The magazine of the UW School of Public Health

Resources on the Elderly

by Laura Larsson

Note: The online resources in this list were available through these links as of September 2007.

Aging in Place and Livable Communities
Community Coalitions
Demographic Trends of Aging and Their Implications
Elder Abuse and Alaska Natives Elderly
Elders: Demographics and Health Indicators
Emergency Preparedness Efforts for Seniors
Healthy Aging
Intergenerational Programs
Maintaining Mobility
Norovirus Outbreaks in Care Facilities
Retirement of PH Leaders

Aging in Place and Livable Communities

Aging in Place Initiative. [no date].
The National Association of Area Agencies on Aging (n4a) and Partners for Livable Communities (PLC) have launched a joint initiative to work with cities and counties over an 18-month period to “facilitate a community dialogue on "aging in place," and to assist community leaders in developing an action plan to ensure programs and services are in place so that communities are good places to grow old. The overall objective of the Aging in Place Initiative is to assist communities to improve their livability for older persons and in turn, increase livability for all people.” A listserv, best practices, a resource binder for members, and various publications and resources make up the bulk of this site.

Aging in Place Initiative - Guide to Resources. [no date].
Locate blueprints, best practices, articles, reports, and news information on the Aging in Place Initiative. Available from the site: “The Maturing of America: Getting Communities on Track for an Aging Population.”

Aging Program, King County Community Services Division. August 27, 2007.
The King County DCHS Aging Program promotes continued independence of elderly residents within our community by contracting with agencies which offer a range of support services.

Blueprint for Action: Developing a Livable Community for All Ages. May 2007. .
This document was published by MetLife Foundation, in collaboration with the National Association of Area Agencies on Aging (n4a) and Partners for Livable Communities to “provide cities and counties with detailed strategies, practical tools and proven solutions they can use to prepare for the large Baby Boomer population.” Appendix B: Assessing Your Community’s Aging-Readiness: A checklist of key features of an aging-friendly community will help you to “collect information and conduct a “litmus test” of your community’s livability for older adults. The questions provide a basic checklist that you can use to identify key issues and priorities.”

Design for Everyone. Aging and Disability Services. Seattle/King County Area Agency on Aging. 2007.
Universal Design is “a concept for designing all aspects of the built environment — homes, mobility routes, landscapes, commercial developments, products and life space, including equipment and architecture — with the goal of making them accessible to every person, regardless of age or ability.” Additional resources include presentations, Web sites, documents, and films.

Elders' Health and the Built Environment - Designing and Building Healthy Places. Centers for Disease Control and Prevention. [no date].
After retirement, retirees have time to enjoy parks, recreational activities, and other community facilities. With age and an increase in chronic conditions mobility may be limited. For those who cannot drive, other transportation alternatives must be available to keep seniors mobile. This Centers for Disease Control and Prevention site provides links to healthy places, resources, and mobility-related health topics.

National Aging in Place Council. 2007.
If you are a senior who wants to continue living in your own home you will find this to be a useful site. Look for pages such as A Guide to Aging in Place. In it you will find information on making your home Senior Friendly, a selection of product ideas you can use, and about the risks of living in your own home with and without a chronic condition. Transportation resources are discussed as are geriatric care managers. Several booklets are helpful as is the glossary. You will also find financing options for funding living at home such as a reverse mortgage or a home equity loan.

Partners for Livable Communities (PLC).
Partners for Livable Communities is “a nonprofit leadership organization working to improve the livability of communities by promoting quality of life, economic development, and social equity.” Partners “promotes livable communities through technical assistance, leadership training, workshops, charettes, research and publications.” Examine their ongoing programs, best practices, their Aging in Place site and examine their publications on the site and through their bookstore.

Resource Guide for Growing Older in Lewis, Mason and Thurston Counties. Senior Living Strategies. 4th edition, [no date].
This is a potentially very useful tool for seniors. The booklet is divided into five chapters:
Chapter 1: Taking Charge (Information for planning ahead, managing your financial, legal, and final planning and safety and security needs for the future).
Chapter 2: Addressing Housing Options (Descriptions of housing alternatives, guidelines for choosing housing, and a comprehensive list of choices that span the housing continuum for seniors).
Chapter 3: Finding Help (health care, support services, food and nutrition…)
Chapter 4: Exploring Health Issues (a health index of illnesses and ailments combined with a listing of organizations and resources that offer assistance).
Chapter 5: Living Fully (Local, regional and national opportunities for seniors in educational, recreational, familial, cultural, high tech, and volunteer forums for life-expanding experiences).
Also includes links to articles on a variety of topics covered in the chapters.

Retirement Communities in Rural America. USDA, Rural Information CenterNational Agricultural Library, [no date].
This guide “focuses on the challenge facing communities to deliver services, especially housing and health care, to rural retirees. The first section includes more than 40 links to full-text resources discussing the economic and social impact of retirees, the economic development strategies utilized by communities to attract retirees, and community strategic planning to provide the needed services.” Note: This is primarily a bibliography of resources. The second section “includes more than 30 links to full-text resources about the various housing options available for retirees including cooperatives, apartments, assisted living facilities, retirement communities, and more. The guide also includes a list of major journals and key associations.”

Suggested Search Terms
aging in place
Clallam County
community advocates for rural elders (care) partnership
community coalitions
health promotion
healthy aging
healthy living
older adults
rural aging
rural America
small towns

Community Coalitions

Active Living by Design: Community Partnerships. [no date].
This Robert Wood Johnson sponsored site describes the “25 partnerships across the United States [funded] to increase active living, a way of life that integrates physical activity into daily routines. Each partnership receives a $200,000 grant in addition to technical assistance to address community design, land use, transportation, architecture, trails, parks, and other issues that influence healthier lifestyles.” Information on the site includes active living essentials, programs, resources, and information on healthy eating and community partnerships. Lessons Learned information consists of an “ongoing compilation of lessons as they emerge from ALbD’s experience with community partnerships. Lessons learned are organized by eight main themes and can be viewed individually within each theme.”

The AdvantAge Initiative. [no date].
The AdvantAge Initiative helps counties, cities, and towns prepare for the growing number of older adults who are "aging in place" while creating livable communities for people of all ages. This site describes the Initiative and the ten initial communities that are taking part in the Initiative, and offers an FAQ in addition to newsletters, best practices, presentations, reports, fact sheets, and a toolkit. Join their mailing list for current information about the Initiative.

Aging in Place Initiative. [no date].
Aging in Place is “an initiative of Partners for Livable Communities (Partners) and the National Association of Area Agencies on Aging (n4a). It was developed to help America’s communities prepare for the aging of their population and to become places that are good to grow up, live in and grow old.” Look for information on workshops, resources and information on JumpStart, workshops that “highlight the opportunity to improve livability for all ages spun around the catalyst of the growing age demographic.”

CARE Partnership - Community Advocates for Rural Elders in Clallam County, Washington. [no date].
The CARE Partnership serves Clallam County, Washington including Sequim, Forks and Port Angeles. Its major purpose is to “create community and social support networks to increase the ability for older adults to live independently at home through the following means:

  • Information and assistance in accessing services
  • Neighbors-helping-neighbors
  • Transportation options
  • Depression detection through community gatekeepers
  • Caregiver supports
  • Safe and age-appropriate housing
  • Serving frontier communities
  • Create community and social support

Examine the community coalition efforts, browse Senior Information, 211, and find volunteer opportunities. Meet the staff and read the CARE Newsletter. The Final CARE Report 2 provides a Community Advocates for Rural Elders Planner’s Resource Packet.

Community Tool Box. University of Kansas, 2007.
This favorite site for public health practitioners is “the world's largest resource for free information on essential skills for building healthy communities. It offers over 7,000 pages of practical guidance in creating change and improvement.” The focus is “on specific practical skills, such as conducting a meeting or participatory evaluation, that help create conditions for health and human development”.

Healthy Aging Partnership (HAP). September 10, 2007.
HAP is a coalition of more than 35 not-for-profit, government and community organizations in King and Pierce counties, Washington. Look for an assistance line, and links to preventing falls, for healthy living tips and for additional resources.

Healthy People in Healthy Communities: A Community Planning Guide Using Healthy People 2010. [no date].
This guide “provides information about the steps involved in forming and running a healthy community coalition. It also includes "Strategies for Success," to help you get activities started in your community, plus resources, references, and a one page 'quick-aid' with hints for putting Healthy People 2010 to work for your community.”

Suggested Search Terms
community advocates for rural elders (care) partnership
community coalitions
community support services systems
community watch programs
healthy aging
rural aging
rural America
small towns

Demographic Trends of Aging and Their Implications

Active Options for Aging Americans. 2007.
The Active Options for Aging Americans Web site “offers a guide to local physical activity programs and opportunities for older adults.” Look for a physical activity program by inputting your five-digit zip code into their form and indicating the approximate range in miles you want to travel to that class.

AFB Senior Site: a Unique Web Resource On Vision Loss. [no date].
Vision loss “is one of the most common health issues associated with aging, but many people don't know where to turn for help in coping with the condition in themselves or a loved one. To remedy that situation, American Foundation for the Blind (AFB) has launched a Web site that provides tools and resources for managing vision loss later in life.

The AFB Senior Site “features a national directory of low vision services that can help older adults adjust to vision loss. The directory includes information on support groups, adaptive sports leagues, low vision specialists, and more. It also connects visitors to vision rehabilitation agencies where older adults can learn techniques for performing daily living activities with vision loss. Many of these low vision tips are described in videos and articles that appear on the new Web site.” The site's product directory features hundreds of helpful low vision devices that can make life easier for those with vision loss, for example.

AFB Launches Web Resource on Living with Vision Loss. 2004.
Site offers good information with high resolution photography of seniors grocery shopping, bowling, cutting apples and golfing among others.

"Aging boomer generation strains health care system," by Jeanne Sturiale (Winston-Salem [North Carolina] Journal via, May 31, 2007).
Describes “boomeritis,” a condition that “describes the aches and pains of an aging demographic”. Active seniors want simple and minimally invasive solutions to their exercise-related conditions from the health care system. This will put pressure on the health care system.

"Alzheimer's Cases May Quadruple by 2050." (Associated Press via San Francisco [California] Chronicle, Jun. 10, 2007).
Newspaper article that describes the possible future total numbers of those who may get Alzheimer’s.

Blackman DK, Kamimoto LA, Smith SM. Overview: Surveillance for Selected Public Health Indicators Affecting Older Adults—United States. MMWR Surveillance Summaries, 48(SS08);1-6, December 17, 1999.
The surveillance summaries in this publication “explore several major issues related to the health and abilities of older adults and demonstrate the potential of surveillance using available databases. This publication focuses on selected public health issues, although all issues related to public health surveillance apply to older adults.” The report “includes an overview regarding surveillance using existing public health databases. This overview describes some problems and potential solutions that are important for disease surveillance among older adults.”

"Boomers delaying retirement, studies find," (Associated Press via Dallas Morning News, June 12, 2007).
Explores the issue of baby boomers delaying retirement or continuing to work in order to continue earning a salary.

Gist, John, Raetzman, Susan, Gaberlavage, George, Gibson, Mary Jo, et al. Beyond 50: AARP Reports to the Nation. May 2005.
In its ongoing Beyond 50 series of annual reports, AARP “assesses the state of America's aging population in such vital and significant areas of concern as economic security and health care.” It identifies areas of concern about the economic security of people 50 and over. An Executive Summary is available.

Guralnik JM, AZ LaCroix, RD Abbott, LF Berkman, S Satterfield, D A. Evans and RB. Wallace. Maintaining Mobility in Late Life. I. Demographic Characteristics and Chronic Conditions. American Journal of Epidemiology Vol. 137, No. 8: 845-857.
This study used “longitudinal data collected as part of the Established Populations for Epidemiologic Studies of the Elderly between 1981 and 1987 on 6,981 men and women aged 65 years and older in East Boston, Massachusetts; Iowa and Washington counties, Iowa; and New Haven, Connecticut.” It examined factors such as age, income, education, and chronic conditions present at baseline and occurring during follow-up that might lead to a loss of mobility.

Homicide-suicide among the elderly an emerging public health concern. News-Medical.Net. June 1, 2005.
A study by University of South Florida researcher Donna Cohen and Julie Malphurs of the Miami Veteran’s Administration Health Care System recently published in the American Journal of Geriatric Psychiatry shows homicide-suicide among the elderly to be "an emerging public health concern." The rate of suicide-homicide events is increasing.

Korczyk. Sophie M. Back to Which Future: The U.S. Aging Crisis Revisited. December 2002.
The study “reviews new and emerging research that bears on the likely dimensions and consequences of population aging. The report focuses on research dealing with demographic, health, and economic issues surrounding population aging.” It deals with such topics as forecasting mortality, health at retirement, savings, income, lessons from abroad and at home, and retirement income.

Programs Enhancing Active Rewarding Lives for Seniors (PEARLS) Project. Aging and Disability Services, Area Agency on Aging for Seattle and King County. 2007.
The mission of Aging and Disability Services is “to develop a community that promotes quality of life, independence and choice for older people and adults with disabilities in King County”.

Senior & Long Term Care. Montana Department of Public Health & Human Services. [no date].
Offers a list of resources for seniors available in Montana through the Department of Public Health and Human Services.

Senior Health Reports by State. [various dates]

Senior Services. [no date].
Senior Services is “the largest non-profit agency serving older people in Washington. Established in 1967, the agency serves over 50,000 seniors and their families each year through an integrated system of quality programs and services.” Services provided include adult day health, community dining, home sharing, Meals on Wheels, Project Enhance, transportation, and support groups and classes. Look for volunteer and career opportunities, too. This is a well-organized site with a lot of helpful information for seniors and the public. The Senior Services Online Resources section includes information on basic needs, consumer services, education, income support and employment, organizational and community international services and more. The full database of more than 7,000 records is available to subscribers only.

Social Gerontology: The Social Psychology of Aging. [no date].
Looks at issues of concern to the elderly including not calling the elderly “senior citizens.” Look for a section on stereotypes, subgroups, roles, and temporal factors shaping the status of older persons.

The State of Aging and Health in America 2007 Report. Healthy Aging Program, Centers for Disease Control and Prevention, 2007.
This report “updates a similar report released in 2004 and is designed to present information and data from a variety of sources in a straightforward, easy-to-read format.” The report “presents the most current national data available on 15 key health indicators for older adults related to health status, health behaviors, preventive care and screening, and injuries. The “State-by-State Report Card” provides similar information for each of the 50 states and the District of Columbia, and enables states to see where they are on each indicator as well as in relation to other states.”

Trends in Health and Aging. National Center for Health Statistics. September 7, 2007.
On this page you will find tables on trends in the health of older Americans showing data by age, sex, race and Hispanic origin. The tables are easy to customize using these Instructions. Tables cover the following topics:

Suggested Search Terms
active living by design
aging blueprint
baby boomers
chronic health/diseases (include specific chronic conditions for a targeted search)
cross-generational programs
generational differences
generations united
health services
personal health records
senior services
social services

Elder Abuse and Alaska Native Elders

National Center on Elder Abuse. 2007.
Visit this site for data, fact sheets, and other information on elder abuse, neglect, and exploitation in the U.S. Of some interest is the set of documents that can be found on the Elder Abuse in Indian Country page. Selected links from this page include:

There is also a database of Promising Practices. This database is an online tool that can help individuals “locate program models and information resources around the country related to elder abuse prevention, intervention, and public education.” Search by state or category.

The National Clearinghouse on Abuse in Later Life (NCALL). 2003.
NCALL's mission is “to eliminate abuse in later life by challenging beliefs, policies, practices and systems that allow abuse to occur and continue and to improve safety, services and support to victims through advocacy and education.” Look for information on coordinating elder abuse prevention efforts with domestic violence and sexual assault programs on this Web site. A FAQ answers many common questions about physical, mental and sexual abuse among elders.

Native American Elder Abuse. Center on Child Abuse and Neglect (CCAN). 2000.
This document provides several definitions of what elder abuse is including a legal definition, offers information on how to identify elder abuse and what resources are available to report abuse and get treatment for the affected individual. Typical abusers are identified (usually family members) as are typical victims. The document offers information on what tribal leaders are doing to become aware of the problem and how they’ve responded to abuse cases. The role of the National Indian Council on Aging is discussed. Information on conferences and related events as well as numerous references and readings make this a useful source of information on elder abuse.

Segal, B. (2004) Elder Abuse Among Alaska Natives. National Resource Center for American Indian, Alaska Native and Native Hawaiian Elders, University of Alaska, Anchorage. February 2005.
This document contains information on elder abuse among Alaska Natives. It discusses the prevalence of elder abuse, why it occurs, cultural change and its affect on elders, possible solutions to reduce elder abuse, and conclusions and recommendations. A list of citations offers readers a chance for deeper study of the problem of elder abuse.

Substance Abuse and Elder Abuse. National Committee for the Prevention of Elder Abuse. March 2003.
Substance abuse “has been identified as the most frequently cited risk factor associated with elder abuse and neglect. It may be the victim or the perpetrator who has the substance abuse problem. Substance abuse is believed to be a factor in all types of elder abuse, including physical mistreatment, emotional abuse, financial exploitation, and neglect. It is also a significant factor in self-neglect.”

Suggested Search Terms
cultural values
elder abuse (aka lack of respect/disrespect)
emotional abuse
emotional needs
financial abuse
substance abuse (as a linking factor)
traditional wisdom

Elders: Demographics and Health Indicators

A Look at Centenarians... New England Centenarian Study, Boston University Medical Campus. January 25, 2005.
Centenarians are the fastest growing segment of our population. Learn everything about them here via the study’s newsletters, publications, resources studies and glossary. Of particular interest is the “Living to 100 Life Expectancy Calculator”.

Diversity Data – Metropolitan Quality of Life Data. 2007.
DiversityData is an online tool for exploring quality of life data across different metropolitan areas, for people of different racial/ethnic groups in the United States. Create custom profiles, rankings, and U.S. maps. Examine rankings and maps by indicators such as population demographics, health, economic opportunities, crime, or physical environment.

Population Projections. U.S. Census Bureau. May 31, 2007.
The Population Projections Program creates projections of the resident population for the United States and for each of the 50 states and the District of Columbia.

State Interim Population Projections by Age and Sex: 2004 – 2030. May 31, 2007.
Examine highlights and summary tables of projections as well as locate downloadable files with information on file layouts and methodology. Section V. Population pyramids and demographic summary indicators is organized by state or by U.S. regions and divisions.

Statistics: Minority Aging. Administration on Aging, September 25, 2005.
Provides links to three main sources of minority aging data:

More demographic information from Northwest states.

Suggested Search Terms
census data

Emergency Preparedness Efforts for Seniors

DHS Announces Joint Effort to Enhance Preparedness of Elderly and Disabled. September 6, 2006.
In this press release the U.S. Department of Homeland Security (DHS) announced today joint efforts with AARP, American Red Cross (Red Cross), the National Organization on Disability (NOD) and the National Fire Protection Association (NFPA) to assist older Americans and individuals with disabilities in preparing for emergencies.

Disaster Assistance. Administration on Aging, October 20, 2005.
The U.S. Administration on Aging is an agency in the U.S. Department of Health and Human Services, is one of the nation's largest providers of home- and community-based care for older persons and their caregivers. Site offers links to information on disaster assistance.

Disaster Preparedness Information. American Red Cross. 2007.
Preparedness information for vulnerable populations, including seniors, children, people with disabilities and mobility issues, and people with pets, service animals or livestock. Basic preparedness information is also listed. Information is presented in several languages.

Disaster Registry. Municipality of Anchorage, Alaska, Office of Emergency Management. [no date].
The Anchorage disaster registry “allows vulnerable seniors and persons with disabilities to pre-register with Office of Emergency Management. The Disaster Registry program maintains a listing of all registrants to provide information to emergency responders after a disaster. The registry contains information provided voluntarily such as the person's name, address and reason for registering.”

Disaster Registry: Frequently Asked Questions. Municipality of Anchorage, Alaska, Office of Emergency Management. 2004.
This site answers commonly asked questions such as: Who should register? What kind of assistance can I expect if I register? How can I make sure I am prepared for an emergency?

Disaster Response. Key topics, tips and fact sheets. Public Health – Seattle & King County. August 20, 2007.
Topics that you can get information on include carbon monoxide fact sheets, cleaning houses and basements after a flood, cleaning indoor sewage spills, emergency toilets, safe water, hypothermia, and what to do when the power goes off.

Emergency Preparedness for Elderly People. The County of Santa Clara - Emergency Services, Office of (DEP). 2007.
This page is targeted at the elderly. It offers tips, information on medical emergency supplies, and items to meet elders’ medical needs. It describes what to take with you and wear if you need to evacuate, how to be sure you have enough time to evacuate, and what to do in the event of a fire and extreme heat. It also offers advice about disaster recovery and three links to related information.

General public information – Emergency Preparedness and Response. Washington State Department. of Health. September 25, 2007.
The audience for this site’s information on bioterrorism and public health emergency preparedness and response is the general public. Additional information for local health agencies and healthcare providers may be found at: Public Health and Healthcare Professionals.

People with Special Needs. The County of Santa Clara - Emergency Services, Office of (DEP). 2007.
Contains valuable information on emergency services and preparedness for seniors and the disabled.

Personal Preparedness. March 26, 2007.
Another helpful personal preparedness site from King County with links to information on people with special needs, pet preparedness, multilingual resources, workplace resources and related resources such as their Be Prepared! booklet.

Preparedness Information for Seniors, written by Seniors. American Red Cross, 2006.
Seniors offer useful information to their peers regarding preparing for and coping with disasters.

Preparedness Information for Seniors and People with Disabilities: Disaster Preparedness for Seniors by Seniors. American Red Cross, 2007.
Advice by seniors on how to prepare for disasters. Advice includes taking responsibility, knowing what to do, preparing a family disaster plan with options, dealing with residential fires, and a form for collecting emergency phone numbers.

Seniors During Emergencies and Disasters: Vulnerable Yet Resistant. Canadian Health Network, June 15, 2006.
Seniors can be at risk during catastrophic events but they also bring enormous contributions to emergency preparation and assistance. This document describes how the increase in the senior population is an opportunity to draw on their expertise in the event of a disaster. It outlines their vulnerabilities in the event of a disaster but also offers possibilities for seniors to participate in emergency preparedness. Seniors can offer: skills and time, community networks, perspective; seniors should be engaged in the planning process.

Utility Outages and Energy Shortages. King County Emergency Services. March 26, 2007.
This page offers an overview to power outages and rolling blackouts, offers hazard-specific preparedness around your own home, gives responses such as unplugging computers and reducing how often you open your refrigerator, and then provides several general preparedness steps. Links to related documents on this site plus offsite external links makes this site worth visiting. This page also links to information on a number of hazards and disasters besides utility outages.

Suggested Subject Headings
aging in place
anchorage disaster registry
disaster planning
disaster preparedness (google search)
emergency medical information form
emergency preparedness (google search)
file of life kit
first responders
home safety inspections
independent living
King County healthcare coalition
long-term care facilities
medical needs shelters
medically fragile residents
nursing homes
peer counselors
peer group
power outages
preparedness (google search)
senior outreach
seniors outreaching to seniors (sos)
vulnerable populations (google search)
vulnerable residents

Healthy Aging

The Healthy Brain Initiative: A National Public Health Road Map to Maintaining Cognitive Health. June 6, 2007.
CDC, in collaboration with the Alzheimer's Association and other partners, has just released The Healthy Brain Initiative: A National Public Health Road Map to Maintaining Cognitive Health. The Road Map is being released at a critical time as increasing scientific interest and the demands of an aging population meet in seeking substantially enhanced efforts related to maintaining cognitive function. This landmark document is both a call to action and a guide for a coordinated approach to moving the issue of cognitive health into the national public health arena.

Project Enhance. 2007.
EnhanceFitness and EnhanceWellness are “evidence-based programs [that] can now be found at over 100 sites around the country, with more opening every day at senior centers, hospitals, assisted living facilities, and continuing-care retirement communities.” These programs enhance health and fitness in seniors.

Healthy Aging. Centers for Disease Control and Prevention. 2007.
This site has a collection of useful information including reports, statistics/research, a listserv, many publications and a press room for current information. One of the more interesting publications is the 2007 State of Aging & Health Report. Use the Interactive Site report to view data by indicator (disability or hip-fracture), state or region and examine the National Report Card for in-depth information. Previous reports can be retrieved

Healthy Aging. Washington State Department of Health, August 28, 2007.
The Healthy Aging pages of the Washington State Department of Health has information on some of the most important things you can do to stay healthy, active and independent through the years including being physically active, eating well, avoiding tobacco use, getting enough calcium, taking care of your teeth, taking medications properly and be social and get involved.

Healthy Aging in Washington State. Washington State Department of Health: The Need for Action. [no date].
This document outlines the growth in the numbers of elderly in Washington State and encourages seniors to be physically active, to eat a healthy diet, and avoid tobacco. Information on age-related diseases and conditions, costs and trends in chronic conditions, support for healthy behaviors, and helpful resources is also available in this online brochure.

Healthy Aging – Physical Activity. Washington State Department of Health. August 28, 2007.
The Healthy Aging page of the Washington State Department of Health has information on some of the most important things you can do to stay healthy, active, and independent through the years. This page focuses on the importance of being physically active to prevent chronic conditions and falls.

Matrix: Services for Aging Adults. Substance Abuse and Mental Health Services Administration (SAMHSA), September 26, 2007.
Find SAMHSA’s 2006-2007 strategic plan, professional resources, programs and activities, and links to Web resources.

National Resource Center on Native American Aging. July 18, 2007.
The resource center is a collaboration between the UND Office of American Indian Student Services (formerly the Office of Native American Programs) and the UND Center for Rural Health. The resource center’s purpose is “to work closely with the local service providers throughout the nation to address the needs of American Indian, Alaskan Native and Native Hawaiian elders.” Research, publications and presentations, a LTC toolkit project, traditional recipes, and training and technical assistance are all offered on the site.

New Resources. Center for Healthy Aging, National Council on Aging. 2007.
The Center for Healthy Aging disseminates the most current information on healthy aging programs. Included are “must-haves,” awards, issue briefs, newsletters, legislation, presentations, reports, tools, and training.

Preventing Falls Among Older Adults. Centers for Disease Control and Prevention, August 26, 2006.
Among people 65 years and older, falls “are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma. Each year in the United States, nearly one third of older adults experience a fall.” The site offers fact sheets that describe this problem, brochures to help prevent falls, posters, figures and maps, and offers a list of Web sites about older adults and falls.

Promote Active Aging! Center for Healthy Aging. National Council on Aging. 2007. .
The Center for Healthy Aging “encourages and assists community-based organizations serving older adults to develop and implement evidence-based programs on health promotion, disease prevention and chronic disease self-management.”

Puget Sound Senior Games. Puget Sound Washington State, Senior Games Informational Web Site. [annual].
The purpose of the Puget Sound Senior Games is “to keep seniors healthy and productive. Participation in the Senior Games is a year-round effort to enhance wellness. Our mission is to promote health and fitness throughout the year for people from 50 years of age to 100+ through participation, competition and education.” Offers an Events Index, Locations, Times, and Registration Information.

Resources by Health Topic. Center for Healthy Aging. 2007.
This section of the Center for Healthy Aging Web site provides resources for those interested in healthy aging programs that focus on mental health, chronic disease, fall prevention, nutrition and physical activity.

Solie, David. How to Say It to Seniors: Closing the Communication Gap with Our Elders. Prentice Hall, 2004.
An invaluable book for anyone working with the elderly that offers meaningful insights, useful tools, and pragmatic advice. Learn how to better communicate with seniors and how to better help them fulfill their needs and aspirations. The audience for this book is “baby boomers and their parents, and professionals who work with the older adults.”

Solie, David. The Geriatric Gap: Getting the Right Information About Aging. [no date].
Useful article about communicating with elders. Solie states, “The final growth phase of life has its own language, its own communication code. These are words that resonate with the primary tasks of maintaining control and finding a legacy. Learning the right words, how to listen for them, and how to use them is the key to connecting with the elderly. Words that make it clear that they are in control.”

State of Aging and Health in America 2004. Centers for Disease Control and Prevention. 2004.
This report assesses the health status and health behaviors of U.S. adults aged 65 and older, and makes recommendations to improve the mental and physical health of all Americans in their later years.

State Aging Departments, [various dates].

Suggested Search Terms
communicating with seniors
healthy aging
physical activity
Project Enhance programs
quality of life

Intergenerational Programs

Intergenerational Programs. 2007.
Links and lists of services that provide intergenerational programming.

Intergenerational Programming – Program Models. 2007.
The site lists and briefly discusses four basic types of program models related to intergenerational programming.

Intergenerational Programming – Rationale — Why Now? Program Models, Intergenerational Interactions, Impact on Families, International Intergenerational Programming Efforts. 2007.
Intergenerational programs “refer to social service programs that provide opportunities for different generations to come together to share experiences, knowledge, and skills that are mutually beneficial and foster positive long-term relationships.” Find additional information on program models (see below), intergenerational interactions, and effects on families.

Model Programs for the Old and the Young to Come Together, Share Their Experiences, Jokes, Values and Virtues of Life. Intergenerational Initiatives, Southern Illinois University, Carbondale [no date].
Summarizes 24 categories of model intergenerational programs in schools and communities.

Thoughts and Ideas about Intergenerational Communication. Intergenerational Initiatives, Southern Illinois University, Carbondale [no date].
Offers hints on how to tell our life stories, give interview hints, questions to get started, preparing and conducting the interview, and resources for intergenerational interviews.

Suggested Search Terms
asset-based community development model
community building models
English as a second language (ESL)
International District (ID) Housing Alliance’s Intergenerational Leadership Program
relationship building
walking groups
youth development models

Maintaining Mobility

Eberhard, JW, Stutts, J., Burkhardt, J., Finn, J., Staplin, L., Molnar, L.J., Peters-Beumer, L., Dinh-Zarr, T.B., Carr, D.B., Trilling, D.R., McCarthy, D.P. 2006. Strategies and Tools to Enable Safe Mobility for Older Adults. Topics in Geriatric Rehabilitation vol. 22, no. 1 (2006), p. 3-17.
Based on recent research and product development, a variety of mobility resources are now available to assist rehabilitation specialists and related healthcare professionals in providing programs and information to their older patients. This article provides a comprehensive listing of programs, Web sites, and informational materials to assist older people in remaining safely mobile later in life. (Abstract).

Sainio, P, Martelin, T. Koskinen S, Heliovaara M. Educational differences in mobility: the contribution of physical workload, obesity, smoking and chronic conditions. Journal of Epidemiology and Community Health, May 1, 2007; 61(5): 401 - 408.
The study’s authors conclude, “Great educational inequalities exist in various measures of mobility. Common chronic diseases, obesity, smoking and workload appeared to be the main pathways from low education to mobility limitations. General health promotion using methods that also yield good results in the lowest-educational groups is thus a good strategy to reduce the disparities in mobility.”

Suggested Search Terms
senior mobility

Norovirus Outbreaks in Care Facilities

Calderon-Margalit R, Sheffer R, Halperin T, Orr N, Cohen D, Shohat T. A large-scale gastroenteritis outbreak associated with Norovirus in nursing homes. Epidemiology and Infection (2005), 133: 35-40.
The authors investigated a large-scale outbreak affecting 246 residents and 33 staff members in six nursing homes in the Tel-Aviv district, Israel, during 3 weeks in 2002.

Johnston CP, Qiu H, Ticehurst JR, Dickson C, Rosenbaum P, Lawson P, Stokes AB, Lowenstein CJ, Kaminsky M, Cosgrove SE, Green KY, Perl TM. Outbreak management and implications of a nosocomial norovirus outbreak. Clinical Infectious Diseases. 2007 Sep 1;45(5):534-40. Epub 2007 Jul 18.
The article describes “a norovirus outbreak and its control in a tertiary care hospital during February-May 2004.”

Palacio H, Shah U, Kilborn C, Martinez D, et al.Norovirus Outbreak Among Evacuees from Hurricane Katrina — Houston, Texas, September 2005. MMWR, 2005 Oct 14, 54(40);1016-1018.
Describes the Norovirus outbreak among evacuees from Hurricane Katrina and the extensive infection control efforts that were implemented to contain the outbreak.

Norovirus outbreak hits two nursing homes. Posted on December 26, 2006 by Norovirus Lawyer. Norovirus Blog.
Brief description of a Norovirus outbreak in two Montana nursing homes on this Norovirus blog.

Norovirus Outbreak Prevention Guidelines. Rhode Island, [no date].
Site offers a list of general and specific guidelines/recommendations to prevent Norovirus outbreaks.

Yee EL, Palacio H, Atmar RL, Shah U, et al. Widespread Outbreak of Norovirus Gastroenteritis among Evacuees of Hurricane Katrina Residing in a Large "Megashelter" in Houston, Texas: Lessons Learned for Prevention. Clinical Infectious Diseases, 2007 44:1032–1039.
This study investigated an outbreak of gastroenteritis reported among the evacuees housed in one large “megashelter.” The study describes the “difficulties in managing such outbreaks in crowded settings and the need for rapid, sensitive laboratory assays to detect norovirus. Additional research is needed to establish more effective measures to control and prevent this highly contagious gastrointestinal illness”.

Suggested Search Terms
communication (with residents)
communication (with staff)
long-term care facilities
norovirus outbreaks
nursing homes
public education

Retirement of PH Leaders

Finding Solutions to Public Health Worker Shortages. PHF e-News, February 16, 2005.
In response to an aging public health workforce and emerging worker shortages, the Council on Linkages Between Academia and Public Health Practice (Council) is “working on two initiatives to help public health systems identify programs to better recruit and retain workers. The site offers information on effective recruitment and retention.

Bell, Melissa Taylor and Irakli Khodeli. Public Health Worker Shortages. Council of State Governments, November 2004.
This TrendsAlert first “focuses on public health work force issues identified by the survey. The second section of the report examines those public health professions that are most critically affected by work force shortages. The third section discusses various approaches states are taking to address the public health work force shortage. The section also identifies what states consider to be the keys to solving the human capital crisis. The appendix contains a state-by-state overview of strategies considered for improving public health staffing issues.”

Public Health Workforce Study. Bureau of Health Professions, Health Resources and Services Administration. January 2005.
This report discusses, among many topics, the issue of retirement of key senior staff. It is a concern to the states that were offered as cases in the document.

Strategies to Address Public Health Worker Shortages. Council on Linkages Between Academia and Public Health Practice. February 6, 2006.
Strategies are organized by the following topics: Overarching Strategies, Strategies to Recruit Workers, Strategies to Retain Workers, and Strategies to Train Workers to Best Equip Current Workforce. Many links to relevant resources have been listed.

Suggested Search Terms
aging (of) public health workforce (google search)
public health worker shortages (google search)
public health workforce
"public health leaders" retirement (google search)
"public health" retirements (google search)