Immigrant elders find relief and isolation with affordable housing in NYC

Nurul Khan and his wife Farida Begum are an older Bengali couple from Queens who lived for 30 years in damp basement apartments in Jamaica, Queens until recently.

“It was so damp I got arthritis,” Farida Begum said to visitors recently. “The basement was freezing.”

After living in damp basement apartments for 30 years, seniors Nurul Khan and his wife Farida Begum recently moved into affordable senior housing

The visitors were in Farida Begum’s brand new apartment on 96th avenue. Tiny and spry, the 58 year old rushed about the apartment getting us snacks and making chai on her brand new stovetop.

“I never saw the sun for all those years. My body used to ache all over.”  “Now look!” She gestures with delight to the window that looks out on to Amsterdam avenue and where her squash and chili plants on the sill soak in the sun.

In 2017, India Home helped Mr and Mrs. Khan re-apply for an affordable senior apartment with the city.  A year later, the Khans moved into an apartment owned by NYCHA (New York City Housing Authority), in one of the city’s 41 seniors-only developments.

Mr and Mrs. Khan have been allotted a one-bedroom apartment. For seniors on a fixed income finding affordable housing can be challenging

“Thank Allah for getting us this house.”  Farida Begum said proudly showing us the kitchen and the bathroom in the spotless one – bedroom apartment . “Everything is very nice.”

Mr and Mrs. Khan are the lucky ones who managed to get an apartment they can afford. Many others are not so fortunate.

In New York City, the number of people over age 65 has passed the one million mark for the first time in history and 462,000 of those are over 75 years old. By 2040, one in five city residents will be an older adult. However, there’s a severe shortage of affordable senior housing for this rapidly growing population.

In January of 2016 LiveOn NY, an advocacy group for aging New Yorkers released a survey of affordable senior housing buildings located in New York City, financed through Section 202 of the Department of Housing and Urban Development (HUD). An astounding 110,912 seniors were found to be on waiting lists for affordable housing through the HUD 202 Program. With a citywide response rate of 46%, LiveOn NY estimated that upwards of 200,000 individuals were likely to be on waiting lists in New York City. Further, the study found that seniors wait an average of 7 years after first applying to receive affordable housing, with some having to wait as long as 10 years.

Nationally, too, a  2014 study by the Harvard Joint Center for Housing Studies and AARP Foundation concluded that for the older U.S. population, “Housing that is affordable, physically accessible, well-located and coordinated with supports and services is in too short supply.”

The situation has steadily worsened for seniors since back in 2012, the Federal government under President Obama cut funds for new private affordable housing developments under Section 202 of the Department of Housing and Urban Development (HUD).

In Jamaica, the Khan’s were paying $1300 for the basement apartment. Nurul Khan (68) continues to work doing security with a contractor at JFK airport, as he has for the past  20 years. His wife retired from working at Rug Doctor in Long Island, repairing carpets. They didn’t have children and have had to depend on these low paying jobs to support themselves. Their economic circumstances have worsened because of the rising rents. Their landlord threatened to raise the rent and that’s when they came to India Home’s Case management team. The team reactivated an old application that had fallen dormant and helped the couple to reapply.

According to the New York Times, “for those who are still working age, it’s getting harder to pay the rent: According to a StreetEasy survey, rents in the city rose twice as fast as wages between 2010 and 2017. The lowest rents (those up to $2,300) rose 4.9 percent annually since 2010, which means someone who paid $1,500 a month in 2010 likely paid nearly $600 more for the same place in 2017.”

For seniors on a fixed income it can be a challenge to find affordable housing in NYC. The application process is confusing for immigrants with limited English skills, and the wait lists long. Even when they do get an apartment, seniors are often displaced from all that is familiar.

Social Isolation is a problem

Farida Begum says she has to depend on her husband now to get Bengali groceries from Queens. While they live in an area that is well connected to public transport, Farida says she’s afraid now to take the train all the way to Queens to see her relatives and friends because she may get lost.

“This is a beautiful apartment, but I ‘m scared. Who will come here to help if something happens to us?” Farida Begum says.

A growing percentage of New Yorkers prefer to age in their community, surrounded by their friends and relatives and supports cultivated over a lifetime. However, given the fact that there are not enough apartments to go around, seniors like Nurul Khan and Farida Begum have to take whatever they can get, even if it is far from their friends and relatives.

But Mr. Khan hopes that things may change. “There’s some new apartments that have opened up in Queens.”

 

 

 

 

  • 41 seniors-only developments
  • 15 seniors-only buildings exist within mixed-

 

 

 

 

 

Engage at Every Age: Celebrating our older adults this May

May is Older Americans Month – an observance that is led by the Administration on Aging, part of the Administration for Community Living (ACL). The theme for 2018 is ENGAGE AT EVERY AGE, which celebrates the way in which older adults make a difference in our communities whether it is by volunteering at hospitals, senior centers, marching in a rally or babysitting their grandkids. The slogan is also a reminder that you are never too old (or young) to take part in activities that enrich one’s physical, mental, and emotional well-being.

At India Home our elders have been immersed in a great number of events that have kept them happy, and yes, engaged at every age!

1. May 9: Advocating for all elders at City Hall

On Advocacy Day 2018, organized by LiveOn NY, our elders made a show of strength at City Hall to advocate for more funding in the budget for cultural congregate meals, case management, hiring culturally competent staff, transportation and a host of other needs.

Our elders got to New York City’s City Hall bright and early!

They got to meet with the City’s electeds like Council Man Jimmy Van Bremar, shown here, and make their case

India Home showed up in strength at the Press Conference and Rally.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. May 10:  Our “Memoirs and Moments” writing workshop ended with a public reading!

Our Bengali Muslim elders at Desi Senior Center have been writing memoir pieces in a writing workshop for the last eight weeks. They celebrated their efforts and their writing with a reading. The writers read about beloved objects, loved ones, childhoods in Bangladesh and the pieces were beautiful and poignant. There was cake to celebrate and hugs all around.

Certificates for our writing workshop participants who worked so hard

So many poignant and beautifully written pieces!

Our elders wrote about beloved objects, people and places. Sabbin Akter, the teaching artist who taught them looks on proudly.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. May 14: Mother’s Day Celebrations

We celebrated India Home’s mothers and grandmothers with gifts, cake, musical interludes and a big, fat party!

Cakes galore!

What’s a party without dancing?

Gifts for everyone!

A special (culturally appropriate) feast!

 

 

 

 

 

 

 

 

 

4. Dance theater workshops continue at a vigorous pace

India Home’s elders at our Sunnyside center are having a great time working with Teaching Artist Parijat Desai in dance theater workshops that combine garba and abstract movement, with their own individual stories.

 

Pains, Trains, and no Automobiles: Abu Sayeed’s Commute Highlights Transportation Difficulties for Elders in NYC

Three mornings a week, Abu Sayeed, 64, wakes up in his home in Cyprus Hills in Brooklyn, NY, worrying about the subway. He wonders if he’ll manage get the right train? How long will he have to wait? As he gets ready for his long walk to the station – putting on a cap, a thick sweater, sports shoes – he worries if he’ll make it in time to catch the exercise class he loves so much at the Desi Senior Center in faraway Jamaica, Queens.

His journey begins at the Cypress Hills subway station in Brooklyn where he catches the J train to the Sutphin Boulevard station in Queens. From there he transfers to the E train for Kew Gardens. At Kew Gardens he waits for the F train to Jamaica’s 169th street station.

Three trains and 70 minutes after he first got into the subway, he emerges into the light at Hillside Avenue and walks up the slope to the Desi Senior Center. He’s timed the walk: it takes a further 8 minutes.

Abu Sayeed has to take 3 trains and travel for more than an hour to get to India Home’s Desi Senior Center. Lack of convenient transportation increases the social isolation and decreases the wellbeing of our immigrant seniors.

Refuge from Social Isolation

Abu Sayeed has made this complicated journey, three times a week, ever since the Desi Senior Center opened in 2014. “My three arteries was blocked so I had three bypass operations. But still I came,” he says, proud of his tenacity. “I am coming here since day one. December 15, 2014.” His eyes crinkle under his cap. We are in the office of India Home’s Desi Senior Center in Jamaica. Outside the door, other older adults at the center have finished their lunch of rice and chicken curry are munching on apples for desert. A few pop in now and then to say hello to Sayeed or to ask questions of the staff.

So why, given the time and effort it takes, does he make this journey day after day?

Abu Sayeed doesn’t hesitate. “The friendliness of all the people here is very important to me. It is something that I enjoy every much,” is how Sayeed explains his dedication.

For Sayeed, and others like him, the Desi Senior Center, catering to mostly Bengali muslims and other immigrants from South Asia, is a refuge from social isolation, a problem that more and more elderly face in New York city. Sayeed moved from Bangladesh in 2008 to join his children in the US. His sons are busy, off at work or college, leaving Sayeed and his wife alone at home. In the summer he putters around growing flowers and vegetables in his small garden, but in the winter, there’s nothing to do. “My wife is idle,” he mock-laments. She’s happy to stay home. But he gets bored.

At the Desi Senior Center he meets older adults from his country who share the same language and culture, people with whom he can laugh or talk politics with for a few hours a day. There are other reasons that draw him here: “There is a group exercise session that happens every day that I really like. That is the main reason why I come here. They also serve halal food which, especially for me, is very important.”

Food that is culturally suited, exercise, a friendly face: Sayeed’s needs are simple. Yet the journey to enjoy a few hours of small comforts is difficult. 

The burden of transportation costs

Finding easily accessible public transportation is one problem; the high cost of transportation is another. Sayeed, who retired as a manager at a fertilizer plant in Bangladesh, has no work history in the US and thus has no social security income to draw upon. The cost can become a burden: “Every day I am spending $5.50…that is a lot if you don’t have a job.” he says. Selvia Sikder is a case management worker at India Home: “New York City requires that older adults have to be 65+ to get the reduced fare Metrocard. Many of our elders who don’t meet the criteria, even those who are below the poverty line, are spending $5 dollars a day to get to the center.” They can’t access private transportation services because these seniors are often on Medicaid, and these services are not available to those on the Medicaid plan.

There are days when Sayeed simply doesn’t have money and waits for some kind soul to swipe him through the turnstile.

Still, not all elders are as determined or as healthy as Sayeed. “Many elders have to beg for a ride to come to the center. Or wait for family to come and pick up. Some can’t afford even the reduced fare of $1.35. Others live far away from the nearest subway or bus-stop and find it difficult to walk,” Selvia, the case worker, explained.

Fast Growing Elderly Population Needs Better Options

New York City’s large older adult population includes 1.4 million people over the age of 60 and the fastest growing segment of this population are immigrant seniors. The 2013 poverty rate among those age 65 and over was 21.6%. Given these statistics, one would think that NYC would make improving the public transportation system for the elderly a priority. However, the global design and consulting firm Arcadis’s Sustainable Cities Mobility index 2017 published in 2017 found that NYC’s public transportation system was ranked 23rd in the world. Funding concerns, long commute times and looming mega projects kept the city out of the top tier.

New York City’s Department for the Aging (DFTA) funds 14 transportation only programs, which provide means of transportation to older and frail adults, according to a concept paper released in 2015. However these programs serve a limited number of community districts. Many community districts in Brooklyn and Queens remain without a ready source that can provide transportation to older adults.

The benefits of older adults being able to use a low-cost, easily accessed public transportation system are well documented. In January 2017, Reuters reported on a UK study that followed 18,000 older adults for more than a decade. Eliminating cost as a barrier to traveling around town was seen as an important way to improve the mental health of older adults by reducing loneliness and lack of social engagement.  

By 2040 the older adult population of New York city is set to grow by 31%. Without proper transportation infrastructure that works for the aging,  older adults like Abu Sayeed will face increasing social isolation and the physical and mental health issues that come with it. For now, though Abu Sayeed is looking forward to turning 65. “After 1 yr and 4 months I’ll get my half-fare Metro Card.” He grins in anticipation. “Almost there,” he says.

Recommendations

Here are some of the recommendations that AARP (American Association of Retired Persons) urged on Congress in 2012. Many of them could be applied in NYC today.

  • Dedicate increased funding for public transportation and the specialized transportation program for older adults and persons with disabilities.
  • Include support for operations to help mitigate the high cost of gas and other expenses.
  • Strengthen the coordination of public transportation and transportation provided by human services programs, such as agencies that provide transportation for seniors to group meals
  • Ensure that older Americans have greater involvement in developing transportation plans to meet their needs.
  • Ensure that state departments of transportation retain their authority to use a portion of their highway funds for transit projects and programs.
  • Include a Complete Streets policy to ensure that streets and intersections around transit stops are safe and convenient.

 


			
						
		

We Hear You: Why being Culturally Competent matters in Aging Services

Salma Abdul1 was born and grew up in Bangladesh. Her children left for the US to study, then settled in the country as permanent residents. When her husband died, she found herself alone. Her children, unable to leave their lives in the US, but worried about her aging alone, asked her to come and join them in America. When Abdul arrived in the USA at 69 years of age, she had to find her feet in a brand new country and culture. Her adopted country was technologically more advanced and spoke a language she didn’t understand. Its culture was completely different from hers. Its systems were complex and, because she couldn’t speak fluent English, harder to navigate.

With the numbers of immigrant elderly surging in cities like NYC, cultural competency on the part of service providers like hospitals becomes ever more important.

I feel tension in my mind,”: Being ill and unable to communicate

Abdul’s real troubles began when she became ill with kidney disease and had to visit a city hospital on her own. Her children were pre-occupied with work and demands from their young families, and couldn’t spare the time. The hospital had few interpreters. Intake staff at the hospital couldn’t speak Bengali and instead made her access the Translation Hotline and tell the disembodied voice at the other of the phone her symptoms. Doctors ignored what she was struggling to say in her broken English, or dismissed her after a cursory examination.

Discrimination as a barrier to care

According to a study in the Journal of General Internal Medicine, researchers analyzed data from 6,017 Americans older than 50 who took part in a Health and Retirement Study and found that one out of five of these adults experience discrimination in healthcare settings, and one in 17 experiences it frequently. “Ageism in healthcare is very common and experienced by many older adults,” says lead author Stephanie Rogers, MD, MPAS, MPH, a clinical geriatric fellow at University of California San Francisco. There have also been several studies that prove that immigrants in particular report more discrimination in healthcare settings (Derose et al., 2009). 

In Abdul’s case, she “found it difficult to understand the instructions the doctors gave her or the questions he asked her,” said Afroditi Panna, India Home’s Case Manager. Abdul’s daughter also spoke to Panna. Abdul’s daughter felt her mother, was being ignored and treatment options were left unexplained, perhaps because she was older immigrant woman of color who spoke hardly any English. The doctors and nurses would explain things to her when she accompanied her mother, Abdul’s daughter reported, however, when her mother went alone, they would be unresponsive and “not nice”.

That’s when we decided to start accompanying Salma to the hospital because, as with so many of our immigrant elders, she didn’t know what questions to ask her doctor, how to fill forms, or even where to go, or how to get to different specialists,” Panna said.

Case managers and cultural Interpreters

In her experience with Care Management, Panna said, older adults need help with much more than just paperwork. Sometimes, she and her team are called upon to become interlocutors between cultures.

For instance, when a doctor asks a Bangladeshi senior, how she feels emotionally or mentally she’ll invariably answer, “amar onek tension ,” or “I have a lot of tension in my mind.” In Bengali culture, the English word tension is often used as a catch all term for anxiety or depression or worry, and other distressing mental issues. Most American doctors don’t understand this culturally specific term, unless someone with cultural competence (like an accompanying case worker) can explain what the elder means.

Salma Abdul’s case highlights an important point that often gets lost in the scramble to deliver aging services: with the numbers of immigrant elderly surging in cities like NYC, cultural competency on the part of service providers becomes ever more important.

The fact that her team speaks Bengali and understands South Asian ways has made a huge difference in her clients lives, says Afroditi Panna, the Case Manager at India Home.

How to deliver Culturally Responsive Care              

At India Home, where we have culturally competent and multi-lingual staff like Panna, working with our South Asian elder population, we have found that the culture from which our elders come affects all aspects of their behavior. For example, it affects whether they seek help, the kind of help they seek, the symptoms and concerns they bring to their doctor or their family’s attention. Here are some of the guidelines that our case workers and managers follow in order to become more cuturally responsive:

  • Maintaining the tradition of respecting elders: A focus on engaging clients in a manner that is consistent with their cultural values and adapting communication to be consistent with the client’s traditions. For example, in Asian and South Asian culture this would entail addressing our elders with a honorific and never by their name. It would also mean case workers listen respectfully (and patiently) so that the elder feels understood and establishes rapport before rushing into the business at hand. It would mean being respectful of cultural norms around touch, personal space and so on.

  • Involving the Family: Most of our immigrant elders live with their families and are dependent on them. Individualistic Western methods where the patient is solely responsible for their own welfare may need to be modified for aging South Asian elders. Other family members may have to be made familiar with the treatment process and involved actively in their care. To take Abdul’s case as representative: our case workers engaged with her family members and took the time to talk to them and explain her treatment.

  • Framing issues in culturally relevant ways: For example, music and art therapy is used in Western practice to reduce tension and stress, but some South Asians older adults may have restrictions based on their religious beliefs on the kind of music or they are allowed to listen to or the art they may practice. A culturally competent case worker may have to advise the Western doctor to come up with alternate methods to help her client to cope.

  • Facilitating collaboration: Many older adults have learned important ways of coping with life’s stress and have developed impressive resilience that is informed not only by their experiences but also by specific cultural beliefs and values. Our case workers learn a lot by showing cultural humility and listening and learning from our clients. These are some of the ways in which India Home’s case management department is developing client-agency interactions. It’s an evolving art Ms. Panna says and her team learns something new every day. But for her, she says:

“cultural competent case management means that for every one of our 75 active cases, our clients feel that we understand their concerns, and that we are treating them with respect. We want them to feel that we hear them.”

Join India Home and the Diverse Elders Coalition for a Twitter chat about cultural competence in aging services on Wednesday, March 21st at 3pm EST. Follow the hashtag #CultCompMatters to join in.

Names have been changed to protect privacy of the client.

Top Ten Highlights of 2017!

1. India Home’s Executive Director, Dr. Vasundhara Kalasapudi, was named one of this year’s Top Influencer in Aging, by Next Avenue/PBS

 

 

 

 

2.  Nargis Ahmed, India Home’s Desi Senior Center Director, won AARP’s Community Hero Award 

 

 

 

 

3. We moved into brand new offices in Jamaica, Queens.

 

 

 

 

4. We got some great coverage in the media:

5. India Home won a Communities of Color Non-Profit Stabilization Fund award that supported our efforts to create a long term strategic plan and come up with a road map for the future.

6. Our elders took part in Rubin Museum’s Annual Block Party and helped bring awareness of immigrant aging to over 5000 people!

 

 

 

 

7. Ten seniors from India Home participated in Advocacy Day at New York’s City Hall and presented their demands to Council Members.

 

 

 

 

 

8. We organized a panel at the 2017 South Asian Americans Leading Together (SAALT) Summit in Washington D.C., joining over 300 activists, organizations and community members from across the country to raise our voice on issues important to South Asian communities.

 

 

 

 

9. Bangladeshi elders from our Desi Senior Center documented their stories in a memoir writing workshop and had their work printed for the occasion.

10. We held the first and only computer training classes especially geared toward Bengali older adults in New York city. We also set up a brand new computer lab from Older Adult Technology Services (OATS).

Our computer classes featured manuals in Bengali

Exhibiting the Art of Our Elders

The elder patrons of our Sunnyside Center celebrated the end of their Drawing Workshop with an exhibition of their paintings at Jackson Diner in Jackson Heights, Queens. For eight weeks they had  learned what Ebenezer Singh, the teaching artist leading the classes, called, “Pen and Ink Wash, Dry Pastel and Water Color techniques.”

Black and white ink wash drawings created by India Home’s elders

Dr. Kalasapudi (Executive Director, India Home) and Kamala Motihar (Board Member), and Ebenezer Singh (teaching artist) admire the art being exhibited

Our elder participants each received a certificate

 

 

 

 

 

 

 

 

Classes taught by a professional artist

Run by Ebenezer Singh, a highly-acclaimed professional artist and funded through a grant from Lifetime Arts, the classes introduced our elders to advanced drawing using a wide range of materials such as India Ink, carbon pencil, watercolors. The classes also included conversations about historical and contemporary art, and introduced famous Indian artists, thus adding cultural sensitivity to the mix. While some of the participants were unsure of their artistic skills in the beginning, their confidence grew day by day as they practiced the different techniques.  “I didn’t know I could draw like this,” Shobana Shah said in a recent class. “I’m enjoying learning this very much.”

“I had to wait 68 years to discover I could draw.” 

At the exhibition, we created a gallery of their art, and celebrated their achievements with certificates, chai and pakoras! It was wonderful to have so many of their family and friends join the celebration and stroll along enjoying the art on the walls.  Some of the elders spoke about their experiences: “We looked forward to the class every week,” Prabha Basin, one of the  participants said.

“I had to wait 68 years to discover I could draw. Now I want to keep doing it.” Bharat Shah said. His wife, Usha Shah, marveled at how she went from being ” zero in drawing,” to creating the beautiful work on the walls. These words from our elders were exactly what we hoped to hear when we started this experiment in creative aging!

Our Elders Celebrate their Writing

India Home’s Desi Senior Center held a public reading at the center in Jamaica on December 11th, 2017 to celebrate the culmination of a  writing workshop funded by Poets and Writers. Each member of the writing workshop read aloud from a piece written in the class. The classes were led by Sabbin Akhter, a teaching artist, originally from Bangladesh and a writer herself, who taught the class in Bengali. Our elders were very happy to share their work and thrilled to perform for an avid audience of their friends. Speaking on the occasion, Dr. Kalasapudi, India Home’s Executive Director, who is also a geriatric psychiatrist, talked about the positive psychological effects of recalling memories. At the end of the reading, every one of our readers were given a certificate acknowledging their achievements and there was a special cake for the occasion.

Sabbin Akhter, the teaching artist who led the writing workshops, wrote this reflection on her experiences with our elders in the workshop.

India Home held a reading to celebrate the culmination of a writing workshop at Desi Senior Center in Jamaica

A reflection on the Writing Workshop

by Sabbin Akhter, Teaching Artist

When I received the call to lead a writing workshop for desi seniors at India Home’s Desi Senior Center, I was thrilled. I have always been concerned with the lives of the seniors who migrated to the United States, because they are often heavy hearted with the memories they’ve left behind. I also appreciated India Home’s approach to using art to helping seniors lead healthier lives  

To be honest,  I first thought it would be a  challenge to make them write. But to my surprise, I found they expressed themselves with spontaenity. Even though the program lasted only six weeks, I felt like the seniors had a passionate longing to do more.

Every senior received a certificate. Seen here with the elder is Sabbin Akhter, teaching artist, Dr. Kalasapudi, Executive Director, India Home (in purple) and at the mike, Nargis Ahmed, Center Director for India Home’s Desi Senior Center

I tried to design each workshop ssession with a different task. In one workshop they talked and wrote about the natural phenomena and beauty  of the villages they had left behind; in another I asked them to write about their loved ones. They told me they loved the exercise where they were asked to compose small stories or personal experiences based on Bangla proverbs and folklore. One time I said, “Write a letter to a long lost friend,” — a prompt I personally loved. 

Some of the seniors had doubts  if they would succeed at this lost art. “ This is  a hard-task,” one senior told me.  But the next week I was amazed when they read aloud their imaginary letters to their long lost friends. The sparkle in their eyes and their glowing faces conveyed a lot more than their words. I felt their memories of warm sun playing on the pale grasses, brought them back to life. Our “faded corners were illuminated while walking through the golden lanes of memory, “ one said poetically to me. 

At the end of six weeks, we had a reading as the culminating event. The seniors themselves selected a favorite piece to read aloud. They had bonded over sharing their skills in workshop, and on stage they showered each other with love, care and appreciation.  As I watched them read, my heart was content looking at their confident and happy faces.

 

India Home inaugurates new Center for Dementia care

Jamaica, Queens: On November 28, 2017, India Home inaugurated the first ever Dementia Day care program tailored to South Asian immigrants at it’s new facility in Jamaica, Queens.

Titled 3 D, for Desi Dementia Day Care, the facility plans to offer expert care that aligns with South Asian values for older adults suffering from mild to moderate dementia. We expect this new expansion will help to bridge the gap for culturally appropriate dementia -related services in New York city.

With a mandate to “serve all” South Asian seniors, regardless of income, faith or country of origin, for the last 10 years, India Home’s culturally relevant programs have helped immigrant South Asian elders deal with one of the toughest problems of growing old in America – social isolation and loneliness. We hope that the new  3D center will provide a welcome and safe space for South Asian patients experiencing mild to moderate dementia, but also provide a respite to caregivers.

South Asian seniors are among the fastest growing groups of seniors in New York city. According to the Center for an Urban Future’s report in New York City alone, Indians are the second largest immigrant group. Between 2000 and 2010 the population of older immigrants from India grew by 135 percent or about 8000 people. The number of Bangladeshi immigrants from Bangladesh grew in the previous decade by 471%, while the Pakistani populations grew by 38 percent from 2008 to 2011. These immigrants face language and cultural barriers, increased isolation, and higher levels of poverty–all barriers to access needed services like dementia care.

Wide Range of Programs to Meet Growing Need:

Speaking on the occasion, Dr. Vasundhara Kalasapudi, India home’s Executive Director said: “For the past 10 years, India Home has offered South Asian seniors culturally appropriate services in Queens and our expansion into dementia services is driven by the growing need for such services in the South Asian community.”

The 3D Desi Dementia Care center will offer programs specially tailored to help with dementia such as exercise, arts activities, music and sensory therapy. The center will also provide two hot meals a day, counsel families on dementia care and provide a respite for caregivers.
Nahar Alam of the Center of Asian American Health at NYU will assist with outreach in South Asian community in Queens.

 

Possibilities: Creative Aging through the Arts

Dancing the garba – great for physical and mental fitness

It’s India Independence Day, 2017,  and at the celebration being held at Queens Borough Hall in Queens, NY, the young announcer invites the next act to come up on stage. Ten women from India Home file in and start dancing, their bright white, orange and red saris billowing, their feet making dexterous patterns to the insistently upbeat music. The scene is remarkable not for the fact that there are Indian dancers in Queens, but because the women swaying on stage are all between 65 and 85 years old.

It is no coincidence that these women are so fit and vigorous. They have been dancing for years and are living proof of a growing  body of research that links participatory arts activities to an increase in the health, well being, and quality of life in aging adults. One  study  of adults aged 60 and over suggested “health benefits of dance for older adults such as improved cognition and attention, posture and balance, and hand/motor skills in comparison to the control group. ” And it’s not just dance. Createequity, a think tank and online publication “investigating the most important issues in the arts”  has analyzed extensive research that shows that taking part in arts related activity benefits older adults in myriad ways.

  • Singing improves mental health and subjective wellbeing (i.e., perceived quality of life)
  • Playing a musical instrument has myriad positive effects, including dementia risk reduction
  • Visual arts practice generates increases in social engagement, psychological health and self-esteem

In 2006, the National Endowment for the Arts published the results of a  landmark multisite (Washington DC metro area, Brooklyn and San Francisco) national study undertaken with the aim of “measuring the impact of professionally conducted community based cultural programs on the general health, mental health, and social activities of older persons, age 65 and older.”  Referred to as the Creativity and Aging Study, it was the first effort in this area to use an experimental design and a control group to study 300 participants in the 65-103 age range.

The results were striking. The 150 older adults who were involved in weekly participatory art programs reported: (A) better health, fewer doctor visits, and less medication usage; (B) more positive responses on the mental health measures; (C) more involvement in overall activities. The results pointed to the powerful positive effects of community-based programs run by professional artists, now known as Creative Aging Programs.

What in the world is Creative Aging? 

Lifetime Arts, a nonprofit organization is very clear on what Creative Aging is not: “it’s not about making macaroni necklaces.” Creative Aging then according to Lifetime Arts is ” the practice of engaging older adults  in participatory, professionally run arts programs with a focus on social engagement and skills mastery.” These are programs based in the belief that individuals do not stop growing or learning at any age. They are interventions, and disruptions that help older adults free themselves from traditional and limiting preconceptions about aging and decline and help them discover new possibilities, and new skills.

Learning New Ways of Creative Expression

Drawing with pastels in a class made possible by a grant from Lifetime Arts.

At our Sunnyside Center, Creative Aging classes include photography and drawing workshops, recreational dance, as well as poetry and memoir classes.

At India Home drawing classes are taught by professional artists

Starting in November, a 9-week long drawing workshop,  run by Ebenezer Singh, a professional artist and funded through a grant from Lifetime Arts, is introducing elders to advanced drawing using a wide range of materials such as India Ink, carbon pencil, watercolors. The classes also include conversations about historical and contemporary art, and introduces famous Indian artists, thus adding cultural sensitivity to the mix. While some of the participants were unsure of their artistic skills in the beginning, their confidence grows day by day. “I didn’t know I could draw like this,” Shobana Shah said in a recent class. “I’m enjoying learning this very much.”

In a paper published in the journal Arts and Health in 2012, lead researcher Nikky Greer documented improvements in both mental health and social wellbeing, “through increased social engagement, self-awareness, empowerment, and a sense of calm and relaxation.”

Our Sunnyside participants are so enthusiastic about the classes, they take photos of their work with their cell phones, so they can go home and practice before the next week rolls around.

Writing Workshops

Elders from India Home’s Desi Senior read from their memoirs

Meanwhile, our Desi Senior Center, India Home’s largest center in Jamaica, Queens, offers writing workshops to older Muslim men and women from Bangladesh thanks to a grant from Poets and Writers.

In Beyond Nostalgia: Aging and Life Story Writing, author Ruth E Ray explains why writing and sharing life stories in groups is valuable from a developmental perspective for older adults. Writing and sharing life stories allows them to not only make public the methods by which they make meaning of their own lives, but also “seeing and hearing others” helps them to understand that they are not alone in that meaning-making process.

At our Desi Senior Center, the ten week memoir course meets for an hour and a half every week, and families and friends are invited to attend the final reading. One recent Thursday, participants were encouraged by their instructor, Sabbin Akhter, a published writer herself, to read aloud from short memoir pieces that the elders had written to illustrate commonly used proverbs in Bangladesh. The readings were lively, full of dialogue and imagery. Lyrical descriptions of trees, cows, fields and the seasons evoked the villages from which the elders had migrated.  As each writer in the circle finished reading their piece, the others applauded, shouting encouragement. “You get the first and second prize,” one grandmother told another, clapping her hands in delight. The sense of camaraderie and friendliness between the budding writers is palpable.

Our Approach to Creative Aging is Evolving

India Home is committed to intentionally engaging Creative Aging as a targeted program and our approach continues to evolve. Our aim, as it is with most of our programming, is to focus on creative activities that are culturally appropriate. While it is sometimes challenging to find artists who speak South Asian languages or can offer culturally appropriate art activities, we persist because culturally relevant programming is the most effective way to reach the seniors in our communities.

Still, watching our older adults laugh over a wonderful memory in their notebook, or admire a still life of colorful fruit that they created in an afternoon, or dance on a stage at the Rubin Museum, are reasons enough for us to constantly innovate and continue to offer these programs.

 

 

Meet our new Board Members: Afreen Alam and Anjali Thadani

Afreen Alam

Afreen Alam

Ms. Afreen Alam is a community leader who has been at the forefront of housing counseling and community development both on the ground and on the intermediary level. Most recently she was the Executive Director at Chhaya Community Development Corporation (Chhaya CDC), a HUD approved counseling agency since 2007. Previously she served as the Deputy Director at Chhaya, playing a pivotal role in its regeneration and working tirelessly to build a strong foundation on which the organization is currently thriving. Ms. Alam, a former NeighborWorks America certified Housing Counselor, helped the organization respond to the foreclosure crisis that impacted Queens homeowners more than any other borough of New York City.

Ms. Alam also served as the Director of Housing & Community Development at the Nation Urban League, one of nation’s oldest civil rights organizations, where she was responsible for overseeing housing and economic development programs at 40 local affiliates; and provided leadership on national housing policy advocacy. She also worked at UNAIDS and Harvard University advancing human rights and international community development.

A daughter of Bangladeshi immigrants, Ms. Alam has been deeply committed to grassroots organizing in NYC’s immigrant communities. She has been involved with Worker’s Awaaz, South Asians Against Police Brutality & Racism, Turning Point for Women and Families, Shetu (formerly the Youth Congress of Bangladeshi Americans-YCBA) and Muslim Reform Movement, to name a few. She received her Master’s degree in Economic and Political Development from Columbia University. Ms. Alam is passionate about travel, respectful parenting (RIE), elder care/care giving, and all things COOP.

Why she joined India Home

The reason I joined is rooted in my fond memories of my grandmothers. I enjoy the company of the elders, their easy affection and love and am invariably moved by their life experiences. As my own mother is aging and closing in on retirement herself, the issues that India Home addresses hit home. With India Home, I aspire to create a life that I would like to have when I am a senior.

 

Anjali Thadani

Anjali Thadani

Anjali is a financial services professional with nearly two decades of experience spanning most aspects of regulatory capital and liquidity risk management.  She is an Indian born American with a soft spot in her heart for the young and the old.  Anjali holds an MBA from Columbia University and spends her spare time with her husband and their two young daughters.

Why she joined India Home

I have witnessed the reluctance of seniors to partake in non-culturally familiar activities and understand the unfortunate health consequences of social isolation. The aging Asian population is an underserved community and India Home has done so much for it while also welcoming non-Asians to its events and activities. I am honored to join forces with India Home and be part of the solution to improve the lives of Asian seniors.

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