It Takes a Village to Age in Place

Published in Senior Digest, February 2015

The simple act of joining his good friend, Reverend James Ishmael Ford, of the First Unitarian Church of Providence, for a quick cup of coffees piqued Cy O’Neil’s curiosity and led him on a journey to learn more about a new care option popping up around the nation, one that allows aging baby boomers to age in place right in the comfort of their home.

During their coffee chats, Ford, a native of California, began talking about his upcoming retirement, planning to return to his home state to be near his children.  But, he stressed the importance that his new California community must be located near a village.

O’Neil was intrigued and began Googling for information on specific villages, one was the The Beacon Hill Village.  He quickly got the concept.  Villages are created by membership-driven grass-roots organizations, with volunteers and paid staff, who coordinate access to affordable services, transportation, health and wellness programs, home repairs, social and educational activities, and other day-to-day needs enabling older persons to remain connected to their neighborhood community throughout the aging process.

According to Village to Village Network, there are now over 120 villages operating across the nation, in Canada, Australia and the Netherlands, with over a 100 additional Villages being developed.

Like many aging baby boomers, sixty-five-year old O’Neill did not want to leave his comfortable home in his later years, but stay put in his long-time Oakhill neighborhood.  The Village on Providence’s Eastside might just be the way to assist neighbors working together to successfully keep each other right in their homes, far away from assisted living facilities or nursing homes.

Creating Providence Village

Last February, O’Neill and several friends, over pot luck dinners, began  brainstorming how the Village concept could be brought to the Ocean State. One of the oldest Village organizations, The Beacon Hill Village, was established in Boston in 2001.  Why couldn’t the successfully run, The Beacon Hill Village, be replicated right here in Rhode Island, they asked.

Three pot luck dinners along with a larger event that drew over 30 attendees, resulted in a group of nine people who decided to launch an effort to create what they call the Providence Village.  This group consisted of a writer, editor, a geriatrician, college educators and administrators, people with business backgrounds, and artists.

“Rhode Island is the only state that does not have a village yet,” quips O’Neil.  There have been other attempts to bring The Village concept to Rhode Island but the failed,” he believes.

O’Neil, Boston College’s associate director for long-range planning and capital, notes that the Providence Village is still in the exploratory phase, gathering information.  The Steering Group is reaching out to Eastside Community in Providence through a survey on its website (http://providencevillageri.org/take-our-survey/) to identify the types of programs and services needed and identifying potential partners.  When completed, the Steering Group will move the organization into development phase where “serious planning begins to take place,” adds O’Neil.  At this phase, member benefits will be determined, organizational partners identified, and an operational, business and marketing plan developed.  .

“So far our responses have been very positive,” observes O’Neil.  “We’re energized by these responses and are very committed to rolling up our sleeves to make Village Providence work,” he says, noting that the Steering Group wants to create more opportunities to get more people involved to make Providence Village a reality.

Thoughts From Steering Group Members

Pat Gifford, MD, a retired geriatrician who is certified in hospice and palliative care who has practiced for over 30 years, brings her medical expertise and understanding of aging issues to the Steering Group.  The sixty-six year old Laurel Mead resident sees the village movement targeted to aging baby boomers.  “The Village is not a social service agency to take care of frail people,” she notes, but a “way of organizing people to take care of each other, often involving volunteering and a measure of paying-it-forward.”

Gifford, who brings extensive experience about the Village movement to the Steering Group, would like to write and teach on health and wellness issues for the members of the Providence Village, especially providing support to self-supportive groups for those with chronic diseases.  “It’s up to the Board of Village members if they are interested in these efforts,” she says.

According to Gifford, the key to Providence Village being a success is garnering strong grass roots support.  “It is important for people to go to visit our web site and complete our survey, so that we can understand the needs and desires of our unique community,” she adds.

A Final Note…

“The village movement is one of many approaches to senior living that AARP encourages,” said AARP State Director Kathleen Connell. “It’s impractical for many people to simply remain in the family homestead forever. It’s not ‘Aging in Place’ if the place isn’t right for you. Most people talk about downsizing as if it is all there is to be said about housing options. It’s not true, and we’re happy to see growing awareness that less house to maintain is really only part of the solution.

“One’s house and one’s home are two different things. You can choose another house, but people are most comfortable when they make a new home in an environment where they feel comfortable and live in proximity to the services and support they require as they age. AARP calls these livable communities and they are aligned with the thinking behind the village movement.

“Rhode Island does not have unlimited space to build new retirement communities. We need a balance of traditional senior housing development and the creative thinking and the adaptive use of existing housing.“

For more details about Providence Village go to http://providencevillageri.org/.

Herb Weiss, LRI ’12, is a Pawtucket writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.

 

Santaniello Gets AARP’s Most Prestigious Award

Published in Pawtucket Times, December 6, 2013

Look for hundreds of AARP members to gather today at this year’s Andrus Awards noon luncheon at the West Valley Inn, in West Warwick, to recognize their own, at the aging group’s annual Andrus Awards ceremony.

Norma Santaniello, 81, gets the Rhode Island AARP Chapter’s most prestigious volunteer award for age 50 and older volunteers, that is the 2013 AARP Rhode Island Andrus Award for Community Service. It’s the aging advocacy groups most visible state volunteer award for community service

“This award acts as a symbol to the public that we can all work together for positive social change,” states . “AARP has long valued the spirit of volunteerism and the important contributions volunteers make to their communities, neighbors, and the programs they serve.”

Connell says the North Providence resident has worked with the nonprofit’s chapters and community partners, reinforcing the organization’s strategic priorities and being a voice to the public. “She is a strong advocate for community service and works with the volunteers on projects such as the RI Community Food Bank and at various health and fitness fairs.”

Santaniello follows a very distinguished group of award recipients. Previous Andrus Award winners are Sarah Gauvin, Virginia Tierney, Anna Prior, Ann Gardella, Melvoid Benson, John O’Hara, Rita Wood, Ed Drew, Richard Ryan, Jorge Cardenas and Catherine Graziano

The December 6 Andrus Awards Luncheon is very festive and upbeat regardless of “what is going wrong in the world or otherwise leaving us feeling unsettled,” says Connell, noting that she looks forward to attending this annual event because “it is a time to acknowledge volunteerism and public service on many levels.

AARP Rhode Island’s Andrus Awards Luncheon allows the organization to recognize people for their community service throughout the year. “It is indeed an honor to know each and every one present, along with many who are absent,” notes Connell, stressing that they represent an “even greater network of volunteers and advocates who carry on Ethel Percy Andrus’s dream of a productive and fulfilling life for people whose knowledge, passion and energy remains indispensable in our neighborhoods and in towns and cities all across our great state.”

AARP Award Recognizes Ethel Percy Andrus’s Advocacy

According to Connell, her group’s top award is given to recognize and honor AARP founder Ethel Percy Andrus, she “embodies all that AARP stands for. Once Andrus retired in 1944 from her position as Los Angeles high school principal in 1944, she stepped into a new career, one that ultimately would have a major impact on the nation. “She became an activist and organizer on behalf of other retirees and older Americans, fighting to improve their financial security, their health care and other services that they need, says AARP Rhode Island’s State Director.

The former long-time educator, who served as the first woman high school principal in California, never married and was childless, had retired so that she could care for her mother, who was in poor health. Despite decades of working, Andrus was entitled to a pension of just $60 a month, around $750 in today’s dollars. She had enough money to financially survive, but she realized that many of her older colleagues were not so fortunate, living off incredibly small pensions.

For Andrus, her commitment to become a change agent for society was fueled by learning the indignity faced by a former colleague due to lack of retirement income was forced to live in a chicken coop in a small town outside Los Angeles. This led to Andrus to become active in the California Retired Teachers Association and in 1947 she founded the National Retired Teachers Association. This group would ultimately lead to the creation of AARP in 1958, now considered the nation’s largest aging advocacy group.

Connell notes that Andrus worked to shift the nation’s perception of aging. As she once explained, “Old age is not a defeat, but a victory, not a punishment, but a privilege.” The aging advocate urged her fellow retirees “to be as active as possible — to pursue new passions, to travel and see the world, and, most of all, to continue to use the skills and experience developed over a lifetime to serve their communities.”

The Ojai, California resident continued to work long hours and travel to promote AARP until her death from a heart attack at age 83 in 1967, the same year that membership in AARP reached 1 million. Today, AARP’s membership serves over 40 million older people.

Like the AARP Rhode Island Chapter, recipients across the nation are to receive the distinguished award, named for Andrus, recognizing their ability to enhance the lives of AARP members and prospective members, improve their community or for which the work was performed, and the inspiration they give other volunteers.

Empowering Seniors

For 29 years, juggling a demanding job that provided administrative support for Providence School Principals combined with raising two young children left Santaniello with little time after hours to join community organizations. One year shy of age 60, she would take retirement, noting that “I had worked long enough, had a pension, and just wanted to do different things.”

Santaniello remembers her volunteer work began when she was invited to join the State Legislative Committee some 18 years ago. The retired Providence School Department employee, joined the AARP North Providence Chapter taking the helm of its Legislative Committee, ultimately being appointed to AARP Rhode Island’s State Legislative Committee. In these positions she has written numerous letters to Congressional lawmakers on aging advocacy issues and has testified many times on Smith Hill before the General Assembly on a multitude of aging issues, including care giver issues, long-term care, Social Security, and fair market pricing for prescription drugs.

As the years rolled by, Santaniello would continue to put her energy into her AARP duties. But, she also would find time to teach fifth graders about religion at her local parish, the Presentation of the Blessed Virgin Mary in North Providence, serve as a board member for Marieville’s Community Police program and to even became certified to be on FEMA’s Emergency Response Team in the Ocean State. That’s not all.

Santaniello is actively involved in the Department of Elderly Affairs’ Senior Help Insurance program, assisting seniors to get the best insurance plan for their specific needs. “Right now I am very concerned about United Health Care dropping physicians,” she says.

Besides receiving the Andrus Award, Santaniello notes she has also accumulated a few others over the years. She received the AARP Rhode Island’s Outstanding Team member Award in both 2000 and 2004 and the nonprofit group’s Life Time Chapter Education Award in 2010.

With today’s luncheon ceremony in her thoughts, Santaniello admits, “it’s quite an honor, getting the highest award that AARP can bestow.” She seems amazed that one should get this award for just doing something you like. “Obviously, if I did not enjoy what I was doing I would not have been around so long,” she says.

As to staying active in her early eighties, Santaniello hopes that her older friends will find volunteer activities that are worthwhile to invest their time and energy. “We just have to know what is going [in the world] or we will fade away, she said.

Like Santaniello, older Rhode Islanders might consider following her very active life style. Become a volunteer in your community. According to the Washington, DC-based Corporation for National & Community Service, a growing body of research details that older volunteers have lower mortality rates, less depression, fewer physical limitations and higher levels of well-being. Older volunteer’s can tackle community problems, making the world a better place for their children and grandchildren. Being a volunteer might just well be your fountain of youth.

At today’s Andrus Awards noon luncheon, here are other AARP members who will be recognized for the 2013 Volunteer Leader of the Year: Advocacy; Doris Haskins (Advocacy): Julia Valles (Community Presence); Lourdes Pichardo (Maria Matias Award); Susan Sweet (Advocacy Education); and Jorge Cardenas (Volunteer Engagement).

Herb Weiss, LRI ’12, is a Pawtucket writer who covers aging, health care and medical issues. He can be reached at hweissri@aol.com.

Gridlock Threatens Elder Programs, Services

Published in Pawtucket Times, October 11, 2013

At press time, this week continued heated partisan bickering on Capitol Hill that threatens to unravel a fragile economy, along with putting the brakes to an economic upturn that slowly was pushing the nation out of its financial doldrums. With this stand-off, a partial shutdown of the federal government continues. The Republican-controlled House, captured by the ultra-right Tea Party, has refused to budge, opposing the passage of a continuing resolution (CR) to fund government agencies past Sept. 30. House Republican leadership has demanded that passage of the CR must be tied to either the repeal or partially dismantling of President Obama’s signature achievement, the Affordable Care Act. The Democratic President along with a Senate Democratic leadership say no.

Meanwhile, the Democratic-controlled Senate passed a “clean” CR to provide funding through Nov. 15, not putting ACA on the GOP’s chopping block. Even if both legislative chambers sort out differences and hammer out a compromise agreement to open the doors of the federal government, this would not shield the nation from the disastrous impact of the impending second round of sequester cuts and a Oct. 17 deadline for the government to raise the debt ceiling. No action means a first-ever default on the nation’s debt that could send the stock market tumbling and push the nation’s and the world’s economy into a tailspin.

Treasury officials say that congressional deadlock and no action will result in the federal government running out of cash to pay its bills if Congress does not act to raise the nation’s debt ceiling this month.

Get Your House in Order

With the debt crisis looming, AARP Executive Vice President Nancy LeaMond called on Congressional lawmakers to settle the debt ceiling debate to avoiding default on the nation’s debt, specifically to protect the retirement of seniors and future generations.

In her letter, LeaMond expressed concern that any delay in raising the nation’s debt limit may unnecessarily increase borrowing costs, negatively impact retirement savings accounts and harm the nation’s fragile economy.

“Our members are worried that the benefits they have earned may be cut as part of a deal to reduce the deficit, fund government operations, or increase the debt ceiling, and they are increasingly worried that if there is no agreement very soon, they may not receive their Social Security checks and may lose access to their health care,” noted LeaMond.

Ten days ago, the nation entered a government shutdown, forcing furloughs of 800,000 workers, without pay, and suspending services. The last time this occurred was 17 years ago during the Clinton administration. The Congressional impasse has closed national parks and monuments, federally owned museums, such as the Smithsonian, offices overseas that give visas to foreigners hoping to visit the United States, and even many federal regulatory agencies.

So, how does this impact programs and services for older Americans? Simply put, impact on programs and benefits may vary throughout the federal bureaucracy.

The U.S. Department of Health & Human Services will furlough over 40,512 of its 78, 198 employees. The largest percentage of these employees comes from “grant-making and employee-intensive agencies,” such as the Administration for Community Living. This federal agency would not be able to fund the Senior Nutrition programs, Native American Nutrition and Supportive Services, Prevention of Elder Abuse and Neglect, the Long-Term Care Ombudsman program, and Protection and Advocacy for persons with developmental disabilities.

As reported, Social Security checks will be mailed, Medicare and Medicaid benefits will continue to be paid out, because these are considered mandatory programs, not discretionary ones. Benefits under the Supplemental Nutrition Assistance Program, commonly referred to as food Stamps, will continue in October, despite the federal shutdown.

Food Program Takes Budgetary Hit

Jenny Bertolette of the Meals on Wheels Association of America charges that the Federal Government shutdown “adds insult to injury as Senior Nutrition Programs are already dealing with devastating cuts due to sequestration, funding that has never kept up with inflation, increased food and transportation costs and increased need as significantly more seniors are aging and struggling with hunger than ever before.”

Bertolette says that should a shutdown persist for any considerable length of time, local Meals on Wheels programs that rely on government funding could experience a delay in reimbursements for meals and services delivered. Facing such funding uncertainty, programs could be forced to suspend meal services, create or expand waiting lists for meals, cut the number of meals or days they serve and reduce delivery days.

Jenny Bertolette of the Meals on Wheels Association of America charges that the Federal Government shutdown “adds insult to injury as Senior Nutrition Programs are already dealing with devastating cuts due to sequestration, funding that has never kept up with inflation, increased food and transportation costs and increased need as significantly more seniors are aging and struggling with hunger than ever before.”

Bertolette says that should a shutdown persist for any considerable length of time, local Meals on Wheels programs that rely on government funding could experience a delay in reimbursements for meals and services delivered. Facing such funding uncertainty, programs could be forced to suspend meal services, create or expand waiting lists for meals, cut the number of meals or days they serve and reduce delivery days.

Heather Amaral, Executive Director of Meals on Wheels of Rhode Island, agrees, noting that her Providence-based nonprofit program, has already lost $70,970 in 2013 federal funds due to last year’s sequestration cuts.

Amaral says that as a result of these cuts, to maintain meal delivery at the same numbers as last year (360,299 meals), she had to reduce menu items that were once offered. “Although the government shutdown doesn’t have an immediate impact on our program, I am concerned that it could lead to additional cuts,” she says, noting that should the shutdown continue until year end, the nonprofit agency will be forced to rely on donations and reserves to maintain service levels.

“We provide a safety check along with each home delivered meal and are often the only contact our client has that day, adds Amaral, who stresses that her program may be the only thing keeping a senior at home. “If we are forced to reduce the number of meals we serve, these people may be forced to live with a family member or enter a nursing home,” she warns.

Meanwhile, the U.S. Housing and Urban Development (HUD) agency will be unable to fund additional payments to public housing authorities, many providing shelter to older Americans. HUD expects the 3,300 Public Housing Authorities it funds to have enough funding to get through the month of October. But, if the shutdown continues, some public housing authorities will not be able to maintain normal operation.

Also, Quarterly formula grants will not go out for the Low-Income Home Energy Assistance Program (LIHEAP), the Social Services Block Grant (SSBG), or the Community Services Block Grant (CSBG).

Nutrition programs serving older adults face a double whammy with no FY14 appropriations and no reauthorization of the Farm Bill. The Senior Farmers’ Market Nutrition Program expired along with the Farm Bill on Sept. 30. The Commodity Supplemental Food Program (CSFP) requires appropriations to continue operating.

According to well-known Aging Advocate Susan Sweet, this is a partial shutdown that hasn’t really hit aging programs yet. There are funding reductions in programs for older people, but that is due to the sequester, which will have another round of cuts in October, she says.

Sweet predicts that the negative effects of the shutdown itself will become worse with every passing day. For example, there is doubt that veterans benefits and social security will be paid in or after October absent a funding bill. Death benefits, including burial subsidies, have not been paid to the survivors of fallen armed forces members, she notes. Because of the public outcry regarding this outrage, a private charity has stepped up to pay the benefits with the promise of reimbursement when the government re-opens.

“Reduced to its true absurdity, the United States of America has lost the ability to rationally govern,” states Sweet. “The sequester cuts, previously characterized as “cuts for dummies”, have been implemented, we are in a war yet cannot bury our dead from that war, can’t even agree on a temporary fix, and are arguing whether the US should pay its bills or default,” she adds.

“It is perplexing, and we have heard many, many concerns from Rhode Island members, “ said AARP State Director Kathleen Connell. “Since the U.S. government has never failed to meet its financial obligations, we don’t know what payments it could make if the President and Congress fail to reach an agreement.

“One cannot help but wonder what effects this uncertainty has on people – many of whom struggle enough with health and financial issues,” Connell added. “We’re doing whatever we can to urge Congress and the President to act responsibly.”

Herb Weiss, LRI ’12, is a Pawtucket-based writer covering aging, health care and medical issues. His weekly commentaries can be found on his blog, herbweiss.wordpress.com. He can be reached at hweissri@aol.com.