36 posts categorized "Housing"

January 18, 2017

A handful of people shouted, "You don't live here! You don't belong here!"

Story

"When I would hear these instances of egregious anti-gay harassment, I sometimes thought maybe, well this might be a little conjured up, or there may be something they're not saying."

On a conceptual level, Jim Brooks and Bob Campbell have always understood that discrimination against LGBT is a reality. And yet, they had long hard reservations about fully believing people because they hadn’t experienced it themselves. It wasn’t until Jim and Bob were confronted with homophobia through housing that they learned how pervasive, nuanced and insidious LGBT discrimination and harassment can be.

Find out how Jim and Bob battled bigotry in their Arizona neighborhood in the latest SAGE Story. Then explore resources, news and LGBT age-friendly communities with SAGE’s housing portal and interactive map.

January 17, 2017

What LGBT Seniors Stand to Lose in ACA Repeal

This post originally appeared on the Center for Consumer Engagement in Health Innovation website on January 13, 206. Read the original post here.

By Aaron Tax

This blog is part of a series to highlight the dangers of the repealing the Affordable Care Act. Multiple times a week, Community Catalyst will highlight a different constituency to draw attention to the benefits the ACA has afforded them and to outline what a loss of coverage would mean.

Lesbian, Gay, Bisexual and Transgender (LGBT) older adults face many of the same health and aging challenges other older adults face, but more pronounced. As a result, they are arguably more at risk if the incoming administration and Congress repeals the Affordable Care Act (ACA) without a replacement plan and/or makes significant and harmful changes to Medicaid and Medicare.

LGBT older adults face unique risks within the health care system due to the standard issues facing an aging population combined with their sexual orientation or gender identity, such as:

  • Aging Combined with Discrimination: Similar to the older population in general, LGBT older adults face challenges with aging: declining health, diminished income, and the loss of friends and family. LGBT older adults, however, also face the added burden of actual or feared discrimination on the basis of their sexual orientation and/or gender identity. Many choose to go back into the closet for fear that caregivers will discriminate against them. Transgender adults, however, do not even have that option. Despite federal prohibitions on discrimination based on sex stereotyping and gender identity and the prohibition of discriminatory practices toward LGBT individuals based on health status - such as being HIV positive - built into the ACA, the sex stereotyping and gender identity protections are currently under attack in the courts, and LGBT older adults remain one of the most invisible, underserved and at-risk elder populations.
  • Isolation from Society, Services and Supports: Studies show that LGBT older adults are twice as likely to live alone; half as likely to have close relatives to call for help; and more than four times less likely to have children to help them. Nearly one-in-four LGBT older adults has no one to call in case of an emergency. At the same time, studies document that LGBT older adults access essential services – including visiting nurses, food stamps, senior centers and meal programs – much less frequently than the general aging population.
  • Lack of Access to Culturally Competent Health Care: The U.S. Department of Health and Human Services has found that LGBT older adults face additional health barriers because of isolation combined with a lack of access to social services and culturally competent providers. These barriers result in increased rates of depression; higher rates of alcohol and tobacco use; and lower rates of preventive screenings. 
  • Higher Rates of Poverty: LGBT older adults reflect the diversity of our nation in terms of gender, race and ethnic identity. But there is one critical statistic where they do not reflect the norm: they have much higher poverty rates and lower average household income than their straight and cis-gender counterparts. In fact, 35 percent of SAGE clients in New York City have annual pre-tax incomes below $10,000 and rely on Medicaid – a program with looming threats of block grants or per capita caps - to provide their medical care. An additional 35 percent subsist on annual pre-tax incomes of $20,000 or less and qualify for coverage under Medicaid expansion or could utilize tax credits to purchase insurance on the Marketplace. The Medicare-eligible segment of this population benefits from the ACA having lowered Medicare Part B premiums, the closing of the “donut hole” for prescription drugs, and payment and delivery reforms aimed at improving quality and the coordination of care for individuals with complex care needs.
  • HIV: As of 2015, the CDC estimates that one in two people who are HIV positive in the United States are now over 50. Yet little attention and money is targeted towards prevention for this population. One of the free preventive services covered by the ACA is HIV screening, though recommended testing in the U.S. cuts off at age 64. As a result, older adults are much more likely to be dually diagnosed with HIV and AIDS if and when they are ultimately tested.

Because of higher rates of health disparities, un-insurance, poverty and a greater reliance on programs like Medicaid and Medicare - two programs that could be facing significant retooling and subsequent funding cuts in the coming years - the protections provided by these programs and enacted in the ACA are critical for improving the quality of life for older LGBT individuals.

As we enter an uncertain time, we believe that we must do more to honor and support the LGBT elders who fought the fight and paved the way for the recent advances we have seen on LGBT rights. The least we can do is ensure that this population still has access to the foundational supports provided by the ACA, Medicaid and Medicare.

Aaron Tax, Director of Federal Government Relations, Services and Advocacy for GLBT Elders (SAGE)

 

January 9, 2017

Make the Most of SAGE's Housing Website with These Seven Tips

In September, SAGE launched Welcome Home, the first-of-its-kind LGBT age-friendly housing website and interactive map. This comprehensive consumer resource is designed to empower LGBT elders and those who care for them with the information they need to find safe, welcoming and affordable housing nationwide. Here are some tips for making the most of this new resource:

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1. Enroll in SAGE Housing 101.

Housing 101 isn’t an actual course but a state of mind. Want to know where LGBT age-friendly housing is being built? Curious about new options for retirement living but not sure where to start? Want to hear stories from others just like you from around the country? Need help filing a housing discrimination complaint? Watch the video below, then go to the Housing 101 page for more.

2. Know your rights.

Knowledge is power. Housing discrimination is on the rise, and it’s important for LGBT elders and those who care for them to be prepared for discrimination before it happens. See the Know Your Rights page for helpful consumer guides, including Lambda Legal’s housing FAQ for LGBT elders, then browse LGBT housing news and anti-discrimination cases across the country.

3. Keep up with the latest research.

According to SAGE’s Out and Visible report, when searching for housing, 1 in 8 LGBT older people report they have been discriminated against on the basis of their sexual orientations, and 1 in 4 transgender older people report discrimination on the basis of their gender identities. Opening Doors, a report published by the Equal Rights Center, revealed that nearly half of older same-sex couples experienced at least one form of adverse differential treatment (as compared to heterosexual couples) when inquiring about housing in a senior living facility. Follow the Reports and Presentations page for research published by the nation’s leading LGBT organizations.

4. Subscribe to the SAGE blog.

Want to be the first to know about housing news, website improvements and new features? Follow the SAGE blog. Be sure to leave your comments and questions, and share on social media!

5. Read SAGE news as it happens.

Last summer, SAGE, HELP USA and BFC Partners announced the development of New York City’s first senior housing with services specifically designed for the LGBT community. Read about these developments and other SAGE housing news and see SAGE press releases for official statements.

6. Watch and share SAGE’s housing videos.

SAGE produced a series of housing videos in partnership with Citi, and features them regularly on the housing website's main page. Watch the whole series and look for new videos here.

7. Get interactive.

Now it’s easier than ever to know what’s happening in LGBT age-friendly housing with SAGE’s interactive housing map. Click a state to view housing policies and news, access culturally competent providers, and connect with organizations that can help, including SAGENet affiliates.

Still can’t find what you’re looking for? Want to suggest a new feature or submit a housing resource? Email SAGE at engagement@sageusa.org.

January 2, 2017

New Year, New SAGECare Train the Trainer


TJohnston1By Tim R. Johnston

This year I’m resolving to double my efforts to train service providers on LGBT cultural competency. From housing providers to nurses to service coordinators, it’s my job to make sure that more people know the "ins and outs" of providing services and care that are welcoming to our community. 

That’s why SAGE is growing its roster of SAGECare Certified Trainers. Beginning with in-person training and expanding to webinars and on-demand content, SAGE and SAGECare Certified Trainers have trained more than 13,000 providers in all 50 states. A series of rigorous evaluations reveals that SAGE trainings create positive changes in participants’ knowledge and attitudes about LGBT older adults and aging. SAGECare offers trained agencies the chance to earn a SAGECare-branded credential that demonstrates their commitment to LGBT older adults.

SAGECare Trainers are certified to conduct one- and four-hour in-person trainings. Trainings employ several different teaching methods to help participants develop empathy for LGBT older adults, learn about LGBT cultures, and gain the skills needed to provide culturally competent care to LGBT people. Trainings are challenging, fun, impactful and often emotional. SAGECare is a national program and SAGE invites applicants from all regions, with a special emphasis on New York City, Washington, D.C., Chicago and Los Angeles.

Our next Train the Trainer will be in Chicago from May 23-25, 2017 – do you want to apply? More information, including information on travel costs, how much trainers are paid, and more can be found on the application.

If you can’t make the next Train the Trainer event but still want to get involved, another great option is SAGE’s National Resource Center on LGBT Aging’s Volunteer Education Ambassador program. Once approved, Volunteer Education Ambassadors are given a presentation they can use to help raise awareness about LGBT older adults and LGBT aging. Ambassadors all across the country have presented to local community groups, churches, universities and conferences.

When I conduct a training people often say, "LGBT aging—I’ve never thought about that!" Join me and help SAGE make 2017 the year that makes LGBT aging and LGBT older adults a top priority. Say it with me: "LGBT aging, yes I care about that!"

Click here to apply for SAGECare's next Train the Trainer event.

Click to explore housing resources, news and LGBT age-friendly communities with SAGE’s housing portal and interactive map.

December 14, 2016

Why Mary’s House? (Again.)

This post originally appeared on Diverse Elders Coalition blog on September 29, 2016. Read the original post here.

 

Click to explore housing resources, news and LGBT age-friendly communities with SAGE’s housing portal and interactive map.

 

By Dr. Imani Woody

People often ask me, “Why do we need a place for LGBT older people to live? Don’t we have enough nursing homes and retirement homes for them to use?”

So I often share the story of John, a well-to-do gay elder who was found deceased — in his welcoming, upscale retirement complex. He had stopped going to church. He had stopped playing cards and going to the clubs. He had stopped interacting with his friends.

Or I sometimes share the sorrow of my older friend, Helen, who after the death of her partner, was asked by her partner’s siblings to leave the home they shared. And how she now lives with her brother, who “harasses me for my gay lifestyle.”

Aging as a gay, lesbian, bisexual, transgender or same-gender loving (LGBTQ/SGL) person can bring different challenges than aging as a mainstream elder. Often, we don’t have the same support network of children and spouses — or the caregiving and financial support that they provide; we may be estranged from our families of origin; we have lost many of our peers and our friends through the HIV/AIDS epidemic; and we, as a group, are more likely to live alone. In addition, research is verifying what many of us have known for a while: that the stigma and discrimination associated with being old and being LGBTQ/SGL can be just too hard. It can be so hard, in fact, that many of us go back into the closet. As we begin to access the senior/wellness centers, retirement complexes and nursing homes, this fear of discrimination makes us unable to be our whole selves, increasing the potential of drug and alcohol addiction, neglect of our health issues, depression, and suicide. Increased social isolation among LGBTQ/SGL elders is at an all-time high.

Mary’s House for Older Adults, Inc. was organized to create welcoming environments for LGBTQ/SGL elders in their golden years. Our first major initiative is building a physical residence in Washington, DC for fifteen elders. However, we acknowledge that we cannot build enough LGBTQ/SGL welcoming spaces for all of the people who will need them. So, our mission also includes training and education for the staff and residents of existing spaces: senior wellness centers, retirement complexes and nursing homes that serve and house us. We also are involved in public policy advocacy that impacts LGBTQ/SGL older adults and elders locally and nationally. We invite you to join our small, mighty band of supporters and volunteers and help us CHANGE our city and the country, one residence, one elder at  a time! Feel free to reach out to me at info@maryshousedc.org to learn more about how to get involved. I look forward to hearing from you!

The opinions expressed in this article are those of the author and do not necessarily reflect those of the Diverse Elders Coalition.

December 1, 2016

Where Bigotry is Denied Entrance—Fighting HIV/AIDS Stigma in Housing

By Pat Lin

On this World AIDS Day, it’s important to commemorate how far we’ve come since the HIV/AIDS pandemic started. HIV isn’t the death sentence it used to be, but many long-term survivors of HIV continue to pay an emotional, physical and financial toll. In addition to managing the disease, HIV survivors still face stigma. As they get older and the effects of the disease compound the challenges of aging, they become more vulnerable. As the nation’s largest and oldest organization serving LGBT older adults, SAGE seeks to eradicate the stigma around HIV and to create welcoming spaces for long-term HIV survivors.

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"Peaceful Moment" by Lester Blum and Vladimir Rios from the I Still Remember exhibit on HIV/AIDS

When seeking specialized housing in a supportive and nonjudgmental environment, long-term HIV survivors, LGBT or not, face a huge hurdle. According to a 2014 poll conducted by SAGE, 1 in 8 LGBT adults and 1 in 4 transgender adults report experiencing discrimination in housing and long-term care environments. In an article addressing HIV stigma in housing options, Hilary Meyer, SAGE’s Director of Social Enterprise and Special Projects, said, "We certainly have experiences with hearing stories about caregivers not understanding how to work with HIV, appalling things such as concerns with contact. There's still very much a stigma and misinformation."

SAGE is working to create comfortable and inclusive environments for long-term HIV survivors. Last summer SAGE announced that two new LGBT age-friendly senior housing developments would be built in New York City. Along with these two developments in Brooklyn and the Bronx, SAGE is spearheading nationwide advocacy efforts against discrimination in housing. "The number one issue for our constituency is affordable housing," said Meyer. "Having a long-term disability just compounds the issue. It limits where they can live." Yet housing construction alone is not enough to solve the problem. As SAGE’s Director of Federal Government Relations Aaron Tax said, "We can’t build our way out of this. The wider housing stock has to be either affordable and/or targeted low-income, and be welcoming…If you're in New York City, perhaps you can get into an LGBT-targeted building, but there are plenty of people who won't be able to get into a building like that."

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Ingersoll Senior Residences in Brooklyn (L) and Crotona Senior Residencies in the Bronx

Who one lives with is just as important as where. Open, compassionate and culturally competent providers and staff who understand the specific needs of LGBT older adults and long-term HIV survivors are crucial to creating supportive environments. This is why SAGE started SAGECare, a training and consulting program on LGBT aging for service providers. SAGECare offers cultural competency training for all levels of employees, personalized consulting on LGBT aging issues, and full audits on LGBT-inclusive policies, procedures and best practices. Providers can earn Bronze, Silver, Gold and Platinum SAGECare credentials to signal their commitment to the best person-directed care for LGBT older adults.

Said one SAGE constituent, "I want to feel safe, housed in a place where bigotry is denied entrance." Long-term HIV survivors and LGBT elders deserve that safe space, and it’s up to people and organizations like SAGE to make sure that it happens.

November 14, 2016

SAGEMatters Fall 2016: Lives of Boundless Opportunities

SAGEMattersFall2016Cover

SAGEMatters Fall 2016: Lives of Boundless Opportunities

As we share the latest SAGEMatters with you, we are living through a period of unprecedented change. Perhaps nothing reminds us of this more sharply than this year’s high-stakes elections, which have turned long-standing political and social assumptions on their heads.

This theme of change runs powerfully through the features in this issue of SAGEMatters. Inside, you’ll find George Takei’s take on personal evolution; learn how Jeffrey Erdman has taken the LA leather scene by storm in his 50s; and follow an inspiring conversation with Kate Kendell, Mara Keisling and Carmen Vazquez about the changing landscape of gender identity. You’ll also learn how the federal government (after a lot of pushing by SAGE) is moving to transform publicly-funded aging services to make them more LGBT-friendly. Join us in celebrating the realization of a decades-long dream for our communities in New York City, as SAGE announces the construction of the first two LGBTfriendly elder housing communities in the Big Apple. And so much more.

This time of great change and evolution sets the stage for the launch of SAGE’s new strategic plan. The overriding goal of the plan is to dramatically expand the impact of SAGE’s work so that LGBT people can grow older with boundless opportunities for growth and enrichment. We believe that we can achieve this transformative vision by tapping into our legacy of “taking care of our own,” by building ties across generations, by encouraging communities to become LGBT age-friendly and by convincing partners of all kinds to get involved. This issue of SAGEMatters includes a special feature on our new plan—we hope you’ll be as excited as we are.

For me, all of this has a special personal significance as I celebrate my 10th anniversary at the helm of this amazing organization. I’m so proud of the great progress that we have made together on behalf of our LGBT elder pioneers. And I’m tremendously passionate about the next chapter of SAGE’s work.

I know that as you read through this latest SAGEMatters it will be even clearer to you why SAGE’s efforts matter more than ever. Let’s keep working together so that all LGBT elders have the support they need to live lives of boundless opportunity.

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Michael Adams
Chief Executive Officer

SAGEMatters is the biannual magazine of Services & Advocacy for GLBT Elders (SAGE). View and download the expanded Fall 2016 issue here.

September 20, 2016

SAGE Launches LGBT Age-Friendly Housing Website

Home isn't just where we live — home is our safe place. That's why SAGE has created a first-of-its-kind housing website that empowers LGBT elders to find a welcoming place to call home. We know that housing discrimination is on the rise, and dependable resources are needed more than ever. Now, you can access housing policies and protections, and find out where LGBT age-friendly communities are being built via SAGE's new interactive map and resources.

Be sure to sign up for updates as we share new stories and resources over the coming months, and follow on social media with #SAGEHousing.

July 13, 2016

SAGE and Partners Launching LGBT Elder Housing in NYC

This post originally appeared on The Huffington Post Blog on July 11, 2016. Read the original post here.

By Michael Adams

5783cfdd1a00002400dd0aa2Crotona (left) and Ingersoll (right) Senior Residences

Recently, SAGE closed out New York City’s Pride month with the historic announcement that, after many years of effort, we have sealed deals for the Big Apple’s first two LGBT-friendly senior housing developments.  The news, which culminates decades of effort by LGBT elder advocates, was rolled out at a June 30 press conference where SAGE was joined by our partner developers, elected officials and a passionate crowd of elders from Brooklyn and the Bronx, where the two new housing communities will be built.     

The two newly-announced LGBT-welcoming housing developments – Ingersoll Senior Residences in Brooklyn and Crotona Senior Residences in the Bronx ― are a first for New York City.  But they build on similar affordable LGBT elder housing models in Los Angeles, Philadelphia, Chicago and Minneapolis. In each of these projects (and others in development across the country), LGBT communities and our allies are responding to the fact that LGBT older people often face unique challenges in finding welcoming and affordable housing. A 2014 report by the Equal Rights Center, with support from SAGE, found that 48% of LGBT older people applying for senior housing as part of a national test were subjected to discrimination.   This high level of discrimination is outrageous and unacceptable; moreover, it makes it extremely difficult for LGBT older people to find appropriate housing as they age.  

As SAGE pointed out when we rolled out our National LGBT Elder Housing Initiative last year, we can’t just build our way out of this crisis.  Because we will never be able to build enough developments like Ingersoll and Crotona, SAGE is also focused on policy reform and training to ensure that every senior housing community in the country is LGBT-friendly.  Nonetheless, building model LGBT-friendly senior housing can play an important role.  Collectively, the two new housing developments will provide 227 affordable apartments and will offer comprehensive, LGBT-culturally competent services to building residents and elders in the surrounding community.

5783d1ba1b00001a00f6d3a6I stand with NYC Councilmember Ritchie Torres and SAGE participants as we announce the new NYC housing developments. Image courtesy NYCHA.

Located in Ft. Greene, Brooklyn, the 145-unit Ingersoll Senior Residences will be the nation’s largest LGBT-welcoming elder housing community to date. Ingersoll is a collaboration of SAGE and BFC Partners, one of New York City’s leading affordable housing developers. BFC, which has developed affordable and market-rate housing in New York City for more than 30 years, will own and manage the property; SAGE is working with BFC on designing an LGBT-friendly environment and will operate a full-fledged LGBT-welcoming senior center on the ground floor.

Crotona Senior Residences is a collaboration of SAGE and HELP USA, a national leader in developing housing and services for vulnerable populations.  The 82-unit Crotona development, which will be jointly owned by HELP USA and SAGE, will feature a unique array of services and opportunities for residents, including roof-top gardening.  The new development is located directly across the street from Crotona Park, a beautiful 127 acre public park that is a vibrant local gathering spot and is known for its multi-faceted senior programming.   

Onsite SAGE Centers at both locations will be modeled after SAGE’s highly successful Innovative Senior Centers located in Chelsea, Harlem, the Bronx, Staten Island (in partnership with the Pride Center of Staten Island), and Brooklyn (in partnership with GRIOT Circle). The SAGE Centers at Ingersoll and Crotona will feature a cyber-café, hot meals program, and a weekly calendar of arts & culture and health & wellness activities that reflect the interests of building residents and community members. 

The Ingersoll and Crotona Senior Residences are being built at a time of growing recognition that the acute housing needs of LGBT elders must be addressed.  In his Pride Month Proclamation last month, President Obama declared that “my Administration is striving to better understand the needs of LGBT adults and to provide affordable, welcoming, and supportive housing to aging LGBT Americans.”  In New York City, Mayor Bill de Blasio’s 10-Year Housing Plan specifically calls on developers to work with service providers to build LGBT-friendly senior housing.

The Ingersoll and Crotona developments are reflective of SAGE’s broader commitment to advance our work on behalf of LGBT elders through intersectional strategies that recognize that social justice problems are interconnected and that build solutions by connecting the dots.  Thus, we are excited that Ingersoll and Crotona isn’t just providing LGBT-friendly elder housing, but also is intentionally integrated into efforts to address New York City’s larger affordable housing crisis.  The Ingersoll and Crotona residences are part and parcel of Mayor de Blasio’s ambitious initiative to create and preserve 200,000 affordable housing units.  The Ingersoll development is making an additional contribution – proceeds from the project will be used to upgrade existing public housing managed by the New York City Housing Authority.

Projects like these – which simultaneously address the acute housing needs of LGBT older people while helping to advance equity for all city residents struggling to find decent housing – can only come about through strong community partnerships.  As New York City Housing Authority (NYCHA) Chair and CEO Shola Olatoye has pointed out, “The partnership between the City, BFC, and SAGE to expand affordable housing opportunities and services at Ingersoll is a powerful example of how we’re creating more connected communities through NextGeneration NYCHA.” In a similar vein, GRIOT Circle Executive Director Jose Albino has declared that “[w]e stand shoulder to shoulder with [SAGE] in ensuring that these groundbreaking LGBTQ affirmative housing opportunities are inclusive and representative of the individuals who live in the communities where they will be located.”

At a time when the social ills plaguing our country are so vividly on display, local community change and development efforts like Ingersoll and Crotona – through their emphasis on collaboration, connected communities, and cross-cutting strategies – offer powerful rays of hope for social progress.  Recognizing that our LGBT elder pioneers have paved the way for so much progress toward justice and equality in recent decades, it seems only appropriate that pioneering LGBT-friendly senior housing might offer some lessons on how to re-connect the dots.

Note: If you’re interested in learning more about these developments and SAGE’s National LGBT Elder Housing Initiative, we invite you to subscribe for regular updates at sageusa.org/nychousing.

July 1, 2016

What Affordable/Accessible Housing Options Exist for Diverse Elders?

Did you miss SAGE's June 30 Housing Press Conference? Watch the Facebook Live Stream recording and see photos from the event on Flickr.

This post originally appeared on the Diverse Elders Coalition blog on June 1, 2016. Read the original post here.

By Angie Boddie

America’s older population is in the midst of unprecedented growth. As the baby boomer generation continues to experience increased longevity, the 50 and over population is projected to increase about 20 percent by 2030 or to about 132 million people. In just 15 years, one in five people will be at least age 65. Ensuring that this demographic continues to experience affordable and accessible housing that offers a sense of community as well as other services and supports that enables them to remain active and productive members of society has taken on a new urgency not only for individuals and their families, but also for the nation as a whole.

For some people, staying in their current homes works. For others, there may come a time when everyone agrees that a different housing option is needed. For those individuals living with chronic conditions and/or disabilities, the availability of housing with supports and services they need determines the quality and cost of long-term care—particularly the portion paid with public funds. Every day, seniors and their caregivers ask questions such as “What if mom or dad can’t go home?” or “What are my housing options?”

Thankfully, today society offers seniors a host of choices and options with regard to alternative housing.  Options include: Age-Restricted Communities; Active-Adult Communities; Senior Apartments; Cohousing; Home with Help (HWH); Assisted-Living Facilities (ALF); Continuing-Care Retirement Communities (CCRC); Board and Care Homes; and Skilled Nursing Facilities (SNF).

  • Age-Restricted Communities. Age-Restricted Communities also known as “active adult” or “[age] 55+” communities cater to older adults who have a common preference to live among their peers. Age-Restricted Communities usually offer a mix of this housing type—single-family homes, townhomes, or apartments that are often connected by sidewalks or paths. Age Restricted Communities tend to focus on an active lifestyle, and many communities have well-equipped clubhouses and other amenities, such as tennis courts, gardening, and other community-based activities.
  • Active-Adult Communities. Active-Adult Communities tend to be more suitable for older adults who are healthy, independent, and interested in the social benefits of living among peers. It should be noted that many age-restricted communities don’t allow multigenerational living arrangements, including children and grandchildren.
  • Senior Apartments. Senior Apartments are age-restricted apartments that are typically available to people age 55 and older. While senior apartments are luxury apartments with high price tags, a lot of senior apartments are priced at market rates or below. Some are even built specifically for low-income people. Because the units are constructed for older adults, they are often designed to be accessible and include transportation services. 
  • Cohousing. “Cohousing” designates “a type of ‘intentional neighborhood’ in which residents actively participate in the design and operation of the community.” Residents privately own their homes and do not pool their incomes, but there are common facilities for daily use. Decisions are made cooperatively, rather than by top-down hierarchy or majority-rules voting. Cohousing communities are vibrant places where there are many opportunities for multigenerational interactions and social connections. In elder or senior cohousing communities, the “intentional community” is only for older people. Homes and facilities are designed for aging in place, and residents often share the cost of health aides or an on-site health-care provider.
  • Home with Help (HWH). Home with Help assistance is available to an individual when it has been deemed that it is unsafe for that person to live at home alone.  HWH services are geared towards providing care in the home.  This may include individuals continuing to live in their home environment with 24 hour care.  It also may include in the form of family caregivers, private paid caregivers, transportation services, and meal options such as meals on wheels.  Hiring private caregivers is an out-of pocket expense; therefore one must consider the financial aspect associated with in-home care.
  • Assisted-Living Facility. Assisted-living facilities (ALFs) are housing communities for those individuals who may require minimal assistance with their activities of daily living such as bathing, dressing, eating, housekeeping, shopping, and medication management, but they want to live as independently as possible.  Residents living in this facility keep the sense of “home”, by having their own apartment.  Medicare does not cover the cost of assisted-living facilities, but in some states, Medicaid may assist with funding.  
  • Continuing-Care retirement Communities (CCRC). Continuing-Care Retirement Communities are a combination of an assisted-living facility that is connected with an independent living residence and a nursing.  Residents in this setting are able to take advantage of a variety of services, including meals, transportation, housekeeping, laundry, health monitoring, and social activities.  Another advantage about living in a CCRC is that residents will not have to relocate to a new community as their level of care may increase.  Fees often increase as services increase. A CCRC offers many different contract options including, extensive, modified, and fee-for-service. The contracts differ in the amount according to the services offered. To determine which option is best for your loved ones, visit the Continuing Care Accreditation Commission.
  • Board and Care Homes. Board and Care Homes are also known as a residential care facility or group home for older adults.  They are often very small and provide assistance with meals and basic Activities of Daily living (ADL’s).   A board and care home offers seniors a “home” atmosphere.  Often board and care homes are located in single-family homes.  Government funding as well as SSI can sometimes cover the costs of such facilities.
  • Skilled Nursing Facilities. Skilled Nursing Facilities provide care to those who need 24 hour care after suffering from an illness, injury, or functional disability; some nursing homes offer specialty services geared towards specific medical conditions.  Nursing homes provide many skilled services including occupational therapy, physical therapy, speech therapy, and respiratory therapy.  Typically, individuals stay for a short period of time to receive services to increase independence to return home.  Skilled nursing facilities are often covered by Medicare, Medicaid, and private insurance carries.

Finding the appropriate senior housing can be a difficult and tedious process for everyone. Whenever possible, involving the whole family can help everyone maintain dignity and power of choice. For additional information on senior housing, visit:

The National Caucus and Center on Black Aging, Inc., Housing Management Corporation: www.ncbahmc.com

SeniorResource.com: http://www.seniorresource.com/house.htm

National Clearinghouse for Long-Term Care Information: http://www.longtermcare.gov/LTC/main_Site/index.aspx

Housing and Urban Development: http://www.hud.gov/groups/seniors.cfm

AARP: http://www.aarp.org/families/housing_choices

Continuing Care Accreditation Commission: http://www.carf.org

Medicare: www.medicare.gov

Angie Boddie is the Director of Health Programs at theNational Caucus and Center on Black Aging, Inc. Angie joined NCBA in 2004. She directs all health promotions, advocacy and education programs for NCBA.