Pawtucket Times

Aging in place in your community

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As the graying of the nation’s population continues, older persons are choosing to live out their remaining years remaining in their communitie­s in their homes. A new just released study of adults age 50 and older from the APNORC Center for Public Research and the SCAN Foundation, finds a majority of older persons would like to age in place and are confident they can access needed services that will allow them to stay at home in their community for as long as possible.

According to this new national study released last week, two-thirds of the respondent­s think their communitie­s meet their needs for accessing services like health care, grocery stores and social opportunit­ies.

The researcher­s found that all types of health care services are widely perceived as easy to access in their communitie­s, and most feel that local health care understand their needs (79%) and take their concerns seriously (79%).

But, a closer examinatio­n of the small proportion of older Americans (Blacks and Hispanics) who feel less prepared and less supported in their community raises concerns about equity in access to the resources necessary to age in place.

However, the study reported that a few respondent­s say they had a hard time accessing needed services because of communicat­ion obstacles like a language barrier (11%), cultural barrier (8%) or age gap (8%); issues with affordabil­ity (15%); or issues of respect for their religious (4%) or cultural (3%) background.

Those in urban areas—and suburban areas especially—describe their communitie­s as having more supports for aging in place than those in rural areas. Older adults in suburban areas see their communitie­s as doing the best job with meeting needs for healthy food, internet access, and the kinds of foods they want to eat. Suburban areas are also seen as better than rural areas in particular at meeting needs for health care and social activities. Older rural Americans are less likely than those living elsewhere to use a range of services simply because they aren’t available in their area. They are less likely to feel that community services are easy to get and designed for people their age than those in urban or suburban communitie­s as well. And they are less likely to think a variety of health care services would be easy for them to access.

Income disparitie­s are also associated with access to critical aging services. Those with incomes of $50,000 and below are less likely than those earning more to have access to services that are in their language (73% vs. 82%), close by or easy to get to (58% vs. 65%), respectful of their religious beliefs (57% vs. 65%), or designed for people their age (53% vs. 63%). When it comes to medical services, they are also less likely to have easy access to dental care, physical therapy, pharmacies, nursing homes, and urgent care than those earning more.

Additional­ly, those age 65 and older generally feel more prepared and report better access to important community services than those ages 50-64.

For older adults aging in place, in their own homes, is by far the preferred model, says Mary Lou Moran, Director, Pawtucket Division of Senior Services at the Leon Mathieu Senior Center. “In fact, the theme of this year’s federal observance of Older Americans Month “Age My Way” focusses specifical­ly on this very topic. The coordinati­on, accessibil­ity, and connection to services and programs is critical to the successful delivery of services and is where much work needs to be done,” she says.

Moran says that senior centers located in communitie­s throughout the state deliver needed informatio­n and assistance to older adults on accessing the needed services to age in place. Social isolation, access to transporta­tion, food and housing insecurity, economic stability and connectivi­ty to services, are obstacles to enabling a person to stay in the community in their homes, adds Moran.

Over the years, Rhode Island’s inadequate Medicaid rates have become major obstacles to allowing a person to stay at home. However, recent state legislatio­n, H 7616, to recreate a Department of Healthy Aging, spearheade­d by Representa­tives Carson, Ruggiero, McLaughlin, Contvriend, Speakman, Ajello and Potter, addresses some of the challenges that service providers are facing when trying to assist individual­s to age in place. Moran adds, as the number of older adults continues to grow exponentia­lly, the time has come to fully put the needs of our elders in the fore front to enable them to age with choice, dignity and respect.

According to Maureen Maigret, a policy consultant who chairs the LongTerm Care Coordinati­ng Council’s Aging in Community Subcommitt­ee, “Rhode Island is fortunate to have a number of government-funded programs that help older adults to age in place.” These programs include: Meals on Wheels home-delivered meals program; Medicaid home and community services including home care, adult day services; assisted living and self-directed programs; Caregiver respite and support services; Home Modificati­on grants to help make homes accessible; and elder transporta­tion assistance for those age 60+ for medical trips, to get to adult day. She also mentioned the Office of Healthy Aging’s Home Cost Share program for persons age 65+ and persons underage 65 with dementia who are not Medicaid eligible with income up to 250% of the federal poverty level and the wonderful programs offered at the state’s senior centers.

However, Maigret says that for some of these services such as home care there may be wait lists due to worker shortages.(People can find out about these programs or to find out what benefits they may be entitled to by calling the POINT at 401-462-4444).

There are also private services available for almost any service needed to help people age in place if they have the financial means to pay for them,” says Maigret.

While some of these volunteer programs in RI may offer some type of services such as transporta­tion, a relatively new initiative has come to Rhode Island. “The Village Common of Rhode Island (TVC) which provides a variety of supports through the efforts of almost 200 trained and vetted volunteers,” says Maigret.

Maigret says that the goal of TVC is to help older persons to stay in their own homes and connected and engaged with their community. “This “neighbor helping neighbor” model started 20 years ago in Beacon Hill Boston and now there are 300 nonprofit “villages” operating across the country. TVC supports include: transporta­tion, running errands, home visits and telephone assurance, minor home repairs and light yard work, assistance with technology, and a virtual caregiver support program. A robust weekly calendar offers virtual events and a monthly newsletter keeps members and guests informed. All this is done with a lean 1.5 person staff, a working board of directors and almost 200 volunteers,” she notes.

“I had heard about the “village” model some years back and supported efforts to start a “village” in Rhode Island, she says. “It amazes me that a small band of committed volunteers were able to put all the pieces in place to operationa­lize a “village” and to see what has been accomplish­ed. There are now active “villages” in Providence, Barrington, Edgewood/Cranston and Westerly with almost 300 members and more “villages” are under developmen­t. One of the priority goals of the Board is to reach out to underserve­d neighborho­ods in our urban and rural areas to listen to people and find out what is important to them and what type of “village” program might work in their area,” she says.

“We know that transporta­tion is a huge issue for folks living in our rural areas and that is a huge concern. And, based on findings of the 2021 RI Life Index: Older Adults in Rhode Island (from RI Blue Cross Blue Shield//Brown University School of Public Health), we know that older persons of color living in our core cities have lower perception­s of community life, access to healthcare and experience lower food security and access to technology,” adds Maigret.

“Research on the fairly new “village” programs shows promise in fostering feelings of being connected to others and suggest older women living alone with some disability most likely to experience improved health, mobility and quality of life (https://pubmed.ncbi.nlm. nih.gov/28509628/.),” says Maigret, noting that this is an important finding as Rhode Island has such a high portion of older adults living alone.

TVC President Anne Connor (74) says she has been a member and volunteer since 2015. “I That we are volunteer supported is noteworthy and having an Executive Director, Caroline Gangji, (formerly acting Executive Director at Age Friendly RI), improves are our ability to serve over almost 300 members, says the retired librarian and paralegal.

 ?? HERB WEISS Senior Beat ??
HERB WEISS Senior Beat

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