Are these programs for seniors being optimally used by those who are eligible for them and who could benefit
from them?
A senior’s ability to age in place relies to a
great degree on the affordability, appropriateness and accessibility of their
accommodation as well as the availability of supports to assist them as they
age.
The survey asked
seniors several questions about their awareness and usage of programs designed
to provide support for aging. There are a number of provincial and federal
programs in place that help seniors to afford the costs of home adaptations to
increase accessibility.
One example is the
provincial Home Adaptations for Independence (HAFI) program. Overall, few
seniors responding to the survey reported awareness of such programs (31 per
cent).
Though the survey
did not track usage rates, and only one in ten seniors had made any adaptations
to their homes either with or without financial assistance, younger seniors
were almost twice as likely to know of the existence of such assistance
programs than older seniors.
The provision of
personal care or home support can also help a senior age in place. However, the
seniors responding to the survey reported a low incidence of receiving help or
care from others for problems relating to aging in the past year: overall, only
14 per cent reported receiving such care, with half of those seniors reporting
receiving fewer than two hours of care in an average week.
Not surprisingly,
older seniors who were surveyed are in receipt this type of care almost three
times more frequently, but do not tend to have more hours of help. The seniors
surveyed in the Northern Health Authority were the least likely to receive help
or care from others, while the seniors in the Interior Health Authority tended
to receive more intense care; they were three times more likely to have seven
or more hours of care per week than those in any other health authorities.
Seniors’
Perceptions of their Health and Future Care Needs
The seniors
responding to the survey were generally positive about their current health and
optimistic about their future needs. 85 per cent of the seniors rated their
health as ”excellent”, “very good”, or “good” -- despite the fact that one in
five had been admitted to a hospital emergency room within the past 12 months.
Less than 3 per cent of the seniors considered themselves to be in poor health.
However, seniors
in the Northern Health Authority were much less likely to rate their health as
“excellent” or “good” and were more than three times as likely as seniors in
the other Health Authorities to consider their health as “poor”. Income level
was also found to have a dramatic effect on reported health. Seniors in the
higher income brackets, with household incomes of more than $60,000, were
almost twice as likely to rate their health as “excellent” or “very good” as
those with household incomes of less than $30,000. Indeed, a full 29 per cent
of low-income seniors rated their health as “fair” or “poor”, compared to only
7 per cent of higher income seniors.
The survey asked
seniors to look ahead to their future housing and health care needs. When asked
whether they thought they may need to move at some time in the future, the
seniors surveyed were split, with just over half saying “yes”, a third saying
“no”, and the remainder stating that they didn’t know.
Interestingly,
older seniors were less likely to believe they would need to move, and seniors
in the Northern Health Authority, residing in the most remote parts of the
province, were also less likely to hold that belief. Health care needs were one
of the main reasons seniors felt they may need to move as they age. About half
of the seniors surveyed indicated that a move could be prompted by future
health care needs, and almost a third felt that
their current home would have accessibility issues.
A
quarter felt that financial barriers would prevent their staying in their
current homes. Transportation barriers and the distance from family members and
other support systems were also concerns for seniors. Among the lower-income seniors surveyed, future health care needs and
housing affordability were bigger concerns than among higher income groups,
which is in keeping with both their financial status and the poorer health they
reported
The results of the
survey yielded some surprises.
Overall, the
seniors surveyed reported low levels of awareness of some of the key programs
currently in place to support them, indicating that important information is
not getting to those who need it most.
It is particularly
worrying that those least aware were in the oldest age bracket, and indicated
the lowest incomes, as these are the seniors most vulnerable and in need of
services to support and care for them.
The GIS, MSP
Premium Assistance, SAFER rent subsidy, home adaptation grants and PharmaCare
are long standing programs aimed directly at low-income seniors, and yet the survey would appear to indicate
these benefits are not always reaching their intended target.
This is a reminder
that it is not sufficient to provide supports; we must also connect seniors directly
to those programs and services.
It was troubling
to learn how many seniors believe they will need to move because of
affordability. Of the respondents with incomes of less than $30,000, 36 per
cent of seniors reported they felt they will have to move in the future because
they will no longer be able to afford their current living arrangements.
Also critically
important, is the number of low-income seniors who are not covered by a
benefits program to assist with health needs such as dental care, vision aids,
and hearing aids. The survey indicated 65 per cent of low-income respondents
reported no coverage for these ancillary health care needs.
These facts help
to highlight challenges faced by low-income seniors in B.C.
The information
from this survey deals with seniors in B.C. Canada, however I suspect that the “surprises”
indicated in the report would apply in most jurisdictions and so we need to
continue to work hard to get the information about programs available to
seniors to those who need the services.
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