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Age-Friendly Communities Initiative: Public Health Approach to Promoting Successful Aging.
Dilip V Jeste1, Dan G Blazer2, Kathleen C Buckwalter3
1Departments of Psychiatry, University of California, San Diego, CA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, CA.
Summary
Older adults prefer aging in place, but communities lack support. A shift to community-based, prevention-focused approaches and age-friendly environments is essential for senior well-being.
Area of Science:
- Gerontology and Public Health
- Community Planning and Development
- Geriatric Psychiatry
Background:
- The global population is aging rapidly, increasing demand for senior healthcare services.
- Current healthcare infrastructure is insufficient to meet the physical and mental health needs of older adults.
- Older adults express a strong preference for aging in place, necessitating robust community support.
Purpose of the Study:
- To explore the concept and criteria of Age-Friendly Communities (AFCs).
- To examine existing AFC initiatives and their development stages.
- To advocate for the integration of mental healthcare within AFC frameworks.
Main Methods:
- Review of existing literature and initiatives on aging in place and Age-Friendly Communities.
- Analysis of criteria defining an Age-Friendly Community.
- Case study narration of AFCs in various developmental phases.
- Identification of challenges and solutions for creating age-friendly environments.
Main Results:
- Age-Friendly Communities (AFCs) foster older adult inclusion through infrastructure and services.
- Key AFC criteria include housing, environment, transport, social participation, and healthcare access.
- Successful AFCs involve active community participation and intergenerational components.
Conclusions:
- A paradigm shift to community-based, prevention-focused strategies is crucial for supporting aging in place.
- Academic geriatric psychiatry must actively contribute to AFCs to ensure parity of mental and physical healthcare.
- Developing age-friendly environments requires addressing infrastructure, services, and social support systems.
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