Fredda Vladeck ASA/NCOA Annual Conference 2009

March 16, 2009

Session Objectives

Describe NORCs/NORRs in urban, suburban, and rural settings

Identify common elements and themes

Exchange ideas with audience on the cultural, social, and structural changes• How big/small is too big/small?• Who is the target population?• Who’s in charge?

United Hospital Fund

• New York City public charity, policy, and research center

• Shapes positive change in the delivery of health services in New York City

• Established the Aging in Place Initiative in 1999

NORC and NORC Program

• Naturally Occurring Retirement Community (NORC) – originally built for all ages but now has a large concentration of older adults

• NORC Program – public/private partnership of housing/neighborhood organizations, residents, health and social service providers, and other community stakeholders to advance successful aging in place

NORC Program: Community Change Model

Works at the Individual and Community Level to:

Maximize the health and well-being of all older adults

Foster connections within the community Empower older adults to take on new roles

New York State NORC Programs

• 11.4 million public dollars per year• 54 NORC programs in New York State – Classic /Housing-based- 37– Neighborhood - 17 • Approximately 65,000 older adults living in the

neighborhoods served by the NORC programs• Match requirements – public dollars leverage

public support

• Geographic Area– Housing development or a coalition of

developments in close proximity– Spans one-quarter mile to several square miles

depending on size of development– Population Density • Ranges from 400 to 55,000

New York City’s 39 Housing-based NORC Programs

• Type of DevelopmentsPublic, private combination of the two ranging from:

Single buildings to more than 200Garden apartment complexes to hi-rises 30 stories or

moreOAA senior centers in 7 of 39 developments

• OwnershipPublic or private rentalsCommon ownership by residents (co-op)

New York City’s 39 Housing-based NORC Programs

• Core Partners – housing development, residents, and health and social service providers

• Community Partners – mix of community stakeholders

• Staffing – social workers, nurses, and residents• Services focus at the individual and community

level

New York City’s 39 Housing-based NORC Programs

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Elements of Developing Effective Programs

• Understanding the Community

• Partnering with the Community

• Designing and Implementing a NORC Program

• Evaluating Projects of a NORC Program

• Strategic Planning for Sustainability

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www.norcblueprint .org

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Fredda Vladeck, Director, Aging In Place Initiative, United Hospital Fund350 Fifth Avenue, 23rd FloorNew York, NY 10118fvladeck@uhfnyc.org

Contact Information