North Dakota program helps older adults in rural communities live independently 

North Dakota is faced with unique challenges in caring for and about its older residents. A documented shift of the state’s population from rural counties to urban areas has resulted in a higher proportion of older adults in small towns and sparsely populated locations. 

Assuring North Dakota is a good place to live and age well is a complex problem needing an integrated and collaborative solution. The North Dakota State University Extension Service’s North Dakota Aging in Community (AIC) project supports older adults in rural areas by addressing gaps in services and fostering connections to help them age in place with confidence and dignity. 

Implemented in Lisbon and western Morton Counties, the program offers tailored resources to meet the unique needs of these communities. In 2024, AIC reached 4,270 residents. Participants reported feeling more connected to resources in the community (85%), gaining valuable knowledge (84%), improved quality of life (80%) and feeling more confident living at home (86%). For every $1 spent, the program potentially saved $308 in Medicaid costs. 

One hundred percent of community partners rated the program positively, and 96% would recommend it to older adults. A strong majority (96%) indicate that AIC has fostered client quality of life, safety and ease of aging-in-place, and 91% of community partners report that AIC is successfully building connections within the community. 

By enhancing safety, well-being and community integration, AIC is a vital initiative for rural aging.

View the full statement on the NIDB.

Project supported by Non-Profit Grants & Contracts.