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.
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.
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: Mostofour 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.
Facilitatingcollaboration: 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.
1 Names have been changed to protect privacy of the client.
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!
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.
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)