Members Present:	P. Foley; E. Kolb; K. Mahoney*; E. Moore; M. Morrison; R. Starr
Members Absent:	G. Miles, due to illness; R. Paterak, due to other municipal business; J. Tovey, due to vacation
Also Present:	D. Szwarc, Chief Administrative Officer; J. Smith, Commissioner of Health Services; J. Menard, Commissioner of Human Services; N. Trim, Commissioner of Corporate Services and Chief Financial Officer; D. Mowat, Medical Officer of Health; D. Langtry, Director, Strategic Policy, Planning and Partnerships; C. Clubine, Director, Long Term Care; K. Lockyer, Regional Clerk and Director of Clerk's; C. Law, Committee Clerk; J. Schwartz, Legislative Assistant

_______________________________
* See text for arrivals
¨See text for departures

Chaired by Councillor P. Foley

1. DECLARATIONS OF CONFLICTS OF INTEREST - Nil

2. APPROVAL OF AGENDA

RECOMMENDATION APSC-2-2014

That the agenda for the February 20, 2014, Aging Population Term of Council Priority Steering Committee meeting be approved.

3. DELEGATIONS/PRESENTATIONS

a) APSC Meeting #7: Overview and Follow-up on Action Items (Oral)

Presentation by Janette Smith, Commissioner of Health

Received

A copy of the presentation is available from the Office of the Regional Clerk.

Janette Smith, Commissioner of Health Services, provided a recap of the previous meeting’s speakers and themes that emerged. She reviewed two staff reports that were received at the January 16th meeting and addressed outstanding questions from the Committee. In particular, she clarified the costs included in retirement home rents, raised outstanding questions related to the Region’s role in the delivery of long term care and outlined the limited research related to immigration and cultural beliefs around caring for the elderly.

Janette Smith also provided an overview of topics in the news related to seniors and the work of the Committee. For instance, she shared an innovative model from the Netherlands, which applies the principles of a village model to support seniors living with dementia, and new advocacy tabled by the Ontario Association of Non-Profit Homes and Service for Seniors. Two recent polls demonstrating Ontarians’ views on elderly visitation and financial requirements for retirement were also shared. Finally, she updated the Committee on progress being made by the provincial and federal governments to invest in services or programs that support the aging population.

Councillor Mahoney arrived at 1:16 p.m.

b) Delia Sinclair, Public Policy and Stakeholder Relations Coordinator, Alzheimer Society of Ontario and Public Policy Lead, Ontario Caregiver Coalition, Providing an Overview of the Role of Informal Caregivers and the Programs and Services Delivered to Caregivers by Governments and the Non-Profit and Private Sectors

Received

A copy of the presentation is available from the Office of the Regional Clerk.

Delia Sinclair, Public Policy and Stakeholder Relations Coordinator, Alzheimer Society of Ontario and Public Policy Lead, Ontario Caregiver Coalition, provided an overview of caregivers in Ontario, the people they support and the governmental and non-governmental programs offered to support the needs of caregivers. She advised of work that the Ontario Caregiver Coalition is doing to advocate to the provincial government to legislate Bill 21 (Caregiver Leave Bill). Finally, she provided examples of innovative programs, including programs implemented by the City of Toronto and City of Thunder Bay in partnership with the non-profit and public sectors the Committee may wish to consider, and a Caregiver Training Program provided by Mount Sinai Hospital was also discussed.

c) Karen Sibal, Manager, Peel Elder Abuse Prevention Network, Providing an Overview of Elder Abuse in Peel and Current Programs and Initiatives Designed to Combat and Prevent Future Elder Abuse

Received

A copy of the presentation is available from the Office of the Regional Clerk.

Karen Sibal, Manager, Peel Elder Abuse Prevention Network (PEAPN), provided information regarding elder abuse in the Region of Peel, and her organization’s efforts to prevent and eliminate elder abuse through outreach and education. She explained that there are different types of abuse (e.g. physical, psychological, cultural, etc. ), but noted financial abuse or fraud is the most common. Using data from the Peel Data Centre, she provided estimates and potential future forecasts for the rate of elder abuse in Peel. She noted that since elder abuse is under-reported, any forecasts would be conservative. She stated that elders are more at risk for abuse if they are socially isolated, have reduced mobility and face dependency of some kind; and that these risks are elevated within immigrant populations due to additional communication barriers and different cultural norms. She provided an overview of the current work of PEAPN, including a proposed “Safe Housing Project” for seniors in immediate danger, which the Region of Peel is supporting. She also noted that PEAPN is considering broadening their mandate to develop a Council on Aging for Peel.

d) Murray Etherington, Chapter Chair, Mississauga Canadian Association of Retired Persons (CARP), Providing an Overview of the Priorities and Initiatives of the Mississauga CARP Chapter

Received

A copy of the presentation is available from the Office of the Regional Clerk.

Murray Etherington, Chapter Chair, Mississauga Canadian Association of Retired Persons (CARP), provided information regarding CARP’s five major advocacy tasks: navigating the healthcare system, engaging older workers, pension reform, investor protection and prevention of elder abuse. Locally, he advised that Mississauga CARP has 4000 members, and provides initiatives such as job fairs and job search training, lifelong learning programs, working closely with the Mississauga Food Bank, and providing general information to the broader community.

e) Overview of the On Lok Program and Site Visit

Presentation by Carolyn Clubine, Director of Long Term Care

Received

A copy of the presentation is available from the Office of the Regional Clerk.

Carolyn Clubine, Director, Long Term Care, provided information regarding staff’s recent trip to San Francisco, California to investigate the On Lok Program for All-Inclusive Care for the Elderly (PACE). She reported the program is currently helping approximately 1200 seniors who are a minimum of 55 years old, eligible for nursing home care, and living independently in one of three communities in the San Francisco Bay Area. The program is supported by interdisciplinary teams that coordinate, deliver, and manage care plans tailored to the medical, social, cultural, and functional needs of the individual and family involved. PACE has helped achieve lower hospital utilization and readmission rates, shorter stays in hospital, enrolment until end-of-life, fewer emergency room visits, and high participant satisfaction. Carolyn Clubine reported that while 100% of patients have access to a primary care physician, only 6.5% of patient participants were placed in traditional long term care due to their needs being beyond what PACE could adequately provide for. She advised that while there were certain aspects to the program that were unique to the U.S. Health Care System, but provided an overview of the Comprehensive Home Option of Integrated Care for the Elderly (CHOICE) program in Alberta, which is a promising Canadian model of PACE. It too has had helped achieve desired patient outcome and reduce health system pressures.

Carolyn Clubine stated that a model like CHOICE could inform the current conceptual planning for the Peel Manor site in the Region of Peel. Staff will investigate the possibility, along with leveraging existing community partners to attempt to create a co-located hub model with other community support agencies like a Community Care Access Centre (CCAC), transportation services, hospital care, and primary care partners like the Community Health Centres and Family Health Teams. Through their research, staff confirmed that only a coordinated model of some kind that is as seamless as possible will provide the best outcomes.

In response to questions from Councillor Thompson, Carolyn Clubine advised that in the United States, the PACE program costs are based on the needs of the senior but on average it costs the Medicare system approximately $2400 a month. She noted that this is only one of a breadth of options that are being looked at for the Peel Manor site.

Janette Smith stated that it may not be a question of more resources required for any particular model, but instead, better coordinating of services in fewer, easily accessible sites.

4. REPORTS

a) Social Capital Benefits Associated with an Aging Population

Received

b) Financial State of Seniors in Peel

Received

c) Mental Health and the Aging Population

Received

d) Recent Federal Immigration Policy Changes: Potential Impacts on Seniors in Peel

Received

5. COMMUNICATIONS - Nil

6. IN CAMERA MATTERS - Nil

7. OTHER BUSINESS - Nil

8. NEXT MEETING

The next meeting of the Aging Population Term of Council Priority Steering Committee is scheduled for Thursday, April 17, 2014 at 1:00 p.m. , Council Chamber, 5th floor, Regional Administrative Headquarters, Suite A, 10 Peel Centre Drive, Brampton, Ontario.

Please forward regrets to Curtiss Law, Committee Clerk, (905) 791-7800, ext. 4330 or at curtiss.law@peelregion.ca.

9. ADJOURNMENT

The meeting adjourned at 3:26 p.m.