Transcript: The Future of Senior Care | Feb 13, 2019

Steve sits in the studio. He's slim, clean-shaven, in his fifties, with short curly brown hair. He's wearing a gray suit, white shirt, and checked blue tie.

A caption on screen reads "The future of senior care. @spaikin, @theagenda."

Steve says PEOPLE ARE NOW LIVING
LONGER THAN EVER BEFORE.
IN CANADA, LIFE EXPECTANCY NOW
HOVERS AROUND 80 YEARS OLD FOR
MEN AND 84 YEARS OLD FOR WOMEN.
HOW WELL DO WE DO SUPPORTING
PEOPLE TO MAKE THE MOST OF THOSE
YEARS?
JOINING US NOW ON NEW THINKING
FOR A GREYING POPULATION:
SUE LANTZ, FOUNDER AND MANAGING
DIRECTOR, COLLABORATIVE AGING
CONSULTANCY...

Sue is in her mid fifties, with shoulder-length straight chestnut hair. She's wearing a black blazer over a blue blouse, and a dark stone necklace.

Steve continues AND ZAYNA KHAYAT, FUTURE
STRATEGIST WITH HOMECARE
PROVIDER SE HEALTH AND ADJUNCT
PROFESSOR OF HEALTH SECTOR
STRATEGY AT U OF T's ROTMAN
SCHOOL OF MANAGEMENT.

Zayna is in her late thirties, with long straight brown hair. She's wearing a white mesh blazer over a black blouse.

Steve continues WE'RE DELIGHTED TO HAVE YOU TWO
WITH US HERE TONIGHT FOR THIS
VERY TIMELY CONVERSATION, AND
LET ME JUST SET THE TABLE WITH
THIS.
BY THE YEAR 2036... YOU BOTH
KNOW THIS, BUT I DIDN'T... ONE
IN FOUR CANADIANS WILL BE OVER
THE AGE OF 65.
ONE IN FOUR.
SO MUCH OF THE WAY SOCIETY LOOKS
TODAY IS PRESUMABLY GOING TO
HAVE TO CHANGE IF WE'RE GOING TO
ACCOMMODATE THAT NEW REALITY.
ZAYNA, START US OFF.
THE DESIGN OF RETIREMENT HOMES
TODAY.
HOW DO YOU THINK 25 YEARS FROM
NOW WE'RE GOING TO REGARD THEM?

The caption changes to "Zayna Khayat. S.E. Health."
Then, it changes again to "Retiring the retirement home?"

Zayna says I OFTEN THINK
OF HOW WE REGARD THAT WE
INSTITUTIONALIZE PEOPLE WITH
MENTAL HEALTH.
THAT'S WHAT WE'RE GOING TO THINK
ABOUT.
WE DIDN'T THINK THAT OLDER
ADULTS COULD AGE IN THEIR HOMES.
IF YOU REMEMBER WAY BACK, FIRST
WHEN PEOPLE RETIRED, WE PUT THEM
IN ALMS HOUSES, CHARITIES FUNDED
THEM, THEN NURSING HOMES, THEN
FUNERAL HOMES.
THAT WHOLE EQUATION IS CHANGING
NOW BECAUSE THE NEXT GENERATION
OF OLDER ADULTS IS NOT GOING TO
AGE THE WAY THEIR PARENTS DID
AND THEIR GRANDPARENTS DID.

Steve says WHY, IN WHICH CASE
THEN, HISTORICALLY HAVE WE
DESIGNED THE SYSTEM THE WAY WE
HAVE DESIGNED IT?

The caption changes to "Sue Lantz. Collaborative Aging."

Sue says WE WEREN'T
LIVING AS LONG, NUMBER ONE.
SO WE WENT INTO A RETIREMENT
HOME FOR A FEW YEARS BEFORE WE
MAY HAVE GONE INTO A LONG-TERM
CARE OR NURSING HOME AND PASSED
AWAY.
NOW WITH 30 YEARS OF LONGEVITY,
THE INSTITUTIONAL MODEL OF
RETIREMENT HOMES DOESN'T MAKE
ANY SENSE, AND PEOPLE WANT TO BE
PART OF COMMUNITIES, THEY WANT
TO BE PART OF NEIGHBOURHOODS,
THEY WANT TO BE CLOSER TO
DIFFERENT GENERATIONS.
SO WE'RE GOING TO LOOK BACK ON
RETIREMENT HOMES AND SAY, "THAT
WAS A MODEL THAT WORKED WHEN WE
WERE LIVING THERE FOR TWO OR
THREE YEARS, BUT IT'S NOT A
MODEL THAT WORKS FOR OUR
GENERATION WHO ARE AGING."

Zayna says YOU CAN
ALMOST CHALLENGE THE WORD RETIREMENT.
GERMANY, WHERE THE AVERAGE AGE
OF DEATH WAS 65, SO THE AGE OF
RETIREMENT WAS 55, BUT IT'S JUST
NOT THAT ANYMORE.
JOSEPH COUGHLIN IS A GURU ON
THIS, THE MIT AGING LAB.
HE SAYS 25 YEARS AFTER
RETIREMENT WILL BE THE NORM.
THINK ABOUT FROM ZERO TO 28, HOW
MUCH HAPPENED IN YOUR LIFE,
RIGHT?
IT'S AN ENTIRE LIFETIME IS NOW
WHAT USED TO HAPPEN IN, YEAH,
FOUR OR FIVE YEARS.

Steve says SO YOU TWO ARE SING
SINGULARLY RESPONSIBLE FOR THE
WAY WE'RE GOING FORWARD.
YOU HAVE TO TELL ME, HOW ARE THE
DESIGNS FOR SENIOR LIVING GOING
FORWARD GOING TO HAVE TO CHANGE?
START US OFF.

The caption changes to "A caption reads "Not your grandparent's retirement home."

Sue says MY PREMISE IS THIS.
WE WILL NOT CHANGE THE DESIGNS
OF THE MODELS FOR SENIORS UNLESS
WE... AND I NOW AM 60...
BOOMERS, ACTUALLY ENGAGE IN THE
THINKING OF WHAT WE WANT.
WE NEED TO CO-DESIGN THE
SOLUTIONS.
WE CAN'T WAIT FOR THE SUPPLIERS
TO GENERATE THE OPTIONS FOR US.
WE HAVE TO STEP IN.
WE HAVE TO NUDGE OURSELVES.
WE HAVE TO GET... USE OUR 60s
TO THINK ABOUT OUR 80s.
AND SO SUSTAINING OURSELVES INTO
OUR 80s AND THRIVING.
WE'RE NOT GOING TO RETIRE.
THE ESSENCE OF SUCCESSFUL AGING
IS ACTUALLY CONTRIBUTING.
SO HOW ARE WE GOING TO
CONTRIBUTE?
WELL, WE'RE NOT GOING TO
CONTRIBUTE BY LIVING IN AN
INSTITUTIONAL SETTING.
WE'RE GOING TO CONTRIBUTE BY
CUSTOMIZING THE NEIGHBOURHOODS
WE WANT TO LIVE IN AND
CONTRIBUTING TO THE OPERATING OF
THOSE NEIGHBOURHOODS, AND
HELPING ONE ANOTHER.
CARE-GIVING IS THE FUTURE.
WE'RE GOING TO RELY ON OUR
FRIENDS AS WELL AS FAMILY
MEMBERS AND NEIGHBOURS AS
CARE-GIVERS.
WE'RE GOING TO RECEIVE AND GIVE
HELP.
SO WE HAVE TO CO-DESIGN, WE HAVE
TO STEP IN, AND THAT'S HARD TO
DO.

Steve says WHAT DO THOSE NEWLY
DESIGNED COLLABORATIVE
NEIGHBOURHOODS LOOK LIKE?

The caption changes to "Zayna Khayat. Rotman School of Management."

Zayna says I'LL GIVE A FEW EXAMPLES.
I'M A FUTURES STRATEGIST.
WE LOOK ALL OVER THE WORLD TO
SEE HOW OTHERS ARE ADAPTING TO
AGING AND SEEING WHAT CAN
TRANSLATE HERE, TESTING THEM
WITH PEOPLE AND THEIR FAMILIES.
WE'RE WRITING A BOOK CALLED "THE
FUTURE OF AGING," WE'LL BE BACK
ON THIS SHOW, STEVE.
CHAPTER ONE IS CALLED THE FUTURE
OF SENIOR LIVING COMMUNITIES.
IN THERE WE OUTLINE THESE EIGHT
CONCEPTS THAT ARE EMERGING OF
WHAT WE'RE SEEING IN EUROPE AND
CALIFORNIA AND A FEW POCKETS OF
CANADA.
SO JUST A COUPLE EXAMPLES.

Steve says PLEASE.

Zayna says ONE IS DEMENTIA VILLAGES.
THERE ARE OTHER VILLAGES WHERE
THE WHOLE CITY IS FOR A
POPULATION THAT HAS SOME COMMON
FEATURE, IT COULD BE AUTISM, IT
COULD BE DISABILITY.
THESE HAVE BEEN AROUND 25, 30
YEARS IN THE NETHERLANDS...

Steve says LET ME UNDERSTAND
THIS.
DOES THAT MEAN EVERYBODY THAT
LIVES IN THAT VILLAGE HAS AUTISM
OR DEMENTIA...

Zayna says YES, YES.
WE'VE HAD DELEGATIONS FROM
CANADA GO DOWN AND VISIT THESE,
PARTICULARLY IN DENMARK AND THE
NETHERLANDS.
THE FIRST DEMENTIA VILLAGE IN
CANADA IS OPENING UP IN BRITISH
COLUMBIA, AND THE FIRST IN THE
UNITED STATES JUST OPENED IN
CALIFORNIA.
SO WE'RE ABOUT TWO DECADES
BEHIND.
IT'S A VERY INTERESTING CONCEPT
WHERE YOU RE-THINK EVERYTHING.
THE BUILT ENVIRONMENT.
THE HOUSING.
THE CARE.
EVERYTHING.
THAT'S JUST ONE OF THESE KIND OF
EIGHT CONCEPTS WE EXPLORE IN OUR
BOOK.

Steve says JUST ON THE FACE OF
THAT, HAVING... SORRY.
HOW MANY PEOPLE WOULD LIVE IN A
DEMENTIA VILLAGE?

Zayna says IT COULD RANGE FROM 500 INTO
THE THOUSANDS.

Steve says THE OBVIOUS QUESTION
IS: CAN YOU IMAGINE 500 TO A
THOUSAND PEOPLE ALL WITH
DEMENTIA LIVING IN A SINGLE
NEIGHBOURHOOD?

Sue says VILLAGE.

Steve says A SINGLE VILLAGE?
I'M GUESSING A LOT OF PEOPLE
CAN'T.
HOW DOES IT WORK?

Sue says IT DOESN'T MEAN
IT'S ONLY PEOPLE WITH DEMENTIA.
A LOT OF THOSE DEMENTIA VILLAGES
HAVE YOUNGER PEOPLE
PARTICIPATING.
STUDENTS LIVING IN THE VILLAGE
PART TIME, CARE-GIVING.
THERE ARE SORT OF
INTERGENERATIONAL AMENITIES,
LIKE THE RETAIL SPACES IN THOSE
VILLAGES.
SO IT'S NOT COMPLETELY
EXCLUSIVE.
BUT, YEAH, WE CAN DESIGN
VILLAGES TO BE SORT OF SINGLE
PURPOSE, IF YOU WILL, FOR A
SPECIFIC POPULATION.
I'M ALSO INTERESTED IN THE
MULTI-GENERATIONAL AND
MULTI-DIMENSIONAL VILLAGES.

Steve says TALK MORE ABOUT THAT.
MULTI-GENERATIONAL MEANING WHAT?

The caption changes to "Mixed generation housing."

Sue says MEANING YOUNG FAMILIES WITH
SENIORS AND MIDDLE-AGED PEOPLE
LIVING ALL IN ONE VILLAGE AND
SHARING FACILITIES LIKE KITCHENS
AND GARDENS AND THE CO-HOUSING
MOVEMENT THAT IS CERTAINLY
WELL-ESTABLISHED IN DENMARK AND
EUROPE, AND IN THE STATES
THERE'S OVER 50 CO-HOUSING
COMMUNITIES.
THESE ARE CUSTOMIZED
NEIGHBOURHOODS WHERE PEOPLE CAN
SPONTANEOUSLY CONNECT, AND WE
KNOW THAT SUCCESSFUL AGING
INVOLVES SOCIAL CONNECTIONS,
MEANINGFUL SOCIAL CONNECTIONS.
AND SO THESE VILLAGE FORMATS OF
ORGANIZING HOW WE LIVE AND WHERE
WE LIVE ARE THE WAY OF THE
FUTURE.

Steve says CAN I JUST... LET'S
PUT A LITTLE MORE MEAT ON THIS
BONE HERE.
ARE WE TALKING VERY LARGE
TOWNHOUSES WHERE MULTIPLE
FAMILIES ALL LIVE TOGETHER IN
THE SAME PLACE?
IS THAT WHAT WE'RE TALKING ABOUT?

The caption changes to "Zayna Khayat, @ZaynaKhayat."

Zayna says IT'S ALL MIXED.
WE'VE BEEN LOOKING AT AND
PROTOTYPING AND TESTING OUT,
SOME ARE CLUSTERS, WHERE YOU MAY
HAVE 8 PODS, YOU HAVE YOUR OWN
ROOM TO SLEEP IN AND EVERYONE
SHARES A KITCHEN FACILITY.
THINK OF A DORM.
OTHERS COULD BE SINGLE FAMILY
UNITS OR APARTMENTS, IT COULD BE
IN A TOWNHOUSE COMPLEX, IT COULD
BE TALL, IT COULD BE WIDE.
THERE'S LOTS OF COMBINATIONS
DEPENDING ON ZONING, DEPENDING
ON COST.
I JUST WANT TO COME BACK TO
INTERGENERATIONAL.
UNLIKE DEMENTIA VILLAGES WHERE
CANADA IS SCRATCHING THE SURFACE
AND AGAIN THEY'VE BEEN AROUND
25, 30 YEARS IN EUROPE, THIS
CONCEPT OF TOO MUCH HOUSE.
SO INSTEAD OF DESIGNING
COMPLETELY, YOU KNOW, OLDER
ADULTS WHO HAVE A LOT OF HOUSE,
DON'T WANT TO LEAVE THEIR HOUSE,
WHICH IS GREAT, AND THEN THERE'S
STUDENTS OR OTHERS WHO NEED
HOUSE, WHO CAN HELP, SO THERE'S
NOW PROGRAMS THAT ARE
GOVERNMENT-ENABLED, INCLUDING A
FEW JUST ANNOUNCED IN TORONTO IN
THE LAST FEW MONTHS THAT WILL
CONNECT THOSE TWO TOGETHER.
YOU HAVE A WIN-WIN.
YOU'RE SOLVING A SENIORS HOUSING
AND CARE PROBLEM, BUT STUDENT
HOUSING IS ANOTHER PROBLEM.
THEY'RE DIFFERENT.
SO THE TWO COME TOGETHER.

The caption changes to "Connect with us: Twitter: @theagenda; Facebook, agendaconnect@tvo.org, Instagram."

Steve says THAT SOUNDS LOVELY.
CAN I PUSH BACK ON THAT A LITTLE BIT?

Zayna says SURE.

Steve says BECAUSE, OKAY, I'M
GOING TO GET IN TROUBLE FOR
SAYING THIS BUT I'M GOING TO SAY
IT ANYWAYS.
I KNOW LOTS OF SENIORS WHO DON'T
WANT KIDS AROUND AND LOTS OF
KIDS WHO AREN'T THRILLED WITH
THE IDEA OF LIVING WITH
OCTOGENARIANS.
IS THIS REALLY GOING TO WORK?

Sue says ONE SIZE DOES NOT FIT ALL.
IT'S A SUBJECTIVE DECISION.
A LOT OF SENIORS DO LIKE LIVING
WITH ONE ANOTHER AND THERE ARE
SENIORS CO-HOUSING PROJECTS TOO
AND SENIORS COMMUNITIES, AND
SOME RETIREMENT COMMUNITIES HAVE
BEEN BUILT AROUND THE IDEA OF
ADULT LIFESTYLE.
SO THERE IS A NEED FOR CHOICE.
THERE'S A NEED FOR A CONTINUUM.
BUT I THINK YOU CAN'T... WE
CAN'T SORT OF ONE-SIZE-FITS-ALL,
AS I SAY, YOU'VE GOT TO
CUSTOMIZE.
THIS IS WHERE YOU CAN'T
CUSTOMIZE UNLESS YOU STEP IN AND
HELP DESIGN WHAT YOU ENVISION
FOR YOURSELF.
SO I KNOW MYSELF, I'M GOING TO
WANT TO LIVE NEAR OTHER
GENERATIONS.
I HAVE A DOG.
I LOVE WALKING THE DOG.
I LOVE INTERACTING WITH
CHILDREN.
I AM A VOLUNTEER.
I WANT TO CONTRIBUTE.
I NEED THE BUILT FORM THAT'S
GOING TO MATCH MY PRIORITIES AND
MY LIFESTYLE, AND I THINK THAT
WHAT WE NEED TO DO IS GETTING
BOOMERS THINKING ALONG THESE
LINES.
WHAT IS IT THAT THEY DO
ENVISION?
SOME PEOPLE LOVE TO LIVE ON THE
SIDE OF A GOLF COURSE AND WITH
OTHER PEOPLE THEIR AGE.
FINE.
THAT'S GOOD TOO.
BUT WE DO NEED TO MAKE SURE,
WHATEVER WE DO, WE HAVE THE
OPPORTUNITY FOR SOCIAL
CONNECTION, BECAUSE THAT IS THE
SECRET SAUCE OF AGING WELL.

Steve says GO AHEAD.

Zayna says JUST TO ADD
ON THE ONE SIZE FITS ALL, RIGHT?

Steve says OR DOESN'T FIT ALL.

Zayna says WHAT WE HAVE TODAY IS A ONE
SIZE FITS ALL.
THIS IS THE THING.
WE HAVE NOT INNOVATED ON THE
RETIREMENT LIVING MODEL.

Sue says EXACTLY.

Zayna says LIKE BEIGE WITH A LITTLE BIT
OF BURGUNDY, ARE YOU KIDDING ME,
AND ONE PRICING.
AS A SOCIAL ENTERPRISE,
80 PERCENT OF SENIORS IN CANADA
ARE ON A FIXED INCOME, MEDIAN
INCOME 27,000 dollars.
THEY CAN'T EVEN AFFORD, EVEN IF
THEY WANTED TO GO TO BEIGE, THEY
CAN'T AFFORD IT.
AND SO WE'RE LOOKING AT, WHAT
ARE THESE NEW CONCEPTS THAT
BRING AFFORDABILITY, AGENCY,
CHOICE, COMMUNITY...

Sue says SHARED COSTS.

Zayna says YOU WOULDN'T ADD THOSE WORDS
UP TOGETHER IN WHAT'S CURRENTLY
ON OFFER.

Steve says CAN I ADD ONE
UNCOMFORTABLE ADDITIONAL ELEMENT
TO THIS MIX, AND THAT IS
POLITICS?
IN ORDER TO ACHIEVE
WHAT I THINK YOU'RE TALKING
ABOUT HERE, IT'S GOING TO
REQUIRE SOME NEW THINKING AT
CITY HALL, SOME REZONING, SOME
ALLOWING THINGS TO HAPPEN
DIFFERENTLY THAN THE WAY THEY
HAPPEN NOW, AND NIMBYISM HAS
ALMOST NEVER BEEN WORSE.
HOW ARE YOU GOING TO MAKE THAT HAPPEN?

Zayna says I'LL TELL YOU, IN TORONTO,
IT'S HAPPENING.
WITH THE HOUSING STRATEGY, LAND
IS BEING AVAILABLE.
THERE WAS A GREAT PIECE OF
PROPERTY AT LANSDOWNE AND BLOOR.

Steve says WEST END.

Zayna says FOR 600 UNITS.
FULL SENIOR CAMPUS.
ONLY COULD BE BID ON BY A
NON-PROFIT FOR SENIORS FOR THE
WHOLE CONTINUUM OF CARE.
THERE'S MANY, MANY MORE PARCELS.
WE'VE BEEN TRAVELLING IN ONTARIO
AND CANADA.
THERE'S NOT A SINGLE COMMUNITY
WE VISITED THAT SAID PLEASE
BUILD ONE YESTERDAY FOR US.
ANY OF THE CONCEPTS SHE
DESCRIBED, EVERY CITY WANTS IT.
SO THIS IS ONE WHERE I ACTUALLY
THINK FEDERAL POLITICAL IS
ALIGNED BECAUSE CAMH HAS MADE
FUNDING AVAILABLE AT VERY GOOD
RATES.
PROVINCIAL AND EVERY SINGLE
CITY.
I DON'T KNOW ANYONE WHO IS
AGAINST OR GOING TO BE IN THE
WAY OF THIS.

Steve says OKAY.
LET'S SHOW A CLIP.
THIS IS A LOOK AT A RETIREMENT
HOME IN SEATTLE THAT IS ALSO
APROPOS OF THIS
INTERGENERATIONAL, DAY CARE AS
WELL.

A clip plays. Fast clips show children playing with a colourful flag.

A female voice says YOU HAVE TO BE A GROWNUP SOMETIME.

A toddler says NO?

An elderly man plays with the children. Then, an elderly woman helps a toddler put on a jacket.

She says I DON'T KNOW IF I CAN DO IT.
I CAN'T EVEN DO IT.

A caption appears on screen. It reads "The growing season."

An elderly man says CAN YOU GET IT IN THERE?

A young woman says KEEP WORKING ON IT.

An older man sitting at a table with two toddlers sings.

In an interview, an elderly man with teary eyes says YOU KNOW HOW YOU LOVE
SOMEBODY AND THEY GIVE YOU SOMETHING?
YOU KNOW HOW HARD IT IS ON YOUR HEART?

The clip ends.

Steve says SUE, WHAT DO WE THINK?

The caption changes to "Mixed generation housing."

Sue says MM, BEAUTIFUL.
THIS IS THE MAGIC OF
MULTI-GENERATIONAL CONTACT.
IT CAN EITHER BE IN HOUSING, OR
IT CAN ALSO BE IN COMMUNITIES.
THERE ARE PROGRAMS LIKE SENIORS
WHO VOLUNTEER AND READ IN
SCHOOLS WITH CHILDREN AND FORM
RELATIONSHIPS.
THIS IS GOOD FOR SENIORS.
IT'S GOOD FOR CHILDREN.
IT'S GOOD FOR SOCIETY.

Steve says IS IT HAPPENING IN
CANADA YET?

Sue says YES, IN SMALL WAYS.

Zayna says SMALL POCKETS.

Sue says SMALL POCKETS.
BUT THE IDEA OF CUSTOMIZING BACK
TO NEIGHBOURHOODS AND
COMMUNITIES AND BUILDINGS.
WHY NOT BUILD IN A CHILD CARE
CENTRE INTO A NEIGHBOURHOOD OR A
SET OF TOWNHOUSES?
AND WE DESCRIBE THOSE IN THE
CO-HOUSING AS SORT OF... NOT
SORT OF HIGH STACKED TOWNHOUSES
BUT LOW-RISE TOWNHOUSES WHERE
THERE'S LANEWAYS AND COMMUNITY
SPACES WHERE CHILDREN CAN COME
TO DAY CARE AND SENIORS CAN BE
VOLUNTEERING.
THIS IS THE SUCCESS.

Steve says I DON'T WANT TO BE A
KILL JOY HERE, BUT THAT WAS A
LOVELY CLIP WITH NICE SOFT MUSIC
IN THE BACKGROUND AND NO
CHILDREN SCREAMING OR FIGHTING
OR CRYING AND NO ADULTS, YOU
KNOW, FORGIVE ME, DEALING WITH
THE ISSUES THAT THEY MAY HAVE TO
DEAL WITH WHEN THEY GET TO THAT
AGE.
DOES THAT PUT JUST A LITTLE BIT
TOO SWEET A PICTURE ON THE
REALITY OF TRYING TO DO THAT?

Zayna says LOOK, ALL
THIS STUFF IS EVIDENCE-BASED.
I WAS REFLECTING... TORONTO GOT
VERY LUCKY IN AUGUST OF LAST
YEAR, WE GOT TO HOST THE
INTERNATIONAL FEDERATION OF
AGING.
THIS IS A VERY BIG DEAL THAT
THEY CHOSE TO BRING THE WORLD
HERE TO DISCUSS ALL ISSUES.
THIS INTERGENERATIONAL STUFF,
YOU KNOW, WAS MANY, MANY
SESSIONS AT THIS CONFERENCE,
WITH EVIDENCE, RIGHT?
SO YOU DON'T JUST GO DO IT AND
HOPE FOR THE BEST.
THERE'S SOME PRETTY GOOD
EVIDENCE.
AS SUE WAS SAYING, WHEN YOU
DESIGN A NEW WAY OF LIVING, IT'S
VERY ITERATIVE.
YOU TRUST SOMETHING.
IT DOESN'T WORK.
YOU TRY SOMETHING ELSE.
THAT'S THE SPIRIT OF THIS NEW
WAY OF DESIGNING LIVING
COMMUNITIES.
INSTEAD OF, AGAIN, ONE SIZE FITS
ALL, YOU GET WHAT YOU GET, YOU
KNOW, PAY THE MONTHLY RATE.

Steve says WHAT DO THESE ADULT
DAY CARE CENTRES THAT ARE SORT
OF RECREATED TOWNS, LIKE
STEPPING INTO THE PAST, DESCRIBE
THAT AGAIN FOR US?

Zayna says AGAIN, WE HAVE ADULT DAY
CARES HERE.
MEMORY GROUPS IS SOMETHING WE
HAVE A LOT OF TIME FOR AND THERE
ARE MANY OTHERS.
YOU CAN BRING YOUR LOVED ONE TO
COME AND SPEND THE DAY AND GET
SERVICES AND COMMUNITY AND ALL
THESE THINGS, BUT THEY DON'T
HAVE TO LIVE PERMANENTLY THERE.
THIS GROUP IN THE UNITED STATES
HAVE STARTED THESE TOWN CENTRES.
THEY'RE FRANCHISING THEM ACROSS
THE COUNTRY IN STRIP MALLS, THE
BASIC IDEA, AND I'M NOT A BRAIN
SCIENTIST, THE FORMATIVE AGES OF
THE CURRENT ADULT POPULATION IS
THE 40s AND 50s, THEY
RECREATE THE MALT SHOP OR THE
MOVIE OR THE DRIVE-IN.
THAT IS THE DAY CARE.
THEY'RE EXPERIENCING LIFE AS IT
WAS THEN.
IT TRIGGERS A NEW SET.
AND IT BRINGS HEALING AND
THERAPIES.
REMINISCENT THERAPIES.
IT'S LOW COST.

Steve says ARE WE LATE TO THE PARTY?

Sue says NO.
THE DAY PROGRAMS YOU'RE TALKING
ABOUT OR DAY CARE, I CALL IT A
DAY PROGRAM, BUT THESE DAY
PROGRAMS CAN BE REALLY RICH IN
ARTS, MUSIC, INTERGENERATIONAL
CREATIVE WORK, AND THAT IS ALSO
SO SUSTAINING, BUT ALSO THE
OTHER DIMENSION TO THESE DAY
PROGRAM MODELS IS THAT THOSE
THAT ARE LIVING WITH SOMEONE WHO
THEY ARE CARING FOR GET A BREAK
WHERE THAT PERSON GOES TO THE
DAY PROGRAM.
MY RESEARCH IN THE CARE-GIVING
WORLD HAS SHOWN THAT WE HAVE TO
OFFER MORE OF THESE KIND OF
CREATIVE SOLUTIONS, BOTH FOR THE
PERSON WHO WANTS AND NEEDS THE
PROGRAM BUT ALSO FOR THE
CARE-GIVERS, TO GIVE THEM A
BREAK, TO SUSTAIN CARE-GIVING.

Steve says HOW DOES REZONING
LANEWAYS AFFECT THIS?

Zayna says THIS IS ONE
WHERE CALGARY HAS A
NEIGHBOURHOOD THAT HAS KIND OF
TAKEN THIS ON.
FROM AN ACADEMIC LENS, BUT
NONETHELESS...
THEY'RE VERY COMMON IN
CALIFORNIA AND OTHER PLACES.
THINK OF A COACHHOUSE.
THAT'S THE OTHER WORD FOR THESE.
INSTEAD OF HAVING TO HAVE YOUR
MOTHER OR FATHER GO SOMEWHERE
ELSE, YOU HAVE A LITTLE PROPERTY
ON YOUR PROPERTY WITH A MINI
HOUSE FOR THEM.
THEY GET INDEPENDENCE BUT
THEY'RE CLOSE AND THEY DON'T
TAKE UP TOO MUCH LAND.
YOU KILL TWO BIRDS WITH ONE
STONE.
THERE'S GROWING POPULARITY.

Steve says ANY OF THIS
ECONOMICALLY FEASIBLE?
IT SOUNDS EXPENSIVE.

Sue says LANEWAY HOUSING?

Steve says ALL OF THE ABOVE.
EVERYTHING WE'VE BEEN TALKING
ABOUT.

Sue says ACTUALLY, THE CO-HOUSING
MODEL IS AT LEAST ON PAR OR LESS
COST FOR SURE BECAUSE YOU'RE
SHARING ALL THESE AMENITIES AND
YOU'RE EVEN SHARING THE CARE.
AND THIS IS AN AREA THAT I'M
VERY INTERESTED IN, IS RATHER
THAN ONE TO ONE, A HOME CARE
WORKER COMING INTO A PERSON'S
HOME AND YOU PAY FOR THAT ONE
VISIT AND YOU PAY ONCE YOURSELF,
THAT ADDS UP TO 3,000 dollars A MONTH
IF YOU NEED CARE EVERY DAY FOR
AN HOUR OR TWO.
IF I SHARE OR CLUSTER THE CARE,
CO-CARE, IF YOU WILL, THAT MAKES
THIS MORE AFFORDABLE.
I SEE THESE SOLUTIONS AS MORE
AFFORDABLE.
YES, FROM A REAL ESTATE POINT OF
VIEW, YOU MAY HAVE TO INVEST IN
LANEWAY HOUSING, BUT YOU CAN
CREATE THAT LANEWAY HOUSING AND
HAVE A LIVE-IN CARE-GIVER THERE.
THAT'S A LOT LESS COSTLY MODEL
TOO, THE LIVE-IN CARE-GIVER.
THE PERMUTATIONS ARE QUITE
ENDLESS, AND I THINK WE HAVE TO
DISCOVER THEM.

Zayna says IF A
DEVELOPER DOESN'T HAVE A
BUSINESS MODEL, THEN IT WON'T
WORK, OF COURSE.
THE BUSINESS MODEL HAS TO BE
THERE.
AGAIN, BECAUSE THE MEDIAN INCOME
IS A FIXED INCOME GENERALLY FOR
MOST CANADIAN ADULTS, OLDER
ADULTS, YOU KNOW, WE ARE
FOCUSING ON, IT HAS TO BE
AFFORDABLE OR ELSE THERE IS NO
BUSINESS MODEL.

Steve says WHERE DOES DIGITAL
FIT INTO ALL OF THIS.
DO YOU WANT TO START?

Zayna says I CAN TAKE THIS ONE.
LOOK, THERE'S ALL THIS MYTHOLOGY
AROUND OLDER ADULTS AND THEIR
FACILITY WITH TECHNOLOGY.
YOU KNOW, MORE PEOPLE OVER 55
DOWNLOAD APPS THAN PEOPLE UNDER 20?

Steve says C'MON.

The caption changes to "The digital wave and the grey tsunami."

Zayna says OH, YEAH.
PEOPLE UNDER 20 PRETTY MUCH ONLY
KNOW HOW TO TEXT.
OLDER ADULTS CAN USE AN
IPAD... YOU KNOW.
SO THERE'S A LOT OF DATA AROUND
USE OF TECHNOLOGY, BUT AS SUE
SAID, THERE'S ALWAYS A
SEGMENTATION, JUST LIKE YOU
MIGHT BE A LUDDITE BUT I'M NOT.
MAYBE WE'RE IN THE SAME CAMP.
OR THE OTHER WAY AROUND.
SO ANYWAY, A COMBINATION OF THIS
GENERATION ARE BECOMING DIGITAL
NATIVES, AND THEN WHEN THEY
RELOCATE HOUSING, THEY'RE
EXPECTING INTERNET AND ALL THIS
STUFF.
SECONDLY, THE SUPPLY OF NEW
TECHNOLOGIES TO AGE IN PLACE
SAFELY WITH ALL THE MONITORING
BUT NOT INTRUSIVELY.
LAST YEAR SENIORS, MAYBE A
COUPLE THINGS.
THIS YEAR, ENTIRE STREAMS.
HUNDREDS AND HUNDREDS OF
INNOVATORS.
WE WROTE A BLOG ABOUT IT.
IT IS COMING.

Steve says WHAT KIND OF STUFF?
WHAT ARE THEY SHOWING?

Zayna says EVERYTHING FROM SENSORS IN
THE FLOORS, IN THE WALLS, IN THE
SHEETS... NOT THAT THEY'RE
WATCHING YOU 24-7, BUT WHERE IS
THE PATTERN NOT THE SAME?
IF GRANDMA EVERY DAY GOES TO THE
BATHROOM, THEN MAKES COFFEE AND
WATCHES JERRY SPRINGER OR
"THE AGENDA," THEN ALL OF A
SUDDEN THAT PATTERN HAS NOW
CHANGED, YOU HAVE A SET OF
THRESHOLDS OR ALERTS OR THINGS
LIKE THAT, WANDERING...

Sue says DEMENTIA.

Zayna says SO MANY SENSORS.

Sue says I THINK, THOUGH, IN A
PRACTICAL WAY, ONE OF THE AREAS
I'VE LOOKED INTO IS MODIFYING
ONE'S HOME FOR AGING IN PLACE OR
MODIFYING ONE'S RESIDENCE.

Steve says WHAT DOES THAT INVOLVE?

Sue says EVERYTHING FROM STAIR GLIDES
AND ELEVATORS TO SMALL LITTLE
ADAPTIVE THINGS IN YOUR KITCHEN
TO MAKE IT EASIER, OR IT CAN
INCLUDE HIGH-TECH ELECTRONIC
MIRRORS THAT TELL YOU THAT
YOU'RE BEHAVING DIFFERENTLY,
LOOKING DIFFERENTLY, AND YOU MAY
HAVE EARLY DEMENTIA.
I THINK WE DO HAVE TO GET
PRACTICAL TOO.
IF WE'RE GOING TO STAY IN OUR
OWN HOMES, WHAT DOES THAT TAKE?
LIVING ON ONE LEVEL.
IS THERE AN ENTRANCEWAY THAT WE
CAN GET INTO EASILY?
ALL OF THESE PRACTICAL THINGS
HAVE TO BE THOUGHT THROUGH, AND
THE MARKETPLACE IS PROVIDING A
LOT OF THOSE IDEAS AND SOLUTIONS
IF WE ARE WILLING TO ENGAGE IN
THAT THINKING.

Steve says WE ALL KNOW WHAT A
RENAISSANCE IS BUT I'M SEEING
THIS TERM FOR THE FIRST TIME, IS
IT CALLED THE BOOMASAINCE,
BECAUSE THE BOOMERS ARE HAVING A
RENAISSANCE.
THE FUTURE OF SENIOR LIVING IS
GOING TO INCLUDE A CROP OF NEW
TARGETS I GUESS AIMED...
TARGETED FOR THIS DEMOGRAPHIC WE
DON'T KNOW ABOUT NOW.
CAN YOU IMAGINE WHAT THAT IS
GOING TO ENTAIL?

The caption changes to "The Boomaissance."

Zayna says A BOOK WAS WRITTEN ABOUT
THIS.
I CAN'T GIVE IT JUSTICE IN 25
SECONDS.
LOOK, A BOOMER WAS BORN EVERY 10
SECONDS.

Steve says BACK IN THE DAY.

Zayna says IN TWO YEARS, THEY WILL TURN
75.
IT'S JUST A HUGE... IT'S NOT
GRADUAL, AND SO IF YOU FOLLOW
THAT GENERATION FROM WHEN THEY
WERE BORN, ENTIRE NEW MARKETS
AND PRODUCTS WERE CREATED THAT
DIDN'T EXIST.
PAEDIATRICIANS.
ZERO TO 400,000.
FAST FOOD.
McDONALD'S WAS CREATED BECAUSE
OF THE BOOMERS.
SUBURBS.
BOOMERS.
REFRIGERATORS AND APPLIANCES.
BOOMERS CREATED THAT.
WE DON'T EVEN KNOW WHAT THIS
NEXT THING IS, BUT THERE'S A LOT
OF PEOPLE LOOKING AT IT.

The caption changes to "Producer: Eric Bombicino, @ebombicino."

Steve says THAT'S VERY COOL.
I WANT TO THANK BOTH OF YOU FOR
COMING IN TONIGHT AND SORT OF
GIVING US A GLIMPSE OF OUR NOT
TOO DISTANT FUTURE, ZAYNA KHAYAT
AND SUE LANTZ.
GREAT TO HAVE BOTH OF YOU HERE
AT TVO TONIGHT.
THANKS SO MUCH.

Sue says THANKS, STEVE.

Watch: The Future of Senior Care