Seniors

Strategy Recommendations

The recommendations in this Strategy are grouped into 8 themes, which are aligned with the World Health Organization's Age-friendly Cities and Communities themes. These themes are:


Respect & Social Inclusion

Respect and inclusion are needed to feel like a valued part of the community. Ageism and ignorance can produce a lack of consideration for older adults. Intergenerational initiatives and public education can better connect all Torontonians and ensure a place for all in our community.

What the City Does Now

The City faces significant demographic change as the population ages. There is a growing awareness of people living with mental health challenges and disabilities. The "Doing It Right" Campaign is a new, foundational initiative for the Toronto Public Service to promote a respectful, ethical and safe workplace. A Guide to Good Practice: Providing Equitable Service to Individuals of All Abilities has been included in this campaign to increase awareness that "abilities" come in all forms, to ensure equity of outcomes for all residents; and to provide an ethical foundation for the Toronto Public Service.

Respect & Social Inclusion Recommendations

IssueRecommendation
The City of Toronto will... Toronto's diverse older adults are a valued part of our community. Toronto's older adults can be vulnerable to neglect and physical, financial, and emotional abuse. A courteous, non-judgemental, responsive approach to service is vital to ensuring equitable access to service. Intergenerational programming provides an opportunity to build respect and understanding across age groups.

   ...affirm its commitment to its diverse older adult population by meeting internationally recognized standards of age-friendliness.

   ...address elder abuse.

   ...train its staff to effectively serve all older adults, including those who are vulnerable or have special needs.

   ...facilitate and promote intergenerational programming.

Recommendation 1 Timeline ActionResponsibilityProgress Measure Medium-Term Long-Term

a. The City of Toronto will apply to the World Health Organization to join the international network of age-friendly cities and communities, develop a 3 year City-wide action plan based on the findings of a baseline assessment of age-friendliness, and identify indicators to monitor progress against this plan. Social Development, Finance & Administration Application made. Indicators identified. Baseline assessment completed.
b. The Chief of Police, or designate, will work in partnership with the City of Toronto through the Executive Director, Social Development, Finance and Administration to develop and implement expedited data-sharing agreements to support ongoing analysis of safety and quality of life of older Toronto residents. Toronto Police Service Report on data shared.
c. The City of Toronto will seek funding to create a public awareness campaign to fight ageism and to improve communications of services and programs for older adults.

Social Development, Finance & Administration

City Manager's Office

Long Term Care Homes and Services

Report on amount of funding secured.

Recommendation 2 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term Long-Term

a. The Chief of Police, or designate, will encourage Community-Police Liaison Committees, the Chief's Community Advisory Council, and Community Consultative Committees across the service to address the safety issues of older adults. Toronto Police Service Report on committee activities regarding safety issues of older adults.
b. Toronto Police Service will compile internal guides to assist front-line and investigative officers to access resources related to older adults, elder abuse and fraud. Toronto Police Service Report on guide implementation and use.
c. Toronto Police Service will improve the physical safety of older adults and enhance programs designed to protect them from becoming victims of violence or fraud by developing a public awareness campaign to increase community awareness on the issues and risks associated with elder abuse including financial abuse. Toronto Police Service Report on public awareness activities.
d. The Chief of Police, or designate, will work in partnership with the City of Toronto through the Executive Director, Social Development, Finance and Administration to provide victimization data related to older Toronto residents on an ongoing, annual basis at a neighbourhood level of geography.

Toronto Police Service

Social Development, Finance & Administration

Report on data shared.
e. The Toronto Police Service will establish a Chief's Seniors' Advisory Committee comprised of key internal and external stakeholders with the goal of enabling dialogue, problem solving and innovation. Toronto Police Service Report on establishment of committee.
f. Toronto Police Service will develop and implement Officer training on effective recognition and reporting related to the abuse and neglect of older adults including the signs of physical, mental, emotional or sexual abuse, dementia, mental health crises, and lack of independence with respect to activities of daily living. Toronto Police Service Training developed.
Number of officers trained.

Recommendation 3 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term

a. Shelter, Support & Housing Administration will review staff training programs and materials to ensure the needs of homeless and at risk older adults are adequately represented. Shelter, Support & Housing Administration Report on review of training programs and actions taken.
b. Equity, Diversity & Human Rights will develop, promote, implement and evaluate an eLearning tutorial for City staff on A Guide to Good Practice: Providing equitable service to individuals of all abilities. The tutorial will provide information on best practices when communicating with vulnerable adults and the establishment of joint response protocols.

City Manager's Office

Equity, Diversity & Human Rights

Number of staff who have completed tutorial.

Recommendation 4 Timeline ActionResponsibilityProgress Measure Short-Term Long-Term

a. Social Development, Finance & Administration will foster connections between the City's main advisory bodies for youth and older adults to identify opportunities for collaboration.

Social Development, Finance & Administration
Toronto Youth Cabinet, Toronto Seniors' Forum

Long-Term Care Homes & Services Advisory Committee, Youth Councils

Report on results of joint meetings.
b. Social Development, Finance & Administration will publicize existing and develop new intergenerational programming with school boards with a particular focus on promoting respect for older adults. Social Development, Finance & Administration Number of programs developed.
Report on promotional efforts.
c. Toronto Public Library will develop intergenerational programs that involve youth and older adults. Toronto Public Library Number of programs developed.
d. Social Development, Finance & Administration will expand funding to community groups to develop new intergenerational programming. Social Development, Finance & Administration Increase in funding.

Civic Engagement, Volunteering & Employment

Older Torontonians have a great deal of talent, skill, experience and wisdom to offer their city. Opportunities which offer flexibility and support to accommodate diverse older adults' needs will help them to contribute, and to feel valued and productive.

What the City Does Now

The City of Toronto provides staff support to the Toronto Seniors' Forum. The Toronto Seniors' Forum is a group of diverse Toronto residents over the age of 60. The group works to engage seniors in the workings of city government and to advocate for fair and quality services for seniors in Toronto.

The City of Toronto also provides a wide range of volunteer opportunities for older adults such as adult literacy tutoring, providing homework help for children and youth, or assisting residents in the City's Long-Term Care Homes. Volunteers report achievement of personal growth by helping others, connecting with people, participating in programs, learning skills and giving back to the community.

Opportunities are usually publicized through information fairs. The City also plans and supports public consultations and focus groups that seek input on services for older adults.

The City of Toronto also operates Employment Centres at locations across the city. Each centre is staffed with trained Career and Employment Information Specialists. Staff provide help to Torontonians to reach their education and employment goals. The services are free and are available to all city residents, including older adults.

Civic Engagement, Volunteering & Employment Recommendations

IssueRecommendation
The City of Toronto will... Toronto's diverse older adults want and deserve to be better included in public consultations and planning. Toronto's diverse older adults have wisdom and experience to share, and want a variety of volunteering opportunities, but need adequate training and compensation for their costs. Toronto's diverse older adults are increasingly looking for employment opportunities, some out of desire, some out of necessity.

   ...include and ensure diverse older adults are fully involved in the design and development of programming, and are engaged in consultations on all City of Toronto initiatives.

   ...facilitate meaningful volunteering opportunities for older adults.

   ...facilitate employment opportunities for its diverse older adult residents.

Recommendation 5 Timeline ActionResponsibilityProgress Measure Short-Term

a. Shelter, Support & Housing Administration will ensure community consultations on the consolidation of provincially-funded homelessness programs (Community Homelessness Prevention Initiative) include input and feedback on programs and services that would best meet the needs older adults who are homeless or at risk of homelessness. Shelter Support & Housing Administration Report on consultations.
b. Shelter, Support & Housing Administration will ensure community consultations on the proposed redevelopment of Seaton House include input on programs, services and design elements that would best meet the needs of homeless older adults. Shelter Support & Housing Administration Report on consultations.
c. Social Development, Finance & Administration will engage the Toronto Seniors' Forum as partners in the Seniors Strategy to monitor and evaluate the progress of implementation. Social Development, Finance & Administration Monitoring framework developed.
d. The Toronto Public Library will develop ongoing consultation mechanisms, including an older adult advisory committee that engages seniors and provides input into existing Toronto Public Library services. Toronto Public Library Ongoing consultations sessions.
Older Adult Advisory group.

Recommendation 6 Timeline ActionResponsibilityProgress Measure Short-Term Long-Term

a. Parks, Forestry & Recreation will pursue a volunteer management system to maintain information on volunteer opportunities and enhance the ability of recreation and parks staff to connect volunteers with positive opportunities. Parks, Forestry & Recreation Progress measured under Recreation Service Plan implementation.
b. Social Development, Finance & Administration will develop peer-leadership training programs to enable older adults to help others navigate civic services and programs. Social Development, Finance & Administration Number of programs developed.

Recommendation 7 Timeline ActionResponsibilityProgress Measure Short-Term

a. Toronto Employment & Social Services will ensure that older workers can access City Workforce development initiatives and will explore opportunities to customize employment services to meet the unique needs of older workers. Toronto Employment & Social Services Report on employment opportunities for older adults.

 

Social Participation

Social participation is a means for older adults to connect with others and to participate in the diverse cultural and social life of the city. Promoting increased access and affordability of programs and events will contribute to a higher quality of life for older adults.

What the City Does Now

The City of Toronto has in place service strategies and programs to maximize the potential of Toronto's older adult population and to support the best possible quality of life at all stages of aging through the promotion of a variety of activities. The City offers networking opportunities, recreational programs, services and activities such as discussion groups and book talks to promote social participation and reduce social isolation.

Toronto Public Library offers presentations, health information programs and computer and electronic information skills workshops to facilitate lifelong learning. These programs are supported with informational resources, such as books, e-books and audio visual materials in formats suitable for older adults. Financial independence is promoted through workshops on retirement planning and money management. Civic engagement is promoted through volunteer opportunities, community information events, and consultation activities.

The City of Toronto, through the Community Partnership and Investment Program (CPIP), partners with community-based agencies to fund a network of services which support the City's social, cultural, housing, health, employment, recreation, economic and neighbourhood improvement goals. These partnerships help to leverage resources from community partners, other orders of government and other funders to provide services for Torontonians, with many projects supporting older adults.

The City operates Adult Day Programs at locations across the City offering a variety of quality activities and services in a safe, supportive environment for people who are physically frail, have a cognitive impairment or who are socially isolated.

The City of Toronto also supports Community Service Hubs. These deliver community services and programs more efficiently and effectively by locating multiple programs within the same "hub" location. This allows for some sharing of resources between programs, but also better coordination of services across different programs. Older Torontonians particularly benefit from having access to multiple services in one place.

Social Participation Recommendations

IssueRecommendation
The City of Toronto will... Diverse older adults need opportunities and spaces to socialize and network in order to enjoy a higher quality of life. For some older adults the cost of programming presents a significant barrier to participating in organized activities. Toronto's diverse older adult population requires a wide variety of social and recreational activities.

   ...increase opportunities and spaces for social participation by diverse older adults.

   ...reduce financial barriers to its programming for older adults.

   ...ensure older Torontonians have equitable access to social and cultural programming.

Recommendation 8 Timeline ActionResponsibilityProgress Measure Short-Term

a. Long-Term Care Homes & Services will develop a Capital Renewal Strategy for its B and C homes and include community space as part of their design to support the creation of community hubs. Long-Term Care Homes & Services Report on the status of Capital Renewal Strategy.
b. City Planning will undertake Community Services and Facilities Strategies/Reviews to assess and respond to changing demand for community services and facilities in areas where the population is aging and/or growing, including securing on-site community space as part of mixed use and/or significant residential development, in order for agencies to effectively run accessible services and/or programs that could benefit older adults. City Planning Additional community space secured in areas undergoing significant mixed use or residential development.
c. Toronto Community Housing Corporation (TCHC) will investigate co-locating City and community services for older adults in Toronto Community Housing and other City-owned facilities in order to make these services more accessible to older residents of TCHC facilities. Toronto Community Housing Corporation Report co-location options.
Number of older adult programs provided at Toronto Community Housing.
Number of TCHC residents participating in programs and services on-site.

Recommendation 9 Timeline ActionResponsibilityProgress Measure Short-Term

a. Social Development, Finance & Administration, in partnership with the Ministry of Health and Long-Term Care and Local Health Integration Networks (LHINs), will expand financial support to Elderly Persons Centres and work with the province to increase their visibility through consistent branding. Social Development, Finance & Administration Increase in funding to Elderly Persons Centres.
Increase in number of people using Elderly Person Centres.

Recommendation 10 Timeline ActionResponsibilityProgress Measure Short-Term

a. Parks, Forestry & Recreation will develop an age-based plan for older adults, which would include strategies to ensure consistent, quality recreation programs for older adults across the city, with the flexibility to respond to local age specific needs. Parks, Forestry & Recreation Measure to be developed as part of the Recreation Service Plan implementation.
b. Toronto Public Library will purchase large print books, audio books and electronic media that appeal to older adults. Toronto Pubic Library $500,000 estimated expenditure in new catalogue items.

Community Support & Health Services

Access to a full range of quality and affordable health and community support services has a profound effect on quality of life for older Torontonians.

What the City Does Now

The City of Toronto supports older adults to age in a healthy, active and independent manner and with a continuum of health and social supports and opportunities to avoid social and physical isolation.

The City has several Community Paramedicine programs specifically intended for older adults. The Community Referrals by EMS (CREMS) Program empowers paramedics to connect vulnerable older adults to the health services of their local Community Care Access Centre (CCAC). With a simple phone call, a paramedic can refer a patient in need of personal support, nursing, physical therapy, or other forms of assistance. The Community Paramedic program also allows a Community Paramedic to visit vulnerable older adults and provide assessment and support for their care needs while reducing the use of 911 for non-acute health care issues.

The Toronto Police Service (TPS), in partnership with local hospitals, offers the Mobile Crisis Intervention Team (MCIT) to support people experiencing a mental health crisis in the community.

Toronto Public Health (TPH) provides chronic disease and injury prevention programs including services such as healthy eating, physical activity promotion, falls prevention and promotion of cancer screening, as well as coordinating a hot weather response. TPH also provides dental services in public health clinics for eligible seniors and dental screening in certain Long-Term Care homes as well as denture services. TPH also provides short-term nursing case-management, education and advocacy to people in vulnerable situations including those who have bedbugs and exhibit hoarding behaviour.

TPH offers a Universal Influenza Immunization Program at locations that are accessible to seniors. The City also provides influenza and pneumococcal vaccination for seniors at homeless shelters and drop-in centres.

The City offers Homemakers and Nurses Services to provide light housekeeping, laundry, shopping and meal preparation to approximately 2,500 individuals annually who qualify under a functional and financial means assessment to remain in their own homes and part of the community.

The City of Toronto's Hardship Fund helps low-income residents, including older adults not receiving social assistance, to afford the cost of special health-related items (e.g. mobility supports, medical supplies, sensory aides).

Community Support & Health Services Recommendations IssueRecommendation

The City of Toronto will... Living healthy lifestyles and avoiding illness and injuries will allow many older adults to enjoy a higher quality of life. Economic barriers can impede access to equitable health, social and community support services. 12 Vulnerable older adults have specific care needs that must be addressed to ensure equitable service.

   ...promote healthy lifestyles and reduce major illness and injury among older Torontonians.

   ...take steps to eliminate economic barriers for diverse older adults to health, social and community support services.

   ...address the specific needs of vulnerable older adults.

Recommendation 11 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term Long-Term

a. Emergency Medical Services will further strengthen its Community Referrals by Emergency Medical Services Program (CREMS) by increasing the number of EMS referrals made to primary care providers, Community Care Access Centres and community support service providers. Emergency Medical Services Increase referrals by 10% from 1,224 in 2012 to 1,350 in 2013.
b. The City of Toronto will create a Health Care Worker Influenza Immunization Group to examine all options to increase influenza immunization rates of City employees whose job involves providing health care to older adults. Toronto Public Health
Long-Term Care Homes & Services
Emergency Medical Services Increase influenza immunization coverage rate.
c. Toronto Public Health will work with community partners and the private sector to make it easier for older adults to access healthy affordable and culturally diverse food through existing food retail and innovative approaches such as the Mobile Good Food Market. Toronto Public Health Number of partners engaged.
d. The Toronto Public Library will offer a dynamic mix of programs to address lifelong learning and skills development that support better health, financial management and sustainability. Toronto Public Library Minimum of 90 programs in areas of health and minimum of 50 programs in areas of financial management developed.
e. Toronto Public Health will increase access to falls prevention training to health and allied health professionals working with older adults. Toronto Public Health Increase in the percentage of agencies serving seniors with staff trained in falls prevention.
f. Toronto Public Health will increase awareness among older adults and their caregivers of the risks for falls and strategies for preventing falls using a variety of communication strategies. Toronto Public Health Report on results of communication strategies.
g. Emergency Medical Services will significantly increase its Community Paramedic home visits. Emergency Medical Services Increase in number of home visits.
h. Emergency Medical Services will expand the Community Paramedicine program to include more Community Paramedics for home visits as well as establishing potential partnerships with other stakeholders to prevent unnecessary transports to hospitals. Community Paramedics respond to non-acute medical calls where they can assess the patient's acuity, perform minor procedures and engage proper community support programs. Emergency Medical Services Increase in number of Community Paramedics.

Recommendation 12 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term

a. Shelter, Support & Housing Administration will explore partnerships to enhance the Vulnerable Populations Protocol for the delivery of Emergency Human Services (EHS) including registration and inquiry, temporary accommodation, meals, clothing, transportation and personal supports. These are intended to ensure that ensuring that older Torontonians and others who are vulnerable are identified and protocols are in place to provide them access to EHS services and the specialized response they may require during large or small scale emergencies. Shelter, Support & Housing Administration Report on the effectiveness of partnerships.
b. Due to the current demand, the wait time to access dental care and the expected increase in demand with the aging demographics, the City should expand access to dental care for eligible seniors. Toronto Public Health Increase in number of eligible older adults using free basic dental services.

Recommendation 13 Timeline ActionResponsibilityProgress Measure Short-Term

a. City of Toronto Agencies, Boards, Corporations and Divisions will collaborate on a suicide prevention initiative, including older adults as well as other priority populations.

Toronto Public Health

City of Toronto Agencies, Boards, Corporations and Divisions

Report on suicide prevention initiative.

Housing

Housing is necessary to the health, economic security and wellbeing of older Torontonians. Integrated housing and homelessness programs, policies and services that support aging at home and in place are important for ensuring fair and respectful treatment for lower-income older Torontonians.

What the City Does Now

The City of Toronto ensures that people who are homeless or at risk of homelessness, have a range of shelter and affordable housing options through the direct operation, funding and administration of programs and services including street outreach, emergency shelters, drop-ins, housing help centres, social housing and a mass care response in case of a public emergency. These programs and services include emergency shelters, drop-ins, housing and other supports specifically for older adults.

The City of Toronto is currently increasing and maintaining the availability of affordable housing with support services for lower-income older adults. This includes opening 713 new, permanent affordable rental homes for older adults by 2013 through the Canada-Ontario Affordable Housing Program, working in partnership with the federal and provincial governments and private and non-profit partners. These homes integrate housing with local agency support services.

The City also delivers the Toronto Renovates program with federal-provincial funding to provide assistance to lower-income homeowners with essential housing repairs and modifications supporting aging in place and greater accessibility.

Climate change can result in extreme hot weather, power outages and elevator failure, which can have serious consequences for Torontonians, especially for older adults living in apartments. The City is working with Engineers Canada to identify how to better design buildings to adapt to these new realities.

The City, through the Official Plan policies and Rental Housing Demolition and Conversion By-law, also works to preserve, and where appropriate, replace rental housing to protect and re-house tenants. Many of the tenants affected by redevelopment proposals are older adults. As well, Toronto's new city-wide zoning by-law makes provisions for certain types of seniors accommodation including Seniors Community Houses.

The City of Toronto offers tax and utility rate relief programs, such as the Property Tax Increase Deferral Program, the Property Tax Increase Cancellation Program and the Water Rebate Program for eligible home owners.

The City of Toronto operates ten Long-Term Care Homes across the city. The Supportive Housing Program provides 24-hour assistance with personal care, light housekeeping and laundry, medication reminders, security checks and light meal preparation to eligible clients at these locations. The program is committed to wellness and health promotion with an on-site Registered Practical Nurse (RPN) at each location assisting 450 clients annually to maintain their independence.

Housing Recommendations

IssueRecommendation
The City of Toronto will... The cost of housing in Toronto is expensive for many older adults and has a significant impact on quality of life. Older Torontonians wish to be able to live independently in their homes and to live in communities of their choosing. To do so, some older adults require assistance to ensure barrier-free homes and in-home care and support services. Torontonians want to be assured of access to a range of long-term care homes and services for those who need them.

   ...take steps to increase older Torontonians' access to affordable housing.

   ...enable older Torontonians to live independently in their own homes by helping them to make necessary repairs, alterations and barrier-free modifications and to access in-home care and support services.

   ...provide a continuum of high quality long-term care services to eligible older Torontonians in both long-term care homes and the community and will advocate for necessary funding from the Province of Ontario.

Recommendation 14 Timeline ActionResponsibilityProgress Measure Short-Term

a. The Affordable Housing Office will aggressively pursue a full range of partnership opportunities to create and maintain affordable housing for lower-income seniors, supporting the goals of Housing Opportunities Toronto, the City's 10-year housing action plan. Affordable Housing Office Number of partnerships created.
Number of innovative housing initiatives and homes created/maintained.
b. The Affordable Housing Office and Shelter, Support & Housing Administration will maximize opportunities to provide affordable housing choice and supply for lower income seniors through participation in the renewed federal-provincial Investment in Affordable Housing funding program.

Affordable Housing Office

Shelter, Support & Housing Administration

Describe actions taken and results of actions.
c. Shelter, Support & Housing Administration and the Affordable Housing Office will provide senior-friendly public education sessions for homeless, at risk and low-income older adults, their families and caregivers. These sessions will increase public awareness of the diverse range of housing programs and services already available in their communities regardless of service provider or service funder. These include a hard copy service directory, an online searchable directory, program brochures, other promotional material and community engagement initiatives.

Shelter, Support & Housing Administration

Affordable Housing Office

Number of copies of service directories distributed.
Number and type of brochures distributed and accessed.
Number and type of educational and community engagement initiatives implemented.
d. City Planning will undertake an Official Plan Amendment to allow for Secondary Suites in existing homes, and will update the Secondary Suites resource kit. Secondary Suite units will help both senior homeowners and renters remain in their neighbourhoods.

City Planning

Shelter, Support & Housing Administration

Affordable Housing Office

Undertaking of an Official Plan Amendment, development of an updated secondary suites resource kit, and distribution to agencies and facilities that serve older Torontonians.
e. Revenue Services will bring forward various options and communication strategies to enhance awareness/ knowledge, access and participation of the available senior property tax and utility relief programs. Revenue Services Percentage increase in program participation.
f. City Planning, in consultation with the Affordable Housing Office, will seek to increase the supply of affordable rental and ownership housing for low-income households, including older adults, through mechanisms such as Section 37 of the Planning Act to secure and access funds for affordable ownership units and condominium-registered affordable rental units.

City Planning

Affordable Housing Office

Increase in affordable rental and ownership units.
g. Shelter, Support & Housing Administration will enhance service planning for homeless and at risk older adults through improved collection of demographic information on older adults using emergency shelters, street outreach and/or other homelessness and housing support programs, as well as those on the social housing waiting list and using rent supplements or housing allowances. Shelter, Support & Housing Administration Data collected.
h. Shelter, Support & Housing Administration, working with the Affordable Housing Office, will update Housing Opportunities Toronto: An Affordable Housing Action Plan (2010-2020) accounting for the evolving demographics and needs of older Torontonians, consistent with the provincial requirement for all municipalities to have a housing and homelessness plan in place.

Shelter, Support & Housing Administration

Affordable Housing Office

City Planning

Action plan updated to reflect the needs of older Torontonians.

Recommendation 15 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term

a. The Affordable Housing Office will assist lower-income older adults and persons with disabilities to make essential repairs and modifications to their homes by delivering the new Toronto Renovates Program 2012 to 2015 using federal-provincial funding. Affordable Housing Office $6.7 M in administered funds, up to 475 homes assisted to renovate/repair (2012 to 2015).
b. The Affordable Housing Office will promote its accessibility and aging in place design guidelines in affordable housing by direct engagement with the public and housing providers. Affordable Housing Office Number and type of engagement activities implemented.
c. Long-Term Care Homes & Services will expand the Homemakers and Nurses Services program which offers assistance with housekeeping, laundry, shopping and meal preparation to frail elderly or other older adults recovering from illness or surgery. Long-Term Care Homes & Services Number of additional clients served through program to reduce/eliminate existing wait list.

Recommendation 16 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term

a. Shelter, Support & Housing Administration will encourage the Ministry of Health and Long-Term Care to recognize and support the needs of older adults using emergency shelters, street respite and street outreach programs by improving the access of this group of older adults to Long-Term Care programs and initiatives and other supports while staying in shelters/living on the street.

Shelter, Support & Housing Administration

Long-Term Care Homes & Services

Advocacy occurred.
Advocacy result.
b. Shelter, Support & Housing Administration will encourage the Ministry of Health and Long-Term Care and the Ministry of Municipal Affairs and Housing to develop and/or increase appropriate models of Long-Term Care, supportive housing, assisted living and housing supports. Such models should be designed to assist older adults that use substances, have mental health issues and/or behavioural issues.

Shelter, Support & Housing Administration

Long-Term Care Homes & Services

Advocacy occurred.
Advocacy result.
c. Long-Term Care Homes & Services will access the provincially-funded Behaviour Support Ontario Program to improve the quality of care in City owned long-term care homes by hiring and training new Personal Support Workers, Nurses in the specialized skills necessary to provide specialized care to residents with dementia, mental health conditions, substance use disorders and other cognitive impairments. Long-Term Care Homes & Services Increase in resources and services.
d. Toronto Community Housing Corporation and Long-Term Care Homes & Services will work to enhance their partnership agreement to create more supportive housing in Toronto Community Housing buildings.

Toronto Community Housing Corporation

Long-Term Care Homes & Services

Report on enhancements to partnership.

Transportation

Transportation is vital to older Torontonians to maintain a high quality of life. Toronto's transportation network is what grants access to the life of the city. An accessible, affordable, safe and reliable public transportation system promotes social connectedness for all.

What the City Does Now

Several City divisions are collaborating to implement the City's Walking Strategy, Multi-Use Trail and Bikeway Network, and Sustainable Transportation initiatives to encourage more active and healthy transportation usage and reduce smog.

The City of Toronto has been working to improve the safety of streets and sidewalks by providing safe, visible and accessible pedestrian crossings, with visible zebra pavement markings for crosswalks and enhanced pedestrian crosswalks at midblock crossings. The City is also updating pedestrian signals to include countdown timers and installing accessible audible crossing signals at all new intersections across Toronto and on a request basis.

The City is implementing traffic calming measures in local communities to improve the quality of life for residents and increase the safety of non-motorized users of the street.

The Toronto Transit Commission (TTC) offers a discounted fare to riders aged 65 and older, and all TTC buses and subway trains are accessible. The City conducts annual sidewalk inspections to identify and correct safety issues to determine locations to install sidewalks where there are none.

The City provides a sidewalk snow clearing program for older adults (on an application basis) where sidewalk snow clearing is not a regular City service. The City also ensures snow is cleared from inside and around transit shelters.

Residents may access information and report concerns with road and sidewalk maintenance and snow clearing by calling 311 Toronto.

Transportation Recommendations

IssueRecommendation
The City of Toronto will... Many older Torontonians have difficulty finding affordable transportation to get where they need to go. Some conditions in the public transportation system can present barriers that prevent older adults from accessing vehicles and finding accessible routes to get to their destination. Some conditions on sidewalks and street crossings can present barriers to pedestrians with mobility limitations. Older adults account for a disproportionate share of pedestrian fatalities and injuries in Toronto.

   ...increase affordable transportation options for older Torontonians

   ...improve the accessibility of the public transportation network.

   ...improve the accessibility of its sidewalks and crossings.

   ...improve the safety of pedestrians and take steps to reduce the number of pedestrian and vehicular collisions.

Recommendation 17 Timeline ActionResponsibilityProgress Measure Medium-Term Long-Term

a. The Toronto Transit Commission will pursue discounted or free fares for older adults during non-peak hours. Toronto Transit Commission Policy implemented.
b. Toronto Public Library will work to develop partnerships with community service organizations that provide transportation services for seniors in order to facilitate increased access to library branches. Toronto Public Library Partnerships developed and program developed by 2014.
c. Through the Community Partnership and Investment Program (CPIP), Social Development, Finance & Administration will fund community groups to increase non-medical transportation options for older adults. Social Development, Finance & Administration Number of clients served by community-based non-medical transportation services.

Recommendation 18 Timeline ActionResponsibilityProgress Measure Short-Term

a. The Toronto Transit Commission will change the current "courtesy seating" system to "priority seating". Toronto Transit Commission Number of seating signs converted.
b. The Toronto Transit Commission will introduce new accessible streetcars in 2014, which will provide ramps to allow people using wheelchairs, scooters or assistive devices easier entry. Toronto Transit Commission Percentage of streetcar fleet that is accessible.
c. The Toronto Transit Commission will upgrade the public address system in TTC subway stations to improve the clarity of announcements. Toronto Transit Commission Increase in number of stations and with upgraded sound systems.
d. The Toronto Transit Commission will publicize the TTC maintenance/repair telephone line: 416-539-LIFT (5438). Toronto Transit Commission Increase in awareness of TTC maintenance/repair hotline.
e. The Toronto Transit Commission will post elevator/escalator outage notices at TTC station entrances. Toronto Transit Commission Report on establishment and compliance with policy.
f. The Toronto Transit Commission will work with Transportation Services to increase the number of accessible bus stops.

Toronto Transit Commission

Transportation Services

 

Increase in number of accessible stops.

Recommendation 19 Timeline ActionResponsibilityProgress Measure Short-Term

a. Transportation Services will work to complete updates to intersection crossing times to provide longer walk times across the city. Transportation Services Number of intersections updated.
b. Transportation Services will develop a policy and process for further extending crossing-times at intersections in areas where there is a high concentration of senior residents or senior amenities/facilities, pending the adoption of a national standard. Transportation Services Policy and process developed.
c. Transportation Services will monitor new types of mobility devices to ensure that City by-laws appropriately recognize personal mobility devices that are appropriate for use in pedestrian environments such as on sidewalks and multi-use pathways. Transportation Services Report on findings.

Recommendation 20 Timeline ActionResponsibilityProgress Measure Short-Term

a. Transportation Services will conduct reviews of each pedestrian fatality to understand the collision cause and implement, where appropriate, measures that respond to the collision causes. Transportation Services Number of reviews conducted.
Number of reviews with road safety measures implemented.
b. Toronto Public Health, in collaboration with Transportation Services, will identify and implement active transportation demonstration projects, including traffic calming and 'slow zones' to enhance safety for older adults and all road users.

Toronto Public Health

Transportation Services

 

Number of consultation activities conducted in demonstration communities.
Number of communities where demonstration projects are underway.
c. Transportation Services will advocate that the Ministry of Transportation amend the Highway Traffic Act to strengthen the rules of the road regarding safety of pedestrians at mid-block crossings, and to create safety programs for all road users. Transportation Services Report on result of advocacy.
d. Transportation Services will identify opportunities to improve safety for all road users by including safety reviews in the capital planning process for roadway projects. Transportation Services Number of projects that have undergone a Safety Review on an annual basis.

Outdoor Spaces & Buildings

Public buildings and outdoor spaces play an important role in the relationship we have with the city. These spaces provide a place for Toronto's diverse population to meet, but they are also vital to Torontonian's mobility. Accessible and safe public environments are necessary for older adults to enjoy equitable access to a high quality of life.

What the City Does Now

The City of Toronto is making facilities and public spaces safer and more accessible for older adults by preparing all City buildings and public spaces to comply with the Accessibility for Ontarians with Disabilities Act (AODA).

A number of additional initiatives that work to ensure the accessibility of the City's public spaces, including streets and sidewalks, are described under the Transportation section.

Outdoor Spaces & Buildings Recommendations

IssueRecommendation
The City of Toronto will... Some conditions can present barriers that prevent older adults from accessing outdoor spaces and buildings. Toronto's diverse older adults do not always feel safe and secure in their communities.

   ...make it easier for older Torontonians to find their way around and access its public spaces and buildings.

   ...help its diverse older adult residents feel safe and secure by improving the safety of its facilities and public spaces.

Recommendation 21 Timeline ActionResponsibilityProgress Measure Short-Term Medium Term

a. Transportation Services will accelerate the installation of street benches and benches and shelters at bus stops. Transportation Services Increase in number of accessible benches.
b. Transportation Services will consult with Astral Out-of-Home and its design consultants to review possible adaptations to the existing street furniture bench design to ensure they address emerging research on older adults' accessibility needs. Transportation Services Report on consultation and outcome.
c. Parks, Forestry & Recreation will increase the tree canopy over the next 40 to 50 years, which will lead to more shade protection. Parks, Forestry & Recreation Increase in tree canopy.
d. Transportation Services will implement the Toronto Wayfinding Strategy to support all Torontonians navigating the city, including age-friendly signage and mapping and integrating wayfinding systems for parks, gardens and trails. Transportation Services Funding secured for phase 2 implementation.
e. Transportation Services will work to increase the number of larger-print street name signs at all intersections with traffic lights. Transportation Services Increase in number of intersections with large-print street name signs.
f. Transportation Services will work with partners to enhance multi-use trails and pathways with tactile trail surfaces, on-trail markings, markings at junctions, and cautionary signage to reduce conflicts between different types of users and provide a more enjoyable experience for all trail users including older adults.

Transportation Services

Parks, Forestry & Recreation

Number of trail enhancement sites.
g. City Planning will develop Official Plan policies as part of its 5 Year Review which include creating a comprehensive and universally accessible transportation system; developing walkable mixed-use and transit-supportive neighbourhoods, and designing public streets, open spaces and buildings that are safe, comfortable and accessible. City Planning Policies under development.
h. The City of Toronto, in consultation with key stakeholders, will develop policies and best practices for the appropriate use of tactile walking surface indicators on city infrastructure for pedestrians who are visually-impaired.

Transportation Services

Toronto Transit Commission

Policy developed.
Best practices instituted.
i. As part of its Parks Plan, Parks, Forestry & Recreation will continue to increase shaded seating areas in parks and explore design adaptations to further address emerging research on older adult accessibility. Parks, Forestry & Recreation Will be reported as part of the Parks Plan Implementation.
j. Social Development, Finance & Administration will expand snow shovelling services for older Torontonians administered under the City's Community Partnership and Investment Program (CPIP). Social Development, Finance & Administration Increase in funding for snow shovelling services for older Torontonians.

Recommendation 22 Timeline ActionResponsibilityProgress Measure Short-Term

a. Toronto Police Service will promote Crime Prevention Through Environmental Design community safety audits throughout the city. Toronto Police Service Number of audits performed.
Report on actions resulting from audits.
b. The Toronto Police Service will continue to provide a visible presence in public spaces and inform and educate older Torontonians on safety issues in their community. Toronto Police Service Report on information and education activities for older Torontonians.
c. Toronto Community Housing Corporation will implement a safety, maintenance and liveability upgrade of all Seniors Buildings. This includes upgrades to communal and community space (e.g. lobby, common areas), security audits, upgrades to security cameras, elevator maintenance issues, and re-secured entrance and exits. Funding sources to be identified by TCHC, including new revenue sources achieved from the implementation of the Special Housing Working Group report approved by Council in 2012. Toronto Community Housing Corporation Number of safety audits completed.
Number of security upgrades completed.
d. The Toronto Police Service will work with City and community partners to develop a guidebook for older adults in Toronto to promote safe and secure community living. Toronto Police Service Guidebook developed.
Number of guidebooks distributed.

Communications & Information

Clear, direct, and understandable information is necessary for older adults to keep informed and stay included in the life of the City. Taking the communication needs and preferences of Toronto's diverse older adult population into account is an important part of removing barriers to civic participation and social engagement.

What the City Does Now

The City of Toronto has a communications directive to affirm its commitment to accessible language. This ensures that information is provided to all residents in a manner in which they can easily understand. Torontonians can also call 311, a simple three-digit phone number, to call for information about City of Toronto services and programs, or to make a request for services. Callers can get information about everything from Toronto Public Library hours of operation, to reporting a missed garbage pick-up, to finding out where the closest flu clinic is located. 311 customer service representatives have instant access to interpreters who speak more than 180 languages.

Communications & Information Recommendations

IssueRecommendation
The City of Toronto will... Many of Toronto's diverse older adults are not fully aware of the range of programs available to them. Toronto's diverse older adult population has varied information needs. City of Toronto communications can be difficult for older Torontonians to understand. Some older adults experience technological barriers to accessing information.

   ...better promote its programs and services to diverse older adults.

   ...ensure that as wide an audience as possible has a clear understanding of its communications.

   ...reduce technological barriers to information.

Recommendation 23 Timeline ActionResponsibilityProgress Measure Short-Term Medium-Term Long-Term

a. Parks, Forestry & Recreation will develop a communication plan with strategies geared specifically towards older adults to raise awareness of program availability options, improve access and reduce stigma. Parks, Forestry && Recreation Will be reported as part of the Recreation Service Plan and Parks Plan implementation.
b. The City of Toronto will better publicize to older Torontonians the services offered by 211 and 311.

Social Development, Finance & Administration

Toronto Seniors' Forum

Number of promotional sessions held at events involving older adults.
c. The City of Toronto will develop internal resources to ensure front-line service staff are aware of and able to promote information and services of interest to older adults. Social Development, Finance & Administration Plan developed for creating internal resources.
d. The Toronto Police Service will strengthen partnerships with health, social and community support service agencies to connect vulnerable, victimized older adults to appropriate health, social and community support services. Toronto Police Service Report on development of partnerships.
e. The City of Toronto will assist older adults to participate fully in community life by identifying Aging Improvement Areas, neighbourhoods with high concentrations of vulnerable seniors and fewer available services. Social Development, Finance & Administration Aging improvement areas identified.

Recommendation 24 Timeline ActionResponsibilityProgress Measure

a. The City of Toronto will develop an accessible communications policy and guidelines to assist City staff to meet accessibility standard requirements created under the Accessibility for Ontarians with Disabilities Act. The policy and guidelines should reflect communication and information barriers which may exist for both older adults and people with different abilities.

City Manager's Office

Strategic Communications

Policy and guidelines developed and implemented.

Recommendation 25 Timeline ActionResponsibilityProgress Measure Medium-Term

a. The Toronto Public Library will develop and implement electronic information literacy programs for older adults that focus on Internet awareness, safety and new information technologies. Toronto Public Library Electronic information literary programs developed.

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