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Resolution 2020-31119 RESOLUTION NO. 2020-31119 RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, SUPPORTING THE WORLD HEALTH ORGANIZATION'S AGE-FRIENDLY COMMUNITIES PROGRAM; APPROVING AND AUTHORIZING THE CITY MANAGER TO SUBMIT AN APPLICATION TO THE AARP AGE-FRIENDLY COMMUNITIES INITIATIVE; AND FURTHER AUTHORIZING THE ADMINISTRATION TO PROCEED WITH THE REQUIRED PLANNING PHASE OF THE APPLICATION PROCESS. WHEREAS, scientific data suggests that, if an individual reaches 65 years of age, it is likely this individual will live until 85; and WHEREAS, Miami-Dade County has the largest number of older adult residents in Florida (nearly half a million are age 60 or older), and that number is expected to double in the next 25 years; and WHEREAS, the AARP (formerly, the American Association of Retired Persons) Network of Age-Friendly Communities encourages states, cities, towns, and rural areas to prepare for the rapid aging of the American population by paying increased attention to the environmental, economic and social factors that influence the health and well- being of older adults; and WHEREAS, the AARP network is part of the larger World Health Organization ("WHO") Global Network for Age-friendly Cities and Communities (the "Network"), which was established to foster the exchange of experience and mutual learning between cities and communities worldwide; and WHEREAS, the Miami-Dade Age-Friendly Initiative launched its Action Plan for an Age-Friendly Miami-Dade in 2016; and WHEREAS, the overarching goal of this plan and the Initiative is to create a community for all ages, where older adults in Miami-Dade can stay active and healthy with dignity and enjoyment; and WHEREAS, the Action Plan was developed using a results-based accountability framework to guide the collaboration among the Miami-Dade Age-Friendly Initiative partner organizations, which include the AARP Florida, Alliance for Aging, Miami-Dade County, Health Foundation of South Florida, United Way of Miami-Dade and Urban Health Partnerships; and WHEREAS, there are more than 200 cities and counties in the United States that are listed as part of the network including the following Miami-Dade County communities: • Coral Gables (May 2018) • Cutler Bay (March 2016) • Miami (August 2018) • Miami-Dade County (November 2016) • Miami Lakes (June 2018) • Miami Shores (November 2018) • Palmetto Bay (March 2017) • Pinecrest (July 2016); and WHEREAS, Members of the Age-Friendly Communities Initiative commit to making their community more age-friendly by taking the following steps: Step 1: Entering the AARP Network of Age-Friendly Communities by submitting an application and a corresponding letter of commitment to the initiative's goals. Step.2: Conducting a planning phase that has four elements: a. Identifying the mechanisms to involve older people throughout the City's Age-Friendly effort; b. Conducting a baseline assessment of the City's age-friendliness; c. Developing a 3-year citywide plan of action based on the assessment findings; and d. Identifying progress indicators to enable the monitoring of the initiative's progress. Step 3: Implementing our community's action plan within two years of joining the network and submitting it to WHO for review and endorsement. Upon endorsement by WHO, our community would have three years to implement the action plan and submit a progress report to WHO. Step 4: Continuously seeking ways to stay connected to the network and build upon efforts; and WHEREAS, the plan will have eight domains of focus with the overarching goal of involving a series of policy, systems and environment changes and actions that ultimate ensure our community is inclusive and accessible to adults of all ages. The domains include: 1. Outdoor spaces and buildings 2. Transportation 3. Housing 4. Social participation 5. Respect and social inclusion 6. Civic participation and employment 7. Communication and information 8. Community and health system; and WHEREAS, the Age-Friendly Communities Initiative aligns with Objective 7: Advance Public Health Priorities, Action 29: Respect Our Elders of the City's Resilient 305 Plan; and WHEREAS, the Age-Friendly Communities Initiative provides a framework that prepares our community to best serve its aging citizenry and institutionalizes these efforts across service domains while aligning with and reinforcing its commitment to resiliency and the Resilient 305 Plan. NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, that the Mayor and City Commission hereby support the World Health Organization's Age-Friendly Communities program; approve and authorize the City Manager to submit an application to the AARP Age-Friendly Communities Initiative; and further authorize the Administration to proceed with the required planning phase of the application process. PASSED AND ADOPTED this 15th day of January, 2020. ATTEST: Dan Gelber, Mayor � 7 7 Z c3-w Rafael E. ranado city Clerk .... r Le, r C T� mss+..; •.. uRA IVSD` e 1 Ph APhROVED AS TO FORM&LANGUAGE &FOR EXECUTION City Attornew Date Resolutions -C7 G MIAMI BEACH COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Jimmy L. Morales, City Manager DATE: January 15, 2020 SUBJECT:A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, SUPPORTING THE WORLD HEALTH ORGANIZATION'S AGE-FRIENDLY COMMUNITIES PROGRAM; APPROVING AND AUTHORIZING THE CITY MANAGER TO SUBMIT AN APPLICATION TO THE AARP AGE-FRIENDLY COMMUNITIES INITIATIVE; AND FURTHER AUTHORIZING THE ADMINISTRATION TO PROCEED WITH THE REQUIRED PLANNING PHASE OF THE APPLICATION PROCESS. RECOMMENDATION The Administration recommends approving the Resolution. BACKGROUND/HISTORY Data suggests that if an individual reaches 65 years of age, it is likely this individual will live until 85. Miami-Dade County has the largest number of older adult residents in Florida (nearly half a million are age 60 or older), and that number is expected to double in the next 25 years. How well Miami- Dade responds to the aging phenomenon will depend on how well we prepare our convnunities to do so. The AARP Network of Age-Friendly Communities encourages states, cities, towns and rural areas to prepare for the rapid aging of the American population by paying increased attention to the environmental, economic and social factors that influence the health and well-being of older adults. This network is part of the larger World Health Organization (WHO) Global Network for Age-friendly Cities and Communities. The WHO Global Network for Age-friendly Cities and Communities (the Network) was established to foster the exchange of experience and mutual learning between cities and communities worldwide. The Miami-Dade Age-Friendly Initiative launched its Action Plan for an Age-Friendly Miami-Dade. The overarching goal of this plan and for the Initiative is to create a community for all ages, where older adults in Miami-Dade can stay active and healthy with dignity and enjoyment. The Action Plan was developed using a results-based accountability framework to guide the collaboration among the Miami-Dade Age-Friendly Initiative partner organizations, which include the AARP Florida, Alliance for Aging, Miami-Dade County, Health Foundation of South Florida, United Way of Miami-Dade and Urban Health Partnerships. Page 277 of 1618 Currently, there are more than 200 cities and counties in the United States that are listed as part of the network. Miami-Dade County joined the network in November 2016. The following Miami-Dade County communities are members of the network: ? Coral Gables(May 2018) ? Cutler Bay(March 2016) ? Miami (August 2018) ? Miami-Dade County(November 2016) ? Miami Lakes(June 2018) ? Miami Shores (November 2018) ? Palmetto Bay(March 2017) ? Pinecrest(July 2016) ANALYSIS Across the globe, people are living longer and populations are growing older. Miami-Dade has the largest population of older adults in the State of Florida with more than half a million older adults age 60 and over. This population is expected to continue to grow to more than 800,000 people by 2040, representing 25% of the County's total population (Source: Florida Population Studies: Population Projections by Age, Race, and Hispanic Origin for Florida and Its Counties 2015-2040 with Estimates for 2013, University of Florida, Bureau of Economic and Business Research). Unfortunately, most communities were not built for this shift in demographics. Our economies, policies, and communities were not designed to accommodate an aging population of this size or prepare it to age in place. Our response to this significant population shift will rely heavily on how well we prepare and engage all segments of our community including government, businesses and residents. Members of the Age-Friendly Communities Initiative commit to making their community more age-friendly by taking the following steps: Step 1: Entering the AARP Network of Age-Friendly Communities by submitting an application and a corresponding letter of commitment to the initiative's goals. Step 2: Conducting a planning phase that has four elements: a. Identifying the mechanisms to involve older people throughout the City's Age-Friendly effort; b. Conducting a baseline assessment of the City's age-friendliness; c. Developing a 3-year citywide plan of action based on the assessment findings; and d. Identifying progress indicators to enable the monitoring of the initiative's progress. Step 3: Implementing our community's action plan within two years of joining the network and submitting it to WHO for review and endorsement. Upon endorsement by WHO, our community would have three years to implement the action plan and submit a progress report to WHO. Step 4: Continuously seeking ways to stay connected to the network and build upon efforts. The plan will have eight domains of focus with the overarching goal of involving a series of policy, systems and environment changes and actions that ultimate ensure our community is inclusive and accessible to adults of all ages. The domains include: 1. Outdoor spaces and buildings 2. Transportation Page 278 of 1618 3. Housing 4. Social participation 5. Respect and social inclusion 6. Civic participation and employment 7. Communication and information 8. Community and health system The Age-Friendly Communities Initiative aligns with Objective 7: Advance Public Health Priorities, Action 29: Respect Our Elders of the Resilient 305 Plan. FINANCIAL INFORMATION There are no costs in the planning phase. CONCLUSION The Age-Friendly Communities Initiative provides a framework that prepares our community to best serve its aging citizenry and institutionalizes these efforts across service domains while aligning with and reinforcing its commitment to resiliency and the Resilient 305 Plan. Applicable Area Not Applicable Is this a Resident Right to Does this item utilize G.Q. Know item? Bond Funds? No No Strategic Connection Prosperity- Balance residents'quality of life with tourism and special events. Legislative Tracking Housing and Community Services Sponsor Mayor Dan Gelber ATTACHMENTS: Description D Age Friendly Action Plan o Resolution Page 279 of 1618 ,. .7' .St "444 . Oil\ 40 t ..--.( • - ,.. -. f /1 4 t .•••:•1 ..• --. ;;'Sr ••• -:.4!1111041,11,44 1• . • 4)0 J • .61-• -'. N• ---::. v ... .0 —0 ,,,-...-Igs-=. .V.?,:.•=- 4;...- 7_4,--nr., ::- • • . f . '.--..z_•_-, 'tz-1 - i' iiie :„. iiir . . . ..,..„c;:z...,............. .:7 --• .-- . ti .„ , . . ii.A =• ! • z . ec,: ; I T. • 40 i .ti-_'-':, , 7.1 t iir..„ 1.1 ,.., • _•. ' I , .. . i 110 , • ;. 3-- ., . Pt . Wilf.ht 41 ilk Mr . •11112111:‘H. . . I _1 v Illhilik".: 4 . 1 ......;; till . ifif i ••• /01.11.1.1.1 ALAI -• g 011111111° 1 . -. . • - 111.11111114 I ? r li 0 r • .1.., ' It .p. . ifiz i . t• /Mb • ,41 Action Plan for an Miami - Dade 21. 9 - Age - Friendly '..e" ; .. ' II . ., --: • ...., _ v. 4iii..4. .._.:,:.-- ..._.. ..•••,--,."-, -:;:f••' 11 0,0' .„..._,z .N... ,202...1..; . _ .. .4..z.:„... ..1•-•-, . M 011 I rfta. 'fr....•:-•''•. - -• . -Tr , . t•r II. • 111 _ • --•••-- • '', .••••11 r .,, .,. .. : .i. .. . .. _ ;?‘ i . 41,r 27. ' 7.- C' eiti ''-'• 7 Iliaz., '• .•_ ...7.- _. .. - ,..4. . • :. lk I s- ...- • _ -•..':'^ 1_— . . .4 - .. . -•1 .• .. . C %.t. .• . , "1/4., :. ,, ...i . .;• i * . ,,7.-A. . .,-• _ILA (/"(. r 1 1 • IL. AGE FRIENDLY `,....._......1 • . . • .. ,41AIK -- , . t.''' INITIATIVE IV. . . .. . ./ .•- L. 11 i 1 _ I zioi MOS• .0 ,....--T ••4 . ...i...'-- Q- 0 - .. .. 4-- ?f, fil • . .,. ..... ' I ; •!.:;.••1. .7 • ;Joie.., • • ....,.:) - , • •-. . i , ----. .,. Arlat• ..- .,*---""- • ._ .,,,,, ___.1 .... . • . 2, , i I; . .:. -- ':•i‘..- -- T-N .-• ',,t4 w „...... . :. 4 :.. .... _.......„ ; kr. - • 1.c. t - , ,. IV' • r 7 ' . .._ , -AR- ' [Action Plan for an Age-Friendly Miami-Dade] Acknowledgements The Miami-Dade Age-Friendly Initiative was developed in order to take advantage of the opportunities and meet the challenges presented by the growing number of older adults in South Florida. This Initiative would not be possible without the collective work and impact of supporters and partner organizations. We gratefully acknowledge the funding provided by the Grantmakers in Aging's (GIA) Community AGEnda through support from the Pfizer Foundation, which was crucial in the beginning stages of this project and helped us lay the backbone for sustainability of the initiative.Additional funding from Health Foundation of South Florida, United Way of Miami-Dade, AARP Florida, and HSBC has also helped support and expand the work being done. The Miami-Dade Age-Friendly Initiative has benefited at all phases from the guidance and collaboration from many agencies and organizations that came together with the common goal of shaping our community for all ages, the members of which we warmly thank for their donation of time, knowledge,and support: Lead Agencies AARP Florida Alliance for Aging Florida Department of Health in Miami-Dade Health Foundation of South Florida Miami-Dade County Miami-Dade Transportation Planning Organization United Way of Miami-Dade Urban Health Partnerships Leadership Committee Maria Alonso, President&CEO,United Way of Miami-Dade Aileen Boucle,Executive Director,Miami-Dade Transportation Planning Organization Laura Cantwell,Associate Director of Advocacy&Outreach,AARP Florida Anamarie Garces,CEO, Urban Health Partnerships Dr.Steve Marcus,CEO&President,Health Foundation of South Florida Max Rothman, President&CEO,Alliance for Aging Michael Spring,Senior Advisory, Miami-Dade County Coordinating Staff Ana"Teri"Busse-Arvesu,Senior Advocate, Office of the Mayor, Miami-Dade County Martine Charles, Director of Planning&Population Aging,Alliance for Aging Yasmin Dias Guichot,MS, MPH, Program Officer,Health Foundation of South Florida Mary Donworth,Group Vice President, Community Impact,United Way of Miami-Dade Victoria Funes,Associate State Director,AARP Florida David Henderson, Intermodal Manager, Miami-Dade Transportation Planning Organization Andrea Iglesias,Executive Director,Urban Health Partnerships Isabel Rovira,AFI Manager,Co-Founder&COO, Urban Health Partnerships Linda Schotthoefer, Director,Community Initiatives, Impact Team, United Way of Miami-Dade 2 [Action Plan for an Age-Friendly Miami-Dade] Stakeholder Advisory Committee Raymond Adrian, Unidad of Miami Beach Dana Kulvin,Miami Jewish Health Systems Francine Anderson, Miami-Dade County Lydia Lopez,Miami-Dade County Office of the Department of Cultural Affairs Mayor Teresita Ascanio, Miami-Dade County Sue Loyzelle,Town of Cutler Bay Adele R.Bagley, Miami-Dade County Steven Marcus, Health Foundation of South Florida Gretchen Bessing,Catalyst Miami Nenha Martin Young,United Way of Miami-Dade Santiago Bunce,Catalyst Miami Iveris L.Martinez, Fill Herbert Wertheim College of Ana 'Teri"Busse-Arvesu, Miami-Dade County Medicine, Department of Humanities, Health & Laura Cantwell,AARP Florida Society Daniella Levine Cava, Miami-Dade County Edeline Modestin, Miami-Dade County Office of the Commission,District 8 Mayor Carmen Centeno, Miami-Dade County Maria Nardi, Miami-Dade County Parks,Recreation Martine Charles,Alliance for Aging &Open Spaces Paulo Chaves,FIU, Herbert Wertheim College of Gabe Ochoa,YMCA of South Florida Medicine Natalie Pascarella,Miami-Dade County Luis Collazo,Town of Miami Lakes,Communities for Martha Pelaez, Health Foundation of South Florida a Lifetime G.Adriana Perez, College of Nursing and Health Olga Connor, Florida Department of Health in Innovation,Arizona State University Miami-Dade County Maria(Marilyn)Rams,AARP Foundation Yanira Cruz,National Hispanic Council on Aging, WorkSearch/Town of Cutler Bay Communities for a Sara J.Czaja, University of Miami, Miller School of Lifetime Medicine Lillian Rivera,Miami-Dade County Health Mary Donworth, United Way of Miami-Dade Department Mayra Dominguez,Angel's Potions Carlos Roa, Miami-Dade Metropolitan Planning Corky Dozier, Coconut Grove Arts&Historic Organization Association Ralph Rosado, Rosado&Associates Kamalah Fletcher,American Red Cross Max Rothman,Alliance for Aging Ramona Frischman,Gray Panthers of South Dade Isabel Rovira, Urban Health Partnerships Victoria Funes,AARP Florida David Saltman, Florida International University Shari Gantman,Health Foundation of South Florida Mari Saydal Hamilton, Miami-Dade County Anamarie Garces, Urban Health Partnerships Linda Schotthoefer, United Way of Miami-Dade Amanda Groski,United Way of Miami-Dade Jaclyn Schwartz,Florida International University Ali Habashi,University of Miami Ashley Snow,Rebuilding Together Miami Mari Saydal Hamilton,Miami-Dade County Michael Spring,Miami-Dade County Office of the Eric Hansen, Miami-Dade Parks, Recreation&Open Mayor Spaces Angelica Suarez, Miami-Dade County David Henderson, Miami-Dade Transportation Communications Planning Organization Enrique Vega Garcia,Pan American Health Maria Eugenia Hernandez, National Hispanic Organization/World Health Organization Council on Aging (PAHO/WHO) Susan Holtzman,Office of Commissioner Daniela Edgar R.Vieira, Florida International University, Levine Cava Department of Physical Therapy Barbara A.(Bobbie)Ibarra, Miami Coalition for the Noelene Westman,Gray Panthers of South Dade Homeless,Greater Miami Chamber of Commerce Peter Wood,Health Foundation of South Florida Andrea Iglesias,Urban Health Partnerships Kevin M.Kirwin,City of Miami Parks&Recreation 3 [Action Plan for an Age-Friendly Miami-Dade] Older Adult Advisory Committee Linda Alger Anush Dawidian Lillian May Silvia Anderson Debra Dawkins Ronald Ploude Sandy Bermeo Larry Dent Maria Rodriguez Daniel Brady, PhD Ramona Frishman Michael Salemn Barbara Byrne Haidar Hechem Islara Souto, MPH Enrique Chang Wendy Kirby Monica Val Jose Compel,Jr. Sid Lambersky Deborah Wilson Susan D'Agostino Dianne Lambersky Action Plan Work Group & Update The first version of this Action Plan was developed in 2015 by an Action Plan Work Group comprised of members of the lead agencies and Advisory Committee who met to discuss, research, and strategize on the issues related to older adults in Miami-Dade County and begin to draft a plan to take steps toward making Miami-Dade more age-friendly. This second version, updated in 2017, was developed based on the progress the advisory committees and working groups have made over the past two years, and is reflective of the results of the AARP randomized survey and the Miami-Dade AFI community survey of audits over the age of 50. It also includes input from the Lead Agencies, Coordinating Staff, Stakeholder Advisory Committee, Older Adult Advisory Committee and others. The Older Adult Advisory Committee was established in 2017 and played in important role in providing feedback on the plan. Members of the Older Adult Advisory Committee will continue to meet on a quarterly basis, to provide feedback and input on the initiative and help guide the work in order to ensure we are meeting the wants and needs of older adults in Miami Dade. These updates were made to address Miami- Dade's recent joining of the Network of Age-Friendly Communities to include indicators and updated strategies, resources and partners. In addition, due to the effects of Hurricane Irma in 2017, emergency preparedness has become an important focus and has been woven into this plan. 4 [Action Plan for an Age-Friendly Miami-Dade] Table of Contents o Introduction 6 o About the Miami-Dade Age-Friendly Initiative 6 o Accomplishments 6 o About the AARP Network of Age-Friendly Communities 9 o Background on Older Adults in Miami-Dade o Demographics 11 o Livability in Miami-Dade 12 o Age-Friendly Community Surveys 14 o Age-Friendly Emergency Preparedness &Response 20 o` About this Plan 22 o How the Plan was Developed 22 o Goal 23 o . Overview of the Eight Domains of Livability 23 o Priorities for this Plan 24 o How to use this Plan 26 o Priority Areas: Built Environment 28 o Domain 1:Outdoor Spaces and Buildings 29 o Domain 2:Transportation 34 o Domain 3: Housing 41 o Social Environment 47 o Domain 4:Social Participation 48 o Domain 5: Respect&Social Inclusion 51 o Domain 6:Civic Participation& Employment 55 o Domain 7: Communication&Information 59 o Domain 8: Community& Health System 62 o Next Steps 66 o Get Involved 66 o Contact Us 66 o Follow Us 66 o References 67 5 [Action Plan for an Age-Friendly Miami-Dade] Introduction •rte+.=•a eA, •:yY/ YS ,`i 4f • = - i 1111,W1 ,.+ About the Miami-Dade Age-Friendly Initiative Data suggests that if an individual reaches 65 years of age, it is likely this individual will live until 85.26 Miami- Dade County has the largest number of older adult residents in Florida (nearly half a million are age 60+), and that population is expected to continue to grow to over 800,000 by 2040, representing 25% of the total population of Miami-Dade County .29 How well Miami-Dade responds to the aging phenomenon will depend on how well we prepare our communities to do so. The Miami-Dade Age-Friendly Initiative is intended to make our community one that fosters a physical and social environment for older adults of all ages to stay active, engaged, and healthy with dignity and enjoyment. Now in its fifth year,the initiative continues to engage local partners across numerous sectors to consider the local successes, assets, needs and gaps present in our community. This initiative is a partnership between several agencies in Miami-Dade County and our lead agencies—AARP Florida, Alliance for Aging, Health Foundation of South Florida, Miami-Dade County, Miami-Dade Transportation Planning Organization, United Way of Miami-Dade and Urban Health Partnerships. Accomplishments Focused on building momentum, implementing strategies,and building awareness around the needs of our aging population,some of the Miami-Dade Age-Friendly Initiative's accomplishments include: AGE-FRIENDLY LEADERSHIP • An Advisory Committee has been developed and sustained throughout the Initiative. • The Miami-Dade County Mayor's Office has continued to pledge its support and be an important partner of the Miami-Dade Age-Friendly Initiative. • Seven agencies have signed on to be lead agencies of the Initiative, including AARP Florida,the Alliance for Aging, Health Foundation of South Florida, Miami-Dade County, Miami-Dade Transportation Planning Organization, United Way of Miami-Dade,and Urban Health Partnerships. 6 [Action Plan for an Age-Friendly Miami-Dade] • A pledge was developed for local leaders to sign-on to make their communities more age-friendly that was promoted by Miami-Dade Mayor Carlos Gimenez(Mayor's Challenge). • An Older Adult Advisory Committee has been established and engaged. AGE-FRIENDLY ACTION PLAN • A multi-sectorial work group was developed and included interested individuals from all lead agencies as well as other representatives from the Advisory Committee to assist with the development of the action plan. • An Action Plan for an Age-Friendly Miami-Dade was developed and launched. • Three initial priority areas for the Initiative were identified including: built environment portions of the Age-Friendly Domains of Outdoor Spaces&Buildings,Transportation,and Housing. • Two surveys were conducted in the community to understand its needs and update the Action Plan based on results. AGE-FRIENDLY PARKS • A county-wide age-friendly park designation process was developed. • Specific age-friendly capital improvement projects have been identified and added to a fist for future funding by Miami-Dade County Parks. • A marketing campaign was designed and implemented to attract larger numbers of older adults to County parks; increased older adult programming in parks has been offered. • An Age-Friendly Parks Toolkit was developed to help other communities implement similar age-friendly parks standards, policies,and programming. • The Initiative collaborated with the Association in Gerontology in Higher Education's Age-Friendly Design Committee to plan a design charrette with Miami-Dade's Underline. Results will be used to inform the Coconut Grove Station's planning and design process. AGE-FRIENDLY POLICY • Miami-Dade County Planning staff reviewed and accepted recommended age-friendly changes to the County's Comprehensive Development Master Plan (CDMP)in the Transportation,Community Health and Design and Land Use elements. Recommended age-friendly changes to CDMP,were unanimously approved by the County and State,and were adopted by the Miami-Dade Board of County Commissioners in 2015. • The County's Long Range Transportation Plan (Plan 2040)was modified to include specific objectives, measures and transportation analysis with an increased focus on older adults.The LRTP was approved in October 2014 with inclusion of these modifications. • The Miami-Dade Transit 1OAhead Transportation Development Plan Steering Committee was provided with a series of recommendations for older adults.The Plan's goals,objectives and outreach tactics and the planning process has benefited from an increase in input from older adult residents. • A toolkit designed to assist state and local governments solicit input from older adults on large-scale public sector transportation projects was developed. • The Miami-Dade Transportation Planning Organization Governing Board passed a resolution in February 2016 to promote age—friendly projects and design where feasible and to partner with the Miami- Dade Age—Friendly Initiative. • The Initiative helped to ensure that Miami-Dade County's Complete Streets Design Guidelines considers and incorporates older adults. • Developed an Older Adults in All Policies Model Resolution for use by municipalities and organizations to ensure older adults are considered in all efforts,policies,and plans. 7 [Action Plan for an Age-Friendly Miami-Dade] • The Initiative testified at a hearing for the Special Committee on Aging of the United States Senate in order to share accomplishments and advocate for Age-Friendly communities to combat isolation. AGE-FRIENDLY AWARENESS • A Study on Community Leader Attitudes Toward Issues Affecting Older Adults was commissioned and completed by Bendixen &Amandi International. • Miami-Dade's first Age-Friendly Summit was planned and held in May 2015 for over 150 attendees including elected official, civic leaders, and business leaders to bring attention to the need for a focus on needs of older adults. • Met with the Editorial Board of the Miami-Herald to discuss issues related to aging in Miami-Dade County and the need for attention toward age-friendly changes in the community. • Three discussion groups in different Communities in Miami-Dade were held to understand older adults'experiences aging in Miami Dade County, with particular attention to three priority areas: Housing,Transportation, and Parks/Outdoor Spaces and to develop three"stories"or testimonials from older adults in Miami-Dade County that can be used in future discussions of issues with community leaders in Miami-Dade County. • Held three community workshops related to the initiative's priority areas: Age-Friendly Housing, Parks, and Transportation, which were well attended and received. A total of 108 individuals attended the three workshops collectively. AGE-FRIENDLY NEIGHBORHOODS • The Safe Routes to Age in Place(SRTAP) Initiative was launched to help empower older adults and Little Havana residents to recognize needs and help identify changes to improve safety within their neighborhood. • The Little Havana Safe Routes to Age in Place Virtual Advisory Committee was developed to provide ongoing input to the Florida State Department of Transportation Little Havana Pedestrian Safety Study. • The paper"An Audit of a Diverse Community for Safe Routes to Age in Place: Environmental Policy Implication, "which was based on Phase 1 of our initiative's work, was accepted for publication in the Journal of Gerontological Nursing for the Public Policy Section and appeared in the March 2015 issue. • Collaborated with Enterprise Community Partners to plan and host an Aging-in-Place Housing Design Charrette in Miami-Dade County. Results will be used to inform the planning and design process of two new developments in Miami-Dade County. • The Initiative collaborated with AIA Miami and the Consortium for a Healthier Miami-Dade for its FIT CITY conference in 2018 promoting Age-Friendly Active Design. AGE-FRIENDLY BUSINESS • The Greater Miami Chamber of Commerce,South Florida Workforce,and other local employers have been engaged related to how we as a County can increase employment opportunities for older adults; two"older adult employment"promotional videos have been created and posted on the Web. • An Age-Friendly Business District(AFBD)was developed in Little Havana where more than 25 businesses within a quarter-mile of the target location have provided purchasing incentives for older adults to walk every Tuesday to their stores. • The AFBD was promoted through sites in Little Havana to recruit more patrons as well as evaluate use and response. • An Age-Friendly Business District(AFBD)Toolkit was developed to help other communities implement similar business districts and age-friendly businesses. 8 [Action Plan for an Age-Friendly Miami-Dade] • Age-friendly issues and priorities were successfully injected into the goal-setting discussions of key Committees for the Greater Miami Chamber of Commerce by leveraged relationships with the Greater Miami Chamber of Commerce at goal-setting workshops of three key committees. AGE-FRIENDLY DESIGNATION • Garnered support from Miami-Dade County and partners to join the Network of Age-Friendly Communities and assisted Miami-Dade County in applying for and being accepted into the network. • Miami-Dade County officially joined the AARP and WHO Networks of Age-Friendly Communities becoming the fifth largest community in the United States to join the Network. • Secured Miami-Dade a spot as one of the 10 cities to be included in the AARP National Age-Friendly Survey for 2017. • February 22, 2017 was named "Age-Friendly Day" in Miami-Dade County in honor of Miami-Dade joining the Age-Friendly Network. • Four additional municipalities within Miami-Dade County have committed to joining the network of age- friendly communities including City of Miami, Village of Cutler Bay, Village of Palmetto Bay, and Village of Pinecrest. About the AARP Network of Age-Friendly Communities Due to the groundwork laid by the collaborations between Miami-Dade County and the Miami-Dade Age-Friendly Initiative, in 2016, Miami-Dade County appliedi),n,�.•1i r^r;.,f for and was accepted into the AARP Network of Age-Friendly Communities. Upon ` • joining the network, Miami-Dade became the fifth largest community in the �� 41 United States to join. ` 'A*:: �ttt — The AARP Network of Age-Friendly Communities is an affiliate of the World Health ` `sO t - v 1 Organization's Age-Friendly Cities and Communities Program, an international effort launched in 2006 to help cities prepare for rapid population aging and the parallel trend of urbanization. AARP became the United States affiliate in 2012. Since then, nearly 200 communities in the U.S. 0-Vg-4, have joined the network representing millions of people. Joining "/j 40.... WHO Global Network the network means that Miami-Dade's elected leadership has ,; 7/yr.'. for Age-friendly Cities committed to ensuring Miami-Dade becomes a place for older ;�i► and Communities adults to age in place. It also means that the County has entered into the program cycle of continuous planning, implementation, and evaluation. Once a community has joined the network,the steps of the cycle include: PLANNING PHASE(Year 1-2) November 2016—October 2018 - Establishment of mechanisms to involve older people throughout the Age-Friendly community cycle - A baseline assessment of the age-friendliness of the community. . - Development of a community-wide of action plan based on assessment findings(this plan). - Identification of indicators to monitor progress. 9 [Action Plan for an Age-Friendly Miami-Dade] IMPLEMENTATION&EVALUATION(Year 3-5) November 2018— October 2021 - On completion of the planning phase, the action plan will be submitted to the WHO for review and endorsement. Upon endorsement by the WHO, cities will then have a three-year period of implementation. At the end of the period of implementation, cities will be required to submit a progress report to the WHO outlining progress against indicators developed in Phase 1. CONTINUOUS IMPROVEMENTS(Year 5+) October 2021 and Beyond - Upon completion of the implementation and evaluation phase,cities will be able to continue their membership to the Network by entering into further implementation cycles including continuous evaluation and improvement. This Action Plan was updated in order to meet the needs and requirements of the continuous process of the Network of Age-Friendly Communities and be a springboard to the continued age-friendly work in the County.' 10 [Action Plan for an Age-Friendly Miami-Dade] Background on Older Adults in Miami-Dade County Demographics Miami-Dade County is the most populous county in Florida,and according to 2015 American Community Survey Estimates has an 2,639,042 residents. It also houses the largest population of older adults in the state. More than 26%of the population in Miami-Dade County is 55 and older and nearly 15%of the population is 65 and older with the age ranges as described below30: o 303,017 are between 55 and 64 years old o 337,545 are between 65 and 84 years old o 55,929 are 85 years and older Over half a million (535,875)older adults aged 60 and older live in Miami-Dade.An estimated 393,474 (approximately 15%of total population) individuals living in Miami-Dade County are 65 years and older,where 58.4%are female and 41.6%are male. 65.6%of the population is Hispanic or Latino(any race).30•Additional demographics from the estimates are as follows: Household Type Out of the estimated 842,143 households in Miami-Dade, 197,044 are households with individuals 65 and older: o 55.7 are family households o 39.6%are Married couples o 12.4%are female householders with no husband present and a family o 44.3%are non-family households o 40.8%are householders living alone Housing Owner occupied housing cost as a percentage of household income in the past 12 months Out of the estimated 134,652 owner occupied units o 58.3%spend less than 30%of annual income on housing o 41.7%spend 30%or more of annual income on housing Rent occupied housing cost as a percentage of household income in the past 12 months Out of the 62,392 rent occupied units o 35.6%spend less than 30%of income on housing o 64.4%spend 30%or more on housing Disability Status Out of the estimated 386,640 non-institutionalized older adults aged 65 and over o 35.0%are living with a disability o 65%have no disabilities Employment Status Out of the estimated 393,474 older adults age 65 and over o 15.6%(approximately 61,382) are in the labor force including: • 11 [Action Plan for an Age-Friendly Miami-Dade] • 14.5%employed • 1.1%unemployed o 84.4%are not in the labor force Economic Status&Cost Burden Of the 386,640 older adults living in the County age 65 and over - 21.5%are below 100 percent of the poverty level • - 16.5%are at 100 to 149 percent of the poverty level - 62%are at or above 150 percent of the poverty level Livability in Miami-Dade According to the AARP Livability Index as of 2015, Miami- - r Dade County's livability score is 48 out of 100 with 50 (48\ • representing the average and 100 representing a most livable score.26 AARP Public Policy Institute developed the Livability Index as a web-based tool to measure • community livability with seven major livability - categories. Miami-Dade ranks as follows in each of the • categories: •- o Housing:49 - , o Neighborhood:58 - o Transportation:58 • . • o Environment: 54 o Health: 55 • o Engagement:34 - o Opportunity:32 • It is important to make Miami-Dade livable•for all ages and to continue to work to meet the needs of older adults. In order to achieve this,support at the county and local municipal levels is needed. Miami-Dade County Mayor Carlos Gimenez is committed to advocating for the most vulnerable members of our community and making a difference in their lives. There is still a need to showcase that the needs of children and older adults are not mutually exclusive and that we can create a community that is livable and enjoyable for all ages. With the support of our leaders and an interest for change, it is more important than ever to engage older adults and empower them to work together with community organizations to build a more inclusive, livable community. Livability Among Miami-Dade's Municipalities The following tables outlines the Livability scores from the AARP Livability Index for all of Miami-Dade's 36 municipalities. According to the Index, City of Miami, City of Miami Beach, and City of West Miami had the highest scores in the area, 55, which is just above average.The lowest rated in terms of overall livability was in Golden Beach, 44. Because the scores are based on averages and compare to one another, although Golden Beach scored high in other areas, one area that may have contributed to the lower average score overall was the higher property costs in the area. 12 [Action Plan for an Age-Friendly Miami-Dade] Livability by Municipality, Miami-Dade County,2017 Municipality Overall Housing Neighborhood Transportation Environment Health Engagement Opportunity Aventura 49 51 56 64 55 61 33 24 Sal Harbour - 45 49 57 67 37 56 30 22 Bay Harbor 52 54 60 65 65 56 30 33 Islands _ Biscayne Park 50 41 62 65 65 54 _ 30 35 Coral Gables 49 37 62 63 54 64 35 29 Cutler Bay 49 45 60 55 60 54 32 34 Doral 45 41 55 50 53 54 37 30 El Portal 50 42 62 56 57 67 32 36 Florida City 49 57 58 56 64 50 _ 30 28 Golden Beach 44 21 50 56 39 61 38 39 Hialeah 52 56 65 60 55 56 36 34 Hialeah 49 52 60 52 53 57 36 35 Gardens Homestead 47 56 54 50 57 52 30 30 Indian Creek 45 19 58 54 63 56 30 36 Village Key Biscayne 47 36 59 65 46 61 30 33 Medley 48 64 57 51 46 54 , 34 27 Miami 53 59 67 69 54 53 37 32 Miami Beach 53 55 64 75 52 63 36 27 Miami 49 36 65 59 35 51 55 46 Gardens Miami Lakes 47 44 57 49 52 _ 57 35 37 Miami Shores 49 34 60 _ 63 58 57 36 34 Miami Springs 50 44 63 62 52 54 37 35 Miami-Dade 48 49 58 58 54 55 34 32 County North Bay 49 54 59 63 42 58 38 26 Village North Miami 51 52 63 63 59 51 35 35 North Miami 51 51 63 67 56 51 34 35 Beach Opa Locka 48 46 47 49 54 48 55 37 Palmetto Bay 46 30 54 52 59 61 31 35 Pinecrest 46 26 55 55 57 61 32 34 South Miami 52 45 62 64 55 63 38 33 Sunny Isles 48 58 55 67 44 57 32 25 Beach Surfside 48 49 57 72 41 56 30 33 Sweetwater 53 59 67 68 50 54 37 35 Virginia 48 53 55 61 43 54 38 34 Gardens West Miami 51 52 65 66 53 54 35 32 13 [Action Plan for an Age-Friendly Miami-Dade] Age-Friendly Community Surveys In 2017, two surveys were conducted to understand the current age-friendliness of Miami- Dade County as well as to help identify needs and areas of urgency for the County. This data was analyzed and utilized to help develop indicators as well as to identify areas of focus for the Action Plan and strategies moving forward. AARP Research Age-Friendly Community Survey,Miami-Dade County,50+4° AARP conducted telephone interviews with 525 residents ages 50 and older in Miami-Dade County. Survey respondents were asked to rate their community on 63 characteristics across the WHO 8 age-friendly domains. They were given a rating scale of excellent,very good,good,fair,or poor. The results from the study were weighted by age, gender, race, ethnicity, and AARP membership to reflect the distribution of residents ages 50 and older living in Miami-Dade County. The margin of error for the complete set of 525 interviews is±4.3%. This means that if 95 out of 100 samples of this same size and population were given the same survey,the responses to the questions would fall within a range of plus or minus 4.3 percentage points of what would have been obtained if every resident age 50 and older in the sampled area were asked the same questions. The top-rated community features centered around the Community & Health Care and Transportation and Housing domains,with easy-to-read traffic signs and well-maintained hospitals and health care facilities topping the list. These were followed by other health care domain items concerning a variety of respectful and helpful hospital and clinic staff. Miami-Dade County residents also rate their community highly on having well- maintained homes and properties. The Civic Participation & Employment domain dominates the list of the most low-rated community features along with one item in the Housing domain. Miami-Dade County residents age 50+ cite all four employment features asked about in the survey among the list of the most low-rated features.These features center around having flexible job opportunities for older adults and policies to ensure people can continue to work as long as they want or need to. Another area for improvement according to Miami-Dade County residents is having more affordable housing options in their community. The majority of Miami-Dade County residents age 50+believe their community is a good place to age and want to live there independently for as long as possible. Residents age 75 and older are more likely than younger residents to say that staying in their community as they age is extremely or very important. The following pages depict infographics produced by AARP Research showing additional results from the survey. 14 [Action Plan for an Age-Friendly Miami-Dade] Livability for All in Miami-Dade County, FL -. "- .,. `: "-, k _.., ,�:•.(° _ -r 5 •;7/' :;...', _.pt: .!' s 5{ •i E` 'a ..%2-iP.' .i:•: g4:4-: .s.:. 4 ti,„, .., ,,,,-„,,. Mi i❑D❑ ,l. p l r": of residents are ., I SOLD ' ; t. 'of residents want to —. ! live in an area that has a ;-- � concerned about their f• �`'i ! ` • 6 `I �.'*.* personal safety and security '�. .' --i, lower cost of living Residents Are:More Likely to. Did You Know? 60 - 56% f� 50 - - 19 is the average amount of time e , !' community residents age 40- EprS. Y— =_ 50-plus have lived in their 30 - 29% homes 20 - 13% 10 - is the average amount of time 24 . community residents have o Stay in current Move to a Move into a i y drS resided in their communities home and different different home in never move community their community Community Information C58%of residents age -`-•`. of residents ' ; of residents hove C68% 50-plus own . #currently live in a 30% ; lived in their 68/ their own home single family community for <r home over 30 years Community Insights flik" rate their community of residents soy . of residents say 0 as on excellent,very QY.. remaining in their a 's' remaining in their -L 6/0 '_ !good,or a good 68°/0 current home is 65/o ,,i current community ` , fp place for people to •_. -' extremely or very ' . . --4`;,---- is extremely or very live as they age important important 15 [Action Plan for an Age-Friendly Miami-Dade] le Housing 24%of residents say they need to make major repairs,home modifications or changes Top 2 Features %e.thawrygood Bottom 2 Features ..far,vo« `": Well-maintained homes& housing options for adults of properties t • : varying income levels .41 Seasonal services for low-income • •;. Well-maintained,safe low-income levels and older adults • & balm 59%of residents walk or bike within their community Top 2 Features %o Bottom 2 Features %kiw 46% Safe and accessible sidewalks 36% Neighborhood watch programs 45% Well-maintained parks 34% Enough benches in public areas _ . . U P Transiortat on 32%of residents say they use public transportation Top 2 Features x V Bottom 2 Features %lar 55% Easy to read traffic signs 29% Timely public transportation 48% Well-maintained streets 28% Accessible and convenient public transportation • • Top 2 Features * 04 Bottom 2 Features %wrists 38% Free access to computes and Internet in 34% Clearly*Played printed communtly pulik places lidannalionwithlargelettering 3-401- cin`nunhy amatian that is auOUbble 34% information with �C ad mohoty in languages to for-those with*mad 16 Action Nan for an Age-Friendly Miami-Dade] '. • Community & Health Care f 42%of residents say they consider their health to be excellent or very good Top 2 Features xrysood Bottom 2 Features vektPoor 54°% Well-maintained hospitals and health 27% Affordable home care services care facilities ° Respectful and helpful hospital and clinic o A service that helps seniors easily /o 26•° navigate the health care system 2 7 Civic Participation & Employment 31%of residents say they are employed full-time Top 2 Features %-ekni.y9.4 Bottom 2 Features Va:t° 22% Opportunities for older adults to participate 45° A range of flexible job opportunities for in decision making bodies older adults 20% A range of volunteer activities to choose from 4Q% Policies that ensure older adults can continue to work regardless of their age f Part�tatJion,meet & Incl 86%of residents say they are in contact with family,friends or neighbors weekly Top 2 Features terderaiverf goad Bottom 2 Features s faiVeor 32% Conveniently located entertainment venues 35% that are affordable to all residents 31°fa f A variety of cuural activities for diverse 3 3% Activities geared oeraspecifically towards populations s Source1017 AARP Age-f nrndly Community Surv(y of tvlinmr Dade Cntinry.t l IP Residents:Age 50• for more information.contoct.Joann(Burette.AARP Reseorcf. lam. lbinettriii Llflrp.orf j r Qtr(1'ws.1--,a A w-wwaorp org AgeFriendlyCommunirics httpsdor org 10 26419'res 00055 01h 17 [Action Plan for an Age-Friendly Miami-Dade] Miami-Dade Age-Friendly Initiative Short Community Survey, 50+as To add to the research conducted by AARP Research, the Miami-Dade Age-Friendly Initiative also developed a short survey that looked broadly at each domain of livability and surveyed an additional 1128 individuals age 50+ who reported living in Miami-Dade County via convenience sampling through paper and online surveys. These were distributed and collected through leveraging partnerships through the initiative, through distribution at senior centers, and through the help of community liaisons. The sample size of 1128 individuals surveyed represent a 2.9%statistical error at the 95%level of confidence. The respondents were asked questions related to each domain of livability and were asked how important each domain was as well as how they would rate the current status in the community. We used this information to develop an urgency matrix Urgency Matrix Conceptualization for domains.The areas that moved to the top of the list were related to: Poor Fir Good Very Clad EmsONO Housing - Employment swoxiant ',: a - Community Support& Health System r Somolig - Transportation. imprtm In addition to looking at the urgency overall throughout TT Not aN • Miami-Dade County, the urgency was looked at by ' " Commission district. Every district included Housing as an urgent need.Other urgent areas identified also matched those in Miami-Dade overall relating to employment, transportation, and community health and supportive services. This is not to say the other areas are not important, but the areas above were at the top of the list due to needing urgent attention. Other areas, such as Outdoor Spaces & Buildings,that are at the bottom of the urgency matrix are also very important and are likely less urgent due to the work that has already been accomplished in this area such as the Miami-Dade Parks, Recreation,and Open Spaces Department's Active Older Adults programming and senior-friendly hubs. In addition to the overarching questions that were posed to the respondents, they were asked for qualitative feedback. Some of the overarching themes there were found in their responses and concerns included: - Concerns with lack of reliable transportation options and connections to transit - Lack of affordable and progressive housing options - Limited availability of and/or information on activities and resources in the community - The need for pedestrian infrastructure and safety features - Improvements needed in terms of social inclusion and opportunities to be social - Concerns with the overall cost of living in Miami-Dade - Challenges finding employment as older adults - The need to include older adults in all planning and decision-making process and ensuring that opportunities for input are at convenient times and places The following pages highlight some of the results of the short survey including responses related to each domain of livability and the urgency matrices developed for Miami-Dade. 18 [Action Plan for an Age-Friendly Miami-Dade] How important is it for you to have the following in your community? a. Safe and enjoyobto parks.places and a...ridings for you to live and be octmo. '.. . ".........til!. ..:S; gf.-. b. Reliable.accossible and sole MrIIII. .'i'.. • xi.= ••• ia '• -4 • transportation options for you to get around ' .j,;'• _-:• .• ;•,.7y, , fOx Illi . c Housing tffble hat is aordaOCCOsSible. 1111=111MNE ' . ne ,-. ;-,: -, - •i% .:•: .. .../.1.: oadoptod to your needs fi. . --- • -• _. .. . I' a. A wide range of opportunities for you to • ' bo social and interact with your neighbors IIMIII.. -''::;•••• '' '4210... ' • XII 115% and community. o A some that oldor adults aro welcomed 1111.111111111111111t. _.. . .,.. r i f. :•:. ••••••-:,1 18% II% and valued in all settings. f A wide range of employment and entrepreneurship opportunities :7,i.i.-T4—.'',..0.7117',',. .....--- 122 111 g. Opporboxtios to get involved in your local government and advocate for issues you IIIIIIIIIIIt: ''fMij%li'.'.;z';;': .ir 18% 111.5% core about Pt Access to information about services and •;...'i,;„...,::r. .. t...,...:- , 4,2,. MOpportunities7., . i20% S 1 Quality hearth care ana convnunrty '', .:-'4,..t.r.... . _-'7'..A.' i.-;i4i,';;• : 12% Posed wanness and supportive services. 1.111111111.1.-.••• '1r,i.• --77— •v '747.• - /V No rusponse •Not at CAI important 111 Not very important Somewhat important Very important •Extremely important How would you rate the following CURRENTLY in your community? • a. Safe and enjoyable parks.places and AEI ,:_ .2.1111' 6% buildings for you to live and be active. Ts!. „ ...t.777-77.. . • b. Reliable.accessible and safe ion ...:.... . :. .„. ,• ...,,,,- transportation options for you to get ,,•alauc-,•-..?. 29% Millill 596 around. c. Housing that is affordable.accessible. lilt VIC • 26% MENEM. 7% and adapted to your needs. d. A wide range of opportunities for you • 4.,i4.:. %"-.--41', to be social and interact with your-Ill .':'.4Aglik, A 27% MEM.6% !..1. neighbors and community. e. A sense that older adults are .... ., iii:::. 28% MIMI 8% welcomed and valued in all settings. f. A wide range of employment and .:,,;i i.1,..T.: 24% 9% entrepreneurship opportunities g. Opportunities to get Involved In your local government and advocate for issues-1111 -A1 41116- " : ,' 28% agall.1 a% you care about.h. Access to information about services11.11:'::1014T:••! 20% 0% and opportunities. I. Quality health care and community Slic,: Y.-.:. 216% EE= 8% based wellness end supportive services. No response •Poor 0 Fair Good : Very Good • Excellent 19 [Action Plan for an Age-Friendly Miami-Dade] Urgency by Domain for Miami-Dade County Domain Description -, 0 HOUSING Housing that is affordable,accessible,and adapted to your needs. iii CIVIC PARTICIPATION& range Awide of employment and entrepreneurship opportunities. 0 , . COMMUNITY SUPPORT&HEALTH Quality health care and community based wellness and supportive SERVICES services(senior centers,etc). 0 TRANSPORTATION Reliable.accessible and safe transportation options for you to get around Including walking.biking,transit,as well as driving. 0 •RESPECT&SOCIAL INCLUSION A sense that older adults are welcomed and valued in all settings. Ne COMMUNICATION&INFORMATION Access to information about services and opportunities. 0 ' SOCIAL PARTICIPATION A wide range of opportunities for you to be social and interact with your neighbors and community. iiii CIVIC PARTICIPATION& Opportunities to get involved in local government and advocate for EMPLOYMENT issues you care about. 0 OUTDOOR SPACES&BUILDINGS Safe and enjoyable parks.places and buildings for you to live and be active. Age-Friendly Emergency Preparedness & Response In 2017,Miami-Dade County felt the effects of Hurricane Irma,which was reported to be ibi the"strongest Atlantic basin hurricane ever recorded outside of the Gulf of Mexico and the Caribbean Sea.i46 The aftermath of the storm and recovery shed a light on some of the efficient processes already in place as well the need for more communication and coordinated efforts among all agencies and disciplines in order to address needs as they arise for residents of the County. Of important note were eight senior residents of a nursing home who died after the storm in a neighboring County due to complications from being in a building with no power or air conditioning for several days.47 Older adults have been found to be more vulnerable and more likely to die as a result of a disaster than other groups as As a result of this and due to recent events that brought this closer to home,the Miami-Dade Age- Friendly Initiative has added Emergency Preparedness&Response as an overarching goal to its work..An age- friendly community can support emergency preparedness.As such,Age-Friendly Initiative and its partners are poised to support and help bring additional value to the County's ongoing efforts. 20 Action Plan for an Age-Friendly Miami-Dade] Looking at Emergency Preparedness&Response from an age-friendly angle shows that an age-friendly community can help support preparedness and response in times of disaster:49 0 , Domain 1:Outdoor Spaces and Buildings: o Public spaces and buildings are accessible to residents and make them feel welcome in any situation o Mixed-use communities with resources in walking distance that make it easier for people to get around and get what they need after a storm R Domain 2:Transportation o Transportation that can help residents evacuate is accessible and available in time of need o Transportation that allows emergency response, supplies, and other resources to arrive safely to the community is available and accessible O Domain 3:Housing o Structures that are built to protect residents and withstand hurricane-force wind and flooding o Resources to adapt and protect homes from hurricane-force wind and flooding eira) Domain 4:Social Participation o Community residents and organizations are poised to volunteer to aid older adults and other vulnerable populations after a disaster o Community residents know what to do before, during and after to support the community O Domain 5:Respect and Social Inclusion o The community is supportive of older adults and efforts to prioritize their needs, recognizing the need to aid more vulnerable populations and the value they bring to the community o Municipalities, organizations, buildings, and businesses have emergency preparedness plans that include and consider older adult needs Domain 6:Civic Participation and Employment lid a Older adults are empowered to aid in emergency preparedness and to advocate for their needs 0 Domain 7:Communication and Information kis o Older Adults have access to and can stay connected to the community,friends and family, both near and far in an emergency o Older adults and their caregivers have the information they need to be prepared in the case of an emergency and if in need of response after a storm o Organizations are aware of resources and communications through the Emergency Operations Center and opportunities to help in preparedness and recovery efforts O Domain 8:Community Support and Health System o Older Adults have a plan for care during and after the storm and have access to the resources that they need during these times. This vision for emergency preparedness and response across all domains of livability are in line with the overarching vision of the Age-Friendly work of the Initiative and will play an important role in future work. 21 [Action Plan for an Age-Friendly Miami-Dade] About the Action Plan ( .1t ��f1. 1Y /ai Y4çu4L.. -;" PRC'f:a.,•�'i _. v -jii :iiit;1 - V' T _ - •C: . . ! -14.-, .:-1 this '_ __• -Ira 4. (16. hI '* • • - ,` �-7/7 • --4 e. -is ..• -7 --- j - .: ._ C_ '_... •• r o L -r How the plan was developed This action plan was developed using a Results-Based Accountability(RBA)framework to guide the collaboration among the partner organizations in the step-by-step decision-making process towards reaching a Collective Impact 3'4. This framework is based on the use of a common agenda, a shared measurement system, mutually reinforcing activities, continuous communication and a backbone support organization; all of which are important in achieving collective success in the design,implementation and evaluation of the plan 3,a The RBA model is a disciplined way of thinking and taking action used by communities to improve the lives of children,families and the community as a whole. It is also used by agencies to improve the performance of their programs. RBA was chosen because it facilitates moving from talking to action, helps groups to surface and challenge assumptions that can be barriers to innovation, builds collaboration and consensus, and uses data to ensure accountability for both the well-being of communities and the performance of programs. Two key RBA principles include: (1) starting with ends, working backwards to means, and (2) ensuring data- driven, transparent decision-making. From November 2014 to June 2015,the Age-Friendly Initiative Action Plan Work Group met to implement the RBA process and develop this plan. Data was collected and reviewed and strategies were developed for implementation. Those strategies and projects that will be implemented in the next phase of the initiative will complete the RBA process by developing performance measures and continued data collection. Follow up on results and data collected will be incorporated in order to measure progress. This plan was initially developed to be a 5-year action plan to be reviewed and updated continuously to identify priorities for the following year. The plan will be used to guide the strategies and goals being implemented by the Age-Friendly initiative. It is also meant to allow local municipalities to use its contents to help guide prioritization and planning within their own communities. In June 2015,as a first step to this multi-year plan,the Action Plan Work Group met to identify and determine the priority areas that would be the focus of the first year of the plan's implementation.These are outlined in the following section. In 2017,this plan was updated to add indicators to the strategies and actions already identified and to meet the standards of the AARP Network of Age-Friendly Communities process. 22 [Action Plan for an Age-Friendly Miami-Dade] Goal The overall goal of this action plan and for the initiative is to: Create a community for all ages, where older adults in Miami-Dade can stay active, engaged, and healthy with dignity and enjoyment. This vision was continuously referenced as the action plan was developed. During the very early stages of the RBA process,the work group decided that the best way to approach the action plan was to develop strategies in line with the WHO's eight domains of city life and livability. Overview of the Eight Domains of Livability "An age-friendly city is an inclusive and accessible urban environment that promotes active aging"' To encourage world cities to plan for aging as an integral part of planning the built and social environment, the World Health Organization (WHO) initiated a global, collaborative initiative in 2005 to identify the key features of an "age-friendly" city that would be meaningful to communities around the world. Based primarily on the experiences of older adult residents, this set of age-friendly urban features provides a framework to guide a city's self-assessment and serve as a tool for community advocacy.6The model for an age-friendly community includes multi-sector involvement and incorporates all aspects of the natural, built,and social environment.6 The WHO's eight domains of city life are interconnected and together impact the health and quality of life of older adults. The eight domains can be broken down into aspects of the built environment and social environment as outlined in Figure 1. Figure 1. Domains of an Age-Friendly Community:Built and Social Environments Transportation Outdoor Spaces Housing & Buildings BUILT ENVIRONMENT SOCIAL ENVIRONMENT AGF-FRIENDLY Respect& COMMUNITY Social Social Inclusion Participation Civic Participation WIID 0 Community& &Employmentqklb Health Services Communication &Information Adapted from:Suzanne Garon, University of Sherbrooke 23 [Action Plan for an Age-Friendly Miami-Dade] Built Environment Domains 1. Outdoor Spaces and Buildings: Outdoor spaces and buildings and parks should be clean, have enjoyable natural surroundings and green spaces, provide proper pedestrian infrastructure including even, and unobstructed sidewalks, and plenty of crosswalks. These are places where community members can interact, engage with one another and be physically active,and are important backbones of the environment in which we live. 2.Transportation:The ability to easily access transport is vital to independent living;transportation is one of the most important components of active aging. The availability of different options of affordable public transportation for all older adults is essential and affects all other aspects of livability. 3. Housing: Housing is another factor that affects the quality of life older adults will have. The availability of multiple affordable housing options located close to services and facilities is an important characteristic of an age-friendly community. Social Environment Domains 4. Social Participation: Social participation and social support are strongly connected to good health and well- being throughout life. Participating in leisure,_social, cultural and spiritual activities in the community and with the family, allows older adults to continue to exercise their competence, to enjoy respect, and to maintain or establish supportive and caring relationships. It fosters social integration and is the key to maintaining a good quality of life. 5. Respect and Social Inclusion: Respectful and inclusive public and commercial services and products adapted to seniors' needs and preferences are also important. Additionally, older adults should be recognized as important contributors to the community and be included as full partners in community decision-making that affects them. 6. Civic Participation and Employment: Age-friendly communities have multiple employment and volunteer opportunities that are tailored to their needs and interests, allowing older adults to remain active and socially connected,fostering health,good sense of well-being and overall quality of life. 7. Communication and Information: Effective communication is also an important feature of age-friendly communities both by providing information to older adults about how they may be able to access resources as well as helping the community understand the value and needs of older adults in the community. 8. Community and Health System: Vital to maintaining health and independence of older adults is the availability of accessible health and support services.Among these are: services for promoting, maintaining and restoring health; residential care facilities; social services for older adults; and home care services that include health services,personal care and housekeeping. Priorities for this plan Based on the WHO's eight domains of city life impacting the quality of life of older adults,the initiative has been focused on the three built environment domains: Outdoor Spaces and Buildings, Transportation and Housing. By making the built environment livable, older adults are provided with the tools and resources they need to 24 [Action Plan for an Age-Friendly Miami-Dade] engage safely in the community. These work hand-in-hand with the five social environment domains: Social Participation, Respect and Social Inclusion, Civic Participation and Employment, Communication and Information, and Community Support and Health System. Conversely, if the built environment is difficult to live in or manage,it may have negative effects on all aspects of the lives of older adults. According to the WHO, disability is a broad term that includes physical impairments, activity and participation restrictions and limitations, which are all directly influenced by the built environment.''8 Studies have shown an association between poor street conditions, heavy traffic and excessive noise with difficulty in performing certain activities such as standing in place, lifting objects, and climbing stairs." Furthermore, poor pedestrian infrastructure such as uneven or obstructed sidewalks is one of the main causes of outdoor falls among the older adult population'', which has also been shown to lead to increased difficulty in walking—up to four times more difficult for older adults with lower extremity weakness.'Z Nationally representative data in the United States has demonstrated that living in a neighborhood that relies heavily on motor vehicle transportation leads to a 50%greater chance of an older adult developing mobility deficiency over time.13 Once mobility becomes impaired, social participation becomes limited and in some cases, nonexistent. Even though physical capability takes place at the individual level, social participation requires performance at the societal level through the fulfillment of social roles, and if the built environment is not age-friendly this social interaction declines significantly.19,zo In addition, barriers in the built environment combined with physical limitations may lead to fear of walking on the streets alone, causing further social isolation 16 Data has shown that more than half of older adults with some kind of physical impairment or limitation do not engage in physical activity as a result of the built and natural environment.16 Moreover,these limitations prevent older adults from seeking medical care in a timely manner, and thus, make them less likely to receive screening and other preventive medical services due to the barriers in the built environment such as lack of proper transportation and other physical barriers that hinder their ability to reach health care facilities.la,15,17 The vast evidence described above demonstrates not only the impact the built environment has on social environment, but also emphasizes the need and importance of addressing the current challenges found in the three built environment domains. Creating an age-friendly built environment is paramount to fostering ongoing participation in the social environment through inclusion,civic participation and employment,and communication and information readily available to all. This will help to ensure that all community members have an opportunity to interact with and enjoy the community in which they live. 25 [Action Plan for an Age-Friendly Miami-Dade] How to Use this Plan 1 - 4rrt:tilnu • Municipalities and local governments are encouraged to read through this plan and choose strategies that they would like to see realized in their own communities. Overarching strategies and actions within these strategies are outlined in each of the eight domains of livability. Municipalities are encouraged to work with their planning departments, constituents, and interested older adults to choose strategies and actions that are most important and applicable to their community's wants and needs. In addition, three overarching strategies have been identified that can be implemented on a larger scale and may encompass several of the domains mentioned throughout this plan. • Overarching Strategies The overarching strategies involve a series of policy, systems, and environment changes and actions that together orient us towards achieving our ultimate goal of creating a Miami-Dade that is inclusive and accessible to older adults of all ages. These overarching strategies should be considered to be implemented in any community and alongside any of the other strategies identified in the plan.They include: Older Adult Engagement Older adults should be active participants in the implementation and planning process. It is important to understand what they think and engage them in developing solutions. Engaging older adults is extremely important because they know best about the needs and challenges faced on a daily basis. Older adults' participation not only helps in the decision making process, but it also empowers them to contribute to society, stay socially engaged,and work towards the betterment of their own communities and lives. Older Adults in All Policies The key information obtained by engaging older adults in the decision-making process provides a fundamental understanding of what policy attributes are needed to create an age-friendly community that fosters active and healthy aging. Policy recommendations and changes are paramount to implementing and maintaining the 26 [Action Plan for an Age-Friendly Miami-Dade] necessary changes older adults need to age in place. Current and future policies should be reviewed to ensure that older adults'needs are considered and should be modified to include any that are not. Inserting language to consider older adults into policies will ensure that decision-makers think about the particular needs of older adults as they develop plans for the community going forward. Older Adult Representation and Advocacy Advocacy is a very important strategy to achieve the goal of creating age-friendly communities. In order to address the current challenges that prevent older adults from maintaining quality of life, there needs to be an active and ongoing presence of older adult advocates on key boards to generate the necessary policies to ensure that senior living laws and regulations meet the needs of the aging population. Older adult advocates should be identified for boards related to each of the eight domains of livability: Outdoor Spaces and Buildings; Transportation; Housing; Social Participation; Respect and Social Inclusion; Civic Participation and Employment; Communication and Information;and Community Support and Health System. Indicators, Potential Partners, and Resources Within each domain, there are a list of indicators that have been identified to help track the progress in the domain. Indicators that have been identified are based on the discussions held by the Miami-Dade Age-Friendy Initative's worksgroups during the Results-Based Accountability process as well as on the World Health Organization's guide, Measuring the Age-Friendliness of Cities — A Guide to Using Core Indicators.41 The indicators selected in each domain are a combination of data available through data sources and sets as well as self-report data obtained through age-friendly surveys. Each indicator shows a baseline score or proportion that can be utilized as a point of comparison to track change during the continous process of improvement. In addition to the indicators included, domains include a list of potential partners to consider when choosing and implementing strategies as well as potential resources with more information related to the programs, partners,or strategies included for the domains. 27 Action Plan for an Age-Friendly Miami-Dade] PRIORITY AREAS: Built Environment _ ,. .A, .,... lt, . _ .,. .. ,..,„ ...,. = ..,.. _._ 1 4 ..., ir, vt„, ...f. iztv , 0, y ;Air a \ - * '' 7-';'- -- -14), IP.,•it 4 • k=J 4' R4.; 4 't Y • - I The built environment refers to human-made space that allows for daily living within a community. The built environment encompasses all the physical aspects of where we live and work including elements such as neighborhoods, buildings, parks, pedestrian infrastructures, land use patterns, the way houses are built, and the transportation systems that connect them all together, among others. The way the built environment is designed has a direct impact on the quality of life and health outcome of the people living in it. Urbanization and sprawl can lead to poorly designed built environment, which can directly impact the health of the population. Conversely, neighborhoods that are built to encourage all modes of transportation can lead to more opportunities for physical activity and social interaction. Because of the major role the built environment plays on the quality of life for all ages, the Miami-Dade County Age-Friendly Initiative determined the three built environment domains that will be the priority areas of the initiative.The following sections will cover each of the built environment domains, our vision for a more age-friendly Miami-Dade, strategies and actions that can be implemented to realize these changes, as well as ideas for potential partners for implementation. The built environment domains include:5 0 Domain 1: Outdoor Spaces and Buildings: Age-friendly outdoor spaces'and parks are those that are clean and pleasant with green spaces and outdoor seating, adequate pedestrian infrastructure that includes well-maintained and unobstructed sidewalks, appropriate curbs to accommodate wheelchairs, and pedestrian crossings that allow enough time for seniors to safely cross among other features. Additionally, the buildings and businesses within them should be similarly secure,welcoming and,accessible for all ages and abilities. j;itDomain 2:Transportation Since mobility declines with aging, an age-friendly community needs to have a variety of reliable transportation options,and all areas and services in a community need to be accessible by public transportation and be adapted to accommodate disabled people. The availability of different options and modes of transportation is also important to meet the needs of older adults. 0 Domain 3: Housing An age-friendly community must have housing available that is affordable, located in safe neighborhoods, and in close proximity to businesses and services in the community.In addition, housing that is near transit or has links • to transit make it easier for people of all ages to live and get around. Furthermore, adapted housing that meets the needs of older adults and disabled people should be provided. 28 [Action Plan for an Age-Friendly Miami-Dade] 11111 Domain 1: Outdoor Spaces & Buildings Vision 4. Older adults have a welcoming, safe and enjoyable z; `'�'''11) ft i i physical environment in which to live and be active. Importance � - The benefits of walking are numerous and can not only improve physical and mental health, but can also aid in allowing for opportunity for social ,, • interaction and building a sense of community.32 1_ : The physical environment in which we live can have a profound effect on our sense of place, our Current Status in Miami-Dade interactions with our neighbors, and our sense of community. Safe and enjoyable public spaces and According to the Miami-Dade Age- physical environments encourage citizens to utilize Friendly Initiative Community Survey of them more, interact with their communities and residents age 50+, 85% of respondents become active through biking,walking, etc. said that having safe and enjoyable parks, places and buildings for them to live and be active was A study conducted in Portland, Oregon very important to extremely important to them. demonstrated how neighborhood design influences Only 43% said that they would rate these currently quality of life. Some key elements in a community as excellent or very good.45 were identified by older adults who participated in focus groups. These included: local shopping areas Many communities throughout the nation were and services to provide older adults with places to designed with a car in mind to get from place to walk, engage with other community members, and place and not designed for pedestrians. Miami- stay active without the need of a car; and Dade is now faced with making changes to fit the neighborhood aesthetics and overall attractiveness needs and wants of the current population. We to encourage walking for both exercise and have to work together to ensure new developments pleasure. are walkable, enjoyable, interconnected, and emphasized mixed-used. We must also find ways to This information is important for making policy make existing infrastructure more enjoyable. We recommendations to make improvements and have to work together to ensure that our current assist in land use planning as well as in the public spaces have a sense of "place" and sense of development of other age-friendly neighborhood "somewhere" where residents want to spend and design features?1 enjoy their time. Miami-Dade has made strides in recent years in planning for more livable and age- friendly communities, parks and places, but there is still work to be done. 29 [Action Plan for an Age-Friendly Miami-Dade] The Comprehensive Development Master Plan relative to older adults. At present, access to safe, (CDMP) contains Miami-Dade County's Department walkable routes is not available to everyone. In the of Regulatory and Economic Resources' (RER) City of Miami, according to The Trust for Public general objectives and policies addressing where Land's 2015 ParkScore, 71%of older adults,aged 64 and how it intends to develop or conserve land and and older,are served by a park within close walking natural resources throughout the next 10 to distance (half-mile radius); 29% are left out.31 In 20 years. It also includes how the county will deliver Unincorporated Miami-Dade County, the services to accomplish the plan's objectives. Unincorporated Municipal Services Area (UMSA) Recommendations for amendments to the March 2015 estimates show that 53% of older Community Health and Design Element, adults are served by a park within close walking Transportation Element and Land Use Element were distance(half-mile radius);47%are left out.37 adopted unanimously by the Board of County Commissioners in February 2015. As a result, older As of January 2018, there are several new linear adults are a greater consideration throughout the park projects in the works that would help add plan. public space and connect the community in Miami- Dade.These include the Underline, creating a space Parks build community. They are excellent areas for under the Metrorail,the Ludlam Trail and Plan Z for recreation and leisure. Our goal is to continue to Miami. build safe, accessible, beautiful parks and public spaces for older adults to enjoy. Miami-Dade Miami-Dade's PROS has several programs available County Parks, Recreation and Open Spaces (PROS) for older adults to be active,such as Walk with Ease has been an engaged partner in the Age-Friendly and Walk for Life—self-directed incentive-based Initiative having developed the age-friendly park walking programs. The number of older adults designation criteria and promoting older adult enrolled and participating in park programs, as of programs through a marketing campaign at 13 pilot March 2015, include: 450 in walking clubs, 440 in park sites. Some of the criteria for age-friendly enhanced fitness groups, and 400 in other social parks include clean and pleasant public areas, programs. benches, good signage and lighting, accessible restrooms, and nonslip pavement. The PROS Crime can be a deterrent for park usage. According department is also working to identify improvement to Miami-Dade Police Department 2009 — 2013 opportunities throughout the park system by data, violent and nonviolent crimes have decreased building more pathways, shaded areas and benches in the last five years; violent crimes against the and other amenities that improve the user elderly have increased during the same period. experience. Addressing both actual and perceived safety issues is important. Negative perceptions may persist due Parks can help provide safe places to connect. to lack of police presence in some areas related to Increased use of parks can be achieved by budget cuts, and unawareness of a drop in crime improving accessibility and the proximity of parks rates. Outdoor Spaces & Buildings Indicators Indicator Definition Baseline Baseline Source Date Park Access Proportion of older adults served by a park 53% March 2015 Miami-Dade County within close walking distance(half-mile Parks, Recreation & radius)—Unincorporated Areas Open Spaces Department 30 [Action Plan for an Age-Friendly Miami-Dade] Park Access Proportion of older adults served by a park Varies Varies Municipal Parks within close walking distance(half-mile Departments radius)—Municipal Areas Participation Number of older adults enrolled and 1,250 March 2015 Miami-Dade County in Leisure- participating in Miami-Dade Parks programs Parks, Recreation & Time Open Spaces Physical Department Activity Accessibility Proportion of older adults who report that 36% October AARP Research Age- of Public they have excellent to very good accessible 2017 Friendly Community Spaces public buildings and spaces including Survey restrooms Safe and Proportion of older adults who report that 43% October Age-Friendly Initiative Enjoyable they have excellent to very good safe and 2017 Community Survey— Physical enjoyable physical environment in which to Short Survey Environment live and be active. Outdoor Spaces & Buildings Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of ENGAGEMENT& strategies related to Outdoor Spaces and Buildings. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to outdoors spaces,buildings, and community POLICIES designs in order to determine if older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Outdoor Spaces and Buildings and community ADVOCACY design that should include an older adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. PARKS AND o Increase Proximity PROGRAMMING o Increase number of parks that are in close walking distance(half- Establish safe parks and mile radius)of older adults programs that meet age- o Support the development of new park and trail projects such as friendly park criteria the Underline, Ludlam Trail,and Plan Z through proximity, o Develop a study to identify targeted neighborhoods where parks standards and are needed(not serving older adults within a half-mile radius). promotion. Prioritize parks in areas where there is the most need,such as in areas where there is a higher concentration of older adults o Standards o Increase the number of parks that meet"Age-Friendly Park" 31 [Action Plan for an Age-Friendly Miami-Dade] facility standards as developed by the Miami-Dade Parks, Recreation and Open Spaces o Increase the number of programs available for older adults in Miami-Dade County and municipal parks o Secure funding to incorporate standard amenities within parks o Develop an age-friendly charter/master plan for use by municipalities o Education and Information o Educate and share the parks'standards with local interested municipalities and organizations o Promote the availability and utilization of age-friendly parks and programs among older adults and community members AGE-FRIENDLY o Standards BUSINESSES o Educate the community about the availability of the Miami-Dade Increase the number of Age-Friendly Business District Toolkit age-friendly businesses o Provide technical assistance to communities that are interested in in Miami-Dade County developing similar age-friendly business districts o Explore the possibility of finding a countywide sponsor who will grant businesses in other districts an age-friendly business designation o Promotion o Promote the existence of the Age-Friendly Business District in Little Havana o Promote the opportunity for expansion of districts and an increase of age- friendly businesses throughout the community PLACEMAKING o Amenities Improve the sense of o Promote municipal or county building codes that encourage place,comfort,and inclusion of benches and other features in public spaces and interconnectedness of promote a sense of place communities by o Promote more public art to create landmarks, make areas more promoting age-friendly aesthetically pleasing,and assist with wayfinding amenities and events,as o Place an emphasis on trees and shade in public spaces to well as connectivity encourage use throughout the year between public spaces o Ensure benches and seating are incorporated in all public space and neighborhoods. projects so that older adults have places to rest and socialize o Events o Promote more events in public spaces that increase a sense of place and of safety where there will be more activity and vigilance o Connectivity o Promote connectivity between trails, public spaces,and neighborhoods o Ensure that transit connects people to the places they want to be o Promote wayfinding and walkability through signage with large,easy to read print and implementation projects such as Walk Your City Potential Partners 32 [Action Plan for an Age-Friendly Miami-Dadel • Miami-Dade County • AARP Florida • Miami Foundation Public Space Challenge • Age-Friendly Ambassadors • Miami-Dade Transportation Planning • Artists Organization • Art-related organizations • Million Trees Miami • Age-Friendly Business District • Nonprofit Organizations • Alliance for Aging • Parks, Recreation and Open Spaces • Art in Public Spaces Departments(local and county level) • Commissioners, Local Leaders • Parks Foundation of Miami-Dade • Citizens for a Better South Florida • Plan Z for Miami • Cultural Affairs Departments • Police Departments(local and county level) • Developers • Public Works Departments(local and • Florida Department of Transportation county level) • Greater Miami Chamber of Commerce • The Underline • Health Foundation of South Florida • United Way of Miami-Dade • The Ludlam Trail • Urban Health Partnerships • Media(local newspapers, news programs) Resources and More Information • Age-Friendly Business District Information: httos://agefriendlvmiami.org/proiect/age-friendly-business- district/ • Age-Friendly Parks Information: https://agefriendlvmiami.org/proiect/age-friendly-parks/ • Age-Friendly Policy Information: https://agefriendlymiami.org/proiect/age-friendly-public-policy/ • The Ludlam Trail: http://ludlamtrail.org/ • The Trust for Public Land Parkscore: http://parkscore.tpl.org • Miami-Dade Community Policing,Crime Prevention&Juvenile Programs Annual Evaluation: http://www.miamidade.govlpolice/library/community-policing.pdf • Miami-Dade Parks, Open Spaces and Recreation Active Older Adults Programs: http://www.miamidade.gov/parks/search-results.asp?type=programs • Million Trees Miami: http://miliiontrees.miamidade.gov/ • Placemaking for an Aging Population—Guidelines for Senior-Friendly Parks: https://www.lewis.ucla.edu/wp-content/uploads/sites/2/2015/04/Seniors-and-Parks-8-28- Print reduced.pdf • Plan Z for Miami: http://planzmiami.com/ • The Underline: https://www.theunderline.org/ • Walk Your City: https://waikyourcity.org/ 33 [Action Plan for an Age-Friendly Miami-Dade] Domain 2: 41;it Transportation Vision An 0111.11 Older adults have access to and utilize a variety of types of transportation to move throughout the community. .11 °11 .4 r 1°1 Importance The ability to readily access desired destinations is vital to independent living;transportation is a cross- cutting issue and one of the most important components of active aging.' Even if there are public spaces, engagement opportunities and The United States is not prepared to meet the services available to older adults, it is important for challenges affecting mobility in older adults, them to be able to access them. Urbanization has especially with continued urbanization and led communities to become sprawled, creating automobile dependency.22 The availability of barriers that are not conducive for drivers and several modes of accessible and affordable pedestrians to share the roads. Since many transportation is a key factor in promoting active neighborhoods were designed with drivers in mind, aging, since the ability to move around the there is a lack of pedestrian infrastructure such as neighborhood influences all other aspects of traffic calming features like narrowed roads and livability. Gaps in public transportation should be speed humps, adequate sidewalks and crosswalks. addressed to cover infrastructure, equipment and This creates barriers for pedestrians, even healthy service for all modes of transportation in order to older adults are challenged to cross an intersection create an age-friendly community. Cost and in the time allotted (based on the common 3.5 feet reliability are also factors that influences the use of per second.)33 While this poses risks to all public transportation and need to be addressed.' pedestrians, older adults are at an increased risk of getting hit by a car and those aged 75 and older are One way to overcome transportation issues is by more likely to be in a fatal accident. Data suggests implementing Complete Streets principles, which this issue may increase as this population continues provide appropriate infrastructure for all modes to grow.34 and all ages and abilities. Many older adults live long past their driving years and may eventually be forced to give up driving due Current Status in Miami-Dade to disability or impairment, or due to the costs associated with driving. Loss of driving can result in a sense of loss in independence, social isolation and According to the Miami Dade Age- an overall decline in quality of life if there are no Friendly initiative Community Survey of good alternatives. That is why the availability of residents age 50+, 85% of respondents affordable alternative transportation is so said that having reliable, accessible and safe important for older adults to maintain their transportation options for them to get around was independence. very important to extremely important to them. 34 [Action Plan for an Age-Friendly Miami-Dade] Only 22% said that they would rate these currently land use types into consideration when planning as excellent or very good!' street enhancements. The Guidelines include considerations for older adults as well as a According to the 2008-2012 records for pedestrian recommendation to partner with age-friendly work. fatalities in Miami-Dade County, there has been a modest increase in the number of older adults' Driving fatalities among some aged 50 and over, with the According to Florida Department of Motor Vehicles greatest increase is seen among older adults aged data, the percentage of older adults, aged 60 years 75 years and older. In 2012,the group aged 75 and and older, with a driver license has remained older accounted for more than 50%of all pedestrian relatively constant over the past five years, with deaths among individuals aged 50 and older. only a mild increase among drivers between the ages of 60 and 79, and a modest decline among those aged 80 or more.35 For many older adults, Miami-Dade County Pedestrian driving can be a symbol of freedom and ability to Fatalities,Older Adults, by Age maintain independence. This is especially true in Group Miami-Dade County, where the use of cars for 20 transportation is so widespread. Currently, there is —so sa are no set standards of determining whether —ss 59 someone is able to continue driving, leaving the 10 —6064 decision to the older adults affected, their families f —65 69 and caregivers. The Florida Department of s —70.74 Transportation (FDOT) is currently working to r ---�s. develop resources for families and caregivers to 0 2008 2009 2010 2011 2012 help them initiate discussion and decision-making Miami-Dade Transportation Planning Organization, as to whether the older adult should continue or 2008-2012 stop driving. Due to the lack of adequate pedestrian Transit infrastructure, South Florida scored 145.33 on the As a service to its older adult residents aged 65 and Pedestrian Danger Index in the recent Dangerous by older, its Social Security Beneficiaries 64 years of Design Report.27 According to this report South age or under, and to its disabled veterans, Miami- Florida is one of the four least pedestrian-friendly Dade County offers eligible residents Golden places in the country. As our population ages and Passport/Patriot Passport EASY Cards that provide population density increases, we will have to users with free transit rides on all forms of public accommodate more pedestrians, particularly those transit, including the Metrobus and Metrorail who have given up their car keys and must rely on systems. During the April-June 2015 quarter, Miami- other modes of transportation. Dade Transit issued 2,681 Golden Passport cards(65 and older), 1,325 Golden Passport cards (under 65) Complete Streets and 114 Patriot Passport cards. Currently, there In 2017, the Miami-Dade Board of County are 239,621 certified Golden Passport/Patriot Commissioners adopted a resolution establishing Passport customer accounts. These County policy that Miami-Dade County's streets include:167,068 Golden Passport (65 and older); should be designed in accordance with 63,698 Golden Passport (under 65); the Complete Streets Design Guidelines.50 The and 8,855 Patriot Passport customers.However,the adoption and implementation of the guidelines will use of public transit poses barriers to older adults as empower engineers and planners to design, it is impacted by the weather and other factors. construct and operate roads in a way that balances Another challenge is meeting the needs of older all modes of transportation within a context- adults in terms of routes. Safety concerns, sensitive approach that takes street typology and 35 [Action Plan for an Age-Friendly Miami-Dade] especially after dark, may be perceived as an additional barrier to using Metrorail. According to Miami-Dade STS data from September 2010 to September 2014, the STS client population In 2016, the Miami-Dade Transportation Planning exceeds 30,000 and more than 75 percent of this Organization (TPO) approved the Strategic Miami group is 62 years and older. In September 2014, Area Rapid Transit (SMART) Plan, It is a bold 6,076 were between the ages of 62 and 74; 16,694 infrastructure investment program of projects that were 75 and older. From 2010 to 2014 there has will significantly improve transportation mobility been an increase in older adults, aged 62 and older, and provide a world-class transit system that will authorized to ride STS and there has also been an support economic growth and competitiveness in overall increase in costs to Miami-Dade to provide the global arena. The SMART Plan will expand the service to its residents. transit options in Miami-Dade County along six (6) critical corridors that are linked to local, regional, Transportation Planning in Miami-Dade national,and global economic markets.52 The Miami-Dade County 2040 Long-Range Transportation Plan (LRTP) is a primary activity in Many local municipalities are providing additional Miami-Dade County's transportation planning means of transportation such as free trolley services process. In the last update, the LRTP incorporated in cities like Coral Gables and Doral. They are a age-friendly language within two of the 2040 LRTP simple and free option for older adults who want to objectives. access amenities and services within their community and neighborhood. These services have In 2016,the Miami-Dade TPO passed a resolution to expanded to more areas due to funding from the partner with the Miami-Dade Age-Friendly Initiative Citizen's Independent Transportation Trust half- and to promote age-friendly projects and design penny sales surtax's Municipal Transportation where feasible and to partner with the Miami-Dade Program but do not exist in every community in Age-Friendly Initiative. In 2017, the TPO led the Miami-Dade.3B development of an Aging Road User Strategic Safety Plan. Its goal is to improve the safety and mobility On Demand Services of the County's aging road users by reducing their On-demand, call-up door-to-door services are often fatalities, serious injuries, and crashes, while preferred even when mass transit is available maintaining their mobility and independence. An because of the convenience. Yet, cost and "aging road user" is a driver, passenger, pedestrian, availability can pose challenges. The Special bicyclist,transit rider, motorcyclist, or operator of a Transportation Service(STS) is a low-cost service for non-motorized vehicle, who is 65 years of age and those who are eligible in Miami-Dade County. older.The plan analyzed crash patterns for 140+ Recently,costs have increased to$3.50 per trip,and older adult residential living centers. Specifically, $7.00 for round trip. Personal care attendants itexamined total crashes of all types and crashes travelling with STS customers ride free. There are involving persons 65 and older as auto users, existing policies that limit the types of service pedestrians, or bicyclists that occurred within one- vehicles that can be used for STS, which creates quarter-mile of such centers. From 2008 through barriers for individuals with disabilities. 2014, between 10 percent and 11 percent of all crashes in Miami-Dade occurred within one- Many local health providers also provide door-to- quarter-mile of these locations. Using a point door services to facilitate access to doctor's system, the report outlined priority areas for road appointments and procedures at their facilities. safety audits. In 2018, the TPO will lead and There are some agencies that pay the STS fee for implement road safety audits and to identify patients to use their services, but it is still countermeasures to issues in prioritized areas as challenging for older adults to reach other identified in their Aging Road User Strategic Safety destinations. Plan. 36 [Action Plan for an Age-Friendly Miami-Dade] Transportation Indicators Indicator Definition Baseline Baseline Source Date Older Adult Pedestrian Fatalities,Miami- 25 2012 Miami-Dade Pedestrian Fatalities Dade residents Age 50+ Transportation Planning Organization Older Adult Pedestrian Injuries, Miami- 869 2012 Miami-Dade Pedestrian Injuries Dade residents Age 50+ Transportation Planning Organization Golden Passport Use Number of Older Adults(65+) 167,068 April— Miami-Dade Transit with certified golden Passport June 2015 Special Number of Older Adults(62+) 6,076 September Miami-Dade Transit Transportation authorized to ride STS (between 2014 Service Use 62 and 74) &16,694 (75+) Age-Friendly Number of municipalities that N/A—Data TBD Citizen's Independent Municipal Circulators offer Circulators funded by Agenda Transportation Trust CITT(that serve older adults) Accessibility of Proportion of older adults 41% October AARP Research Age- Streets who report that they have 2017 Friendly Community excellent to very good well-lit, Survey accessible,safe streets and intersections for all users Reliable,accessible, Proportion of older adults 45% October Age-Friendly Initiative and safe who report that they have 2017 Community Survey—Short transportation excellent to very good Survey options reliable,accessible,and safe transportation options Transportation — Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of strategies ENGAGEMENT& related to Transportation. INVOLVEMENT OLDER ADULTS IN o Review policies related to transportation and planning in order to determine if ALL POLICIES older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. o Ensure older adults are included in conversations and planning for the SMART Plan. 37 [Action Plan for an Age-Friendly Miami-Dade] OLDER ADULT o Identify boards related to Transportation that should include an older adult ADVOCACY advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. ACTIVE o Standards,Policies and Planning TRANSPORTATION o Develop model policies and model plans for adoption by municipalities & SAFE STREETS o Advocate for adoption of policies and plans at the local level,especially Advocate and the Miami-Dade Complete Streets Design Guidelines implement streets o Ensure all ages and abilities are considered in all policies and plans that are safe for all o Complete Road Safety Audits to identify safety concerns and modes, users and countermeasures in areas of need mobility. o Safe Routes to Age in Place o Engineering: • Design the physical environment to create safer, more convenient connections to the community and to local resources and services • Conduct an audit of routes within communities commonly used by older adults in order to obtain an accurate understanding of the difficulty of certain routes and what can be done to make them better and safer • Conduct audits together with local nonprofits, planning organizations, and older adult residents o Education: • Increase knowledge about transportation safety and how it can affect access to healthy food,recreational opportunities, healthcare,open spaces, libraries,and employment and economic opportunities in order to allow older adults to live in community confidently and independently for as long as possible. • Educate community members about 3-1-1 system that can be used to report any hazards or issues • Promote safety programs for older adults such as the Alliance for Aging's Safe Steps/Pasos Seguros program o Encouragement: • Ensure that laws and policies,such as driving and pedestrian laws,keep older adults safe and help improve the environment • Utilize audits and crash data to prioritize areas for Complete Streets modifications. • Promote the implementation of Complete Streets county-wide o Enforcement: • Ensure that laws and policies,such as driving and pedestrian laws, keep older adults safe and help improve the environment o Evaluation: • Measure the results(outcomes) of the efforts or steps taken as part of this program. o Improve Crosswalks o Identify the most dangerous crossings for older adults within 38 [Action Plan for an Age-Friendly Miami-Dade] communities utilizing existing data(local studies,crash data or walking audits)to identifying intersections in need of change o Work with Miami-Dade Public Works to expand the crosswalk time at intersections that are dangerous and heavily used by older adults o Implement additional crosswalk improvements where needed such as shorter crossings,flashing lights, and audible crosswalks MOTORIZED AND o Education ON-DEMAND o Promote safe-driver education and resources TRANSPORTATION o Develop a usable list of all on-demand services with contact Ensure older adults information,eligibility information and cost within the county or in have the individual municipalities opportunity to drive o Promote current on-demand services to older adults as alternatives to safely as well as driving including STS, Uber,Lyft,etc that meet older adult needs have knowledge of o Entrepreneurial Programs and access to on- o Encourage new,entrepreneurial programs that work towards an unmet demand need aimed at older adults.A program in which older adults could transportation request a driver at a particular time of their choosing in order to travel services. to a location of their choosing o Provide grants,stipends or"hack-a-thon"events to develop ideas, cultivate individuals to champion those ideas and develop programming BETTER ACCESS o Education AND QUALITY OF o Promote and educate the community about the Golden Passport—a TRANSIT&STOPS free card available to eligible Miami-Dade residents for free public Ensure that older transit throughout the county adults have o Train older adults to use transit knowledge of o Develop short educational trips for groups of older adults to learn to resources for transit utilize public transit with a trip to local cultural centers to encourage and how to use use them, as well as o Research and Focus Groups have better access o Develop focus groups and research to understand the needs of older to quality transit adults using public transit,especially those who use buses, in order to stops. gain informationabout the gaps and needed amenities o Improve&Increase Transit Options o Support SMART Plan expansion,expending transit options throughout the County o Ensure older adults are engaged in community input and involvement for the SMART plan o Ensure municipal trolleys connect older adults to wants and needs in the community o Ensure municipal trolleys are connected to the larger transit system o Improve Quality of and Access to Stops o Advocate for programs or plans to place public transit,especially bus stops, at corners or near crosswalks,with adequate seating(height and quality)and sufficient cover(from rain and sun)so that older adults can easily and comfortably access them o Advocate for additional public transit stops in areas to serve older adults'needs and connect them to libraries, public spaces and parks o Ensure that the location of stops is convenient in relation to places of interest • so there is not a long walk to reach the destination 39 [Action Plan for an Age-Friendly Miami-Dade] Potential Partners o AAA o Miami-Dade Transportation Planning o AARP Florida Organization o Alliance for Aging(Safe Steps/Pasos Seguros o National Complete Streets Coalition Program) o Neat Streets Miami o Citizen's Independent Transportation Trust o Planning and Transportation Departments o Community Leaders (municipal and county) o Florida Department of Transportation o Public Works Departments(municipal and o Greater Miami Chamber of Commerce county) o Health Foundation of South Florida o Ride Sharing Services(Uber/Lyft) o ITN Volunteer Driver Partners o Safe Mobility for Life Coalition o Medical Centers(Health Action Network) o United Way of Miami-Dade o Miami-Dade County o Urban Health Partnerships o Miami-Dade Cultural Affairs o Miami-Dade Transit Resources and More Information o Age-Friendly Policy Information: https://agefriendlvmiami.org/proiect/age-friendly-public-policy/ o Alliance for Aging Safe Steps/Pasos Seguros:http://www.ailianceforaaing.org/consumers/pedestrian- safety/safe-steps-1 o Florida Safe Mobility for Seniors Resources:http://www.safeandmobileseniors.org/ o Miami-Dade Aging Road User Strategic Safety Plan: http://www.miamidadetpo.org/library/studies/aging-road-users-strategic-safety-pla n-final-report-2017- 11.pdf o Miami-Dade Complete Streets Design Guidelines: http://www.miamidade.gov/neatstreets/library/complete-street-design-guidelines.pdf o Miami-Dade Golden Passport:www.miamidade.gov/transit/golden-passport.asp o Miami-Dade SMART Plan: http://www.miamidadetpo.org/smartplan.asp o Safe Routes to Age in Place Information: https://agefriendlymiami.org/proiect/safe-routes-to-age-in- place/ o Temporo-spatial gait parameters during street crossing conditions: a comparison between younger and older adults: http://www.ncbi.nim.nih.gov/pubmed/25530113 40 [Action Plan for an Age-Friendly Miami-Dade] 0 Domain 3: Housing Vision Housing for older adults is affordable, accessible, and adapted to their needs and interests - Importance � '4 .: sir kjohi, For older adults aging in the community, living conditions can promote health, enhance their coping abilities and reduce disablement. However, ' living conditions can also create stress and increase risks of illness and accidents. Socioeconomic disparities in housing are likely to contribute to • inequalities in interior conditions. Social resources Current Status in Miami-Dade such as co residential relationships, social network ties and social support are also shaped by housing. According to the Miami-Dade Age- A set of risky or stressful physical and ambient living Friendly Initiative Community Survey of conditions including structural disrepair, clutter, residents age 50+, 85% of respondents lack of cleanliness, noise and odor can lead to said that having housing that is affordable, significant decline in the quality of life of older accessible, and adapted to their needs was very adults?3 Older adults who have a co resident important to extremely important to them. Only partner and more sources of support are exposed to 22% said that they would rate these currently as fewer risky or harmful living conditions. This excellent or very good as suggests that living conditions are an important, though overlooked, factor that can have a According to the 2013 American Community Survey significant effect on quality of life.' In addition, Estimates, of the approximately 828,031 results from a study on homeless older adults households in Miami-Dade, 188,928 households are showed that older adults who acquired housing individuals aged 65 and older(more than 20%).69% experienced improvements in depression 24 of older adult households are 69.0% owner- Appropriate housing is directly linked to mobility occupied while 31.0%are renter occupied." that allows older adults to engage in social participation and inclusion, and access and use of Affordability community and social services. Availability of housing that is affordable, welt maintained, and The high cost of living and rental shortage in Miami- adapted to the needs of older adults is vital to their Dade can be a barrier for older adults, making it safety,well-being and independences difficult for them to afford adequate housing. According to the Florida Housing Data Clearinghouse for 2015, nearly 51% of those aged 65 and older spent at least 30% of their income on rent or mortgage; of those 51%, 21% spent more than 30% of their incomes on housing, and the 41 [Action Plan for an Age-Friendly Miami-Dade] remaining 30% spent more than 50% of their property can be burdensome and many cannot income on housing.36 afford to make repairs or pay for the increasing taxes, leading many to choose to stop paying homeowners insurance once it is no longer %of Households Spending more required, putting themselves at risk. The Miami- than 3O%of Income on Housing, Dade County Community Action and Human Age 65+ Services Department Energy Division provide weatherization assistance—the program is designed to reduce energy consumption in the home. By .74;k; reducing the energy bills of low-income families, ami es'~ =' weatherization reduces dependency and frees these 'S0` funds for use on more pressing family needs. There I: •30.1Se., 1111 z°' is currently a waiting list of 175 older adults on ion , standby for environmental modifications. a, zoio zo13 2015 Other organizations that also provide services Florida Housing Data Clearinghouse,University of Florida, include the AAA, the Florida Department of Elder Shimberg Center for Housing Studies,2015 Affairs Community Care for the Elderly (CCE) Program's three lead agencies in Miami-Dade which Section 8 of the Housing Act of 1937 (Section 8) include: First Quality Home Care Services, Little allows for rental housing assistance to private Havana Activities & Nutrition Centers of Dade landlords on behalf of low-income households. County, Inc., and United Home Healthcare Services, There are programs through Section 8 that give Inc., as well as the County's community based families with children priority over older adults. organization. Units specific for older adults have high demand and low availability, leaving many people on a Adaptability and Accessibility waiting list for years, and in some cases, the wait extends beyond their lifetime. According to the If older adults choose to stay in their homes, many Miami-Dade County Public Housing and Community do not have the ability to maintain and adapt their Development (PHCD) department, as of June 2015, homes on their own, either physically or financially, there are 4,983 older adults, aged 62 and older, to fit their needs. Moreover, environmental and receiving assistance through this program and home modification programs for the older adults almost three times the amount (14,368) are on the have waiting lists due to the high demand, and the waiting list. Older Americans Act, which provides repair The Housing Choice Voucher Program is the federal programs, does not provide adequate assistance to government's major program for assisting very low- complete repairs. income families, the elderly and the disabled to In addition, due to the lack of data on older adults afford housing in the private market. As of March living with family in intergenerational homes in 2015, there are 4,977 older adults, aged 62 and Miami-Dade, there may be more demand for older, receiving assistance through this program services to adapt homes to older adults' needs than and more than three times this amount(16,907)are is currently known. This challenge faced in Miami- on the waiting list. The stock of affordable housing Dade County is further complicated in cases of is continuing to decline in Miami-Dade as immigration and undocumented families, who developers are building more and more luxury cannot sign up for waiting lists and do not qualify buildings as a result of the improving economy. for many available programs. Even for older adults who own their own homes, Designing homes for universal use, or Universal affordability can be an issue. Costs to maintain the Design, is a way to ensure homes are equipped to 42 [Action Plan for an Age-Friendly Miami-Dade] address the needs of an aging and changing regardless of their physical abilities A visitable home population. Universal design is an approach to has a main level that is easy to enter and exit. The designing products and environments to be three key features are at least one no-step appropriate for all people, including those with entrance, wide interior doors, and at least a half physical, cognitive, or sensory impairments. bathroom on the main level. Advocating for new Visitability is also a concept related to Universal housing and buildings include Universal Design or Design but not as stringent. It is based on the visitability features can help ensure that housing principle that all new homes should include basic stock can accommodate our aging population.53 features that make them accessible to people Housing Indicators Indicator Definition Baseline Baseline Source Date Affordability Proportion of older people who live in a 49% 2015 Florida Housing Data of Housing household that spends less than 30%of Clearinghouse, their equalized disposable income on University of Florida, housing. Shimberg Center for Housing Studies Accessibility Proportion of older adults who report that 20% October AARP Research Age- of homes they have excellent to very good accessible 2017 Friendly Community homes(Accessibility of homes(e.g.,a no Survey step entrance,wider doorways,grab bars in bathrooms, &first floor bedrooms and bathrooms) Accessible, Proportion of older adults who report that 22% October Age-Friendly Initiative Affordable, they have excellent to very good housing 2017 Community Survey— &Adaptable that is affordable,accessible,and adapted Short Survey Housing to their needs Housing Strategies & Objectives Objectives_ Strategies OLDER ADULT o Engage older adults in the planning and implementation process of strategies ENGAGEMENT& related to Housing. INVOLVEMENT OLDER ADULTS IN o Review policies related to housing in order to determine if older adults are ALL POLICIES considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Housing and community design that should include ADVOCACY an older adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. 43 [Action Plan for an Age-Friendly Miami-Dade] AFFORDABILITY o Education Provide affordable o Make the community aware of issues with affordability.Spread housing options and awareness about the extent of the problems and dangers of doing availability to older nothing adults through o Educate the public about the impending loss of affordable housing education,policy, stock and an increase in o Raise awareness on how difficult it is for older adults to meet code affordable options, enforcement requirements o Promote the building of urban centers where walkable communities can support affordable housing o Promote non-traditional housing options,such as cohabitating as an way to increase the stock of affordable housing o City,Council&State-Level Policy o Advocate for transit-oriented development of affordable housing o Advocate for zoning that promotes mixed-income units/accessory dwelling units(in-law quarters,small apartments) o Prioritize program resources for the highest-risk applicants(Small Housing Authority Reform Proposal (SHARP),etc.) o Develop policies that keep us from losing ground on the current levels of affordable housing stock(eminent domain style adjustment on expiring affordability mandates) o Advocate for program funding for very low-income households to include policies regarding aging in place from the Senate Appropriations, Florida State Housing Initiatives Partnership(SHIP), and local dollars o Advocate for use of the State of Florida William E. Sedowski Affordable Housing Act funds to go to affordable housing as intended o Advocate for inclusionary zoning ordinances and incentives that encourage a given share of new construction to be affordable for people with low to moderate incomes. Include language to address the needs of older adults or how much housing should be dedicated to older adults o Advocate for multigenerational considerations in eligibility criteria for income-based public assistance o Adjust codes and reduce tax restrictions in order to allow and encourage reasonable additions to existing owner-occupied homes thus increasing affordable housing stock(more mother-in-law suites and converted garages) o Limit code enforcement for older adult homeowners to issues that are of a life threatening nature ACCESSIBILITY AND o Education ADAPTABILITY o Build awareness of issues related to homeowners and making their Ensure that older home environment safe at home, as making safety modifications more adults are able to live affordable in homes that are o Educate the community about the importance of adaptability and accessible or able to accessibility to increase the availability of stock for older adults be modified and o Educate older adults about resources available for financing and adaptable to their adaptability,or modifying homes to make them safe for older adults to 44 [Action Plan for an Age-Friendly Miami-bade] needs. age in place o Increase funding sources for adaptability such as programs and microloans for older adults o Increase awareness on universal design and visitability and their importance for the older adult population o Encourage developers to use universal design and/or visitability . features in new construction projects o Policy o Create and/or promote age-friendly standards for older adult housing o Generate and allocate resources must be allocated/generated to address waiting lists for all programs connected to housing access and adaptability for older adults o Address the need for coordination between adaptability programs to include all phases of work o Implement a systematic older adult home environment assessment program using checklists such as Check for Safety:A Home Fall Prevention Checklist for Older Adults(Centers for Disease Control and Prevention)and Older Adult Fall Prevention Checklist(National Safety Council)and others o Promote universal design standards o Promote visitability policies and incentive programs PROGRAMS AND o Education SERVICES o Develop or aggregate accurate local data in order to better tell the Ensure that services local story of needs and gaps in services and programs meet o Educate the public about the availability of programs and how to the housing needs of navigate these systems. older adults o Policy o Advocate for the need for coordination of existing and available programs. o Advocate for the need for public and private partnerships to address the issues of financialresources and innovation around supply and demand of services o Advocate for review of eligibility requirements for programs to ensure older adults have access to the services they need Potential Partners • AARP Florida • Miami-Dade County Housing and • Alliance for Aging Community Development • Building Owners • Miami-Dade Homeless Trust • Developers • Miami Homes for All • Enterprise Community Partners • Mayors,Commissioners,Community • Greater Miami Chamber of Commerce Leaders • Habitat for Humanity • Realtors • Health Foundation of South Florida • Rebuilding Together Miami • Miami Affordability Project • South Florida Community Development • Miami-Dade County Coalition 45 [Action Plan for an Age-Friendly Miami-Dade] • Smart Growth Partnership • United Way of Miami-Dade • STEPS in the Right Direction • Urban Health Partnerships Resources and Additional Information o Check for Safety.A Home Fall Prevention Checklist for Older Adults: www.cdc.gov/HomeandRecreationalSafety/pubs/English/booklet Eng desktop-a.pdf o Enterprise Community Partners Aging in Place Design Guidelines: https://www.enterprisecommun ity.org/resources/agi ng-pla ce-design-guidelines-18245 o First Quality Home Care Services: http://www.firstqualityhomecare.com/ o Florida Department of Elder Affairs Community Care for the Elderly(CCE) Program: http://elderaffairs.state.fl.us/doea/cce.php - o Little Havana Activities&Nutrition Centers of Dade County, Inc.:http://www.lhanc.org/ o Miami Affordability Project(MAP):http://comte.ccs.miami.edu/housing/map o Miami-Dade County Public Housing and Community Development: http://www.miamidade.gov/housingJhome.asp o STEPS Florida Program: http://www.stepsflorida.orgJ o Older Adult Fall Prevention Checklist: www.nsc.orgJNSCDocuments Advocacy/Fact%20Sheets/Slips- Trips-and-Falls.pdf o United Home Healthcare Services, inc.: http://www.unitedhomecare.com/ o Universal Design Coalition: http://easyuniversaldesign.com/ o William E.Sedowski Affordable Housing Act: http://www.floridahousing.org/FH- ImageWebDocs/AboutUS/SadowskiAct Outline.pdf 46 [Action Plan for an Age-Friendly Miami-Dade] Social Environment ' i nift votv r, „, :.- ., I ! ,4., .: IF, i lit 0 _.: , . .„.,, _ .../ ,,, .,..<4, ,,a,.,.!„,41., ... ! . , } _. ,. ) , . .. ma.„4...m . ___. . _ .,____,:itrvitiii. ..7. The social environment is generally defined as the social setting people live in and involves many aspects of our daily lives. Because of the direct impact the built environment has on ones ability to engage with the social aspects of a community, the social environment is inextricably linked to the built environment, and thus, includes the physical surroundings. The design of the community along with the availability of resources determines the level of interaction an individual has with the social aspects of the community. If the aspects of the three built environment domains are in place, it will assist in covering the gaps found on the five domains of the social environment.The social environment domains are 5: CODomain 4:Social Participation An age-friendly community should have affordable and conveniently located events,activities,and opportunity for social engagement tailored to all ages,including older adults. Domain 5: Respect and Social Inclusion An age-friendly community promotes awareness and understands the value and needs of older adults. Additionally,the input of older adults should be included in the decision-making process for all aspects and areas of the community. Domain 6: Civic Participation and Employment Mil The availability of sufficient and varied employment,volunteering and training program opportunities tailored to olderadults is also key to an age-friendly community.Similar to domain five,older adults should be included in the decision-making in both private and public sectors to effectively meet their needs. fjo Domain 7:Communication and Information In an age-friendly community it is important to have continued and widespread distribution of information, therefore an efficient communication system needs to be in place to reach all individuals and effectively inform residents of the services,programs and resources available in the community. 0 Domain 8: Community Support and Health System In order to meet the needs of older adults,an age-friendly community needs to provide adequate access to all levels of healthcare and offer services that promote, maintain,and restore health.Community support including delivery of services,social services,and widespread information and resources for emergency planning is vital to older adults. 47 [Action Plan for an Age-Friendly Miami-Dade] arrDomain 4: Social Participation Vision The Miami-Dade County Department of Cultural Older adults enjoy a wide range of opportunities Affairs Golden Ticket Arts Guide offers senior for social participation. f4111, c. importance Continued social participation is strongly connected to good quality of life,good health, and overall well- _ being. The active participation in recreational, cultural, and spiritual activities available in the , community help form supportive and caring relationships, which can generate a sense of well- being and establish social integration. These are residents, aged 62 and older, an array of cultural paramount factors in active aging and good health events. They can enjoy everything included in the outcomes.' In fact, it has been found that guide at no cost. individuals with adequate social relationships have a 50% greater likelihood of survival compared to The Miami-Dade County Parks, Recreation and those with weaker ones and that the influence of Open Spaces' Active Older Adults Program is a local social relationships on the risk of death is effort to encourage older adults, aged 55 and older, comparable, and at times exceeds, the influence of to improve their health and well-being by other well-established risk-factors such as alcohol, participating in programs that will help them stay tobacco, obesity, and physical inactivity.54 Social physically and mentally active. participation combats isolation and encourages older adults to continue to live vibrantly in the In addition, the Miami-Dade Public Library System's community. Get Social @ the Library: Lifetime Living through Art for Older Adults provides a series of art workshops, led by professional teaching artists, that offer older Current Status in Miami-Dade adults, aged 55 and older, learning and social engagement opportunities at selected branches. According to the Miami-Dade Age- - Friendly Initiative Community Survey of Throughout Miami-Dade, a priority for social residents age 50+, 80% of respondents participation continues to surface around said that having a wide range of opportunities for identifying what additional opportunities are them to be social to interact with their neighbors available for social participation as well as ensuring and community was very important to extremely that older adults have access and are aware of the important to them. Only 32% said that they would opportunities. rate these currently as excellent or very good 45 48 [Action Plan for an Age-Friendly Miami-Dade] Social Participation Indicators Indicator Definition Baseline Baseline Source Date Engagement Proportion of older adults among all N/A N/A—Data Administrative data in Socio- reported visitors to local cultural facilities Agenda from Cultural Affairs Cultural and events/Number of older adults that Activity utilized the Golden Ticket Arts Guide Coupons Opportunities Proportion of older adults who report that 32% October Age-Friendly Initiative to be social they have excellent to very good wide 2017 Community Survey— and interact range of opportunities to be social and Short Survey interact. Social Participation Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of strategies ENGAGEMENT & related to Social Participation. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to Social Participation in order to determine if older POLICIES adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Social Participation that should include an older ADVOCACY adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. AWARENESS o Increase education around the impact of social isolation on physical and mental health CATALOG & o Develop an inventory of social participation opportunities to identify current PROMOTE assets and gaps OPPORTUNIITES FOR o Survey community to understand why older adults are or are not SOCIAL participating,what is missing, and how older adults are engaging in the PARTICIPATION community o Ensure that events are both relevant and meaningful for older adults o Ensure that older adults are aware and have access to information an social participation opportunities PROMOTE AGE- o Create a report and feedback loop as to why older adults and engage and why FRIENDLY AND they do not CONTEXT-SENSITIVE o Provide information to partners and key providers to ensure they are creating OPPORTUNITIES and offering events that are relevant,meaningful, and accessible to older adults wants and needs o Develop a toolkit,resources,or training to help communities and businesses make social participation opportunities age-friendly or intergenerational o Work with partners to ensure timing and locations are considered in order to 49 [Action Plan for an Age-Friendly Miami-Dade] reach older adults Potential Partners • Media (local newspapers,news programs) • AARP Florida • Miami-Dade County • Age-Friendly Ambassadors • Nonprofit Organizations • Alliance for Aging • Parks, Recreation and Open Spaces • Commissioners, Locai Leaders Departments(local and county level) • Community Centers • Senior Centers • Cultural Affairs Departments • United Way of Miami-Dade • Florida International University • YMCA of South Florida • Greater Miami Chamber of Commerce Resources & Additional Information o Miami-Dade County Cultural Affairs Golden Ticket Program: htto://www.miamidadearts.org/education/golden-ticket-arts-guide o Miami-Dade County Parks, Recreation and Open Spaces Department's Active Older Adults Program: http://www.miamidade.gov/parks/active-adults.asp o Miami-Dade Public Library System's Get Social @ the Library: Lifetime Living through Art for Older Adults Program: httr://www.miamidade.gov/mayor/library/Service-Needs-Working- Group/SN08%20Program%20PIa n%20-%20Calendar%20of%20Events/SN8%20Program%20PIan%20- %20Calendar%20of%20Events%20Attachments/Lifetime%20Arts%20for%20Seniors.pdf SO [Action Plan for an Age-Friendly Miami-Dade] 0 Domain 5: Respect & Social Inclusion Vision ' I Older adults feel welcomed and valued in all i community settings. . Importance Respect and social inclusion is extremely important ' - , in the social environment for older adults. Today, ,r., there is a growing gap between generations, due in '°- .1 part to the advances in technology, which has ----_ contributed to the widespread misunderstanding li -nw - about aging and often times can lead to a lack of — ___ consideration of older adults' needs from family, community and during services provided.' This gap Older adults have become less visible in our among generations can lead to ageism and communities because there are fewer roles that preconceived notions that may lead to serious they can play, so they tend to become less engaged consequences such as social isolation and in the community. This can be further exacerbated depression. Some see older adults as needy, and on by poverty, socioeconomic problems, disability, as their way out rather than an active and vibrant part well as safety concerns. of our society. Addressing the challenges found in this area is essential for older adults and is possible There are currently several programs available for through communitywide events and activities older adults in Miami-Dade County addressing the tailored to all generations and toward issues of respect of older adults and social inclusion. understanding. The encouragement of These include the Positive Living Award, through intergenerational interaction not only creates the Alliance for Aging, where business and awareness about the needs of older adults, but also community leaders who support the efforts of the fosters respect and social inclusion. Alliance applaud those older adults who are "giving back" to their communities; Miami-Dade County's Grandparents Raising Grandchildren Initiative in Current Status in Miami-Dade conjunction with Miami-Dade County Public Schools (M-DCPS) Office of Community Services that 0provAccording to the Miami-Dade Age- ides support services to grandparent caregivers Friendly Initiative Community Survey of in South Dade. residents age 50+, 77% of respondents The County also has a volunteer month that said that having a sense that older adults are includes many older adults that are contributing to welcomed and valued in all settings was very their community. This is an indicator that older important to extremely important to them. Only adults are, and want to be, involved in the 34% said that they would rate this currently as community. Additional) there are currently25 excellent or very good"' y' businesses in Little Havana signed up to be a part of 51 [Action Plan for an Age-Friendly Miami-Dade] the Age-Friendly Business District pilot project. All topic, in order to create an atmosphere in which of the businesses provide discounts to older adults any proposed effort on behalf of older adults could in the area on Tuesdays, making them feel succeed. respected and wanted in the businesses. In addition,since 2016,there has been leadership in While these are steps in the right direction, a study Miami-Dade County and several municipalities conducted by United Way of Miami-Dade and surrounding joining the Global Network of Age- Bendixen & Amandi International in 2013 found Friendly Communities. Miami-Dade County joined that taken as a whole, there is little immediate the network in 2016, and as of July 2018, five consciousness of the challenges facing the older municipalities within the County have signed on adult population. However, when prompted, including Coral Gables, Cutler Bay, Miami Lakes, opinion leaders recognized the importance of Palmetto Bay, and Pinecrest. In addition, the City of addressing the issues related to this ever-growing Miami recently passed a resolution to join the group in Miami-Dade County. This suggests a need global network. for continued education of the community on the Respect & Social Inclusion Indicators Indicator Definition Baseline Baseline Source Date Age-Friendly Number and proportion of municipalities in 5 June 2018 AARP Network of Age- Communities Miami-Dade that have committed to (14%) Friendly Communities making their community age-friendly by Member List joining the AARP Network of Age-Friendly Communities Elder Abuse Number of reported cases of maltreatment N/A N/A—Data Data collected from of older adults(as a proportion of the total Agenda elder abuse hotline, law number of older people) enforcement,or community groups Florida Department of Elder Affairs Positive Proportion of older adults who report that 34% October Age-Friendly Initiative Social they have excellent to very good sense that 2017 Community Survey— Attitude older adults are welcomed and valued in all Short Survey Toward settings. Older Adults Respect & Social Inclusion Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of ENGAGEMENT& strategies related to Respect&Social Inclusion. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to Respect&Social Inclusion in order to determine 52 [Action Plan for an Age-Friendly Miami-Dade] POLICIES if older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Respect&Social Inclusion and community ADVOCACY design that should include an older adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and • periodically review whether their time on the committee is effecting change. AWARENESS o Provide education around the role of social inclusion on physical and mental health. o Increase awareness around the role of discrimination and bias on wellbeing. AGE-FRIENDLY o Educate Miami-Dade County Municipal leaders about age-friendly COMMUNITIES communities and the benefits and need for joining the AARP Network of Ensure Miami-Dade Age-Friendly Communities. Municipalities are o Encourage municipalities to join and celebrate successes. committed to creating o Provide technical assistance to municipalities that need assistance with Age-Friendly implementing or identifying age-friendly strategies. Communities o Track the number of municipalities that have joined the network and their phase of implementation. INTERGENERATIONAL o Promote intergenerational housing PROGRAMMING o Promote intergenerational events and provide resources to aid in their Promote international development programming in order to increase interaction between residents of all ages and build respect and understanding AGE-FRIENDLY EVENTS o Develop criteria for age-friendly events and a logo through the Mayor's office to designate and identify age-friendly events for the community. o Develop a toolkit for event hosts to utilize in their planning processes o Bridge the gap between the planners and planned events and community members—ensure older adults are included and aware as events are planned OLDER ADULTS IN ALL o Promote the idea of"Older Adults in all Processes"including workforce PROCESSES and education o Develop resources for employers and universities to consider ways they can incorporate older adults into their communities and ecosystems o Develop a training on aging related bias,to help address how organizations andgroupsaddress bias in their decision making,planning and delivery of services Potential Partners • AARP Florida • AARP Network of Age-Friendly Communities 53 [Action Plan for an Age-Friendly Miami-Dade] • Age-Friendly Ambassadors • • Nonprofit Organizations • Alliance for Aging • Parks, Recreation and Open Spaces • Commissioners, Local Leaders Departments(local and county level) • Consortium for a Healthier Miami-Dade— • Senior Centers Elder Issues Committee • The Children's Trust • Employers • United Way of Miami-Dade • Faith-based Organizations • Universities • Greater Miami Chamber of Commerce • Urban Health Partnerships • Health Foundation of South Florida • YMCA of South Florida • Media(local newspapers, news programs) • World Health Organization Age-Friendly • Miami-Dade County Cities Initiative • Miami-Dade County Public Schools Resources and Additional Information o Alliance for Aging Positive Living Award: http://www.allianceforaeing.org/201-positive-living-award- nominations-are-being-accepted o AARP Community Survey:http://www.aarp.org/livable-communities/info-2014/aarp-community- su rvey-a uest i o n na i re.h tm l o AARP Network of Age-Friendly Communities: https://www.aarp.org/livable-communities/network-age- friendly-communities/info-2014/an-introduction.html o Bendixen&Amandi Assessment-of-community-leaders-perceptions-relating-to-older-adult-issues: • https://agefriendlymiami.org/proiect/assessment-of-community-leaders-perceptions-relating-to-older- adult-issues/ o World Health Organization Network of Age-Friendly Cities and Communities: http://www.who.int/ageing/proiects/age friendly cities network/en/ • 54 [Action Plan for an Age-Friendly Miami-Dade] iiiii• Domain 6: ii Civic Participation & Employment Vision ih Older adults have a wide range of employment .,. idlikdk- -wall and civic engagement opportunities. . r Importance A 1 19 s ' Civic, participation and employment opportunities ,� are also key components of the social environment and, as such, need to be readily available in the = , .,� community. Many older adults do not choose _ -- . - traditional retirement and want to continue contributing to their communities after retirement, �., . ,. _ - allowing them to remain active either through paid or voluntary work. Although employment and civic they would rate these currently as excellent or very engagement are an important factor in being good. In addition, 63% of respondents said that involved and a part of the community, there are having opportunities to get involved in their local many barriers that limit the availability of government and advocate for issues they care opportunities including cultural barriers, lack of about was very important or extremely important awareness of the capability of seniors, and to them. Only 33% of respondents said that they stereotypes on limitations,among others. would rate these currently as excellent or very good." In addition, lack of employment opportunities is a large barrier especially to older adults and families Florida's"Longevity Economy" is defined as the sum that need additional income to make ends meet. of all economic activity that is supported by the This can lead to serious results including the consumer spending of households headed by inability to afford adequate housing, and someone aged 50 and older, according to a report consequently a decline in quality of life' released by AARP and Oxford Economics. This includes spending both in Florida and on exports from Florida to other states. The report found that Current Status in Miami-Dade this age group contributed to the economy in a positive, outsized proportion to their share of the According to the Miami-Dade Age- population. While it represented 29% of Florida's Friendly Initiative Community Survey of population in 2013, it accounted for 54% of residents age 50+, 82% of respondents Florida's gross domestic product. The report also said that having a wide range of employment and shows that older adults make a significant entrepreneurship opportunities was very important contribution to Florida's workforce. 39 to extremely important to them. Only 34%said that According to American Community Survey data, from 2009 to 2013, the percentage of older adults, 55 [Action Plan for an Age-Friendly Miami-Dade] aged 55 and older who are employed in Miami- younger counterparts, employers may not Dade, has had a slight overall increase. In 2013, this understand this or they may feel they should not group made up nearly 20%of the labor force.30 recruit one particular age group. One particular organization of note in Miami-Dade is ReServe It has been difficult in Miami-Dade County to garner Miami. ReServe matches older adult talent with the support for employment programs specifically expressed needs of government and social services targeted to older adults. Although studies have agencies to help fill critical gaps. ReServists are age shown that older adults often come with more 55+ and bring their experience and wealth of experience and need less training than their knowledge to the jobs. Civic Participation & Employment Indicators Indicator Definition Baseline Baseline Source Date Paid Proportion of older people(50-65+) who N/A N/A—Data Administrative Data Employment are in the labor force and currently Agenda from local government unemployed. Paid Proportion of older people (65+)who 7.1% 2015 American Community Employment are in the labor force and currently Survey 5 Year unemployed. Estimates,Age 65+ Equal Proportion of older adults who report 37% October AARP Research Age- Opportunity that they have excellent to very good 2017 Friendly Community policies that ensure older adults can Survey continue to have equal opportunity to work regardless of their age Participation in Proportion of eligible older voters who N/A N/A—Data Administrative Data Local Decision- actually voted in the most recent local Agenda from local government Making election or legislative initiative. Employment& Proportion of older adults who report 21% October Age-Friendly Initiative Entrepreneurship that they have excellent to very good 2017 Community Survey— Opportunities wide range of employment and Short Survey entrepreneurship opportunities. Opportunities for Proportion of older adults who report 31% October Age-Friendly Initiative Advocacy that they have excellent to very good 2017 Community Survey— opportunities to get involved in local Short Survey government and advocate for issues they care about. 56 [Action Plan for an Age-Friendly Miami-Dade Civic Participation & Employment Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of ENGAGEMENT& strategies related to Civic Participation &Employment. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to Civic Participation &Employment in order to POLICIES determine if older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards and committees related to Civic Participation & ADVOCACY Employment and community design that should include an older adult advocate on the committee or council. o Create a list of open seats on community boards where older adults can get involved o Recruit and train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. VOLUNTEERING o Develop a disaster Volunteer Corp o Create a resource guide of volunteer pages for older adults WORKFORCE TRAINING o Analyze availability of training programs for new job skills and identify gaps & EMPLOYMENT o Create a resource guide of local companies looking for older adults to join OPPORTUNITIES their teams BUSINESS COMMUNITY o Promote an older adult workforce and consideration of including older OUTREACH adults in the new"gig" economy o Educate the business community on the value of older adults in the workforce and how to shift hiring practices to be more inclusive o Development a toolkit for creating an intergenerational team Potential Partners • AARP Florida • Media (local newspapers, news programs) • AARP Foundation WorkSearch • Miami-Dade County • AARP Foundation Community Service • Nonprofit Organizations Employment Program • Parks, Recreation and Open Spaces • Age-Friendly Ambassadors Departments(local and county level) • Alliance for Aging • Reserve Miami • Commissioners, Local Leaders • Senior Centers • Department of Elder Affairs • UNIDAD of Miami-Beach Community • Employers Service Employment Program • Encore • United Way of Miami-Dade • Greater Miami Chamber of Commerce • Urban Health Partnerships • Health Foundation of South Florida • Volunteer Florida • Libraries • YMCA of South Florida 57 [Action Plan for an Age-Friendly Miami-Dade] Resources and Additional Information o Be on the cutting edge for the boom in older workers: http://www.hfsf.org/Uploads/Presentation MultiGenerational Retention Manag_ement.pdf o Employ Florida Marketplace,Silver Edition: https://www.emplovflorida.com/portals/silver/Default.asp o Florida Department of Elder Affairs Senior Community Service Employment Program (SCSEP): http://elderaffairs.state.fl.us/doea/scsep.php o Get in front or get left behind:The value proposition of recruiting& retaining older employees: http://www.hfsf.org/UDloads/Cutting Edge Recruitment.pdf o Miami-Dade Age-Friendly Initiative Resources for Increasing Employment Opportunities for Older Adults: https://agefriendlvmiami.org/project/increasing-employment-opportunities-for-older-adults/ o ReServe Miami:http://www.reserveinc.org/ o Senior Community Service Employment Program: http://elderaffairs.state.fl.us/does/scsep.php o Value Proposition or Verdict Risk Perceptions and Misperceptions of the Legal Rights and Risks of Older Workers For the Human Resources Professional: http://www.hfsf.org/Uploads/Legal Rights Risks of Older Workers.pdf o Video Resources: Reasons to Recruit&Retain Older Workers and Intergenerational Workforce Dynamics: https://agefriendlvmiami.org/tools-resources 58 [Action Plan for an Age-Friendly Miami-Dade] 0 Domain 7: Ckie Communication & Information Vision Older adults have access to the information that they want and need and the broader community is a_', ' : 1\ aware and knowledgeable about the presence, r value,needs and wants of older adults. v �, r . Importance Y ._ a �*.' A widespread distribution through various f p g � .: fi communication systems is paramount to an '`;„ '- f " r , effective social environment.The communication of is., information regarding events, programs and services must be based on the needs and interests Today, although there are many sources of of older adults. It also must show the community's information, it can be fragmented and hard to find general understanding and ability to provide local, relevant information in one place. Another services and information to meet these needs and challenge is cultural issues that need to be interests accordingly.' considered. Older adults in Miami-Dade are diverse in age, ethnicity, ability, health and socioeconomic Communication and Information is an extremely status, therefore understanding and disseminating important domain since it is vital to the culturally sensitive and multilingual information is effectiveness of other domains, especially Social paramount. Participation, Respect and Inclusion, Civic Participation and Employment, and Community Moreover, in order to address gaps in Support and Health System.There is a need to have communication and information we need to widespread communication and informa`tion of become aware of what the media is reporting. available services, programs and resources available to assist older adults and organizations must The Alliance for Aging reports that from 2012 to communicate it properly. 2017 the Aging and Disability Resource Center (ADRC) has seen a significant increase in the Current Status in Miami-Dade number of calls, from 28,594 calls in 2012 to • 101,780 in 2017—a notable 256%increase. According to the Miami-Dade Age-0 The top reasons for calls were to inquire about: Friendly Initiative Community Survey of income support and assistance; individual, family residents age 50+, 67% of respondents and community support. On the issue of health said that having access to information about care, callers asked for help with Medicare, Medicaid services and opportunities was very important to and SHINE (Serving Health Insurance Needs of extremely important to them. Only 23% said that Elders), a free program offered by the Florida they would rate their current access to this type of Department of Elder Affairs and the Alliance for information as excellent or very good. Aging where specially trained volunteers in Miami- 59 [Action Plan for an Age-Friendly Miami-Dade] Dade and Monroe counties assist individuals with information. Medicare, Medicaid and health insurance questions by providing one-on-one counseling and Communication & Information indicators Indicator Definition Baseline Baseline Source Date - Availability Availability of local sources providing 28,594 calls 2012-2017 Alliance for Aging of information about health concerns and in 2012 Disability Resource Information service referrals. - (256% Center 75,130 in Increase) 2014 101,780 in 2017 Internet Proportion of older people living in a N/A N/A—Data Demographic data of Access household with Internet access at Agenda Internet users reported home by public and/or private internet providers Access to Proportion of older adults who report 34% October Age-Friendly Initiative Information that they have excellent to very good 2017 Community Survey— access to information about services Short Survey and opportunities Communication & Information Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of ENGAGEMENT& strategies related to Communication&Information. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to Communication&Information in order to POLICIES determine if older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Communication & Information that should ADVOCACY include an older adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and periodically review whether their time on the committee is effecting change. o Ensure information targeting older adults is communicated in a variety of ways,including print,online,radio,TV, newsletters,and bulletin boards 60 [Action Plan for an Age-Friendly Miami-Dade] ACCESS TO o Ensure older adults get the information they need in a variety of ways, INFORMATION FOR including print,online, radio,TV,newsletters,and bulletin boards OLDER ADULTS o Encourage community groups to consider to reach older adults in a variety of ways and in multiple languages. o Identify and promote classes and resources focused on building older adults'computer and technology skills COMMUNITY IS AWARE o Promote older adult issues in all policies and communications OF VALUE AND NEEDS o Promote the Frameworks Institute's Reframing Aging report and OF OLDER ADULTS encourage use of more optimistic language used by those in aging field o Provide trainings to local leaders and media surrounding Reframing Aging to build capacity o Develop refined messaging to engage local leaders and to convey the urgency of preparing for the aging of our community o Develop partnerships with the media to implement campaigns and publish articles about older adults and their needs on a regular basis Potential Partners • 311 • Health Foundation of South Florida • AARP Florida • Libraries • Age-Friendly Ambassadors • Local Internet/Phone Providers • Alliance for Aging • Media(local newspapers, news programs) • Commissioners, Local Leaders • Miami-Dade County • Community Action&Resources • Nonprofit Organizations Department, Miami-Dade County • Senior Centers • EveryoneOn • United Way of Miami-Dade • FrameWorks Institute • Urban Health Partnerships • Greater Miami Chamber of Commerce • YMCA of South Florida Resources and Additional Information o Aging and Disability Resource Center(ADRC):http://www.allianceforaging.org/consumers/get-help- information/adre o Florida Department of Elder Affairs-Elder Update Bi-Monthly Newsletter: http://elderaffairs.state.fl.us/doea/elder uodate.ohp o Frameworks Institute-Reframing Aging:http://frameworksinstitute.org/reframing-agine.htmI o SHINE Information: http://www.allianceforaging.org/consumers/shine-resources 61 [Action Plan for an Age-Friendly Miami-Dade] 0 Domain 8: Community Support & Health System Vision: Older adults are supported by and have access to quality health care,community-based wellness, • and supportive services. rf,-.. Importance lir. The ability of older adults to sustain long-term independence in their community is directly based • `on the availability of accessible quality health care and support services. Home care services including personal care and housekeeping are also very important to aging in place. Additionally, quality residential care facilities need to be affordable andlocated in close proximity to businesses and services to help older adults maintain their1 independence. A study published in the Journals of Gerontology determined that out of the estimated . 38.1 million Medicare beneficiaries aged 65 and older, 5.5 million (15%) live in a residential facility. Current Status in Miami-Dade Of these 5.5 million older adults, 2.5 million live in • retirement homes, 1 million live in assisted-living According to the Miami-Dade Age- facilities, and 1.1 million live in nursing homes with Friendly initiative Community Survey of only 1 million living independently. In some cases, residents age 50+, 81% of respondents older adult needs are not always met at these said that having quality health care and community facilities - especially the ones providing care to based wellness and supportive services was very dependent older adults, resulting in lower physical important to extremely important to them. Only and cognitive capacity?' The results of this study 34%said that they would rate these issues currently highlight the need of having affordable, high-quality as excellent or very good.45 residential care facilities with respectful and appropriately trained professionals. Older adults According to 2013 Florida CHARTS data, In Miami- deserve to have adequate community support and Dade, of the older adults age 65+, 16.1% suffers health system available for promoting, maintaining from depression; 20.7% have been diagnosed or and restoring health so they may continue to live treated for coronary heart disease, heart attack, or healthy,active lives with dignity.' stroke; and 30.7% have been told they have diabetes. In addition, 61.2% of older adults have been told they have hypertension. 73.8% of older 62 Action Plan for an Age-Friendly Miami-Dade] adults are overweight or obese and nearly 60% say Efforts to address gaps in quality health care in that they are inactive or insufficiently active 43 Miami-Dade include the partnerships between the Florida Health Networks (FHN), aging and disability Of this same population, 95.2% report having one providers, and other community-based or more persons that they identify as their a organizations that link clinical and community personal doctor or healthcare provider. 94.6% said services. The FHN supports contracting with they have had a medical checkup within the last managed care plans and allows direct service year, however, 8.2% of the population said they delivery of billable evidence-based preventive could not see a doctor within the past year due to health and wellness services, leading to improved cost barriers.43 health promotion and comprehensive care coordination. Community Support & Health System Indicators Indicator Definition Baseline Baseline Source Date Access to a Proportion older adults(50-65)that report N/A N/A—Data Florida Behavioral Risk Usual having one or more persons they think of as Agenda Factor Surveillance Source of their personal doctor or health care System,Via Miami Health Care provider. Matters 42 Access to a Proportion older adults(65+)that report 95.2% 2013 Florida Behavioral Risk Usual having one or more persons they think of as Factor Surveillance Source of their personal doctor or health care System,Via Miami Health Care provider. Matters 42 Availability Proportion of older adults(65+)who have N/A N/A—Data Public:Administrative of Social and personal care or assistance needs that are Agenda data from city Health receiving formal(public or private) home- government or health Services or community-based services, including and social services— mental health. Alliance for Aging Private:Official reports from local home-and community-based health and social service providers Quality Proportion of older adults (50+)who report 34% October 'Age-Friendly Initiative Healthcare that they have excellent to very good safe 2017 Community Survey— and Support quality health care and community-based Short Survey 45 Services wellness and supportive services 63 [Action Plan for an Age-Friendly Miami-Dade] Community Support & Health System Strategies & Objectives Objectives Strategies OLDER ADULT o Engage older adults in the planning and implementation process of ENGAGEMENT& strategies related to Community Support& Health System. INVOLVEMENT OLDER ADULTS IN ALL o Review policies related to Community Support&Health System in order to POLICIES determine how older adults are considered or should be considered and included in the policies. o Advocate for policy modifications and additions as needed. OLDER ADULT o Identify boards related to Community Support&Health System that ADVOCACY should include an older adult advocate on the committee or council. o Train advocates as Age-Friendly Ambassadors. o Promote inclusion of an advocate or Age-Friendly Ambassador and identify how their participation is effecting change. o Partner with Miami Matters and/or other data sources to ensure older adult data is incorporated and highlighted on their website o Advocate for the protection and improvement for health insurance for older adults ADDRESS GAPS IN o Identify or encourage new opportunities for funding to address gaps in SERVICE NEEDS service needs o Ensure that multilingual services are offered in a variety of neighborhoods o Explore ways to expand and coordinate with the transportation network to expand access to services o Ensure that older adults have access to information and are able to navigate their health insurance options,and the health system,and understand their benefits SUPPORT CAREGIVERS o Identify partners and opportunities for affordable caregiver support and training o Provide training and support to caregivers, advocate for paid family leave to encompass care giving at any age PREVENTIVE SERVICES, o Create a campaign related to prevention and screenings for older adults INFRASTRUCTURE & health issues for those most at risk PROGRAMMING o Build greater clinical and community linkages by encouraging having health professionals to become accessible through programs and satellite locations in places where older adults congregate. o Promote prevention-oriented programming at the neighborhood level (walking groups,etc) o Encourage community gardens to ensure access to healthy foods for older adults o Expand the availability of exercise equipment suited for older adults 64 [Action Plan for an Age-Friendly Miami-Dade] Potential Partners • AARP Florida Matters • Age-Friendly Ambassadors • Libraries • Alliance for Aging • Local Hospitals and Health Systems • Commissioners, Local Leaders • Media(local newspapers, news programs) • Community Action & Resources • Miami-Dade County Department, Miami-Dade County • Municipalities • Doctor's Offices • National Hispanic Council on Aging • Faith-based organizations • Nonprofit Organizations • Florida Department of Elder Affairs • Parks Departments(county and municipal) • Florida international University • Senior Centers • Florida Department of Health • United Way of Miami-Dade • Greater Miami Chamber of Commerce • University of Miami • Health Foundation of South Florida • Urban Health Partnerships • Health Council of South Florida&Miami • YMCA of South Florida Resources and Additional information o Alliance for Aging Healthy Aging Programs: http://www.allianceforaging.org/consumers/healthv- aging/hea lthy-aging-programs o Alliance for Aging Area Plan on Aging: http://www.allianceforaging.org/about-us/area-plan-on-aging o Consortium for a Healthier Miami-Dade Elder Issues/Mayor's Initiative on Aging: http://www.healthymiamidade.org/committees/elder-issues-mayor-s-initiative-on-aging/initiatives- o Florida CHARTS:http://www.flhealthcharts.com/charts/ o Florida Department of Health: Miami-Dade County: http://miamidade.floridahealth_gov/ o Miami-Dade Parks,Recreation,and Open Spaces Active Older Adults Program: http://www.miamidade.gov/parks/active-older-adults.asp o Miami Matters: http://www.miamidadematters.org/ • 65 [Action Plan for an Age-Friendly Miami-Dade] Next Steps Get Involved We are now taking steps toward changing our community.Your interest in this Action Plan for an Age-Friendly Miami-Dade shows that you are committed to making Miami a more livable community for all ages,especially older adults.You have read through the plan and are dedicated to effecting change— but what's next? If you haven't done so already,we invite you to sign the Mayor's Challenge and pledge to make your corner of Miami more age-friendly at www.AgeFriendlyMiami.org/Challenge. We also encourage you to take these steps to continue improving Miami-Dade County, bit by bit: I Get more involved and join our Stakeholder or Older Adult Advisory Committees by contacting us at www.AgeFriendlvMiami.org/Contact. I Sign up for our updates by joining our mailing list at www.AgeFriendlyMiami.org/Contact. I Become an Age-Friendly Ambassador. Learn more at www.AgeFriendlyMiami.org/Ambassadors. I Find out if your local municipality has joined the AARP and WHO Network of Age-Friendly Communities. Identify ways to collaborate on efforts or advocate for municipalities to join and make a commitment to working toward an age-friendly community. I Start Planning! Use this plan to help guide you as you make decisions about what steps to take in your own neighborhood,focusing on those domains and topics that are of most interest and are most needed by the older adults in your area. There's one more thing we hope you do—share with us.Are there changes that you think should be a priority? Specific ways the Age-Friendly Initiative can help?Do you have information on what's happening in your community or what you are doing or planning to do? From policy commentary to environmental changes,we want to hear about it! Contact us via our website or contact information below. Contact Us For more information on the Miami-Dade Age-Friendly Initiative please contact: Isabel Rovira,MPH Manager, Miami-Dade Age-Friendly Initiative isabel@urbanhs.com,786-224-2309 Follow Us Website:www.AgeFriendlyMiami.org Twitter: @AgeFriendlyMlA Facebook.com/AgeFriendlyMiami 66 [Action Plan for an Age-Friendly Miami-Dade] References 1. 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