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NHAAAD 2014: Shifting Attention and Focus to HIV/AIDS and Aging

Aging is a part of life; HIV doesn’t have to be.

This is the theme for the 7th annual National HIV/AIDS and Aging Awareness Day (NHAAAD), which is observed yearly on September 18.

This awareness day was created to address two distinct truths:

  1. Many older Americans are not getting tested for HIV. Myths, stigma, and lack of targeted education make this population, especially diverse older adults, less aware of how to protect themselves from the virus. This is concerning because the Centers for Disease Control and Prevention (CDC) estimates that by next year, 50% of the people living with HIV in the United States will be 50 years or older.
  2. Medical breakthroughs have improved HIV treatment, allowing people living with HIV/AIDS who stick to regular and continuous care lead longer and healthier lives. While this is a positive outcome, we face a shortage of services and support mechanisms for older Americans living with HIV/AIDS. In addition, there isn’t enough research or data about the impact of HIV/AIDS on the normal aging process.

“If we look at the data, the numbers are very clear. There is a clear need to shift attention and focus to older Americans, who face many of the same HIV risk factors that younger age groups do, yet are more likely to receive a late diagnosis,” said Dr. Yanira Cruz, NHCOA President and CEO.

“This is particularly true among diverse seniors, who face many health disparities compared with their White non-Hispanic peers. That is why NHCOA became a proud partner of the CDC’s Act Against AIDS Leadership Initiative to help reduce the rates of HIV in hard-to-reach and diverse communities. While NHCOA serves and represents the needs and interests of Hispanic older adults, we know they don’t live in a vacuum.”

“Through our work with AAALI we leverage the strong connections, leadership, and influence Latino seniors have within their families, communities, and places of worship and leisure by offering culturally and linguistically appropriate outreach and education focused on intergenerational storytelling and dialogue to break the silence and eliminate the stigma.”

What you can do on National HIV/AIDS and Aging Awareness Day

  • Get the Facts. Start a conversation at home, or with a loved one, on HIV/AIDS. You can get more information here.
  • Get Tested. If you are sexually active, ask your healthcare provider for an HIV test during annual check ups. [Under the ACA, most new health insurance plans must cover certain recommended preventive services, including HIV testing. Free HIV screening is also included in Medicare Part B.]
  • Advocate. Read the Diverse Elders Coalition’s Eight Policy Recommendations for Improving the Health and Wellness of Older Adults with HIV.
  • Join the Conversation. Follow us on Facebook and Twitter with the hashtags #AIDSandAging and #NHAAAD to be part of the ongoing conversation. Here are some sample messages and memes to get you started.
  • Go Viral. Share this blog post and NHCOA videos like the one below with your contacts and raise awareness about HIV/AIDS and aging.

 

NHCOA to Discuss Health Reform Advocacy in Diverse Community at AiA14

By Jason Coates, Public Policy Associate

This week, the National Hispanic Council on Aging (NHCOA) will be in San Diego for the 2014 American Society on Aging (ASA) Conference to talk about the importance of the Affordable Care Act (ACA) for diverse communities, including Hispanic older adults.  The presentation entitled Health Reform Advocacy and Engagement in Communities of Color and LGBT Communities will cover lessons learned, opportunities, and challenges within these populations as they seek to lead full, healthy lives through the benefits of the ACA.

Many Latinos struggle to age in good health due to factors such as economic insecurity and cultural and linguistic barriers.  At NHCOA, we see the implementation of the ACA as a tremendous opportunity to improve the health of Latino seniors because many are uninsured.  More than one-in-four Latinos do not have health insurance.  And, although Medicare provides nearly universal coverage, about 5% of Hispanic seniors are uninsured.  The lack of health insurance harms Latinos, who already face high rates of poverty, and makes health care more expensive for them.

By providing subsidies and low-cost health insurance options, the ACA can help Hispanics of all ages become more familiar with the health care system, especially those with limited English speaking ability that are often isolated from mainstream communications.  NHCOA has trained health insurance marketplace navigators to enroll Latinos in health coverage in two counties with high monolingual populations: Dallas County, Texas and Miami-Dade County, Florida.

Even though these navigators are local community leaders who speak Spanish, many people were reluctant to sign up at first because of the confusion and misinformation that is associated with government programs.  One of the main barriers faced when working with a monolingual population is establishing a relationship based on respect and trust.  This takes time and outreach must be conducted in familiar, trusted settings.  The success of NHCOA navigators is rooted in their cultural and linguistic competence and ability to earn the trust of those they serve.  As Hispanic seniors become a growing part of America’s older adult population, effectively reaching and serving this community is becoming increasingly important.

This is just one area we will highlight during the presentation. We look forward to sharing our insights and hope to see you in San Diego! (And if you can’t join us in person, be sure to follow news and comments from the conference with the hashtag #AiA14).

 

Presentation details at a glance:

 Health Reform Advocacy and Engagement in Communities of Color and LGBT Communities

Date: Friday, March 14, 2014 from 1:00 – 2:30 PM
PST

Room: Cortez Hill B (3rd floor, Seaport Tower)

Event Format: 90-minute Workshop

Event Category: Policy & Advocacy — Healthcare Reform

Book Code: FR345

 

Speakers:

  • Introduction from Christine Takada, President & CEO of the National Asian Pacific Center on Aging (NAPCA)
  • Bryan Pacheco, National Coordinator of the Diverse Elders Coalition
  • Randella Bluehouse, Executive Director of the National Indian Council on Aging (NICOA)
  • Robert Espinoza, Senior Director of Public Policy & Communications of Services & Advocacy for GLBT Elders (SAGE)
  • Jason Coates, Policy Associate of the National Hispanic Council on Aging (NHCOA)

 

NHCOA Releases First Report on Status of LGBT Hispanic Older Adults in the U.S.

The first report of its kind documents the unique struggles of LGBT Hispanic seniors and presents key recommendations for policy makers and health care providers

Washington, D.C. – The National Hispanic Council on Aging (NHCOA) – the leading national organization working to improve the lives of Hispanic older adults, their families, and caregivers – released the report of its national study on the status of lesbian, gay, bisexual and transgender (LGBT) Hispanic older adults during a press conference earlier today at the SAGE Senior Center in New York, NY. The study, entitled In Their Own Words: a Needs Assessment of Hispanic LGBT Older Adults, was conducted by NHCOA in collaboration with Services & Advocacy for GLBT Elders (SAGE), with financial support from the Arcus Foundation. NHCOA and SAGE are founding members of the Diverse Elders Coalition, which represents millions of diverse older people across the country.

“The rapid aging of the population presents our country with the opportunity to embrace diversity as it appears at all stages of life,” said Dr. Yanira Cruz, NHCOA President and CEO. “Our hope with the In Their Own Words: A Needs Assessment of Hispanic LGBT Older Adults report is that we can be an active part of the necessary paradigm shift that needs to take place so that we can achieve a stronger, golden America for all, including LGBT Hispanic older adults.”

In Their Own Words: A Needs Assessment of Hispanic LGBT Older Adults is a result of a qualitative needs assessment that was conducted in order to better understand the experiences of aging, and the socio-economic and health challenges facing the LGBT Hispanic older adult community. Specifically, the research focused on understanding LGBT Hispanic older adults’ perceptions of the aging experience; identifying their unique health and socio-economic challenges; exploring the culturally appropriate strategies to better serve this population; and determining gaps in knowledge requiring further research.

“SAGE is proud to collaborate with our fellow Diverse Elders Coalition member, NHCOA, on this research project to better understand the challenges faced by LGBT Hispanic older adults, as well as their personal experiences,” expressed Michael Adams, SAGE Executive Director. “SAGE Harlem is only one of two known programs in the country specifically serving LGBT older Latinos, which represent about 15% of the elders we currently serve. Therefore, we are excited to see how this report will help inform culturally appropriate strategies that better serve LGBT Latino older adults in New York and throughout the country.”

Among the recommendations highlighted in the report is a widespread need for cultural and linguistic competence training that acknowledge patient’s diverse identities; education and benefits counseling; and more research is needed to develop effective programming to meet the needs of this population. Roz Lee, Senior Program Officer for the Arcus Foundation, stressed the need for increased investigation and research: “Research is a tool in the toolbox for social advocacy, and we need to use it in the right way.”

The study and report are particularly important, as they are the first to focus exclusively on LGBT Hispanic older adults and the particular concerns that they face while aging. NHCOA will use the findings of this report to improve the lives of LGBT Hispanic older adults by making key recommendations to legislators and health care providers on their behalf.

For questions, interviews, and photos please call (202) 374-9733 or e-mail media@nhcoa.org

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NHCOA RELEASES FIRST OF ITS KIND REPORT ON STATUS OF LGBT HISPANIC OLDER ADULTS IN U.S.

FOR IMMEDIATE RELEASE                                                           

NHCOA RELEASES FIRST OF ITS KIND REPORT ON STATUS OF LGBT HISPANIC OLDER ADULTS IN U.S.

New York – The National Hispanic Council on Aging (NHCOA) – the leading national organization working to improve the lives of Hispanic older adults, their families, and caregivers, in partnership with Services & Advocacy for GLBT Elders (SAGE) – will release the report of its national study on the status of lesbian, gay, bisexual and transgender (LGBT) Hispanic older adults during a press conference on Thursday, February 20 at 11 a.m. at the SAGE Center in New York, NY. The study, entitled In Their Own Words: A Needs Assessment of Hispanic LGBT Older Adults, was conducted by NHCOA, with financial support from the Arcus Foundation, and will be released in collaboration with Services & Advocacy for GLBT Elders (SAGE) and the Diverse Elders Coalition.

The report is a result of a qualitative needs assessment that NHCOA conducted in order to better understand the experiences of aging, and the socio-economic and health challenges facing the LGBT Hispanic older adult community. Specifically, the research focused on understanding LGBT Hispanic older adults’ perceptions of the aging experience; identifying their unique health  and socio-economic challenges; exploring the culturally appropriate strategies to better serve this population; and determining gaps in knowledge requiring further research.

The study and report are particularly important, as they are the first to focus exclusively on LGBT Hispanic older adults and the particular concerns that they face while aging. NHCOA will use the findings of this report to improve the lives of LGBT Hispanic older adults by making key recommendations to legislators and health care providers on their behalf.

MEDIA ADVISORY

WHO: The National Hispanic Council on Aging (NHCOA) – the leading national organization working to improve the lives of Hispanic older adults, their families, and caregivers; Services & Advocacy for Gay, Lesbian and Transgender Elders (SAGE); and the Diverse Elders Coalition

WHAT: Press conference to release In Their Own Words: a Needs Assessment of Hispanic LGBT Older Adults – NHCOA’s report on the status of LGBT Hispanic older adults. Speakers include: Dr. Yanira Cruz, President & CEO, NHCOA; Michael Adams, Executive Director, SAGE; Roz Lee, Senior Program Officer, Arcus Foundation; Gary Gates, Williams Distinguished Scholar at the Williams Institute and Jason Coates, Public Policy Associate, NHCOA. Geo Genaldo, a gay Hispanic elder will also be available for questions and interviews.

WHEN: Thursday, February 20, 2014 at 11 a.m.

WHERE: The SAGE Center, 305 7th Ave., 15th Floor (between 27th-28th Streets), New York, NY 10001

WHY: Understanding LGBT Hispanic older adults’ concerns, perceptions and challenges is critical to develop programmatic and policy solutions as lawmakers develop public policy and federal programs intended for the U.S. aging population.

INTERVIEWS: For interviews and photos e-mail Diana Moschos at media@nhcoa.org.

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NHCOA Testifies at Older Americans Act Congressional Hearing

Washington, DC— This morning Dr. Yanira Cruz, President and CEO of the National Hispanic Council on Aging (NHCOA)— the leading national organization working to improve the lives of Hispanic older adults, their families, and caregivers— testified alongside advocates and experts before the Subcommittee on Higher Education and Workforce Training regarding the pending reauthorization of the Older Americans Act (OAA). As the U.S. aging population increases and becomes more diverse, the OAA is a key piece of legislation for all older Americans, including diverse seniors. Dr. Cruz’s recorded testimony is as follows:

“Thank you Chairman Foxx, Ranking Member Hinojosa, and Members of the House of Representatives’ Subcommittee on Higher Education and Workforce Training, for the opportunity to testify at this hearing.  It is an honor to be here to underscore the great need to reauthorize the Older Americans Act (OAA).

“I am president and CEO of the National Hispanic Council on Aging (NHCOA), the leading national organization working to improve the lives of Hispanic older adults, their families, and caregivers.  NHCOA is a member of the Diverse Elders Coalition, a coalition of five organizations advocating for aging policies that improve the lives of racially and ethnically diverse Americans, including the American Indian, Asian American and LGBT communities.  Though the particular needs of each community differ, maintaining health and economic security is something all seniors strive for, and the OAA helps them achieve this.

“We know the OAA and its services work.  Older adults experiencing the threat of hunger tell us that often times their only meal is through a local senior center.  We also hear stories about selfless caregivers who have received training and respite as part of the National Family Caregiver Support Program.  Across the nation, older adults are learning new skills and going back to work because of training received from the Senior Community Services Employment Program.  The OAA also helps seniors receive the services and support they need to maintain their health and independence, as well as avoid more expensive forms of care.

“Sequestration harms the OAA’s ability to fulfill its mission.  Every day, 10,000 people turn age 65.[1]  Yet, OAA funding has not increased enough to meet this demand.  On the contrary, some of its programs have been cut.  This means that millions of meals aren’t being delivered to senior centers or homes, hundreds of thousands of seniors are losing access to daily living assistance, and thousands of low-income older adults who are eager to learn new skills are turned away from job training.[2]

“Although the OAA has been successful, it is in need of an update because the demographics of the seniors it serves are changing.  Currently, there are about 8 million diverse seniors.[3]  And these numbers will only increase as the general U.S. population ages.

“The OAA must respond to these demographic changes.  In general, diverse older adults experience health inequities and disproportionate levels of economic insecurity.  The American Community Survey estimates that around 5% of Hispanics over age 65 lack health insurance.  In comparison, less than one percent of non-Hispanic seniors lack health insurance.[4]  This makes the health community services offered through the OAA particularly important for Latino seniors.  Similarly, the American Community Survey finds that 19% of American Indian older adults live in poverty.[5]  African American seniors— currently the largest group of diverse seniors in the country— endure diabetes at disproportionately high rates.[6]  We know that the OAA’s health education and nutrition programs can help reduce these inequities.

“At NHCOA’s regional community forums, I hear from older adults struggling to access OAA services because of cultural and linguistic barriers.  A Hispanic older adult in Los Angeles explained to us, “Many of the services do not have employees that have the capacity or the patience to help us. There is a huge lack of respect to seniors.”  A report by Hispanics in Philanthropy, entitled The Latino Age Wave, found there is a lack of places Latino seniors can go to access aging services.[7]  Cultural factors form a barrier to services for LGBT older adults as well.  Many LGBT seniors have endured a lifetime of discrimination based on their sexual orientation and gender identity.  As a result, many feel uncomfortable seeking out services from mainstream providers.[8]

“NHCOA strongly supports the reauthorization of the OAA.  And I know that we are currently in a challenging budgetary situation, but the OAA needs more funding.  The cuts of sequestration are harming the ability of our country to care for our older adults.  Additionally, in recognition of current demographic changes, the provision of services in a culturally and linguistically competent manner should be made a priority of the law.  LGBT older adults and people with HIV/AIDS should be identified as a population in greatest social need.

“Thank you for the opportunity to testify.  I am happy to answer any questions you may have.”

For more information about the Older Americans Act, click here.

To watch a recording of the subcommittee hearing “Serving Seniors Through the Older Americans Act”, click here.

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[1] Cohn, D., Taylor, P.  Baby Boomers Approach 65 – Glumly.  Pew Research Social and Demographic Trends.  December 20, 2010.  Accessed from http://www.pewsocialtrends.org/2010/12/20/baby-boomers-approach-65-glumly/

[2] Leadership Council of Aging Organizations.  Issue Brief: NDD Sequestration Hurts Vulnerable Seniors.  October 2012.  Accessed from http://www.lcao.org/files/2013/02/LCAO-Sequestration-Issue-Brief-Oct2012.pdf

[3] Administration on Aging.  Minority Aging – Statistical Profiles.  Accessed from http://www.aoa.gov/AoARoot/(S(2ch3qw55k1qylo45dbihar2u))/Aging_Statistics/minority_aging/Index.aspx and Services and Advocacy for GLTB Elders.  General Facts.  Accessed from http://www.sageusa.org/issues/general.cfm

[4] National Hispanic Council on Aging calculations based on data from the 2010-2012 American Community Survey 3-Year Estimates.

[5] U.S. Census Bureau.  “Poverty Status in the Past 12 Months by Sex by Age (American Indian and Alaskan Native Alone).  2008-2012 American Community Survey 5-Year Estimates.

[6] Administration on Aging.  Minority Aging – Statistical Profiles.  Accessed from http://www.aoa.gov/AoARoot/(S(2ch3qw55k1qylo45dbihar2u))/Aging_Statistics/minority_aging/Index.aspx

[7] Global Policy Solutions.  The Latino Age Wave.  Hispanics in Philanthropy.  February 2011.  Accessed from http://www.hiponline.org/storage/documents/HIP_LatinoAgeWave_FullReport_Web.pdf

[8] Services and Advocacy for GLBT Elders, LGBT Older Adults and the Reauthorization of the Older Americans Act: A Policy Brief.  March 2011.  Accessed from: http://www.sageusa.org/resources/publications.cfm?ID=15

Caught in the Deportation Machine: Elders, Family Separation, and Immigration Reform

Cross-posted from the Diverse Elders Coalition blog.

By Mari Quenenmoen, Southeast Asia Resource Action Center (SEARAC)

This year, the Obama administration will surpass the 2 million mark – this is, it will have deported 2 million people since 2008, more than any other administration in history. The largest numbers of people being deported are those without legal status, but many Green card holders are also among the 2 million deportees. Since 1998, over 13,000 Southeast Asians (from Cambodia, Laos, and Vietnam) have been deported, including many Green card holders who arrived in the U.S. decades ago as refugees fleeing war and genocide. The majority of those deported are under the age of 35, but many elders also get caught in the deportation machine. Even more elders who remain in the U.S. suffer emotionally and financially when their adult children are taken away.

Despite official Immigration and Customs Enforcement (ICE) guidance that agents should not “expend detention resources” on those who are elderly, many immigrant elders are detained and deported. According to information gathered through a Freedom of Information Act (FOIA) request by the NYU School of Law Immigrant Rights Clinic, the Immigrant Defense Project, and Families for Freedom, between 2005 and 2010 the New York City ICE Field Office apprehended 1,275 noncitizens over the age of 55, and of these, at least 141 were subject to mandatory detention. Seniors struggle more than most in detention – they are more likely to be Limited English Proficient, and are more likely to suffer from health problems and dementia.

Huyen Thi Nguyen, an elderly Vietnamese woman, was detained in an immigration detention center for 16 months after serving her sentence for cash-for-food stamp fraud. She continues to fight her deportation, while suffering from mild dementia. Claudette Hubbard escaped LGBT violence in Jamaica in 1973 and became a U.S. Green card holder. She has been detained by ICE for over two years because of a 20-year-old conviction from a drug charge, even though she has fully rehabilitated and is mother and grandmother to U.S. citizens.

Claudette Hubbard with her U.S. citizen daughter and granddaughters

 

Claudette Hubbard with her U.S. citizen daughter and granddaughters
Deportations Harm the Children and Parents of Those Deported

Human Rights Watch estimates that between 1997 and 2007, 1,012,734 people lost an immediate family member to deportation – and this figure does not take into account the almost 2 million people deported under the current administration. The Applied Research Center (now Race Forward) found that in the first six months of 2011 alone, more than 46,000 parents of citizen children were deported, leaving many in foster care or Child Protective Services. A survey conducted in 2004 revealed that 70% of deportees and family members exhibited signs of post-traumatic stress disorder, including hopelessness, despair, sadness and shock.

In the Cambodian community, elders whose children are deported may suffer especially severely because of already high rates of poverty and poor mental health. According to 2010 American Community Survey numbers compiled by the Southeast Asia Resource Action Center (SEARAC), 22% of Cambodian elders over 65 live in poverty, compared with 9% of elders in the general population. Many elders came to the U.S. after fleeing the genocide, during which nearly every Cambodian family lost at least one and usually multiple members to starvation, torture, and murder. A study published in the Journal of the American Medical Association of several hundred Cambodian adults in Long Beach, CA, between 2003 and 2005 found that 62% exhibited signs of PTSD and 51% suffered from major depression. Rates increased with age – older Cambodians were more likely to be suffering from mental health issues than average. The deportation of a son or daughter can have a devastating impact on Cambodian elders, who may suffer retraumatization and extreme financial hardship.

Loeun Lun, whose story was featured in the film “Sentenced Home”, arrived in the U.S. as a refugee in 1981 when he was 6 years old. His mother suffered from depression and PTSD, and they lost his father when he was a young child. After struggling throughout his adolescence to adapt in his new, poor Long Beach neighborhood, Loeun was convicted of two counts of assault for shooting a gun in the air during a confrontation when he was 19. No one was hurt, but he served 11 months in jail. After his release, Loeun changed his life. He became the primary caretaker for his aging mother, working at two factory jobs while studying for his MBA. He married his U.S. citizen girlfriend, had two daughters, paid off debts, and moved his family to the suburbs. However, despite turning his life around, the old criminal charge came back to haunt him. Loeun was arrested by ICE in 2002 and deported to Cambodia a year later. Leoun’s elderly mother was emotionally devastated by the loss of her son, and now has no one to care for her.

Time for Real Immigration Reform that Keeps Families Together

Comprehensive immigration reform would help keep many undocumented families together. But current proposals in Congress would not help someone like Loeun, whose crime is categorized as an “aggravated felony” under immigration law. Because current laws are so harsh and rigid, even the terrible impact on Loeun’s children, wife, and mother could not prevent him from being deported. Elderly immigrants, including Green card holders, can also be deported regardless of age, physical or mental health, or length of time in the U.S. if they have a criminal record in their history that fits under the broad range of convictions and sentences that result in mandatory deportation. We need true immigration reform that prioritizes keeping all families together, including those like Loeun’s, Claudette’s, and Huyen Thi Nguyen’s.

Mari Quenemoen is a Policy Manager at the Southeast Asia Resource Action Center (SEARAC). The opinions expressed in this article are those of the author and do not necessarily reflect those of the Diverse Elders Coalition.

Sharing Stories, Leaving Legacies: How Intergenerational Programs Empower Diverse Elders

Cross-posted from the Diverse Elders Coalition blog.

By Hitomi Yoshida, Research Associate, Temple University Intergenerational Center

Thanksgiving is a time for gratitude, reunions, and celebrations with family. However, many of us have ambivalent feelings about these family interactions. Our mixed feeling can range from the joy of re-connecting to anxiety around different values and expectations that exist within the family, especially between generations. This ambivalence may be experienced every day in multigenerational families, and statistics indicate that immigrant seniors are more likely to live in multi-generational households. Contrary to the stereotypical picture of a large, tight-knit immigrant family surrounding their elders with relevance and constant caregiving support, the nature of intergenerational relationships within immigrant families is more complex. Older immigrants interviewed in the research conducted by the Temple University Intergenerational Center (the “Center”) shared their sense of isolation within their family and community due to lack of time for meaningful interactions, language and value differences, and the acculturation of younger generations.

A Vietnamese senior from Philadelphia expressed his sense of disconnect.

“In Asian culture…parents take care of children, then children take care of parents when they are old…but in America, …[your adult children are] busy spending time working, their children go to school…so these things separate the family…you have to compete with these things [and] there is no room [for elders] to teach about culture.”

The role loss and the decreasing value of elders’ wisdom in American society are major barriers to the well-being of immigrant seniors. As one Somali community leader in Minneapolis explained, “Elders as advisors….that concept is lost here.”

What Can Be Done: Intergenerational Programs

To increase young people’s understanding of aging issues, bridge generations and restore roles for elders as leaders, Project SHINE, the Center’s immigrant initiative, piloted intergenerational programs by partnering with four ethnic-based community agencies across the country: the Cambodian Association of Greater Philadelphia (CAGP), PA;Boat People SOS (BPSOS)-Delaware Valley, Camden, NJ; Confederation of Somali Communities in Minnesota (CSCM), MN; and El Centro de Accion Social (El Centro), Pasadena, CA.

Intergenerational Program Photo

In Pasadena, CA, an increasing number of Mexican-American children are raised by their grandparents. Although they may form an initial bond, as children grow into their teenage years, tension often arises because of the grandparents’ traditional parenting style. Elders lament that their grandchildren are always on their cell phones or computers. Elders in the El Centro’s senior program expressed how difficult it is for them to connect with their grandchildren. Many felt that their teenagers were “spoiled,” “ungrateful,” and “disrespectful.”

Working with the Intergenerational Center, El Centro bridged its senior and youth programs. They guided participants to share their life-stories in a series of joint meetings, and posed questions ranging from “How old are you and where were you born?” to “How did your family migrate here? How did you cross the border?” and “Tell me about the time when you faced a difficulty and how you overcame it?”

Other intergenerational activities under this initiative included a joint advocacy trip to Washington, D.C., a community garden to address food security and preserve cultural heritage, and a local field trip to a cultural site. All sites incorporated story-sharing in their activities to promote active listening between generations. These intergenerational programs emerged as a promising strategy to enhance community-wide support for and leadership development of diverse elders. The key common outcomes for the programs included:

• Building Youths’ Empathy and Support for Elders

The intergenerational activities increased youths’ awareness of the struggles and strengths of the elders in their communities. Participants now believe that aging issues are family and community-wide issues that all generations should engage in. Teenage participants reflected on their experiences:

“You should never judge a book by its cover. I used to think elder people were boring, but they aren’t. They are interesting and their stories are mainly sad….”

“Now I know more about what they (elders) went through and are going through. I know why sometimes they can be angry about the ways things are with their lives…..Why Vietnamese elders are frustrated when they see youth not taking school seriously…some never had educational opportunities like we do.”

• Recognizing Common Struggles

Active listening enabled elders and youths to connect across common challenges they face in their lives. Elders’ perception that “American kids have it easy” has changed through story-sharing. Ms. Pamela Cantero at El Centro reported, “Now they see that young people are going through their own hardships…. they say, ‘Maybe I should just stand back and allow this child to talk to me’.”

El Centro’s Mexican seniors learned that some kids skip school because they experience marginalization at school just like many Mexican seniors do in the community. One senior shared, “I didn’t understand the term ‘bullying’ [before], but after my interaction with one of the students, I was so amazed to hear about some of the stuff students go through.” Another elder stressed the importance of mutual listening. “We must respect their beliefs if we want them to respect ours.”

• Restoring and Developing Elders’ Leadership

Service agencies for the aging often see limited-English speaking elders only as their clients who need assistance. Intergenerational programs have shifted this paradigm by engaging immigrant elders as cultural resources and leaders. Elder immigrant clients can also be contributors and leaders with whom organizations can partner to strengthen families and communities.

Ms. Chanphy Heng, staff at the Cambodian Association of Greater Philadelphia, reflected, “This project gave elders a sense of pride. They think young people are more educated [than they are] and often shy away from sharing their wisdom. Now they feel that young people want to know [about] their life…Even if they do not have a degree or money, they have so much to pass on.”

Possibilities for Deepening Interactions in the Immigrant Families

Elders and youths in the intergenerational projects were not related as family members, yet many participants now see a possibility for developing a deeper relationship with their own grandparents and grandchildren based on their experience in the intergenerational program.

One Vietnamese-American student told me that she never had a sit-down conversation with her grandfather who lives close by. Now she wants to listen to his stories.

“I feel this has become more of a necessity…If I don’t listen to his story, it will be lost ….If I can do this with elderly who are not my family, why can’t I do this with my own grandpa?”

• The Intergenerational Pilot Projects were made possible by the support of MetLife Foundation.

Hitomi Yoshida is a Research Associate at the Temple University Intergenerational Center. She conducts community-based needs assessments and evaluations with immigrant and refugee communities. The opinions expressed in this article are those of the author and do not necessarily reflect those of the Diverse Elders Coalition.

A Message from Dr. Cruz: Happy Holidays and Thank You for Your Support!

By Dr. Yanira Cruz, President and CEO

As 2012 comes to a close, NHCOA would like to take the time to reflect on the accomplishments achieved, as well as express deep gratitude for our supporters who have made these successes possible. The new demographic reality we face has presented opportunities for both improvement and growth, especially for Latino seniors. In leveraging these opportunities for growth, the year 2012 has been remarkable in so many ways. These successes position NHCOA and its critical mission for increased success in 2013. Further, each accomplishment we have experienced this year is tied to an underlying hope and a sense of unity, commitment, and passion through your collective affiliation to NHCOA. 

This year, we can start by pointing to the powerful movement to develop leadership and empower communities across the country through the 2012 Promoting Communities of Success Regional Meetings. NHCOA met with more than 500 Hispanic older adults, their families, and caregivers to take a solid pulse of the community, carefully listening to their specific needs and concerns. Older adults were empowered to talk about the problems they faced, but more importantly, to be an active part of the solution.

This was also a groundbreaking year for the expansion of the NHCOA Leaders Network. We hosted four Empowerment and Civic Engagement Trainings (ECET) in different parts of the country, training nearly 200 additional local leaders to become their own best advocates. These newest ECET leaders received 1.3 CEUs (continuing education units) from the University of Texas-San Antonio, adding a more meaningful dimension to this interactive and dynamic training. Throughout this effort, NHCOA has been able to train more than 800 grassroots leaders across the country over a three-year period.

In addition, remarkable accomplishments were met from the public policy standpoint. The Diverse Elders Coalition (DEC), which NHCOA co-founded, developed the first national report on the status of diverse older adults and presented it at a Capitol Hill briefing in July. This is the first report of its kind, showing the importance of working together to positively impact diverse communities in need. NHCOA also worked closely with office of Senator Michael Bennet (D-CO) to craft an amendment to the Older Americans Act, which includes language to improve states’ and communities’ ability to better serve diverse older adults with culturally and linguistically appropriate services.

As NHCOA sought to advocate for viable solutions, the organization spearheaded research in 2012 on issues specifically related to Latino aging, including a needs assessment for Hispanic LGBT older adults, a study related to Alzheimer’s Disease and Latino caregivers, and an updated version of the organization’s State of Hispanic Older Adults report, which was launched during the NHCOA 2012 National Summit in October. The National Summit is the annual leading information sharing and networking event, which convenes professionals, advocates, policy makers, and Hispanic community leaders to better understand the needs and concerns of Latino seniors and Hispanic families.

Additionally, NHCOA reached millions of Hispanic older adults, their families, and caregivers with critical information to improve their well-being through programmatic efforts, which included preventing Medicare fraud through the National Hispanic SMP, a program sponsored by the Administration on Aging to help Latino seniors fight Medicare fraud within their communities. NHCOA also promoted the importance of getting vaccinated through Vacunémonos (Let’s Get Vaccinated), a community intervention sponsored by the Centers for Disease Control and Prevention (CDC) to boost the rates of immunization among Hispanic older adults; raised awareness on HIV prevention through the Act Against AIDS Leadership Initiative, a CDC program to reduce the incidence of HIV/AIDS in diverse communities; empowered seniors to live healthy lifestyles through Salud y Bienestar (Health and Well-Being), a program to prevent and/or control diabetes sponsored by the Walmart Foundation; and mobilized Latino workers and older adults to advocate for and raise awareness regarding paid family leave laws.

NHCOA has many things to be grateful for this year, especially your support. With your vision, commitment, and passion, NHCOA can achieve the impact and influence to fulfill its important mission. As we look toward the future, we thank you in advance for your support as we continue to work together on behalf of the Latino seniors we cherish and serve. While the road to better outcomes and increased successes will require great effort, I trust our collective perseverance will allow us to work toward a stronger, golden America for all older adults.