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A Toronto for All

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Title: A Toronto for All


1
A Toronto for All The Creation of Age-Friendly
Communities
City of Toronto

2
Agenda
  • City of Toronto
  • A Toronto for All
  • Neighbourhood Action Teams
  • Community Service Partnerships
  • Toronto Seniors Forum
  • City Services Enriching Seniors Lives
  • Toronto Public Health
  • Toronto Fire Services
  • Toronto Emergency Medical Services
  • Toronto Police Service
  • Transportation Services
  • Toronto Transit Commission
  • Parks, Forestry and Recreation
  • Long-Term Care Homes and Services
  • Toronto Community Housing Corporation
  • Shelter, Support and Housing Administration

City of Toronto
3
Toronto in Context
City of Toronto
4
Toronto for All
  • Priorities include services that enhance seniors
    safety and quality of life in meaningful ways
  • Social inclusion, poverty reduction, community
    engagement and education
  • Anti-violence intervention, investing in
    Torontos priority neighbourhoods, creating
    centre of educational excellence, ensuring
    multilingual service through 311, partnering with
    community agencies regarding transitional and
    supportive housing
  • Neighbourhood Action Teams and community
    partnerships
  • Focus on seniors issues in directly delivered
    City services

City of Toronto
5
Toronto for All Continued
  • Service Stewardship Commitment anchor the
    work of the Toronto Public Service, including the
    requirement to treat older people with respect
    and sensitivity services for seniors are
    distributed throughout the City and easily
    accessible by public transportation
  • City divisions have access and equity plans
  • Accessible information about services for seniors
    is available on the Citys website and in
    numerous hard-copy pamphlets and brochures
  • The City offers a broad range of services for
    seniors and collaborates with other community
    organizations to address the needs of seniors
  • City divisions have vibrant volunteer
    organizations
  • The Citys emergency planning has a strong focus
    on ensuring the needs of seniors are met

City of Toronto
6
Priority Neighbourhoods
  • Neighbourhood Action
  • At its core it is about building new service
    relationships that inspires systemic change to
    that leads to a safe, healthy, equitable city
  • Strategic, opportunistic, comprehensive,
    intentional investment
  • Community strategy that benefits communities,
    including seniors
  • City Neighbourhood Action Teams
  • GOAL Sustainable change
  • HOW Transcending institutional
  • silos to provide integrated
  • service delivery
  • RESULT Community
  • development based on service
  • partnerships
  • Neighbourhood Action Partnerships
  • GOAL Sustainable community
  • change
  • HOW Resident-driven multi-
  • sectoral neighbourhood-based
  • decision-making
  • RESULT Neighbourhood vitality
  • enhanced community capacity to
  • thrive

City of Toronto
7
Community Service Partnerships
  • Community Services Partnership Funding (CSP)
    funds a continuum of community-based services
    that support seniors (ranging from
    social-recreation programs to adult day programs)
  • CSP total funding 3.2 million to support 88
    agencies and 159 seniors programs (32 of total
    CSP budget)
  • The Community Safety Investment Program Funding
    (CSI) also supports work in the areas of elder
    abuse prevention, community education and
    awareness and increases capacity of community
    services to respond effectively to elder abuse

City of Toronto
8
Community Service Partnerships Continued
  • Snow Shovelling and Lawn Care Program
  • Support for seniors and people with disabilities
    to maintain independence and remain safely in
    their homes
  • Ensures ongoing access to general services such
    as mail delivery, meals-on-wheels, home care
    services, emergency services
  • Lawn care service ensures lawns are maintained to
    a basic standard
  • Program is provided through a brokerage model
    community organizations recruit and screen
    workers
  • Seniors and people with disabilities pay a fee
    for the services that they choose
  • Reduces isolation and provides an additional
    security check function
  • Provides casual first-time jobs for students and
    newcomers

Social Development, Finance and Administration
9
Coming Soon.3-1-1
  • 3-1-1 will improve accessibility to City services
    and will increase the City's effectiveness in
    responding to public inquiries
  • The public will be able to obtain information and
    access to non-emergency City government services
    using their method of choice by telephone, on
    the City's website, by e-mail, mail, fax, in
    person and eventually at a self-serve kiosk
  • The public will be able to access City
    information and services through one easily
    remembered telephone number and one e-mail
    address
  • Calls to the 3-1-1 contact centre will be
    answered by staff 24 hours a day/ seven days a
    week

City of Toronto 3-1-1
10
Toronto Seniors Forum
  • Toronto Seniors Forum was established in October
    2004 to facilitate civic engagement, give a
    voice to seniors not often heard and ensure that
    Toronto meets its commitments in providing
    services for seniors
  • Forum is comprised of 30 people, who are at least
    60 years of age and are residents of the City of
    Toronto
  • Membership includes 18 seniors from the following
    communities of common interest
  • 3 of African (Black) heritage
  • 3 of Asian heritage
  • 3 of Latin American/Hispanic heritage
  • 3 who are lesbian, gay, bisexual, transgender or
    two-spirited
  • 3 of Aboriginal/First Nations heritage
  • 3 who are people living with a disability
  • The remaining 12 members are chosen equally from
    geographic regions of the City

Toronto Seniors' Forum
11
Toronto Seniors Forum Priorities
  • Access Issues
  • Recreation facilities and fee structures
  • Transportation, TTC access and fees
  • Access to and understanding of City programs
  • Housing and Long-Term Care
  • Homelessness amongst seniors
  • Long-term care homes
  • Diversity practice
  • Individual Health and Culturally Sensitive
    Service in the Community
  • Public health services for the frail elderly
  • Diversity practice
  • Meeting the needs of the LGBT community
  • Safety, Security and Legal Protection
  • Fraud against seniors
  • Oversized street signs and audible pedestrian
    crossing
  • Elder abuse
  • Leadership, Advocacy and Civic Engagement
  • Engage and promote leadership amongst seniors

Toronto Seniors' Forum
12
Healthy Living, Healthy Communities
  • Vulnerable Adult Seniors Injury Prevention
    (VASIP) Program is focused on reducing the
    incidence and consequences of falls for older
    adults in the community
  • VASIP developed a Falls Intervention Team (FIT)
    and initiated projects to identify and intervene
    for modifiable risk factors in the frail elderly
    population
  • target community dwelling seniors with at least
    four risk factors for falling
  • series of scheduled home visits by a public
    health nurse and/or a community-based
    physiotherapist
  • comprehensive assessment identifies modifiable
    risk factors and assists in developing an
    intervention plan together with the client (and
    caregiver)
  • client (and caregiver) are also instructed in the
    Home Support Exercise Program (HSEP)

Toronto Public Health
13
Coming Soon.
  • Later this year the VASIP team will partner with
    the Greater Toronto Area Public Health
    Departments/Units to launch an injury prevention
    communication campaign entitled Make a Splash
  • This falls prevention campaign encourages older
    adults to keep independent and learn how to Be
    active, Use medication wisely, Do a home safety
    check, and Eat well
  • The campaign will consist of bus shelter posters,
    brochures, fact sheets, newspaper advertising and
    web site information

Toronto Public Health
14
Other Public Health Work
  • Integrated Chronic Disease Prevention Framework
  • Oral Health
  • Cancer Prevention Information and education
    sessions on the importance of early detection of
    breast and cervical cancers, for women 50 plus
  • Others Substance Abuse Prevention, Sexual Health
    Promotion, Sexual Abuse Prevention, Heart Health,
    Nutrition, Physical Activity Promotion, Tobacco
    Use Prevention, Family Health/Healthy Lifestyle

Toronto Public Health
15
Fire Safety for Seniors
  • Be Kitchen Smart, Keep Fire in Check poster and
    safety brochure available in 14 languages with
    reminders for older adults on how to keep safe
  • Council Awareness Players an award-winning
    troupe of senior volunteers who write and present
    dramas and skits with an educational purpose the
    troupe has partnered with Toronto Fire Service
    and added a program on fire safety
  • Council Awareness Players presentations are done
    upon request and followed by a QA session and
    handouts
  • Older and Wiser program and brochure about
    seniors fire safety available in 14 languages
  • Remembering When fire and falls prevention
    education for seniors
  • Fire Safety Jeopardy

Toronto Fire Services
16
B.A.S.S.I.C.
  • To improve the quality of life for older adults
    by raising awareness about senior safety issues
  • Membership includes 3 levels of government and
    twenty-nine organizations
  • Initiatives include
  • Information pamphlets distributed throughout
    Toronto
  • Annual Safe Seniors Calendar (English, Italian,
    Chinese)
  • Information sessions (e.g. Older and Wiser)
  • Home Fire Safety Checklist for Families and
    Friends of Older Adults
  • Home Fire Safety Checklist for Home Support
    Workers
  • Annual symposiums
  • B.A.S.S.I.C. website www.bassic.ca
  • B.A.S.S.I.C. has received the Fire Marshals
    Public Fire Safety Councils Fire Safety
    Organization Award and a Certificate of
    Excellence from the Public Sector Quality Fair

Toronto Fire Services
17
Community Outreach
  • TFS personnel volunteered to help renovate the
    Tony Stacey Center for Veteran Care, a long-term
    care home for veterans
  • Know the Top Five Stay Alive providing
    seasonal and timely fire prevention tips, Toronto
    Fire Services Public Education section updated
    this site on a monthly basis
  • Current Know the Top Five Stay Alive content
    notes the top sources of fires in the home over
    the last five years are
  • cooking equipment
  • heating equipment
  • electrical distribution equipment
  • smokers articles
  • candles
  • Alarmed for Life campaign focuses on smoke alarms
    and carbon monoxide detection

Toronto Fire Services
18
Community Medicine Program
  • Non-emergency, community-based design, geared
    toward health promotion and injury prevention
  • Particular emphasis on seniors issues related to
    volume of EMS calls and awareness of need for
    more integrated service
  • Community Medicine Programs include
  • CREMS (Community Referrals by EMS)
  • Partners Promoting Window and Balcony Safety
  • Hot Weather Response Plan
  • Out of the Cold Program
  • Vaccination Program
  • In 2008, Toronto EMS, Heart and Stroke Foundation
    of Ontario and the Inter-divisional Committee on
    Priority Neighbourhoods joined forces to conduct
    free CPR training sessions

Emergency Medical Services
19
CREMS Model
  • Community Referrals by EMS (CREMS) is designed to
    provide assistance to persons who are at-risk
    and/or need referral for community care through
    the Community Care Access Centre (CCAC)
  • CREMS received an Award for Innovation in
    Healthcare for meeting community need through an
    integrated approach
  • CREMS allows paramedics to make a referral once
    consent has been received, whether or not the
    patient is transported to hospital
  • Typical referrals through CREMS
  • Chronic health problems
  • Mobility issues
  • Poor nutrition
  • Failure to thrive
  • Mismanaging medications
  • Primary caregiver overwhelmed or becomes ill

Emergency Medical Services
20
Referrals by CREMS
  • Personal Support bathing, dressing, toileting,
    cleaning, problems with daily living, home safety
    assessments
  • Physiotherapy exercise, stretching, mobility
    issues, orthopaedic concerns
  • Nursing wound care, BP monitoring, injections,
    IV, medication administration, catheters or
    drains
  • Social Work personal/familial issues,
    income/financial counselling, suspected elder
    abuse (must also contact EMS District
    Supervisor), depression, social isolation,
    anxiety, frequent EMS calls
  • Information/Assistance palliative and long-term
    care, meals on wheels, diabetes clinics,
    transportation, etc.

Emergency Medical Services
21
9-1-1 In Any Language
  • DVD describing 9-1-1 In Any Language developed
    through the General Managers Advisory Committee
    to be made available to diverse community groups
  • Access to translators in gt 140 languages to serve
    Torontos diverse communities
  • Website currently available in
  • English
  • Spanish
  • Italian
  • Chinese
  • www.toronto.ca/emerg/911.htm

Emergency Medical Services
22
e
  • Encourage public involvement in the provision of
    Cardiopulmonary Resuscitation (CPR) and wherever
    possible the use of Public Access Defibrillators
    (PAD)
  • PAD program is part of an integrated system of
    responses to cardiac emergencies it builds upon
    the system of paramedics, emergency medical
    dispatchers, police officers and firefighters
  • PAD program also includes the medical director of
    the base hospital, a provider course and
    continuing education
  • A PAD provider is a person who has successfully
    completed the PAD program and is certified to
    provide these skills under the direction of the
    program's medical director

Emergency Medical Services
23
Seniors Services in the TPS
  • Persons abuse neglect issues (Community
    Mobilization Unit)
  • An officer is administratively responsible for
    providing assistance and intervention for Mental
    Health/Elder/Vulnerable Persons
  • Member of Long-Term Care Mental Health
    Committees
  • Divisional community relations officers are
    involved in these issues at the local level
    (through 17 divisions)
  • Crime prevention and elder abuse presentations
    are presented to a wide variety of seniors
    groups by crime prevention and/or community
    relations officers
  • Website details many resources available for
    victims of elder abuse
  • www.torontopolice.on.ca

Toronto Police Services
24
Seniors Services in the TPS Continued
  • Fraud Squad - Project Senior
  • Officers responsible to investigate frauds
    scams (stranger/ "business type relationships
    vs. senior victimized by a person in a position
    of trust or authority)
  • A variety of publications are available (a number
    available on the website), for example
  • Apartment Security
  • Elder Abuse
  • Home Security
  • Cyber Safety
  • Community Safety
  • Identity Theft
  • Purse Snatching
  • Work closely with crisis teams

Toronto Police Service
25
Street Safety
  • Were All Pedestrians Program
  • Snow clearing program In areas where sidewalks
    are not mechanically cleared of snow, seniors can
    register to have the sidewalk in front of their
    homes manually cleared by staff
  • Oversized street name signs
  • Audible Pedestrian Signals approximately 15 new
    each year to assist visually impaired pedestrians
    cross the street at signalized intersections
  • Extended crossing times at intersections with
    high volume of seniors use
  • Publish Safety Tips in brochures and on website

Transportation Services
26
Street Safety Continued
  • Bus-back and bus shelter posters To encourage
    drivers to slow down and pay more attention to
    pedestrians
  • Zebra-striped pedestrian crossings have been
    installed at a number of signalized intersections
    to make the pedestrian crossing more visible to
    drivers
  • A leading pedestrian interval gives pedestrians a
    head start to enter the crosswalk before drivers
    get the green signal is being tested

Transportation Services
27
Accessible, Affordable Transportation
  • In 1983, the TTC assumed responsibility for
    specialized transit within the City of Toronto
  • Wheel-Trans, a division of the TTC, provides gt 2
    million door-to-door accessible trips for gt
    35,000 registered customers annually
  • 70 of Wheel-Trans customers are seniors
  • Transit information in gt 140 languages
  • Your Safety Partner program
  • The Advisory Committee on Accessible
    Transportation reports directly to TTC
  • To represent the issues and concerns of seniors
    and persons with disabilities

Toronto Transit Commission
28
Wheel-Trans
  • Advance Reservations
  • Book a ride by calling Advance Reservations one
    day in advance
  • For example, call on Monday for a ride on Tuesday
  • Pre-book Reservations
  • Pre-book Service is available if you travel to
    the same destination on the same day each week,
    at the same times, for a minimum of four
    consecutive weeks
  • Same day Reservations
  • Open weekdays 0530 hr 0100 hr
  • Open weekends and holidays 0630 hr 0100 hr

Toronto Transit Commission
29
Seniors Recreation Strategy
  • Approved by City Council in 2005
  • Strategy was developed in consultation with
    Torontos seniors, program participants,
    volunteers and representatives from the Mayors
    Roundtable on Seniors and the Toronto Seniors
    Forum
  • Strategy was based on commitment to a
    comprehensive, coordinated, holistic service
    model for seniors and addressed issues such as
  • Growth in seniors population and future trends
  • Financial issues and income gap
  • Diversity
  • Allocation of appropriate physical space
  • Strategy made recommendations in 4 priority
    areas
  • Access
  • Program and service delivery
  • Communication
  • Staff and volunteer resources

Parks, Forestry and Recreation
30
Priority Areas
  • Access
  • Accessibility and safety audits on facilities,
    parks and trails
  • Multi-year capital plan including requirements
    for attention to access and safety for seniors in
    all retrofits and new buildings
  • Commitment to provide a welcoming environment for
    seniors Welcome Policy for those unable to pay
    set fees
  • Financial policies to ensure inclusion of seniors
    with modest financial means, as well as those who
    are marginalized and/or isolated (50 discount
    for adult program fees)
  • Inclusion of seniors in space allocation planning
    process
  • Staff and volunteer training regarding respect
    for cultural diversity
  • Collaboration with other community providers to
    ensure access to appropriate transportation
  • Program and Service Delivery
  • Recreation Advisory Councils to recommend
    seniors programming with a range of
    opportunities for all from frail to active
  • Intergenerational programming
  • Partnerships with other organizations to offer
    specialty programs
  • Peers Teaching Peers programs
  • Education regarding aging consumer in staff and
    volunteer training
  • Older Adult Service Team

Parks, Forestry and Recreation
31
Priority Areas Continued
  • Communication
  • Comprehensive communications strategy,
    recognizing various literacy levels and
    multi-lingual needs
  • Interior and exterior signage designed to be
    easier to read (e.g. colour, font size, etc.)
  • Education campaign directed at seniors to promote
    the benefits of recreation and promote a positive
    seniors image
  • Translation of Parks, Forestry and Recreation
    information to better serve various cultural and
    linguistic communities throughout Toronto
  • Staff and Volunteer Resources
  • Recruit and retain volunteers specifically for
    seniors programs
  • Enhance volunteer program to ensure
    comprehensiveness, with emphasis on orientation,
    training, recognition
  • Train staff and volunteers related to seniors
    issues

Praks, Forestry and Recreation
32
Mission
  • Provide exemplary care service in a manner that
    respects, supports enables
  • Provide a continuum of LTC through dedicated
    staff, volunteers and community partners
  • Demonstrate effective diversity practice
  • Achieve cultural competency
  • Actively participate in the integrated health
    care system
  • Promote and achieve community engagement through
    community input and through working closely with
    various advisory committees
  • Enriching the lives of those we serve

Long-Term Care Homes and Services
33

Scope of Services

Specialty medical and dental services are
provided through Community Partnerships
10 Long-Term Care Homesgt 2,600 residents
Adult Day Centresgt 11,000 client days per year
Long-Term Care Homes and Services
Supportive Housinggt 325 Clients
Meals on Wheelsgt 2,100 meals/week
Homemakers andNurses Servicesgt 115,000 visits
per year
34
Collaborative Model of Care
  • Work in partnership with other organizations to
    serve diverse communities
  • Important to have shared values vision
  • Meeting the full spectrum of needs is beyond the
    capabilities of any one organization
  • Working with communities contributes to both
    community development and enhancement of care and
    service
  • Work with varying linguistic, cultural and
    religious community groups to develop care and
    service programs that respond to diverse needs
    e.g.
  • French language community
  • Japanese community
  • Korean community
  • Estonian community
  • Cantonese community
  • Mandarin community
  • Armenian community
  • Tamil community
  • Italian community
  • Jewish community


Long-Term Care Homes and Services
35
Collaborative Model of Care Continued
  • Long-Term Care Mental Health Framework
  • LGBT Inclusiveness
  • LGBT Toolkit
  • Activities of Daily Living
  • Menu diversity
  • Spiritual programming
  • Activity programming
  • Volunteer programming
  • TV and radio
  • Listen to Their Needs Make it Happen
  • Volunteer Youth Councils
  • Preventing Falls and Reducing Hip Fractures

Long-Term Care Homes and Services
36
Leadership in Customer Service
  • Resident Client Advocate
  • Just for You and Just for Families
  • Series of brochures on topics of interest to
    seniors and those exploring LTC
  • Also available on the divisions website
  • Resident Family Education
  • Comprehensive website currently available in
    English, French, Italian, Portuguese, Chinese,
    Tamil, Spanish
  • Additional translation planned
  • www.toronto.ca/ltc
  • Advisory Committees
  • Community Advisory Committees
  • Family Committees
  • Residents Councils
  • Residents Councils Summit

Long-Term Care Homes and Services
37
Toronto Challenge
  • Toronto Challenge is the premier fundraising
    event to help seniors in Toronto
  • Aerobic warm-up
  • 5k run, 5k walk, 1k walk
  • More than 50 community agencies serving seniors
    join the Long-Term Care Division in this annual
    event
  • MonsterMortgage.ca is the events
  • presenting sponsor
  • Toronto Challenge provides a wide
  • range of fundraising opportunities
  • and opportunity to profile seniors
  • issues

Long-Term Care Homes and Services
38
Housing Opportunities
  • TCHC is a non-profit corporation owned by the
    City of Toronto that provides housing to about
    25,000 seniors in rent geared to income units
    across the City of Toronto
  •  
  • Out of 58,500 units, over 12,000 are specifically
    designated for seniors
  • TCHC partners with Toronto Long-Term Care Homes
    and Services to provide supportive housing in a
    number of TCHC buildings, supporting seniors to
    age in place
  • Toronto Seniors Forum identified housing as one
    of the most pressing issues faced by a growing
    population of seniors

Toronto Community Housing Corporation
39
Shelter for Vulnerable Seniors
  • 3 units of the Shelter, Support and Housing
    Administration Division support older adults who
    are homeless or at-risk of homelessness
  • Housing and Homeless Support Initiative
  • Hostel Services
  • Social Housing and Administration
  • Day centre for older homeless men, 13-unit
    transitional housing for frail seniors with
    mental health issues, needs assessment to
    determine eviction prevention
  • Shelters are provided for persons of all ages
  • 18,400 social housing units for seniors 16
    privately funded rent supplement units a
    building with 25 RGI units for seniors moving
    from shelters to housing

Shelter, Support and Housing Administration
40
Affordable Housing
  • Affordable Housing Office was established in 2005
    to facilitate the development of new affordable
    housing
  • Affordable Housing Office continues the work of
    the former Lets Build Unit to get affordable
    housing built and lead policy, research and
    advocacy work
  • Lets Build supported two (2) projects for
    seniors housing through SCPI funding
  • Affordable Housing Office oversees the
    Residential Rehabilitation Assistance Program
    (RRAP)

Affordable Housing Office
41
Inter-generational Programming
  • 3 child care programs co-located in City operated
    long-term care homes
  • Inter-generational programming opportunities

Children's Services
42
Services for Seniors
  • Unique collection formats for seniors
  • Over 102,000 large print books
  • 25,000 talking books
  • 400 described videos (narrates action during
    breaks in dialogue)
  • Over 53,000 audio books on compact disc or
    cassette
  • 130,000 videos and 6,300 DVDs
  • A growing collection of E-books and E-audio books
  • Large print format books lists highlighting new
    books
  • Adaptive technology
  • Large LCD screen monitors in every branch
  • 1 computer in every branch has screen
    magnification software
  • More specialized software is available at the
    Centre for People with Disabilities located at
    the Toronto Reference Library
  • Programs
  • Books clubs, weekly slide shows, films, music and
    author readings
  • Internet training such as Move that Mouse!, Web
    Basics and Email Made Easy

Toronto Public Library
43
Services for Seniors Continued
  • Home Library Services
  • Available for seniors who are home-bound for gt 3
    months
  • Variety of library materials (books, paperbacks,
    large print books, talking books and materials in
    language other than English are delivered free of
    charge)
  • Deposit Collections
  • 72 book deposit collections of 100-200 titles are
    delivered and refreshed every 3 months to
    seniors apartment buildings, retirement homes
    and long-term care homes located throughout
    Toronto
  • Bookmobile
  • Wheelchair accessible travelling library makes 33
    stops at community centres, apartment complexes
    and shopping centres throughout Toronto
  • Special Needs Status
  • Special needs status on a customers card exempts
    them from overdue fines if they are unable to
    return library material within a set period of
    time due to age, illness, disability

Toronto Public Library
44
Gray Matters and Seniors Programs
  • Free series with guest speakers
  • Sample Grey Matters programs
  • Creativity and the Search for Meaning in Later
    Life
  • More than Meets the Eye
  • Can We Live Forever?
  • No Laughing Matter Adventure, Activism and
    Politics
  • Volunteering Abroad
  • The Grandmothers Hypothesis
  • Sample Seniors Programs
  • Identity Theft and Fraud
  • Osteoporosis, Nutrition and You
  • Baby Boomers Can You Afford to Retire
  • Chinese Brush Painting
  • Seniors Safety Workshop
  • Estate Planning

Toronto Public Library
45
CONTACT INFORMATION www.toronto.ca or
Contact Sandra Pitters General Manager,
Long-Term Care Homes and Services spitters_at_toronto
.ca
46
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