Provincial Healthy Aging Policy Framework

Document Sample
Provincial Healthy Aging Policy Framework Powered By Docstoc
					Provincial Healthy Aging
Policy Framework
Contents
Forward                                      4
  Message from the Premier                   4
  Message from the Minister                  5

Introduction                                 6
What is Healthy Aging?                       9
Demographics                                 10
Vision and Principles                        13
Priority Directions                          14

  Recognition of Older Persons               15
  Celebrating Diversity                      19
  Supportive Communities                     24
  Financial Well-Being                       32
  Health and Well-Being                      36
  Employment, Education and Research         46

Implementation Plan                          50
Moving Forward                               51
Appendices                                   52
  Appendix A:
  Glossary of Terms                          52
  Appendix B:
  Ministerial Council on Aging and Seniors   55
  Appendix C:
  Provincial Advisory Council
  on Aging and Seniors                       56
Page 


         Forward
         Message from the Premier
         Seniorsmakeasubstantialcontributiontothegrowth
         andprosperityofourprovince.Infact,theyhavetruly
         shapedthesocietyinwhichwelivetoday.Weowe
         seniorsourgratitudeandrespect.And,theydeserve
         aprovincethatsupportstheminlivinghealthyandas
         independentlyaspossible.AsPremierofNewfoundland
         andLabrador,IampleasedtointroducetheProvincial
         HealthyAgingPolicyFrameworkwhichaimstoachieve
         thisobjective.

         TheHealthyAgingPolicyFrameworkoutlinesthekey
         issuesandstrategicdirectionswhichwillprepareour
         provincetorespondtotheneedsofseniorsnowandin
         thefuture.

         Over1,000NewfoundlandersandLabradoriansprovided
         valuableinputintothedevelopmentofthispolicy
         frameworksothatitbuildsonthestrengths,attributes
         andaccomplishmentsofourcurrentseniorspopulation,
         whichinturnassistsinplanningtomeetthediverse
         needsofourpeoplethroughouttheirentirelifespan.

         Ourgovernmentwillsupportthispolicyframeworkby
         investingstrategicallyinitskeydirections.Additionally,
         throughotherinitiativeswewillworktoensurethatwe
         continuetosupportseniorsthroughoutourprovince.We
         have fulfilled the commitments we made to seniors by
         improvingaccesstoprescriptiondrugs,increasingthe
         seniors benefit, eliminating the mandatory retirement
         ageandplacingafocusonhealthpromotion.Wewill
         continuetobuildonouraccomplishmentstocreate
         anage-friendlyprovincethatvaluesourhistoryand
         ispreparedforourfuture.Ithankeveryonewho
         participatedinthedevelopmentofthisplanandour
         governmentlooksforwardtoworkingwithstakeholders
         initsimplementation,forthebettermentofoursenior
         population.
                                                Page 




Message from the Minister
AsMinisterofHealthandCommunityServices,and
theMinisterResponsibleforSeniors,Iampleased
topresenttheHealthyAgingPolicyFrameworkfor
NewfoundlandandLabrador.Thispolicyframework
istheresultofourgovernment’scommitmentto
makehealthyagingapriority.Furthermore,itistruly
representativeofwhatthepeopleofourprovincedesire,
havingbeendevelopedbasedonthepublicinputduring
theprovince-wideconsultationsheldlastspring.

Healthyagingisalifelongprocesswhichaffectsusall.
Itencompassesphysical,social,mental,emotionaland
spiritualwell-being.TheHealthyAgingPolicyFramework
laysoutthemajorthemesandfactorswhichsupport
healthyagingbydrawingintheopinionsgatheredfrom
individualsacrosstheprovince.Itoutlinessixpriority
directionstogetherwithaseriesofgoalsandactionsto
establishhealthyagingintheprovince.Theseinclude
RecognitionofOlderPersons,CelebratingDiversity,
SupportiveCommunities,FinancialWell-beingHealth
andwell-being,andEmployment,Educationand
Research.

Thegoalofthepolicyframeworkistoprovidekey
directionsforgovernmenttopreparefortheneeds
ofanolderpopulation.Anintegratedone-yearaction
planhasbeendevelopedtobeginthisprocess.The
implementationplaninvolvesseveralgovernment
departmentsandvariousactionitemsarebeing
supportedthroughestablishedgovernmentinitiatives,
suchasthePovertyReductionStrategy,theRecreation
andSportStrategyandActionPlan,theProvincial
WellnessPlanandtheViolencePreventionInitiative.

Itisourgovernment’svisiontohaveasupportive,age-
friendlyprovincewhereseniorscanmakeacontribution
totheircommunities,andinturn,ourcommunities
supportseniorresidentsinlivingasindependentlyas
possible.Weallwantthebestqualityoflifeforour
families,ourfriendsandourselves.And,throughthis
frameworkwearebuildingthefoundationtoachievethis.
Page 6


         Introduction
         The changing demographics in our province offer us
         a chance to reflect on its character, strengths and
         challenges. Newfoundland and Labrador is unique
         and compelling. Our development, in light of an aging
         population, will be that of a distinct province.

         Healthy aging means that people can make the most
         of their health and well-being. It is a life-long process
         that begins at birth. When we all recognize life-long
         healthy aging, we create a culture of respect for older
         adults in our province.

         Healthy aging preserves and adds to our quality of
         life as we age. This promotes independence, and
         physical, social, mental, emotional and spiritual
         well-being. Healthy aging involves smooth transitions
         throughout life. Life experiences must be valued,
         no matter one’s age. This gives us a better sense
         of the importance of the lives of seniors. We can all
         celebrate aging.

         It is believed that 20 per cent of the people of
         Newfoundland and Labrador will be over age 65 by
         2017. More than 45 per cent will be over age 50.
         In 2007, those over 75 make up 6 per cent of the
         population. This is likely to increase to 7.5 per cent
         within 10 years and 12 per cent within 20 years.

         We must embrace the contributions and value of all
         ages. This will allow us to respond to demographic
         changes as they relate to aging. Legislation, policies,
         programs and services will have to be reviewed.
         The Provincial Healthy Aging Policy Framework
         and Implementation Plan shows Government’s
         commitment to a new vision. It reflects a promise to
         the people of this province. Many of these people
         took part in provincial consultations on healthy aging.
         A new vision of aging brings respect for all persons.
         This includes special recognition of the value and
         contribution of older adults who are as much a part of
         our future as our past.

         In 2003, the Government of Newfoundland and
         Labrador made “healthy aging” a priority in Our
         Blueprint for the Future. The Minister of Health and
                                                Page 

CommunityServices,asMinisterResponsiblefor
AgingandSeniors,wasaskedtoleadaMinisterial
Council on Aging and Seniors.TheCouncil
consistsofgovernmentministersfromdepartments
thatimpactagingandseniors.AlistoftheMinisters
whotookpartintheplancanbefoundattheendof
thisdocument.

TheProvincial Advisory Council on Aging
and Seniors wassetup.Thisismadeupof12
individuals.TheCounciloffersadvicetoGovernment
onqualityoflifeissuesforseniors.Itsupportspublic
discourseonaging.Alistofcouncilmemberswho
tookpartinplanningcanbefoundattheendofthis
document.

GovernmentformedtheAging and Seniors
Division.TheAgingandSeniorsDivisionislocated
withintheDepartmentofHealthandCommunity
Servicesbuthasafocusthatcrossesallof
government.Itactsasacentreofexpertiseand
knowledgeonagingandseniors.TheDivision
providesadviceandsupportsthemakingofpolicy.Its
partnersinclude:

   •   Other provincial government departments
   •   Seniors organizations
   •   The federal government
   •   Other provinces and territories
   •   Other sectors

Healthyagingisnotthesoleresponsibilityofanyone
departmentoragency.Thedivisionmustpartnerwith
thecommunitytocarryoutitsmandate.

TheAgingandSeniorsDivisionhasbeenworking
withanInterdepartmental Working Group.
Membersaredrawnfromvariousgovernment
departmentsandagenciesandtheregionalhealth
authorities.TheyareinvolvedintheProvincial
Healthy Aging Policy Framework and Implementation
Plan.Thisgroupwillhelpdevelopandmonitorthe
plan.

The Provincial Healthy Aging Policy Framework and
Implementation Planisapriorityfortheprovince
withextensivepublicconsultationscontributingtoits
development.In2006,Healthy Aging for All in the
Page 

         21st Century, and a Senior’s profile were shared with
         thepublic.Theseformedthebasisforconsultations.
         Over1000peoplefrom17Newfoundlandand
         Labradorcommunitiestookpart.

             •   Marystown                • Grand Falls-
             •   Bonavista                  Windsor
             •   Clarenville              • Baie Verte
             •   Carbonear                • Harbour Breton
             •   St. John’s               • Rocky Harbour
             •   Mount Pearl              • Corner Brook
             •   Gander                   • Stephenville
             •   New-Wes-Valley           • St. Anthony
             •   Happy Valley-            • L’Anse-au-Clair
                 Goose Bay
         Consultationswerefollowedbyaprovincialforumin
         June2006.Across-sectionoforganizationswithan
         interestinagingtookpart.

         ThecompaniondocumenttothisPlan - Perspectives
         on a Provincial Healthy Aging Plan - Summary of
         Consultations-presentswhatwasheardthrough
         communityconsultations,briefsandsubmissions,
         andtheprovincialforum.Itincludesapreliminary
         reviewofresearchonissuesraisedduring
         consultations.

         ThisProvincial Healthy Aging Policy Framework
         and Implementation PlanispartofGovernment’s
         commitment to a healthy province. It defines healthy
         aginganddescribesprovincialdemographicsin
         lightofouragingpopulation.Thisplanisbasedon
         theprovincialvisionofhealthyaging.Itsprinciples
         weredevelopedandendorsedthroughconsultation.
         Thisformsthebasisfor6prioritiesoutlinedinthis
         Plan.Theimplementationplanandaccountability
         framework,subjecttoavailablefunding,willbe
         developedannually.Howevermanyoftheinternal
         governmentinitiativeswillrequirelittleornofunding
         andcanbeincorporatedwithincurrentdepartmental
         budgets

         Ouragingpopulationisbotharesourceanda
         challengewhenplanningprogramsandservices.
         The aging of our population is a chance to reflect,
         question,andevenchangeourbeliefsaboutaging.
                                              Page 


What is Healthy
Aging?
Health Canada defines healthy aging as “a lifelong
processofoptimizingopportunitiesforimprovingand
preservinghealthandphysical,socialandmental
wellness,independence,qualityoflifeandenhancing
successfullife-coursetransitions”.2Weacceptthis
definition of healthy aging as the basis on which we
havedevelopedtheProvincial Healthy Aging Policy
Framework and Implementation Plan.

Perfecthealthisnotrequiredforhealthyaging.
Makingthemostofhealthiskeytopositiveaging.All
peoplecanhavegoodhealthandwell-being.They
canevendosoastheycopewithimpairmentsand
healthissues.Onecanlearntolivewellinspiteof
limits.Thisisatruemarkofhealthandstrength.

Healthy Aging in Canada: A New Vision, A Vital
Investment. From Evidence to Action.(2006)
suggests that it is time to turn away from defining
agingasnegative.Thisapproach:

   • Values and supports the contributions of
     older people;

   • Celebrates diversity, addresses negative
     attitudes about aging, promotes fairness;
     and

   • Provides age-friendly environments and
     opportunities for older Canadians to make
     healthier choices, which will enhance their
     independence and quality of life.3
Page 10


                                   Demographics
                                   The population of Newfoundland and Labrador is
                                   aging fast. Over the last 30 years, it has aged faster
                                   than any other province in the country4. The median
                                   age of 41.3 years is the highest in Canada. Currently,
                                   in 2007, people over 65 make up about 13.9 per cent
                                   (69,000) of the population in this province. This is
                                   likely to increase to 20 per cent within 10 years.
                                   Fifty- five per cent of the province’s seniors are
                                   females.

            Seniors as a Percentage of Total Population, by Province
                          and Territory, 2005 and 2026

                         Saskatchewan
                            Nova Scotia
                  Prince Edward Island
                        New Brunswick
                        British Columbia
                                Quebec
                               Manitoba
           Newfoundland and Labrador
                                 Ontario
                                 Alberta
                                  Yukon
                   Northwest Territories
                                Nunavut

                 2026                      0   3     6     9    12   15     18   21   24     27
                 2005
                                                               percentage
          Sources: Statistics Canada, Censuses of Canada; Population Estimates, Population
          Projections for Canada, Provinces and Territories, 2005
                                                                         Page 11

                          The following chart shows the aging of the population
                          over time. There is an increasing proportion of
                          seniors each decade between 1976 and 2026.

Seniors as a Percentage of Total Population, Newfoundland
                and Labrador, 1976 - 2026

              30

              25

              20
 percentage




              15

              10

              5

              0
                   1976    1986       1996         2006        2016       2026

                                   65 - 74 Years          75 + Years
Source: Economics and Statistics Branch. Dept. of Finance (Medium scenario as of
Sept. 2006)



                          There is a unique set of factors that make for our
                          aging population. People are living longer. They are
                          healthier today. Life expectancy was roughly 72 years
                          in the early 1970s. Today it is 78 years5.

                          There was a high birthrate between 1946 and 1965.
                          The first “baby boomers” are now in their 60s. This
                          group is quickly adding to the great increase in the
                          proportion of seniors.

                          The birthrate began to decline in the mid 1960s. It
                          continues to decrease. This leaves less young people
                          to balance the scale.

                          Migration is playing a role. Many young people are
                          leaving the province (out-migration). Those coming
                          to the province are often former residents who return
                          home to retire.
Page 12

                              Therearedifferenceswithintheprovincewhenit
                              comestogenderandaging.Menandwomendiffer
                              inlifeexpectancy.Formen,itwas75yearsin2003.It
                              was81yearsforwomen.6Thefollowingtableshows
                              theincreasingproportionofwomenamongthe“older
                              old”7.

                      NL Seniors’ Population, by Gender 200


                                                                           Both
            Age           Men          %         Women           %
                                                                           Sexes

           65-69       10,343        49        10,611         51         20,954
           70-74        8,187        48         8,809         52         16,996
           75-79        5,921        44         7,534         56         13,455
           80-84        3,558        40         5,367         60          8,925
           85-89        1,670        33         3,395         67          5,065
            90+            635        27         1,715         73          2,350

          Total 65+      30, 314       45        37,431         55         67,745


                              TheAboriginalpopulationinourprovinceisyounger
                              thantherestoftheprovince.89Seniorsage65or
                              oldermakeupabout5percentoftheAboriginal
                              population.10Seniorsmakeupabout13.9percentof
                              theprovincialpopulationasawhole.11

                              Shiftingdemographicspointtotheneedfor
                              legislation,policies,programsandservicesthat
                              respondtochangesasthepopulationages.
                                            Page 13


Vision and Principles
ThevisionbelowguidestheProvincial Healthy Aging
Policy Framework and Implementation Plan.Itis
basedonthevisionoftheNationalFrameworkon
Agingandthatoftheprovince’sDepartmentofHealth
andCommunityServices.Thisvisionwasendorsed
bytheProvincialAdvisoryCouncilonAgingand
Seniorsandthroughcommunityconsultation.

Ourvisionisfor individuals, families, communities
and society as a whole to foster healthy aging in
order to achieve optimal health and well-being.

TheGovernmentofNewfoundlandandLabrador
supportsthefollowingprinciples.Thesewerealso
endorsedbytheProvincialAdvisoryCouncilonAging
andSeniorsandthroughcommunityconsultation:

Dignity:Beingtreatedwithrespect;recognizedfor
one’scontributions;andhavingself-esteem.

Self-Fulfillment:Havingthechancetoreachone’s
fullpotentialwithaccesstoeducational,cultural,
spiritualandrecreationalresources.

Social Inclusion:Beingacceptedandabletofully
takepartwithinourfamilies,communitiesandsociety.

Independence:Beingincontrolofone’slife,making
one’sownchoices,andbeingabletodoasmuchfor
oneselfaspossible.

Safety and Security:Havingenoughincomeas
oneages;havingaccesstoasafeandsupportive
environmentfreeoffear,exploitationandviolence.

Fairness:Havingdiverseneedsseenasequal,
nomatterone’sage,gender,racialandethnic
background,disability,orstatus.

Thevisionandprinciplesformthebasisofthe
Provincial Healthy Aging Policy Framework and
Implementation Plan.Prioritydirectionsaregrounded
inthevisionandprinciples.
Page 14


          Priority Directions
          The Government of Newfoundland and Labrador is
          embracing six priority directions to promote healthy
          aging. Within five years we will demonstrate success
          in the priority directions of:

             • Recognition of Older Persons through
               increased societal respect and regard
               for older persons; age-friendly policies,
               programs and services; and greater social
               inclusion of seniors in our society;

             • Celebrating Diversity by ensuring that the
               diversity of the aging population is seen and
               valued in provincial policies, programs and
               services;

             • Supportive Communities by enhancing the
               role that communities play to support an
               aging population;

             • Financial Well-being by improving the
               financial well-being of seniors through
               identification of opportunities; improving
               knowledge about government services and
               programs; and encouraging financial and
               retirement planning;

             • Health and Well-being by ensuring people
               as they age have the best possible physical,
               emotional, social, mental, and spiritual
               health and well-being; and

             • Employment, Education and Research
               by focusing on the impact of an aging
               population on employment, education and
               research.

          Pursuing these priority directions will involve strong
          collaboration with all sectors of our society. These
          include seniors, the volunteer sector, community
          organizations, and the business community, to name
          a few. Together we will meet the challenge.
                                               Page 1

Recognition of Older
Persons
Healthyaginginvolvesseeingthevalueand
worthofwhatpeoplehavetoofferastheyage.
People’sstrengthsandresourcesareemphasized.
Contributionstheymakeovertimearealsovalued.

Ageismimpedesrecognitionofolderpersons.Thisis
hurtfuldiscrimination.Ageismstereotypespeople.It
iscommontohearthatallseniorsareforgetful,frail
or are not sexually active. These myths do not reflect
thetruediversityofseniors.

Ageismisunfair.Itpreventspeoplefrombeing
seenfortheirtruemerits.Italsopreventsaccess
toresourcesandopportunities.Ageismdeprives
usallofimportantcontributions.Peopleareleftout
becausetheyareolder.

Duringconsultations,oneparticipantsaidthatshe
sometimesfeelslikeshehasalabelonherforehead
witha“bestbefore”date!“Itisasthoughthereis
thisarbitraryage,beit50or65,afterwhichoneis
considered“old”ornotsogoodanymore”.

Respectforoldermembersisoftenmissinginour
culture. This priority direction reflects the most basic
and most significant building block of the Provincial
HealthyAgingPolicyFrameworkandImplementation
Plan.Itseekstopromoterespectforolderadults
intheprovince.Age-friendlycommunitiesmustbe
nurtured.Generationsshouldbevaluedequallyand
supporteachother.

Dispellingmythsaboutolderadultswillreduce
ageism.Olderpersonswillberecognizedforall
theyhavetooffer.Seniorswillbeshownasthey
arewithalltheirdiversity.Past,presentandfuture
contributionsofseniorswillbeembraced.

Contributionsofseniorsareconsiderableandvaried.
Thereisformalvolunteerworkthroughgroupsand
organizations.About30%(23,000)oftheprovince’s
seniorsvolunteerthroughagroupororganization.
Theyparticipateontowncouncils,churchcouncils,
Page 1

          serviceclubsandlocalcommunitydevelopment
          initiatives.InNewfoundlandandLabrador,the
          averagenumberofhoursaseniorcontributesto
          volunteerinitiativesis206hoursperyear.12

          Olderpersonsalsotransfervaluableinformationto
          youngerpeoplethroughstorytellingandexample.
          Manyolderadultshelpfamilywithchildcareand
          otherformsofsupport.Theyhelpolderfriendsand
          neighboursby:

             • Driving them to events and appointments;
             • Being there to listen; and
             • Helping out when things are difficult.

          Recognizingthevalueandworthofpeopleas
          theyageisessentialtohealthyaging.Thispriority
          directionwillworktowardincreasedsocietalrespect
          andregardforolderpersons;age-friendlylegislation,
          policies,programsandservices;andgreatersocial
          inclusionofseniorsinoursociety.
                                                        Page 1

            Priority Direction
            Recognition of Older Persons
            Thisprioritydirectionwillworktowardincreased
            societalrespectandregardforolderpersons;age-
            friendlylegislation,policies,programsandservices;
            andgreatersocialinclusionofseniorsinoursociety.


Goal 1                   Increasedrecognitionofseniorsinour
                         province.

Positiveimagesand     Examplesofactionstoachievethis
attitudes                include:
                             > Developandlaunchapublic
                                awarenesscampaign.Thiswill
                                promotepositiveimagesand
                                attitudeswithregardtoaging.
                                Itwillalsocountermythsand
                                stereotypes.
                             > SupportanannualSeniors
                                FairandExposition.Thiswill
                                highlightprogramsfor,andby,
                                seniors.
                             > CelebrateOctober1eachyear
                                asInternationalDayofOlder
                                Persons.
                             > RecognizeseniorsinJuneeach
                                yearthroughSeniors’ Month
                                events.

Seniors’volunteer      Examplesofactionstoachievethis
contributions           include:
                             > Highlighttheroleofseniorsas
                                volunteersthroughpromotional
                                works.
                             > AnnualProvincialSeniors
                                RecognitionAwards.
Page 1

          Goal 2                 An age-friendly lens is used when
                                 developing and reviewing provincial
                                 legislation, policies, programs and
                                 services.

          Age-friendlylens      Examplesofactionstoachievethis
                                 include:
                                     > Establishacross-government
                                        workinggrouptodevelopand
                                        implementanage-friendlylens
                                        toolandputitinplace.
                                     > Supportacross-government
                                        workinggrouptoassessthe
                                        impactofaddingagetothe
                                        HumanRightsCode.
                                     > Ensurethatinformationneeded
                                        byseniorsisprepared,sentout
                                        andadvertisedinarangeof
                                        communicationforms.
                                     > Supportnetworkingforseniors’
                                        organizations.Thiswillfoster
                                        theirinputinpublicpolicy.

          Goal 3                 Seniorsareincreasinglyvisiblein
                                 society.

          Socialinclusionof   Examplesofactionstoachievethis
          olderpersons          include:
                                     > Promote the societal benefit
                                        thatcomesaboutthroughthe
                                        expertiseofseniors.
                                     > Supportregionalcommunity
                                        groupsthatallowseniorsto
                                        workwith/forotherseniors.
                                     > Supportandshowcase
                                        inter-generationalactivities.
                                     > Supportdiversityinseniors’
                                        organizationsandactivitiesto
                                        ensureallseniorsareincluded.
                                                Page 1

Celebrating Diversity
Celebratingdiversityisaboutvaluingdifferences.We
recognizethatknowledgeandexperiencesdiffer.We
eachhaveourownwaysofmeetinglife’schallenges
andsharingourviews.

Manyofourdifferencesaretobecelebrated.Our
culturesmakeusunique.Notalllifeexperiences
arepleasant.Yet,wecanstillvaluethediverse
perspectivesthattheybring.Ourdifferencescanbe
aresourcethatwedrawonasweagetogetherin
ahealthyway.Oneofourgreateststrengthsasa
peopleisourresilience!

Notallolderadultsarealike.A“seniors’perspective”
willsometimeshavemanylenses.Forexample,
usingaseniors’perspectivemaymeanlookingat
apolicyorprogramthroughtheeyesofasenior
withalifelongdisability.Aseniors’perspectivemay
involvethatofaseniorinaremoteorFirstNations
community.Sometimes,anumberoflenseswillhave
tobeapplied.Thisprioritydirectionisaboutseeing
ourdifferencesasweage.Thesecanbetakeninto
accountaspoliciesandprogramsaredevelopedand
reviewed.

Thereisgreatagediversityamongolderadults.
In2006,about38,600Newfoundlandersand
Labradorianswere“young-old”(betweentheagesof
65and74);22,700were“mid-old”(75-84years);and
about7,500were“olderold”(85orolder).

Someolderadultsarelivingwithlifelongdisabilities.
Infact,in2001,about36percentofpeopleaged65
oroverinourprovincewerelivingwithadisability.
Someolderadultsarelivingingoodhealthwithout
limitations.Othersarestartingtoexperience
disabilitiesthatcomewithage-relatedchronic
conditions,suchasarthritisordementia.

Experiencesofolderwomenmaybedifferentfrom
thoseofoldermen.Womentendtolivelongerthan
men.Menandwomenfacedifferenthealthissuesas
theyage.Forexample,olderwomenaremorelikely
tosufferfromarthritis.Oldermalesaremorelikelyto
sufferfromdiabetesandheartdisease16.

                             CopyrightHeikoWittenborn.Usedwithpermission
                                       fromNunatsiavutGovernmentArchives
Page 20

          Womenareathigherriskforviolencethroughout
          theirlives17.

          Theprovincialconsultationsreportedgreat
          differencesamongolderadultsintermsofwhether
          theylivedinrural,remoteorurbancommunities.The
          greatestconcentrationofseniors(65andover)lives
          onthenortheastAvalonPeninsula.Smallernumbers
          ofseniorsarespreadthroughouttheremainderof
          theprovince.Therearemanycommunitieswhere
          seniorsrepresenthalfofthepopulation.

          Theinterestsandcontributionsofseniorsare
          important,nomatterwheretheylive.Research
          showsthatNewfoundlandersandLabradoriansare
          veryattachedtotheircommunities18.Therewas
          asenseduringtheconsultationsthatattachment
          tocommunityisstrongerinruralandremote
          communities.

          The2001censusstatedthatthereare875Aboriginal
          seniorsinthisprovince.Therearefourdistinct
          cultures:Inuit,Innu,Mi’kmaqandMétis19.The
          GovernmentofNewfoundlandandLabradorwillwork
          withthefederalgovernmentandAboriginalpeoples
          toensureaginginahealthywayisapriority.

          MostNewfoundlandandLabradorseniorsspeak
          English as a first language. There are about 320
          Frenchspeakersoverage65.Thereareabout500
          seniors whose first language is neither English,
          French,noroneoftheAboriginallanguages20.

          Thisprioritydirection,CelebratingDiversity,will
          furtherourknowledgeaboutourdifferences.Itwill
          includediversityintheplanningofpoliciesand
          programs to benefit seniors.
                                                         Page 21

            Priority Direction
            Celebrating Diversity
            Thisprioritydirectionwillworktowardensuringthat
            thediversityoftheagingpopulationisseenand
            valuedinprovincialpolicies,programsandservices.



Goal 4                   Provincialpolicies,programsand
                         services reflect different stages of
                         aging.

Lifespanperspective    Examplesofactionstoachievethis
                         include:
                             > Programsandservices
                                recognizethatthoseatdifferent
                                stagesofagingdifferintheir
                                expectationsandrequirements.
                             > Planningofprogramsand
                                serviceswilltarget“midlife”and
                                “older”adults.
                             > Ensurethatcommunication
                                materials reflect the diversity of
                                personsastheyage.

Goal 5                   Provincial policies, programs and
                         services include consideration of
                         the impact of gender throughout life
                         includinglateryears.

Genderanalysis         Examplesofactionstoachievethis
                         include:
                             > CooperatewiththeWomen’s
                                Policy Office to ensure that
                                genderanalysisisappliedwhen
                                developinglegislation,policies,
                                programsandservicesfor
                                seniors.
                             > Assessgenderequityinpolicies
                                that relate to financial security
                                andwell-beingofseniors.
Page 22

          Goal 6            Provincialpolicies,programsand
                            services reflect the uniqueness of
                            language,heritage,cultureand
                            spiritualexpressionincludingduring
                            laterlife.

          Uniquenessof   Examplesofactionstoachievethis
          persons           include:
                                > Receiveinputfromseniorsof
                                   variousculturalgroupswhen
                                   developingpolicies,programs,
                                   andservicesimpactingon
                                   seniors.
                                > Supportdiversityawareness
                                   trainingforhealthand
                                   communityserviceproviders
                                   highlightinglaterlife.
                                > Exploreprovidingmaterialsin
                                   anumberofformats.Thiswill
                                   includedifferentlanguages,
                                   Braille,audio,videoandlarge
                                   print.
                                > Helpdocumentthediversityof
                                   lifeexperiencesofseniors.A
                                   numberofmeanswillbeused,
                                   includingoralhistories.

          Goal 7            TheuniquenessofAboriginalpeoples
                            ofallages,includinglaterlife,is
                            recognizedandrespected.

          Uniquenessof   Examplesofactionstoachievethis
          aboriginal      include:
          elders/seniors        > Worktoincludefeedbackfrom
                                   Aboriginalseniorsinlegislation,
                                   policies,programsandservices.
                                > Worktoincludefeedback
                                   fromAboriginalseniorsinthe
                                   implementationoftheNorthern
                                   StrategicPlanforLabrador.
                                > WorkwiththeFederal
                                   GovernmentandAboriginal
                                   peoplestoimprovethehealth
                                   andwell-beingofAboriginal
                                   seniors.
                                > SupportnetworkingofAboriginal
                                   andnon-aboriginalseniors.
                                                           Page 23

Goal 8                    Provincialpolicies,programsand
                          servicesrecognizetheimpactof
                          geographyonpersonsastheyage.


Geographic              Examplesofactionstoachievethis
Differences               include:
                              > Identifyopportunitiesand
                                 challengesforseniorsin
                                 remote,ruralandurban
                                 communities.
                              > Supportcommunity
                                 developmentthatmeetsthe
                                 needsofaginginremote,rural
                                 andurbanareas.
                              > Ensurethatarurallens
                                 isappliedwhenforming
                                 legislation,policies,programs
                                 andservicesthatimpact
                                 seniorsinruralandremote
                                 communities.

Goal 9                    Provincialpolicies,programsand
                          servicestakeintoaccounttheunique
                          needsofpersonslivingandagingwith
                          disabilities.

Personslivingand       Examplesofactionstoachievethis
agingwithdisabilities   include:
                              > Researchtheimpactofaging
                                 onpersonswithdisabilities.
                              > Useresearchandanalysis
                                 tocreatepolicies,programs
                                 andservicestobettersupport
                                 individualslivingwithdisabilities.
Page 2

          Supportive Communities
          Anage-friendlycommunityincludesappropriate,
          affordableandaccessibletransportation,housing,
          andsupportservices.Peopleareabletotakepartin
          inter-generational,religious,social,andrecreational
          events.Theenvironmentissafeandsecure.

          Aconcernwasraisedduringtheconsultationsas
          totheneedforappropriate,accessible,safeand
          affordabletransportation.Theabsenceofpublic
          transportationinruralcommunitiesisanissue.This
          makesithardforseniorstotakepartinsocialevents.
          Italsoimpedesdailyactivitiessuchasshoppingand
          gettingtohealthcareappointments.

          Manyolderadultsinourprovinceliveinresidences
          intheirowncommunities.Lessthan7percentlive
          inlong-termcareandpersonalcarehomes.Seniors
          need affordable, accessible, safe and energy efficient
          housing.Akeytohousingdesignistoallowpeopleto
          maintaintheirindependenceforaslongaspossible.
          EnergypovertyisagrowingconcerninCanada.This
          isevenanissueinhouseholdsthataremortgage
          free.Risingenergycostsforcemanytochoose
          betweenheatingandeating.Communitysupportsare
          requiredtopreserveseniors’independence.

          Housingpolicies,programs,servicesanddesigns
          areneededtorespondtoanagingpopulation.
          Thereshouldbetimelyaccesstohomesupport,
          long-termcareandpersonalcarehomes.These
          supportsshouldbeasclosetoanindividual’shome
          communityaspossible.Long-termcareandpersonal
          carehomesrequireupgradestoenhanceaccess,
          privacy,comfort,anddignity.

          Asupportivecommunityfosterslifelonglearning.This
          allowsseniorstobemoreinvolved.Aninternational
          surveyshowedthat85percentofNewfoundland
          andLabradorseniorshavelowliteracylevels.A
          supportivecommunityensuresthatpeoplewithlow
          literacyareabletoaccessneededservices.There
          isaneedtotakeliteracyintoaccountwhenwe
          communicatewitholderadults.
                                            Page 2

TwothirdsofseniorsinCanadaareassisting
others.22Unpaidcareiskeytohavingage-friendly
communities.Weneedtorecognizeandpromote
theworkofunpaidcaregivers.Activities,suchas
caregivergroups,canbeusedtosupporttheirefforts.

Forthemostpart,inCanada,theolderweare,the
greateroursenseofcommunity.Wemusttryto
ensurethatourcommunitiessupportanage-friendly
approach.
Page 2

                      Priority Direction
                      Supportive Communities
                      Thisprioritydirectionwillworktowardenhancing
                      therolethatcommunitiesplaytosupportanaging
                      population.Provinciallegislation,policies,programs
                      andserviceswillbeused.


          Goal 10                  Communitiesandmunicipalitieswillbe
                                   moreage-friendly

          Roleof                 Examplesofactionstoachievethis
          municipalities           include:
                                       > Focusonresearchwhich
                                          relatestoagingandseniors
                                          inthecommunity,including
                                          therolethatcanbeplayedby
                                          municipalities.
                                       > Encouragemunicipalitiesto
                                          improvecommunication,and
                                          collaborationwithseniors.

          Community-based         Examplesofactionstoachievethis
          policies,programs      include:
          andservices                > Encouragecommunities,
                                          businesses,seniors’groups,
                                          municipalgovernmentsand
                                          otherpartnerstoenhance
                                          policies,programsandservices
                                          aimedatseniors.
                                       > Supportandsharebest
                                          practicesinregional
                                          coordination,community
                                          participationandregional
                                          strengths.
                                       > Supportaffordableand
                                          accessiblerecreation.Thiswill
                                          promoteexercise,leisureand
                                          socialinteractionfortheaging.
                                       > Promotetheuseofanumberof
                                          locationsforseniorstotakepart
                                          inactivities.Thiswillinclude
                                          multi-useofschools,churches,
                                          communitycentres,shopping
                                          mallsandotherbuildings.
                                                        Page 2

Goal 11                  Improvedaccesstotransportation
                         systemsbyolderpeople.

Responsive              Examplesofactionstoachievethis
transportation          include:
services                     > Promoteage-friendlypublic
                                transportation.
                             > Encouragemunicipalities
                                todevelopage-friendly
                                transportation.
                             > Encourageprivatebusinessto
                                offertransportationservicesto
                                seniors.
                             > Promotevolunteerdrivers
                                programs.

Safeandsecure         Examplesofactionstoachievethis
transportationoptions   include:
                             > Promotesignageandroad
                                markingsthatareage-friendly.
                             > Promotebestpracticesin
                                roadandsidewalkdesignand
                                maintenance.
                             > Promoterecreationandleisure
                                forthepublic,astheyage,
                                throughaccessibletrailsand
                                sideroads.
                             > Balancesafetywithdignityand
                                independencewhenasenior’s
                                drivingassessmentisrequired.
Page 2

          Goal 12             Improvedrangeofhousing
                              opportunitiesthatsupporthealthy
                              aging.

          Rangeofhousing   Examplesofactionstoachievethis
          options             include:
                                  > Supportpartnershipsto
                                     assesstheneedforarange
                                     ofaffordableandaccessible
                                     housingoptions.Partnerswill
                                     involvegovernment,thepublic,
                                     theregionalhealthauthorities,
                                     andothers.
                                  > Supportaffordableand
                                     accessiblerentalhousingfor
                                     seniorsthroughtheAffordable
                                     HousingProgram.
                                  > Continuetoproviderent
                                     supplementforlowincome
                                     persons,includingseniors,
                                     residinginNewfoundland
                                     LabradorHousing.
                                  > Reducerentforseniorsliving
                                     inNewfoundlandLabrador
                                     Housingfrom30to25percent
                                     ofnetincomepermonth.
                                  > Supportandenhancethe
                                     ProvincialHomeRepair
                                     Program.
                                  > Identifyandsupportother
                                     programsandservicesthat
                                     allowseniorstomaintainor
                                     modifycurrenthousing.
                                  > Endorseaffordablehousing
                                     designandconstruction.
                                     Universaldesignguidelines
                                     willpromoteaccessibilityforall
                                     includingseniors.
                                  > Assesstheroleofassistive
                                     technologiesinhelpingseniors
                                     remainintheirhomesand
                                     communities.
                                  > Increaseseniors’knowledgeof
                                     housingoptions.
                                                    Page 2

Age-friendly         Examplesofactionstoachievethis
assessment            include:
                          > Applytheage-friendlylensto
                             policies,programs,andservices
                             thataddressseniorshousing.
                          > Assessandaddressseniors
                             housingissuessuchasproperty
                             taxes,homeheatingcostsand
                             otherhomeexpenses.

Supportivehousing   Exampleofactionstoachievethis
options               include:
                          > Researchonhousing
                             requirementsandsupportive
                             careneedsofpersonsasthey
                             age.

Provincialhousing   Examplesofactionstoachievethis
requirementsof      include:
Aboriginal               > EncouragetheFederal
elders/seniors              GovernmentandAboriginal
                             peoplestoimprovehousing
                             forAboriginalseniorslivingon
                             reserves.
                          > Considertheprovincialhousing
                             needsofAboriginalseniors
                             withintheAboriginal Off-
                             Reserve Housing Trust.

Longtermcare        Examplesofactionstoachievethis
                      include:
                          > Assesscurrentlongtermcare
                             andpersonalcarehomes
                             throughouttheprovince.Aplan
                             willbedevelopedtoaddress
                             gapsinservices.
                          > Supportbestnationaland
                             internationalpracticeswhen
                             planningchangestolongterm
                             andpersonalcarehomes.
                          > Explorealternateoptionsin
                             long-termcare.
Page 30

          Goal 13               Improvedliteracyandeducationfor
                                seniorsthatpromotelifelonglearning.



          Literacyand         Examplesofactionstoachievethis
          education            include:
                                    > Assesstheextentand
                                       impactofseniors’literacyin
                                       NewfoundlandandLabrador.
                                    > Supportcommunity-based
                                       learningthatreachesoutto
                                       seniorswithlowliteracy.
                                    > Supportinter-generational
                                       learningtoenhanceseniors’
                                       literacy.
                                    > Promotelifelonglearning
                                       throughaffordableeducation
                                       andtraining.
                                    > Promotesensitivitytoseniors’
                                       literacysuchasproviding
                                       informationusingalternative
                                       means.

          Workplacessupport   Examplesofactionstoachievethis
          lifelonglearning     include:
                                    > Encourageworkplacesto
                                       promotelifelonglearning.

          Informationand      Examplesofactionstoachievethis
          communication         include:
                                    > Adoptage-friendly
                                       communication.
                                    > Supportseniors’accesstonew
                                       technologies,suchasbanking
                                       machines,automatedtelephone
                                       systems,computersandthe
                                       Internet.
                                    > Encouragethepubliclibrary
                                       systemtobeage-friendly.
                                    > Supportcommunicationthat
                                       ensuresthatseniorshave
                                       informationonpublicprograms
                                       andservices.
                                    > SupportaprovincialGuide to
                                       Programs and Services for
                                       Seniors.
                                                Page 31

                     > Developmaterialstoeducate
                        thepubliconhealthyaging.
                        Plainlanguageandappropriate
                        fontandtextsizeswillbeused.

Goal 14           Enhancedrecognitionandsupportto
                  unpaidcaregivers.

Supportunpaid   Examplesofactionstoachievethis
caregivers        include:
                      > Enhancesupportsforunpaid
                         caregivers.Thismayinclude
                         in-homerespite,seniors’day
                         programs,institutionalrespite
                         andseniors’activityprograms.
                      > Supportandexpandcommunity
                         programsthatprovidein-home
                         help.Thesemayincludemaking
                         meals,housekeepingandlight
                         homemaintenance.
                      > Helpsustaincaregiversupport
Educationand           networkssuchasCaregivers
training                 Out of Isolation.


                  Examplesofactionstoachievethis
                  include:
                      > Supporteducationandtraining
                         forunpaidcaregivers.Thiswill
                         enhancetheirknowledgeofthe
                         needsofthepeopletheyserve.
Page 32

          Financial Well-Being
          Research has shown that financial security for
          seniorshasbeenincreasingoverthepast25years.
          Manyseniors,andsoon-to-beseniors,arestillliving
          onlowincomesatornearpovertylevels.

          Manyparticipantsatthepublicconsultationssaid
          that they were having financial difficulties. In 2004,
          halfofNewfoundlandersandLabradorians65
          yearsandolderhadayearlyincomeof$15,300
          orless.24StatisticsCanadareportsthatpeoplein
          NewfoundlandandLabradoraged55to64havethe
          highestlevelsofpoverty,whencomparedtoother
          agegroups.25

          About65percentofNewfoundlandandLabrador
          seniorsreceivetheGuaranteed Income Supplement.
          This is a federal benefit for low-income seniors.26
          Sixteenpercentofseniorsreceivethefull
          Newfoundland and Labrador Seniors’ Benefit.An
          additional26percentofseniorsreceiveapartial
          Seniors’ Benefit.27

          Itisimportanttounderstandwhatcontributestolow-
          income.Lackofeducation,sometypesofwork,and
          maritalbreakuphasbeendescribedasfactors.Low
          incomesleavelittleforpensionsandsavings.Those
          who are retired often live on fixed incomes. Yet,
          expensesmayincreasewithchronichealthissues
          and/orthelossofalifepartner.

          Olderadultsoftenincurincreasedhomemaintenance
          costs.Theymaynolongerbeabletodorepairs
          themselvesornolongerhavethehelpofapartner.
          Seniorssometimesrequirecostlychangestotheir
          homestoimproveaccessandsafety.Someolder
          adultscannolongerdriveduetolossofvision.They
          mustresorttousingtaxis.Drugcostshaveincreased.
          Allofthesefactorshaveaprofoundimpacton
          seniors.

          More research is needed to define and measure the
          impactoflowincome.Inaddition,researchneedsto
          measure how various policies affect seniors’ financial
          well-being.
                                            Page 33

Planningandsavingcanbeachallengeformany.
Financialwell-beingforseniorsmaybeimproved
through:

   • Improved taxation and pension benefits;
   • Increased access to government programs;
     and
   • Increased subsidies.

Financialeducationandplanningareneededlong
beforeretirement.Planningshouldbeapriorityfor
parents,theeducationsystemandemployers.

Single,divorcedandwidowedolderwomenoften
face major financial challenges.28Womentendtobe
at a disadvantage when it comes to financial security.
Manyhaveworkedlessoutsidethehome.Thishas
leftthesewomenwithlittleaccesstoprivatepensions
andotherincomesinoldage.

Thisprioritydirectioninvolvesplanningforthe
futureandworkingtoaddressdifferences.Itaimsto
improve the financial well-being of people as they
age.
Page 3

                       Priority Direction
                       Financial Well-Being
                       This priority direction aims to improve the financial
                       well-beingofseniorsthroughpolicies,programs
                       and services. It identifies opportunities; improves
                       knowledgeaboutgovernmentservicesand
                       programs; and encourages financial and retirement
                       planning.


          Goal 15                  Identified opportunities, through
                                   policies,programsandservices,to
                                   improve the financial security of older
                                   adults.

          Financialwell-being    Examplesofactionstoachievethis
          inlateryears           include:
                                       > Reviewmeasurescurrently
                                          used to assess financial well-
                                          beinginlaterlife.
                                       > Create,useandassessa
                                          process to measure financial
                                          well-beinginlaterlife.Thiswill
                                          includeagenderanalysis.
                                       > Takepartinafederal/provincial/
                                          territorialdevelopmentofa
                                          “cumulativeimpactassessment
                                          tool”.Thiswillbeusedto
                                          assesstheimpactofpolicies
                                          and programs on the financial
                                          securityofseniorsandidentify
                                          waystorespond.

          Review financial         Examplesofactionstoachievethis
          policies                 include:
                                       > Reviewpoliciesandprograms
                                          atalllevelsofgovernmentthat
                                          impact the financial well-being
                                          ofseniors.Anage-friendlylens
                                          willbeused.
                                       > Exploremodelswhichsupport
                                          bestpracticesofunpaidfamily
                                          care-giving.
                                       > Supportpoliciesandprograms
                                          that promote financial well-being
                                          foranagingpopulation.
                                                     Page 3

Goal16               Olderadultshaveenhanced
                      knowledgeofgovernmentservicesand
                      benefits.

Informationfor      Examplesofactionstoachievethis
seniors               include:
                          > Assessandenhancewaysto
                             betterinformseniors.
                          > Worktowardsimprovingthe
                             processforseniorstoapplyfor
                             financial supports.
                          > Speedprocesstimesfor
                             applicationsunderprovincial
                             assistanceprogramsfor
                             seniors.

Goal17               Opportunities to access financial and
                      retirementplanningareincreased.

Financialand       Examplesofactionstoachievethis
retirementplanning   include:
                          > Promoteaddingknowledge
                             of financial and retirement
                             planningtotheeducation
                             systemandearlyemployment.
                          > Promotecontinuededucationof
                             financial and legal advisors to
                             counselclientsastheyage.
                          > Promote financial planning
                             amongthepublicespeciallythe
                             youngtomid-agedpopulation.
Page 3

          Health and Well-Being
          Thephysical,emotional,social,mentalandspiritual
          aspectsofwell-beingareconcernstoanaging
          population.Inthepast,healthwasconsideredfroma
          mainlyphysicalperspective.Thefocuswasoncuring
          ormanagingdisease.Therehasbeenmovement
          towardsabroaderviewwithallaspectsofhealthand
          well-beingtakenintoaccount.Thisnewperspective
          emphasizeshealthpromotionandwellness.The
          focusisonstrengthsratherthanweaknesses.
          Knowledgeofthesocialfactorsthataffectour
          healthshowsusthevalueofindependenceand
          interdependenceinhealthandwell-being.

          Meanwhile,ageismstillexistsinsociety.Itleads
          somepeopletobelievethatlivinginaninstitutionis
          alwaysapartofgrowingolder.Forexample,when
          someseniorsbecomelessmobile,theymaynotbe
          giventheopportunityforrehabilitation.Whenseniors
          needhelptomanagetheirownhealth,otherpeople
          believetheyhavetoactonbehalfoftheolderperson.

          Asnoted,NewfoundlandersandLabradorianshave
          astrongsenseofcommunity.Thisisevenmoreso
          forolderpersons.Inthisprovince,thosewithasense
          ofcommunityreportthemselvesashavingbetter
          health.29

          Yet,in2005,about92percentofthose65andolder
          inNewfoundlandandLabradorhadatleastone
          chroniccondition.30Thirteenofthe20mostcommon
          chronicconditionsinCanadaarelinkedtoage.31Yet,
          we are living longer as we find new ways to prevent
          diseaseandmanageit.

          Theincidenceofmanychronicconditionssuchas
          arthritis,highbloodpressure,diabetes,asthmaand
          obesityishigherinNewfoundlandandLabradorthan
          intherestofCanada.Thereisroomtoimprove.
                                                               Page 3

   Prevalence of Chronic Conditions among Seniors
            (age +), 200 Percentages


 Chronic                          Newfoundland
                                                            Canada
 Condition                        andLabrador

 Arthritis/Rheumatism*                  51.9                 45.9

 High Blood Pressure*                   50.0                 44.0

 Diabetes*                              19.7                 14.6

 Asthma*                                10.8                  7.4

 Cataracts                              18.3                 22.1

 Glaucoma*                              4.2                   6.5

 Heart Disease                          18.9                 19.0

 Obesity                                15.4                 15.1

Source: Statistics Canada, Canadian Community Health Survey, 2005;
compiled by the Newfoundland and Labrador Centre for Health Information.
* statistically significant difference

                Medicationsplayaroleindealingwithchronic
                conditions. Their cost was described as significant
                duringconsultations.Governmenthelpscoversome
                ofthesecosts.Thoseontightbudgetsarefacedwith:

                    •   Eligibility criteria;
                    •   Dispensing fees;
                    •   Co-payments; and
                    •   Lack of coverage for some medications.

                Manypeopledonothaveprivateinsurancefor
                medicationcoststhatarenotcoveredbygovernment.
                Improperuseofmedicationamongolderadults
                requiresmoreresearch.

                Dementiaisachronicconditionthataffects8per
                centofCanadiansoverage65.Dementiaismuch
                morecommonamongthoseover85(25percent).32
                Research is required to find proper treatment models.
                Wealsoneedtoresearchourabilitytocarefor
                personswithdementia.Duringconsultations,we
                heardthatwemustdistinguishbetweendementia
                andmentalhealthissues.
Page 3

          Mentalhealthvariesamongolderadults.Thereare
          somechangescommoninlaterlifethatcanaffect
          mentalhealthandemotionalwell-being.These
          include:

             • Physical changes such as vision and
               hearing loss;
             • Conditions that affect mobility or cognition;
             • Retirement;
             • Loss of relationships; and
             • Changes in one’s social support network.

          Someolderadultshavehadalifetimeofmental
          healthissues.Thereisalackofrecognitionofmental
          illnessandaddictionsamongolderadults.

          Elderabusereferstoactionsthatharmanolder
          personorputstheperson’shealthorwelfareat
          risk.Canadianresearchstatesthat4to10percent
          ofolderadultsaresubjecttooneormoreformsof
          abuseorneglect.Thisoftenresultsfromtheactions
          ofsomeonewhoistrustedorreliedonbythevictim.33
          ThegoaloftheprovincialViolence Prevention
          Initiativeistopreventabuseandneglectamongall
          peopleincludingolderadultsintheprovince.

          Thisprioritydirectionsupportsallaspectsofhealth
          andwell-beinginanagingpopulation.Thisinvolves
          cooperationonpoliciesandprogramstoaddress
          lifelonghealthandwell-being.
                                                        Page 3

            Priority Direction
            Health and Well-Being
            Thisprioritydirectionworkstowardensuringpeople
            astheyagehavethebestpossiblephysical,
            emotional,social,mental,andspiritualhealthand
            well-being.


Goal 18                 Olderpersonsdemonstrateimproved
                        healthandwell-beingintargetareas.

Wellness                Examplesofactionstoachievethis
                        include:
                            > Targetmiddle-ageandolder
                               personsinpriorityareasof
                               theProvincial Wellness Plan
                               (healthyeating,physicalactivity,
                               tobaccocontrol,andinjury
                               prevention).
                            > Promoterepresentationof
                               seniorsonRegionalWellness
                               Coalitions.
                            > Supportwellnessgrants
                               aimedatseniorsthrough
                               implementationoftheProvincial
                               Wellness Plan.

Healthyeating         Examplesofactionstoachievethis
                        include:
                            > Supporthealthyeatingfor
                               seniorsthroughtheProvincial
                               Food and Nutrition Framework
                               and Action Plan.
                            > PromotetherevisedCanada’s
                               Food Guide.
                            > SupportMealsonWheelsand
                               exploreandsupportWheels
                               toMealsoptions(e.g.shared
                               kitchens).
                            > Targetseniorsatriskofpoor
                               nutrition.
Page 0

          Recreation,Sports,   Examplesofactionstoachievethis
          andleisure            include:
                                     > Supportolderadultsthrough
                                        Active, Healthy Newfoundland
                                        and Labrador: A Recreation
                                        and Sport Strategy for
                                        Newfoundland and Labrador.
                                     > Promotethenationalgoalofa
                                        10%increaseinphysicalactivity
                                        amongseniorsby2010.
                                     > Explorethefeasibilityof
                                        provincial“SeniorsGames”.
                                     > Promoteincreasedrecreation
                                        andphysicalactivityforseniors
                                        inpersonalcareandlong-term
                                        carehomes.

          Tobaccoreduction      Examplesofactionstoachievethis
                                 include:
                                     > Helpolderadultsquitsmoking
                                        throughtheProvincial Tobacco
                                        Reduction Strategy.
                                     > Supportacampaigntoraise
                                        awarenessoftheeffectsof
                                        second-handsmoke.

          Preventfallsand     Examplesofactionstoachievethis
          injuries               include:
                                     > Carryoutworkthattargets
                                        seniorsaspartoftheProvincial
                                        Injury Prevention Plan.
                                     > Supportthenetworkingof
                                        organizationsinvolvedininjury
                                        preventionamongseniors.
                                     > Promoteassistivedevicesand
                                        medicalalertsystemsasways
                                        toensuresafetyandsupport
                                        independence.
                                                    Page 1

Goal 19               The health care system reflects
                      policiesandserviceswhichare
                      age-friendlyandpromotehealthy
                      aging.

Healthcaresystem   Examplesofactionstoachievethis
                      include:
                          > Ensurestandardsforpersonal
                             care,longtermcare,andhome
                             supportarestated,keptcurrent
                             andmonitoredregularly.
                          > Assessandimprove
                             infrastructureinlongtermcare
                             homes.
                          > Ensurethatworkforceplanning
                             includesprovidingservicesto
                             anagingpopulation.
                          > Continuetoimplement
                             astandardizedresident
                             assessmentinstrumentforlong
                             termcareresidents.
                          > Provideage-friendlyambulance
                             service(roadandair).
                          > Ensureseniorshaveaccessto
                             PrimaryHealthCare.

Homecare             Examplesofactionstoachievethis
                      include:
                          > Ensurehomecare(homehealth
                             andhomesupport)services
                             areage-friendlywithinthe
                             developingLong Term Care and
                             Community Supports Strategy.
                          > Expandhomesupportprogram
                             tosupportindependence.
                          > Recommendchangestothe
                             home support financial criteria.
                          > Pilotahomesupportprogram
                             forseniorswhorequirelow
                             levelsofassistancetomaintain
                             independence.
                          > Reviewcurrentpolicyonhiring
                             familymembersashome
                             supportworkersthroughthe
                             provincialHome Support
                             Program.
Page 2

          Palliativeandend-of-   Examplesofactionstoachievethis
          lifecare                include:
                                       > LaunchandmonitortheShort
                                          Term End-of-Life Home Care
                                          Program.
                                       > Supportaccesstopalliative
                                          servicesandspecialists.
                                       > Supportskillsdevelopment
                                          forpalliativecarestaffand
                                          volunteers.
                                       > Supportgriefprogramsand
                                          pastoralcare.
                                       > Supportresearchintopalliative
                                          caremodels.


          Goal 20                  Theprevalenceofchronicdiseaseand
                                   conditionsisreduced

          Chronicdiseaseand     Examplesofactionstoachievethis
          conditions               include:
                                       > LaunchaChronic Disease
                                          Prevention and Management
                                          Strategy.
                                       > Ensurethathealthpromotion
                                          isage-friendly.Thisincludes
                                          effortstopreventandmanage
                                          communicableandchronic
                                          diseasesandconditions.
                                       > Partnertoreducechronic
                                          diseasesandconditions.
                                       > Supportcollaborativecare
                                          models.Thiswillinvolve
                                          improvedself-managementfor
                                          thosewithchronicdiseasesand
                                          conditions.
                                       > Partnertoimproveprogramsfor
                                          thosewithAlzheimer’sdisease
                                          andotherdementias.
                                       > Enhancetrainingforhealthcare
                                          providerswhotreatpeoplewith
                                          Alzheimer’sdiseaseandother
                                          dementias.
                                       > Researchdementiacare.
                                                       Page 3

Goal 21                 Increasedpolicies,programsand
                        servicessupportingindependence,
                        mobilityandsafetyofolderpersons.


Independenceand       Examplesofactionstoachievethis
mobility                include:
                            > Improveaccesstooccupational
                               therapyandphysiotherapy.
                               Thiswillhelppeoplelive
                               independently.
                            > Improveaccesstoequipment
                               andassistivedevicesthathelp
                               peopleliveindependentlyand
                               safely.
                            > ReviewtheSpecial Equipment
                               Assistance Programand
                               financial eligibility criteria.
                            > Ensureuseofassessment
                               toolsdesignedtorecognize
                               independenceandmobility.

Goal 22                 Increasedsupportforalifelong
                        approachtoprotectoralhealth,vision,
                        hearingandspeech.

Oralhealth,vision,   Examplesofactionstoachievethis
hearingandspeech      include:
                            > Ensurethattheprovincial
                               Oral Health Plan,under
                               development,promoteslifelong
                               oralhealth.
                            > Coverbasicdentalservicesfor
                               low-incomeseniorsthroughthe
                               Newfoundland and Labrador
                               Dental Health Program.
                            > Reviewsubsidiesforvision
                               care.
                            > ReviewtheProvincial Hearing
                               Aid Program.
                            > Improveaccessforolderadults
                               toprofessionalservicesthat
                               relatetooralhealth,vision,
                               hearingandspeech.
Page 

          Goal 23               Olderadultshaveimprovedaccessto
                                neededmedications.

          Accessto            Examplesofactionstoachievethis
          medications           include:
                                    > SupporttheSeniorCitizens
                                       DrugSubsidywithinthe
                                       NewfoundlandandLabrador
                                       PrescriptionDrugProgram.
                                    > Assesstheimpactofdispensing
                                       feesonseniors.
                                    > Useeducationandresearch
                                       topromoteproperuseof
                                       medicationbyseniors.

          Goal 24               Olderadultshaveimprovedskillsand
                                supportstoachievepositivemental
                                healthandavoidaddictions.


          Mentalwell-being,   Examplesofactionstoachievethis
          andaddictions.       include:
                                    > SupporttheProvincial Policy
                                       Framework for Mental Health
                                       and Addictions Servicesasit
                                       relatestoolderpersons.
                                    > Promotelinksbetweenthe
                                       provincialSeniorsMentalHealth
                                       Consultant,theregionalhealth
                                       authorities,andthecommunity.
                                    > Ensurethatseniors’mental
                                       healthispartoftheProvincial
                                       Wellness Plan: Wellness Paper:
                                       Mental Health Promotion.
                                    > Assessgeriatricpsychiatry
                                       andothermentalhealthand
                                       addictionsservicesforseniors.
                                    > Improvementalhealthservices
                                       forthoselivinginpersonaland
                                       long-termcarehomes.
                                    > Ensurethathealthyagingis
                                       partofthedevelopingprovincial
                                       Substance Use Strategy.
                                    > LinkwiththeNational
                                       Framework on Substance
                                       Abuseasitrelatestoseniors.
                                    > Supportresearchonseniors’
                                       mentalhealthandaddictions.
                                                   Page 

Goal 25             Improvedlegislation,policies,
                    programsandserviceswhichwork
                    towardolderadultsbeingfreefrom
                    violenceandneglect.

Violenceagainst   Examplesofactionstoachievethis
olderpersons       include:
                        > PartnerwiththeProvincial
                           Violence Prevention Initiativeto
                           revisepoliciesandprogramsas
                           theyrelatetoabuseandneglect
                           ofolderadults.
                        > Launchanawareness
                           campaignonelderabuse.
                        > Promoteresponsesystemsto
                           preventandaddresstheabuse
                           andneglectofvulnerableadults.
                        > PromotetheannualWorldElder
                           AbuseAwarenessDay(June
                           15).
                        > Developalegislativeframework
                           forlong-termandcommunity
                           supportforadults.This
                           willincludethosewhoare
                           vulnerable.
                        > Promoteeducationandtraining
                           inpreventionandinterventionin
                           theabuseandneglectofolder
                           adults.
                        > Supportresearchontheabuse
                           andneglectofolderadults.
Page 

          Employment, Education
          and Research
          Employment,workingconditionsandeducation
          impactourhealth.Theyalsoimpacthealthyaging.
          Olderadultsareavaluablehumanresourcewhichis
          often untapped. We can all benefit from the wisdom,
          skillsandabilitiesofseniors.

          Asthepopulationages,therewillbealackofskilled
          workersinsomeindustriesandsomeregionsof
          thecountry.34Thisappearstobethecaseinthis
          province.Effortsarebeingproposedtoaddressthe
          riskofshortages.Theseincludephasedretirement
          and workplace flexibility. These efforts will support
          olderworkers.

          Mandatoryretirementhasbecomeout-of-
          date.Governmenthasactedtosupportthis
          direction.ChangestotheHuman Rights Code of
          Newfoundland and Labradorprotectseniorsfrom
          employmentdiscrimination.Themythisdispelledthat
          peoplecannotbeproductiveintheworkplaceafter
          age65.

          Asthepopulationages,thereisgreaterneedfor
          educationandresearchonitsimpactonsociety.
          Thosewhosupporttheelderlyneedtobetrainedto
          respondtotheirneeds.

          Workingwitholderpersonsisthelastcareerchoice
          formostuniversityandcollegestudentsenrolledin
          healthcareprograms.Careerpromotioninthisarea
          isneeded.

          Employerswillhavetoresearchandplanforfuture
          human resource needs. Employment flexibility
          isadvisedforolderworkers.Perks,suchas
          advancementopportunitiesforolderworkers,can
          beusedtoretainthem.Employersshouldprovide
          lifelonglearningtoallowemployeestoadaptto
          changes.

          Researchinformspolicyandsupportsplanning.
          Astrongfocusshouldbeplacedonresearchin
          agingandseniors.Researchshouldbecarriedout
                                              Page 

withsupportatalllevels.Itshouldbecollaborative.
Researchshouldinvolvepotentialrecipientsand
providersofservices.Acomprehensiveagingand
seniors profile for this province will be needed as a
baselineforthisresearch.

Theconsultationprocessrevealedanumberofkey
areasforfurtherresearch.Theseinclude:

   •   Dementia;
   •   Medication use;
   •   Age-related chronic illness;
   •   End-of-life care;
   •   Elder abuse; and
   •   Mental health and addictions.

Otherresearchareasarebeingconsideredtoensure
afullresearchplanisdevelopedandimplemented.
Page 

                        Priority Direction
                        Employment, Education and
                        Research
                        Thisprioritydirectionaimstofocusontheimpactof
                        anagingpopulationonemployment,educationand
                        research.

          Goal 26                    Employersimproveplanningforan
                                     agingworkforce.

          Workforceplanning         Examplesofactionstoachievethis
                                     include:
                                         > Encourageemployerstouse
                                            researchevidencetoplanfor
                                            futurelabourneeds.
                                         > Uselabourmarketinformation
                                            toprovideastablesupplyof
                                            healthandcommunityservice
                                            workers.
                                         > Promotethevalues,skillsand
                                            knowledgerequiredtorecruitin
                                            theareaofagingandseniors.

          Recognitionof            Examplesofactionstoachievethis
          olderadultsinthe       include:
          workplace                      > Exploreworkplacemodels
                                            forolderworkerswhowantor
                                            require increased flexibility.
                                         > Helpolderworkersexplorea
                                            rangeofjoboptions.
                                         > Assesstheworkplacetosupport
                                            workinginlateryears.
                                         > Supportdevelopmentof
                                            programstoencourageolder
                                            workersastheyexplorecareer
                                            andjobopportunities.
                                                      Page 

Goal 27               Knowledgeofagingandtheimpact
                      ofpopulationagingarebroughtinto
                      thework,educationandresearch
                      environments.

Education, training   Examplesofactionstoachievethis
and recruitment       include:
                          > Encouragepost-secondary
                             institutionstooffertrainingin
                             age-friendlyapproaches,in
                             targetedareas.
                          > Promotetheenhancedtraining
                             ofhomesupportworkers.
                          > Supporttraininginage-friendly
                             approaches,forworkersinthe
                             healthcaresystem.
                          > Supporttraininginage-
                             friendlyapproaches,for
                             citizens,volunteersandunpaid
                             caregivers.
                          > WorkwiththeViolence
                             Prevention Initiativetopromote
                             trainingtoprevent,recognize
                             andinterveneintheabuseand
                             neglectofolderadults.


Goal 28               Improvedknowledgeofagingand
                      seniors is reflected through evidence
                      gainedthroughresearch.


Evidence gained       Examplesofactionstoachievethis
through research      include:
                          > Supportaworkinggroupto
                             exploreresearchmodels,
                             developaframework,and
                             promoteresearchonaging
                             andseniors.Thiswillinclude
                             government,education,
                             community,regionalhealth
                             authorities.
                          > Supportresearchincriticalareas.
                          > Supportworkona
                             comprehensiveagingand
                             seniors’ profile.
Page 0


          Implementation Plan
          Governmentjoinsmanypartnersinimplementing
          theProvincialHealthy Aging Framework and
          Implementation Plan.Manyactionsareunderway
          throughcurrentprograms,plansandstrategies.
          However,therearemanynewpriorities.The
          Framework and Implementation Planislong-term.It
          will be carried out over five years.




          Measuring Success
          Wemusttrackprogress,evaluatesuccess,and
          makeneededchangestoensuresuccess.An
          implementationandaccountabilityframeworkfor
          Year1:2007-2008willmonitorprogressandmeasure
          Government’scommitmenttosupporthealthyaging.

          TheAgingandSeniorsDivisionwilloverseethe
          Framework and Implementation Plan.While
          progresswillbereviewedonanannualbasis,a
          prioritizationexercisewillalsooccuronanannual
          basistodeterminenextstepsinthecomingyear.
          Bothprogressofcurrentandproposedactions
          forthecomingyearwillbereviewedbythe
          InterdepartmentalWorkingGrouponAgingand
          Seniors.ThereviewwillbesubmittedtotheMinister
          ResponsibleforAgingandSeniors.TheMinister
          willmakeyearlyrecommendationsonnextactions
          totheMinisterialCouncilonAgingandSeniors.
          Governmentwillreportyearlyonprogressinthesix
          prioritydirections.TheMinisterResponsibleforAging
          andSeniorswillgiveayearlystatementofprogress
          totheHouseofAssembly.
                                          Page 1


Moving Forward
ThedevelopmentoftheProvincial Healthy Aging
Policy Framework and Implementation Plan hasbeen
apriorityofgovernmentsincehealthyagingwas
supportedinOur Blueprint for the Future. It reflects
government’scommitmenttoanewvisionofhealthy
aging.Thisvisionwillimpactgovernment’srolein
anagingsociety.Itwillprovideanewwayofdoing
things.Thecommunitywilladoptnewvalues.These
willreshapelifeandworktofullyembracetheaging
population.

Governmenthasbeenworkingtoprovidesupport
toseniorssince Our Blueprint for the Future was
first put forth. The Provincial Healthy Aging Policy
Framework and Implementation Planbuildsonmany
governmentefforts.WithinthePlan,Government
isabletointroducemorecoordinatedlong-term
solutions.Thiswillensurethatallpeoplegrowas
theyage.

Page 2


          Appendices
          Appendix A:
          Glossary of Terms
          Age-Friendly-generationsarevaluedequallyand
          supporteachother.

          Ageism-stereotypinganddiscriminationagainst
          peoplebecausetheyareold.Ageistattitudesare
          basedonalackofinformation.

          Aging in Place-aprocesswherepeoplegrowolder
          infamiliarandcomfortablesurroundings.Theyget
          whattheyneedtomaintainanindependentlifestyle.

          Aging Workplaces-workenvironmentswherethe
          averageageofworkersisincreasingovertime.

          Audiology-thestudyofhearingdisordersandthe
          rehabilitationofpeoplewhoarehearingimpaired.

          Baby-boomers-peoplebornbetween1946-1965
          incountries,suchasCanada.Therewasamarked
          increaseinthebirthrateduringthatperiod.

          Caregiver (informal)-onewhoprovidescare
          withoutpaytofamilyandfriendsinneedofsupport
          duetophysicalormentalhealthissues.

          Chronic Condition-anillness,functionallimitation,
          orcognitiveimpairmentthatisexpectedtolastat
          least1year.Thisrequiresongoingcare.

          Dementia -aprogressivebraindysfunctionthat
          includeslossofmemory,judgmentandreasoning,
          andchangesinmoodandbehaviour.

          Determinants of Health-socialandeconomic
          factors,physicalenvironment,behaviourandbiology
          thatcombineateverystageoflifetodetermine
          health.
                                              Page 3

Disability-limitsondailyactivitiesduetoahealth
issue.

End-of-life Care-sameas“palliativecare”,this
referstohealthcarethatisfocusedoncomfort,
respectandqualityoflifeforapersonnearingdeath.

Healthy Aging-alifelongprocessofmakingthe
mostofhealththatinvolvesphysical,socialand
mentalwellness,independence,qualityoflifeand
enhancinglife-coursetransitions.

Home Care-professionalandnon-professional
servicesinthehometoassistonetolive
independentlypreventearlyadmissiontoalong-term
carehomeorpreventhospitalization.

Home Health-professionalservicesprovidedinthe
home.

Home Support -non-professionalservicesthat
allowthosewhorequireassistancewithdailyliving
toremainintheirownhomesorindependentliving
units.Thisoftenprevents,delaysortakesthe
placeofaninstitution.Thisincludespersonaland
behaviouralsupports,householdmanagementand
respite.

Independence-freedomfromthecontrolofanother.

Intergenerational-programsandpracticesthat
strengthenrelationsbetweenchildren,youth,adults,
olderadults,andfamilies.

Lifespan Developmental Perspective/Model -sees
theindividualasalwayschangingfrombirthtodeath.
Crisisandchangeareconstantinlife.

Lifelong Learning-learningthroughoutlife.The
mainpurposeistogivelearnerstheskillsrequired
tocontinueself-educationbeyondtheendofformal
schooling.

Literacy-theabilitytounderstandanduseprinted
informationindailyactivities,athome,atworkandin
thecommunity.

Long-Term Care Homes-residentialcarehomes
Page 

          designedforpeoplewhorequirelong-termhealthcare
          orrequireextensivecare.

          Mental Health-apositivestateofmentalwell-being.
          Thisisnotsimplyanabsenceofmentalillness.

          Mid-Old -people75to84.

          Older-Old-people85andover.

          Oral Health-referstothehealthofthemouth.This
          includestheteeth,gums,andsupportingtissues.The
          mostcommonoralhealthproblemsarecavitiesand
          gumdisease.

          Palliative Care-thesameas“end-of-lifecare”.
          Thisreferstohealthcarethatisfocusedoncomfort,
          respectandqualityoflifeforapersonnearingdeath
          andthefamily.

          Personal Care Homes -licensedresidentialcare
          homesthatprovidecaretomorethanfourresidents
          whorequiresupervisionandassistancebutdonot
          requireon-siteprofessionalcare.

          Population Aging -theincreasingproportionofthe
          populationoverage65.

          Primary Health Care - the first contact people have
          withthehealthandcommunityservicessystem(e.g.
          familydoctor,nursepractitioner,communityhealth
          nurse,paramedic,socialworker)

          Seniors-peopleage65yearsandolder.

          Social Inclusion -ensuringeveryone,regardlessof
          experiencesandcircumstances,canachievetheir
          potentialinlife.

          Universal Design-creatingenvironmentsthatare
          usablebyasmanypeopleaspossibleregardlessof
          age,abilityorsituation.

          Young-Old -peopleage65to74years.

          
                                      Page 

Appendix B:
Ministerial Council on
Aging and Seniors
    • Honourable Ross Wiseman, Minister of
      Health and Community Services
    • Honourable Tom Hedderson, Minister of
      Tourism, Culture and Recreation
    • Honourable Tom Rideout, Minister
      Responsible for Aboriginal Affairs
    • Honourable Joan Burke, Minister of
      Education and Minister Responsible for the
      Status of Women
    • Honourable Tom Marshall, Minister of
      Finance
    • Honourable Tom Osborne, Minister of
      Justice
    • Honourable Trevor Taylor, Minister
      Responsible for the Rural Secretariat
    • Honourable Shawn Skinner, Minister of
      Human Resources, Labour and Employment
      and Minister Responsible for Newfoundland
      Labrador Housing




Page 

          Appendix C:
          Provincial Advisory Council
          on Aging and Seniors
              •   Marg Adey, St. John’s
              •   Beryl Belbin, Forteau
              •   Leo Bonnell, Clarenville (Chair)
              •   Phyllis Gard, Springdale
              •   Don Holloway, Marystown
              •   William Kean, St. John’s
              •   Joan Marshall, St. John’s
              •   Graham Mercer, Carbonear
              •   Florence Oliver, Happy Valley-Goose Bay
              •   Flo Paul, Gambo
              •   Violet Richards, St. Anthony
              •   Marina Simon, Cape St. George
              •   Oliver Tucker, St. Jones Within

              • Mariam Lyall, Happy Valley-Goose Bay
                (past member)

          
                                           Page 

Endnotes
1
 GovernmentofNewfoundlandandLabrador.
DepartmentofFinance.EconomicandStatistics
Branch(Sept.2006).Population Projections
– Newfoundland and Labrador, Medium Scenario
– 1981- 2021.Availableonline.

2
HealthCanada(2002).DivisionofAgingand
Seniors.Dare to Age Well: Workshop on Healthy
Aging. Part 1: Aging and Health Practices.Ottawa:
GovernmentofCanada.

3
Federal,ProvincialandTerritorialCommitteeof
Officials (Seniors) (2006). Healthy Aging in Canada:
A New Vision, A Vital Investment. From Evidence to
Action. (BackgroundPaper).

4
 GovernmentofNewfoundlandandLabrador.
DepartmentofFinance.EconomicandStatistics
Branch(Oct.2006)Demographic Change: Issues
and Implications.

5
 Ibid

6
 StatisticsCanada.The Daily,Wed.Dec.21,
2005http://www.statcan.ca/Daily/English/051221/
d051221b.htm

7
 StatisticsCanada.(2005)Annual demographic
statistics, 2005.Catalogueno.91-213.Table1.17
AnnualPopulationEstimatesbyAgeGroupandSex,
July1,2001-2005–NewfoundlandandLabrador.
8
 StatisticsCanada(2001)Population reporting an
Aboriginal identity, by age group, by province and
territory.

9
 GovernmentofNewfoundlandandLabrador.
DepartmentofFinance.EconomicandStatistics
Branch(2001).CommunityAccounts:Population
Change. Demographic Accounts 1996-2001.
Availableonline(BasedonStatisticsCanada
censuses).

10
  StatisticsCanada.(2001).Population reporting an
Aboriginal identity, by age group, by province and
territory.
Page 

          11
           GovernmentofNewfoundlandandLabrador.
          DepartmentofFinance.EconomicandStatistics
          Branch(Sept.2006).Population Projections
          – Newfoundland and Labrador, Medium Scenario
          – 1981- 2021.Availableonline.

          12
            StatisticsCanada(2004).Caring Canadians,
          Involved Canadians – Highlights from the 2004
          Canada Survey of Giving, Volunteering and
          Participating, 2004. StatisticsCanada–Catalogue
          no.71-542-XIE.TableD.3

          13
           GovernmentofNewfoundlandandLabrador.
          DepartmentofFinance.EconomicsandStatistics
          Branch.Population projections in Newfoundland and
          Labrador - 2006 (medium projection).

           StatisticsCanada(2002).A Profile of Disability in
          14

          Canada, 2001.Table2.2“Adultswithandwithout
          disabilitiesaged15yearsandover,bysexand
          agegroups,NewfoundlandandLabrador,2001”.
          Catalogueno.89-577-XIE–Tables.
          15
           GovernmentofNewfoundlandandLabrador.
          DepartmentofFinance.EconomicsandStatistics
          Branch.CommunityAccounts(2006).Newfoundland
          and Labrador, Population Change 1996-2001.
          Availableonline
          16
           Gilmour,H.andPark,J.(2005)“Dependency,
          conditionsandpaininseniors”inHow Healthy are
          Canadians? Health Reports Supplement 2005.
          Volume16.StatisticsCanadacatalogue82-003.

          17
           CanadianAssociationofSocialWorkers.(2006)
          The Declining Health and Well-Being of Low-Income
          Women in Canada: A Preventable Tragedy.Ottawa.

          18
            StatisticsCanada(2005).Community belonging
          and self-perceived health: Early CCHS findings
          (January to June 2005). Availableonline.

          19
           StatisticsCanada(2001).2001 Census. Aboriginal
          Population Profiles.Newfoundland and Labrador.

          20
           StatisticsCanada(2001).Detailed Mother Tongue
          by Age Group and Sex. Newfoundland and Labrador.
                                           Page 

21
  StatisticsCanada(2004).Caring Canadians,
Involved Canadians – Highlights from the 2004
Canada Survey of Giving, Volunteering and
Participating, 2004.StatisticsCanada–Catalogue
no.71-542-XIE.

22
  StatisticsCanada(2005).Community belonging
and self-perceived health: Early CCHS findings
(January to June 2005). Availableonline.

23
 StatisticsCanada(2006).A Portrait of Seniors in
Canada. Catalogueno89-519.

24
 GovernmentofNewfoundlandandLabrador.
DepartmentofFinance.EconomicsandStatistics
Branch.“CommunityAccounts:Sources of Income by
Seniors, 2004”.Availableonline.

25
 GovernmentofNewfoundlandandLabrador.
DepartmentofHumanResources,Labourand
Employment.Reducing Poverty in Newfoundland and
Labrador: Working Towards a Solution. Background
Report and Workbook.

26
 GovernmentofCanada.HumanResourcesand
SocialDevelopmentCanada.(2006). Statistical
Bulletin, Canada Pension Plan, Old Age Security
(Sept. 2006).

27
 GovernmentofNewfoundlandandLabrador.
DepartmentofFinance.Usingincomedatafrom
CanadaRevenueAgency.
28
 MacDonald,L.andRobb,A.Leslie(2004).“The
EconomicLegacyofDivorceandSeparationfor
WomeninOldAge.”Canadian Journal on Aging
Supplement: S83-S97.

29
  StatisticsCanada.(2005).Community belonging
and self-perceived health: Early CCHS findings
(January to June 2005). Catalogueno.82-621-XWE.

30
 StatisticsCanada.(2005)Canadian Community
Health Survey, 2005. Shared data file.
Page 0
          31
           Gilmour,H.andPark,J.(2005)“Dependency,
          conditionsandpaininseniors”inHow Healthy are
          Canadians?Health Reports Supplement 2005.
          Volume16.StatisticsCanadacatalogue82-003.

          32
           AlzheimerSocietyofCanada.(2005,Revised
          2006).A Report on Alzheimer’s Disease and Current
          Research.

          33
            CanadianCentreforJusticeStatistics.Canada
          (2000)Family Violence in Canada: A Statistical
          Profile.StatisticsCanadacatalogue85-224-XIE.

          34
           McMullin,J.A.andCooke,Martin.(2004).Labour
          Force Ageing and Skill Shortages in Canada and
          Ontario.CanadianPolicyResearchNetworks.
          ResearchReportW/24WorkNetwork.
Notes
Notes
This document was produced by:




Aging and Seniors Division
Department of Health and Community Services
Government of Newfoundland and Labrador
P.O. Box 8700
St. John’s, NL, A1B 4J6