.000
really covers is a short term

00:36:30.000 --> 00:36:32.000
stay in a nursing home so it's

00:36:32.000 --> 00:36:33.000
very important to kind of keep

00:36:33.000 --> 00:36:36.000
that in mind there are some

00:36:36.000 --> 00:36:37.000
other community resources that

00:36:37.000 --> 00:36:39.000
can also help that we would

00:36:39.000 --> 00:36:40.000
consider part of long term

00:36:40.000 --> 00:36:43.000
care as well things like adult

00:36:43.000 --> 00:36:46.000
day services so if somebody

00:36:46.000 --> 00:36:48.000
has a spouse with dementia for

00:36:48.000 --> 00:36:49.000
example they can bring their

00:36:49.000 --> 00:36:51.000
spouse to an adult day service

00:36:51.000 --> 00:36:53.000
service community and they can

00:36:53.000 --> 00:36:56.000
be there for a few hours a day

00:36:58.000 --> 00:36:60.000
will give that individual some

00:37:00.000 --> 00:37:03.000
respite to go off and do some

00:37:03.000 --> 00:37:05.000
self care so that would be a

00:37:05.000 --> 00:37:07.000
really good option for a lot

00:37:07.000 --> 00:37:09.000
of people you can also find

00:37:09.000 --> 00:37:10.000
care coordination and case

00:37:10.000 --> 00:37:13.000
management meal programs like

00:37:13.000 --> 00:37:16.000
Meals on Wheels senior centers

00:37:16.000 --> 00:37:18.000
which are my favorite friendly

00:37:18.000 --> 00:37:20.000
visitor programs help with

00:37:20.000 --> 00:37:22.000
shopping and transportation

00:37:22.000 --> 00:37:23.000
and legal and financial help

00:37:23.000 --> 00:37:25.000
help you can locate all of

00:37:25.000 --> 00:37:29.000
these things through the ADRC

00:37:29.000 --> 00:37:31.000
here in Oregon it'll tell you

00:37:31.000 --> 00:37:32.000
where you can where you can

00:37:32.000 --> 00:37:33.000
get access to those sorts of

00:37:33.000 --> 00:37:36.000
things so for a lot of people

00:37:36.000 --> 00:37:38.000
this first step might be really

00:37:38.000 --> 00:37:40.000
just fine for them for the

00:37:40.000 --> 00:37:43.000
time being beyond that assisted

00:37:43.000 --> 00:37:45.000
living is what we kind of

00:37:45.000 --> 00:37:47.000
consider the next step in some

00:37:47.000 --> 00:37:48.000
places it's also referred to

00:37:48.000 --> 00:37:50.000
as a residential care facility

00:37:50.000 --> 00:37:51.000
although here in Oregon a

00:37:51.000 --> 00:37:52.000
residential care facility is

00:37:52.000 --> 00:37:55.000
more like a group home -- for

00:37:55.000 --> 00:37:57.000
residents typically five or

00:37:57.000 --> 00:37:58.000
more residents at a time with

00:37:58.000 --> 00:37:60.000
shared bathrooms and shared

00:38:00.000 --> 00:38:02.000
kitchens but assisted living

00:38:02.000 --> 00:38:03.000
facility actually assisted

00:38:03.000 --> 00:38:05.000
living started here in Oregon

00:38:05.000 --> 00:38:08.000
as a concept little fun fact

00:38:08.000 --> 00:38:10.000
and is not something that

00:38:10.000 --> 00:38:12.000
you can pay for again with

00:38:12.000 --> 00:38:14.000
Medicare typically not with

00:38:14.000 --> 00:38:16.000
with many any Medicaid you

00:38:16.000 --> 00:38:17.000
would have to be paying out

00:38:17.000 --> 00:38:19.000
of pocket or with private

00:38:19.000 --> 00:38:21.000
insurance for assisted living

00:38:21.000 --> 00:38:24.000
on average this is I looked this

00:38:24.000 --> 00:38:25.000
up just the other day so this

00:38:25.000 --> 00:38:28.000
is the current average rate in

00:38:28.000 --> 00:38:29.000
Oregon is three thousand eight

00:38:29.000 --> 00:38:31.000
hundred and eighty dollars a

00:38:31.000 --> 00:38:35.000
month and that's the base rate

00:38:35.000 --> 00:38:36.000
assisted living facilities are

00:38:36.000 --> 00:38:38.000
state regulated so you're gonna

00:38:38.000 --> 00:38:40.000
find a lot of differences from

00:38:40.000 --> 00:38:42.000
one state to the next there's

00:38:42.000 --> 00:38:44.000
there's very wide variations so

00:38:44.000 --> 00:38:45.000
here in Oregon the Department

00:38:45.000 --> 00:38:47.000
of Health and Human Services

00:38:49.000 --> 00:38:51.000
facilities and so they're

00:38:51.000 --> 00:38:52.000
all the same here in Oregon

00:38:52.000 --> 00:38:53.000
but they'd be very different

00:38:53.000 --> 00:38:56.000
like in California and any

00:38:56.000 --> 00:38:58.000
sort of additional personal

00:38:58.000 --> 00:38:60.000
care and support services you

00:39:00.000 --> 00:39:02.000
would want to add on you can

00:39:02.000 --> 00:39:03.000
usually do those things but not

00:39:03.000 --> 00:39:06.000
complex medical services not in

00:39:06.000 --> 00:39:09.000
assisted living okay

00:39:09.000 --> 00:39:11.000
and usually they range from

00:39:11.000 --> 00:39:14.000
apartments to shared rooms

00:39:14.000 --> 00:39:15.000
they almost all have their own

00:39:15.000 --> 00:39:17.000
kitchenette okay a nursing home

00:39:17.000 --> 00:39:19.000
we also call this a skilled

00:39:19.000 --> 00:39:20.000
nursing facility this is

00:39:20.000 --> 00:39:22.000
for people who need constant

00:39:22.000 --> 00:39:24.000
medical supervision they need

00:39:24.000 --> 00:39:25.000
some assistance with both what

00:39:25.000 --> 00:39:28.000
we call ADLs and IADLs

00:39:28.000 --> 00:39:29.000
so everything from

00:39:29.000 --> 00:39:32.000
bathing to dressing to feeding

00:39:32.000 --> 00:39:35.000
meal preparation -- laundry

00:39:35.000 --> 00:39:36.000
all those types of things so

00:39:36.000 --> 00:39:37.000
they're they're typically not

00:39:37.000 --> 00:39:39.000
capable of living independently

00:39:39.000 --> 00:39:42.000
anymore and we see -- only

00:39:42.000 --> 00:39:44.000
sixty five to seventy four of

00:39:44.000 --> 00:39:45.000
people sixty five to seventy

00:39:45.000 --> 00:39:47.000
four years old about one

00:39:47.000 --> 00:39:49.000
percent live in a nursing home

00:39:49.000 --> 00:39:52.000
for people seventy five years

00:39:52.000 --> 00:39:54.000
to eighty four years old about

00:39:54.000 --> 00:39:56.000
three and a half percent and

00:39:56.000 --> 00:39:57.000
of people eighty five years and

00:39:57.000 --> 00:39:59.000
older about thirteen percent

00:39:59.000 --> 00:39:62.000
live in a nursing home these

00:40:02.000 --> 00:40:04.000
are very expensive but the

00:40:04.000 --> 00:40:05.000
reason a lot of people choose

00:40:05.000 --> 00:40:07.000
them is because Medicaid will

00:40:07.000 --> 00:40:08.000
pay for the majority of care

00:40:08.000 --> 00:40:10.000
so what happens for a lot

00:40:10.000 --> 00:40:11.000
of individuals is they will

00:40:11.000 --> 00:40:13.000
spend what they have in their

00:40:13.000 --> 00:40:16.000
savings while they're living

00:40:16.000 --> 00:40:17.000
there and then they'll qualify

00:40:17.000 --> 00:40:19.000
for Medicaid and Medicaid will

00:40:19.000 --> 00:40:21.000
pay for the remainder of care

00:40:21.000 --> 00:40:22.000
and there's a lot of oversight

00:40:22.000 --> 00:40:24.000
because these are licensed at

00:40:24.000 --> 00:40:26.000
the federal level there's a

00:40:26.000 --> 00:40:28.000
lot of variability in care I

00:40:28.000 --> 00:40:30.000
just had my students do this

00:40:30.000 --> 00:40:32.000
activity if you go to Medicare.gov

00:40:32.000 --> 00:40:33.000
you can do a nursing

00:40:33.000 --> 00:40:35.000
home compare tool where you can

00:40:35.000 --> 00:40:37.000
look at different nursing homes

00:40:37.000 --> 00:40:39.000
if they're licensed by Medicare

00:40:39.000 --> 00:40:42.000
and Medicaid and it'll show you

00:40:42.000 --> 00:40:44.000
any sort of penalties health

00:40:44.000 --> 00:40:46.000
inspection reports things like

00:40:46.000 --> 00:40:48.000
that so you can compare across

00:40:48.000 --> 00:40:51.000
nursing homes through that tool

00:40:51.000 --> 00:40:52.000
adult foster homes these are

00:40:52.000 --> 00:40:54.000
also known as adult care homes

00:40:54.000 --> 00:40:55.000
these are where you find you

00:40:55.000 --> 00:40:57.000
know a traditional home like

00:40:57.000 --> 00:40:58.000
in a neighborhood setting where

00:40:58.000 --> 00:40:60.000
there's a resident manager and

00:41:00.000 --> 00:41:02.000
staff usually there's just a

00:41:02.000 --> 00:41:04.000
few people living there but

00:41:04.000 --> 00:41:05.000
it's it's a little bit like

00:41:05.000 --> 00:41:06.000
a nursing home environment

00:41:06.000 --> 00:41:09.000
but for just a few people at

00:41:09.000 --> 00:41:11.000
a time and usually Medicaid

00:41:11.000 --> 00:41:13.000
will pay for a portion of

00:41:13.000 --> 00:41:16.000
the care every month for this

00:41:16.000 --> 00:41:18.000
but again not Medicare we do

00:41:18.000 --> 00:41:21.000
have memory care now which is

00:41:21.000 --> 00:41:22.000
great we're seeing actually

00:41:22.000 --> 00:41:24.000
the biggest growth in memory

00:41:24.000 --> 00:41:26.000
care and here in Oregon it's

00:41:26.000 --> 00:41:28.000
an endorsement that a facility

00:41:28.000 --> 00:41:30.000
can get so you can either

00:41:30.000 --> 00:41:32.000
have memory -- standalone

00:41:32.000 --> 00:41:34.000
memory care community or it

00:41:34.000 --> 00:41:36.000
can be integrated with assisted

00:41:36.000 --> 00:41:38.000
living or nursing home or

00:41:38.000 --> 00:41:40.000
something like that these are

00:41:40.000 --> 00:41:41.000
authorized here in Oregon by

00:41:41.000 --> 00:41:42.000
the department of health and

00:41:42.000 --> 00:41:43.000
Human Services so there are

00:41:43.000 --> 00:41:45.000
certain standards that they

00:41:45.000 --> 00:41:47.000
have to uphold in terms of

00:41:47.000 --> 00:41:48.000
safety and training and those

00:41:48.000 --> 00:41:50.000
kinds of things and they're

00:41:50.000 --> 00:41:53.000
much more expensive the final

00:41:53.000 --> 00:41:54.000
sort of example here is what

00:41:54.000 --> 00:41:56.000
we call a CCRC a continuing

00:41:56.000 --> 00:41:59.000
care retirement community and

00:41:59.000 --> 00:41:60.000
I've been saying this a lot but

00:42:00.000 --> 00:42:01.000
we're seeing a huge increase

00:42:01.000 --> 00:42:04.000
in these as well these are

00:42:04.000 --> 00:42:06.000
communities that allow you

00:42:06.000 --> 00:42:10.000
to age there as you continue

00:42:10.000 --> 00:42:12.000
to need services so typically

00:42:12.000 --> 00:42:14.000
there's independent living

00:42:14.000 --> 00:42:15.000
through nursing home care

00:42:15.000 --> 00:42:17.000
and potentially even memory

00:42:17.000 --> 00:42:20.000
care included as well most

00:42:20.000 --> 00:42:21.000
residents have to be healthy

00:42:21.000 --> 00:42:22.000
and independent when they first

00:42:22.000 --> 00:42:25.000
move in and they have to put

00:42:25.000 --> 00:42:27.000
a down payment down so it's a

00:42:27.000 --> 00:42:29.000
long term contract the average

00:42:29.000 --> 00:42:31.000
entry fee is two hundred fifty

00:42:31.000 --> 00:42:32.000
thousand dollars but what that

00:42:32.000 --> 00:42:36.000
means is you pay that and you

00:42:36.000 --> 00:42:38.000
never have to leave -- there

00:42:38.000 --> 00:42:39.000
might be some monthly fees

00:42:39.000 --> 00:42:41.000
beyond that and it'll vary

00:42:41.000 --> 00:42:42.000
depending on what your needs

00:42:42.000 --> 00:42:45.000
are but as you continue to

00:42:45.000 --> 00:42:47.000
need some assistance or if

00:42:47.000 --> 00:42:48.000
you're with your spouse and

00:42:48.000 --> 00:42:49.000
your spouse gets dementia for

00:42:49.000 --> 00:42:51.000
example you can continue to

00:42:51.000 --> 00:42:53.000
stay in that community as long

00:42:53.000 --> 00:42:55.000
as you need to and you will not

00:42:55.000 --> 00:42:57.000
typically not be kicked out in

00:42:57.000 --> 00:42:61.000
that situation so so there are

00:43:01.000 --> 00:43:02.000
a lot of barriers and we're

00:43:02.000 --> 00:43:04.000
not gonna get into a discussion

00:43:04.000 --> 00:43:06.000
about this right now -- unless

00:43:06.000 --> 00:43:07.000
that's the discussion you want

00:43:07.000 --> 00:43:09.000
to have for the next five or

00:43:09.000 --> 00:43:11.000
so minutes but -- you know a

00:43:11.000 --> 00:43:15.000
lot of people are really --

00:43:15.000 --> 00:43:16.000
there's a lot of challenges

00:43:16.000 --> 00:43:17.000
to accessing long term care

00:43:17.000 --> 00:43:18.000
a lot of it has to do with

00:43:18.000 --> 00:43:21.000
the cost but there's also you

00:43:21.000 --> 00:43:22.000
know a lot of emotional sort

00:43:22.000 --> 00:43:25.000
of reasons people don't like

00:43:25.000 --> 00:43:28.000
the idea of strangers providing

00:43:28.000 --> 00:43:30.000
care some people have a fear

00:43:30.000 --> 00:43:31.000
of institutions especially

00:43:31.000 --> 00:43:32.000
if they've been mistreated

00:43:32.000 --> 00:43:35.000
in institutional settings a

00:43:35.000 --> 00:43:36.000
lot of loved ones feel guilty

00:43:36.000 --> 00:43:38.000
about relying on long term

00:43:38.000 --> 00:43:40.000
care rather than providing

00:43:40.000 --> 00:43:42.000
it themselves so there are a

00:43:42.000 --> 00:43:43.000
number of reasons there are barriers

00:43:43.000 --> 00:43:44.000
to long term care but there

00:43:44.000 --> 00:43:46.000
are also a lot of resources

00:43:46.000 --> 00:43:49.000
out there that have made it

00:43:49.000 --> 00:43:51.000
easier for people to make those

00:43:51.000 --> 00:43:53.000
decisions so what I've brought

00:43:53.000 --> 00:43:56.000
here with me today is -- an

00:43:56.000 --> 00:43:57.000
organization here called Making

00:43:57.000 --> 00:43:59.000
Oregon Vital for Elders they

00:43:59.000 --> 00:43:61.000
have a consumer guide that kind

00:44:01.000 --> 00:44:03.000
of walks you through some of

00:44:03.000 --> 00:44:04.000
the things I talked about today

00:44:04.000 --> 00:44:05.000
the different types of long

00:44:05.000 --> 00:44:07.000
term care that we have here and

00:44:07.000 --> 00:44:08.000
some of the important questions

00:44:08.000 --> 00:44:10.000
that you want to be asking as

00:44:10.000 --> 00:44:12.000
you are making those decisions

00:44:12.000 --> 00:44:15.000
so I brought a lot -- there's

00:44:15.000 --> 00:44:16.000
a big stack up here and I'll I'll

00:44:16.000 --> 00:44:18.000
make sure to I can pass those

00:44:18.000 --> 00:44:20.000
out or -- yeah you can get them

00:44:20.000 --> 00:44:23.000
on your way out as well but

00:44:23.000 --> 00:44:25.000
that's -- that's all I have for

00:44:25.000 --> 00:44:27.000
my presentation and I'm happy

00:44:27.000 --> 00:44:28.000
to take questions like I said

00:44:28.000 --> 00:44:29.000
we have about five minutes or

00:44:29.000 --> 00:44:32.000
so so the question was -- if

00:44:32.000 --> 00:44:33.000
people have moved more often

00:44:33.000 --> 00:44:34.000
throughout their lives may they

00:44:34.000 --> 00:44:37.000
might it be easier for them to

00:44:37.000 --> 00:44:39.000
move later on to handle stress

00:44:39.000 --> 00:44:41.000
better -- I would say yes only

00:44:41.000 --> 00:44:43.000
because if you look at --

00:44:43.000 --> 00:44:44.000
across generations like the

00:44:44.000 --> 00:44:46.000
Baby Boomers we see that the

00:44:46.000 --> 00:44:49.000
Baby Boomers are much more --

00:44:49.000 --> 00:44:52.000
they they deal with having to

00:44:52.000 --> 00:44:55.000
move and and living -- living

00:44:55.000 --> 00:44:57.000
as singles much better

00:44:58.000 --> 00:44:61.000
because they have had more --

00:45:01.000 --> 00:45:02.000
as they've been aging kind of

00:45:02.000 --> 00:45:06.000
more exposure to you know they

00:45:06.000 --> 00:45:08.000
they've lived -- independently

00:45:08.000 --> 00:45:09.000
for longer they've moved around

00:45:09.000 --> 00:45:10.000
longer so we we do see like

00:45:10.000 --> 00:45:12.000
if you look across generations

00:45:12.000 --> 00:45:14.000
that it seems like Baby Boomers

00:45:14.000 --> 00:45:15.000
are dealing with that better

00:45:15.000 --> 00:45:16.000
than past generations and I

00:45:16.000 --> 00:45:17.000
think a lot of it has to do

00:45:17.000 --> 00:45:18.000
with that life experience if

00:45:18.000 --> 00:45:20.000
you move into a continuing

00:45:20.000 --> 00:45:22.000
care retirement community you

00:45:22.000 --> 00:45:23.000
have to spend down all of your

00:45:23.000 --> 00:45:25.000
assets before you can qualify

00:45:25.000 --> 00:45:27.000
for Medicaid that is correct

00:45:27.000 --> 00:45:28.000
and so if they do accept

00:45:28.000 --> 00:45:31.000
Medicaid and you are paying

00:45:31.000 --> 00:45:35.000
out of pocket in most cases --

00:45:36.000 --> 00:45:37.000
spend down all of your assets

00:45:37.000 --> 00:45:39.000
then Medicaid will come in and

00:45:39.000 --> 00:45:44.000
help cover the costs there --

00:45:44.000 --> 00:45:47.000
I'm I'm a little unsure about

00:45:47.000 --> 00:45:49.000
Capital Manor and Dallas Retirement

00:45:49.000 --> 00:45:50.000
Village I believe with Dallas

00:45:50.000 --> 00:45:53.000
Retirement Village -- once

00:45:53.000 --> 00:45:55.000
you are out of money I think

00:45:55.000 --> 00:45:56.000
they just come in and cover

00:45:56.000 --> 00:45:57.000
the costs themselves I don't

00:45:57.000 --> 00:45:58.000
think they accept Medicaid but

00:45:58.000 --> 00:45:60.000
I'm not a hundred percent sure

00:46:00.000 --> 00:46:02.000
about that actually can I say

00:46:02.000 --> 00:46:03.000
anything about Western Oregon

00:46:03.000 --> 00:46:05.000
University's new designation

00:46:05.000 --> 00:46:07.000
as an age friendly university

00:46:07.000 --> 00:46:10.000
so what that means is -- there

00:46:10.000 --> 00:46:12.000
is a global network that was

00:46:12.000 --> 00:46:14.000
created of universities and

00:46:14.000 --> 00:46:16.000
colleges who are committing to

00:46:16.000 --> 00:46:18.000
being age friendly and there

00:46:18.000 --> 00:46:20.000
are some principles associated

00:46:20.000 --> 00:46:22.000
with that -- largely having to

00:46:22.000 --> 00:46:24.000
do with being more inclusive

00:46:24.000 --> 00:46:26.000
of older adults on campus

00:46:26.000 --> 00:46:29.000
bringing aging into more of

00:46:29.000 --> 00:46:31.000
our conversations on campus

00:46:31.000 --> 00:46:33.000
thinking about accessibility

00:46:33.000 --> 00:46:34.000
lifelong learning all sorts

00:46:34.000 --> 00:46:36.000
of other things and so what

00:46:36.000 --> 00:46:37.000
we have done in the last year

00:46:37.000 --> 00:46:39.000
is as a university we have

00:46:39.000 --> 00:46:41.000
committed to joining that

00:46:41.000 --> 00:46:43.000
network so we are now in the

00:46:43.000 --> 00:46:46.000
network and we have a long

00:46:46.000 --> 00:46:48.000
list of things that I would

00:46:48.000 --> 00:46:50.000
like to see happen for us to

00:46:50.000 --> 00:46:53.000
be a more age friendly campus

00:46:54.000 --> 00:46:57.000
ear off about that later but

00:46:57.000 --> 00:46:58.000
yes that's that's kind of our

00:46:58.000 --> 00:46:59.000
current status right now which

00:46:59.000 --> 00:46:62.000
we're very excited about okay I

00:47:02.000 --> 00:47:03.000
think I'm getting cut off here

00:47:03.000 --> 00:47:05.000
thank you again so much

00:47:05.000 --> 00:47:07.000
thank you

00:47:07.000 --> 00:47:08.000
let's give her a round of applause she

00:47:08.000 --> 00:47:11.000
has great information just really

00:47:11.000 --> 00:47:12.000
quickly a shout out to

00:47:12.000 --> 00:47:15.000
Barbara Hogan thank you because we've

00:47:15.000 --> 00:47:16.000
got a lot of people here from

00:47:16.000 --> 00:47:17.000
the Monmouth Senior Center and

00:47:17.000 --> 00:47:19.000
they allowed us to put a flyer

00:47:19.000 --> 00:47:20.000
in our newsletter and they

00:47:20.000 --> 00:47:22.000
drove a van over here so I'm

00:47:22.000 --> 00:47:24.000
excited about that and a big thank

00:47:24.000 --> 00:47:26.000
you again to Kathy Bolen for

00:47:26.000 --> 00:47:27.000
making this available to the

00:47:27.000 --> 00:47:29.000
campus community so isn't she

00:47:29.000 --> 00:47:32.000
great this is great information

00:47:32.000 --> 00:47:34.000
folks and thank you for coming

00:47:34.000 --> 00:47:35.000
we loved seeing you all here

00:47:35.000 --> 00:47:37.000
and have a great day and enjoy

00:47:37.000 --> 00:47:40.000
the rest of your afternoon

00:47:40.000 --> 00:47:43.000
music