Dr. Margaret Denton is a founding board member of the Hamilton Council on Aging and has been a leader in developing, implementing and evaluating Hamilton’s Plan for an Age-Friendly Community (2014-2019). She has also participated in preparing Hamilton’s second age-friendly plan (2020-2026) which is unique in that it integrates a dementia- friendly plan. She is also a Professor Emeritus, Department of Health, Aging & Society and Sociology at McMaster University. Her research interests include health and aging, health human resources, access to and delivery of community health and social services, retirement planning, gender, income and health inequalities. She is a community researcher who has published close to 100 academic articles in referred journals over her career.
Age-Friendly and Dementia-Friendly Planning, Integration, Implementation & Evaluation, Hamilton Ontario
Lisa Maychak Lisa Maychat has been an employee with the City of Hamilton for over 20 years. Since 2015, she has held the position of Project Manager, Age-Friendly City and is currently responsible for collaborating with City of Hamilton staff, the Hamilton Council on Aging (HCoA), Seniors Advisory Committee (SAC) and other community partners to implement recommendations in Hamilton’s second Age Friendly Plan (Hamilton’s Plan for an Age-Friendly Community, 2021-2026). In 2019, Lisa facilitated discussion groups with older adults and seniors across Hamilton. to identify their current needs and priorities which would then help to inform Hamilton’s Plan for an Age-Friendly Community, 2021-20216. From 2015 to 2019 Lisa worked with City staff, HCoA, SAC and other community partners to implement the recommendations in Hamilton’s first Age-Friendly Plan (Hamilton’s Plan for an Age-Friendly City, 2014). By the end of March 2019, 81 of the 101 recommendations were completed or being implemented. Lisa also leads the annual Hamilton Senior of the Year Awards, the annual Seniors Kick-off, and she collaborates with community partners to host an annual International Day of Older Persons event. More recently, Lisa took on the role of staff liaison for the City of Hamilton’s Seniors Advisory Committee. Lisa holds a Bachelor of Social Work degree from the University of Waterloo and has completed additional professional development courses in project management, volunteer management, event management and leadership development
Tracy Gibbs is a skilled community animator, organizer, and collaborator. She holds a BA in Social Development Studies and BSW(Hons) from the University of Waterloo as well as MSW in Critical Leadership from McMaster University. As project manager for the Empowering Dementia Friendly Communities Hamilton, Haldimand project and for the Hamilton Age Friendly Action/Implementation Strategy, she aims to advance the engagement and empowerment of older adults, including persons living with dementia, to advance systemic and social change.
Pat Spadafora, founder of Kaleidoscope Consulting, is also the founder and former Director of the Centre for Elder Research, an applied research Centre of Excellence that opened at Sheridan College in Oakville, Ontario, Canada in 2003. With many years of experience in post-secondary education, social work and applied research, Ms. Spadafora has a proven track record for bringing innovative projects to fruition. Ms. Spadafora launched Kaleidoscope Consulting in 2018. As a consultant, she has been able to build on her experiences to focus more specifically on community work both as a consultant and as a volunteer. Ms. Spadafora is a volunteer Canadian liaison with the global Pass It On Network. Ms. Spadafora’s interests are broad and include, among others: promoting positive images of aging; social prescribing to enhance wellbeing; social inclusion; fostering multigenerational environments and inclusive neighbourhoods; community development; digital literacy and access to accessible, affordable technology and capacity building with organizations that serve older adults. Through Kaleidoscope Consulting, Pat’s mission is to change the way we view aging.
Lori Letts is an Occupational Therapist and a Professor in the School of Rehabilitation Science. She joined the faculty at McMaster in 1994 and has enjoyed many years in educational roles, including the ten years in administration, as Assistant Dean of the Occupational Therapy program. Her current research focuses on adults and older adults with a focus on community-centred initiatives as well as supporting people with chronic illnesses to manage their conditions. This involves work in primary care and other community settings. She is also involved in research to identify and intervene in preventative ways so that people’s participation in occupations and health are optimized. She currently is a board member of the Hamilton Council on Aging, and also is the co-Chair of the Age-Friendly Hamilton Collaborative Governance Committee.
Julie Richardson is Professor, in the School of Rehabilitation Science at McMaster University. She is a physiotherapist and has a Master’s degree in Psychology from University of Otago, New Zealand and a PhD in Epidemiology from the University of Toronto. Dr. Richardson’s research interests include issues to promote mobility in older adults including risk factor assessment and prevention of decline of mobility and functioning with aging. She is a board member of the Hamilton Council on Aging.
Margaret Denton, Hamilton Council on Aging and McMaster University, Canada
Lisa Maychak, City of Hamilton, Canada
Tracy Gibbs, Hamilton Council on Aging, Canada
Pat Spadafora, Kaleidoscope Consulting, Canada
Lori Letts and Julie Richardson, Hamilton Council on Aging and McMaster University, Canada
In 2019, the Hamilton Council on Aging (HCoA), City of Hamilton and Seniors Advisory Committee (SAC) partnered to develop Hamilton’s Plan for an Age-Friendly Community (2020-2026) (AF Plan). This plan builds on the success of Hamilton’s first age-friendly plan (2014-2019) by incorporating lessons learned, adding a social inclusion and equity lens and systematically integrating a dementia friendly approach into an age-friendly plan (AF Plan). This integration was addressed through the addition of the “building a dementia-friendly community principle” and through incorporation in various general and specific recommendations. The AF Plan has 7 Strategic Goal Areas, 21 objectives and 61 recommendations. A copy of the full Plan is available at www.hamilton.ca/agefriendly or www.coahamilton.
The first presentation will describe the planning process used to develop the AF Plan. Foundational to the development of the AF Plan was the analysis of census data and age-friendly indicators using the Canadian Longitudinal Study on Aging. An extensive community engagement initiative included multiple methods of consultation, including a launch event, focus groups, an “Aging in Hamilton” survey, and by attending local events to connect “one to one” with older adults. Additional consultations also took place with community service providers and municipal city staff and by the end of January 2020, 4,100 individuals had been consulted. In addition, the AF Plan will be introduced.
Coinciding with the preparation of Hamilton’s 2021-2026 AF Plan, HCOA received a federal grant to empower dementia-friendly communities in Hamilton and Haldimand. The timing provided a unique window for the two initiatives to collaborate, to explore synergies between the plans and to develop practical ways to integrate them. The second presentation will share the process used to embed the needs and interest of people living with dementia into the overall age-friendly plan.
The 2021-2026 Hamilton Age-Friendly Plan was approved in April 2021 by all partner organizations. As implementation planning began, a need was identified to review governance. The third presentation will describe the governance model that formulated structures and processes to support the plan’s implementation.
An evaluation will be undertaken for each of the Goal Areas. Each Goal area has several objectives. Action plans or process measures within each objective will be executed to achieve the objective. The fourth presentation will present the outcome and process evaluation methodology and logic model developed using the “Getting to Outcomes Framework” to monitor the implementation of the AF Plan.
Presenter # 1, Margaret Denton and Lisa Maychak
Age-friendly planning and development process
In 2019, the Hamilton Council on Aging, City of Hamilton and Seniors Advisory Council began the process of developing Hamilton’s second Age-Friendly Plan with the goal of identifying the current needs and priorities of older adults living in Hamilton, as well as proposed solutions. Foundational to the development of the Plan was the analysis of census data and age-friendly indicators using the Canadian Longitudinal Study on Aging. An extensive community engagement initiative included a launch event, focus groups, an “Aging in Hamilton” survey, local events to connect “one to one” with older adults and consultations with community service providers and municipal city staff. In total, 4,100 individuals were consulted. In response to the COVID-19 pandemic further consultation took place to identify the impact of the pandemic on the lives of older adults residing in Hamilton.
In April 2021, Hamilton’s Plan for an Age-Friendly Community (2021-2026) was launched and includes 7 strategic goals, 21 objectives and 61 recommendations. The plan was endorsed by City Council in 2021. Like Hamilton’s first plan, this plan is a guide for municipal decision-makers and community stakeholders in addressing the current needs and priorities of older adults living in Hamilton.
Presenters #2, Pat Spadafora and Tracy Gibbs
The why and how of integrating age-friendly and dementia-friendly plans
With a commitment to social inclusion and equity, Hamilton is one of the first cities globally to integrate dementia-friendly and age-friendly plans. Coinciding with the preparation of Hamilton’s 2021-2026 Plan for an Age-Friendly Community, the Hamilton Council on Aging received a federal grant to empower dementia-friendly communities in Hamilton and Haldimand. The timing provided a unique window for the two initiatives to collaborate, to explore synergies between the plans and to develop practical ways to integrate them. The presenters will share the process used to embed the needs and interests of people living with dementia into the overall age-friendly plan.
This started with adding a new principle to the age-friendly plan and extended to incorporating specific recommendations and action items into the plan. Representatives of the two plans collaborated throughout the process and made sure that individuals living with dementia had opportunities to add their voices to the recommendations. In addition to sharing the process, the presenters will discuss some of the enablers and challenges to integration. Symposium participants will be invited to share their perspective on a question that was frequently asked of the presenters – what is the difference between an age-friendly community and a dementia-friendly community?
Presenter #3, Lori Letts
Implementing Hamilton’s plan for an age-friendly community
The 2021-2026 Hamilton Age-Friendly Plan was approved in April 2021 by all partner organizations that form a Collaborative Governance Committee (Hamilton Council on Aging, City of Hamilton Seniors Advisory Committee, City of Hamilton). As implementation planning began, a need was identified to review governance. The focus was on formulating structures and processes to support plan implementation along with oversight by the collaborative governance committee, while recognizing the significant volunteer efforts needed for implementation and the need to engage with individuals and organizations within our communities. Implementation also focused on the five, small urban-rural communities which are part of the City of Hamilton i.e., Flamborough, Glanbrook, Dundas, Ancaster, Stoney Creek, recognizing the needs of these communities to also address the Age-Friendly Hamilton recommendations. We developed detailed implementation plans, along with plans for community outreach and action, with specific attention to reaching out to communities of older adults, including those with disabilities, in a changing environment resulting from the COVID-19 pandemic. Four goal areas were selected for initial attention: Transportation, Housing, Social Participation and Outdoor Spaces and Buildings. Detailed implementation plans developed for these areas will serve as templates for action plans for the other three areas of our Age-Friendly Plan.
Presenter #4, Julie Richardson
Evaluating Hamilton’s plan for an age-friendly community
The Hamilton Age-Friendly Plan 2021-26 has been described in the previous abstracts. An evaluation will be undertaken for each of the 7 Goal Areas: Housing, transportation, Information and Communication, Health and Community Services, Social Participation, Learning Arts and Culture, Civic Engagement Volunteerism and Employment and Outdoor Spaces and Buildings. An evaluation committee with members from the Hamilton Social Planning and Research Council and the Hamilton Council on Aging will lead the evaluation process. Each Goal area has several objectives and associated action plans or process measures that need to be executed to achieve the objective. A logic model outlining the relationship between each of these levels of both outcome and process evaluation will be presented. The plan for the implementation of a quality improvement process to ensure each level of the evaluation process is being achieved will be described. Workshops delivered by the Ontario Age-Friendly Communities Outreach Program (OAFCOP) will contribute to the design our evaluation based on the Getting to Outcomes Framework. Workshops organized OAFCOP, will guide the development of our evaluation plan using the “Getting to Outcomes” framework. We will identify key indicators to evaluate outputs and outcomes.