St. Andrew's: Balancing Work and Family Life

The 21st Century Challenger: Balancing Work and Family Life

• An Episcopal-Presbyterian Organization

• Serving Older Adults since 1961

St. Andrew’s Resources For Seniors

• St. Andrew’s At-Home Services

St. Andrew’s Management Services

• Own Independent Living Communities• Own Skilled Nursing Facilities• Partners with other faith based

organizations:• - HUD Facilities• - Assisted Living Facilities• Spiritual Outreach Ministry

St. Andrew’s Resources For Seniors

• Development• Consultation• Management Services

St. Andrew’s Management Services

• Geriatric Care Management Services• Membership Program• Select Provider Network• Supportive Services• Enhancement Services

St. Andrew’s At-Home Services

• 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

Overarching Goal

• “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

An Aging Society

•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 homes1% for persons 65-746% for persons 75-8424% for persons 85+

An Aging Nation

An Aging Nation

2%

9%

11%

20%

31%

50%

0% 10% 20% 30% 40% 50%

15-64

65-69

70-74

75-79

80-84

85 and over

• 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

An Aging Region

• 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

Missouri

• The Need For Personal Assistance With Everyday Activities Increases With Age

• Percentage of persons needing assistance with everyday activities, by age: 1990-97

An Aging Society

2%

9%

11%

20%

31%

50%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

15-64

65-69

70-74

75-79

80-84

85 and over

1/3 of the United States population is caring for an older relative

An Aging Society

• Adult Children:• -“spend more time in care for their

parents than they did for their children.”

-HR Magazine

The Caregivers

• Median age 40 - 45• 75% Women - 64%

work full time• 25% Men - 36% work

full time• 35% rearrange work

schedules

Caregivers: A Profile

•20% take time off without pay and/or work fewer hours•26% of working women take leave or consider leaving their job

Most Caregivers are Middle Aged Women

Other Males

7%

Sons8%

Husbands13%

Other Females

20%

Wives23%

Daughters29%

• 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%

Caregivers

• Employed caregivers attempt to carry both work and care giving responsibilities to the fullest

Work Place

• 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%

Working Caregiver Profile

Work Place

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

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

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

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

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

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

-HR Magazine

Why St. Andrew’s

•It’s our mission to serve

•It’s our business since 1961

•We have awareness and knowledge of the issues

•We have a continuum of programs and services

•We have dedicated boards and staff

Silver Solutions: Our Response

• Provides low cost solutions • Addresses workplace issues• Responds to the needs of the Employer and

Employee• Offers information, consultation, services• Creates Access Channels

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

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

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

Silver Solutions

• Responds to Work Place Elder Care Issues• Addresses both the Employer and the Employee

needs• Fulfills the Mission of St. Andrew’s

Silver Solutions

Caregiver Response

Sara, Marketing Executive Cares for Mother

-Laundry-Bathing-Meal Preparation

ProblemMisses DeadlinesCanceling Seminars

Respite ServicesHealth AideHome AssessmentPlans for FutureCoordination/ Reporting

ResultsProductivity IncreasedStress DecreasedDeadlines Met

• “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