Presentation on theme: "Statement of Findings: Senior Related Housing Issues Prepared by: Jon Pynoos, Ph.D. Marvin Schachter Christy Nishita Carla Hett Smith."— Presentation transcript:
Statement of Findings: Senior Related Housing Issues Prepared by: Jon Pynoos, Ph.D. Marvin Schachter Christy Nishita Carla Hett Smith
Why is Housing Important for Californias Seniors?
Housing Plays a Disproportionately Important Role Because: Cost The Amount of Time Elders Spend in their Home Their Desire to Age In Place Need for Supportive, Accessible Environment Linked with Services
Percent of Older Adults Who Prefer to Stay in their Own Home and Never Move Source: AARP (1996)- Understanding Senior Housing Into the Next Century. Percent of Respondents Who Agreed With the Statement Id Like to Stay in My Home and Never Move.
Critical Issues in Housing for Older Persons: The 4 As Affordability- Costs Adequacy- Condition Accessibility- Supportiveness of Physical Environment Appropriateness- Lives with Services
Percent of Older Californians Living in Owned and Rented Units Source: 2000 Census- Californians Aged 65 and Over
Percent of Older Californians With High Housing Costs (30% or More of Income) Source: AARP (1995)- Californians Aged 65 and Older Who Pay 30% or More of Income on Housing
Severe Housing Cost Burdens Among Older Californian Renters Source: AARP (1995) State Housing Profiles- Californians Age 65 and Older
Sub-populations Vulnerable to High Housing Costs Low-income persons Women Those Living Alone Ethnic Minorities Those Living in Rural Areas
Findings/ Preliminary Recommendations: Increase Supply of Housing Housing for Older Adults Should be Given a Higher Priority In Targeting Low-income Housing Tax Credits Create Direct Financing Programs Through a State Housing Trust Fund
Preserve Section 8 Housing Greater incentives for building owners to remain in program Ensure a Fair Share of Senior Housing Bond issue is very promising Senior organizations signed on and now there is great concern Consider adding a frail elderly or at risk elderly Special Needs Category
Need for a Special Category for Frail or At Risk Elderly Source: Census 2000
Need for a Special Category for Frail or At Risk Elderly Source: U.S. Department of Health Services, Agency for Health Care Policy Research, National Medical Expenditure Survey, Functional Status of Noninstitutionalized Elderly: Estimates of ADL and IADL Difficulties, 1987.
The Need for Adequate Housing Older Adults Tend to Live in Older Homes Dilapidated Housing In Need of Repair (e.g., Plumbing and Heating)
Number of California Elderly Homeowners and Renters with Inadequate Housing Extrapolation of American Housing Survey Data. Numbers represent 3.6% of homeowners and 5.7% of renters
Findings/ Preliminary Recommendations Expand current state funding sources for home improvements State CDBG program and the California Self-Help Housing Program
Create a State Low-interest Loan Program for Home Repair to Benefit Low-income Persons Maines award-winning FIX ME program is a low-interest rehabilitation loan program funded by the state and specifically targeted to low-income homeowners.
Accessibility Home Modifications Visitability Universal Design
The Need for Accessible Housing The home is the long-term care delivery site of the future The overwhelming proportion of older adults prefer to age in place Yet, increasing frailty and environmental barriers pose problems
Definition of Home Modifications Home Modification (HM) Refers To Converting Or Adapting The Environment To Make Performing Tasks Easier, Reduce Accidents, And Support Independent Living.
Examples Of Home Modification Ramps And Stair Glides Hand-held Showers Grab Bars Roll-in Showers Better Lighting Chair Lifts Widen Hallways
Importance of Home Modifications Cost Effective HMs In Combination With Assessment And Follow-up By An OT Can Reduce Health Care Costs And Delay Institutionalization Adequate Space Can Facilitate Caregiving For Frail Older Persons By Relatives And The Formal System
Need for Home Modifications in CA Over half a million older Californians have functional limitations. Almost half or 219,000 older persons express an unmet need for home modifications Source: 2000 Census
Visitability A set of key features that facilitates basic access into and within the home for older adults and persons with disabilities
Visitability Movement Growing As of March 2003 : Mandated Legislation: 5 States: Texas, Georgia, Vermont, Minnesota, Kansas 10 cities and counties
Case Study: Vermont Law applies to any spec built family or multi-family housing units, including privately funded housing. A task force, which included the contractors, realtors, disability, and aging groups facilitated passage
Most Important Features Zero Step Entrance into the Home Accessible Entrance Door Wide Level Route Through Main Floor Wide Interior Doors Accessible 1st Floor Bathroom Apply to All Newly Constructed Single Family Homes
Universal Design Adaptable Housing and Neighborhoods Designed to be Useable by All Persons to the Greatest Extent Possible Different from visitability because it applies to entire home
Universal Design Features in Housing Wide and Level Entries Wide Interior Door Openings Lever Door Handles Variable Height Counters Supportive Bars in Shower and Bathroom Bathrooms and Kitchens Large Enough to Accommodate Walkers/Wheelchairs
Findings/ Preliminary Recommendations: Home Modification California Department on Aging should Preserve Core Functions of Senior Housing Information and Support Center
CHFA should develop accessibility loan and grant programs Minnesotas HFA Fix Up Fund uses housing revenue bonds to provide homeowners with low- interest loans to improve accessibility. The MHFA also has a separate $500,000 deferred payment Accessibility Loan program funded by state appropriations
Link HM Better with Community Based Programs More Comprehensive Home Assessments in Home and Community Based Programs
Findings/Preliminary Recommendations: Visitability and Universal Design Endorse the Concepts of Visitability and Universal Design Provide Incentives for Builders and Developers to Adopt These Practices Provide Incentives for Local Governments to Adopt Mandatory Universal Design Requirements
Encourage Implementation of AB Senior Housing: Universal Design bill Authorizes the Housing and Community Development Department to develop Visitability/Universal Design guidelines for the purpose of developing a model ordinance
The Need for Appropriate Housing Senior Housing Disconnected from Support Services Older Californians Should Not Have to Move to Receive Services There are Gaps in the Continuum of Housing
The Continuum of Housing
The Focus: State Must Work to Fill in Gaps in the Continuum of Housing However, focus today on: Age-specific apartments Assisted Living
Findings/ Preliminary Recommendations: Provide Incentives for the CHFA Senior Housing Financing Applicants to Link Housing with Services Cluster Services In Senior Housing and Use Housing as Platforms for the Delivery of Services
Develop Closer Working Relations Among HCD, CA Dept. of Transportation, CDA and HHSA to Develop Models of Housing That Incorporate Both Public and Commercial Spaces.
Findings/ Preliminary Recommendations: Assisted Living Explore Governmental Funding Sources such as SSI, HUD Section 8 Vouchers, and the Medicaid Waiver Program to Pay for Housing and Services in Assisted Living
Encourage Implementation of Assisted Living Waiver Demonstration Program (AB 499) $1 million dollars was included in this years budget to develop the waiver request to the federal government The Department of Health Services has released a request for a consultant to work on developing the waiver pilot project Implementation of pilot project has been slow
Serious Housing Problems Remain for the Elderly Affordability Problems, Especially Among Older Renters Housing Lacks Accessibility and Connection to Services Problems Especially Severe Among Specific Subgroups of Minorities, Frail, and Women
Affordable and Suitable Housing Should be a Right of All Elderly in California The Question is How to Make it a Reality