1. The “Mobility Escort”, a mobility service within the transportation system
a challenge for local and
metropolitan policy
Ph.D. Silvia Rosales-Montano
Studies Director

2. The purpose of the Planning Agency
Consultation and design a metropolitan strategy mainstreaming aging into global public policy (housing, transports and mobility, services… land planning)
to correct the low taking into account the aging in the public an private decision

3. Method a participatory approach continues (2007- 2012)
pedagogy of knowledge for an upgrade of all stakeholders
Action-learning and debates
- proposed recommendations shared in all fields

4. Context
Démographie, logement, mobilité, revenus, consommation; services et commerces, …
Atlas
assessment of local public policies and private actions, and synthesis of best practices

5. Workshops … Aging and …
symposia
Transports, mobility, accessibility
Housing
Land Planning
Services, …
Digital …

6. Older people are concentrated in the "centers", but instead increases in suburban

7. Evolution of the population   2007 - 2030

8. 60 years and older distribution by sex
population of seniors living alone (the total number of people living alone)
60 years and older distribution by sex
Women
Men

9. rate and type of primary caregivers for persons 75 years and over
Friends, Neighbors
other parents
childrens or
grandchildrens
Husband, wife, and other
Men Women

10. To understand the mobility needs of seniors losing their autonomy, we must understand
The type of response to the older people less autonomous, should consider that:
Future elderly, in there majority,
… will live in their own home, almost until death
- … will live in the apartment or house, that costs of adaptation, are very important for the elderly budgets or for the public or private budgets
- will have probably lower revenues in the coming years. The precarious economic people today (part-time work, long periods of unemployment, and so one, will not enjoy the same social benefits, in the future.

11. To understand the mobility needs of seniors losing their autonomy, we must understand
Future elderly, in there majority,
- … a very important part - as urban, suburban and rural areas - will not benefit of all proximity services and shops
- will not have necessarily mobility publics aids
… and will need - for the elderly who are most dependent, more and more professional caregivers; because familial caregivers are themselves very old today and in the future too…

12. Innovations in the field of mobility and accessibility for elderly people with limited) mobility, should be valued in
its ability to respond to these needs,
Its ability to become a system.

13. THE BEST (FRAGILE ) PRACTICE …
« STRADA » (Service for the Transport and Travel Assistance of Seniors)
Created in 1995 by the association Loi 1901 (GIHP) and a the only one “senior intercommunity (SIPAG)
‘door to door’ service, available five days a week, takes citizens over 60 from all the communities in these regions for a fixed or adapted price.
- users: elderly temporarily or permanently disabled, elderly autonomous…

14. THE BEST (FRAGILE ) PRACTICE …
2. “Home-freedom Check” – local et national
A service set up by the Agirc and Arrco Foundations, managers of supplementary pension schemes for private sector employees (with Qualidom and City of Lyon.
agreement )
… in order to maintain the social ties of seniors over 75 years of age who are vulnerable and isolated, regardless of their income.
These pension funds allow for up to checks -books for each senior citizen who requests them, in exchange for a modest financial contribution. A service provider will then provide the required mobility escort, and if necessary, a vehicle.  

15. THE BEST (FRAGILE ) PRACTICE …
3. “Cyclopousse” – Villeurbanne et Lyon
(« Rickshaw » AREFO Services in Villeurbanne).
Since 2007, the Homes and Residences Association (AREFO), in partnership with the town of Villeurbanne (and Lyon) , and the Solidarity Department, have been helping retirees travel to the post office, the market, the museum etc. from their own homes or from retirement facilities.
The destinations offered by the service were chosen in co-operation with the senior citizens themselves.  

16. THE BEST (FRAGILE ) PRACTICE …
4. “Mobisénior” –Lyon
Agreement between the association “Régie de quartier” and the City of Lyon.
It is a service to accompany seniors with walking difficulties to their homes, or to a specific location for medical or cultural reasons, using minibuses.

17. THE BEST (FRAGILE ) PRACTICE …
5. “Mobility accompanied » –Lyon (or Escorted mobility”)
(created by a association of a same name organizacion, with an City of Lyon partnership., the Silverlife Institute (Centre of research on the economics of aging) and the Elisabeth Association.
This association develops and implements a comprehensive range of support services. Combined with the aid of various human helpers (both health professionals and family), they offer personalized and adaptable assistance in order to fulfil the wishes of the elderly, such as maintaining a social life, the option to be accompanied by an escort on their daily errands, and the opportunity for adapted services in the case of a loss of autonomy. The association also provides car travel to medical appointments and leisure destinations.

18. These 5 services can be seen as complementary services implemented by the transport authorities … But they are not integrated into the global supply of agglomeration., and they are mainly financed by social budgets, just close exceptions.

19.  The common point of these services : all rely on caregivers for to accompany the elderly in their mobility….
… but, most of these caregivers are in a social an economic inclusion program works … "until something better", and do not wish to tranform this activity a permanent job, either now or tomorrow, not only because it is a physical and psychologic work very hard, but is more poorly paid.
The "escorted of mobility" ... This human resource is not recognized as a mobility service in its own right, …

20. The majority of these services have passed the testing stage and are being put into action, and have all been adapted to support seniors with varied levels of mobility, even those who are largely autonomous.
 But despite the demonstration of the relevance of these services, there are two problems for a sustainable policies and actions:
- low durability compared to the prevailing economic model,
- the strong inequality service they produce  

21. Major objective: the development of a alternative system
non-motorized transport options and human mobility escorts for “seniors with fragile mobility”
… which complements existing systems
And that’s for two reasons:
- first - it is a key that concern social policies,
- second, it is a key that concern urban transport policies.
The human support should be considered at the same time as facilitating mobility, and as a true mobility service and citizenship.

22. Recommendations, (currently being discussed in France and Lyon)
A global strategy around aging and mobility , suppose
- … Shared management and multi-scale of this service mobility for seniors
… a metropolitain policies and re-engineering of aging
… a municipality management scale - … a network of public or private associations operators and users
The scale of agglomeration ensures pooling financial and consistency of services