An initiative of the Massachusetts Councils on Aging

Better Together

Better Together? Age and Dementia Friendly Communities

What is an Age-Friendly Community?

The concept of an age-friendly community embraces the notion that all people in a community can benefit from an environment that supports them as they age in their community.  First presented by the World Health Organization (WHO), an age-friendly world enables people of all ages to participate in community activities and treats everyone with respect, regardless of their age. It is a place that makes it easy for older people to stay connected to people that are important to them. Moreover, it helps people stay healthy and active even at the oldest ages and provides appropriate support to those who can no longer look after themselves. Brookline was the first Massachusetts city to become recognized as a WHO age-friendly community in the United States in 2012.

What is the Difference Between Age Friendly and Dementia Friendly?

Excellent question. An age-friendly community helps all older adults feel welcomed, engages people of all ages in community life, helps all older adults remain active and healthy and engages town and civic organizations in making a voluntary commitment to all of the above a reality across the Eight Sectors of an age-friendly environment.

This WHO publication (2019)  explains the age-friendly community movement and its current status in the mobile age.

The Massachusetts Health Aging Collaborative (MHAC) helps communities in Massachusetts become age-friendly.

An age-friendly community can be a dementia-friendly community,  but only if it offers specific outreach, training and overall citizen awareness of dementia so that the community can become a welcoming place for people living with dementia, their loved ones’ and their care partners. Such an initiative requires significant efforts by town and civic leaders, professionals, service staff and citizens to overcome the stigma of dementia and reach out to those people living with the disease to give them a little extra help and compassion.

Your community can be age-friendly but not dementia friendly.  Also, you can be a dementia-friendly community but not qualify as age-friendly.  So how do the two initiatives work together?

Better Together: Dementia and Age-Friendly Communities

AARP joined with WHO to foster the idea of Age-Friendly states and communities as a partner in the United States.  Given the broad interest across the country, AARP produced a guide to help communities combine the two initiatives.

In Massachusetts, the age- and dementia-friendly initiatives have collaborated to create a toolkit for communities pursuing to instate both programs concurrently.

Where Does a Community Begin?

The Massachusetts Executive Office of Elder Affairs, Jewish Family & Children’s Service, and the Tufts Health Plan Foundation convened a summit on May 9, 2016 that brought together leaders from 84 organizations interested in age-friendly and dementia-friendly work.  A need identified at the Summit was for an “environmental scan” to look at the work being done on age-friendly and dementia-friendly activities between August 2016 and January 2017. The resulting demographics report indicated that communities around the Commonwealth lack the resources and services necessary to care for their aging residents sufficiently.

Communities are encouraged to initiate conversations with residents to identify areas of need for people with dementia.  Quantifiable data from community profiles specific to your region can identify populations or health concerns that may otherwise be overlooked.

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