Senior Housing: Platform for Service Delivery for Diverse Aging Immigrants Mohini Mishra, LMSW, CASP Program Director, Housing 2014-10-24 Selfhelp Community Services, Inc. 1
Our Mission Selfhelp is a not-for-profit organization dedicated to maintaining the independence and dignity of seniors and at-risk populations through a spectrum of housing, home health care and social services, and will lead in applying new methods and technologies to address changing needs of its community. Selfhelp will continue to serve as the “last surviving relative” to its historic constituency, victims of Nazi persecution. Selfhelp Community Services, Inc. 2 2014-10-24
Selfhelp Community Services, Inc. 3 2014-10-24
Housing Resident Demographics • 1,236 residents in 7 buildings; affordable housing; independent living • Average age is 80; Oldest senior is 107 years old • 48% of seniors live alone • 74% of seniors are female • 9% have English as their First Language, 38% speak Chinese, 22% speak Korean, 17% speak Russian, 4% speak Spanish and other speak Armenian, Turkish, Thai, Hindi, Urdu, Farsi 2014-10-24 Selfhelp Community Services, Inc. 4
Resident Demographics (cont….) • 70% of our seniors are dual eligible (Medicare and Medicaid) • 28% have been living in Selfhelp housing less than 5 years; 37% have been living in Selfhelp housing 5-10 years; and 23% have been living in Selfhelp housing 10-15 years. • Socialization/engagement - 38% leave their apartment 1-2 times/week to socialize, followed by 32% who leave daily. 14% responded never leaving their apartments to socialize. • Use of technology - 24% of respondents have computer at home; 35% expressed interest in using Skype; 2014-10-24 Selfhelp Community Services, Inc. 5
Support resources : Technology: Arranges post Social Worker (MSW) Telehealth kiosk hospital transition culturally competent services RESIDENT Enroll in Dakim cognitive Nurse (RN) evidence based training wellness Homecare and programs Refer to hospital, Computers with Diabetes? housekeeping aides clinic or PCP Internet High blood Geriatrician local pressure? Sensor based Connect to hospital Arthritis? monitoring system wellness and Falls risk? Meets with Social Behavioral health nutrition Other? Worker and is Virtual Senior coaches assessed on an Center DFTA Case Managers ongoing basis and Assessment tool and program modified Residents volunteer Connect to database as necessary and serve on the financial Resident Council Case Wi-Fi management governing body Management analysis Nintendo Wii Coaches – wellness identifies need Connect to DFTA and nutrition and other for benefits and Case Mgmt for Family virtual visits Con meals on wheels entitlements and Pastoral Counselor nect other services Assistive devices with (grab bars, etc) Building Tech Connect with Refer to social adult Superintendent legal resources nolo day program for Personal emergency gy early Alzheimer’s response (PERS) Connect with Property Manager behavioral Building security health services Refer to nearby senior center provider for socialization activities A wide spectrum of supportive services are available to residents if and when needed 2014-10-24 Selfhelp Community Services, Inc. 6
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• Ethnic backgrounds • Language • Education • Cultural norms • Health disparities • Finding Meaning-then and now 2014-10-24 Selfhelp Community Services, Inc. 8
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Culturally Competent Resident Engagement • Culturally competent staff and ongoing training • Language Line services • Ethnic group leadership/tenant council and volunteer partnership • Multi-lingual needs assessment • Community partnerships for recreational and wellness programs in multiple languages • Finding common ground and creative silo busting programming 2014-10-24 Selfhelp Community Services, Inc. 10
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