Tag Archives for COVID-19

McKee-Matos final “Rhode Island 2030 Plan” must not forget seniors

Published on October 25, 2021 in RINewsToday

Over a month ago, Gov. Dan McKee penned a Providence Journal op-ed calling for the General Assembly to release the $1.1 billion (at least 10%) in federal COVID-19 aid to address the state’s immediate needs, including shoring up minority and women owned small businesses and specific sectors – tourism, travel and events, and child care. The federal funds should also target worker training programs and increase the state’s affordable housing units.

On Oct. 15, Gov. McKee and Lt. Gov. Matos rolled out “Rhode Island 2030”, a working paper containing preliminary recommendations to begin public debate on how the American Rescue Plan Act’s State Fiscal Recovery Fund should be spent. Beginning Oct. 26, public hearings will be held on the McKee-Matos working paper, “Rhode Island 2030: Charting a Course for the Future of the Ocean State”.

The 55-page working draft provides summaries of what the administration heard during the Facebook live Rhode Island 2030 Community Conversations. The document also highlights current state agency initiatives in the relevant topic areas, suggests broad goals for 2030, and recommends short-term and long-term actions the state should take to reach those goals.

With the working paper’s release last week, debate has intensified as to how the McKee-Matos Administration should spend the state’s $1.1 billion allocation from the American Rescue Plan Act’s State Fiscal Recovery Fund. On Oct. 19, the Rhode Island Foundation added its own wish list in a report, “Make It Happen: Investing for Rhode Island’s Future”, which studied and analyzed options for spending the federal COVID-19 recovery funding over the next three years.

The public input included approximately 400 ideas submitted by the public via email, stakeholder conversations with more than 140 people, five focus groups with Rhode Islanders from communities hardest hit by COVID, and 11 nonprofit-led, community visioning sessions throughout the state. The 56-page report’s recommendations, shared with Mckee-Matos and the Rhode Island General Assembly, recommends investing in six key areas: housing, behavioral health, workforce development, small business, neighborhood trusts, and immediate relief.

Senior Advocates Weigh In 

In an Oct. 18 email, Maureen Maigret, policy consultant and chair of the Aging in Community Subcommittee of the Rhode Island’s Long-Term Care Coordinating Council, emailed her thoughts about the working paper to the aging network.

Here are a few of Maigret’s observations:

The working paper does not consider seniors to be an integral part of families, says Maigret, noting that “older couples are a family, some families are multi-generational with older adults being provided care by family members or helping with childcare and sharing household and family responsibilities. “While the plan recognized the pandemic caused many parents to leave the labor force, it does not mention that it also caused some employed family caregivers to leave their jobs as the caregiver workforce shortage intensified with COVID-19, leaving many caregivers without service,” she said.

Maigret called on state funded provider reimbursement to be at a level to provide competitive and living wages to all Direct Care staff and to support reasonable administrative costs.

While the working paper makes only an indirect mention of seniors about workforce development and postsecondary education, child care workers, nursing home staff and tipped workers are severely underpaid, notes Maigret. “There must be a target focus for these workforce fields, especially in lieu of the recent trends of workers leaving their jobs,” she says.

“There is no mention of any particular effort to strengthen programs that were in the labor force before the pandemic,” says Maigret.

As to workforce shortages, Maigret notes that the draft “fails to address the need for nursing home transformation and Covid’s significant impact on deaths and hospitalizations of nursing home residents, as mostly their physical structures are outdated with residents sharing rooms and bathrooms which makes infection control difficult, and contributes to high infection rates.”

Maigret noted that the working draft highlighted the need to expand broadband for Ocean State residents and businesses. “It did not include any specific facts on broadband accessibility for older adults or mention transit needs of older adults,” she said.

Giving Seniors a Brighter Tomorrow

AARP Rhode Island joins Maigret, calling on McKee-Matos to not forget Rhode Island’s seniors.

“The governor’s “Rhode Island 2030” framework includes the top two priorities that AARP Rhode Island has identified as critical,” said AARP Rhode Island State Director Catherine Taylor in an Oct. 19 statement. “Investing in the future of health care and housing in Rhode Island is vital to ensuring that citizens – of all ages – have a brighter tomorrow. We look forward to working with state leaders to advance these two priorities as decisions are made on spending ARPA funds.”

AARP Rhode Island especially agrees with the governor’s plan that municipal barriers for Accessory Dwelling Units need to be removed in order to create more affordable and accessible housing in our town and cities.

Like Maigret, AARP Rhode Island expressed concern about a lack of inclusion for older Rhode Islanders in many sections of the McKee-Matos working plan.

Considering that the vast majority of Rhode Islanders want to live independently in their homes and communities, the plan needs to include protecting the HCBS workforce employed by many small businesses, safeguarding the financial stability of HCBS providers, and accelerating meaningful reform of long-term services and supports.

To support healthy and accessible housing, AARP Rhode Island calls for increased funding for property owners to make improvements to existing housing, including weatherization, lead abatement, and disability access. In their July letter to the governor and state leaders, AARP Rhode Island recommended expanding the funding of the Livable Home Modification Program in order to increase the state’s accessible housing stock. Demand for this program continues to rise, often resulting in a waitlist by mid-fiscal year.

AARP Rhode Island advocates strongly for investing in transportation to help create livable communities where residents of any age are able to connect with the services and amenities they want and need. Creating communities that are accommodating to people of all ages and all modes of transportation is vital to allowing people to age in their own homes, within their own communities.

“AARP Rhode Island is committed to working with state leaders to make certain that ARPA funds are invested in a way that ensures that Rhode Islanders of all ages and abilities can recover and thrive,” said Taylor.”

A Call for Your Comments

“There are obviously significant objectives & responsibilities that must be developed and pursued to strengthen Rhode Island’s recovery from the pandemic – including the well-being of our aging community and how we can become an “Age-Friendly State” (currently, 8 states in the AARP network). 

This community conversation must become a statewide collaboration – engaging families, older adults, grandparents, etc. Such a strategic effort would greatly enhance the recently released working document: “Rhode Island 2030: Charting a Course for RI’s Future,” says Vincent Marzullo, former federal civil rights and social justice Director in Rhode Island for the Corporation for National & Community Services.

Public input sessions on  the McKee-Matos working paper begins Tuesday, Oct. 26 at 6 p.m. at Harry Kizirian Elementary School (60 Camden Avenue, Providence). Additional public input sessions will be held at 5 p.m. on the following dates:

  • Thursday, Oct. 28, Hope & Main (691 Main Street, Warren)
  • Tuesday, Nov. 2 at the Community College of Rhode Island (400 East Avenue, Warwick)
  • Thursday, Nov. 4 at Innovate Newport (513 Broadway, Newport)
  • Tuesday, Nov. 9 at United Theatre (5 Canal Street, Westerly)

You can also submit your feedback, online, at www.RI2030.com

For a copy of the McKee-Matos working paper, go to https://ri2030.com/_files/public/RI%202030_final.pdf.

For a copy of Rhode Island’s American Rescue Plan Report, go to https://assets.rifoundation.org/documents/RIF_MakeItHappen_DIGITAL_vF.pdf

Now is the time for creative ideas and reactions to these plans – please take the time to be an advocate for seniors in Rhode Island – and for other causes and issues that are important to you.

Older adults still worried, coping with COVID-19 Delta, poll shows

Published October 11, 2021 in RINewsToday

With the COVID-19 Delta variant numbers having surged across the nation, Joe (70) and Joyce (66), residing across the Rhode Island border in Seekonk, Massachusetts, continue to keep their distance from others, only seeing vaccinated friends and spending time with their daughter and her husband and grandchildren. During the first year of the pandemic, my friends pre-ordered their groceries and picked up the filled bags outside the store, where an employee quickly put the bags in their trunk. Now, this includes a quick 15-minute trip into the store, if necessary. They continue to not eat their meals in restaurants but will pick up their order curbside or eat outside.

Like my longtime friends, many older adults age 50 and over still remained concerned about this virus and continue to isolate themselves from others (especially those unvaccinated) and practice social distancing and wear their masks.

Still Feeling Socially Isolated

According to a newly released survey on Sept. 29, 2021, by the Associated Press-NORC Center for Public Affairs Research and funded by The SCAN Foundation, while a majority of adults age 50 or older see their quality of life, mental health, and satisfaction with social activities and relationships positively, they rarely, or never, feel socially isolated. But still, 18 months into the pandemic,1 in 3 still feel socially isolated at least sometimes. And 1 in 4 feels that their social life and relationships have gotten worse over the past year.

The poll survey includes 1,015 interviews with a nationally representative sample of adults age 50 and older living in America. Interviews were conducted between Aug. 20 and 23, 2021, via internet and phone, in English.

The research findings indicate that those older adults most worried about themselves or a loved one being infected by COVID-19 are most likely to practice social distancing, by avoiding travel, staying away from large groups of people, and wearing a mask. They are the ones most often experiencing feelings of social isolation. The researchers say that these people rate their quality of life, mental and emotional health, and social activities and relationships as worse than those less concerned about the virus.

The study’s findings indicate that being vaccinated does not provide the older persons with relief. Those who are vaccinated are more worried about infection from the virus, are more likely to practice social distancing, and are more likely to describe their mental health as worse than last year compared to those who are not vaccinated.

Touching Others Thru Video Chat and Social Media

To cope with isolation, older adults are using video chat and social media more often since the beginning of the pandemic as the frequency of activities like visiting with friends and family in person, doing volunteer work, attending religious services, and talking with neighbors have declined, the study’s findings indicate. And despite struggles with mental health and isolation, more report that their use of mental health services has declined (34%) than increased (6%).

In addition to the increasing use of technology to socialize, more older adults are using video chat, email, and other technology to receive health care remotely, say the researchers, noting that 63% have used telehealth at some point during the pandemic, up from 56% who had used it as of March 2021. Fifty-1% users expect to continue using it once the pandemic is over, too.

Still, adults age 50 and older are more optimistic than pessimistic that they will be able to fully return to their pre-pandemic activities in the next year, though 17% have already done so.

The results of The Associated Press-NORC Center for Public Affairs Research can be found in “Long-Term Care in America: Coronavirus Worries and Social Isolation among Older Adults,” released on Sept. 2021.

One Year Later – Two Surveys Examine Impact of COVID-19

Published in RINewsToday on May24, 2021

Over the year the raging pandemic has impacted on the physical and mental health of Americans. With daily COVID case counts now the lowest since last year and hospitals seeing less coronavirus hospitalizations, most states, including Rhode Island, are now opening up.

According to the American Psychological Association’s (APA) latest Stress in AmericaTM poll (findings released on March 11, 2021), the nation’s health crisis is far from over. Just one year after the World Health Organization declared COVID-19 a global pandemic, many adults report increased negative behaviors, such as undesired changes to their weight and increased drinking, that may be related to their inability to cope with prolonged stress.

APA’s survey of U.S. adults, conducted in late February 2021 by The Harris Poll, shows that a majority of adults (61 percent) experienced undesired weight changes—weight gain or loss—since the pandemic started, with 42 percent reporting they gained more weight than they intended. Of these individuals, they gained an average of 29 pounds (the median amount gained was 15 pounds) and 10 percent stated they gained more than 50 pounds, noted the poll’s findings.

Gaining Weight Bad for Your Health

Weight changes come with significant health risks, including higher vulnerability to serious illness from COVID-19.  According to the National Institute of Health, people who gain more than 11 pounds are at higher risk of developing Type II diabetes mellitus and coronary heart disease, and people who gain more than 24 pounds are at higher risk of developing ischemic stroke. 

For the 18 percent of Americans who said they lost more weight than they wanted to, the average amount of weight lost was 26 pounds (median amount lost was 12 pounds). Adult respondents also reported unwanted changes in sleep patterns and increased alcohol consumption. Two in 3 (67 percent) said they have been sleeping more or less than desired since the pandemic started. Nearly 1 in 4 adults (or 23 percent) reported drinking more alcohol to cope with their stress.

“We’ve been concerned throughout this pandemic about the level of prolonged stress, exacerbated by the grief, trauma and isolation that Americans are experiencing. This survey reveals a secondary crisis that is likely to have persistent, serious mental and physical health consequences for years to come,” said Arthur C. Evans Jr, PhD, APA’s chief executive officer, in a March 21st statement announcing the results of the study’s findings. 

Evans calls on health and policy leaders to come together quickly to provide additional behavioral health supports as part of any national recovery plan.

The researchers found that the pandemic took a particularly heavy toll on parents of children under 18-years old. While slightly more than 3 in 10 adults (31 percent) reported their mental health has worsened compared with before the pandemic, nearly half of mothers who still have children home for remote learning (47 percent) say that their mental health has worsened; 30 percent of the fathers who still have children home said the same. 

APA’s study also found that parents were more likely than those without children to have received treatment from a mental health professional (32 percent vs. 12 percent) and to have been diagnosed with a mental health disorder since the coronavirus pandemic began (24 percent vs. 9 percent). More than half of fathers (55 percent) reported gaining weight, and nearly half (48 percent) said they are drinking more alcohol to cope with stress.

As to essential workers, (either persons working in health care or law enforcement), the majority said that they relied on a lot of unhealthy habits to get through the year-long pandemic. Nearly 3 in 10 (29 percent said their mental health has worsened, while 3 in 4 (75 percent) said they could have used more emotional support than they received since the pandemic began. Essential workers were more than twice as likely as adults who were not essential workers to have received treatment from a mental health professional (34 percent vs. 12 percent) and to have been diagnosed with a mental health disorder since the coronavirus pandemic started (25 percent vs. 9 percent).

Furthermore, people of color noted that unintended physical changes occurred during the pandemic. Hispanic adults were most likely to report undesired changes to sleep (78 percent Hispanic vs. 76 percent Black, 63 percent white and 61 percent Asian), physical activity levels (87 percent Hispanic vs. 84 percent Black, 81 percent Asian and 79 percent white) and weight (71 percent Hispanic vs. 64 percent Black, 58 percent white and 54 percent Asian) since the beginning of the pandemic.

Black Americans were most likely to report feelings of concern about the future, say the researchers, noting that more than half said they do not feel comfortable going back to living life like they used to before the pandemic (54 percent Black vs. 48 percent Hispanic, 45 percent Asian and 44 percent white).  They also feel uneasy about adjusting to in-person interaction once the pandemic ends (57 percent Black vs. 51 percent Asian, 50 percent Hispanic and 47 percent white).

“It’s clear that the pandemic is continuing to have a disproportionate effect on certain groups,” said APA President Jennifer Kelly, PhD. “We must do more to support communities of color, essential workers and parents as they continue to cope with the demands of the pandemic and start to show the physical consequences of prolonged stress,” says Kelly.

COVID-19’s Impact on Seniors

A newly released AARP study, released on May 10, 2021, has found that more than a year into the coronavirus pandemic, most adults age 50 and older say that it has had a negative impact on their mental health. Researchers found that seven in 10 older adults reported an increase in sadness or depression due to the COVID-19 pandemic, and nearly 8 in 10 said they had increased concern about the future, worry or anxiety. Half of adults 50 and older reported feelings of anxiety in the last two weeks, and 56% noted difficulties falling asleep or staying asleep, say the study’s findings.

“If you are feeling stressed and anxious after the last year, you are far from alone!” said Alison Bryant, Senior Vice President of Research at AARP in a statement announcing the survey results. “As our survey highlights, most older adults’ mental health and wellbeing was affected by the pandemic—and some of the ways we coped might not have been great for our health, either. With many communities returning to normal, we hope older adults will consider taking steps to reclaim their health this spring and summer,” she said.

Coping with the COVID-19 pandemic

According to the AARP study findings, seniors are responding to the increased stress in a variety of ways. About one in four of the respondents reported they are eating comfort foods or “unhealthy foods” like chips and candy more often than before the pandemic. And 27 percent of people 50 and over have increased the time they spend praying or meditating. One in 10 survey respondents reported seeking mental health care in the last year, a third of whom did so specifically because of the pandemic. Overall, 15 percent of older adults said that experiencing the pandemic made them more likely to seek help from a mental health provider if they had concerns.

AARP’s survey also highlighted how the pandemic increased loneliness and isolation among those age 50 and over.  Among older adults, 58 percent reported feeling increased loneliness, and 62 percent were less likely to socialize with friends and family compared to before the pandemic.