A Program in Detroit Provides Urgently Needed Care for Caregivers

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

A new program connects tech savvy teens with seniors to help them learn how to use their phones, computers, and other devices. Seniors are provided with patient, knowledgeable support while teens learn job skills and earn money.

To address concerns about loneliness and isolation amongst retired men, organizations like Men's Sheds are gathering to give people a safe space to convey and process emotions while building the personal relationships that will allow them to thrive. The movement, which started in Australia, is now international and rapidly growing.

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

DOROT is a non-profit organization that matches seniors with younger adult volunteers for social visits to combat isolation and loneliness and to promote intergenerational friendships. Many of the seniors are widowers and social isolation can lead to negative health consequences. The organization also delivers fresh meals and holds other events, but was unable to operate as usual once the Covid-19 pandemic hit, so DOROT helped seniors set up Zoom for online conferencing. The group has matched 500 seniors with volunteers and advises similar programs across the country. Many pairs have formed deep friendships.

Intergenerational home sharing is a mutually beneficial option for seniors and young people. There are about 60 programs, run by cities, nonprofits, and platforms in the style of Airbnb, that connect seniors and young people for cohabitation. Seniors benefit by being able to stay in their homes, collect income, and have someone to help with social isolation and household chores. Young people benefit from access to affordable housing options in high-cost areas and engaging in rich relationship building. Home sharing services are facing legal challenges and the Covid-19 pandemic made cohabiting more risky.

The coronavirus pandemic drastically reduced the ridership of the Monterey-Salinas Transit District, so the system shifted services to help the mostly rural community it serves. Despite cash-flow problems, unused drivers and vehicles helped Meals on Wheels deliver 8,000 meals to seniors and persons with disabilities, wi-fi-enabled commuter buses parked in rural areas to provide hot spots for students, and the system donated unused vehicles to groups serving veterans, people experiencing homelessness, and at-risk youth. The system continues to adjust to rapidly changing circumstances.

To better serve patients struggling with dementia, a hospital in Berlin established a department of geriatrics and began screening "patients for cognitive impairments upon admission, providing them with trained volunteers for personal support and non-pharmacological interventions to prevent delirium." This course of action has helped the hospital to diagnose cases earlier and offer dementia-specific care for patients, which consequently has reduced the prescribing of drugs for these patients.

For millennials looking to gain a stronger sense of commitment to social justice and service work, religious traditions can provide a helpful framework. The Nuns and Nones program in Burlingame, California, places young participants into convents. In exchange for low-income housing, the young people help provide care and company for the aging sisters, while also drawing lessons from their participation in—and devotion to—service work.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.