Barcelona Societat 25

As this monographic issue entitled “The longevity revolution” affirms, the ageing process in our society is one of the main challenges we face, the importance of which will only become greater in the future. The labour markets and public policies, the housing sector, mobility, health, social participation, the use of technologies, and so on, are just some of the areas that must be adapted to this new reality. In effect, ageing generated by demographic change is a far reaching structural phenomenon driven by different and complex causes, the consequences of which have, and will continue to have, unprecedented repercussions on the social, economic, political and cultural realities of countries and, especially, cities. There is no doubt that Barcelona is ageing. According to the forecasts, before the end of the 2030s there will be nearly 375,000 people over the age of 65 registered in the city, almost 25% of the total population.

Due to the consequences this will have for the city, this monographic issue of Barcelona Societat offers a broad, diverse approach to this longevity revolution, presenting and discussing some of the most important issues and problems inherent to it. To this effect, the article in the tribune section, for example, addresses the issue of social participation in the ageing life stage, critically discussing the “active ageing” concept proposed by the World Health Organisation (WHO), and countering it with the new “friendliness” perspective, an approach that is more suited to the new reality of the urban era. The second article opens the section on in-depth studies, addressing the matter of theStrategy for Demographic Change and Ageing approved by Barcelona City Council in 2018, carrying out a full assessment of it in line with the main lines of action it proposes: the area of housing, care, social support, participation, and intergenerational relations. The third article delves deeper into the one of the lines of action which, at the same time, is a vital issue: the care of elderly people in situations of dependency in Barcelona. The document uses the Survey of People in a Situation of Functional Dependency conducted in the city in 2018 to identify the different groups of dependent elderly people and to analyse their different situations and needs. The fourth article focuses on a sometimes invisible but hard-hitting matter: the abuse of elderly people. The article asks what are the main family contexts, dynamics and patterns that produce this phenomenon and proposes some actions aimed at eradicating it. The fifth article analyses another problem associated with ageing: the digital gap due to age and, in particular, gender. Elderly women are the social group with most impediments in terms of opportunities to familiarise themselves with information and communication technologies, which is one of the outcomes of the structural inequalities they have historically been subjected to. The document is based on in-depth interviews and discusses how the appropriation of technologies among this group will lead to a transformation and improvement in their lives. The next phenomenon linked to ageing is the unwanted loneliness experiences by many elderly people. This sixth article uses the study conducted by the Loneliness Observatory, which explores the loneliness experiences of people in different life stages: adolescence, young adulthood, adulthood and old-age. Its aim is to understand what strategies these groups use to counter their unwanted loneliness and what actions can be taken to improve this situation in the city.

Furthermore, in the experiences section of this edition of the journal, six proposals for specific actions or programmes which are currently being implemented in the city of Barcelona are discussed, the design and application of which are illustrative of the degree of innovation they represent for municipal public policies and civil society organisations. In this regard, the seventh article focuses on the “Baixem al carrer” programme, which seeks to reduce loneliness and isolation and improve the quality of life and health of elderly people who have difficulties getting out of their homes due to architectural barriers, giving them the opportunity to socialise independently. The programme started in the Poble Sec neighbourhood and is currently being developed in 38 neighbourhoods in the city, giving elderly people the chance to get out of their homes and widen their social circle and connect with their community. In the same vein, the eighth article talks about the VinclesBCN programme, started in 2014 as a pilot scheme designed to combat the situations of loneliness that many old people in the city may be experiencing, through reinforcing their social and community network and relations. This programme has now become a consolidated service with almost 2,000 users. Related to the Vincles programme, the ninth article explains and analyses the Radars programme. This project was implemented for the first time in 2008 in the district of Gràcia and its area of action has been widening ever since. In a scenario characterised by the emergence of new housing models, changes in family structures, increasing numbers of divorces and separations, and changes in the age of migratory movements, Radars is a community initiative promoted by the Area of Social Rights which aims to integrate the community as a way of detecting and preventing situations of risk and mitigating the loneliness that elderly people may feel. With a similar objective, the tenth article addresses the issue of the so-called “social super-blocks” or “care super-blocks”, which emerged from the need to improve the home care model. This programme is designed to convert the homes of dependent people into recipients of residential services, with the associative and local resident fabric of the neighbourhood itself supplying part of the services. The eleventh article focuses on a relatively little explored initiative in our city which emerges from civil society. The group of elderly people Can 70 defend and propose senior cohabiting as a housing model for old age, where the ownership model and use of the plot and residence, as well as the rules of cohabitation and distribution of spaces and services, are decided cooperatively. The twelfth article explores the successful experience of the Old Quarter Health and Active Ageing School. Created in 2010 to combat situations of isolation and loneliness experienced by elderly people, the school was jointly launched by the municipal social services, the Old Quarter Elderly People’s Board and the set of stakeholders involved in the Old Quarter.

As we would also like to emphasise here, ageing is an unbeatable plus for our society. The life experience and knowledge that elderly people can contribute are undoubtedly an incalculably valuable asset. However, ageing can also bring about specific situations of exclusion and inequality that must be addressed. This issue of the Barcelona Society journal brings you some reflections, analyses and diagnoses of what we do, how we do it, and what we should do in the cities and the metropolitan area. We hope to contribute to a debate that is emerging as one of the most critical current and future issues for our societies.

Bru Laín y Albert Sales

Foreword

Foreword

Author

Natalia Rosetti

Summary

In Barcelona in 2018, there were 1,169 city residents aged 99 years or over, most of whom were women (84%). Some estimates say that longevity increases by five hours every day, a figure totalling close to three months every year. Life expectancy in Catalonia, currently 83 years, is one of the highest in Europe and by 2050 the population over 65 years of age is forecast to be 30% of the total population. The ageing process, the so-called longevity revolution, is one of the main phenomena and challenges of our societies. Ageing is also a social advance and a challenge in terms of the care and promotion of people. It is an advance in the sense of the contribution and knowledge that elderly people can bring to society. However, in parallel with the many positive aspects, this demographic shift also presents risks and situations of exclusion and inequality. ‘Ageism’, discrimination for reasons of age, exists alongside situations of unwanted loneliness among elderly people. Around 22% of people aged 65 years and over in Catalonia live alone and three out of every four are women. Being alone is not a matter for concern if it is experienced in a positive way but, according to the association Friends of the Elderly, around 58% of elderly people who live alone express a sense of unwanted loneliness.

Take stand

Ageing and pathways to participation in the urban era: do we need to promote new landscapes?

Author

Mercè Pérez Salanova

Summary

This article first presents the concept of participation, offering, on the one hand, the perspective of older people in their own words and, on the other, that corresponding to the political frameworks. For this purpose, the idea of “active ageing” developed by the WHO is presented as a frame of reference while introducing the international context in which it arises. The analysis of several basic principles and reflection on their application highlight the distance between the participation coordinates formulated in the proposal and their implementation. Subsequently, the contributions provided by the perspective of friendliness are analysed, as well as its contribution in a context of the increasing importance of cities, the urban era. Finally, different considerations and criteria, both theoretical and practical, are presented to move forward on participation.

In depth

Barcelona and the challenge of demographic change

Authors

Marc Martí-Costa and Sergio Porcel

Summary

Population ageing is one of the main challenges facing our society. In Barcelona, one out of every five residents is over the age of 65, and according to the forecasts, that figure will rise to one out of four by 2040. There are currently over one thousand centenarians in the city, most of whom are women. In 2018, Barcelona City Council approved its Demographic Change and Ageing Strategy, in order to respond to this challenge from a new standpoint. This article analyses the challenges of ageing for the city, in the areas of housing, care, social support, participation and intergenerational relationships. It also highlights the most innovative actions that the Strategy foresees in these areas.

In depth

The diversity of care for elderly people with functional dependency in Barcelona

Authors

Albert Julià and Annel Rojas

Summary

There is an ever greater proportion of older people of advanced years and with functional dependency in Barcelona. The aim of this study is to analyse their characteristics and the established forms of care according to the different profiles. Data collected in the Barcelona Survey of People with Functional Dependency (EPSD) carried out in 2018 was used to do so. The results show that there are certain inequalities depending on individual characteristics (degree of dependency, gender and age), characteristics of the carers (an extremely feminised sector), characteristics of the household (forms of co-habitation and levels of income) and territorial characteristics (according to the income status of the neighbourhood). The results reveal a scenario that is far from ideal, requiring the serious consideration of public decision-makers with the aim of broadening the provision of services and benefits for this group.

In depth

Relational context and family dynamics: elder abuse

Authors

Àngels Campos, Carmina Català and Anna Vilaregut

Summary

This paper presents the results of applied research that aims to explore the relational context, dynamics and patterns in families in which elder abuse (EA) occurs. Although this area is especially relevant, given that most of these situations occur within the family environment, there are few studies that establish which family environment factors influence the emergence of an EA situation. This is the reason for our interest in carrying out research that could help to improve this lack of knowledge. The research has enabled the identification of the types of family situations in which EA emerges and the definition of five basic relational factors present in an abuse situation that contribute to evaluating the degree of family functionality or dysfunctionality. Last, in light of the results, a guide has been designed for relational and family diagnosis in EA cases, which includes guidance for the psychosocial approach aimed at basic social services (SSB) professionals.

In depth

The digital gender divide in the life experiences of elderly women

Author

Gabriela del Valle Gómez

Summary

Despite the difficulties in adapting to digital skills, more and more elderly people are interacting in cyberspace; even so, the twofold digital gender and age divide continues to be a challenge for the e-inclusion of elderly women. Elderly women have faced more obstacles for socialising in information and communication technologies (ICTs) as a result of the combination of inequalities that have shaped their lives. The use and appropriation of ICTs can lead to genuine transformations in their daily lives, by creating an opportunity for carrying out other roles, occupying other spaces, creating other forms of personal relationships and so on, which would improve their quality of life. This article offers an interpretation of the relationship between elderly women and ICTs through life narratives of Catalan women who became users as they entered old age.

In depth

Ageing and loneliness: how to address it from the point of view of its complexity

Authors

Montserrat Celdrán and Regina Martínez

Summary

“Loneliness knows no age”. Exploring multigenerational experiences’ is the first study published by the Loneliness Observatory. The Observatory was founded as a Friends of the Elderly - Spain foundation initiative to create a forum for knowledge and places for reflecting on loneliness, and particularly on loneliness that affects an older person. The aim of this first study is to explore the experiences of different people who feel lonely at a particular time in their lives (adolescence, early adulthood, adulthood and old age), what coping strategies they use when they feel this way and what can be done to help with this loneliness. In this document, we will highlight some of the areas of the study relating to loneliness in ageing processes and the actions and programmes for addressing it carried out in Barcelona city.

Experiences

“Baixem al carrer” [Come Outside]: ten years working to improve the health of people isolated by architectural barriers

Authors

Pilar Ramos, Ferran Daban, Irene García, Olga Juárez, Elia Díez, Esther Andrés, Pilar Solanes and Victoria Porthé

Summary

The “Baixem al carrer” [Come Outside] programme aims to reduce the loneliness and isolation of senior citizens who find it difficult to leave their homes due to architectural barriers, as well as improving their quality of life and their mental and physical health. It offers them the chance to go outside and recover their social lives, through voluntary work and the use of a stair lift on community stairways, improving their social networks, their relationships with their neighbours and citizen participation. The intervention was designed by the community in Poble Sec in 2009 as part of the “Barcelona, health in our neighbourhoods” programme, and in recent years it has been extended to the entire city. This article first presents the development and evaluation of the programme for the 2009-2015 period, and then covers its situation in 2019. The results from the first period show an improvement in people's state of health and quality of life after they had been taking part in the programme for six months. In 2019, after being progressively expanded, “Come Outside” is being implemented throughout the city through three service providers, with municipal funding. From January to November 2019, 275 people were helped in 38 city neighbourhoods, going on a total of 757 outings. The current challenges are to consolidate and extend the programme, guarantee care for everyone who needs it and to improve the quality of the service.

Experiences

VinclesBCN: combating solitude in Barcelona

Authors

Enrique Cano and Magda Orozco

Summary

Faced with the inevitable ageing of the population and the consequences of this, Barcelona City Council launched a pilot of a project --VinclesBCN - in 2014, with the main objective of combating the feeling of loneliness among the elderly. Five years later, that project, which came about thanks to the Bloomberg Foundation and for which the municipal government received the Mayors Challenge award, has become a consolidated service that now has 2,000 users.

Experiences

The Radars project: a community approach to loneliness

Authors

Rosa Rubio, Clara Costas and dinamitzadors comunitaris

Summary

Radars is a project designed to enable local residents, entities, services and shops to take care of the elderly, with sensitivity and respect, from nearby, from the immediate, everyday environment of the elderly people who inhabiting the city's neighbourhoods.

Experiences

Barcelona for older people. The social superblocks

Author

Lluís Torrens

Summary

Barcelona is ageing. According to the forecasts, before 2030 there will be nearly 375,000 people over the age of 65 registered in the city, almost 25% of the total population. The social superblock stems from the convergence of two ideas: the need to improve the home care model and the need to tackle the social sustainability of ageing in our city. The idea is the so-called “distributed” or “virtual residence”, according to which the flat of a dependent person receives the services of a room in a residential centre, while the neighbourhood supplies all the communal services that a residential block for older people would receive.

Experiences

Can 70: a community ageing project

Authors

Designed collectively by Can 70 (seed group of Sostre Cívic)

Summary

At Can 70, our life experiences have led us to believe that, from a certain age, loneliness is the worst affliction, that necessary care need not be provided by family and that cooperative experiences make it easier to live in harmony together. And we know that we want to continue to be a part of our city. That is why we have decided to spend the last stage of our lives as a community, in cooperative cohousing based on a right-of-use model, with communal guidelines discussed and set by all of us, with mutual assistance and, when necessary, with professional collaboration from cooperatives. In late 2015, we presented our project to the municipal administration to request space and support and, since then, we have developed our values, vision, governance procedures, architectural design and community care plans. We have come across both opportunities and obstacles when looking for an available space, but we are convinced that ours is a valid, replicable model.

Experiences

The Escola de Salut i Envelliment Actiu del Casc Antic

Author

Jordi Bautista

Summary

The Casc Antic School of Health for the Elderly was created in 2010 to combat isolation and loneliness among the elderly. The School is a project launched by the municipal social services which is being taken part in, led and promoted by the Casc Antic Elderly People's Board, a community participation space with institutions, public and private services and some local residents whose aim is to ensure the well-being, improved quality of life and active ageing of the Casc Antic's elderly residents.

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