The age-friendly community movement is a global phenomenon, currently growing with the support of the WHO and multiple international and national organizations in the field of aging. Drawing on an extensive collection of international case studies, this volume provides an introduction to the movement. The contributors – both researchers and practitioners – touch on a number of current tensions and issues in the movement and offer a wide-ranging set of recommendations for advancing age-friendly community development. The book concludes with a call for a radical transformation of a medical and lifestyle model of aging into a relational model of health and social/individual wellbeing.
This important book provides a comprehensive survey of different strategies for developing age-friendly communities, and the extent to which older people themselves can be involved in the co-production of age-friendly policies and practices.
The guide is aimed primarily at urban planners, but older citizens can use it to monitor progress towards more age-friendly cities. At its heart is a checklist of age-friendly features. For example, an age-friendly city has sufficient public benches that are well-situated, well-maintained and safe, as well as sufficient public toilets that are clean, secure, accessible by people with disabilities and well-indicated. Other key features of an age-friendly city include: well-maintained and well-lit sidewalks; public buildings that are fully accessible to people with disabilities; city bus drivers who wait until older people are seated before starting off and priority seating on buses; enough reserved parking spots for people with disabilities; housing integrated in the community that accommodates changing needs and abilities as people grow older; friendly, personalized service and information instead of automated answering services; easy-to-read written information in plain language; public and commercial services and stores in neighbourhoods close to where people live, rather than concentrated outside the city; and a civic culture that respects and includes older persons.
The supportive role of urban spaces in active aging is explored on a world scale in this unique resource, using the WHO’s Age-Friendly Cities and Community model. Case studies from the U.S., Canada, Australia, Hong Kong, and elsewhere demonstrate how the model translates to fit diverse social, political, and economic realities across cultures and continents, ways age-friendly programs promote senior empowerment, and how their value can be effectively assessed. Age-friendly criteria for communities are defined and critiqued while extensive empirical data describe challenges as they affect elders globally and how environmental support can help meet them. These chapters offer age-friendly cities as a corrective to the overemphasis on the medical aspects of elders’ lives, and should inspire new research, practice, and public policy. Included in the coverage: A critical review of the WHO Age-Friendly Cities Methodology and its implementation. Seniors’ perspectives on age-friendly communities. The implementation of age-friendly cities in three districts of Argentina. Age-friendly New York City: a case study. Toward an age-friendly European Union. Age-friendliness, childhood, and dementia: toward generationally intelligent environments. With its balance of attention to universal and culture-specific concerns, Age-Friendly Cities and Communities in International Comparison will be of particular interest to sociologists, gerontologists, and policymakers. “Given the rapid adoption of the age-friendly perspective, following its development by the World Health Organization, the critical assessment offered in this volume is especially welcome”. Professor Chris Phillipson, University of Manchester
As the drive towards creating age-friendly cities grows, this important book provides a comprehensive survey of theories and policies aimed at improving the quality of life of older people living in urban areas. In this book, part of the Ageing in a Global Context series, leading international researchers critically assess the problems and the potential of designing age-friendly environments. The book considers the different ways in which cities are responding to population ageing, the different strategies for developing age-friendly communities, and the extent to which older people themselves can be involved in the co-production of age-friendly policies and practices. The book includes a manifesto for the age-friendly movement, focused around tackling social inequality and promoting community empowerment.
According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.
Creating Aging-Friendly Communities examines the need to redesign America's communities to respond to our aging society. What differentiates it from other books is its breadth of focus, evidence-based consideration of key infrastructure characteristics, and examination of the strengths and limitations of promising approaches for fostering aging-friendly communities.
Problem: As aging and urbanization trends converge, developing "age-friendly community initiatives" (AFCIs) has become a global movement and important policy area, aspiring to support people's desires to age in place regardless of age, income, or ability level. This project interrogated how AFCIs have been operationalized in practice and in the lived experiences of older people. Methods: Situational analysis was a theory-methods package used to compare the conceptual frames undergirding AFCIs with expert knowledges and lay perspectives. Historical and literature reviews, participant observations, and semi-structured in-depth interviews were conducted with thirteen AFCI experts and seventeen older adults asked to chronicle their everyday lives using disposable cameras. Findings: The rational dreams of AFCIs and material realities of aging in place are misaligned. Older adults elucidated a moving tension between the daily interiority of identity and contingencies of a changing environment that produces a sensation characterized as the uncanny. The vicissitudes of life and precariousness of their positionalities exposed tactics for "passing" as creative forms of resistance to their expulsion from society. This revealed how there are normative structures around which formal systems or institutions involved with AFCIs could impinge upon older adults; highlighting society's interest in ensuring they remain healthy and safe, lest they be a threat to themselves or burden on others. This project illuminated how aging in place finds meaning through the quotidian; the mundanity of this work is the crux of its poignancy. AFCIs form a biopolitical paradigm because they not only seek to rework boundaries between bodies and environments, they operate as modes of individual and population governance for the sake of health; yet, struggle to find ways to preserve the inclusion of older people in the ongoing social system. This project contributes to gerontological discourse and has theoretical and policy implications for aging in place inequities.
The ageing population is a global societal issue. Policymakers, planners and the public, third and private sectors must rethink how the built environment and services are delivered to meet the needs of a changing demographic. This is the first book to systematically review the evolution, development and progress of age-friendly thinking in the UK, with a primary focus on the real-world experiences of the people leading place-based initiatives. The book presents the findings of the first in-depth national study of age-friendly programme leaders in the UK, completed in 2021, and provides insights into the development of age-friendly communities, the formative influences from a social policy perspective, the management challenges and the progress towards achieving age-friendly goals. Using primary interview data and narrative analysis, the experiences of working with age-friendly programmes in different organisational forms are explored. The book promotes a greater understanding of what it means to become an age-friendly community in practice, how the programmes have different development pathways, and what influences different outcomes. Embellished with detailed narratives from practitioners, informative tables, and diagrams and figures throughout, the book carefully gathers the voices of a diverse range of decision-makers and leaders associated with the age-friendly movement and provides unique insights on the drivers of change in specific localities. This is a must-read for anyone involved in ageing research or ageing policy and practice as it provides an insightful look into the real world of embedding this community development model in different localities to make a difference to the lives of older people. Topical themes include how these agendas connect with other issues, such as dementia-friendly programmes and the work of the third sector, as well as the growing challenge of what it means to be ‘friendly’ as a community and place and whether ‘friendly’ is becoming an over-used term in relation to place identity. The book has national and global interest for all communities engaged in age-friendly activity, offering exemplars of best practice, achievements in transforming local communities and views on the meaning of ageing, as well as the age-friendly lens as an approach that champions the world through the eyes of older people. It offers a thought-provoking read for anyone with an interest in this expanding area of ageing, irrespective of disciplinary focus.
