6th Convening Recap!

MCF 6th Convening

Shirin Vakharia of Marin Community Foundation presents at AAI’s 6th Convening.

From Program Director Linda Jackson:

The highlight of last month was the Aging Action Initiative’s 6th Convening.

We had a full room, dozens of new people, and beaucoup de enthusiasm for the sessions.

Our six Convenings have attracted nearly 500 people. They represent over 130 agencies, nonprofits, and organizations in Marin; 24 agencies have sent three or more people to at least one convening. Our reach is growing because people understand the value of what AAI brings to the work of an age-friendly Marin. Here are some “best parts” comments from this year’s evaluation forms:

  • I was inspired by the four individuals who opened the day. An entertaining and introspective start to the event.
  • So much concern & energy re. making Marin a healthy, secure, safe place to live.
  • Meeting new people; learning about what’s happening in community for seniors and how I can get involved more.
  • Opportunity to network; blend of public, community, and health perspectives.
  • Lens on Aging Equity — questions and discussions at our tables.
  • Reframing aging to be more effective in talking about issues facing older adults.

AAI educates! The morning began with ‘listening in’ to four Marin residents reflect on aging. Read Terri Dowling’s comments on growing older here.

Most of the day was dedicated to learning, thinking, and talking about equity. Laura Eberly of YWCA SF & Marin led two sessions about our own equity-related experiences and perceptions, and about the structure and outlook of our own organizations. You can learn more about the work and offerings of the YWCA at www.ywcasf-marin.org. This history lesson through the eyes of an African American is most insightful: www.youtube.com/watch?v=dw_mRaIHb-M

Shirin Vakharia of Marin Community Foundation moderated a session titled “Bringing Home More than a Tee-Shirt” about the just-concluded national American Society on Aging conference. Not all of us were able to attend the conference in San Francisco, so we brought it back with a panel discussion of highlights and table talks about what people learned. What did we talk about?

  • Livable Communities: housing, transportation, open space
  • Integrated health care models, social determinants of health, and LTSS + CBOs
  • Stigma-resistance and denial and the need to reframe public thinking for acceptance of supports and services for older people
  • “Solo aging” — people without kids who are now without family or spouse support
  • Isolation and health impacts
  • Caregivers: Housing and finding caregivers, workforce/immigration concerns, services in rural communities
  • Hospice/palliative care in home

In addition to equity and the ASA conference, we also talked about ageism and reframing, or revising the way we talk about older people, and the benefits and challenges of growing older.

AAI advocates! The last session of the Convening was all about the four issues we are focusing on this year: housing, aging-in-community, economic security, and transportation. Here are some of the inspirational protest signs made in the afternoon:

  • Work Here. Live Here. Stay Here.
  • End Social Isolation – Visit a Neighbor
  • Reframe our Game to Everyone’s Gain!
  • Livable wages for caregivers now!!!
  • Keep Older People Mobile

AAI promotes service collaboration! The whole day was about this — 74% of attendees reported making at least five new connections and a third of attendees met more than 10 new people.

Thanks to all who came and shared and connected! This is one of the reasons AAI came into being — to make the most of our connections so we can do the most for older people in Marin.

See you around Marin~

P.S. Miss the Convening? Email support@agingactioninitiative.org with your name and organization to request access to panel summaries and presentations.

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Ten things I learned at the Aging in America Conference

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From Program Director Linda Jackson:

Our network was in luck this year: the Aging in America Conference, hosted by the American Society on Aging (ASA), came to San Francisco at the end of March. This full immersion into the world of learning about and advocacy for older people across the United States met all expectations. General sessions covered tantalizing topics such as technology reinventing aging, community-based organizations (CBOs) at the forefront for health interventions, ending senior poverty, and innovations in Alzheimer’s.

Marin had a high profile at the conference. The Aging Action Initiative hosted a peer group discussion on successful approaches to advocacy, education, and service coordination within a collaborative network. Shirin Vakharia of the Marin Community Foundation was one of the five co-chairs on the Conference Leadership Committee and moderator for the “Creating and Sustaining CBO Business Partnerships” session at the Managed Care Academy Boot Camp. A.A.I.’s Steering Committee chair Joe O’Hehir was a highlighted speaker at that Boot Camp. The Buck Institute for Research on Aging sponsored a tour of its I.M. Pei-designed Novato campus. And, Erin McAuliffe of Marin Transit and I volunteered for the world cafe discussions at the Second Annual Summit on Livable Communities, which focused on age-friendly planning.

Here’s my top 10 list of things I heard or learned at the ASA conference:

#10 Over 50% of older people are on Facebook! Older people are increasingly using Facebook to connect with each other and with services, and to learn about opportunities to advocate for change.

#9 The program Silver Sneakers allows eligible adults to access thousands of gyms and fitness classes at no cost. Check it out: www.silversneakers.com.

#8 “We’ve added a decade to our lives, but we are likely to need help in that decade, with more and higher health care costs.” Medical facilities are realizing that when people go home with access to community-based supports, there are fewer readmissions, health care costs go down, and employee satisfaction goes up. As more people grow older in Marin in the next two decades, A.A.I. collaborations can play a pivotal role in ensuring that people can age and die at home, rather than in the ICU or an institution.

#7 “Five percent of the older population are ‘complex patients’ accounting for 58 percent of medical costs.” CBOs need to be mindful in health care partnerships about the time and staff needed to provide services to patients with multiple physical and mental illnesses.

#6 Health = 80% social determinants + 20% genes. Many speakers noted how social determinants of health (poverty, race, immigration status, etc.) are coming of age as a common theme nationwide. This leads us to #5 . . .

#5 “Under the new administration, money is going to tech startups and not CBOs. Funding is going to the disruptors who are not as aware or capable as CBOs in partnering for health care.” Arggh! Keynote speakers pointed out that to reduce emergency room visits, readmissions, and the length of hospital stays, health care institutions need to look for “social practitioners.” CBOs already know about the needs of their communities. They know what it means to be poor, hungry, or an immigrant. The greatest potential today to transform medical care is to partner health care institutions with CBOs and the public sector for more responsive and cost-effective health care.

#4 “Health care happens in the home.” No surprise here: most health care is at home, where people are most comfortable. As I checked out the Exhibition Hall, I came across these fun no-maintenance responsive pets: https://joyforall.hasbro.com. There is a wealth of technological innovations making it possible for people to stay at home for as long as possible.

#3 Alzheimer’s researchers are looking for people for clinical trials. We can help spread the word: https://www.nia.nih.gov/alzheimers/clinical-trials

#2 “We are moving from working individually to working collaboratively.” Several speakers celebrated that the recently-adopted budget in Washington included an increase in funding for older Americans, despite an original budget that cut funding. Working together, advocates were able to not just stop cuts to Meals-on-Wheels and others, but to convince elected officials to approve an increase in funding!

#1 We must stop using language that triggers negatives, creates a fear about aging, and repels potential supporters.” The collaborative Reframing Aging project by eight of the leading aging organizations in the U.S. has the goal to reduce ageism through changing public perceptions about growing older. It provides a wealth of resources for you to use in your organization. Check out this online toolkit. At AAI’s 2018 Convening, we introduced ‘reframing,’ and you will hear more from A.A.I. about this transformative approach this year.

I came back to Marin and our lively 2018 Convening on April 3. Over 100 people came this year! We had a lovely day in Tiburon. In this newsletter, we have A.A.I. Steering Committee member Teri Dowling’s inspired reflection on words from Buddha. In case you missed the Convening, here’s your peek into what we talked about: https://www.ted.com/talks/ashton_applewhite_let_s_end_ageism (Ashton Applewhite TED Talk about ageism). I promise that A.A.I. will share more about this transformative approach in upcoming months.

See you around Marin ~

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A Flash of Lightning

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This existence of ours is as transient as autumn clouds.
To watch the birth and death of beings is like looking
at the movements of a dance.
A lifetime is like a flash of lightning in the sky,
Rushing by, like a torrent down a steep mountain.
-The Buddha
from The Tibetan Book of Living and Dying, by Sogyal Rinpoche

At the 2018 A.A.I. Convening, Steering Committee member Teri Dowling shared her reflections on these words from Buddha, as part of the “Listening In” at the beginning of the day.
A Flash of Lightning

This year in August, I’ll be 73 years old.

I’m going to retire on June 30 after 44 years of employment with the City and County of San Francisco. This is a happy retirement. I love my job and the people I work with. It feels like a gift to leave this phase of my life on a high note. Looking back, I’m aware of how quickly the time has gone by — like that flash of lightning in the sky. I honestly have few regrets in life and feel so grateful for the many experiences in my past that got me to this place. Last week when I met with the retirement office, I learned that because I have worked for so long, my retirement is calculated based on how much I’ve put into the retirement system and actuarial data — how long I’m expected to live. I looked up the actuarial life data published by Social Security, which says I will live an average of 14.34 years more! A strong reminder that life is much shorter moving forward into this next chapter of life.

I really welcome this next chapter of my life. Right now, my husband Mal and I are in relatively good health and I want to spend more time with him and our family and to be more spontaneous — go to Carmel on a Tuesday for lunch, watch a movie at the theater in the middle of the day, drive to Portland on a whim, fly to Rome to drink coffee at a local cafe. And, as I have always done, I want to try new things, make new friends and stay actively involved in my community. I feel very much alive with energy to spare.

I’m also aware that life is finite. In my 50s I had Stage 2 breast cancer and had to come face to face with my own mortality. The fear of death I felt at that time has faded, but the experience helped me put death in perspective. Now in my 70s, my parents are no longer alive, a few of my friends have serious health issues including memory loss, and a few have died. I know that sickness and death will happen to me and the ones I love, but I honestly don’t think about it often. I think about now and the future, the years I have left, to live my life fully for as long as I am able.

Yes, time seems to speed up now that there is less ahead. Even these last few months at work have been speeding by faster than I ever thought possible. I’m now, at 73 years of age, facing the future with optimism and an openness to new adventures, love, joy, gratitude, the inevitable sadness of loss, and, hopefully, acceptance.

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Register Now for AAI’s 6th Annual Convening!

REGISTER NOW

Join us for the Aging Action Initiative’s 6th Annual Convening on April 3, 2018. We will meet at The Lodge at Tiburon in downtown Tiburon from 9am to 4pm. Representatives from public agencies, nonprofit organizations, and the health sector will gather for a day of education, advocacy, and collaboration as we work together for an age-friendly Marin.

Sessions include:
– AAI 2018: Rallying for Change
– Lens on Aging Equity: Insights for Change
– American Society on Aging Conference: Bringing Home More than a T-shirt
– Advocacy: A Place to Live, Aging in Community, Economic Sustainability, and Transportation
PLUS networking to strengthen our community

Please register by March 28 to reserve your spot!

Lunch included. Coffee and pastries at 8:30am.

Please contact sami@agingactioninitiative.org with any questions.

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AAI SPOTLIGHT: Reframing Aging

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Reframing Aging: A New Strategy to Shift Attitudes and Policies

March 1, 2018 | Want to make real progress in promoting active aging? Change the conversation about it. If we experts and advocates strike the right themes and use the right language, we can reach the public in new ways, we can shift attitudes and we can create new policies. This is the conclusion of Frameworks Institute, an award-winning nonprofit comprised of cognitive and social scientists. As the research partner for the Reframing Aging Project, an initiative of Leaders of Aging Organizations, Frameworks has intensively studied how our communications and outreach can drive more informed conversation and policies about aging.

Changing language will change minds

Frameworks is the research partner for the Reframing Aging Project, an initiative of Leaders of Aging Organizations: AARP, the American Federation for Aging Research, the American Geriatrics Society, the American Society on Aging, the Gerontological Society of America, Grantmakers in Aging, the National Council on Aging, and the National Hispanic Council on Aging.

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Frameworks has intensively studied how our communications and outreach can drive more informed conversation and policies about aging. Among Frameworks conclusions: stark disparities divide expert and public views of aging. For example, while experts decry rampant ageism, the public has yet to acknowledge it. Experts regard aging as a continuous process, sometimes difficult, but often rich and rewarding, but the public tendency is to view aging fatalistically, as a period of decline and deterioration.

In viewing aging as something that happens to others rather than to all of us, the public regards aging challenges as matters of personal moral responsibility. If some seniors can run marathons and swim oceans, others older can conquer lesser challenges. By contrast, experts and advocates recognize the social determinants of aging and look to policy changes – new workplace practices, Medicare reform and more—to improve the aging process for everyone.

We should use more neutral phrasing such as “older people”

How can we better align public and expert views? According to Frameworks, changing language will change minds. We should be inclusive in our phrasing, saying things like “as we age” or “what we need when we’re older.”  We should avoid using words like “elderly” or “senior citizen” that reinforce negative stereotypes. Instead, we should use more neutral phrasing, such as “older people.”  In addition, we shouldn’t lead with scary statistics or demographic shifts—the silver tsunami, for example—because these will perpetuate the fatalism and negative perceptions associated with aging.

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To shift attitudes and preferences, we also should embed in our communications several Frameworks—tested “frame elements” or themes. For example, sounding a theme of JUSTICE rather than trying to elicit empathy will more likely move people on issues like social isolation. Using a BUILDING MOMENTUM metaphor will reinforce aging as time of possibility and counteract the negativism perpetuated by military metaphors like fighting or battling aging. Similarly, calling on INGENUITY to address aging challenges will resonate with the spirit of American innovation and agency that has spawned societal solutions in other arenas.

Aging related agencies around the country are working hard to digest and incorporate Frameworks’ guidance. Among them is the Community Living Campaign (CLC), a San Francisco-based nonprofit started by long-time community leaders devoted to making the city world class in its inclusion of seniors and adults with disabilities. CLC recently launched a new program, SF ReServe, which provides older adults and people with disabilities paid, part-time work with nonprofits and public agencies.

Many of us in the field have known for a long time that older people want what we all want: to be respected, to connect, to contribute.

CLC has incorporated Frameworks’ themes of justice, ingenuity and momentum into SF ReServe marketing materials.  For example, to distinguish SF ReServe from just another jobs program or handout, SF ReServe flyers and fact sheets speak to opportunity, using headlines like “Tapping a Reservoir of Talent.” The materials underscore the irony that despite San Francisco’s reputation for social reform and innovation, “many of those (older people) who helped create our vibrant city are unable to find work and make ends meet.” They go on to describe older workers as representing “a vast pool of experience, wisdom, insights and relationships.”

Logo_MYotOACLC’s Executive Director, Marie Jobling, welcomes incorporating Frameworks’ guidance into SF ReServe materials, and, hopefully soon, all of the agency’s communications.  According to Jobling, “many of us in the field have known for a long time that older people want what we all want: to be respected, to connect, to contribute. We’ve been working hard to combat negative images of aging and to call people on their biases, but we’ve needed a more disciplined, effective way to talk about what we do. Frameworks provides potent tools that aging experts and advocates can wield to bring about change.”

You can access Frameworks’ Aging Communications Toolkit here , and to see an example of putting theory into practice, read about SF ReServe here.

–Diane Krantz, Strategic Consultant and AAI Steering Committee Member


Aging Action Initiative (AAI) is a collective effort of more than 65 different agencies, grassroots organizations, commission and neighborhood groups, funded by the County of Marin and coordinated by MARINSPACE, collaborating for an age-friendly environment. For more information visit agingactioninitiative.org or connect with us on Facebook.

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