… dementia friendly transportation fran carlin-rogers senior transportation consultant orlando...
TRANSCRIPT
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… Dementia Friendly Transportation
Fran Carlin-Rogers
Senior Transportation Consultant
Orlando
10/26/15
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Changes As We Age
• Normal age related:– Vision– Information processing– Physical
• Medical conditions:– Acute– Chronic– Memory Loss
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Transitioning from Driving
Most older adults modify driving behavior voluntarily, but…..– Some not soon enough– Some too soon– Some in the wrong
way…Continued mobility is key…
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Dementia
• Progressive dementia is:– Gradual– Variable– Unpredictable
• Demonstrates loss of insight– Changes are occurring– Underestimates complexity– Overestimates abilities
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Dementia
• NOT a normal part of aging• After age 65, risk doubles every five
years (NIA)
• At 85+,risk is almost 50% (Alz Assn)
• Alzheimer’s is most frequent type: 60% of all dementias in persons 65+
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Warning Signals
• Memory Loss• Difficulty performing tasks• Problems with language• Disorientation to time &
place• Poor or decreased
judgement
Source: Florida study, 2008
• Problems with abstract thinking
• Misplacing things• Changes in mood or
behaviors• Change in personality• Loss of initiative
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Florida’s Demographics 2015
• 60+=– (4.9 M) 24.8% – 28.6% of licensed drivers
• 1.135,308 M live alone
• 65+ = 18.5%• 85+ = 2.6 %
• 496,013 probable dementia (projection )
• Alzheimer’s is 7th leading cause of death (2013)
Source: Dept of Elder Affairs 2015 Florida County Profiles
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Trends and Projections
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Senior Transportation
• Availability• Accessibility• Acceptability• Affordability• Adaptability
Source: Beverly Foundation Legacy Series
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Florida’s Research Basis regarding Dementia Friendly Transportation
• 2008 study• 2010 study &
work products
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Florida Dementia Friendly Transportation Research Project 2008
2008
• Statewide survey of transit providers & aging network
• Review of best practices nationally• Development of tip sheets
– Paid & volunteer driver programs– Family members
• Establishment of definition of “Dementia Friendly Transportation”
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Dementia Friendly Transportation
“Going beyond senior friendliness, a transportation service that
considers the special needs of passengers with all stages of
memory loss”
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Project Overview 2010
• Research forums:– 4 communities
• Urban/ suburban/rural• Hispanic family group
– Professionals– Family/friends– Vetting of new resource tools
• Literature review• Best practices
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Summary of 2010 Project Findings
• Families & professionals struggle with the issue
• Tip sheets supported as useful tools• Divergent viewpoints among professionals
& family members• Particular concerns for seniors living alone
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Florida’s Policy Initiatives
• Lost on Foot• Dementia Care
& Cure
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You hold the keys…
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Moving Down the Road
• Risk Management:– Communication policies– Driver education– Problem resolution practices
• Connect with local resources– Memory Disorder Clinic– Other transit providers
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Service Policy Considerations for Persons with Dementia
• Availability: – Provides service to persons with dementia– Service can be reached
• Acceptability:– Trains drivers & orients riders/family – Mainstreams persons with dementia with other riders
• Accessibility:– Can provide assistance to identify destinations– Can provide assistance beyond the curb
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Service Policy Considerations (2)
• Adaptability:– Adapt service level to met needs of riders with
dementia– Can link to other services when transition is
needed• Affordability:
– Does not require riders to handle money– Allows escorts to ride at no charge
Adapted from Beverly Foundation Legacy Series (Transportation & Dementia)
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Helping Along the Way…
• Tipsheet for Transportation Providers
• Tips for Drivers
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Questions?? Comments?? Suggestions??
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Presenter Information
Fran Carlin-Rogers
Senior Transportation Consultant
Carlin Rogers Consulting
Orlando, Florida
[email protected] 407 422 0991