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Geriatric Mental Health Disaster and Emergency Preparedness

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84 <strong>Geriatric</strong> <strong>Mental</strong> <strong>Health</strong> <strong>Disaster</strong> <strong>and</strong> <strong>Emergency</strong> <strong>Preparedness</strong><br />

research, <strong>and</strong> knowledge exchange that have informed our analysis <strong>and</strong><br />

discussion of the issues.<br />

A SNAPSHOT OF OLDER CANADIANS<br />

Statistics Canada recently published A Portrait of Seniors in Canada<br />

(Turcotte & Schellenberg, 2007). This report characterizes the current<br />

generation of older Canadian citizens <strong>and</strong> provides relevant demographic<br />

data about the vulnerability <strong>and</strong> resilience of older persons in emergency<br />

situations.<br />

There are differences among the 10 provinces <strong>and</strong> 3 territories within<br />

Canada with respect to the proportion of the population comprised of<br />

older persons (aged 65 <strong>and</strong> older). For example, the population of older<br />

persons is 14.8% in Saskatchewan, 12.8% in Ontario, <strong>and</strong> 2.6% in Nunavut.<br />

Similar to the geographic distribution of all age groups, the older adult<br />

population in Canada is increasingly urban. In 2001, 7 out of every 10 older<br />

people lived in urban centers with at least 50,000 residents. Almost onethird<br />

of Canadians over age 65 live in the largest Canadian cities: Toronto,<br />

Vancouver, or Montreal.<br />

The majority of older persons (93%) live in their own homes. Older<br />

women are much more likely to live alone than older men, reflecting differences<br />

in life expectancy. Among Canadians aged 85 <strong>and</strong> older, 34%<br />

live alone. Only 7% live in collective dwellings, primarily nursing homes<br />

<strong>and</strong> hospitals. The likelihood of institutional residency increases with age,<br />

from 2% among those 65 to 74 years of age to 32% among those 85 years<br />

of age or older.<br />

The majority of older people are able to carry out daily activities on<br />

their own until at least age 75. In 2003, 1 in 10 persons aged 75 or older<br />

<strong>and</strong> living in a private household needed some level of assistance with personal<br />

care <strong>and</strong> one-quarter needed assistance with housework. For those<br />

with long-term health problems, a combination of informal <strong>and</strong> formal<br />

support is common. In 2005, 85% of people under age 75 <strong>and</strong> 60% of<br />

those 75 <strong>and</strong> older reported they had a valid driver’s license. Eighty-nine<br />

percent of those under age 75 <strong>and</strong> 73% of those aged 75 <strong>and</strong> older reported<br />

they or someone in their household leased or owned a vehicle.<br />

In 2003, more than 80% of older persons were considered to have prose<br />

literacy skills below the desired threshold for coping well in a complex<br />

knowledge society.

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