1. Fredda Vladeck ASA/NCOA Annual Conference 2009 March 16, 2009

2. Session Objectives  Describe NORCs/NORRs in urban, suburban, and rural settings  Identify common elements and themes  Exchange ideas with audience on the cultural, social, and structural changes How big/small is too big/small? Who is the target population? Who’s in charge?

3. United Hospital Fund New York City public charity, policy, and research center Shapes positive change in the delivery of health services in New York City Established the Aging in Place Initiative in 1999

4. NORC and NORC Program Naturally Occurring Retirement Community (NORC) – originally built for all ages but now has a large concentration of older adults NORC Program – public/private partnership of housing/neighborhood organizations, residents, health and social service providers, and other community stakeholders to advance successful aging in place

5. NORC Program: Community Change Model Works at the Individual and Community Level to:  Maximize the health and well-being of all older adults  Foster connections within the community  Empower older adults to take on new roles

6. New York State NORC Programs 11.4 million public dollars per year 54 NORC programs in New York State – Classic /Housing-based- 37 – Neighborhood - 17 Approximately 65,000 older adults living in the neighborhoods served by the NORC programs Match requirements – public dollars leverage public support

7. Geographic Area – Housing development or a coalition of developments in close proximity – Spans one-quarter mile to several square miles depending on size of development – Population Density Ranges from 400 to 55,000 New York City’s 39 Housing-based NORC Programs

8. Type of Developments Public, private combination of the two ranging from:  Single buildings to more than 200  Garden apartment complexes to hi-rises 30 stories or more  OAA senior centers in 7 of 39 developments Ownership  Public or private rentals  Common ownership by residents (co-op) New York City’s 39 Housing-based NORC Programs

10. Core Partners – housing development, residents, and health and social service providers Community Partners – mix of community stakeholders Staffing – social workers, nurses, and residents Services focus at the individual and community level New York City’s 39 Housing-based NORC Programs

11. 11 Elements of Developing Effective Programs Understanding the Community Partnering with the Community Designing and Implementing a NORC Program Evaluating Projects of a NORC Program Strategic Planning for Sustainability

12. 12 www.norcblueprint.org

13. 13 Fredda Vladeck, Director, Aging In Place Initiative, United Hospital Fund 350 Fifth Avenue, 23 rd Floor New York, NY 10118 fvladeck@uhfnyc.org Contact Information