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.
By Rohandeep Arora
Outside the Sikh Gurudwara in Richmond Hill, Queens, I approached an older Sikh man with a turban and a long, flowing beard. “Hello, Uncle!” I said in Punjabi, my mother tongue. “Do you have a couple of spare minutes to fill out a survey on our research for the needs of the South Asian seniors?” “Sure, beta,” he said. He was very pleased to help me out and patiently answered my questions. It was very hot day, and after a while, he invited to his home which was two blocks down from where we were for a cold drink. He sent me on my way with best wishes for my future.
This experience was just one of many similar encounters I and my fellow interns had this summer as we helped gather data for the first ever needs assessment of South Asian seniors in New York City. We were working with India Home, the only professionally staffed nonprofit in the North East that serves South Asian elders, to gather information on a wide range of issues that confront immigrant South Asian seniors.
India Home’s interns fanned out across Queens to interview South Asian elders for a new Needs Assessment Survey this summer. Tenzin is talking to two seniors.
My fellow hardworking interns, Tenzin, Zarifa, Daiyan, Sanjana, Amna and I helped India Home to survey the needs of South Asian seniors in areas of New York City that have high populations of South Asian immigrants like Queens, Brooklyn, and the Bronx. Our goal was to understand the requirements of these seniors and make them feel comfortable enough to answer our questions. We surveyed senior citizens who have immigrated from India, Bangladesh, Pakistan, Nepal, Guyana, Sri Lanka, Afghanistan, and other South Asian countries. We visited temples, mosques, gurudwaras, churches, senior centers, and spent time in parks and streets in order to gather legitimate data for the needs assessment research.
South Asian Seniors Overlooked and Underserved
South Asian immigrant seniors are part of a demographic that is often overlooked by social service agencies, community providers, and public policy initiatives. They face issues of social isolation, limited English proficiency, poverty, health difficulties, transportation deficits, and more. Even though they are among the fastest growing groups of the older adult population of New York city, South Asian seniors are consistently underserved by government agencies. India Home aims to gather objectively verifiable data to make a strong case for increased focus on South Asian seniors.
Interns who spoke the languages of South Asia
India Home’s interns spoke over 12 languages between them and were competent in diverse South Asian cultures
India Home’s gathered an intern team that was very diverse and multilingual. Between all of us, we spoke close to 12 South Asian languages.
Zarifa Ahmadi (Queensboro Community College), originally from Pakistan, speaks Urdu, Hindi, Dari, Farsi and Pashto.
Tenzin Lama (Baruch College), who is from Nepal, is fluent in Tibetan, Nepali and Hindi.
I am from India and can speak Hindi, Punjabi and Urdu fluently. (Pace University)
Amna Aslam (Vassar College), originally from Pakistan, is fluent in Urdu, Hindi and Punjabi.
Daiyan Hossain (Hamilton College), originally from Bangladesh, can speak Bengali fluently.
Sanjana Inala (The College of New Jersey), who is from India, speaks Telugu.
Many older adults from South Asia have little or no English proficiency which makes it difficult for them to communicate in this country. That is why our abilities in multiple languages paid off when we encountered elders who were not proficient in English. My team and I did not face any problems in talking to elders and translating the surveys to them. Even those seniors who could speak some English were happy to have us approach them in their native tongue.
“Quite a few seniors have adjusted themselves to the city’s lifestyle but still miss the friendliness and warm community relationships in their native lands. Most of them get very excited when we approach the seniors with their mother tongue and are pleased to help us by participating in the survey,” said Tenzin Lama.
Even though we came from different backgrounds and cultures, we enjoyed each other’s company, whether we were working or taking a day off to enjoy the summer in NYC.
What is the survey about?
“What is the survey about” was the very first question the elders invariably asked us. We would tell them that the survey asked detailed questions related to the lifestyle of South Asian seniors, like marital status, age, year of immigration, a reason of immigration, income, housing status, health related questions, social security income and much more. “The surveys are anonymous and records no personal information of the respondents,” we would reassure them.
We made sure our elder participants in the Needs Assessment Survey were comfortable. Daiyan is interviewing a senior.
Challenges in the Field
One of the biggest challenge we faced was convincing the seniors we met that taking the survey would not harm them in any way. Despite repeated assurances that their responses were anonymous, many elder respondents were scared. Some were undocumented or had a distrust of government. The lack of literacy among immigrant seniors was also reason why it was hard for our interns to persuade elders to take the survey. However, we were trained to combat this distrust and fear. For instance, our team was trained to greet elders appropriately and with respect according to the cultural norms of their respective cultures. Thus we would fold our hands in a namaste while approaching Indian elders or say tashi delek to greet Tibetan elders.
I like to think that our cultural competence helped to put the elders at ease. “Sometimes elders need that support from someone to move on from a tragedy or depression if they have any. Sometimes they want to share some tragic experience,” Sanjana said.
The other thing we did well was listen – sometimes to much more than just answers to our questions. “Most of the senior citizens we surveyed were very friendly and warm. I think they tend to feel lonely when their families aren’t home which makes the seniors more than happy to communicate and share their experiences with someone” said Sanjana.
Funding for the needs assessment was generously provided by New York Community Trust and SAALT We Build Community.
For 75 years the Voice of America – VOA has been the the official news source of the United States government and provides news and information in 47 languages to a weekly audience of more than 236.6 million people on 5 continents around the world. Last week they did a multi-media segment on India Home.
“Among New York City residents over the age of 65, the immigrant population accounts for 49.5 percent, up from 38 percent in 2000, and growing. Facing language and cultural barriers, increased isolation, and higher levels of poverty than their native-born counterparts, the rapid expansion has taken its toll on both immigrants and the small, cash-strapped organizations that serve them….
“But Lakshman Kalasapudi, deputy director of India Home, says there is a misconception that South Asian immigrants who arrive as older adults are “fully taken care of” when they live with their children.
“This financial dependency kind of creates family tensions, especially when the seniors are living in overcrowded situations,” Kalasapudi says. “There becomes a real breakdown in the family structure and it really profoundly negatively affects the seniors’ mental health.”
“India Home is a secular organization that depends heavily on community donations and discretionary funding from local council members. It confronts social isolation and loneliness among South Asian elders. But it does so by partnering with existing centers, including Jamaica Muslim Center.”
To read more click here: https://www.voanews.com/a/aging-new-york-immigrants-confront-shortage-of-culturally-appropriate-services/3959423.html
India Home marked the beginning of Ramadan by celebrating our members’ achievements
The elders were dressed in fancy saris and kurtas. Their grandchildren played catch in the back of the room and were shushed by their mothers. The aroma of fried snacks was everywhere.
It was the beginning of Ramadan and India Home’s Desi Senior Center hosted a night of poetry, songs, and a meal to celebrate before the elders entered a period of fasting in Jamaica. The venue and dinner were generously donated by Exit Alliance Realty, a well known real estate company in New York. Mr. Azahar Haque and his colleagues were gracious hosts for the entire night.
India Home published an anthology of poetry written by our elders
The elders from the center were also celebrating the completion of a successful writing workshop. We wrote about it here. One by one they went up on stage and recited their poems. Some others, sang songs about their beloved Bangladesh. Some told jokes or spoke on a favorite topic.
Council Member Daneek Miller was the Guest of Honor at the Ramadan Celebration at India Home’s Desi Senior Center
Councilmember I. Daneek Miller was the Guest of Honor and he gave away certificates marking the completion of the Writing Workshop to the elders. He said he was happy to see how well the elders were doing. He also officially released the booklet of elders writings that India Home had printed.
Nargis Ahmed, the Center Director of Desi Senior Center, who had expertly managed the ceremonies then introduced a professional singer who took the stage and sang popular songs late into the night.
Elders at the celebration marking the beginning of Ramadan at the Desi Senior Center
The elders left late after a hearty dinner of favorite Bengali dishes, some carrying their sleeping grandchildren and the book with their poetry. A month of fasting, austerity and prayer lay ahead, but the night’s celebration had been a feast in every way.
Until eight weeks ago, Rabeya Khanom had never used the internet. “I didn’t know anything about it,” she told me. She had just said goodbye to her computer teacher at India Home’s Desi Senior Center and was feeling a mix of emotions. Sadness because the free 8-week long computer class was ending. But also happiness because, as she pointed out, she could now, “email, and send photographs, buy ticket from travel sites, book hotel.”
Muslim elders at India Home’s Desi Senior Center use a manual in Bengali to learn computers
Rabeya Khanom, 72, is a student with eight other Bangladeshi seniors in the free computer classes offered by India Home, in partnership with OATS, an award winning New York City nonprofit (the acronym stands for Older Adults Technology Services). OATS provides free tech training for seniors.
The class at India Home was the first and only computer training especially geared toward Bengali older adults in New York city.
“We wanted to be responsive to the unique needs of each site we partner with,” Alex Glazebrook told me. He is the Director of Technology and Training at OATS. Most of the seniors at the Desi Senior Center are immigrants from Bangladesh, hence OATS hired a Bengali speaking computer teacher, Umme Mahmud, to teach the classes.
Council Member Rory Lancman’s Grant Helps Teach Computers in Bengali
A grant from Council Member Rory Lancman, who represents New York’s District 24, helped to pay for the teacher. “In today’s interconnected world, we need to empower as many people as possible with the skills needed to use modern technology, especially senior citizens. I am incredibly proud to provide OATS funding to the Desi Senior Center to enable local seniors to take part in computer classes this year.” Lancman emailed.
Thanks to Council Member Lancman’s grant, OATS was also able to translate the manual used in the classes into Bengali. An effort, Glazebrook acknowledged, “was not an easy undertaking.” Still, everyone involved felt that a manual in Bengali was necessary for this demographic since, as Glazebrook noted “Language is a huge barrier to getting online.”
Computer classes at India Home’s Desi Senior Center teach Muslim elders practical skills
Barriers to learning
When it comes to older adults and technology though, language is only one of the barriers.
Household income, education, language abilities, computer anxiety, lack of confidence in their skills, also prevent older adults from going online.
In 2016, Pew Research Center reported that while fully 87% of seniors living in households earning $75,000 or more a year say they have home broadband, just 27% of seniors whose annual household income is below $30,000 are online. Many of the seniors at the Desi Senior Center are immigrant seniors, below poverty, and Low English Proficient. For them, the free computer training offered by Desi Senior Center and OATS opens up a world that they would not have access to otherwise.
When I visited the class, the seniors were seated around rectangular tables in a red-carpeted room. The women were on one side and the men on another, in keeping with Muslim customs. As the elders stared intently at the screens of their laptops, Umme Mahmud, the instructor, helped the seniors to look for travel sites on the internet. She was teaching them how to find cheap tickets, something that would come in useful to find flights in the future, for instance, to Bangladesh.
Learning Practical Skills
The computer training manual was translated into Bengali thanks to a grant from Council Member Rory Lancman of District 24 in NYC.
The OATS curriculum aims to help seniors harness the power of technology toward achieving practical outcomes. “ I teach them how to research medical insurance, find answers to medical questions, email, read the news,” Ms. Mahmud said. They learn the basic technological skills that could be applied to their daily lives. A majority of the seniors around the table were highly educated, and many had college degrees from Bangladesh. But they felt left out of modern methods of communication. Some seniors didn’t even know how to retrieve text messages. But, Ms. Mahmud said, because they are eager to learn, they learn quickly. “It is my hope that the seniors who participated in these classes will now be able to access the digital world right at their fingertips,” CM Lancman wrote.
The seniors at the Desi Senior Center sure seemed headed that way. Sukhtar Begum had recently started to read the Koran on line. Another student, Mohammad Haque, 70, rattled off the names of his favorite newspapers in Bengali, “Jugaltok, Probash, Aajkal.” “Also Google news,” he said. Abdul Mannan, 62, has gone a step farther : “I never used email, but yesterday I sent an email by myself.” He smiled and shrugged. “To the teacher, but I sent email,” he said.
Increased confidence and self-worth
The classes are doing more than just teaching these elders practical skills; their attempt at mastering technology was making an enormous difference in their lives in other profound ways. Ask Ms. Khanum, the 72 year old OATS alumuna. “If I need something,” she said, referring to searching the internet. “I don’t have to bother no one at home.” The confidence in her abilities had clearly increased as a result of the classes.
Ms. Mahmud pointed out an even more valuable benefit of the classes. “All their connections are back home in Bangladesh. Their past, their entertainment, everything is in Bangladesh. Older people get depressed so easily, sometimes they feel that they have no value.” But with these classes things had changed, she said.
“Now they feel connected with the world.”
Computers for the computer classes were generously funded through the New York City Department of the Aging (DFTA) at the discretion of DFTA Commissioner Dr. Donna Corrado.
Since July 2015, India Home has been partnered with Memorial Sloan Kettering Cancer Center (MSK)’s Geriatric Resource Interprofessional Program (GRIP) to provide evidence-based and culturally responsive education to South Asian older adults in Queens, NY. This education aims to increase community awareness of geriatric syndromes – problems that usually have more than one cause and involve many parts of the body – and promote methods that aid healthy aging.
“What can I do next? : Teaching Practical skills for better Aging
Starting with needs assessments conducted at India Home sites, the GRIP team and staff from India Home developed a core lesson plan that India Home members were interested in learning about.
Manpreet of MSKCC explains medication management at India Home
These topics include: falls prevention, how to modify one’s home for safety, memory loss,and medication management. Clinical experts like occupational and physical therapists, geriatric pharmacists, physicians and nurse practitioners developed the lessons. All presentations and educational materials were designed with the adult learner in mind, providing practical skills and always trying to answer, “what can I do next?”. Educational sessions are continuously scheduled at all India Home sites and are repeated on rotation, so that our seniors understand and remember the content.
India Home and MSKCC’s GRIP team collaborates with other South Asian community organizations, like the South Asian Council for Social Services (SACSS) to review content for understanding and the ability to take action with specific cultural considerations in mind. We are always thinking about what works in the South Asian context.
With cultural relevance in mind, MSK translates written materials into South Asian languages and uses live interpreters at presentations. We also evaluate our results by asking small groups of seniors about their understanding and effectiveness of the educational programs.
Over 700 seniors educated
Since November 2015, the partnership has educated approximately 700 seniors at four different India Home sites. MSK, India Home and SACSS staff circulate pre-and post-education surveys to measure how much our seniors have learned and retained, and how they have changed their behavior. The surveys use open ended questions and one-month follow up questions. Take home messages and resource sheets are also provided to our seniors to refer in the future.
Overall, the partnership is aimed at improving the quality of life and health of older adults by educating them.
These efforts attempt to make changes in their behavior – for instance walking carefully or improving safety in the home by installing shower rails – that will positively impact their aging and improve their quality of life.
Content contributed by Natalie Gangain of MSKCC (edited for context and clarity by India Home)
We are collaborating with a sister organization, Sapna NYC, on the Tiffin Project. The project is named after the “Tiffin,” a stainless-steel three-tiered utensil that is used to transport lunch in South Asia. In the city of Mumbai for instance, home cooked meals are delivered to workers in offices and factories by an army of delivery men or “Tiffin Walas” on bicycles, rickshaws and motorbikes.
The Tiffin Project, helmed by Michelin-starred, Chef Surbhi Sahni, brings the familiar tastes of a home-cooked meal to our elders. On Thursdays, the congregate meal we serve at our Queens Community House program in Kew Gardens is a healthy, culturally appropriate 6-item vegetarian lunch from Sapna NYC.
The Tiffin Project also helps in the “economic empowerment of low income South Asian women,” who lack “job seeking skills, work experience and English language proficiency, ” according to Sapna NYC.
India Home collaborates with Sapna NYC to help underserved women bring culturally appropriate meals to our elders