Healthy Aging

Brain Health | Falls Prevention |Living Well | PEARLS—Program to Encourage Active Rewarding Lives | Access to Healthy Food | Farm to Table | Senior Farmers Market Nutrition Program | Oral Health

Aging and Disability Services promotes evidence-based programs in the Seattle-King County area that can keep you moving and help you stay connected.

In addition, Aging and Disability Services promotes access to basic needs like health food and oral health.

Additional healthy aging programs and services are available in the community. Click on the headings below for more information.

Brain Health
Following are several ways that Aging and Disability Services supports brain health.

Dementia Action Collaborative

The Dementia Action Collaborative (DAC), established in 2016, is a statewide group of public-private partners committed to preparing Washington state for the growth of people with dementia. The DAC includes a range of appointed members including people with dementia, family caregivers, legislators, representatives of advocacy groups, the Aging Network, Alzheimer’s organizations, long-term care providers, health care professionals, and governmental agencies, including Aging and Disability Services and several other Area Agencies on Aging.

cover of the Dementia Road Map published by the Washington State Dementia Action Collaborative

Click on the image above to open the Dementia Road Map.

The mission of the DAC is to guide and support the implementation of the Washington State Plan to Address Alzheimer’s Disease and Other

An important accomplishment in 2018 was the creation of the Dementia Road Map. This Washington state-specific “roadmap” was developed to provide family caregivers with information about Alzheimer’s and dementia, and what to expect over time, to help them plan. The roadmap is available online and in print (available in English and in Spanish).

Memory Care and Wellness Services

Memory Care and Wellness Services (MCWS) is a specialized day program for people with dementia and their caregivers. MCWS provides a safe, social, and therapeutic environment with meaningful services and activities, including a structured, evidence-based fitness program and health assessments by RNs and occupational therapists. Family caregivers receive support and service coordination as they strive to maintain their own health, wellness, and optimal functioning.


Star-C is an evidence-based intervention for Alzheimer’s and dementia care that help caregivers with managing difficult behaviors associated with Alzheimer’s disease. Four one-hour in-home visits and two 15-30-minute phone calls are conducted over six weeks, followed by with four phone calls. The program lowers depression in caregivers and decreases problem behaviors in the person with dementia.

Falls Prevention
falls prevention guide cover

Click on the graphic above to open the CDC document on falls prevention.

Did you know that one in three Americans age 65+ falls every year? Falls are the leading cause of fatal and non-fatal injuries for older Americans (see this and other sobering statistics below).

Many of these falls are preventable. Aging and Disability Services promotes public awareness about how to prevent and reduce falls among older adults.

Following these key strategies will reduce your risk of falling:

  • Exercise for balance and strength.
  • Ask your doctor to review your medicines.
  • Get your eyes checked.
  • Make your home safer.
  • Sturdy shoes.

Falls Prevention Awareness Day is September 22

Falls Prevention Awareness Day is a national day of recognition that raises awareness about how to prevent fall-related injuries among older adults. For information about ways that you or your organization can get involved, read the National Council on Aging (NCOA) compendium of state and local Falls Prevention Awareness Day activities (2018, 2017, 2016 | 2015 | 2014). See also the NCOA Falls Prevention Awareness Day 2019 Impact Report. The NCOA also provides useful infographics and handouts (click here).

For information about programs available in Seattle-King County, see resources listed below or e-mail ADS planner Mary Pat O’Leary.

Falls Prevention Statistics

  • One-quarter of Americans aged 65+ fall each year.
  • Every 15 seconds, an older adult is treated in the emergency room for a fall.
  • Every 29 minutes, an older adult dies following a fall.
  • Falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults.
  • Sixty percent of fatal falls occur in the home.
  • In Washington state, falls result in over 12,000 hospitalizations each year (compared to 2,600 hospitalizations due to motor vehicle accidents).
  • Fifty-four percent of older adults are discharged to skilled nursing homes after hospitalization for falls.
  • Only 22 percent of people hospitalized for falls are able to return home.
  • The financial toll for older U.S. resident falls is expected to increase as the population ages and may reach $54.9 billion by 2020.

For more statistics, visit the Centers for Disease Control and Prevention website.

The Centers for Disease Control’s Guide to Implementing Effective Community-Based Falls Prevention Programs includes tips for planning, partnerships, selection of an evidence-based falls prevention program, and implementing, promoting, and assessing your program.

Falls Prevention in Russian and Ukrainian Communities

In April 2012, Aging and Disability Services received a Washington State Department of Health grant to test the effectiveness of the falls prevention strategies among Russian- and Ukrainian-speaking long-term care case management clients living in residential facilities who had a history of falls or were at higher risk for falls.

flyer coverActivities included:

  • A two-hour workshop led by Russian-speaking case managers and an Enhance Fitness trainer
  • Russian language falls prevention posters posted throughout the facilities
  • A follow-up training that recognized participants for their efforts, lifestyle changes, and/or progress
  • flyer coverAging and Disability Services was selected to present a Falls Prevention poster in the Innovations Showcase at the UWfalls prevention poster showing success of Russian and Ukrainian elders program Working Together for an Elder Friendly Future conference (September 2013), highlighting the success of its Falls Prevention in Russian and Ukrainian Communities program. Click on the image to open a larger copy (PDF).
  • Trainings were augmented with a short video, produced in both English and Russian (click on images below):

video screenshot     video screenshot

Participants viewed What YOU Can Do to Prevent Falls, a falls prevention “digital story” created in two languages by Russian- and Ukrainian-speaking case managers at Aging and Disability Services. Click on each image to view.

For a summary of results, read “Falls Prevention Efforts Succeed in South King County.”

Falls Prevention Resources

Tools for Health Care Providers and Human Services Professionals

Recent Articles

Living Well

event flyer coverOngoing conditions like arthritis, diabetes, hypertension, pain, and lung disease often force older adults to give up their independence. Evidence-based programs shown here can help you improve your health and maintain your independence.

Living Well workshops were developed by the Stanford University School of Medicine. A series of six workshops, held once a week in community settings such as senior centers, churches, libraries, or hospitals—places where people with different chronic health problems frequently come together. The workshops are facilitated by two trained leaders, one or both of whom are non-health professionals who have an ongoing health condition or chronic disease themselves.

The model emphasizes the patient’s role in managing ongoing or chronic health conditions. Peer leaders help participants build self-confidence and adopt healthy behaviors. Subjects covered include:

  • Techniques to deal with problems such as frustration, fatigue, pain and isolation.
  • Appropriate exercise for maintaining and improving strength, flexibility, and endurance.
  • Appropriate use of medications.
  • Communicating effectively with family, friends, and health professionals.
  • Nutrition.
  • How to evaluate new treatments.

The process through which the program is taught makes it effective. Classes are highly participative. Mutual support and success build each participant’s confidence in their ability to manage their health and maintain active and fulfilling lives.

The program is especially helpful for people with one or more ongoing or chronic conditions. It gives them the skills or tools they need to manage their health and keep active.


  • AARTH—African American Reach and Teach Health (Dedra Barrow, Program Manager, 206-850-2070, or CeCe Smith, Program Coordinator, 206-850-2070)
  • Aging and Disability Services (Mary Pat O’Leary, 206-684-0683)
  • Kaiser Permanente (Kathryn Ramos, 206-326-2807)—workshops are for Kaiser Permanente patients
  • Kin On Community Health (Michael Woo, 206-652-2330)—focus on Chinese-speaking community
  • Sound Generations (Camille Gabriel Carlson, Process Improvement Manager, 206-268-6715)
PEARLS—Program to Encourage Active Rewarding Lives

The Program to Encourage Active Rewarding Lives (PEARLS) is an evidenced-based treatment program for older adults with disabilities who also have minor depression, which is recognized by the Administration on Community Living as meeting the highest criteria.

The PEARLS program is an outgrowth of a five-year research project conducted in collaboration with the University of Washington’s Health Promotion Research Center (HPRC). The research study showed PEARLS home-based depression management counseling significantly reduced depression symptoms and improved health status in chronically medically ill older adults with minor depression.

PEARLS participants are three times more likely than non-participants to significantly reduce or completely eliminate their depression.

PEARLS for Veterans flyer

Click on the image to open the poster.

Support for Veterans, Spouses, and Spouse Survivors

Aging and Disability Services offers no-cost, in-home, PEARLS counseling to men and women who served in the military, including their spouse and spouse survivor, aged 55+ who may be feeling down, sad, or blue. PEARLS stands for Program to Encourage Active, Rewarding LiveS.

To contact PEARLS for Veterans, click here.

PEARLS helps people feel better by identifying problems and working toward solutions. PEARLS counseling may be provided in addition to other veteran and non-veteran services.


  • click here to download a referral formFeeling down, sad, or hopeless more than half the days
  • Little interest or pleasure in doing things more than half the days
  • Age 55 or older
  •  English speaking
  • Veteran, military spouse, or spouse survivor
Poster for PEARLS Program to Encourage Active Rewarding Lives

Click on the image above to open a poster-size PDF.

Not functionally impaired by schizophrenia, schizo-affective disorder, manic depressive disorder, cognitive impairment, or current substance or alcohol abuse


For PEARLS for Veterans publications, click on the images at right.

The following articles about veterans, many regarding PEARLS, were published in AgeWise King County:

PEARLS for Veterans flyer. For more information about the Program to Encourage Active Rewarding Lives for Veterans, e-mail

For the PEARLS for Veterans brochure, click on each of the images at right.

To view two brief videos about PEARLS support for veterans, click on each of the images at the bottom of this page.

See more information and resources for veterans at


For more information about PEARLS, contact Suzet Tave (206-615-0533).

Older adults, adults with disabilities, caregivers, family members and professionals can call us to get objective, confidential information about community resources and service options.

This program received funding from the Veterans, Seniors and Human Services Levy.




video stillThe Program to Encourage Rewarding Active Lives: A Digital Story,
by Paul Snow, Aging and Disability Services, September 2012.

video stillThe Program to Encourage Rewarding Active Lives,
by Lori Sanford, Aging and Disability Services, February 2013.

Access to Healthy Food
report cover

Click on the image above to read “The State of Senior Hunger in America” (2018).

Our decades-long commitment to healthy aging includes funding for both community- and home-delivered meals for elders, and programs that combine culturally-appropriate physical fitness and food.

ADS helps meet the dietary needs of adults age 60+ through congregate and in-home meal programs and nutrition education, allowing for better physical and mental health, and greater independence and social contact. In 2017, hundreds of thousands of meals were served to King County residents, including:

  • 35,340 individuals who received meals at senior centers or other congregate meal sites
  • 320 individuals who received emergency meals
  • 2,690 individuals who received home-delivered meals

Community Meals

Congregate meal programs help meet the dietary needs of adults 60 years and older by providing nutritionally sound meals in a group setting. Nutrition education and social and fitness activities are also provided.

Watch the Video

Home-delivered Meals

Aging and Disability Services also contracts with community-based organizations to provide home-delivered meals (sometimes called “Meals on Wheels”) for older persons who are unable to leave their homes to shop or prepare nutritious meals. For information about eligibility, contact Community Living Connections at 1-844-348-5464.

Farm to Table

brochure coverFarm to Table is a partnership effort to bring fresh local produce to programs serving children and older adults in Seattle and King County.

By making healthy food more affordable and easier to access, our goal is to increase the health and well being of our community’s most vulnerable populations by:

  • Identifying purchasing options to meet program needs and budgets, including online ordering through the Puget Sound Food Hub, CSA models, and buying direct from farms.
  • Building skills and knowledge through community kitchen trainings, farm tours and other educational opportunties.
  • Helping communities develop low-cost shared purchasing models for ordering bulk produce to distribute in natural gathering places.

Awards and Recognition

Farm to Table logoFarm to Table Partners


  • Washington Grown and Farm to Preschool Toolkits
    Developed by WSDA’s Farm to School Program, these toolkits provides farms, schools, families, and communities with resources and information to incorporate the bounty of Washington produce into their programs and menus.
  • grocewry bag iconGood Food Bag
    A community based CSA model where communities and programs purchase in bulk and distribute to members in affordable family or individual sized portions.

  • Training Video for Senior Meal Programs
    Filmed at the Sno-Valley Senior Center in Carnation, and produced by WSDA’s Farm to Schools Program in collaboration with Senior Services (now known as Sound Generations).

F2T Presentations and Reports

F2T Media Coverage

F2T CDC Grant Related Materials


Funding is currently provided by the City of Seattle, Public Health Seattle-King County and the HumanLinks Foundation.  The CDC provided initial funding for the project through the Communities Putting Prevention to Work (CPPW) and the Community Transformation grants, both of which have enabled project partners to leverage other resources and opportunities.

Senior Farmers Market Nutrition Program

2021 SFMNP program enrollment now closed

Senior Farmer Market Nutrition Program 2021 - English

Click on the image above to open a PDF flyer in English to print or share, or select one of the following languages: Chinese (simplified) | Chinese (traditional) | Español | Korean | Russian | Soomaali | Tagalog | Ukrainian | Vietnamese  (scroll further down for links to in-language applications)

The Senior Farmers Market Nutrition Program provides $40 worth of vouchers/checks (one-time distribution) to be used for the purchase of fresh fruits and vegetables at participating farmers markets.


To apply, all of the following must be true:

  • Age 60+ (or age 55+ if you are American Indian/Alaska Native) by June 30
  • Low income—no more than:
    • $1,986 monthly ($23,828 annual) income for one person
    • $2,686 monthly ($32,227 annual) income for two people
    • For larger households, add $700 for each additional person
  • King County resident (check King County zip codes here)

How to apply

The application period closed May 31, 2021.

Selection process

The first 8,000 applications received will be entered into a random selection process. If your name is selected, you will receive your vouchers/checks by mail in July 2021.

Application tips

Following are tips provided for completing the Senior Farmers Market Nutrition Program application. We are unable to process your application if it is incomplete.

  • Print information clearly on your form.
  • Be sure you meet individual eligibility (listed above).
  • Include your apartment number, if applicable.
  • Sign the form in the Participant Signature box. Note: The form must be signed by the person applying for the vouchers.
  • Include your full date of birth (month, day, and year).
  • Complete all of the boxes.

If you need help completing your application, contact Community Living Connections at 206-962-8467 or (toll-free) 1-844-348-5464.

Applications (application period closed May 31)

Application forms were available in 11 languages, listed below.


application | rights & responsibilities

Cambodian Cambodian

application | rights & responsibilities


application | rights & responsibilities

Chinese Chinese

application | rights & responsibilities


application | rights & responsibilities

Korean Korean

application | rights & responsibilities


application | rights & responsibilities


application | rights & responsibilities


application | rights & responsibilities

Russian Russian

application | rights & responsibilities


application | rights & responsibilities

Shop Safely at Your Farmers Market flyer

Click on the image above to open a Shop Safely During COVID-19 flyer in English to print or share, or select one of the following languages: Chinese | Russian | Spanish

Find a farmers market near you!

Please note that the COVID-19 pandemic is still underway. People in high-risk categories are encouraged to stay home and stay healthy, even as the community re-opens to others. All Senior Farmers Market Nutrition Program participants should follow advice from the Washington State Department of Health, shown in the flyer at right.

image of King County farmers market flyer

Click on the image above to open a two-page flyer with a list of King County farmers markets


Washington State DSHS Senior Farmers Market Nutrition Program

Fresh Bucks (Seattle residents)

Oral Health

How does Washington stay healthy? One of the ways is managing our mouths.
For a series of public service announcements about oral health produced by the Washington Dental Service Foundation, visit The Mighty Mouth.

Aging and Disability Services recognizes that oral health is an important factor in overall health and well-being. Oral health is included in Healthy People 2020 , the national objectives for improving the health of all Americans.

Oral Health Self-Management Plan

oral health flags flyerLike flags on a beach that indicate hazardous surf conditions, ADS has created green, yellow, and red oral health flags that indicate health (green), indications of poor health (yellow), and situations that require immediate medical attention (red). Special thanks to the Washington Dental Service Foundation for reviewing this information.

On the back of the Oral Health Flags, you will find a Personal Health Record (PHR) that can help track contact information for your dentist and other health care providers, questions to ask your providers, medications and supplements you take, and other important information.

flyerPatient Handouts:

Oral Health Care Cards for Caregivers

The Washington Dental Service Foundation developed Oral Care Cards for Caregivers cards in partnership with the Alzheimer’s Association. These are a great tool for caregivers looking for techniques to make oral care easier.


Finding Affordable Dental Care

We know it’s difficult to access affordable dental care. A good place to start is Finding Dental Care, a webpage maintained by our partners at Washington Dental Service Foundation. There are three links:

In addition, we recommend contacting Community Living Connections to request information about other forms of assistance.

Nuts About Oral Health (video)

video still
Nuts About Oral Health, a digital story by Maria Langlais,
Aging and Disability Services, February 2013.


Click on the headings above for more information. For free, confidential access to aging network services in Seattle-King County, contact Community Living Connections.