Executive SummaryIntroductionThe purpose <strong>of</strong> this needs assessment is to <strong>in</strong>vestigate the needs, <strong>in</strong>terests, and op<strong>in</strong>ions <strong>of</strong>mature residents <strong>of</strong> H<strong>in</strong>gham, <strong>Massachusetts</strong>, relat<strong>in</strong>g to their ag<strong>in</strong>g experiences and needsfor age-related services. This assessment was undertaken by the Gerontology Institute <strong>of</strong> theMcCormack Graduate School at UMass Boston on behalf <strong>of</strong> the <strong>Town</strong> <strong>of</strong> H<strong>in</strong>ghamDepartment <strong>of</strong> Elder Services (here<strong>in</strong>after referred to as the Department <strong>of</strong> Elder Services).The focus <strong>of</strong> this report is on H<strong>in</strong>gham residents aged 60+ (referred to here as “Seniors”)and residents aged 45-59 (referred to here as “Boomers”). Information about these two agegroups was obta<strong>in</strong>ed both through the U.S. Census Bureau, and through a sample surveydesigned and conducted <strong>in</strong> support <strong>of</strong> this project. Two focus groups were conducted toobta<strong>in</strong> feedback on the survey results and generate recommendations. Key <strong>in</strong>formant<strong>in</strong>terviews with six <strong>Town</strong> <strong>of</strong>ficials and community leaders were conducted to provide expert<strong>in</strong>put on the implications <strong>of</strong> the ag<strong>in</strong>g population for the <strong>Town</strong> as a whole, and thefunction<strong>in</strong>g <strong>of</strong> the Department <strong>of</strong> Elder Services. The content <strong>of</strong> this report is <strong>in</strong>tended to beuseful to the Department <strong>of</strong> Elder Services, other <strong>Town</strong> <strong>of</strong>fices, and organizations thatprovide services with<strong>in</strong> H<strong>in</strong>gham, advocates, and community members.ResultsH<strong>in</strong>gham <strong>in</strong>cludes more than 22,000 residents, many <strong>of</strong> whom are part <strong>of</strong> the large andgrow<strong>in</strong>g Boomer and Senior populations. The 2010 Census <strong>in</strong>dicates that 5,735 H<strong>in</strong>ghamresidents are aged 60 and over, represent<strong>in</strong>g 26% <strong>of</strong> the H<strong>in</strong>gham population. Another5,139 residents (23%) are aged 45 to 59, poised to move <strong>in</strong>to later life with<strong>in</strong> the com<strong>in</strong>gdecade. H<strong>in</strong>gham has also experienced strong growth <strong>of</strong> its older population <strong>in</strong> recentdecades. Between 2000 and 2010, the number <strong>of</strong> H<strong>in</strong>gham residents aged 60 and overrose from 3,700 to 5,735 (an <strong>in</strong>crease <strong>of</strong> 55%), and the number <strong>of</strong> H<strong>in</strong>gham residents aged45-59 grew from 4,575 to 5,139 (an <strong>in</strong>crease <strong>of</strong> 12%). Over the next ten years, the ag<strong>in</strong>g <strong>of</strong>the Boomer cohort will cont<strong>in</strong>ue to swell the size <strong>of</strong> the 60+ population <strong>in</strong> H<strong>in</strong>gham.Data from the American Community Survey suggests that the older population represents asubstantial presence with<strong>in</strong> H<strong>in</strong>gham, with 46% <strong>of</strong> households <strong>in</strong>clud<strong>in</strong>g at least one personaged 60 or older. One-third <strong>of</strong> H<strong>in</strong>gham’s residents aged 65 and over live alone, and morethan half <strong>of</strong> these <strong>in</strong>dividuals are homeowners. Although a sizable share <strong>of</strong> H<strong>in</strong>gham’shouseholds report relatively high <strong>in</strong>comes, many H<strong>in</strong>gham Seniors experience a comparativeeconomic disadvantage. The median household <strong>in</strong>come for residents who are aged 65 andover is less than half that <strong>of</strong> younger households. Many seniors also experience some level<strong>of</strong> disability, which may impact their ability to function well and <strong>in</strong>dependently <strong>in</strong> thecommunity. More than one-third <strong>of</strong> H<strong>in</strong>gham’s residents aged 75 and over report a disability.4
Results from the H<strong>in</strong>gham community survey suggest that most Boomer and Seniorresidents have lived <strong>in</strong> H<strong>in</strong>gham for many years, although L<strong>in</strong>den Ponds and Allerton Houseattract some seniors from outside <strong>of</strong> H<strong>in</strong>gham, with the result that a sizable share <strong>of</strong> theoldest-old Seniors (aged 80 or more) are relatively new to the community. Across the board,Seniors and Boomers are highly committed to rema<strong>in</strong><strong>in</strong>g <strong>in</strong> H<strong>in</strong>gham as they grow older. Yetsome challenges to successfully ag<strong>in</strong>g <strong>in</strong> place are reported. Most survey respondents areactively engaged <strong>in</strong> social activities and enjoy good support from their social networks.Good health is common, with more than 60% <strong>of</strong> the Boomers and 30% <strong>of</strong> the Seniorsreport<strong>in</strong>g excellent health. Although most respondents <strong>in</strong> both age groups report that theyare rarely depressed, approximately 5% <strong>of</strong> the respondents report feel<strong>in</strong>g this way "<strong>of</strong>ten" or"always." Consistent with the good health shared by most <strong>of</strong> the respondents to thecommunity survey, relatively few report needs for assistance with daily activities. A largershare reports need<strong>in</strong>g help with household activities such as do<strong>in</strong>g rout<strong>in</strong>e householdchores, especially among those aged 80 and older. Among those who need support, nearlyall report receiv<strong>in</strong>g it, and a large number <strong>of</strong> the recipients pay for these services. Manyrespondents report provid<strong>in</strong>g unpaid care or assistance to a disabled, ill, or elderly spouse,relative or friend. Provid<strong>in</strong>g caregiv<strong>in</strong>g activities while meet<strong>in</strong>g other work and familyresponsibilities is described as very or somewhat difficult by most <strong>of</strong> the Boomers and onethird<strong>of</strong> the Seniors.Driv<strong>in</strong>g and transportation concerns are key issues <strong>in</strong> H<strong>in</strong>gham. The vast majority <strong>of</strong> thecommunity survey respondents drive, and driv<strong>in</strong>g themselves is the primary form <strong>of</strong>transportation used by most. Most Boomers drive themselves without modification, but asizable share <strong>of</strong> Seniors modify their driv<strong>in</strong>g to some extent, by avoid<strong>in</strong>g driv<strong>in</strong>g at night,avoid<strong>in</strong>g driv<strong>in</strong>g <strong>in</strong> bad weather, or other adaptations to driv<strong>in</strong>g behavior. Nearly threequarters<strong>of</strong> the respondents are aware that the Department <strong>of</strong> Elder Services providestransportation services, but very few report hav<strong>in</strong>g used these services. About one-quarter<strong>of</strong> non-drivers have used Elder Services transportation over the past 6 months; half <strong>of</strong> thedrivers who responded report that they would use this service if they could not drive <strong>in</strong> thefuture. If unable to drive <strong>in</strong> the future, most respondents <strong>in</strong>dicate that they would rely onfamily members, friends, or neighbors, with one-third or less be<strong>in</strong>g will<strong>in</strong>g to use The Ride,public transportation or taxi.The Department <strong>of</strong> Elder Services <strong>of</strong>fers a wide range <strong>of</strong> services and programs, many <strong>of</strong>which generate high participation levels. Usage statistics collected by the Senior Centersuggest that as many as one-third <strong>of</strong> H<strong>in</strong>gham Seniors participated <strong>in</strong> Senior Centeractivities dur<strong>in</strong>g FY 2012, a figure that aligns well with community survey f<strong>in</strong>d<strong>in</strong>gs, whichshow that 35% <strong>of</strong> Seniors report participat<strong>in</strong>g <strong>in</strong> Senior Center programs. Participation levelsare higher among older Seniors who do not live <strong>in</strong> one <strong>of</strong> the residential communities thatprovide services and programs, such as L<strong>in</strong>den Ponds. Expanded service demandsassociated with growth <strong>of</strong> the older population may soon exceed available programm<strong>in</strong>gspace and park<strong>in</strong>g, which are already deemed <strong>in</strong>adequate by some participants <strong>in</strong> the study.Programs associated with the largest usage <strong>in</strong> FY 2012 are fitness/exercise programs,social activities, and transportation. In the community survey, respondents were asked toevaluate Senior Center programs <strong>in</strong> terms <strong>of</strong> their importance; fitness classes andrecreational programs were rated most positively by Seniors and Boomers, withtransportation services not far beh<strong>in</strong>d. Few respondents reported any difficulties access<strong>in</strong>g5