[Mayor’s Advisory Commission on Senior Living 8-27-25]
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ITEMS. DR. BURKE WILL BE SPEAKING TO US AND THEN I WILL GIVE YOU A SUMMARY ON THE CONFERENCE THAT WILL TAKE PLACE ON OCTOBER THE 10TH. ASSOCIATION SORRY FOR THE LITTLE BIT OF DELAY. WE HAD TECHNICAL ISSUES. I AM SO WELL -- I AM SO HAPPY TO WELCOME DR. BURKE HERE TO OUR MEETING. I KNOW THAT YOU WILL WANT TO GET TO KNOW HER MORE AFTER YOU HEAR HER PRESENTATION.
WHEN DR. BURKE PULLED UP TO MY HOUSE IN A LARGE PICKUP TRUCK SHE WORKS WITH OLDER ADULTS AND WITH TROUBLED TEENS AND HORSES.
MANY OF THESE IDEAS SHE WILL PRESENT SHE HAS LEARNED FROM HORSES AND THEIR BEHAVIOR. SO IT'LL BE INTERESTING TO WATCH THAT DEVELOP. NOT ONLY DOES SHE WORK WITH HORSES AND MULES BUT SHE STARTED HER CAREER AS A NURSE. HER PASSION FOR WORKING WITH OLDER ADULTS STARTED AT THE UNIVERSITY OF CINCINNATI. SHE ALSO STUDIES IN THE SCHOOL OF SOCIAL WORK. SHE HAS ALWAYS ADVOCATED FOR OLDER ADULTS AND NOWSERVES AS CHAIRMAN OF THE INDIANA COMMISSION ON AGING. SHE HAS WRITTEN THE LIVING LONGER LIVING BETTER GUIDE WHICH HAS BEEN GIVEN OUT THROUGHOUT THE STATE. I THINK YOU WILL ENJOY THIS PRESENTATION AND LEARN HOW WE AS CARMEL AND THE COMMISSION CAN MAKE THE COMMUNITY WORK FOR THE PEOPLE OF ALL AGES. SO DR. BURKE, IT'S UP TO YOU.
>>> THANK YOU VERY MUCH FOR THIS OPPORTUNITY TO BE HERE. BEFORE I BEGIN I JUST WANT TO SAY A THANK YOU TO CARMEL. MY OLDEST GRANDDAUGHTER HAS SPECIAL NEEDS AND WE WERE SPONSORED FORTUNATE TO BE ABLE TO GET HER INTO ONE OF THE APARTMENTS AT NORTH END AND SHE WORKS WITH THE VILLAGE UP THERE AND IT HAS -- I CAN ALMOST CRY. IT IS TRULY TRANSFORMED HER LIFE. SHE JUST TURNED 30. SHE LIVED UP IN TIPTON IN RURAL COMMUNITIES DON'T HAVE THE RESOURCES NEEDED TO SUPPORT PEOPLE WITH SOME SPECIAL NEEDS. SHE JUST -- SHE JUST WAS KIND OF LOST UP THERE.
SHE CAME TOWN HERE -- HER LIFE. SHE MOVED IN A YEAR AGO IN FEBRUARY. SHE HAS DUB REALLY, REALLY WELL. SHE IS SO PROUD OF HERSELF AND WE GOT HER A JOB ACROSS THE STREET ATWOOD LAND TERRACE. SHE WALKS TO WORK, WORKS THREE DAYS A WEEK AND IT'S DELIGHTFUL TO WATCH HER JUST BLOSSOM AND GROW. SO, THANK YOU CARMEL. SO, NOW WITH THAT SAID --.
>> AND DR. BURKE WE JUST APPROVED PHA SE2 TO THAT NORTH END PROJECT, THE CITY DID, AND THAT WILL INCLUDE A 55 PLUS, OVER 200, 5 PLUS APARTMENTS THERE AS WELL.
>> OKAY. GREAT. NOW SOMETHING HAPPENED. OKAY. SMALL TECHNICAL GLITCH AGAIN. ALL RIGHT. WE'RE BACK IN BUSINESS IF I CAN MAKE THIS WORK RIGHT. OKAY. WELL, A FEW WEEKS AGO I -- I DIDN'T TOUCH IT. OKAY. A FEW WEEKS AGO I WAS ASKED TO TALK OVER IN FISHERS. THE SHEPHERD CENTER ASKED ME TO TALK AND THAT'S WHERE CAROL AND I HAD A CONVERSATION AFTER THAT -- THAT MEETING. THEY ASKED ASKED ME TO TALK ABOUT PUBLIC POLICY.
THAT'S WHAT I TOOK OUT OF WHAT THEY ASKED ME TO TALK ABOUT AND I THOUGHT, BOY, I BETTER PUT A LITTLE LEVITY IN THIS OR I WILL HAVE EVERYBODY ASLEEP IN TEN MINUTES. THAT'S IN WHAT WE WILL TALK ABOUT BUT IT'S NOT GOING TO BE A DRY PROFESSOR'S LECTURE. I DON'T TO THAT THOUGH I TAUGHT FOR YEARS. THIS IS INTERACTIVE. IF I'M SAYING SOMETHING YOU WANT MORE CLARITY I WILL BE INFORMAL ENOUGH, JUST ASK ME. WHAT IN THE WORLD ARE YOU TALKING ABOUT? THIS EXCITES ME AND IT'S SOMETHING I THINK IN COMMUNITY DEVELOPMENT PROBABLY ISN'T TALKED ABOUT IN THIS WAY. SO, LET'S JUST SEE WHERE YOU GO WITH THIS AND WHERE
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WE GET WITH THIS. HERE IS THE MOST INTERESTING THING WITH POPULATION AGING. LET'S SEE IF I CAN MAKE THIS -- THERE WE GO.MORE OF US ARE LIVING LONGER THAN EVER BEFORE. OUR COMMUNITIES WERE DEVELOPED FOR YOUNGER FAMILIES AND NOW WE HAVE A GROWING OLDER POPULATION. AND THIS CREATES A NEED TO TAKE A LOOK AT WHAT'S GOING ON IN COMMUNITIES BECAUSE WE NEVER HAD THIS MANY PEOPLE LIVING THIS LONG BEFORE. BASICALLY WE DON'T KNOW HOW TO DO IT. THAT'S WHY I SAID WE ALL NEED TO BE IN THE -- IN THE CONVERSATION ABOUT IT BECAUSE WE HAVE TO LEARN TOGETHER HOW TO DO THIS BECAUSE WE HAVEN'T DONE IT BEFORE. THE CENTRAL INDIANA COUNSEL ON AGING IS REQUIRED TO DO COMMUNITY SURVEYS TO SEE HOW THINGS ARE GOING WITH OLDER ADULTS IN COMMUNITIES. NOW, THIS IS SOME OF THE RESULTS FROM THE LAST SURVEY THAT WAS DONE IN THE COUNTY AND HAMILTON COUNTY BEING ONE OF THEM. WE JUST EXTRACTED SOME OF THE INFORMATION OUT OF THE SURVEY THAT WAS DONE. THAT'S PARTICULARLY TO HAMILTON COUNTY. THIS IS HAMILTON COUNTY AS A WHOLE. THIS IS NOT CARMEL SPECIFICALLY. LET'S JUST GO THROUGH THIS. ONLY 4% OF THOSE WHO WERE SURVEYED -- AND THOSE ARE PEOPLE OVER 65, THOUGHT THERE WAS GOOD EASE OF PUBLIC TRANSPORTATION IN THE COUNTY.
ONLY 15% BELIEVE THERE WAS GOOD AVAILABILITY OF PUBLIC PLACES FOR OLDER ADULTS WHO WANTED TO SPEND TIME. I'M SAYING THESE ARE OF THE PEOPLE THAT WERE SURVEYED. NOT KNOWING WHAT SERVICES ARE AVAILABLE TO OLDER ADULTS IS A PROBLEM FOR 74%.
THAT JUST KIND OF GOES ALL ACROSS THE UNITED STATES. WE NEED TO THINK ON THAT ONE A BIT. STAYING PHYSICALLY FIT IS A PROBLEM FOR 64%. FEELING DEPRESSED IS A PROBLEM FOR 61%.
ONLY 39% BELIEVE THERE WAS GOOD AVAILABILITY OF AFFORDABLE HOUSING IN HAMILTON COUNTY. ONLY 47% BELIEVED THERE WAS GOOD AVAILABILITY OF ACCESSIBLE HOUSING IN HAMILTON COUNTY. AND ONLY 40% THOUGHT THERE WAS GOOD AVAILABILITY OF MIXED USE NEIGHBORHOODS WHERE PEOPLE CAN GATHER TO EAT, SHOP, WORK AND RECEIVE SERVICES. THAT WAS OUT OF THAT SURVEY. THAT LED ME TO ASK THE QUESTION. HOW IS CARMEL AT THIS COMMUNITY -- THIS COMMUNITY CARMEM ADAPTING TO POPULATION AGING? WELL I GREW UP IN TIPTON AND THEN LEFT FOR ABOUT 50 YEARS AND CAME BACK. I REMEMBER CARMEL LOOKED LIKE TIPTON WHEN I GREW UP. SO CARMEL HAS REALLY -- I TALKED ABOUT URBANIZATION. THAT'S BEEN CARMEL. LOTSOF PEOPLE MOVED IN RAPIDLY IN THE LAST 50 YEARS.
DURING THE SAME TIME FRAME POPULATION AGING WAS HAPPENING.
PEOPLE WHO MOVED HERE -- I DID A TALKING HERE A LITTLE BIT AGO WITH A FEW PEOPLE. THEY STAYED. THEY AREN'T 25 OR 30 ANYMORE.
THEY AGED SO THE COMMUNITY ALSO EXPERIENCED -- IS EXPERIENCING POPULATION AGING AS WELL AS URBANIZATION AND NOW SOME OLDER ADULTS ARE MOVING HERE TO BE WITH THEIR ADULT CHILDREN.
LET'S USE A HISTORICAL PERSPECTIVE TO BETTER UNDERSTAND WHAT IS HAPPENING NOW. NOT ONLY IN CARMEL BUT ACROSS THE WHOLE COUNTRY. HAVE TO BE CAREFUL HOW I DO THESE SLIDES, OKAY. LET'S GO BACK TO THE 1800'S. IF I HAVE MY HISTORY RIGHT, AND IN I'M WRONG PLEASE ME, ANYONE HERE, I BELIEVE THE HAM HAMILTON COUNTY CAME INTO BEING IN 1823, DOES THAT SOUND RIGHT? NOW LET'S THINK ABOUT 1823. WE DIDN'T HAVE A CONCEPT OF CHILD -- THAT'S REALLY IMPORTANT TO THINK ABOUT. WE DIDN'T HAVE A CONCEPT OF IT. WORKING CLASS FAMILIES, CHILDREN WORKED IN
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MINES THEY WORKED IN FIELDS. THEY WORKED IN FACTORIES.COMMUNITIES DIDN'T HAVE SCHOOLS. THERE WAS NO SCHOOL IN CARMEL THEN. CARMEL DIDN'T EXIST. DIDN'T HAVE PARKS OR PLAYGROUNDS, SPECIALITY PEDIATRIC CARE OR VACCINES FOR DISEASES. WATER AND MILK AND OTHER FOODS WEREN'T TESTED FOR BACTERIA. WE HAD PROBLEMS WITH OUR FOOD AND WATER BACK THEN.
CHILDREN WITHOUT PARENTS WERE PLACED IN LOCAL ALMS HOUSES, LATER CALLED COUNTY HOMES, THE POOR HOME. HERE IT WAS OVER ON CUMBERLAND ROAD. DI THINK THERE'S A SCHOOL THERE NOW OR MAYBE THAT'S WHERE THE JAIL IS. I'M NOT SURE COUNTY LAND. THINK ABOUT IT. THIS COUNTY WASN'T, YOU KNOW WE DIDN'T -- WE DIDN'T THINK ABOUT CHILDREN THEN. LOCAL COMMUNITIES DIDN'T HAVE RESOURCES TO CARE FOR CHILDREN WHO WERE DEAF OR BLIND.
WE ENDED UP WITH CHILDREN WITH SCHOOLS FOR THE DEAF AND BLIND.
BEFORE THEN IT WAS TOWNSHIPS AND COUNTIES AND ALM'S HOUSE OR POOR HOUSE WHERE PEOPLE WERE AND EVERYBODY WHEN HAD A NEED ENDED UP THERE. CONTINUITY MATTER. IT WAS ALL MIXED UP. THEY DID THE BEST THEY COULD. IT WAS WHAT THEY HAD. ORPHANAGES WERE CREATED IN THE 1800'S. THE POPULATION OVER 65 WAS SMALL.
SOMETHING TO KEEP IN MIND. WHAT HAPPENED IN THE 1900'S? THE CONCEPT OF CHILDHOOD EMERGED. ALL THE SUDDEN WE BEGAN TO GET AN UNDERSTANDING OF WHAT CHILD DEVELOPMENT -- THERE WERE THINGS CHILDREN NEEDED. SO, SCHOOLS WERE DEVELOPED. CHILD LABOR LAWS WERE ENACTED. PEDITRIC HEALTH CARE EMERGED. CHILD PROTECTIVE SERVICES WERE DEVELOPED. CHILDREN WERE THEN MOVE FROM ORPHANAGES TO FOSTER CARE BECAUSE THEY DIDN'T DO WELL IN INSTITUTIONAL CARE. SOCIAL SECURITY WAS PASSED IN 1935 PROVIDING A PUBLIC OLD AGE PENSION THAT REDUCED POVERTY FOR OLDER ADULTS. LET'S MOVE TO 1965. MEDICAID, MEDICARE, THE OLDER AMERICANS ACT PASSED TO PROVIDE HEALTH CARE FOR OLDER ADULTS WHO CAN'T AFFORD THE HIGH PREMIUMS CHARGED BY HEALTH INSURANCE COMPANIES. IN THE 18TH HUNDREDS THERE WASN'T HEALTH INSURANCE WE DIDN'T HAVE MUCH -- HEALTH CARE DIDN'T AMOUNT TO MUCH THEN. STATE MENTAL INSTITUTIONS WERE CLOSED IN ABOUT THE 1960S, COMMUNITY MENTAL HEALTH CENTERS WEREDEVELOPED. WE'RE STILL STRUGGLING THAT. NURSING HOMES WHICH IS THE INSTITUTIONAL CARE MODEL AND ASSISTED LIVING FACILITIES WERE DEVELOPED AS A RESULT OF MEDICARE AND MEDICAID LEGISLATION AND FUNDING BEING AVAILABLE. THAT WHOLE INDUSTRY GREW ON THAT PROGRAM. SOMETHING TO KEEP IN MIND THE MIDDLE CLASS USES MEDICAID PLANNING. SO, THE MIDDLE CLASS AS WELL AS THE POOR USED MEDICAID NOW TO FUND NURSING HOME CARE AS WELL AS HOME CARE. THIS ISN'T JUST A LOWER CLASS THAT'S USING IT.
IT'S IMPORTANT TO NOTE. OKAY. OKAY. LET'S LOOK AT THE 2000'S.
HERE WE ARE. POPULATION AGING IS HAPPENING RAPIDLY. THE COUNTY CONTINUES TO GROW. WE HAD THE COVID PANDEMIC IN 2020. WE HAD ONE A HUNDRED YEARS BEFORE THAT HAD ITS ISSUES BUT LET'S TALK ABOUT COVID. SOCIAL ISOLATING, FEAR AND DEPRESSION BECAME PREVALENT. COVID SPREAD QUICKLY IN NURSING HOMES, CAUSING DEATH OF RESIDENTS. THAT HAPPENED. IN 2024 I NEED TO GET IN THE RIGHT CENTURY. VOTERS ELECTED AN ADMINISTRATION TO SHRINK THE HEALTH CARE AND SOCIAL SAFETY NET PROVIDED BY FEDERAL AND STATE PROGRAMS THROUGH RESTRICTING FUNDING AND ACCESS TO THEM THAT'S STILL IN PROCESS. WHAT THAT MEANT WAS THIS IS PUBLIC POLICY EVOLUTION. WE ARE MOVING IN THE 1800'S REMEMBER WHEN I TALKED ABOUT THE POOR HOUSE AND THE COUNTY PROVIDEDTOWNSHIPS AND COUNTIES AND WE MOVED UP TO SOME STATE INSTITUTIONS, THEN IN THE 1900'S WE GOT FEDERAL
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LEGISLATION. NOW WE ARE GOING BACKWARDS. WHAT THAT'S DOING AND THE REASON I BRING IT UP WITH LOCAL COMMUNITIES -- THIS ISN'T ALL TERRIBLE. WE JUST NEED TO THINK ABOUT THIS. WE ARE BRINGING SOME OF THESE ISSUES BACK TO THE LOCAL COMMUNITIES.HERE IS THE THING. EXCUE ME. HERE IS THE HITCH WE TONIGHT DON'T HAVE THE INFRASTRUCTURE FOR IT. SO, WE ARE BEGINNING TO KIND OF WONDER HOW SOME OF THE SERVICE GAPS MAY GET MET. WE ARE GOING TO HAVE FIRST RESPONDERS BE CALLED ON MORE, PRETTY SURE OF THAT. WE WILL HAVE SOME RURAL HOSPITALS PROBABLY CLOSING. YOU HOMELESS SHELTERS AND JAILS AREN'T GOOD PLACES TO PUT POOR OLDER ADULTS. THAT DOESN'T WORK WELL. WE HAVE SOME DISEASES THIS ARE STARTING TO INCREASE. WE ARE GOING TO HAVE TO MAKE SOME KIND OF RESPONSE AT THE LOCAL COMMUNITY LEVEL. I'M NOT SAYING THIS IS ALL BAD. WE JUST NEED TO KNOW WHAT'S GOING ON AND START TALKING TO EACH OTHER, LOCAL LEVEL BECAUSE THERE IS NOWHERE TO KICK THE CAN. GET DOWN TO THE LOCAL LEVEL YOU HAVE THE COUNTY AND THE TOWNSHIPS. SO JUST TO BE AWARE, THAT'S JUST AN OBSERVATION. IT'S IMPORTANT TO WORK TOGETHER. I DON'T SEE THIS AS ALL TERRIBLE BUT WE DO NEED TO WORK TOGETHER. WHY? BECAUSE HUMAN BEINGS ARE SOCIAL MAMMALS. I TALKED ABOUT IN COVID HOW WE DIDN'T DO WELL WHEN WE WERE WEARING MASKS AND LOCKED UP. WE DIDN'T DO WELL WITH THAT. YOU KNOW AS HUMAN BEINGS WE ARE MORE ATTUNED TO OUR SOCIAL ENVIRONMENT THAN YOU REALIZE.
THIS IS IMPORTANT WHEN YOU START TO THINK ABOUT THE COMMUNITY AND WHAT WE MAY NEED IN A COMMUNITY. WHAT KIND OF COMMUNITY WE WANT.
A DOCTOR AT INDIANA UNIVERSITY DEVELOPED A THEORY BASED ON HOW WE ARE INTERNALLY WIRED IN OUR NERVOUS SYSTEM TO CONNECT WITH OTHERS AND I LEARNED THIS FROM HORSES, HONEST TO GOD I CAN TELL YOU HOW I LEARNED THIS. HORSES MIRROR WHAT'S GOING ON INSIDE US AND I AM A VOLUNTEER AT AGAPE THERAPY RIDING CENTER. I CLICKER TRAINED THEIR MANY HORSES TO GO OUT AND DO VISITS WITH CHILDREN, SPECIAL NEEDS IN THE SCHOOLS AND WE GO TO NURSING HOMES AND SO FORTH. ANY WAY. LET ME TALK ABOUT THIS LITTLE BIT AND THENLY TELL YOU HOW THE HORSES TAUGHT ME. I THINK THIS CAN HELP US UNDERSTAND WHY WE NEED TO LIVE IN COMMUNITIES THAT SUPPORT US AND WHAT HAPPENS WHEN WE AREN'T CONNECTED. THE DOCTOR CALLS THIS CONNECTION WITH ONE ANOTHER. THIS EARLY CONNECTION NEURO CEPTION. THIS IS EVIDENCE BASED. IT'S NOT SOMETHING I JUST PULLED OUT. THE NERVOUS SYSTEM IS URING PERSONAL SURVEILLANCE SYSTEM. EACH ONE OF US HAS THAT GOING ON IN THIS ROOM RIGHT NOW.
WE AREN'T AWARE OF IT. IT PROTECTS US BY SENSING SAFETY AND RISK IN OUR ENVIRONMENT. IT'S ALWAYS ON. IT HAS TWO PATHWAYS. WHEN WE ARE CONNECTED IT'S THE VENTRAL PATHWAY IS ACTIVE AND WE FEEL SAFE AND CONNECTED F WE FEEL LIKE WE ARE THREATENED IN SOME WAY THE OTHER PATHWAY GETS ACTIVATED WE CAN GO INTO FIGHT OR FLIGHT. AND IF WE ARE SO OVERWHELMED THAT FIGHT OR FLIGHT DOESN'T LOOK LIKE IT'S GOING TO RESCUE US FROM WHAT'S GOING ON WE CAN GO BACK TO -- WE GO BACK TO THE DORCEL VAGAL PATHWAY AND JUST SHUT DOWN. I KNOW THAT SOUNDS LIKE HOW COULD THAT GO ON BUT THIS CHART -- I LOOKED AT IT EXTENSIVELY. THIS REALLY IMPACTS US IN WAYS WE DON'T THINK ABOUT. IMPACTS US, OUR HEART RATE, OUR DIGESTION SYSTEM. HOWA TENTATIVE WE ARE TO
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THINGS. OUR IMMUNE SYSTEM. WE GET SICK WHEN WE ARE ISOLATED.NOW I -- WE REALLY GET SICK. THIS IS AMAZING TO ME. SO THIS IS JUST ANOTHER DISCUSSION OF IT IN ACTION. PEOPLE GET FRANTIC.
IT MAKE -- IT CAN MAKE US SICK. SO WE NEED A SENSE OF SAFETY IF WE'RE GOING TO FUNCTION WELL. AND IF WE FEEL SUPPORTED AND KNOW SOME STEPS TO GET HELP AND SO FORTH. IF WE'RE STRUGGLING TO FIND SOMETHING TO HELP US WE CAN SELF REGULATE AND BRING OURSELVES BACK TO A MORE CALM THING. IF IF WE ARE OUT THERE AND IT JUST SEEMS LIKE WE'RE DISCONNECTED NOTHING IS THERE TO HELP AND NO SUPPORT IS AROUND US WE DON'T DO WELL. AND, YOU KNOW, THE PROBLEM WITH THAT IS IF WE'RE AROUND OTHER PEOPLE THAT ARE ALL UPSET AND NOT FEELING SUPPORTED THIS EMOTIONAL DISREGULATION CAN REALLY GO ON. I USED TO SEE THIS WITH COLLEAGUE STUDENTS GETTING READY FOR EXAMS. IF ONE WAS FREAKED OUT THEY COULD GET THEIR ANXIETY TRANSMITTED TO OTHER PEOPLE. GET A LOT OF PEOPLE ALL UPSET. SO, WHAT WE'RE DOING IN COMMUNITIES REALLY, REALLY, REALLY MATTERS. THIS WAS ALSO KIND OF INTERESTING TO ME. MOST OF US DIDN'T KNOW WHAT A TRIGGER IS.
TRIGGERS ARE SOMETHING THAT UPSETS US, MAKES US REALLY FEEL THREATENED IN SOME WAY. A GLIMMER WHICH YOU PROBABLY HAVEN'T HEARD MUCH ABOUT IS SOMETHING THAT BRINGS US BACK INTO THAT STATE AND MAKES US FEEL CONNECTED AND ALL RIGHT AGAIN. ALL RIGHT. WHAT DOES THAT HAVE TO DO WITH ANYTHING? THAT'S ISOLATION, BEING BY YOURSELF. LONELY. ANXIETY. I WILL GO BACK TO THE HORSE FOR A MINUTE. I REMEMBER ONE YOUNG MAN. IS HE ABOUT 16, CAME OUT OF AN ALTERNATIVE HIGH SCHOOL IN INDIANAPOLIS AND WAS UP AT AGAPE IN A SPECIAL CLASS THEY WERE HAVING FOR THOSE STUDENTS AND THIS MAN -- HE WAS BIGGER THAN I AM BUT YOU KNOW YOU GO STAND BY A HORSE THAT'S 1800 POUNDS AND IF YOU HAVEN'T BEEN AROUND THEM IT CAN BE PRETTY INTIMIDATING.
SO HE JUST -- HE WAS SCARED BUT HE DIDN'T KNOW HOW TO TELL ME THAT. A HORSE SENSES -- THEY SENSE WHAT'S GOING ON INSIDE YOUR YOURSELF EVEN IF YOU DON'T. SO HE WENT ON -- AND HE STOOD BY THAT HORSE. HE WAS TERRIFIED. STOOD BY THAT HORSE AND EVERYBODY -- THE INSTRUCTOR WAS GIVING THEM INSTRUCTIONS ABOUT HOW TO GO AROUND THE ARENA. HE JUST STOOD THERE AND ALL HE COULD DO IS GET ANGRY. HE WAS SCARED AND DIDN'T WANT TO SAY HE WAS SCARED AND SO SHE WAS TELLING -- GIVING THEM INSTRUCTIONS ON GETTING THE HORSE TO WALK FORWARD AND HE JUST SAID WALK, TURNED HIS HEAD THAT WAY. YOU THINK THAT HORSE MOVED? NO. THAT HORSE WAS LIKE -- HE IS NOT CONNECTED WITH ME ENOUGH TO BE A TRUSTED LEADER. IF THE HORSE DOESN'T TRUST THE PERSON THAT'S HANDLING THE ANYWHERE. FINALLY I GOT HIM TO TOUCH THE HORSE. KIND OF BEGIN TO CONNECT WITH THE HORSE AND I SAID IT'S REALLY SCARY, NOW THAT'S VERY HARD FOR A 16-YEAR-OLD BOY TO SAY I'M SCARED BUT HE WAS. NEVER BEEN AROUND HORSES. BY THE TIME THAT 12 WEEKS WAS OVER OUT THERE HE AND THAT HORSE WERE THE BEST FRIENDS. HE WOULD NOT EVEN HAVE HAD TO HAVE THE RE INS AND HE COULD HAVE STOOD BY THE HORSE WHEN THE HORSE WOULD HAVE GONE FORWARD. THEY HAD A PARTNERSHIP BUT HE DIDN'T TRUST BEING IN RELATIONSHIPS BECAUSE HE HAD REALLY UNFORTUNATE EXPERIENCES IN LIFE TO TRUST PEOPLE. SO, IT WAS A MATTER OF REALLY WORKING TOGETHER. THE MORE WE CAN BUILD TRUST AND HELP PEOPLE AND, YOU KNOW, BE TOGETHER IN COMMUNITY THE BETTER IT IS. THIS KIND OF THE WHOLE THING. WE KNOW WHAT TRIGGERS ARE. TRIGGERS ARE WHEN YOU JUST FEEL DISCONNECTED SCARED AND WITHDRAWN AND NOBODY IS AROUND TO HELP YOU. THEN WE
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HAVE GLIMMERS. A COMMUNITY THAT HAS SOME THINGS IN IT THAT MAKE US FEEL SAFE. PARKS, HOUSING, NEIGHBORHOODS, NEIGHBORS, SUPPORTIVE SERVICES. PETS, PEOPLE THAT ARE THERE. SCHOOLS, FOOD, AND YOU'RE PART OF IT. GLIMMERS. GLIMMERS. GLIMMERS DON'T ALWAYS COST A LOT. GLIMMERS. THAT'S IMPORTANT. IN COMMUNITY PLAN EXAMINING DEVELOPMENT. I THINK KEEPING THE IDEA OF GLIMMER IS A REAL GOOD ONE. WORKING WITH HORSES WHO WOULD HAVE KNOWN THAT. LET'S REVISIT SOME OF THE ISSUES RAISED IN THE COMMUNITY STUDY THAT WAS -- THE FINDINGS FROM HAMILTON COUNTY. WELL I DON'T KNOW. I MEAN ALL OF YOU HAVE WORKED ON A NUMBER OF THINGS HERE THAT TRANSPORTATION. THIS COMMUNITY I THINK WAS DEVELOPED WITH YOUNGER PEOPLE WHO COULD DRIVE. KIND OF IN MIND. THE WAY IT WAS KIND OF DEVELOPED. BUT NOW WE HAVE A NUMBER OF OLDER PEOPLE WHO PROBABLY WOULD NEED SOME OTHER FORM OF TRANSPORTATION TO SAFELY GET AROUND FOR SOME PEOPLE. IT JUST HAPPENED. I'M NOT BLAMING ANYONE. IT'S JUST KIND OF HAPPENED. WE GOT THAT ALL OVER THE PLACE. LOOK AT RURAL AREAS. THEY ARE EVEN WORSE. ACCESS TO CARE. GOT A LOT OF WORDS ON THIS ONE. MY GRANDDAUGHTER SAID YOU DON'T DO POWER POINTS RIGHT AND I SAID, WELL, PEOPLE CAN READ THEM OVER IF THEY ARE PRINTED OUT FOR THEM LATER. WE HAVE -- SO MANY THINGS WE CAN JUST KIND OF BEGIN AS IT'S KIND OF BACK DOWN TOWARD THE LOCAL LEVEL. GOOD DISCUSSIONS WITH ONE ANOTHER. PEOPLE DON'T UNDERSTAND HOW HEALTH CARE IS FUNDED IN THE UNITED STATES. I DON'T THINK TO MANY PEOPLE COULD TELL YOU THE DIFFERENCE BETWEEN MEDICARE AND MEDICAID.CAN WE DO SOMETHING IN LOCAL COMMUNITIES TO HELP PEOPLE UNDERSTAND THAT BETTER? IT'S PRETTY BASIC AND IT'S GOING TO IMPACT OUR LOCAL COMMUNITIES PRETTY HARD IF WE DON'T HAVE PEOPLE WHO UNDERSTAND IT BETTER. IT IS -- IT CAN BE MADE MORE SIMPLE THAN THEY -- MOST PEOPLE CAN ACCESS TO READ BUT WE NEED TO UNDERSTAND THAT. I DON'T KNOW. WILL HAMILTON COUNTY HAVE TO BRING BACK A POOR HOUSE? I'M JUST ASKING. WILL WE HAVE TO LEVY FOR PUBLIC FOR FUNDING FOR THINGS IF WE DON'T HAVE STATE AND FEDERAL PROGRAMS IN I DON'T KNOW. I'M NOT SAYING WE SHOULD OR SHOULDN'T. I'M JUST RACING QUESTIONS. IF WE DIMINISH SOME THINGS LIKE I SAID AT THE LOCAL LEVEL THERE'S NOWHERE ELSE TO KICK THE CAN DOWN THE ROAD. WE'RE SORT OF HERE WITH IT. WE ARE STILL USING THE ENGLISH POOR LAWS OF THE 1500S TO VET PEOPLE.
I'M NOT MAKING THAT UP. SOMEONE CAN GO FACT CHECK ME. AGAIN.
IT'S JUST A GOOD WAY TO SIT DOWN AND BEGIN TO TALK TO PEOPLE. I THINK PEOPLE NEED MORE INFORMATION. NEED TO UNDERSTAND HOW WE FUND THINGS AND WHAT DOES DID MEAN? I MEAN I'M ASKING THE QUESTION. DO WE NEED TO STRENGTHEN CHANGE OR STOP MEDICAID AND MEDICARE? AND IF WE DID THAT WHAT WOULD WE DO AT THE LOCAL LEVEL? EVERY COMMUNITY WOULD HAVE PEOPLE WHO COMMUNITY PRIVATELY PAY FOR THINGS. JUST SAYING. I'M NOT TELLING ANYONE WHAT TO DO. I'M JUST RAISING QUESTIONS. YOU HAVE -- LOTS OF PUBLIC PARKS AND TRAILS AND SO FORTH HERE. I DON'T KNOW ARE THINGS WORKING AS WELL AS THEY COULD BE? I DON'T KNOW.
THERE'S SOME FAST BIKES. LITTLE SCARY TO WALK DOWN THERE SOMETIMES WITH THEM. MAYBE IT'S WORKING. I DON'T KNOW. JUST ASKING QUESTIONS. PHYSICAL ACTIVITY. ONE WOULD THINK THERE WOULD BE A LOT OF THINGS HERE. I THINK YOU HAVE A SENIOR CENTER HERE IN CARMEL WITH PHYSICAL EQUIPMENT, RIGHT, FOR ITS LIKE A FITNESS CENTER? I DON'T KNOW. I'M JUST -- IT WAS IN -- IT WAS IN THE -- SURVEY SO I'M BRINGING IT UP. NOW THIS ONE. WE
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REALLY NEED TO THINK ABOUT. BRAIN HEALTH AND DEPRESSION IN OLDER ADULTS. YOU HAVE A NUMBER OF EXCELLENT HEALTH CARE PROVIDERS IN HAMILTON COUNTY. IT KIND OF -- IT DOESN'T MATTER WHETHER YOU ARE WEALTHY AND CAN PRIVATE PAY OR IF YOU ARE NEEDING ASSISTANCE. THIS IS A HARD ONE FOR ALL SOCIO ECONOMIC LEVELS, KIND OF PEOPLE EVERYWHERE. THIS IS VERY HARD.YOU KNOW OLDER ADULTS WITH ISSUES INVOLVING DEMENTIA AND DEPRESSION OFTEN GO TO PRIMARY CARE PROVIDERS AND HOSPITAL EMERGENCY DEPARTMENTS WHEN THEY ARE HAVING DIFFICULTY. THEN WHAT? LOOK AT ALL THOSE QUESTION MARKS. THE INDIANA STATE MEDICAL ASSOCIATION CURRENTLY IS CONSIDERING A RESOLUTION TO IDENTITY DEMENTIA AS A PUBLIC HEALTH CRISIS. THEY IMPACT ALL PEOPLE -- PEOPLE OF ALL SOCIO ECONOMIC GROUPS AND YET EVEN THOSE WITH RESOURCES STRUGGLE TO GET WHAT WE NEED. AND THIS MAY WELL BE -- YOU REMEMBER BACK WHEN I SAID PEDITRIC -- THERE WAS NO PEDIATRIC CARE IN THE 1800'S. WE PROBABLY NEED TO TAKE A LOOK AT WHAT WE MAY NEED TO DO NOW IN HEALTH CARE TO BE SURE THAT WE HAVE PEOPLE CARED FOR IN OUR HEALTH SYSTEMS AND IN OTHER PROVIDERS THAT -- THAT CAN ACTUALLY ADDRESS THE ISSUES INVOLVED WITH OLDER PEOPLE WITH BRAIN HEALTH AND DEPRESSION. I THINK THAT'S A REASONABLE THING TO START THINKING ABOUT IN OUR COMMUNITIES. IT'S HARD. I MEAN -- THAT'S WHY YOU END UP WITH PEOPLE SAYING 74% OF US DON'T EVEN KNOW WHAT'S AVAILABLE. SO, MAYBE IT'S TIME TO LOOK AT SOME OF THAT AND SEE WHAT WE HAVE HERE. HOUSING. YOU HAVE A LOT OF HOUSING CHOICES DOWN HERE. YOU HAVE LOOKED AT HOUSING DOWN HERE. WHAT ARE THE NEEDS OF HOUSING? ARE PEOPLE INTEGRATED INTO THE COMMUNITY OR -- PLEASE DON'T STICK SPEARS IN ME BUT I WILL ASK THIS OR ARE WE AGE SEGREGATING PEOPLE INTO CERTAIN ENCLAVES AND HOW COULD WE BE SURE WE HAVE ENOUGH GOING ON IN THE COMMUNITY SO PEOPLE ARE OUT AND ABOUT AND FEEL INCLUDED SO THEY GET THOSE GLIMMERS. NOT BE SITTING SOMEWHERE ISOLATED. THAT'S MY ONLY POINT. SO, VOTERS JUST MOVED POPULATION AGING ISSUES TO THE LOCAL COMMUNITY AND IT GIVES US AN OPPORTUNITY TO MODERNIZE OUR COMMUNITIES TO BETTER FIT THE LIFESTYLES AND NEEDS OF PEOPLE OF ALL AGES AND ABILITIES OR NOT. BUT IT'S KIND OF LIKE WE PICKED UP ON THE CONCEPT OF CHILDHOOD IN THE 1900'S AND LOOK AT WHAT THIS COMMUNITY HAS DONE FOR CHILDREN. YOU HAVE A LOT OF THINGS. WELL, IT'S THE 2000'S AND NOW WE HAVE A LOT OF OLDER ADULTS. WHAT DO WE NEED TO DO IN THIS COMMUNITY YOU NEED TO DO. I DON'T LIVE IN THIS COMMUNITY BUT SUPPORTIVE OF YOU.
WHAT DO WE NEED TO DO TO BE SURE THAT WE ARE MODERNIZING AND UPDATING THINGS TO INCLUDE THE NEEDS OF OLDER ADULTS? NOW. NOW CAROL SAID YOU ARE GOING TO TALK TO US ABOUT THESE THINGS. YOU CAN GIVE US AN EXAMPLE OF SOMETHING WE MIGHT THINK ABOUT? OKAY. I SAID SURE. I BET I COULD COME UP WITH SOME. YOU KNOW YOU COULD CHOOSE ONE OF THE THINGS THATWERE IN THE SURVEY YOU THAT WANT TO ADDRESS SPECIFICALLY. IT DOESN'T HAVE TO BE WHAT I'M -- I'M JUST GOING TO GIVE YOU ONE EXAMPLE. I KIND OF DID THAT ALREADY. I'M JUST GOING TO PLANT THE IDEA. I'M PROBABLY WAY OVER. I'M GOING TO TALK FOR A MINUTE. I STILL HAVE A LITTLE TIME. IN 2018 MY HUSBAND AND I TOOK A TRIP TO EUROPE AND IT STARTED IN A MSTERDAM. I WORKED A LONG TIME AND I WAS A PROFESSOR FOR 20 YEARS UP AT SAINT MAR Y'S NOTRE DAME AND I
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WENT TO NATIONAL CONFERENCES AND HEARD A LOT OF SPEAKERS AND ONE OF THE SPEAKERS THAT REALLY DREW MY ATTENTION WAS FROM THE NETHERLANDS. THEY TOOK A TRADITIONAL NURSING HOME.REMEMBER I TOLD YOU NURSING HOMES WERE BUILT -- OR DEVELOPED -- THEY KIND OF BUILT THE INDUSTRY ON MEDICARE AND MEDICAID LEGISLATION. THAT FUNDED THEM. BUT, WHAT WE DID WAS -- AND WE DIDN'T -- DID THE BEST WE COULD. I WORKED IN THOSE ALL MY LIFE. I HAVE BEEN IN AND OUT AND NURSING AND SOCIAL WORK AND EVERYTHING IN THEM. WE USED THE OLD HOSPITAL MODEL. YOU LOOK AT A LOT OF THE NURSING HOMES THAT WERE BUILT IN THE 70S AND THE 80S AND THE 90S AND YOU STILL HAVE THE LONG HALL AND THE ROOMS OFF TO THE SIDE. WE DON'T DO TO WELL IN THOSE. IT'S JUST NOT A NORMAL LIVING SITUATION FOR US. WE SORT OF HAVE STRUGGLING BECAUSE WE HAVE THE SAME PROBLEMS WITH OLDER PEOPLE IN THAT KIND OF INSTITUTIONAL SETTING AS WE HAD WITH CHILDREN IN ORPHANAGES. CHILDREN DIDN'T DO WELL IN ORPHANAGES. WHAT THEY DID IN THIS NURSING HOME IN THE NETHERLANDS IS THEY DECIDED TO CREATE SMALL COTTAGES AND PUT FIVE OR SIX PEOPLE IN EACH COTTAGE. THESE WERE PEOPLE MOST OF THEM HAD -- AT THAT POINT HAD DEMENTIA AND THEY HAD DEDICATED CAREGIVERS IN THERE. SO THE PEOPLE -- THE CAREGIVERS GOT TO KNOW THE PEOPLE, THE PEOPLE GOT TO KNOW THE CAREGIVERS. REMEMBER WHAT I SAID ABOUT THE TRUST? HOW IMPORTANT THAT IS. IF YOU HAVE SOMEONE DIFFERENT COMING IN EVERY DAY AND YOU NEVER KNOW WHO IS COMING IN BECAUSE IT'S HARD TO GET STAFF IN PLACES THAT'S HARD ON PEOPLE. IT'S STRESSFUL.
THEN YOU TRY TO HURRY THEM UP BECAUSE YOU HAVE A LOT OF PEOPLE TO TAKE CARE OF. THAT'S ALL RIGHT. WE'RE DONE WITH THAT.
THAT'S HARD ON EVERYBODY. IT DOESN'T MAKE ONE OF THOSE SAFE -- PEOPLE DON'T FEEL SAFE. THERE'S ANXIETY AND THEY -- JUST DOESN'T WORK TO WELL. ANY WAY. THERE'S DEDICATED CAREGIVERS AND THEN THEY -- SO -- I MEAN IT'S -- I DON'T -- I CAN'T TELL YOU HOW MANY COTTAGES THEY HAVE. IT'S A -- A NUMBER. THEN IT'S -- THERE'S A WALL AROUND IT THAT YOU CAN'T TELL IT'S A WALL BECAUSE OF THE PLANTINGS THEY HAVE AND SO FORTH. IT'S A CLOSED SAFE ENVIRONMENT FOR PEOPLE. IN EACH OF THOSE COTTAGES ARE ALSO THEY TRY TO DO ACULTURAL FIT. IF SHOULD THEY COULD HAVE OR CITY OR RURAL THINGS. JUST KIND OF FIT. AND THE PEOPLE CAN WALK AROUND THE LITTLE VILLAGE AND THEY HAVE -- THEY HAVE A GROCERY STORE. THEY HAVE A RESTAURANT.
THEY HAVE A MOVIE THEATER AND AS YOU WALK DOWN YOU CAN SEE ALL THE THINGS THAT USED TO BE IN MOST OF THE DUTCH VILLAGES. THEY HAVE LITTLE STORE FRONTS. THERE'S NOTHING IN THEM PUTT -- YOU FEEL LIKE YOU ARE WALKING AROUND IN THE COMMUNITY. THE PEOPLE YOU SEE -- THEY HAVE A HAIRDRESSER AND A BARBER AND YOU GO DOWN AND GET YOUR -- YOU SIT IN A LINE AND GET YOUR -- IT FEELS LIKE A VILLAGE. THESE PEOPLE CAN'T GO OUT INTO THE VILLAGE. THEY BROUGHT THE COMMUNITY INTO THEM. THEY CUT DOWN ON THEIR USE OF MEDICATIONS. THEY ARE GETTING EXERCISE. THEY STAY THERE FOR THE REST OF THEIR LIFE. THEY ARE NOT IN THE HOSPITAL. END OF LIFE CARE IS PROVIDED THERE. AND EACH COTTAGE PEOPLE HAVE THEIR OWN BEDROOM AND BATHROOM. THERE IS A COMMON AREA FOR THE LIVING ROOM AND THE KITCHEN. YOU CAN GO OUT AND GET SOMETHING TO EAT AT 1:00 IN THE MORN FIGURE YOU WANT TO.
IT'S NORMAL. A NORMAL KIND OF THING. NOT THE INSTITUTION KIND OF SETTING. NOW, SO, WE MET WITH THE PERSON WHO FOUNDED THE VILLAGE AND SPENT A DAY THERE. BILL SAID YOU HAVE TO GO SEE THAT WHEN WE WENT TO EUROPE AND SO WE DID. WE CAME BACK. I WAS TEACHING UP IN SOUTH BEND AND I WAS ON THE BOARD OF THE AREA
[00:40:04]
AGENCY ON AGING AND I CAME BACK AND I SAID -- AND THEY HAD ALSO -- TAKEN OVER -- ABSORBED THE NORTHERN INDIANA ALZHEIMER'S SERVICES AND WERE WORKING WITH -- HAD A DAYCARE CENTER. I SAID THAT IS A MODEL THAT WE NEED TO PAY ATTENTION TO. IT CONNECTS PEOPLE AND CALMS THEM DOWN AND MAKES THEM FEEL SAFE. ALL THE THINGS I TALKED ABOUT. AND SO THE BOARD WORKED WITH A HOSPICE ORGANIZATION UP THERE AND WENNED UP -- THEY RAISED $6 MILLION AND BUILT -- THE FIRST ADULT DAY SERVICE IN THE WORLD BASED ON THE DEMENTIA VILLAGE MODEL. SO PEOPLE WITH DEMENTIA COMES IN.THEY CAN WALK AROUND AND THEY HAVE BEAUTIFUL GARDENS. THERE'S ALL KINDS OF -- YOU KNOW THINGS THEY CAN DO. THEY CAN GO GET SOMETHING TO EAT. THEY HAVE THEIR RESTAURANT, IT WORKS.
IT'S TOO SMALL AND IT OPENED -- I BELIEVE IN 21 OR 22, 2 -- 21-22. IT'S TOO SMALL ALREADY. NOW, CARMEL. I THINK YOU HAVE AN OPPORTUNITY. THEY ALSO HAVE AN INVESTOR WHO IS LOOKING AT PUTTING A RESIDENTIAL DEMENTIA VILLAGE UP THERE. CARMEL THIS WOULD BE A WAY TO BRING COMMUNITY TO A POPULATION OF PEOPLE WHO CAN'T GO OUT AND WALK AROUND IN YOUR COMMUNITY.
YOU KNOW, I'M AT THE TOP OF THE BABY BOOMERS. WE HAVE NOT BEEN THE SILENT GENERATION. WE ARE GOING TO BE ASKING FOR SOMETHING A LITTLE DIFFERENT AS WE GO FORWARD PROBABLY. THE INSTITUTIONAL MODEL IS PROBABLY NOT GOING TO WORK VERY WELL WITH US. I JUST BRING THIS FORWARD. CAROL SAID COME UP WITH AN IDEA.
HERE IS MY IDEA. IF YOU WANT TO WORK ON SOMETHING LIKE THIS.
THIS ISN'T GOING TO COMPETE WITH ANYTHING. IF YOU HAVE -- THERE'S ONE -- ONE GROUP GOING DOWN HERE HOWEVER THAT IS CLOSE TO IT AND THAT IS STORY COTTAGES. YOU HAVE -- ONE IN CARMEL? THREE IN CARMEL. THOSE ARE CONTAINED HOUSES AND PEOPLE LIVE IN THEM. THEY HAVE DEDICATED CAREGIVERS, ET CETERA.
WHAT I'M TALKING ABOUT WOULD BE COTTAGES, SEVERAL COTTAGES, ENCLOSED. SOMETHING INSIDE THAT IS A REPLICA OF THINGS IN THIS COMMUNITY SO THATL THE PEOPLE CAN WALK AROUND FREELY AND FEEL A PART OF THE COMMUNITY. ALSO WOULD SUGGEST YOU PUT AN ADULT DAY SERVICE IN IT. THEY CAN BE PART OF THE MODEL IF YOU HAVE THERE BECAUSE WE HAVE GOT TO RIGHT NOW -- WE ARE GOING TO HAVE TO HAVE PEOPLE STAYING AT HOME AS LONG AS THEY CAN AND THEN COME IN. NOW THIS COULD BE PRIVATE PAY AND ALSO BODY -- I WOULD THINK SOME OF THE COMMERCIAL HEALTH INSURANCE COMPANIES MAY GET INTERESTED IN THIS AND I WOULD THINK THE -- THE PACE PROGRAMS MIGHT GET INTERESTED IN IT. I WILL TELL YOU IF PEOPLE HAD A CHOICE I THINK THAT A LOT OF PEOPLE WOULD RATHER BE IN THE SMALL COTTAGES THAN IN A LARGER INSTITUTION.
NOW, I DON'T KNOW. CAROL SAID COME UP WITH AN IDEA. YOU COULD PICK -- OTHER KINDS OF HOUSING, TRANSPORTATION, PARKS AND REC, ANY OF THESE BECAUSE THERE ARE NEEDS ALL OVER. I WENT TO A GROUP THAT NEEDS -- THEY NEED -- THEY NEED CARE AND WE NEED TO FIND A WAY TO KEEP PEOPLE CONNECTED WITH COMMUNITY. SO THAT IS MY PRESENTATION. CARMEL, GO. I THINK YOU ARE IN A SWEET SPOT TO PULL SOMETHING LIKE THIS OFF. THAT'S JUST --.
>> DO YOU SEE THAT WORKING WITH OLDER ADULTS THAT DON'T HAVE DEMENTIA OR COULD THAT CONCEPT? WHAT IN THAT CONCEPT COULD WE USE FOR JUST OUR AGING POPULATION?
>> WELL I MEAN -- YOU CAN MODIFY IT SOMEWHAT. I -- AGAIN PROBABLY YOU HAVE SO MUCH DEMENTIA WITH IN A LOT OF THE POPULATION. NOT EVERYBODY HAS IT THAT'S OLDER. DON'T MISUNDERSTOOD ME. YOU CAN STILL HAVE KIND OF A SAFE AREA THAT PEOPLE COULD GO AROUND BUT -- TO BE ABLE TO HAVE A MORE NORMAL KIND OF LIFESTYLE AND BE ABLE TO FREELY MOVE AROUND THAT COULD BE ADAPTED. I WILL TELL
[00:45:01]
YOU ELOY VAN HALL IN THE NETHERLA IN, DS CAME OVER AND CONSULTED THE PEOPLE IN SOUTH BEND TO PUT THIS TOGETHER. HE HAS A CONSULTING SERVICE THAT'S AVAILABLE. THEY HAVE -- THEY ARE DOING THIS WORLDWIDE. SO THAT'S AVAILABLE. YOU HAVE ASSISTANCE TO DO THAT. THIS WOULD BE AVAILABLE AND IT CAN BE ADAPTED.>> A QUESTION ON THE -- IN SOUTH BEND. WAS IT HUSBAND AND WIFE OR JUST A SINGLE PERSON THAT WOULD ENTER INTO THAT FACILITY?
>> WELL THAT --. IF ONE HAD DEMENTIA AND THE OTHER DIDN'T BUT THEY WANTED TO STAY TOGETHER.
>> ONE IN SOUTH JUST ADULT DAY SERVICE. THEY ARE PLANNING THIS RESIDENTIAL AND -- IT'LL HAVE THE ABILITY FOR A HUSBAND AND WIFE TO GO IN TOGETHER WHETHER OR NOT -- AND THEY DON'T HAVE
TO BOTH HAVE DEMENTIA. >> OKAY. THANK YOU.
>> OUR COMMITTEE IS, YOU KNOW, WE ARE -- STRUGGLING A LOT OF THE ISSUES THAT YOU HAVE BROUGHT OUT. HOW DO WE AS A COMMITTEE BUILD TRUST WITH OUR SENIOR POPULATION? WHAT COULD WE DO OR START OUT DOING THAT WOULD HELP BUILD THE TRUST IN THE INVOLVEMENT OF OUR SENIORS IN -- IN THIS PROCESS?
>> LET ME THROW AN IDEA OUT AND THEN SOMEONE CAN CHALLENGE ME.
THAT'S FINE. LIKE I SAID. NONE OF US QUITE KNOW HOW TO DO THIS BUT THEY DIDN'T IN THE HAMILTON COUNTY. WHEN WAS CARMEL
INCORPORATED? >> IT'S CARMEL CLAY. WE TAKE
THE WHOLE TOWNSHIP. >> OKAY. OKAY. ALL RIGHT. IN THE BEGINNING -- IN ITS EARLY DAYS HOW DID PEOPLE GET SCHOOLS? HOW DID THEY GET TOGETHER TO DO THAT AND THEY HAD TO FUND THEM. HOW DID THEY GET TOGETHER TO DO A LOT OF THINGS. I THINK YOU PULL PEOPLE TOGETHER AND START ASKING QUESTIONS. THEY DIDN'T KNOW WHAT TO DO WITH CHILDREN FOR A WHILE. NOW WE HAVE THE SAME ISSUES WITH WHAT TO DO WITH THE LARGER, OLDER POPULATION. WE ARE JUST GOING TO HAVE TO ROLL UP OUR SLEEVES AND GET TOGETHER.
LET'S SAY YOU HAVE AN IDEA AND PUT IT OUT THERE AND LET PEOPLE COME IN. START TALKING TO EACH OTHER. DOES THIS MAKE SENSE? WOULD THIS WORK? IS THIS WHAT YOU WANT? IS THIS NOT WHAT YOU WANT. WHAT DO WE WANT? THEY HAD TO DO THAT WITH CHILDREN'S THINGS. DIDN'T ALWAYS HAVE THEM. I'M NOT WRONG. I THINK THAT'S HOW. THAT'S WHY YOU ASKED ME TO THROW SOMETHING OUT.
I THREW AN IDEA OUT. PUT SOME IDEAS OUT AND LET PEOPLE COME IN. A LOT OF WHAT I'M TALKING ABOUT WE ARE DOWN TO THE LOCAL LEVEL FIGURING THIS OUT. SO, WHAT WILL WORK DOWN HERE WON'T WORK OUT IN SOME OF THOSE RURAL COUNTIES. WE HAVE TO DO THIS.
LOCAL COMMUNITY BY LOCAL COMMUNITY I THINK. WE HAVE GOTTEN A LITTLE COMPLACENT THINKING WHAT WE HAD WAS GOING TO WORK. I DON'T THINK IT'S SO BAD THAT WE HAVE A LOT OF CHANGES COMING NOW. GIVE US AN OPPORTUNITY TO REWORK SOME THINGS. I'M NOT DOOM AND GLOOM IN CASE YOU COULDN'T TELL. BUT, WE TONIGHT HAVE TO DO ANYTHING BUT -- WHAT WOULD HAVE HAPPENED IF HAM ILL TOP COUNTY HAD DECIDED NOT TO DEVELOP ANYTHING FOR CHILDREN? THEY DIDN'T HAVE TO. IF PEOPLE WANTED TO LIVE THEIR, THEY WANTED SOMETHING THEIR THEIR CHILDREN AFTER THEY STARTED SEEING WHAT WAS GOING ON.
I DON'T KNOW. MAYBE THAT WASN'T A GOOD RESPONSE. I DON'T KNOW.
>> I WAS CHARGED WITH LOOKING AT TRANSPORTATION. WHEN I STARTED TO LOOK AT TRANSPORTATION AND YOU LOOK AT ALL THE FACILITIES THAT ARE -- BLOSSOMS HERE IN THE AREA THERE ARE A NUMBER OF SENIOR HOUSING THAT'S BEING BUILT. YOU KNOW APARTMENTS AND SO FORTH. WE ALSO HAVE OTHER FACILITIES THEY HAVE TRANSPORTATION. THE THING THAT WE HAVE NOT -- OR TRYING OR HOW DO YOU REACH INTO AND PULL OUT THE PEOPLE LIKE ME WHO ARE STILL IN OUR OWN HOME AND HOW DO WE FACILITATE AND HELP THEM WITH
[00:50:01]
TRANSPORTATION, OTHER PROGRAMS THAT YOU WOULD GET IF YOU WERE IN A STRUCTURED HOME. THERE'S STILL NOT READY TO GIVE UP THAT HOUSE. I'M NOT READY TO GIVE UP MY HOME. I HAVE -- TRANSPORTATION OF MY OWN. THE MORE I THINK ABOUT IT WE HAVE TALKED TO THE SCHOOL WHO IS WILLING TO STAND UP AND HELP WITH TRANSPORTATION. WE HAVE TALKED TO HAM HAMILTON COUNTY EXPRESS AND THEY ARE TALKING ABOUT GETTING TOGETHER. IT IS REACHING INSIDE OF THESE DIFFERENT INDIVIDUAL HOMES AND COMMUNITIES TO MAKE THEM AWARE OF WHAT WE ARE TRYING TO DEVELOP AND I THINK THAT'S ONE OF THE PROBLEMS WE ARE STRUGGLING RIGHTNOW. >> WELL, I MEAN WE KIND OF CREATED OUR OWN PROBLEM. I THINK. WE BUILT THE COMMUNITY FOR DRIVING. WE DIDN'T -- WE DIDN'T -- WE DIDN'T HAVE HOUSING AROUND THE COMMUNITY SQUARE. SUBURBS ARE GREAT WHEN YOU CAN DRIVE AND GET OUT AND YOUR KIDS CAN -- YOU HAVE A LOT OF DRIVING WITH KIDS TOO BUT, WE DIDN'T -- WE DIDN'T SIT DOWN AND PLAN THE COMMUNITY FOR OLDER ADULTS WHO COULDN'T, YOU KNOW, THEY WERE -- DRIVING WAS DIFFICULT SO WE KIND OF CREATED OUR OWN PROBLEM AND NOW WE ARE TRYING TO FIND WAYS TO FIX SOME OF THAT. THAT'S GOING TO TAKE US SOME TIME. I MEAN, AND -- AND -- AND WE HAVE PEOPLE THAT GET ISOLATED AT HOME BECAUSE THEY CAN'T GET OUT. THAT DOESN'T HELP HEALTH. THESE AREN'T EASY BUT YOU'RE ASKING GOOD QUESTIONS AND BRING PEOPLE OUT AND ASK THEM. PEOPLE DON'T WANT TO GIVE UP THEIR INDEPENDENCE AND DON'T -- I'M PROBABLY GOING TO GET A SPEAR ON THIS ONE. THEY PROBABLY DON'T WANT TO GO INTO SOME KIND OF LESS NORMAL LIFE -- LIFESTYLE LIKE INSTITUTIONAL THAT APPEARS INSTITUTIONAL. THEY LIKE THEIR HOUSES. I DON'T BLAME THEM. I LIKE MY HOUSE TOO. I LIKE MY CATS IN THERE. SO IT'S THAT KIND OF THING. WE KIND OF HAVE TO WORK OUT OF SOME OF WHAT WE CREATED OUR OWN ISSUES SOMETIMES.
>> I'M CONCERNED ABOUT THE COST OF HEALTH CARE AND THE AVAILABILITY OF HEALTH CARE SO WE MAY BE FORCED TO STAY IN OUR HOMES FOR LONGER PERIOD OF TIME BECAUSE THERE IS NOT GOING TO BE THE FUNDS AND THOSE FACILITIES TO TAKE CARE OF US.
>> THAT IS WHY I AM ENCOURAGING AND WE HAVEN'T DONE VERY MUCH IN THIS STATE -- AT A STATE LEVEL TO CREATE INCENTIVES ADULT DAY SERVICES. WE NEED THEM. WE NEED THEM. WE HAVE SOME BUT WE
DON'T HAVE VERY MANY. >> WHEN YOU SAY ADULT DAY SERVICES. COULD YOU TELL ME WHAT THAT ENTAILS?
>> OKAY. WELL, I'M THINKING USUALLY ARE OPEN 6:00 A.M. TO 6:00 P.M. AND SOMEONE THAT'S WORKING AND MAYBE HAVE THEIR PARENTS LIVING WITH THEM. THE PARENTS CAN GO THERE DURING THE DAY AND THEY PROVIDE MEALS AND BATHING, FOOD, MEDICINE, IN SOME CASES THERE COULD BE WRAP AROUND HEALTH CARE SERVICES THERE, NURSES COME IN, TAKE CARE OF PEOPLE DURING THE DAY. SEE THEM AND IN THE EVENING THE FAMILY CAN PICK THEM UP AND THEY GO HOME AND THERE'S A PLACE THEY CAN REST DURING THE DAY. IT COSTS LOTS LESS THAN PERSONAL CARAT HOME 24 HOURS A DAY, GETS REAL EXPENSIVE REAL FAST. THERE IS -- YOU KNOW SOME THINGS WE CAN BEGIN TO PLAN INTO COMMUNITIES TO MAKE THINGS WORK BETTER. DOES THAT ANSWER YOUR QUESTION? WE DIDN'T ALWAYS HAVE CHILD CARE EITHER.
>> THANK YOU VERY MUCH DR. BURKE. YOU HAVE GIVEN US A LOT TO THINK ABOUT. IT'S HARD FOR US I THINK TO BE ABLE TO SOLVE THESE PROBLEMS IN A SHORT PERIOD OF TIME. THEY ARE GOING TO TAKE US SOME TIME. I'M VERY GRATEFUL THAT THE MAYOR HAS BEEN, YOU KNOW, OPEN TO STARTING THIS COMMISSION AND IT'S -- AND -- WORKING ON SOME OF THESE ISSUES WITH IN OUR COMMUNITY.
>> THINK SOMEONE HAD A QUESTION. >> DID YOU HAVE A QUESTION?
>> VERY QUICKLY. HAVE YOU EVER -- I READ THIS BOOK SOME YEARS BACK AND IT SET ME ON A PATH. IT IS CALLED BEING MO RT AL BY A DOCTOR IN THE BOSTON AREA. IT WAS ABOUT HIS FATHER. IT WAS --
[00:55:02]
HAD -- HAD EITHER CANCER OR AN ILL IN HE IS THAT WAS LIFE THREATENING. IT TALKED A LOT ABOUT THESE THINGS AND THAT CONCEPT AS HE KNEW THEM BACK THEN. THE TERMS OF THE WHOLE APPEARANCES OF SENIOR LIVING AND THE NURSING HOME CONCEPT AS OPPOSED TO THE -- THE CONCEPT OVERSEAS AND ONE OF THE THINGS THAT I RECALL IS -- A LOT OF THIS BOOK ABOUT ASKING HIS FATHER WHAT DO YOU WANT? AND THE MORE I HEAR -- AND -- REALLY APPRECIATE YOUR COMMENTS BUT I THINK YOU SAID THIS WELL CAROL.HOW DO WE GET OUR POPULATION TO TELL US WHAT THEY WANT? I HOPE THAT, YOU KNOW, MATERIAL AND I HAVE YOUR PAPER THAT CAME OUT IN 2020. IT'LL HELP US A LOT. THANK YOU.
>> THERE'S A LOT OF RESOURCES OUT THERE FOR COMMUNITIES. I THINK AARP HAS A LOT OF THINGS OUT THAT CAN BE VERY HELPFUL. I THINK WE -- AGAIN, LET'S BRING -- LET'S INVITE PEOPLE IN, GET AN IDEA, LET THEM TALK ABOUT IT, SAY WHAT THEY THINK WOULD WORK, WON'T WORK, WHAT ELSE WOULD THEY RECOMMEND AND GET THEM THINKING ABOUT THE IDEA OF THIS REALLY IS A NEW DAY. BECAUSE WE HAVE NEVER HAD THIS MANY PEOPLE LIVE THIS LONG BEFORE. NO WONDER THIS COMMUNITY DOESN'T KNOW WHAT TO DO. NONE OF US DO.
WHATEVER YOU DO MAKE IT FIT CARMEL. AND UNLESS WE HEAR FROM PEOPLE WE WON'T KNOW WHAT THEY NEED. I'M SURE WHAT WHEN THEY WERE STARTING TO TAX PEOPLE FOR PUBLIC SCHOOLS THERE WERE A LOT OF -- LOT OF MEETINGS. IT WAS HARD IN INDIANA. INDIANA WAS ONE OF THE LATER STATES THAT GOT PUBLIC EDUCATION. SO, WE PROBABLY HAVE A LOT OF DISCUSSION. WE NEED TO HAVE IT.
WE AREN'T WAITING FOR FEDERAL AND STATE PROGRAMS TO TAKE CARE OF US NOW. VOTERS DECIDED TO BRING IT BACK HERE TO THE LOCAL LEVEL. THEN -- PEOPLE AREN'T USED TO THAT. WE HAVE BEEN KIND OF JUST GOING ALONG AND NOW WE HAVE HAD THIS MOVEMENT TO CHANGE. WE HAVE TO COME UP WITH SOMETHING. YOU CAN'T JUST CUT.
THAT'S NOT ENOUGH. THAT WON'T WORK. WE ARE DOWN HERE IN THE LOCAL LEVEL AND PEOPLE ARE GOING WHAT ARE WE GOING TO DO? WE HAVE OPPORTUNITIES. THANK YOU SO MUCH. IF I MISSED THE POINT JUST LET ME KNOW BUT IF I HAVE GOT YOU THINKING THAT WAS -- I USED TO TELL STUDENTS MY JOB IS NOT TO TELL YOU WHAT TO THINK OR HOW TO THINK. MY JOB IS TO GET YOU THINKING. I HOPE I STIMULATED SOME THOUGHT. THANK YOU EVERYBODY.
SO IN -- IN TRYING TO DO SOME OF THE THINGS THAT YOU HAVE SUGGESTED TO US WE ARE GOING TO HAVE A CONFERENCE IN OCTOBER -- OCTOBER THE 10TH ACTUALLY INSTEAD OF THE 9TH. THERE'S BEEN A CHANGE FOR THAT WE WILL HAVE IA CONFERENCE CALLED SENIOR RESOURCES AND WE ARE HOPING TO GET -- I THINK IF YOU REMEMBER WE HAD ONE LAST YEAR. WE HAD ONE THE YEAR BEFORE. OUR ATTENDANCE IS GROWING BUT OUR CHALLENGES TO GET MORE PEOPLE THERE SO THEY CAN UNDERSTAND AND KNOW WHAT IS GOING ON IN OUR COMMUNITY. SO, FOR OUR -- OR CONFERENCE WE WILL HAVE SOME LOCAL RESOURCES FOR OUR SENIORS AND I'M JUST GETTING THIS SORT OF ORGANIZED AND SO FORTH BUT RIGHT NOW WE ARE GOING TO HAVE A CARMEL FIRE DEPARTMENT WILL TALK ABOUT OUR FALL PREVENTION PROGRAM BECAUSE WE KNOW THAT WHEN PEOPLE FALL THAT STARTS -- THE DOWNWARD PROGRESSION OF OUR HEALTH. THE FIRE DEPARTMENT HAS A NEW PROGRAM -- THE CARMEL POLICE DEPARTMENT IS GOING TO BE TALKING TO US ABOUT SENIOR SCAMS. THAT'S SO COMMON IN OUR -- AMONG OUR SENIORS NOW AND AMONG EVERYBODY. A DOCTOR WILL TALK ABOUT HIS PROGRAM THAT HE HAS OPENED UP. I THIS THERE WAS IN -- AN ARTICLE IN THE CURRENT NOT LONG AGO. JUST A FEW WEEKS AGO ABOUT HIS PROGRAM THAT HE STARTED FOR CAREGIVERS TO BE PAID BY MEDICARE. I THINK A LOT OF PEOPLE SHOULD BE VERY INTERESTED IN SEEING WHAT THAT PROGRAM IS ABOUT AND HE WILL BE EXPLAINING THAT. WE WILL HAVE THE CARMEL CITY LIBRARY TALK ABOUT PROGRAMS THAT ARE WONDERFUL -- WE HAVE A WONDERFUL LIBRARY HERE AND I THINK THAT WILL BE TELLING US PROGRAMS FOR OUR SENIORS. WE HAVE A REPRESENTATIVE FROM SHEPHERD CENTER THAT WILL TALK ABOUT EITHER PART OF THE GUARDIANSHIP
[01:00:01]
PROGRAM AND THE COUNSELING PROGRAM AND DR. BURKE YOU TALKED ABOUT TECHNOLOGY DEPRESSION. WE HAVE A PROGRAM FOR THAT. THEN I HAVE A LOCAL DOCTOR WHO WILL TALK ABOUT SOME OF THE NEW MEDICAL ISSUES THAT SENIORS ARE FACING AS THEY ARE GROWING OLDER. THEN I HOPE TO HAVE A LITTLE UPDATE ON THE COMMISSION AND THE SURVEY WE ARE DOING. SENIORS ARE WELCOME TO COME.THERE'S A FREE LUNCH AND IN ADDITION TO SPEAKERS WE ARE GOING TO HAVE A ROOM FULL OF VENDORS. THESE VENDORS ARE GOING TO HAVE TABLES THAT WILL BE ABLE TO DISPLAY SOME OF THEIR RESOURCES THAT THEY ARE -- HAVING FOR SENIORS. AND I HAVE CARDON IS COMING. WE HAVE HESS, HESS AND DONALDSON FOR LEGAL ADVICE. I HAVE NANCY MOORE TALKING ABOUT MEDICARE FRAUD.
MEDICARE FRAUD. WE HAVE SOMEONE TALKING ABOUT PERFECT HARMONY PROGRAM AND THEN I I'M WORKING ON JOY'S HOUSE TO COME ABOUT DAYCARE FOR OUR SENIORS. WE HOPE TO HAVE 15 TABLES SO THAT OUR SENIORS CAN MEET WITH THOSE PEOPLE AT THE TABLE AND ASKQUESTIONS AND GET INFORMATION. I'M VERY PLEASED TO ANNOUNCE THAT WE HAVE GOTTEN A SPONSOR SHIP FROM CARDON. THEY ARE GIVING US $3,000 FOR THIS PROGRAM AND I JUST HEARD FROM THE VHI TODAY THEY ARE GIVES US $1,500 TO HELP THE COST -- WITH THE COST OF THIS PROGRAM. I ALSO HAVE HESS, HESS AND DONALDSON IS DONATING SOME MONEY TO COVER THE COST OF PASTRIES FOR THE MORNING. I HAVE THE COFFEE BEING DONATED BY JUST LOVE COFFEE.
JIMMY JOHN'S HAS BEEN VERY HELPFUL AND THEY ARE DONATING HALF OF THE SANDWHICHS FOR THE LUNCH. THEN WE WILL PAY FOR THE OTHER HALF. WE HAVE SOME REALLY GOOD -- WE ARE GAINING GOOD SPONSOR SHIP FOR THIS PROGRAM AND SOME EXCITEMENT FOR WHAT WE ARE TRYING TO DO WITH OUR SENIORS. OUR BIGGEST -- OUR BIGGEST EXPENSE IS MARKETING. I HAVE HAD AN INTERVIEW TODAY WITH THE CURRENT TO TALK ABOUT THIS AND HAVE A STORY IN THE PAPER SO PLEASE WATCH FOR THAT. THEN THERE WILL BE ADS PROMOTING THIS -- THIS -- THIS EVENT AND -- 74% OF SENIORS SAY THEY DON'T KNOW WHAT RESOURCES WE HAVE SO THIS IS A WAY THAT WE CAN PROMOTE SOME OF THOSE -- OUR SENIOR RESOURCES THAT THEY CAN USE IN THIS COMMUNITY AND MAKE IT BETTER. SO AND SO IT'S COMING AT LONG AND I WILL BE FINISHING UP SOME OF THIS AND -- GETTING IT MORE ORGANIZATION ORGANIZED THERE WILL BE A SCHEDULE OF EVENTS IN THE PAPER. IS THERE ANY QUESTIONS? DID ANY OF THE COMMISSION MEMBERS WANT TO ASK ME ABOUT? I WILL BE SENDING OUT SOME ASSIGNMENTS FOR ALL OF YOU. BECAUSE IT TAKES A LOT TO GET IT SET UP TO GET THE FOOD ON THE TABLE. TO GET IT CLEANED UP AND DO ALL THOSE LITTLE DETAIL KIND OF THINGS SO YOU WILL HEAR FROM ME VERY SHORTLY. ANY QUESTIONS FROM ANY OF YOU ON THAT? OKAY.
SO OUR NEXT MEETING WILL PROBABLY HAVE SOME COMMITTEE REPORTS FROM EACH COMMITTEE OF WHAT THEY HAVE BEEN WORKING ON AND WE WILL HAVE MORE INFORMATION. IF
* This transcript was compiled from uncorrected Closed Captioning.