This document discusses the challenges of an aging population and the impact on the workforce as more employees take on eldercare responsibilities for parents and other relatives. It proposes "Silver Solutions", a program through St. Andrew's Resources for Seniors to provide services and support for caregivers to help them better manage their work and caregiving duties. The program would offer resources, coordination of services, and respite opportunities with the goals of increasing productivity, lowering healthcare costs, and retaining loyal employees.

1. The 21st Century Challenger: Balancing Work and Family Life

2. St. Andrew’s Resources For Seniors An Episcopal-Presbyterian Organization Serving Older Adults since 1961

3. St. Andrew’s Management Services St. Andrew’s At-Home Services

4. St. Andrew’s Resources For Seniors Own Independent Living Communities Own Skilled Nursing Facilities Partners with other faith based organizations: - HUD Facilities - Assisted Living Facilities Spiritual Outreach Ministry

5. St. Andrew’s Management Services Development Consultation Management Services

6. St. Andrew’s At-Home Services Geriatric Care Management Services Membership Program Select Provider Network Supportive Services Enhancement Services

7. Overarching Goal Provide care and support Ensure a holistic approach Retain a strong focus on prevention Offer an easy access system Commit to the least restrictive environment

8. An Aging Society “Just over the horizon looms a demographic time bomb for the nation’s employers, and nobody has figured out yet how to defuse it.” -Wall Street Journal

9. An Aging Nation By 2030 there will be about 70 million older persons -- twice their number in 1990 47% of older women are widows -- 5x as many widows (8.5 million) as widowers (1.7 million) 30% of all noninstitutionalized older persons live alone 5% of 65+ persons live in nursing homes 1% for persons 65-74 6% for persons 75-84 24% for persons 85+

10. An Aging Nation

11. An Aging Region 17.9% of St. Louis County population is over 65 Metropolitan area is higher than the national average St. Louis County has a disproportionate share of older women living alone with grown children living outside the state Only 4.5% of those 65 years or older reside in nursing homes

12. Missouri 12th with largest number of 65+ 10th with highest percent 9th with oldest 85+ population 70% of 85+ are widowed 40% of 85+ live alone

13. An Aging Society The Need For Personal Assistance With Everyday Activities Increases With Age Percentage of persons needing assistance with everyday activities, by age: 1990-97

14. An Aging Society 1/3 of the United States population is caring for an older relative

15. The Caregivers Adult Children: -“spend more time in care for their parents than they did for their children.” -HR Magazine

18. Caregivers Self-Reported Health Measures for the Caregiving and Other Employee Groups Self-Reported Health Measures Caregivers Group(n=125) Other Employees (n=369) Frequent Headaches 21% 12% Weigh Loss/Gain 21% 12% Frequent Colds or Flu 6% 7% Difficulty Sleeping 15% 12% Frequent Anxiety/Depression 22% 8% Under a Physician’s Care 20% 16%

19. Work Place Employed caregivers attempt to carry both work and care giving responsibilities to the fullest

20. Working Caregiver Profile Primary Caregiver Total Full Time Yes 63% 57% No 33% 38% Occupation Professional 25% 48% Sales 13% 20% Blue Collar 13% 21% Service Work 6% 9% Homemaker 15% 1% Retired 16% 0% Unemployed 11% 0%

21. Work Place Caregivers have more. . . - Stress related illnesses - Utilize a company’s health care plan more - Add additional cost for the employer

22. Impact on the Work Place Loss of between 5-12 days of work annually Estimated cost of $400,000 per 5,000 workers Account for 73% of early departures and late arrivals

23. Impact on the Work Place Utilize “long and frequent” on the job telephone calls Have more mistakes, accidents, conflicts, and poor morale $17,000,000,000 is an estimated loss of productivity in the work force due to elder care responsibilities

24. Caregivers: Self Assessed Needs Finding help, guidance, and support Recognition and understanding of their special situation Assessment of the need and the situation Information on resources and services

25. Caregivers: Self Assessed Need Easy and simple process to access resources/services Management and/or coordination of care and services Ease of time restraints and stress relief Respite from their responsibilities

26. “As the population continues to age and people live longer, employers will need to help employees balance work with elder care obligations.” -HR Magazine

28. It’s our business since 1961

29. We have awareness and knowledge of the issues

30. We have a continuum of programs and services

32. Solutions for Employees Receive information with a one stop shop approach Receive assistance to make informed decisions Assure quality with experienced providers Minimize stress & burn out

33. Silver Select Membership Program Connects Seniors and their families to: Experts in the non health related resources and products - such as: Attorneys Financial Planners Moving Assistance Professionals Home Veterinarian Services

34. Silver Solutions: Benefits Saves dollars Strengthen position to recruit and retain workers An easy to access system A strong coordinated effort Increased productivity Lower health care cost Company loyalty

35. Silver Solutions Responds to Work Place Elder Care Issues Addresses both the Employer and the Employee needs Fulfills the Mission of St. Andrew’s

36. Silver Solutions Caregiver Response Respite Services Health Aide Home Assessment Plans for Future Coordination/ Reporting Results Productivity Increased Stress Decreased Deadlines Met Sara, Marketing Executive Cares for Mother -Laundry -Bathing -Meal Preparation Problem Misses Deadlines Canceling Seminars

37. “Company support for eldercare is likely to become the new pioneering benefit of the 1990s. As we prepare for the 21st century we will need both a productive workforce and healthy family systems. These goals are not incompatible, in fact we can not achieve one without the other.” Issues for an Aging America: Employees and Eldercare, 1998