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Making Honolulu an Age-Friendly City: an Action Plan

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Making Honolulu an Age-Friendly City: an Action Plan Making Honolulu an Age-Friendly City: An Action Plan Final June 2015 Making Honolulu an Age-Friendly City: An Action Plan Prepared by: Final The University of Hawai‘i Center on Aging June 2015 Mayor's Letter i This page is intentionally left blank. ii Mayor's Letter Congressman Takai Letter iii This page is intentionally left blank. iv Congressman Takai Letter Mahalo to our Sponsors! Visionary Sponsor Fiscal Sponsor Leader Sponsors Friend Sponsor Sponsor Brought to Hawaii by Mahalo to our Sponsors! v Acknowledgements Th e Steering Committee acknowledges the following with our thanks: Honolulu City Council Citizen's Advisory Committee Members Technical Committee Members Kaiser Permanente Hawaii Key Informant Interviewees Focus Group Participants AARP City and County of Honolulu Departments and Staff Department of Business, Economic Development, and Tourism, State of Hawai`i Department of Health, State of Hawai`i `Iolani School O`ahu Metropolitan Planning Organization (OMPO) Momi Cazimero Printing of this report was made possible through in-kind support from Kaiser Permanente Hawaii vi Acknowledgements Table of Contents Letter from the Mayor ................................................................................................i Letter from U.S. Congressman Mark Takai ............................................................ iii Mahalo to our Sponsors ............................................................................................v Acknowledgements ...................................................................................................vi List of Figures .........................................................................................................viii Executive Summary ..................................................................................................ix Introduction ..............................................................................................................1 Introduction to the Domains ..................................................................................13 Outdoor Spaces and Buildings ................................................................................15 Transportation .........................................................................................................29 Housing ..................................................................................................................45 Communication and Social Involvement .................................................................61 Civic Participation and Employment .......................................................................77 Community Support and Health Services ...............................................................91 Th e Road Ahead ....................................................................................................109 Appendices ............................................................................................................A-1 Appendices A: Implementation Grids ..................................................................................... A-3 B: Domain-Level Indicators ............................................................................... A-29 C: Programs and Services in the City and County of Honolulu ..........................A-45 D: References ..................................................................................................... A-51 E: List of Resources ............................................................................................ A-59 F: List of Acronyms and Abbreviations ............................................................... A-63 G: Citizen’s Advisory Committee Membership ...................................................A-67 H: List of Key Informants and Focus Group Locations ...................................... A-73 I: Public Input ....................................................................................................A-75 Table of Contents vii List of Figures Introduction Figure 1 – Vision for an Age-Friendly Honolulu ...................................................... 4 Figure 2 – Increase in 65+ Population in Honolulu 2010-2040 ...............................5 Figure 3 – Percent Older Adults ............................................................................... 5 Figure 4 – Consentration Older Adults .................................................................... 6 Figure 5 – Rating of Honolulu as a Place to Live Among Adults Age 45 and Older ..6 Figure 6 – Importance of Staying in One’s Own Community Among Adults Age 45 and Older ................................................................................................6 Figure 7 – Age-Friendly City GIS Homepage ...........................................................9 Figure 8 – Data Sources for Honolulu's Age-Friendly City Initiative ......................10 Figure 9 – Defi ning the City & County of Honolulu .............................................11 Figure 10 – Timeline for Honolulu's Age-Friendly City Initiative ...........................12 Outdoor Spaces and Buildings Figure 1-1 – Park Coverage, Island of O`ahu ..........................................................18 Figure 1-2 – Park Coverage, Honolulu Urban Core ................................................19 Transportation Figure 2-1 – U.S. Five-Year Pedestrian Fatality Rate, 2009-2013 ............................35 Figure 2-2 – Contributing Factors for Fatal Pedestrian Crashes in Hawai`i, by person type, 2008-2012 .................................................................................36 Figure 2-3 – Pedestrian Accidents Density 2011 to 2013 – Honolulu Urban Core .36 Figure 2-4 – Pedestrian Accidents Density 2011 to 2013 – Leeward Coast .............37 Figure 2-5 – Pedestrian Accidents Density 2011 to 2013 – Windward O`ahu ........37 Figure 2-6 – Biking Rates by Age Group 1995 - 2009 ............................................37 Housing Figure 3-1 – Housing Options for Older Adults .....................................................50 Communication and Social Involvement Figure 4-1 – Living Alone Age 65 and Older ..........................................................69 Civic Participation and Employment Figure 5-1 – Employment Age 65 and Older ..........................................................82 Community Support and Health Services Figure 6-1 – Integrated Care ................................................................................ 101 viii List of Figures Executive Summary Executive EXECUTIVE SUMMARY Making Honolulu an Age- Friendly City Background on Honolulu’s Age-Friendly City Initiative Honolulu is in the midst of an exciting transformation. With the vision and leader- ship of Mayor Kirk Caldwell and AARP Hawai‘i, Honolulu is committed to becom- ing an age-friendly city. According to AARP, an age-friendly city entails “an inclusive and accessible urban or suburban environment that encourages active and healthy aging.” In 2013, the City and County of Honolulu applied for and was accepted into the World Health Organization’s (WHO) Global Network of Age-Friendly Cities and Communities and AARP’s National Network of Age-Friendly Communities. Th is initiative was driven by the fact that Hawai‘i is the most diverse state, and is growing older at a faster pace than the rest of the nation. Executive Summary ix Organization of Honolulu’s Age-Friendly City Initiative Honolulu’s Age-Friendly City Initiative is led by a well-respected Steering Commit- Executive Summary Executive tee and supported by a Technical Committee that ensures this process is data driven. In addition, a Citizens Advisory Committee (CAC) was formed. Th e CAC is com- prised of nearly 90 prominent members of the community, including representatives from City and County Departments, for-profi t companies, non-profi t organizations, advocates and the academic community. Th e CAC members were divided into six workgroups, in alignment with WHO’s areas of focus. Honolulu's Age-Friendly City Domain Workgroups Outdoor Spaces & Transportation Housing Buildings Communication Civic Community & Social Participation & Support & Involvement Employment Health Services Th e University of Hawai‘i Center on Aging was selected as the consultant for Hono- lulu’s Age-Friendly City Initiative. Th e Center on Aging team coordinated Honolulu’s Age-Friendly City eff ort, facilitated the six workgroups, conducted focus groups and key informant interviews, and led in the development of the Action Plan. Th is Action Plan draws upon several sources of information/data: • Workgroup feedback • Focus groups and key informant interviews • Feedback from the Living Age-Friendly Summit • Feedback from the public comment period • AARP’s Livable Communities Survey of Honolulu • Geographic Information System website, created using data from multiple city sources x Executive Summary Timeline for Honolulu's Age-Friendly City Initiative May 2013 - Honolulu is accepted into WHO’s Global Network of Age-Friendly Cities and Communities Summary Executive and AARP’s National Network of Age-Friendly Communities 2013 June 2013 - Planning process begins, including selection of Citien Advisory Committee (CAC) members and UH Center on Aging consultants April 2014 - Honolulu’s workgroup process kicks off with its first CAC Meeting May 2014 - CAC members begin meeting as smaller workgroups, in alignment with the WHO domains June 2014 - Second CAC Meeting to present key problem areas and goals, and begin process of devel- 2014 oping
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