Laguna Honda Faces COVID Outbreak, Amid Looming Patient Transfer Deadline
Older Adults Are Now the Fastest-Growing Unhoused Population in California
In Now Third Year, High School Seniors Still Struggle to Graduate During COVID
California Court Rules Nursing Home Employees Can Deadname Transgender Seniors
California Poised to Offer Public Health Care to Undocumented Elders in 'Historic Moment'
‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters
Nursing Home Residents Are Finally Starting to See Their Loved Ones
With COVID-19 Concerns, Anxious Families Eye In-Home Senior Care
Seniors Making It Through Pandemic With a Little Tech and a Lot of Wisdom
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The hospital is facing a major regulatory crisis that threatens to close the 153-year-old public skilled nursing facility, home to more than 500 residents, many of whom require high levels of nursing care.\u003c/p>\n\u003cp>COVID “cases were generally mild, and many were asymptomatic and identified due to Laguna Honda’s proactive testing of entire units until no new cases are identified for 14 days,” a spokesperson for Laguna Honda said in an email on May 12. “Laguna Honda Hospital was a model for pandemic response, and we continue to respond effectively to COVID by slowing the spread of the virus on campus and caring for residents if they test positive.”\u003c/p>\n\u003cp>The largest resident outbreak in 2023 peaked in April at 79 cases, and as of May 15 there were \u003ca href=\"https://sf.gov/data/laguna-honda-hospital-covid-19-cases-and-deaths\">10 residents with active cases\u003c/a>, signaling a significant downward trend.\u003c/p>\n\u003cp>[aside postID=news_11939987,news_11920121,news_11921717,news_11757925 label=\"More on Laguna Honda\"]\u003c/p>\n\u003cp>The outbreak in 2023 surpassed the total number of COVID cases that occurred at Laguna Honda in 2020 (46) and 2021 (32), when \u003ca href=\"https://www.gao.gov/products/gao-23-104291\">nursing homes across the country saw devastating impacts of the virus\u003c/a>, which disproportionately affects older adults. The highest number of overall cases at Laguna Honda occurred in 2022, which had a total of 246 cases.\u003c/p>\n\u003cp>“Throughout the pandemic, Laguna Honda has responded to many surges, and we will continue to respond as needed due to the contagious nature of the virus and continually emerging variants and the importance of residents hosting visitors and leaving campus for outings and appointments,” the spokesperson said.\u003c/p>\n\u003ch2>Path to recertification\u003c/h2>\n\u003cp>In 2022, the hospital was found out of compliance on a number of safety issues across multiple regulatory surveys that were triggered after Laguna Honda self-reported two nonfatal overdoses that occurred on-site.\u003c/p>\n\u003cp>As a result, federal regulators stripped Laguna Honda from Medicare and Medi-Cal, subsidized health care plans that cover the vast majority of residents at the facility, most of whom have extremely low incomes.\u003c/p>\n\u003cp>In order to sustain health care funding while Laguna Honda worked to address its deficiencies, the Centers for Medicare and Medicaid Services required that the hospital craft and implement a plan to prepare for closure. That plan involved assessing and relocating as many patients as possible in 2022.\u003c/p>\n\u003cp>Of 57 residents who were transferred or discharged during that process, 12 died shortly after their relocations. \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">The city sued the federal government\u003c/a> in response, and the transfer process was paused temporarily as part of a settlement agreement.\u003c/p>\n\u003cp>In February 2023, \u003ca href=\"https://www.kqed.org/news/11939987/feds-grant-reprieve-on-laguna-honda-patient-transfers-until-may\">regulators agreed to extend the pause on transfers to May 19\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Simultaneously, Laguna Honda had until May 13 to implement an “Action Plan” that aims to address some of the areas where the hospital was found out of compliance, ranging from basic hygiene to medication storage and illicit substances on-site.\u003c/p>\n\u003cp>As part of its agreement, Laguna Honda must complete hundreds of items in the action plan to address deficiencies. So far, the hospital has cleared all of those: 126 in January, 133 in February, 77 in March and 122 in April. Officials said they are on track to complete all May milestones, also.\u003c/p>\n\u003cp>“We are confident that Laguna Honda has delivered on our end of the settlement to date,” the hospital spokesperson said.\u003c/p>\n\u003cp>Once the action plan is completed, the hospital can apply for recertification, according to San Francisco Health Commission documents.\u003c/p>\n\u003ch2>‘Unacceptable’ options\u003c/h2>\n\u003cp>Meanwhile, the hospital has resumed voluntary discharges of residents who are found to no longer require the level of skilled nursing care that Laguna Honda provides.[pullquote size=\"medium\" align=\"right\" citation=\"Tony Chicotel, staff attorney, California Advocates for Nursing Home Reform\"]‘I’m concerned that residents will be dumped inappropriately and this will green-light discharges of residents that Laguna Honda has wanted to rid themselves of.’[/pullquote]But the entire Bay Area is facing a drastic scarcity of affordable care and living accommodations for older adults, making it difficult to find new homes for discharged residents.\u003c/p>\n\u003cp>A total of 41 people have so far been identified as appropriate for discharge. However, only eight alternative placements have been identified for those residents, CEO Roland Pickens said during a recent Board of Supervisors hearing.\u003c/p>\n\u003cp>“In terms of clients who are allegedly no longer eligible for skilled nursing care, I am deeply concerned about transfers for them,” Laura Chiera, executive director of Legal Assistance to the Elderly, said at the supervisors hearing. “In the past some have been transferred to homeless shelters. That is completely unacceptable.”\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/sites/default/files/2022-07/LHH%20Wkly%20Closure%20Patient%20Transfer%20DATA%20DASHBOARD%2007.18.22.pdf\">Three people were sent from Laguna Honda to homeless shelters during the 2022 transfers (PDF)\u003c/a>.\u003c/p>\n\u003cp>Older care and disability advocates warn that many residents who are being discharged may still need some degree of assistance, and with a dearth of affordable assisted-living options in the Bay Area, some residents, they warn, are being discharged to inappropriate facilities.\u003c/p>\n\u003cp>“I’m concerned that residents will be dumped inappropriately and this will green-light discharges of residents that Laguna Honda has wanted to rid themselves of and their discharge plans will not be adequate,” said Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform.\u003c/p>\n\u003cp>Across the state, \u003ca href=\"https://www.kqed.org/news/11940807/older-adults-are-now-the-fastest-growing-unhoused-population-in-california\">older adults are the fastest-growing segment of the unhoused population\u003c/a>. While California’s overall older adult population grew by 7% from 2017 to 2021, the number of people 55 and over seeking homelessness services increased 84%, according to the state’s Homeless Data Integration System.\u003c/p>\n\u003cp>“You want residents who don’t need to be (at Laguna Honda) to find appropriate housing,” said Chicotel. “But you don’t want to dump them to the first place that takes them or shows up available.”\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Amid debate over adequate facilities for discharged residents, regulators have agreed to pause patient transfers until May 19.","status":"publish","parent":0,"modified":1684264915,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1011},"headData":{"title":"Laguna Honda Faces COVID Outbreak, Amid Looming Patient Transfer Deadline | KQED","description":"Amid debate over adequate facilities for discharged residents, regulators have agreed to pause patient transfers until May 19.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Laguna Honda Faces COVID Outbreak, Amid Looming Patient Transfer Deadline","datePublished":"2023-05-16T00:38:51.000Z","dateModified":"2023-05-16T19:21:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11949515/laguna-honda-faces-covid-outbreak-amid-looming-patient-transfer-deadline","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amid other challenges, Laguna Honda Hospital and Rehabilitation Center in San Francisco has been grappling with a COVID-19 outbreak that has outpaced those in some previous years of the pandemic.\u003c/p>\n\u003cp>The latest uptick in cases arrived at a particularly tough time. The hospital is facing a major regulatory crisis that threatens to close the 153-year-old public skilled nursing facility, home to more than 500 residents, many of whom require high levels of nursing care.\u003c/p>\n\u003cp>COVID “cases were generally mild, and many were asymptomatic and identified due to Laguna Honda’s proactive testing of entire units until no new cases are identified for 14 days,” a spokesperson for Laguna Honda said in an email on May 12. “Laguna Honda Hospital was a model for pandemic response, and we continue to respond effectively to COVID by slowing the spread of the virus on campus and caring for residents if they test positive.”\u003c/p>\n\u003cp>The largest resident outbreak in 2023 peaked in April at 79 cases, and as of May 15 there were \u003ca href=\"https://sf.gov/data/laguna-honda-hospital-covid-19-cases-and-deaths\">10 residents with active cases\u003c/a>, signaling a significant downward trend.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11939987,news_11920121,news_11921717,news_11757925","label":"More on Laguna Honda "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The outbreak in 2023 surpassed the total number of COVID cases that occurred at Laguna Honda in 2020 (46) and 2021 (32), when \u003ca href=\"https://www.gao.gov/products/gao-23-104291\">nursing homes across the country saw devastating impacts of the virus\u003c/a>, which disproportionately affects older adults. The highest number of overall cases at Laguna Honda occurred in 2022, which had a total of 246 cases.\u003c/p>\n\u003cp>“Throughout the pandemic, Laguna Honda has responded to many surges, and we will continue to respond as needed due to the contagious nature of the virus and continually emerging variants and the importance of residents hosting visitors and leaving campus for outings and appointments,” the spokesperson said.\u003c/p>\n\u003ch2>Path to recertification\u003c/h2>\n\u003cp>In 2022, the hospital was found out of compliance on a number of safety issues across multiple regulatory surveys that were triggered after Laguna Honda self-reported two nonfatal overdoses that occurred on-site.\u003c/p>\n\u003cp>As a result, federal regulators stripped Laguna Honda from Medicare and Medi-Cal, subsidized health care plans that cover the vast majority of residents at the facility, most of whom have extremely low incomes.\u003c/p>\n\u003cp>In order to sustain health care funding while Laguna Honda worked to address its deficiencies, the Centers for Medicare and Medicaid Services required that the hospital craft and implement a plan to prepare for closure. That plan involved assessing and relocating as many patients as possible in 2022.\u003c/p>\n\u003cp>Of 57 residents who were transferred or discharged during that process, 12 died shortly after their relocations. \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">The city sued the federal government\u003c/a> in response, and the transfer process was paused temporarily as part of a settlement agreement.\u003c/p>\n\u003cp>In February 2023, \u003ca href=\"https://www.kqed.org/news/11939987/feds-grant-reprieve-on-laguna-honda-patient-transfers-until-may\">regulators agreed to extend the pause on transfers to May 19\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Simultaneously, Laguna Honda had until May 13 to implement an “Action Plan” that aims to address some of the areas where the hospital was found out of compliance, ranging from basic hygiene to medication storage and illicit substances on-site.\u003c/p>\n\u003cp>As part of its agreement, Laguna Honda must complete hundreds of items in the action plan to address deficiencies. So far, the hospital has cleared all of those: 126 in January, 133 in February, 77 in March and 122 in April. Officials said they are on track to complete all May milestones, also.\u003c/p>\n\u003cp>“We are confident that Laguna Honda has delivered on our end of the settlement to date,” the hospital spokesperson said.\u003c/p>\n\u003cp>Once the action plan is completed, the hospital can apply for recertification, according to San Francisco Health Commission documents.\u003c/p>\n\u003ch2>‘Unacceptable’ options\u003c/h2>\n\u003cp>Meanwhile, the hospital has resumed voluntary discharges of residents who are found to no longer require the level of skilled nursing care that Laguna Honda provides.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘I’m concerned that residents will be dumped inappropriately and this will green-light discharges of residents that Laguna Honda has wanted to rid themselves of.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Tony Chicotel, staff attorney, California Advocates for Nursing Home Reform","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But the entire Bay Area is facing a drastic scarcity of affordable care and living accommodations for older adults, making it difficult to find new homes for discharged residents.\u003c/p>\n\u003cp>A total of 41 people have so far been identified as appropriate for discharge. However, only eight alternative placements have been identified for those residents, CEO Roland Pickens said during a recent Board of Supervisors hearing.\u003c/p>\n\u003cp>“In terms of clients who are allegedly no longer eligible for skilled nursing care, I am deeply concerned about transfers for them,” Laura Chiera, executive director of Legal Assistance to the Elderly, said at the supervisors hearing. “In the past some have been transferred to homeless shelters. That is completely unacceptable.”\u003c/p>\n\u003cp>\u003ca href=\"https://sf.gov/sites/default/files/2022-07/LHH%20Wkly%20Closure%20Patient%20Transfer%20DATA%20DASHBOARD%2007.18.22.pdf\">Three people were sent from Laguna Honda to homeless shelters during the 2022 transfers (PDF)\u003c/a>.\u003c/p>\n\u003cp>Older care and disability advocates warn that many residents who are being discharged may still need some degree of assistance, and with a dearth of affordable assisted-living options in the Bay Area, some residents, they warn, are being discharged to inappropriate facilities.\u003c/p>\n\u003cp>“I’m concerned that residents will be dumped inappropriately and this will green-light discharges of residents that Laguna Honda has wanted to rid themselves of and their discharge plans will not be adequate,” said Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform.\u003c/p>\n\u003cp>Across the state, \u003ca href=\"https://www.kqed.org/news/11940807/older-adults-are-now-the-fastest-growing-unhoused-population-in-california\">older adults are the fastest-growing segment of the unhoused population\u003c/a>. While California’s overall older adult population grew by 7% from 2017 to 2021, the number of people 55 and over seeking homelessness services increased 84%, according to the state’s Homeless Data Integration System.\u003c/p>\n\u003cp>“You want residents who don’t need to be (at Laguna Honda) to find appropriate housing,” said Chicotel. “But you don’t want to dump them to the first place that takes them or shows up available.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11949515/laguna-honda-faces-covid-outbreak-amid-looming-patient-transfer-deadline","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_3921","news_29362","news_27626","news_26092","news_38","news_2081"],"featImg":"news_11949516","label":"news"},"news_11940807":{"type":"posts","id":"news_11940807","meta":{"index":"posts_1591205157","site":"news","id":"11940807","score":null,"sort":[1676499586000]},"guestAuthors":[],"slug":"older-adults-are-now-the-fastest-growing-unhoused-population-in-california","title":"Older Adults Are Now the Fastest-Growing Unhoused Population in California","publishDate":1676499586,"format":"standard","headTitle":"CALmatters | KQED News","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>Norma Johnson cracks a faint smile as she adjusts her stylish cat's-eye glasses.\u003c/p>\n\u003cp>She’s at the cafeteria of \u003ca href=\"https://stmaryscenter.org/mission-history/\">St. Mary’s Center\u003c/a> in West Oakland, where older adults in interim housing or living on the streets can drop by for a free meal. But Johnson’s mind is elsewhere. Her treasured red leather rocking chair, along with most of her belongings, sits in a storage unit. She’s afraid if she doesn’t pay her $500 balance soon, the storage unit operator will auction everything.\u003c/p>\n\u003cp>“I gotta pull a rabbit out of my hat,” Johnson, 65, said during a rainy January day. “I don’t want to lose the things I do have. I don’t have a house, and now I won’t have ... ” She hangs her head before finishing that sentence.[pullquote align=\"right\" size=\"medium\" citation=\"Sharon Cornu, executive director, St. Mary's Center\"]'[I]t's remarkable to think about — you've kept yourself employed and housed and above water this whole time period, and in what ought to be golden years, here you are out on the street.'[/pullquote]Unexpectedly, Johnson finds herself in the middle of a budding crisis: aging without a home.\u003c/p>\n\u003cp>California accounts for \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/12/california-homeless-count-2/\">about a third of the nation’s unhoused people\u003c/a>, and among this population, older adults are estimated to be the fastest-growing group. One key indicator is the state’s tally of people accessing homelessness services. From 2017 to 2021, California’s overall older adult population grew by 7%, but \u003ca href=\"https://www.bcsh.ca.gov/calich/hdis.html\">the number of people 55 and over who sought homelessness services increased 84%\u003c/a> — more than any other age group — according to the state’s Homeless Data Integration System.\u003c/p>\n\u003cp>For comparison, the number of people accessing homelessness services across all ages increased 43% during this time period.\u003c/p>\n\u003cp>Older adults who are unhoused include those who have been unhoused for a long time and are getting older. But they also include those who are part of a growing trend, research shows: \u003ca href=\"https://generations.asaging.org/homelessness-older-adults-poverty-health\">people experiencing homelessness for the first time after age 50\u003c/a>.\u003c/p>\n\u003cp>Those at increased risk of losing shelter tend to be older adults who live alone and on fixed incomes, with little to no savings. A main contributor, experts say, is that as California rents soar, older adults’ income streams — including Social Security benefits and Supplemental Security Income — \u003ca href=\"https://www.vcstar.com/story/news/2022/04/05/senior-advocate-older-adults-pushed-out-housing/9472635002/\">have not kept up\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/california-divide/2019/10/black-people-disproportionately-homeless-in-california/\">Black Californians have long been overrepresented in the unhoused population\u003c/a> — representing about 6% of the state’s population but close to 30% of those accessing homelessness services, state data show.\u003c/p>\n\u003cp>“For many of us, there’s a picture in our mind connected to substance abuse or mental health issues. And for maybe a quarter of people who are currently unhoused, that is a cause. But most people becoming homeless today do so for economic reasons,” said Sharon Cornu, executive director at St. Mary’s Center, a nonprofit group that operates several services for older adults, including transitional housing.\u003c/p>\n\u003cp>“As someone in this age group, I can tell you, it’s remarkable to think about — you’ve kept yourself employed and housed and above water this whole time period, and in what ought to be golden years, here you are out on the street,” she said.\u003c/p>\n\u003ch2>Respite at St. Mary's Center\u003c/h2>\n\u003cp>Just last summer, Johnson was living in a three-bedroom house she shared with a housemate and working at a COVID-19 testing site. But her situation changed suddenly. She had to stop working to undergo surgery for an old back injury. Then her housemate of almost three years moved out, leaving Johnson on the hook for the full $2,500 rent that she could not afford on her own.\u003c/p>\n\u003cp>After she lost her home, Johnson was referred to St. Mary’s Center, where she currently shares a trailer with five other people. Everyone who stays at St. Mary’s transitional housing units is 55 or older and many have moved from the streets to shelters to living in cars or staying with relatives. Here, they have access to a case manager. The goal is to link them to any health and social services they may need and help them find permanent affordable housing.\u003c/p>\n\u003cfigure id=\"attachment_11940813\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-800x533.jpg\" alt=\"An older Black woman with graying hair and a white shirt and glasses looks at the camera while seated on a white couch.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Norma Johnson at the Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stories like Johnson’s are common among people who have been through St. Mary’s Center — barely making ends meet, an injury or stint of bad health having forced them to leave jobs sooner than they had hoped. In some cases, the death of a loved one, family conflicts or abusive relationships left people without a place to stay.\u003c/p>\n\u003cp>Others, like Elbert Lee Jones Jr., spent decades on the streets. Born in Germany to a military family, he and his family moved to Oakland when he was 5 years old. As a young adult, he worked in fast-food restaurants, laundromats and convenience stores.\u003c/p>\n\u003cp>“I had jobs, had a life, until cocaine came knocking on the door. It came knocking on the door and really messed up a whole lot,” Jones said.\u003c/p>\n\u003cp>Strong and mostly healthy, he managed on the streets for a long time. Then about three years ago, he woke up in his tent to foot pain so unbearable he could barely stand. An ambulance took him to the closest emergency room, where doctors told him he had gangrene on his toes; they would have to amputate all of them.\u003c/p>\n\u003cp>“They said, ‘If you hadn’t come in when you did, you’da been dead,’” Jones said. “That was the darkest part of my life right there.”\u003c/p>\n\u003cp>After some time healing at a nursing home, he was back on the streets. In a wheelchair and about to turn 60, he found his situation getting more complicated. So when the clinical director at St. Mary’s Center approached Jones under a freeway overpass last year and offered him a place to stay, he accepted. He was reluctant at first, he said. It had been a long time since he’d trusted anyone.\u003c/p>\n\u003ch2>On the streets, 50 is the new 70\u003c/h2>\n\u003cp>Research has shown that living on the streets — eating and sleeping poorly, being exposed to the elements, not getting proper medical care and losing medication during encampment sweeps — will \u003ca href=\"https://epibiostat.ucsf.edu/news/older-homeless-people-are-great-risk-dying\">prematurely age, sicken and kill people\u003c/a>. That is why when speaking about the unhoused population, advocates and experts often refer to “seniors” as anyone 50 and above.\u003c/p>\n\u003cp>By the time unhoused people are in their 50s and early 60s, they look much more like other people in their 70s and 80s, said Dr. Margot Kushel, director of UC San Francisco’s Benioff Homelessness and Housing Initiative.\u003c/p>\n\u003cp>“Everything is shifted back about 20 years,” Kushel said. “The health problems that we normally associate with aging — vision problems, hearing problems, cognitive impairments, difficulty bathing, difficulty walking — all of those things start much younger.”\u003c/p>\n\u003cfigure id=\"attachment_11940812\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940812\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-800x533.jpg\" alt=\"A white trailer with blue door and windows, and a little yard and planting garden outside.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Their situation could also trigger anxiety, depression and substance use.\u003c/p>\n\u003cp>Recently, the state launched incentives for Medi-Cal providers, who serve patients with lower incomes, to start and grow \u003ca href=\"https://calmatters.org/health/2022/12/homeless-health-care/\">street medicine programs\u003c/a>. Historically, most of these programs have been funded by philanthropic groups and foundations. And perhaps now more than ever, these programs play a crucial role, but in limited numbers they can only do so much for this medically high-needs population. Routine care and timely diagnosis are more difficult when people are moving from one encampment or shelter to another.\u003c/p>\n\u003cp>And simply put, “There is no medicine as powerful as housing,” Kushel said.\u003c/p>\n\u003cp>Researchers for one UCSF study published last summer followed unhoused people 50 and older over eight years in Oakland and found they were \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2795475?guestAccessKey=7ac6269d-6dbd-4288-a405-b1ecca6e082e&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=082922\">3.5 times more likely to die early\u003c/a> compared to other older people in the city. In the study, the median age of death was 64.6 years, compared to \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20220831.htm#:~:text=That%20decline%20%E2%80%93%2077.0%20to%2076.1,life%20expectancy%20since%201921%2D1923.\">76.1 years for all Americans\u003c/a>. The main causes of death for the unhoused were heart disease, cancer and drug overdose.\u003c/p>\n\u003cp>The health needs of older adults can be complex. And most shelters are not equipped to serve a geriatric population. Programs that serve older adults specifically, like the one at St. Mary’s Center, are few and far between.\u003c/p>\n\u003cp>Across the state, shelters are being overwhelmed by unhoused people who need more than these facilities can provide. For example, ideally, shelters would have a nurse on-site, but that could cost about $90,000 a year per nurse, which most facilities wouldn’t be able to afford, said Sara Mirhadi, chief programs officer at \u003ca href=\"https://poverellohouse.org/\">Poverello House\u003c/a>, which provides food, shelter and social services to unhoused people in downtown Fresno.\u003c/p>\n\u003cp>In the past several years, her shelter’s population has gotten older and their disabilities have increased. A number of those who come in regularly are in wheelchairs and need help using the bathroom. When you add conditions such as dementia and mental health issues, caring for this population becomes even more challenging, Mirhadi said.[pullquote align=\"right\" size=\"medium\" citation=\"Sara Mirhadi, chief programs officer, Poverello House\"]'I think we need to really take a hard look at what we're doing for our elderly population, because they should not be in a shelter.'[/pullquote]“At this point, I feel like our shelters are slowly becoming de facto nursing facilities,” she said. “I've had to ask staff to do a lot of things that they normally wouldn't do.”\u003c/p>\n\u003cp>The Fresno-Madera region has seen one of the biggest jumps in homelessness among the 55-and-older population, increasing 216% from 2017 to 2021, state data shows. Coincidentally or not, \u003ca href=\"https://calmatters.org/housing/2021/09/california-housing-podcasat-fresno-market/\">rents and home prices in the Fresno area\u003c/a> have skyrocketed in recent years. Other areas that saw more than a two-fold increase in homelessness among this age group include the Yuba-Sutter area, and Yolo, San Francisco, Merced and Alameda counties. (Homelessness data is tracked by regional agencies whose territories can include a single city or several counties.)\u003c/p>\n\u003cp>“I think we need to really take a hard look at what we're doing for our elderly population, because they should not be in a shelter,” Mirhadi added.\u003c/p>\n\u003ch2>Making a dent in homelessness\u003c/h2>\n\u003cp>In January 2021, Gov. Gavin Newsom released \u003ca href=\"https://mpa.aging.ca.gov/\">California’s Master Plan for Aging\u003c/a>, a 10-year blueprint on how to better prepare the state for a graying population — a quarter of the state’s residents will be 60 or older by 2030. The rollout of this plan also comes at a time when an estimated \u003ca href=\"https://www.aging.ca.gov/download.ashx?lE0rcNUV0zZe1bBmXluFyg%3D%3D\">2 million older adults are considered economically insecure\u003c/a>, struggling to afford rising rents and health care costs.\u003c/p>\n\u003cp>The No. 1 priority in that master plan is increasing affordable housing options for older adults, allowing them to age in place. The plan lays out goals and initiatives that legislators and the administration can pursue over time.\u003c/p>\n\u003cp>“Once homeless, older individuals face really unique barriers that make it extremely difficult for them to get housed again, so putting the emphasis on homeless prevention and making that a front-and-center strategy of dealing with older adult homelessness is something that we are seeing more attention paid to,” said Patti Prunhuber, director of housing advocacy at Justice in Aging, a legal advocacy group focused on poverty among older adults.\u003c/p>\n\u003cfigure id=\"attachment_11940811\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940811\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-800x533.jpg\" alt=\"An older Black woman cooks food in a trailer kitchen.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Norma Johnson cooks in the communal kitchen at the Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One proposal Prunhuber and other advocates are pushing for this year is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB37\">Senate Bill 37\u003c/a>, carried by Sen. Anna Caballero, a Merced Democrat, that would create a state-run housing subsidy program for older people and those with disabilities at highest risk of becoming unhoused. \u003ca href=\"https://justiceinaging.org/new-california-bill-would-prevent-homelessness-among-older-adults-and-people-with-disabilities/\">A similar bill\u003c/a> died in the Legislature last year after it failed to receive funding in the state budget.\u003c/p>\n\u003cp>A state subsidy program would supplement federal assistance programs — such as Section 8 vouchers — that help \u003ca href=\"https://twitter.com/BrooksLaSureCMS/status/1623761054059593730?s=20&t=2AzEgXJGjyy7ihHKAZ7q-Q\">about 10.2 million Americans\u003c/a> with “\u003ca href=\"https://www.cbpp.org/research/housing/the-housing-choice-voucher-program\">extremely low incomes\u003c/a>” afford rent. With demand outpacing supply, only about 4 out of every 10 people eligible for a federal rental subsidy receive it, said Sharon Rapport, California policy director for the Corporation for Supportive Housing, a nonprofit organization that advocates for homelessness prevention and a sponsor of the bill.\u003c/p>\n\u003cp>The goal of a state program would be to help people obtain federal rental vouchers, but in the meantime provide state-funded help. This way, more older adults will be able to stay in their current homes, she said.\u003c/p>\n\u003cp>“The state should be in this business, too, because the feds alone can't solve homelessness and the state alone can't solve homelessness,” Rapport said. “But they can make a big dent in it and eventually solve it if they're both putting in resources toward programs that work.”\u003c/p>\n\u003cp>With the help of housing navigators at St. Mary’s Center, Jones has spent the last eight months filling out applications for subsidized housing. If everything goes as planned, he expects to have his own studio apartment in Oakland by the end of this month.\u003c/p>\n\u003cp>It’ll be a far cry from his 20-plus years on the streets, he said.\u003c/p>\n\u003cp>He has a vision for his place: “I want it to be homey, warm. A place you could be comfortable in,” he said. “I’m going to have pictures up on the walls. I’ve got a green thumb. I’m going to have plants. It's gonna be nice.”\u003c/p>\n\u003cp>Johnson said she, too, dreams of having a place to call her own again.\u003c/p>\n\u003cp>“I don't want to have to worry about people leaving me behind with the whole amount of the rent,” she said. “I don't want to do that anymore.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Some older adults have been unhoused for years and are now growing older. But the increasing numbers also reflect another trend: those experiencing homelessness for the first time after age 50.","status":"publish","parent":0,"modified":1676499586,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":2422},"headData":{"title":"Older Adults Are Now the Fastest-Growing Unhoused Population in California | KQED","description":"Some older adults have been unhoused for years and are now growing older. But the increasing numbers also reflect another trend: those experiencing homelessness for the first time after age 50.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Older Adults Are Now the Fastest-Growing Unhoused Population in California","datePublished":"2023-02-15T22:19:46.000Z","dateModified":"2023-02-15T22:19:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11940807/older-adults-are-now-the-fastest-growing-unhoused-population-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Norma Johnson cracks a faint smile as she adjusts her stylish cat's-eye glasses.\u003c/p>\n\u003cp>She’s at the cafeteria of \u003ca href=\"https://stmaryscenter.org/mission-history/\">St. Mary’s Center\u003c/a> in West Oakland, where older adults in interim housing or living on the streets can drop by for a free meal. But Johnson’s mind is elsewhere. Her treasured red leather rocking chair, along with most of her belongings, sits in a storage unit. She’s afraid if she doesn’t pay her $500 balance soon, the storage unit operator will auction everything.\u003c/p>\n\u003cp>“I gotta pull a rabbit out of my hat,” Johnson, 65, said during a rainy January day. “I don’t want to lose the things I do have. I don’t have a house, and now I won’t have ... ” She hangs her head before finishing that sentence.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'[I]t's remarkable to think about — you've kept yourself employed and housed and above water this whole time period, and in what ought to be golden years, here you are out on the street.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Sharon Cornu, executive director, St. Mary's Center","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Unexpectedly, Johnson finds herself in the middle of a budding crisis: aging without a home.\u003c/p>\n\u003cp>California accounts for \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2022/12/california-homeless-count-2/\">about a third of the nation’s unhoused people\u003c/a>, and among this population, older adults are estimated to be the fastest-growing group. One key indicator is the state’s tally of people accessing homelessness services. From 2017 to 2021, California’s overall older adult population grew by 7%, but \u003ca href=\"https://www.bcsh.ca.gov/calich/hdis.html\">the number of people 55 and over who sought homelessness services increased 84%\u003c/a> — more than any other age group — according to the state’s Homeless Data Integration System.\u003c/p>\n\u003cp>For comparison, the number of people accessing homelessness services across all ages increased 43% during this time period.\u003c/p>\n\u003cp>Older adults who are unhoused include those who have been unhoused for a long time and are getting older. But they also include those who are part of a growing trend, research shows: \u003ca href=\"https://generations.asaging.org/homelessness-older-adults-poverty-health\">people experiencing homelessness for the first time after age 50\u003c/a>.\u003c/p>\n\u003cp>Those at increased risk of losing shelter tend to be older adults who live alone and on fixed incomes, with little to no savings. A main contributor, experts say, is that as California rents soar, older adults’ income streams — including Social Security benefits and Supplemental Security Income — \u003ca href=\"https://www.vcstar.com/story/news/2022/04/05/senior-advocate-older-adults-pushed-out-housing/9472635002/\">have not kept up\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/california-divide/2019/10/black-people-disproportionately-homeless-in-california/\">Black Californians have long been overrepresented in the unhoused population\u003c/a> — representing about 6% of the state’s population but close to 30% of those accessing homelessness services, state data show.\u003c/p>\n\u003cp>“For many of us, there’s a picture in our mind connected to substance abuse or mental health issues. And for maybe a quarter of people who are currently unhoused, that is a cause. But most people becoming homeless today do so for economic reasons,” said Sharon Cornu, executive director at St. Mary’s Center, a nonprofit group that operates several services for older adults, including transitional housing.\u003c/p>\n\u003cp>“As someone in this age group, I can tell you, it’s remarkable to think about — you’ve kept yourself employed and housed and above water this whole time period, and in what ought to be golden years, here you are out on the street,” she said.\u003c/p>\n\u003ch2>Respite at St. Mary's Center\u003c/h2>\n\u003cp>Just last summer, Johnson was living in a three-bedroom house she shared with a housemate and working at a COVID-19 testing site. But her situation changed suddenly. She had to stop working to undergo surgery for an old back injury. Then her housemate of almost three years moved out, leaving Johnson on the hook for the full $2,500 rent that she could not afford on her own.\u003c/p>\n\u003cp>After she lost her home, Johnson was referred to St. Mary’s Center, where she currently shares a trailer with five other people. Everyone who stays at St. Mary’s transitional housing units is 55 or older and many have moved from the streets to shelters to living in cars or staying with relatives. Here, they have access to a case manager. The goal is to link them to any health and social services they may need and help them find permanent affordable housing.\u003c/p>\n\u003cfigure id=\"attachment_11940813\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940813\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-800x533.jpg\" alt=\"An older Black woman with graying hair and a white shirt and glasses looks at the camera while seated on a white couch.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-07-CM-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Norma Johnson at the Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stories like Johnson’s are common among people who have been through St. Mary’s Center — barely making ends meet, an injury or stint of bad health having forced them to leave jobs sooner than they had hoped. In some cases, the death of a loved one, family conflicts or abusive relationships left people without a place to stay.\u003c/p>\n\u003cp>Others, like Elbert Lee Jones Jr., spent decades on the streets. Born in Germany to a military family, he and his family moved to Oakland when he was 5 years old. As a young adult, he worked in fast-food restaurants, laundromats and convenience stores.\u003c/p>\n\u003cp>“I had jobs, had a life, until cocaine came knocking on the door. It came knocking on the door and really messed up a whole lot,” Jones said.\u003c/p>\n\u003cp>Strong and mostly healthy, he managed on the streets for a long time. Then about three years ago, he woke up in his tent to foot pain so unbearable he could barely stand. An ambulance took him to the closest emergency room, where doctors told him he had gangrene on his toes; they would have to amputate all of them.\u003c/p>\n\u003cp>“They said, ‘If you hadn’t come in when you did, you’da been dead,’” Jones said. “That was the darkest part of my life right there.”\u003c/p>\n\u003cp>After some time healing at a nursing home, he was back on the streets. In a wheelchair and about to turn 60, he found his situation getting more complicated. So when the clinical director at St. Mary’s Center approached Jones under a freeway overpass last year and offered him a place to stay, he accepted. He was reluctant at first, he said. It had been a long time since he’d trusted anyone.\u003c/p>\n\u003ch2>On the streets, 50 is the new 70\u003c/h2>\n\u003cp>Research has shown that living on the streets — eating and sleeping poorly, being exposed to the elements, not getting proper medical care and losing medication during encampment sweeps — will \u003ca href=\"https://epibiostat.ucsf.edu/news/older-homeless-people-are-great-risk-dying\">prematurely age, sicken and kill people\u003c/a>. That is why when speaking about the unhoused population, advocates and experts often refer to “seniors” as anyone 50 and above.\u003c/p>\n\u003cp>By the time unhoused people are in their 50s and early 60s, they look much more like other people in their 70s and 80s, said Dr. Margot Kushel, director of UC San Francisco’s Benioff Homelessness and Housing Initiative.\u003c/p>\n\u003cp>“Everything is shifted back about 20 years,” Kushel said. “The health problems that we normally associate with aging — vision problems, hearing problems, cognitive impairments, difficulty bathing, difficulty walking — all of those things start much younger.”\u003c/p>\n\u003cfigure id=\"attachment_11940812\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940812\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-800x533.jpg\" alt=\"A white trailer with blue door and windows, and a little yard and planting garden outside.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-05-CM-1-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Their situation could also trigger anxiety, depression and substance use.\u003c/p>\n\u003cp>Recently, the state launched incentives for Medi-Cal providers, who serve patients with lower incomes, to start and grow \u003ca href=\"https://calmatters.org/health/2022/12/homeless-health-care/\">street medicine programs\u003c/a>. Historically, most of these programs have been funded by philanthropic groups and foundations. And perhaps now more than ever, these programs play a crucial role, but in limited numbers they can only do so much for this medically high-needs population. Routine care and timely diagnosis are more difficult when people are moving from one encampment or shelter to another.\u003c/p>\n\u003cp>And simply put, “There is no medicine as powerful as housing,” Kushel said.\u003c/p>\n\u003cp>Researchers for one UCSF study published last summer followed unhoused people 50 and older over eight years in Oakland and found they were \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2795475?guestAccessKey=7ac6269d-6dbd-4288-a405-b1ecca6e082e&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=082922\">3.5 times more likely to die early\u003c/a> compared to other older people in the city. In the study, the median age of death was 64.6 years, compared to \u003ca href=\"https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20220831.htm#:~:text=That%20decline%20%E2%80%93%2077.0%20to%2076.1,life%20expectancy%20since%201921%2D1923.\">76.1 years for all Americans\u003c/a>. The main causes of death for the unhoused were heart disease, cancer and drug overdose.\u003c/p>\n\u003cp>The health needs of older adults can be complex. And most shelters are not equipped to serve a geriatric population. Programs that serve older adults specifically, like the one at St. Mary’s Center, are few and far between.\u003c/p>\n\u003cp>Across the state, shelters are being overwhelmed by unhoused people who need more than these facilities can provide. For example, ideally, shelters would have a nurse on-site, but that could cost about $90,000 a year per nurse, which most facilities wouldn’t be able to afford, said Sara Mirhadi, chief programs officer at \u003ca href=\"https://poverellohouse.org/\">Poverello House\u003c/a>, which provides food, shelter and social services to unhoused people in downtown Fresno.\u003c/p>\n\u003cp>In the past several years, her shelter’s population has gotten older and their disabilities have increased. A number of those who come in regularly are in wheelchairs and need help using the bathroom. When you add conditions such as dementia and mental health issues, caring for this population becomes even more challenging, Mirhadi said.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I think we need to really take a hard look at what we're doing for our elderly population, because they should not be in a shelter.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Sara Mirhadi, chief programs officer, Poverello House","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“At this point, I feel like our shelters are slowly becoming de facto nursing facilities,” she said. “I've had to ask staff to do a lot of things that they normally wouldn't do.”\u003c/p>\n\u003cp>The Fresno-Madera region has seen one of the biggest jumps in homelessness among the 55-and-older population, increasing 216% from 2017 to 2021, state data shows. Coincidentally or not, \u003ca href=\"https://calmatters.org/housing/2021/09/california-housing-podcasat-fresno-market/\">rents and home prices in the Fresno area\u003c/a> have skyrocketed in recent years. Other areas that saw more than a two-fold increase in homelessness among this age group include the Yuba-Sutter area, and Yolo, San Francisco, Merced and Alameda counties. (Homelessness data is tracked by regional agencies whose territories can include a single city or several counties.)\u003c/p>\n\u003cp>“I think we need to really take a hard look at what we're doing for our elderly population, because they should not be in a shelter,” Mirhadi added.\u003c/p>\n\u003ch2>Making a dent in homelessness\u003c/h2>\n\u003cp>In January 2021, Gov. Gavin Newsom released \u003ca href=\"https://mpa.aging.ca.gov/\">California’s Master Plan for Aging\u003c/a>, a 10-year blueprint on how to better prepare the state for a graying population — a quarter of the state’s residents will be 60 or older by 2030. The rollout of this plan also comes at a time when an estimated \u003ca href=\"https://www.aging.ca.gov/download.ashx?lE0rcNUV0zZe1bBmXluFyg%3D%3D\">2 million older adults are considered economically insecure\u003c/a>, struggling to afford rising rents and health care costs.\u003c/p>\n\u003cp>The No. 1 priority in that master plan is increasing affordable housing options for older adults, allowing them to age in place. The plan lays out goals and initiatives that legislators and the administration can pursue over time.\u003c/p>\n\u003cp>“Once homeless, older individuals face really unique barriers that make it extremely difficult for them to get housed again, so putting the emphasis on homeless prevention and making that a front-and-center strategy of dealing with older adult homelessness is something that we are seeing more attention paid to,” said Patti Prunhuber, director of housing advocacy at Justice in Aging, a legal advocacy group focused on poverty among older adults.\u003c/p>\n\u003cfigure id=\"attachment_11940811\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-11940811\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-800x533.jpg\" alt=\"An older Black woman cooks food in a trailer kitchen.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/02/011223-ST-MARYS-CENTER-MHN-08-CM-1-copy.jpg 1568w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Norma Johnson cooks in the communal kitchen at the Closer to Home St. Mary's Center transitional housing in West Oakland on Jan. 12, 2023. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One proposal Prunhuber and other advocates are pushing for this year is \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB37\">Senate Bill 37\u003c/a>, carried by Sen. Anna Caballero, a Merced Democrat, that would create a state-run housing subsidy program for older people and those with disabilities at highest risk of becoming unhoused. \u003ca href=\"https://justiceinaging.org/new-california-bill-would-prevent-homelessness-among-older-adults-and-people-with-disabilities/\">A similar bill\u003c/a> died in the Legislature last year after it failed to receive funding in the state budget.\u003c/p>\n\u003cp>A state subsidy program would supplement federal assistance programs — such as Section 8 vouchers — that help \u003ca href=\"https://twitter.com/BrooksLaSureCMS/status/1623761054059593730?s=20&t=2AzEgXJGjyy7ihHKAZ7q-Q\">about 10.2 million Americans\u003c/a> with “\u003ca href=\"https://www.cbpp.org/research/housing/the-housing-choice-voucher-program\">extremely low incomes\u003c/a>” afford rent. With demand outpacing supply, only about 4 out of every 10 people eligible for a federal rental subsidy receive it, said Sharon Rapport, California policy director for the Corporation for Supportive Housing, a nonprofit organization that advocates for homelessness prevention and a sponsor of the bill.\u003c/p>\n\u003cp>The goal of a state program would be to help people obtain federal rental vouchers, but in the meantime provide state-funded help. This way, more older adults will be able to stay in their current homes, she said.\u003c/p>\n\u003cp>“The state should be in this business, too, because the feds alone can't solve homelessness and the state alone can't solve homelessness,” Rapport said. “But they can make a big dent in it and eventually solve it if they're both putting in resources toward programs that work.”\u003c/p>\n\u003cp>With the help of housing navigators at St. Mary’s Center, Jones has spent the last eight months filling out applications for subsidized housing. If everything goes as planned, he expects to have his own studio apartment in Oakland by the end of this month.\u003c/p>\n\u003cp>It’ll be a far cry from his 20-plus years on the streets, he said.\u003c/p>\n\u003cp>He has a vision for his place: “I want it to be homey, warm. A place you could be comfortable in,” he said. “I’m going to have pictures up on the walls. I’ve got a green thumb. I’m going to have plants. It's gonna be nice.”\u003c/p>\n\u003cp>Johnson said she, too, dreams of having a place to call her own again.\u003c/p>\n\u003cp>“I don't want to have to worry about people leaving me behind with the whole amount of the rent,” she said. “I don't want to do that anymore.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11940807/older-adults-are-now-the-fastest-growing-unhoused-population-in-california","authors":["byline_news_11940807"],"categories":["news_457","news_8"],"tags":["news_22072","news_4020","news_32403","news_2081","news_29607","news_30602"],"affiliates":["news_18481"],"featImg":"news_11940810","label":"news_18481"},"news_11900752":{"type":"posts","id":"news_11900752","meta":{"index":"posts_1591205157","site":"news","id":"11900752","score":null,"sort":[1641346317000]},"guestAuthors":[],"slug":"in-now-third-year-high-school-seniors-still-struggle-to-graduate-during-covid","title":"In Now Third Year, High School Seniors Still Struggle to Graduate During COVID","publishDate":1641346317,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>California high school seniors were in 10th grade when the COVID-19 pandemic closed schools and sent them home to learn. This year, many seniors are either struggling to earn enough credits to graduate or, because of a new state law, graduating with fewer credits and requirements than classes before them.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB104\">Assembly Bill 104\u003c/a>, signed by Gov. Gavin Newsom in July, allowed parents to request that D’s and F’s earned in the 2020-21 school year be changed to pass or no-pass grades. It also gave last year’s juniors and seniors the option to graduate with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=51225.3.&nodeTreePath=2.3.4.3.3&lawCode=EDC\">the state’s minimum requirements\u003c/a>, made up of 13 courses totaling about 130 credits. Students also can take a fifth year of high school if needed.\u003c/p>\n\u003cp>Despite these flexibilities, some high school students are still lagging academically, and school districts and their teachers are working hard to help them catch up. Popular tactics include instituting block schedules that allow students to take more classes and add tutoring sessions into their school days, as well as meeting with students to set up graduation plans and expanding after-school tutoring programs.[pullquote size=\"medium\" align=\"right\" citation=\"Alix Gallagher, director of strategic partnerships, Policy Analysis for California Education\"]'Some of the students the hardest hit were the ones already struggling.'[/pullquote]\u003c/p>\n\u003cp>It’s hard to know how many seniors are failing classes this school year, as first-term grades aren’t yet available, but it’s no secret students are struggling, said Alix Gallagher, director of strategic partnerships for Policy Analysis for California Education, \u003ca href=\"https://edpolicyinca.org/\">or PACE,\u003c/a> an independent research center at Stanford University that focuses on education.\u003c/p>\n\u003cp>“I’m hearing it everywhere,” she said. “Last year was their junior year, and they spent it online.”\u003c/p>\n\u003cp>Data from \u003ca href=\"https://coredistricts.org/\">Core Districts\u003c/a>, a collaboration of California school districts working to improve student achievement, shows a 10% increase in the number of ninth graders at 15 schools across multiple districts with at least one D or F in college preparation courses in the second semester of 2020-21, compared with the same semester of the 2018-19 school year.\u003c/p>\n\u003cp>“It’s not a small leap to say it isn’t just ninth graders [who are failing more classes],” Gallagher said.\u003c/p>\n\u003cp>And, she said, students who stopped showing up for school weren’t included in those numbers.\u003c/p>\n\u003cp>“Some of the students the hardest hit were the ones already struggling,” she said.\u003c/p>\n\u003ch3>Students need academic and social-emotional support\u003c/h3>\n\u003cp>Educators contacted by EdSource overwhelmingly said that social-emotional issues are the primary reason students are struggling academically. Schools have added therapists, counselors and social workers to help students to deal with emotional issues, often related to the pandemic, so they can get on track academically.\u003c/p>\n\u003cp>Tatiana Torres, 17, a senior at Heritage High School in Brentwood, started attending high school her sophomore year after three years in a home-hospital school program because of an injury. She was just settling into the high school campus — making friends, changing classes, dreaming about school dances — when the pandemic hit, and she found herself at home again.\u003c/p>\n\u003cp>Even though she was accustomed to studying independently, online distance learning was a struggle, Torres said. “It was a difficult time academically,” she said. “There was so much emotion going on. It was really difficult.”\u003c/p>\n\u003cp>But returning to school was also hard. Along with trying to get reacquainted with old friends, adapting to the return to school and being part of a class again, seniors had to make sure they had enough credits to graduate, Torres said.\u003c/p>\n\u003cp>“I know in my class, especially in the beginning of the year, people couldn’t pay attention,” Torres said. “Some people just couldn’t do it. Some people couldn’t focus. If you haven’t been doing it in the last one and a half years, getting back into it is very difficult.”[aside postID=\"mindshift_58693,news_11888038,mindshift_58872\" label=\"Related Posts\"]David Cohen, an English and writing teacher at Palo Alto High School with certification from the National Board for Professional Teaching Standards, said students are still trying to get acclimated to classrooms again, as well as to academic rhythms and expectations. The problems in his classes seem to be overall work habits and drive, he said.\u003c/p>\n\u003cp>“Anecdotally, there has not been a huge increase in the number [of students] that actually fail, but an increase in those who come close and need extra support to stay on solid ground,” he said.\u003c/p>\n\u003cp>Many teachers are trying to provide more structure for students by guiding them through their work, but they also are offering more flexibility when students have trouble completing work on time, Cohen said.\u003c/p>\n\u003ch3>School districts are getting creative to keep students on track\u003c/h3>\n\u003cp>Los Angeles Unified, the state’s largest district, with 450,000 students, and Nevada Joint Union High School District in Grass Valley, with 2,686 students, were two of the districts that adopted a block schedule to help students catch up.\u003c/p>\n\u003cp>A block schedule allows for longer class periods and fewer classes each day. Individual classes are held a few times a week instead of five times, often allowing students to take more classes and earn additional units.\u003c/p>\n\u003cp>Los Angeles Unified saw a 1.6% increase in students earning a failing grade in the 2020-21 school year, compared with 2018-19 — the year before the pandemic — although the graduation rate increased slightly.\u003c/p>\n\u003cp>“Los Angeles Unified has aggressively worked to increase instructional opportunities and credit recovery for all students, including the adoption of block scheduling and eight-period school days to enable students to graduate on time and be eligible for post-secondary opportunities,” said district officials in a statement.\u003c/p>\n\u003cp>Nevada Joint Union High School District, located in the Sierra Nevada foothills, moved to four 82-minute classes a day and a 35-minute period for tutoring.\u003c/p>\n\u003cp>“If students are struggling in any particular thing, counselors will assign them to get additional assistance,” said Superintendent Brett McFadden. “If students are doing well and are on target, they can use the 35 minutes for homework. “\u003c/p>\n\u003cp>The district also went to a pass/no pass grading policy a few months after schools closed in 2020 and agreed last year to allow students who were struggling to petition the district to allow them to graduate with a minimum of 160 credits, instead of the district’s usual 210-credit requirement.\u003c/p>\n\u003cp>At the end of last school year, counselors also met with students who didn't have enough credits and their parents to develop a graduation plan and to offer services like after-school tutoring and summer school.\u003c/p>\n\u003cp>“Because of early actions we took, we aren’t facing a high number of seniors at risk of not graduating,” McFadden said.\u003c/p>\n\u003cp>San Juan Unified School District in Sacramento was another district that didn’t wait for legislators to pass AB 104 before they stepped in to make graduating easier for seniors affected by the pandemic. District officials decided early in the pandemic to allow students who had been on track to graduate before the pandemic to earn their diploma even if they had fallen behind since.\u003c/p>\n\u003cp>“We basically just notified them and said, ‘Hey, by the way, you know you don’t have to go to summer school. You graduated,’” said Brett Wolfe, a director with the school district.\u003c/p>\n\u003cp>District officials expect that the legislative flexibilities that are still in place and district strategies to accelerate learning will keep graduation rates around 96% — the same as last year.\u003c/p>\n\u003cp>Some strategies the district uses include meetings with counselors, students and their parents to ensure students who are struggling are aware of how many credits they still need, as well as the academic interventions that are available.\u003c/p>\n\u003cp>Last year 433 of San Juan’s 2,734 high school graduates used the lower state graduation requirements allowed under AB 104. The district has 51,000 students.\u003c/p>\n\u003cp>“We want kids to graduate what we call college-, career-ready,” Wolfe said. “AB 104 is a safety net, not a strategy. And so really that’s the message we want to send.”\u003c/p>\n\u003cp>To accommodate students who are behind on credits, the district increased access to online credit-recovery courses and summer school programs, and added flexible schedules at high schools that include 30 minutes of designated time each day to provide academic intervention, enrichment and emotional support to students.\u003c/p>\n\u003cp>“It’s very hard for them, coming back full time,” said Kristan Schnepp, assistant superintendent of secondary education at San Juan Unified. “There’s just a lot of stress that goes along with that return. There was a lot of trauma that happened for students over the last 18 months.”\u003c/p>\n\u003cp>San Bernardino City Unified, a district of 48,755 students in Southern California, also has seen some increase in failure rates, said Sudha Venkatesan, director of secondary education for the district.\u003c/p>\n\u003cp>“The learning loss is evident,” she said.\u003c/p>\n\u003cp>Many students fell behind academically during school closures because of a lack of attendance, due to problems including getting online and turning their cameras on, Venkatesan said.\u003c/p>\n\u003cp>The district also had a slight drop in its graduation rate — from 91.8% in 2018 to 88.5% in 2020, according to the \u003ca href=\"https://www6.cde.ca.gov/californiamodel/gradreport?&year=2020&cdcode=3667876&scode=&reporttype=schools\">California Department of Education website\u003c/a>.\u003c/p>\n\u003cp>San Bernardino City Unified has long offered high school seniors credit-recovery programs so they can make up needed credits and graduate. But its optional fifth year of high school, online credit-recovery programs and condensed coursework at its alternative schools wasn’t enough this year.\u003c/p>\n\u003cp>The district added tutors and increased access to online classes that allow students to make up credits. The district’s summer school program also had some of the highest enrollment numbers since the program began about seven years ago, Venkatesan said.\u003c/p>\n\u003cp>San Bernardino students who were affected by the 2020-21 school closures also were allowed to submit a petition to waive the district’s graduation requirements, which are currently 220 credits, and complete the state’s minimum course requirements of about 130 credits. A district team of counselors, parents and school administrators vetted student petitions, ultimately approving about 35 requests last year.\u003c/p>\n\u003cp>Students who were struggling academically before the pandemic are more likely than their peers to be failing their classes now and are more likely to ask to graduate with fewer credits, according to experts. Students who were planning and preparing for college before the pandemic have been the quickest to get back on track academically.\u003c/p>\n\u003cp>“There has been a further separation of the haves and have-nots,” McFadden said. “Students from a high social-economic status and more stable homes, those students continue to get enrolled into colleges, and we aren’t seeing much of a change in that. COVID’s impact has been on students who have lower economic status and students who are having more challenges, academic and social-emotional. It further exacerbates the challenges they are facing.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2022/hit-hard-by-covid-california-high-school-seniors-are-struggling-but-still-moving-toward-graduation/665184\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Due to pandemic-related school closures, many California high school seniors are either struggling to earn enough credits to graduate or, because of a new law, graduating with fewer credits and requirements than classes before them.","status":"publish","parent":0,"modified":1641411225,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":45,"wordCount":1921},"headData":{"title":"In Now Third Year, High School Seniors Still Struggle to Graduate During COVID | KQED","description":"Due to pandemic-related school closures, many California high school seniors are either struggling to earn enough credits to graduate or, because of a new law, graduating with fewer credits and requirements than classes before them.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"In Now Third Year, High School Seniors Still Struggle to Graduate During COVID","datePublished":"2022-01-05T01:31:57.000Z","dateModified":"2022-01-05T19:33:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11900752 https://ww2.kqed.org/news/?p=11900752","disqusUrl":"https://ww2.kqed.org/news/2022/01/04/in-now-third-year-high-school-seniors-still-struggle-to-graduate-during-covid/","disqusTitle":"In Now Third Year, High School Seniors Still Struggle to Graduate During COVID","source":"EdSource","sourceUrl":"https://edsource.org","nprByline":"\u003ca href=\"https://edsource.org/author/dlambert\">Diana Lambert\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11900752/in-now-third-year-high-school-seniors-still-struggle-to-graduate-during-covid","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California high school seniors were in 10th grade when the COVID-19 pandemic closed schools and sent them home to learn. This year, many seniors are either struggling to earn enough credits to graduate or, because of a new state law, graduating with fewer credits and requirements than classes before them.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB104\">Assembly Bill 104\u003c/a>, signed by Gov. Gavin Newsom in July, allowed parents to request that D’s and F’s earned in the 2020-21 school year be changed to pass or no-pass grades. It also gave last year’s juniors and seniors the option to graduate with \u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=51225.3.&nodeTreePath=2.3.4.3.3&lawCode=EDC\">the state’s minimum requirements\u003c/a>, made up of 13 courses totaling about 130 credits. Students also can take a fifth year of high school if needed.\u003c/p>\n\u003cp>Despite these flexibilities, some high school students are still lagging academically, and school districts and their teachers are working hard to help them catch up. Popular tactics include instituting block schedules that allow students to take more classes and add tutoring sessions into their school days, as well as meeting with students to set up graduation plans and expanding after-school tutoring programs.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Some of the students the hardest hit were the ones already struggling.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Alix Gallagher, director of strategic partnerships, Policy Analysis for California Education","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s hard to know how many seniors are failing classes this school year, as first-term grades aren’t yet available, but it’s no secret students are struggling, said Alix Gallagher, director of strategic partnerships for Policy Analysis for California Education, \u003ca href=\"https://edpolicyinca.org/\">or PACE,\u003c/a> an independent research center at Stanford University that focuses on education.\u003c/p>\n\u003cp>“I’m hearing it everywhere,” she said. “Last year was their junior year, and they spent it online.”\u003c/p>\n\u003cp>Data from \u003ca href=\"https://coredistricts.org/\">Core Districts\u003c/a>, a collaboration of California school districts working to improve student achievement, shows a 10% increase in the number of ninth graders at 15 schools across multiple districts with at least one D or F in college preparation courses in the second semester of 2020-21, compared with the same semester of the 2018-19 school year.\u003c/p>\n\u003cp>“It’s not a small leap to say it isn’t just ninth graders [who are failing more classes],” Gallagher said.\u003c/p>\n\u003cp>And, she said, students who stopped showing up for school weren’t included in those numbers.\u003c/p>\n\u003cp>“Some of the students the hardest hit were the ones already struggling,” she said.\u003c/p>\n\u003ch3>Students need academic and social-emotional support\u003c/h3>\n\u003cp>Educators contacted by EdSource overwhelmingly said that social-emotional issues are the primary reason students are struggling academically. Schools have added therapists, counselors and social workers to help students to deal with emotional issues, often related to the pandemic, so they can get on track academically.\u003c/p>\n\u003cp>Tatiana Torres, 17, a senior at Heritage High School in Brentwood, started attending high school her sophomore year after three years in a home-hospital school program because of an injury. She was just settling into the high school campus — making friends, changing classes, dreaming about school dances — when the pandemic hit, and she found herself at home again.\u003c/p>\n\u003cp>Even though she was accustomed to studying independently, online distance learning was a struggle, Torres said. “It was a difficult time academically,” she said. “There was so much emotion going on. It was really difficult.”\u003c/p>\n\u003cp>But returning to school was also hard. Along with trying to get reacquainted with old friends, adapting to the return to school and being part of a class again, seniors had to make sure they had enough credits to graduate, Torres said.\u003c/p>\n\u003cp>“I know in my class, especially in the beginning of the year, people couldn’t pay attention,” Torres said. “Some people just couldn’t do it. Some people couldn’t focus. If you haven’t been doing it in the last one and a half years, getting back into it is very difficult.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"mindshift_58693,news_11888038,mindshift_58872","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>David Cohen, an English and writing teacher at Palo Alto High School with certification from the National Board for Professional Teaching Standards, said students are still trying to get acclimated to classrooms again, as well as to academic rhythms and expectations. The problems in his classes seem to be overall work habits and drive, he said.\u003c/p>\n\u003cp>“Anecdotally, there has not been a huge increase in the number [of students] that actually fail, but an increase in those who come close and need extra support to stay on solid ground,” he said.\u003c/p>\n\u003cp>Many teachers are trying to provide more structure for students by guiding them through their work, but they also are offering more flexibility when students have trouble completing work on time, Cohen said.\u003c/p>\n\u003ch3>School districts are getting creative to keep students on track\u003c/h3>\n\u003cp>Los Angeles Unified, the state’s largest district, with 450,000 students, and Nevada Joint Union High School District in Grass Valley, with 2,686 students, were two of the districts that adopted a block schedule to help students catch up.\u003c/p>\n\u003cp>A block schedule allows for longer class periods and fewer classes each day. Individual classes are held a few times a week instead of five times, often allowing students to take more classes and earn additional units.\u003c/p>\n\u003cp>Los Angeles Unified saw a 1.6% increase in students earning a failing grade in the 2020-21 school year, compared with 2018-19 — the year before the pandemic — although the graduation rate increased slightly.\u003c/p>\n\u003cp>“Los Angeles Unified has aggressively worked to increase instructional opportunities and credit recovery for all students, including the adoption of block scheduling and eight-period school days to enable students to graduate on time and be eligible for post-secondary opportunities,” said district officials in a statement.\u003c/p>\n\u003cp>Nevada Joint Union High School District, located in the Sierra Nevada foothills, moved to four 82-minute classes a day and a 35-minute period for tutoring.\u003c/p>\n\u003cp>“If students are struggling in any particular thing, counselors will assign them to get additional assistance,” said Superintendent Brett McFadden. “If students are doing well and are on target, they can use the 35 minutes for homework. “\u003c/p>\n\u003cp>The district also went to a pass/no pass grading policy a few months after schools closed in 2020 and agreed last year to allow students who were struggling to petition the district to allow them to graduate with a minimum of 160 credits, instead of the district’s usual 210-credit requirement.\u003c/p>\n\u003cp>At the end of last school year, counselors also met with students who didn't have enough credits and their parents to develop a graduation plan and to offer services like after-school tutoring and summer school.\u003c/p>\n\u003cp>“Because of early actions we took, we aren’t facing a high number of seniors at risk of not graduating,” McFadden said.\u003c/p>\n\u003cp>San Juan Unified School District in Sacramento was another district that didn’t wait for legislators to pass AB 104 before they stepped in to make graduating easier for seniors affected by the pandemic. District officials decided early in the pandemic to allow students who had been on track to graduate before the pandemic to earn their diploma even if they had fallen behind since.\u003c/p>\n\u003cp>“We basically just notified them and said, ‘Hey, by the way, you know you don’t have to go to summer school. You graduated,’” said Brett Wolfe, a director with the school district.\u003c/p>\n\u003cp>District officials expect that the legislative flexibilities that are still in place and district strategies to accelerate learning will keep graduation rates around 96% — the same as last year.\u003c/p>\n\u003cp>Some strategies the district uses include meetings with counselors, students and their parents to ensure students who are struggling are aware of how many credits they still need, as well as the academic interventions that are available.\u003c/p>\n\u003cp>Last year 433 of San Juan’s 2,734 high school graduates used the lower state graduation requirements allowed under AB 104. The district has 51,000 students.\u003c/p>\n\u003cp>“We want kids to graduate what we call college-, career-ready,” Wolfe said. “AB 104 is a safety net, not a strategy. And so really that’s the message we want to send.”\u003c/p>\n\u003cp>To accommodate students who are behind on credits, the district increased access to online credit-recovery courses and summer school programs, and added flexible schedules at high schools that include 30 minutes of designated time each day to provide academic intervention, enrichment and emotional support to students.\u003c/p>\n\u003cp>“It’s very hard for them, coming back full time,” said Kristan Schnepp, assistant superintendent of secondary education at San Juan Unified. “There’s just a lot of stress that goes along with that return. There was a lot of trauma that happened for students over the last 18 months.”\u003c/p>\n\u003cp>San Bernardino City Unified, a district of 48,755 students in Southern California, also has seen some increase in failure rates, said Sudha Venkatesan, director of secondary education for the district.\u003c/p>\n\u003cp>“The learning loss is evident,” she said.\u003c/p>\n\u003cp>Many students fell behind academically during school closures because of a lack of attendance, due to problems including getting online and turning their cameras on, Venkatesan said.\u003c/p>\n\u003cp>The district also had a slight drop in its graduation rate — from 91.8% in 2018 to 88.5% in 2020, according to the \u003ca href=\"https://www6.cde.ca.gov/californiamodel/gradreport?&year=2020&cdcode=3667876&scode=&reporttype=schools\">California Department of Education website\u003c/a>.\u003c/p>\n\u003cp>San Bernardino City Unified has long offered high school seniors credit-recovery programs so they can make up needed credits and graduate. But its optional fifth year of high school, online credit-recovery programs and condensed coursework at its alternative schools wasn’t enough this year.\u003c/p>\n\u003cp>The district added tutors and increased access to online classes that allow students to make up credits. The district’s summer school program also had some of the highest enrollment numbers since the program began about seven years ago, Venkatesan said.\u003c/p>\n\u003cp>San Bernardino students who were affected by the 2020-21 school closures also were allowed to submit a petition to waive the district’s graduation requirements, which are currently 220 credits, and complete the state’s minimum course requirements of about 130 credits. A district team of counselors, parents and school administrators vetted student petitions, ultimately approving about 35 requests last year.\u003c/p>\n\u003cp>Students who were struggling academically before the pandemic are more likely than their peers to be failing their classes now and are more likely to ask to graduate with fewer credits, according to experts. Students who were planning and preparing for college before the pandemic have been the quickest to get back on track academically.\u003c/p>\n\u003cp>“There has been a further separation of the haves and have-nots,” McFadden said. “Students from a high social-economic status and more stable homes, those students continue to get enrolled into colleges, and we aren’t seeing much of a change in that. COVID’s impact has been on students who have lower economic status and students who are having more challenges, academic and social-emotional. It further exacerbates the challenges they are facing.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2022/hit-hard-by-covid-california-high-school-seniors-are-struggling-but-still-moving-toward-graduation/665184\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11900752/in-now-third-year-high-school-seniors-still-struggle-to-graduate-during-covid","authors":["byline_news_11900752"],"categories":["news_18540","news_8"],"tags":["news_30466","news_30467","news_22782","news_27660","news_2081","news_30465"],"featImg":"news_11900773","label":"source_news_11900752"},"news_11881770":{"type":"posts","id":"news_11881770","meta":{"index":"posts_1591205157","site":"news","id":"11881770","score":null,"sort":[1626812557000]},"guestAuthors":[],"slug":"california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","title":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors","publishDate":1626812557,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>LGBTQ rights advocates said Monday that they will seek to challenge an appeals court decision tossing out part of a California law designed to protect older LGBTQ residents in nursing homes.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB219\">2017 law\u003c/a> is intended to protect against discrimination or mistreatment based on residents' sexual orientation or gender identity.\u003c/p>\n\u003cp>The Third District Court of Appeal overturned the part of the law barring employees of long-term care facilities from willfully and repeatedly using anything other than residents' preferred names and pronouns. \u003c/p>\n\u003cp>In other words, it was illegal for employees to intentionally misgender trans residents by using the names and pronouns they were assigned at birth, a practice known as deadnaming.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"State Sen. Scott Wiener, D-San Francisco\"]'Deliberately misgendering a transgender person isn’t just a matter of opinion ... Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity.'[/pullquote]The ban on deadnaming violates employees' rights to free speech, the court ruled Friday.\u003c/p>\n\u003cp>\"The law compels long-term care facility staff to alter the message they would prefer to convey,\" the court reasoned, adding that the ban \"burdens speech more than is required\" to reach the state's objective of eliminating discrimination, including harassment on the basis of sex.\u003c/p>\n\u003cp>Referring to residents other than by their preferred gender \"may be disrespectful, discourteous, and insulting,\" Associate Justice Elena Duarte wrote on behalf of the three-judge panel. But it can also be a way \"to express an ideological disagreement with another person's expressed gender identity.\" \u003c/p>\n\u003cp>\"The pronoun provision at issue here tests the limits of the government's authority to restrict pure speech that, while potentially offensive or harassing to the listener, does not necessarily create a hostile environment,\" she wrote, adding italics to \"potentially\" and \"necessarily.\" \u003c/p>\n\u003cp>State Sen. Scott Wiener, D-San Francisco, who carried the law, said deliberately deadnaming someone is actually an act of erasing that person's humanity. \u003c/p>\n\u003cp>“The Court’s decision is disconnected from the reality facing transgender people,\" Wiener said in a statement. \"Deliberately misgendering a transgender person isn’t just a matter of opinion, and it’s not simply ‘disrespectful, discourteous, or insulting.’ Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity, particularly one as vulnerable as a trans senior in a nursing home.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rick Chavez Zbur, executive director of Equality California, which bills itself as the nation's largest statewide LGBTQ+ civil rights organization, said using the wrong name and pronoun is \"a hateful act that denies someone their dignity and truth\" and can cause depression and even suicides.\u003c/p>\n\u003cp>Both said they will fight the ruling, without being specific on what that would mean. \u003c/p>\n\u003cp>That is a decision for the state attorney general's office, which defended the law in court, said Equality California spokesman Joshua Stickney.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='transgender']The attorney general's office said it is reviewing the decision and considering its next steps.\u003c/p>\n\u003cp>The appeals court upheld a second challenged portion of the law prohibiting facilities or employees from assigning rooms based on anything other than a transgender resident's gender identity. A Sacramento County judge had previously thrown out both parts of the lawsuit.\u003c/p>\n\u003cp>The law was challenged by Taking Offense, described in the decision as an \"unincorporated association which includes at least one California citizen and taxpayer who has paid taxes to the state within the last year.\" \u003c/p>\n\u003cp>The plaintiff's attorney, David Llewellyn Jr., did not respond to telephone and email messages.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press's Don Thompson and KQED's David Marks.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The court overturned a ban on nursing home employees willfully using anything other than residents' preferred names and pronouns. The decision is 'disconnected from the reality facing transgender people,' said state Sen. Scott Wiener, D-San Francisco.","status":"publish","parent":0,"modified":1626819016,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":615},"headData":{"title":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors | KQED","description":"The court overturned a ban on nursing home employees willfully using anything other than residents' preferred names and pronouns. The decision is 'disconnected from the reality facing transgender people,' said state Sen. Scott Wiener, D-San Francisco.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors","datePublished":"2021-07-20T20:22:37.000Z","dateModified":"2021-07-20T22:10:16.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11881770 https://ww2.kqed.org/news/?p=11881770","disqusUrl":"https://ww2.kqed.org/news/2021/07/20/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors/","disqusTitle":"California Court Rules Nursing Home Employees Can Deadname Transgender Seniors","path":"/news/11881770/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>LGBTQ rights advocates said Monday that they will seek to challenge an appeals court decision tossing out part of a California law designed to protect older LGBTQ residents in nursing homes.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB219\">2017 law\u003c/a> is intended to protect against discrimination or mistreatment based on residents' sexual orientation or gender identity.\u003c/p>\n\u003cp>The Third District Court of Appeal overturned the part of the law barring employees of long-term care facilities from willfully and repeatedly using anything other than residents' preferred names and pronouns. \u003c/p>\n\u003cp>In other words, it was illegal for employees to intentionally misgender trans residents by using the names and pronouns they were assigned at birth, a practice known as deadnaming.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Deliberately misgendering a transgender person isn’t just a matter of opinion ... Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"State Sen. Scott Wiener, D-San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The ban on deadnaming violates employees' rights to free speech, the court ruled Friday.\u003c/p>\n\u003cp>\"The law compels long-term care facility staff to alter the message they would prefer to convey,\" the court reasoned, adding that the ban \"burdens speech more than is required\" to reach the state's objective of eliminating discrimination, including harassment on the basis of sex.\u003c/p>\n\u003cp>Referring to residents other than by their preferred gender \"may be disrespectful, discourteous, and insulting,\" Associate Justice Elena Duarte wrote on behalf of the three-judge panel. But it can also be a way \"to express an ideological disagreement with another person's expressed gender identity.\" \u003c/p>\n\u003cp>\"The pronoun provision at issue here tests the limits of the government's authority to restrict pure speech that, while potentially offensive or harassing to the listener, does not necessarily create a hostile environment,\" she wrote, adding italics to \"potentially\" and \"necessarily.\" \u003c/p>\n\u003cp>State Sen. Scott Wiener, D-San Francisco, who carried the law, said deliberately deadnaming someone is actually an act of erasing that person's humanity. \u003c/p>\n\u003cp>“The Court’s decision is disconnected from the reality facing transgender people,\" Wiener said in a statement. \"Deliberately misgendering a transgender person isn’t just a matter of opinion, and it’s not simply ‘disrespectful, discourteous, or insulting.’ Rather, it’s straight up harassment. And, it erases an individual’s fundamental humanity, particularly one as vulnerable as a trans senior in a nursing home.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rick Chavez Zbur, executive director of Equality California, which bills itself as the nation's largest statewide LGBTQ+ civil rights organization, said using the wrong name and pronoun is \"a hateful act that denies someone their dignity and truth\" and can cause depression and even suicides.\u003c/p>\n\u003cp>Both said they will fight the ruling, without being specific on what that would mean. \u003c/p>\n\u003cp>That is a decision for the state attorney general's office, which defended the law in court, said Equality California spokesman Joshua Stickney.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"transgender"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The attorney general's office said it is reviewing the decision and considering its next steps.\u003c/p>\n\u003cp>The appeals court upheld a second challenged portion of the law prohibiting facilities or employees from assigning rooms based on anything other than a transgender resident's gender identity. A Sacramento County judge had previously thrown out both parts of the lawsuit.\u003c/p>\n\u003cp>The law was challenged by Taking Offense, described in the decision as an \"unincorporated association which includes at least one California citizen and taxpayer who has paid taxes to the state within the last year.\" \u003c/p>\n\u003cp>The plaintiff's attorney, David Llewellyn Jr., did not respond to telephone and email messages.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from The Associated Press's Don Thompson and KQED's David Marks.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11881770/california-court-rules-nursing-home-employees-can-deadname-transgender-seniors","authors":["237"],"categories":["news_457","news_6188","news_8"],"tags":["news_18538","news_82","news_20004","news_2813","news_17968","news_1217","news_2081","news_2486","news_29386"],"featImg":"news_11881787","label":"news"},"news_11879266":{"type":"posts","id":"news_11879266","meta":{"index":"posts_1591205157","site":"news","id":"11879266","score":null,"sort":[1624608115000]},"guestAuthors":[],"slug":"california-poised-to-offer-public-health-care-to-undocumented-elders-in-historic-moment","title":"California Poised to Offer Public Health Care to Undocumented Elders in 'Historic Moment'","publishDate":1624608115,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Laura, 76, has not seen a doctor for years.\u003c/p>\n\u003cp>The former farmworker, who did not want her last name used because of her immigration status, said she is losing her eyesight and her feet are often swollen and in pain.\u003c/p>\n\u003cp>A grandmother, Laura also suffers from headaches and shortness of breath, months after she became seriously ill with COVID-19 during the winter surge. Through it all, she has relied on home remedies and not sought medical care because she lacks health insurance, she said, in Spanish.\u003c/p>\n\u003cp>“I don’t have any money. And at my age, there’s no work,” said Laura, who picked watermelon, zucchini, pumpkin and other crops for more than 20 years in fields in Southern California.\u003c/p>\n\u003cp>But Laura may soon get access to the medical services she desperately needs, at little or no cost.\u003c/p>\n\u003cp>California is on the verge of a historic step to offer public health insurance to low-income undocumented older adults — a population that has been particularly vulnerable during the COVID-19 pandemic but left out of federal assistance programs and other safety nets.\u003c/p>\n\u003cp>Gov. Gavin Newsom and legislative leaders are expected to announce an expansion to the Medi-Cal program in the coming days as part of a final deal on the state budget, according to advocates and legislative aides.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The most recent negotiations in Sacramento have centered on the lower age limit for those who will be newly eligible: 50 and older, as lawmakers have previously proposed; 60 and older, as Newsom offered; or somewhere in between.\u003c/p>\n\u003cp>“We are as certain as we can be that there will be something that comes into the final budget,” said Sarah Dar, who directs health and public benefits policy at the California Immigrant Policy Center. “And it's really just a matter of ‘What's the age they land on?‘”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Luz Gallegos, director of TODEC, a legal center and immigrant justice organization\"]'California continues to step up and defend all Californians, especially those who are most vulnerable, who don’t have any access to safety nets, but who contribute to our state economy, have been paying taxes... and have seen nothing in return.'[/pullquote]\u003c/p>\n\u003cp>In 2014, then-state Sen. Ricardo Lara introduced the first (unsuccessful) \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201320140SB1005\">bill\u003c/a> to make undocumented immigrants eligible for public health coverage.\u003c/p>\n\u003cp>Since then, California has enrolled undocumented children in full-scope Medi-Cal, offering free or low-cost preventative care, doctor visits, prescriptions, dental care, vision care and other services. Last year, the state became the first in the nation to offer health coverage to undocumented young adults through age 25.\u003c/p>\n\u003cp>But more than 1.3 million undocumented Californians are projected to lack health insurance next year, remaining the largest uninsured group in the state, according to a \u003ca href=\"https://laborcenter.berkeley.edu/undocumented-californians-projected-to-remain-the-largest-group-of-uninsured-in-the-state-in-2022/\">report\u003c/a> by the UC Berkeley Labor Center.\u003c/p>\n\u003cp>Estimates vary, but depending on the final age cutoff that Newsom and legislative leaders decide for this year’s budget, roughly 80,000 to more than 200,000 undocumented Californians could gain access to Medi-Cal, including many who have worked essential jobs that are key to the state's economy.\u003c/p>\n\u003cp>Immigrant and health advocates who have pushed California for years to extend health coverage to undocumented immigrants savored the realization that finally, older adults will most likely be eligible for coverage.\u003c/p>\n\u003cp>“At last, justice does prevail. We are in a historic moment as Californians,” said Luz Gallegos, the executive director of TODEC, a legal center and immigrant justice organization in the Inland Empire and Coachella Valley.\u003c/p>\n\u003cp>“California continues to step up and defend all Californians, especially those who are most vulnerable, who don’t have any access to safety nets, but who contribute to our state economy, have been paying taxes … and have seen nothing in return,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11879325\" class=\"wp-caption aligncenter\" style=\"max-width: 1242px\">\u003cimg class=\"size-full wp-image-11879325\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos.jpg\" alt=\"\" width=\"1242\" height=\"806\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos.jpg 1242w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-800x519.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-1020x662.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-160x104.jpg 160w\" sizes=\"(max-width: 1242px) 100vw, 1242px\">\u003cfigcaption class=\"wp-caption-text\">Luz Gallegos works on COVID-19 vaccine outreach for farmworkers in Thermal, Calif. this spring. \u003ccite>(Courtesy TODEC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The governor’s budget \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\">revision\u003c/a> from May includes nearly $860 million in annual state funds to expand Medi-Cal to low-income undocumented adults age 60 and older, with some of that funding available next year. The Legislature’s \u003ca href=\"https://abgt.assembly.ca.gov/sites/abgt.assembly.ca.gov/files/Floor%20Report%20of%20the%202021-22%20Budget%20-%20%28June%2011%2C%202021%20Version%29.pdf\">proposal\u003c/a> dedicates $1.3 billion in annual funds to cover undocumented adults age 50 and older once the program is fully established.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='undocumented-immigrants']Gallegos, who was born in the U.S. to farmworker immigrant parents, said this likely win is personal for her. In recent years, her undocumented uncle died from cancer, she said, after he delayed seeking medical care because he was uninsured. During the pandemic, farmworkers she knows died from COVID-19 while several others became ill with the virus.\u003c/p>\n\u003cp>“We honor their lives by continuing the struggle so we don't see no more lives taken away from our communities,” said Gallegos, her voice breaking.\u003c/p>\n\u003cp>Currently, low-income undocumented immigrants who are 26 and older are eligible for limited Medi-Cal, which only covers health care emergencies or prenatal care if they are pregnant. Undocumented immigrants are excluded from the Affordable Care Act, and cannot purchase coverage through Covered California, the state’s ACA health exchange.\u003c/p>\n\u003cp>If they are not insured by an employer or able to purchase a private plan, they must generally rely on county health programs, which vary greatly throughout the state.\u003c/p>\n\u003cp>Last year, Gov. Newsom \u003ca href=\"https://www.kqed.org/news/11814885/as-pandemic-batters-californias-economy-plan-to-insure-undocumented-seniors-in-doubt\">proposed\u003c/a> offering full-scope Medi-Cal to undocumented seniors age 65 and older. But the plan didn’t go through, as the state projected a severe economic downturn and tax losses in the billions of dollars.\u003c/p>\n\u003cp>But the financial picture for California is starkly different this year, with the state logging an eye-popping budget surplus of \u003ca href=\"https://www.kqed.org/news/11874125/californias-historic-budget-surplus-is-it-76-billion-or-38-billion\">$76 billion\u003c/a>. In addition, the pandemic highlighted how “interconnected” public health really is, with all of us having to think about whether people around us wore masks, stood far enough apart, or were vaccinated, said Dar, with the California Immigrant Policy Center.\u003c/p>\n\u003cp>“And so to give health care access to this community would mean a healthier and stronger state for all Californians,” said Dar. “Increased productivity, better health outcomes, better public health.”\u003c/p>\n\u003cp>Some opponents have argued that funds to provide health coverage to undocumented people would be better spent on other needs, such as helping struggling U.S. citizens afford their own health insurance.\u003c/p>\n\u003cp>About two in three Californians support the idea of providing health coverage to undocumented immigrants, according to a \u003ca href=\"https://www.ppic.org/wp-content/uploads/ppic-statewide-survey-californians-and-their-government-march-2021.pdf\">recent survey\u003c/a> by the Public Policy Institute of California. But many Republicans oppose it, with nearly eight in 10 saying that they are not in favor.\u003c/p>\n\u003cp>This year, Illinois became the \u003ca href=\"https://www.povertylaw.org/article/health-coverage-available-to-undocumented-seniors-in-illinois/#:~:text=Fortunately%2C%20Illinois%20has%20become%20the,citizens%20age%2065%20or%20older.\">first state\u003c/a> to extend health insurance to undocumented seniors age 65 and older.\u003c/p>\n\u003cp>Former farmworker Laura hopes she will gain access to health coverage — and low-cost medical care — in California, where she has lived since the late 1980s, most recently in Riverside county.\u003c/p>\n\u003cp>“It would help me a lot to go to the doctor and get my eyes checked out,” Laura said. “It would be the best.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Gov. Newsom and legislative leaders are expected to announce an expansion to Medi-Cal in coming days as part of a final deal on the state budget, according to advocates and legislative aides.","status":"publish","parent":0,"modified":1625072772,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1206},"headData":{"title":"California Poised to Offer Public Health Care to Undocumented Elders in 'Historic Moment' | KQED","description":"Gov. Newsom and legislative leaders are expected to announce an expansion to Medi-Cal in coming days as part of a final deal on the state budget, according to advocates and legislative aides.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Poised to Offer Public Health Care to Undocumented Elders in 'Historic Moment'","datePublished":"2021-06-25T08:01:55.000Z","dateModified":"2021-06-30T17:06:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11879266 https://ww2.kqed.org/news/?p=11879266","disqusUrl":"https://ww2.kqed.org/news/2021/06/25/california-poised-to-offer-public-health-care-to-undocumented-elders-in-historic-moment/","disqusTitle":"California Poised to Offer Public Health Care to Undocumented Elders in 'Historic Moment'","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/6b9ff4f7-cdd8-4da3-874c-ad52010f7700/audio.mp3","path":"/news/11879266/california-poised-to-offer-public-health-care-to-undocumented-elders-in-historic-moment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Laura, 76, has not seen a doctor for years.\u003c/p>\n\u003cp>The former farmworker, who did not want her last name used because of her immigration status, said she is losing her eyesight and her feet are often swollen and in pain.\u003c/p>\n\u003cp>A grandmother, Laura also suffers from headaches and shortness of breath, months after she became seriously ill with COVID-19 during the winter surge. Through it all, she has relied on home remedies and not sought medical care because she lacks health insurance, she said, in Spanish.\u003c/p>\n\u003cp>“I don’t have any money. And at my age, there’s no work,” said Laura, who picked watermelon, zucchini, pumpkin and other crops for more than 20 years in fields in Southern California.\u003c/p>\n\u003cp>But Laura may soon get access to the medical services she desperately needs, at little or no cost.\u003c/p>\n\u003cp>California is on the verge of a historic step to offer public health insurance to low-income undocumented older adults — a population that has been particularly vulnerable during the COVID-19 pandemic but left out of federal assistance programs and other safety nets.\u003c/p>\n\u003cp>Gov. Gavin Newsom and legislative leaders are expected to announce an expansion to the Medi-Cal program in the coming days as part of a final deal on the state budget, according to advocates and legislative aides.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The most recent negotiations in Sacramento have centered on the lower age limit for those who will be newly eligible: 50 and older, as lawmakers have previously proposed; 60 and older, as Newsom offered; or somewhere in between.\u003c/p>\n\u003cp>“We are as certain as we can be that there will be something that comes into the final budget,” said Sarah Dar, who directs health and public benefits policy at the California Immigrant Policy Center. “And it's really just a matter of ‘What's the age they land on?‘”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'California continues to step up and defend all Californians, especially those who are most vulnerable, who don’t have any access to safety nets, but who contribute to our state economy, have been paying taxes... and have seen nothing in return.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Luz Gallegos, director of TODEC, a legal center and immigrant justice organization","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2014, then-state Sen. Ricardo Lara introduced the first (unsuccessful) \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201320140SB1005\">bill\u003c/a> to make undocumented immigrants eligible for public health coverage.\u003c/p>\n\u003cp>Since then, California has enrolled undocumented children in full-scope Medi-Cal, offering free or low-cost preventative care, doctor visits, prescriptions, dental care, vision care and other services. Last year, the state became the first in the nation to offer health coverage to undocumented young adults through age 25.\u003c/p>\n\u003cp>But more than 1.3 million undocumented Californians are projected to lack health insurance next year, remaining the largest uninsured group in the state, according to a \u003ca href=\"https://laborcenter.berkeley.edu/undocumented-californians-projected-to-remain-the-largest-group-of-uninsured-in-the-state-in-2022/\">report\u003c/a> by the UC Berkeley Labor Center.\u003c/p>\n\u003cp>Estimates vary, but depending on the final age cutoff that Newsom and legislative leaders decide for this year’s budget, roughly 80,000 to more than 200,000 undocumented Californians could gain access to Medi-Cal, including many who have worked essential jobs that are key to the state's economy.\u003c/p>\n\u003cp>Immigrant and health advocates who have pushed California for years to extend health coverage to undocumented immigrants savored the realization that finally, older adults will most likely be eligible for coverage.\u003c/p>\n\u003cp>“At last, justice does prevail. We are in a historic moment as Californians,” said Luz Gallegos, the executive director of TODEC, a legal center and immigrant justice organization in the Inland Empire and Coachella Valley.\u003c/p>\n\u003cp>“California continues to step up and defend all Californians, especially those who are most vulnerable, who don’t have any access to safety nets, but who contribute to our state economy, have been paying taxes … and have seen nothing in return,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11879325\" class=\"wp-caption aligncenter\" style=\"max-width: 1242px\">\u003cimg class=\"size-full wp-image-11879325\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos.jpg\" alt=\"\" width=\"1242\" height=\"806\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos.jpg 1242w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-800x519.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-1020x662.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/06/Gallegos-160x104.jpg 160w\" sizes=\"(max-width: 1242px) 100vw, 1242px\">\u003cfigcaption class=\"wp-caption-text\">Luz Gallegos works on COVID-19 vaccine outreach for farmworkers in Thermal, Calif. this spring. \u003ccite>(Courtesy TODEC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The governor’s budget \u003ca href=\"http://www.ebudget.ca.gov/2021-22/pdf/Revised/BudgetSummary/HealthandHumanServices.pdf\">revision\u003c/a> from May includes nearly $860 million in annual state funds to expand Medi-Cal to low-income undocumented adults age 60 and older, with some of that funding available next year. The Legislature’s \u003ca href=\"https://abgt.assembly.ca.gov/sites/abgt.assembly.ca.gov/files/Floor%20Report%20of%20the%202021-22%20Budget%20-%20%28June%2011%2C%202021%20Version%29.pdf\">proposal\u003c/a> dedicates $1.3 billion in annual funds to cover undocumented adults age 50 and older once the program is fully established.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"undocumented-immigrants"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Gallegos, who was born in the U.S. to farmworker immigrant parents, said this likely win is personal for her. In recent years, her undocumented uncle died from cancer, she said, after he delayed seeking medical care because he was uninsured. During the pandemic, farmworkers she knows died from COVID-19 while several others became ill with the virus.\u003c/p>\n\u003cp>“We honor their lives by continuing the struggle so we don't see no more lives taken away from our communities,” said Gallegos, her voice breaking.\u003c/p>\n\u003cp>Currently, low-income undocumented immigrants who are 26 and older are eligible for limited Medi-Cal, which only covers health care emergencies or prenatal care if they are pregnant. Undocumented immigrants are excluded from the Affordable Care Act, and cannot purchase coverage through Covered California, the state’s ACA health exchange.\u003c/p>\n\u003cp>If they are not insured by an employer or able to purchase a private plan, they must generally rely on county health programs, which vary greatly throughout the state.\u003c/p>\n\u003cp>Last year, Gov. Newsom \u003ca href=\"https://www.kqed.org/news/11814885/as-pandemic-batters-californias-economy-plan-to-insure-undocumented-seniors-in-doubt\">proposed\u003c/a> offering full-scope Medi-Cal to undocumented seniors age 65 and older. But the plan didn’t go through, as the state projected a severe economic downturn and tax losses in the billions of dollars.\u003c/p>\n\u003cp>But the financial picture for California is starkly different this year, with the state logging an eye-popping budget surplus of \u003ca href=\"https://www.kqed.org/news/11874125/californias-historic-budget-surplus-is-it-76-billion-or-38-billion\">$76 billion\u003c/a>. In addition, the pandemic highlighted how “interconnected” public health really is, with all of us having to think about whether people around us wore masks, stood far enough apart, or were vaccinated, said Dar, with the California Immigrant Policy Center.\u003c/p>\n\u003cp>“And so to give health care access to this community would mean a healthier and stronger state for all Californians,” said Dar. “Increased productivity, better health outcomes, better public health.”\u003c/p>\n\u003cp>Some opponents have argued that funds to provide health coverage to undocumented people would be better spent on other needs, such as helping struggling U.S. citizens afford their own health insurance.\u003c/p>\n\u003cp>About two in three Californians support the idea of providing health coverage to undocumented immigrants, according to a \u003ca href=\"https://www.ppic.org/wp-content/uploads/ppic-statewide-survey-californians-and-their-government-march-2021.pdf\">recent survey\u003c/a> by the Public Policy Institute of California. But many Republicans oppose it, with nearly eight in 10 saying that they are not in favor.\u003c/p>\n\u003cp>This year, Illinois became the \u003ca href=\"https://www.povertylaw.org/article/health-coverage-available-to-undocumented-seniors-in-illinois/#:~:text=Fortunately%2C%20Illinois%20has%20become%20the,citizens%20age%2065%20or%20older.\">first state\u003c/a> to extend health insurance to undocumented seniors age 65 and older.\u003c/p>\n\u003cp>Former farmworker Laura hopes she will gain access to health coverage — and low-cost medical care — in California, where she has lived since the late 1980s, most recently in Riverside county.\u003c/p>\n\u003cp>“It would help me a lot to go to the doctor and get my eyes checked out,” Laura said. “It would be the best.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11879266/california-poised-to-offer-public-health-care-to-undocumented-elders-in-historic-moment","authors":["8659"],"categories":["news_457","news_1169","news_8","news_13"],"tags":["news_18538","news_27350","news_18269","news_27626","news_18543","news_20202","news_19904","news_2605","news_2081","news_3173","news_244"],"featImg":"news_11879270","label":"news"},"news_11869869":{"type":"posts","id":"news_11869869","meta":{"index":"posts_1591205157","site":"news","id":"11869869","score":null,"sort":[1618603651000]},"guestAuthors":[],"slug":"people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","title":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters","publishDate":1618603651,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>An effort to fix problems with the oversight of California’s nursing homes has stalled, sparking fears that the bill is doomed — and prompting elder-care advocates to warn that even a delay jeopardizes residents’ safety.\u003c/p>\n\u003cp>“I’m incredibly frustrated,” said Democratic Assemblymember Al Muratsuchi of Los Angeles, author of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1502\" target=\"_blank\" rel=\"noreferrer noopener\">Assembly Bill 1502\u003c/a>. “The pandemic has clearly exposed the horrible conditions of so many of our nursing homes.\u003c/p>\n\u003cp>“People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Assemblymember Al Muratsuchi, D-Los Angeles\"]'People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.'[/pullquote]\u003c/p>\n\u003cp>A recent \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> spotlighted an opaque licensing process for California’s nursing homes, plagued by indecision, delays and misleading information. For instance, the investigation found that the California Department of Public Health has allowed the state’s largest nursing home owner, Shlomo Rechnitz, to operate facilities for years through a web of companies while license applications for his facilities languish in “pending” status.\u003c/p>\n\u003cp>That story “blew the lid off of my thinking,” said Assemblymember Jim Wood, a Santa Rosa Democrat who chairs the Assembly Health Committee — and helps decide which health legislation in that house will live or die. “I didn’t realize to the extent that it was happening.”\u003c/p>\n\u003cp>Nonetheless, his committee declined to hear the bill, which would forbid the use of management agreements to “circumvent state licensure requirements” and would require owners and operators to get approval from CDPH before acquiring, operating or managing a nursing home. Instead, the committee turned Muratsuchi’s proposal into a two-year bill that won’t be heard before next January.\u003c/p>\n\u003cp>Advocates had expected the bill to face opposition from the nursing home industry, which has deep ties to influential players at the Capitol. The \u003ca href=\"https://www.cahf.org/Resources/Media-Center/Press-Releases/CAHF-Names-New-CEO-President\" target=\"_blank\" rel=\"noreferrer noopener\">CEO of the nursing home industry group\u003c/a>, Craig Cornett, was a top aide to two former state Senate leaders and four former Assembly speakers before joining the California Association of Health Facilities in 2017. He’s known for having masterful knowledge of the state government bureaucracy and is included on \u003ca href=\"https://capitolweekly.net/craig-cornett-capitol-weeklys-top-100/\" target=\"_blank\" rel=\"noreferrer noopener\">a list\u003c/a> of the most influential people around the Capitol. \u003c/p>\n\u003cp>Cornett’s industry group employs \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Firms/Detail.aspx?id=1147785&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">a lobbying firm\u003c/a> that counts Assembly Speaker Anthony Rendon’s cousin, \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Lobbyists/Detail.aspx?id=1398339&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">Edward Rendon\u003c/a>, as one of its lobbyists. Edward Rendon is also \u003ca href=\"https://www.capitoladvocacy.com/edward-rendon/\" target=\"_blank\" rel=\"noreferrer noopener\">a partner\u003c/a> at a consulting firm called Spiker Rendon that was paid $45,000 last year by Cornett's organization, according to its \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2549822&amendid=0\" target=\"_blank\" rel=\"noreferrer noopener\">lobbying reports\u003c/a>.\u003c/p>\n\u003cp>The California Association of Health Facilities has donated more than $1.6 million to California campaigns in the past decade, according to filings with the \u003ca href=\"https://cal-access.sos.ca.gov/\" target=\"_blank\" rel=\"noreferrer noopener\">California secretary of state\u003c/a>.\u003c/p>\n\u003cp>And Rockport Healthcare Services, the administrative services company for many nursing homes, employs the lobbying firm of \u003ca href=\"https://calmatters.org/politics/2018/12/jason-kinney-gavin-newsom-california-governor-transition/\">Jason Kinney\u003c/a>, whose \u003ca href=\"https://calmatters.org/politics/2020/11/newsom-dinner-california-medical-lobby-french-laundry-pandemic/\">French Laundry birthday bash last November\u003c/a> was attended by Gov. Gavin Newsom.\u003c/p>\n\u003cp>The Newsom administration also hasn’t taken a position on the bill, although that is not unusual at this stage.\u003c/p>\n\u003cp>Wood insists that delaying Muratsuchi’s bill will not lead to its death, saying he is deeply committed to solving the state’s nursing home licensing problems “once and for all.”\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of California Health and Human Services Agency, which oversees CDPH, declined to answer questions for this story or for CalMatters’ investigation into the department’s licensing practices. Newsom also declined to be interviewed for either story.\u003c/p>\n\u003cp>However, the \u003ca href=\"https://laist.com/latest/post/20210412/Solorzano-Renew-Newsom-Contribution-Nursing-Home-LAist-Investigation\">governor recently agreed to donate $10,000 to charity\u003c/a> after an \u003ca href=\"https://laist.com/special-reports/nursing-homes-renew.php\">investigation by LAist\u003c/a> showed that he had received a political contribution in that amount from ReNew Health Consulting Services, which is affiliated with a troubled nursing home chain. LAist, affiliated with KPCC in Los Angeles, and CalMatters are part of a collaboration of California’s nonprofit newsrooms to investigate the state’s supervision of nursing homes.\u003c/p>\n\u003cp>Wood’s communications director, Cathy Mudge, told CalMatters this week that the Newsom administration had not pressured his committee to stall the bill.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"nursing-homes\"]Wood said he is so committed to fixing these issues that he plans to take the uncharacteristic step of putting his name on it as a joint author next year. He has long been an ally of nursing home oversight, calling for \u003ca href=\"https://www.documentcloud.org/documents/20447178-ca-state-auditor-2018-report-skilled-nursing-facilities-absent-effective-oversight-substandard-quality-of-care-has-continued-2017-109\" target=\"_blank\" rel=\"noreferrer noopener\">a May 2018 audit\u003c/a> that said licensing lapses by CDPH increased the probability that residents might not receive adequate care. He has also authored previous bills to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB275\" target=\"_blank\" rel=\"noreferrer noopener\">protect nursing home residents\u003c/a> and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1953\" target=\"_blank\" rel=\"noreferrer noopener\">improve transparency\u003c/a> in the licensing process.\u003c/p>\n\u003cp>“I don’t want you to walk away with the impression that I’m stalling this, because I’m not,” Wood said. “I just want it to be right and I want it to be meaningful and I want to use this process to change the way we put this industry together.”\u003c/p>\n\u003cp>Before the bill is heard in January, Wood said he believes staff and outside consultants will need to invest a huge amount of time to gather data and communicate with various state agencies about complex issues. He also wants to work to get CDPH and the Newsom administration on board as “active partners.” He said he worries about the department’s bandwidth during the pandemic, and said his committee has also been inundated with 165 health-related bills.\u003c/p>\n\u003cp>The state’s licensing and oversight problem “really falls on the backs of CDPH for the most part,” he said.\u003c/p>\n\u003cp>“My hope is that, in the interim, as we move forward and do our work on this, that we get feedback from CDPH, that we get cooperation from them on how we can make this process work better,” he said. “I hope we’re not going to see a situation where they circle the wagons and lock the doors and really don’t work with us.”\u003c/p>\n\u003cp>“We need more time,” he said. “I hate that, quite frankly. I really do.”\u003c/p>\n\u003cp>Top officials at the department, including its director, \u003ca href=\"https://www.cdph.ca.gov/Pages/Meet-the-Director.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Tomás Aragón\u003c/a>, have refused CalMatters’ requests to be interviewed about the licensing situation. In an email Thursday, an unnamed spokesperson said the department does not comment on proposed legislation.\u003c/p>\n\u003cp>The spokesperson told CalMatters the department had initiated a regulatory package related to the change-of-ownership licensing process, but that the effort has been “placed on a temporary hold due to staff redirections associated with COVID response.”\u003c/p>\n\u003cp>Proponents of the bill say it is strong as it is, and that it can help resolve urgent problems.\u003c/p>\n\u003cp>“I don’t think the problem’s complicated,” said Tony Chicotel, a staff attorney for \u003ca href=\"http://www.canhr.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Advocates for Nursing Home Reform\u003c/a>, which sponsored Muratsuchi’s bill. “People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.”\u003c/p>\n\u003cp>“We should all agree that’s not good and work out something to attend to it now. I think we owe that to the residents who have suffered so horribly this year,” he said.\u003c/p>\n\u003cp>Chicotel said he worries, from past experience, that the bill’s chance of becoming law “was diminished when it was postponed.” He also believes it buys CDPH more time to not take action on the issue.\u003c/p>\n\u003cp>“They’re pretty comfortable doing nothing, but now they have an excuse,” he said. “You blink and another year’s gone by.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform\"]'People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.'[/pullquote]Chicotel said past bills to improve nursing home oversight have often been vetoed or significantly watered down. This includes a 2019 bill authored by Democratic Assemblymember Wendy Carrillo of Los Angeles, that initially \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1695\" target=\"_blank\" rel=\"noreferrer noopener\">proposed to streamline ownership reviews\u003c/a>.\u003c/p>\n\u003cp>Chicotel said his organization initially supported the bill, but vigorously opposed it after it was amended to allow new owners to receive provisional licenses by default if CDPH missed a deadline.\u003c/p>\n\u003cp>“It went from a bill that could have been great to a bill that would have been devastatingly bad,” he said.\u003c/p>\n\u003cp>The bill ended up passing with proposed alterations to the change-of-ownership licensing process removed.\u003c/p>\n\u003cp>Chicotel said something similar happened in 2015 with a measure that would have \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB927\" target=\"_blank\" rel=\"noreferrer noopener\">prevented nursing home operators\u003c/a> from acquiring more facilities under certain circumstances. Chicotel’s group initially sponsored the bill, but ended up opposing it after amendments were made. So did its author, Democratic Assemblymember Kevin McCarty of Sacramento, who pulled the bill.\u003c/p>\n\u003cp>Another hurdle to changing the law: opposition from the nursing home industry.\u003c/p>\n\u003cp>In a previous interview with CalMatters, Deborah Pacyna, a spokesperson for the \u003ca href=\"https://www.cahf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Association of Health Facilities\u003c/a>, which represents most of the state’s 1,100 nursing homes, described the state’s change-of-ownership licensing process as “broken.” The organization had not yet officially weighed in on Muratsuchi’s bill, but she said it probably would have opposed the bill unless it was amended.\u003c/p>\n\u003cp>She said a recent California Court of Appeal \u003ca href=\"https://www.documentcloud.org/documents/20616280-canhr-v-aragon\" target=\"_blank\" rel=\"noreferrer noopener\">ruling\u003c/a> determined that state approval of unlicensed interim nursing home managers to operate nursing homes does not violate state or federal law.\u003c/p>\n\u003cp>[ad fullwidth]“It just shows to us that if the trial lawyers can’t win in court, they’re going to go to the Legislature,” she said.\u003c/p>\n\u003cp>She commended Wood’s decision to wait a year before attempting to alter the state’s licensing system.\u003c/p>\n\u003cp>“We really appreciate the reasoned approach, looking at all this from a big picture standpoint, instead of just striking out,” she said.\u003c/p>\n\u003cp>Wood anticipates pushback on licensing reform from “players in this industry who don’t want the scrutiny and don’t want their business models upset.”\u003c/p>\n\u003cp>“This bill is about government oversight and fixing our own house,” he said. “But I guarantee you that this will be a challenge.”\u003c/p>\n\u003cp>\u003cem>CalMatters political reporter Laurel Rosenhall contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Lawmakers say they’ll take no action this year on a bill requiring nursing home owners and operators to get state approval before they acquire, operate or manage a nursing home.\r\n\r\n","status":"publish","parent":0,"modified":1618610628,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":1824},"headData":{"title":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters | KQED","description":"Lawmakers say they’ll take no action this year on a bill requiring nursing home owners and operators to get state approval before they acquire, operate or manage a nursing home.\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters","datePublished":"2021-04-16T20:07:31.000Z","dateModified":"2021-04-16T22:03:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11869869 https://ww2.kqed.org/news/?p=11869869","disqusUrl":"https://ww2.kqed.org/news/2021/04/16/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters/","disqusTitle":"‘People Are Dying as We Wait’: Bid to Tighten California Nursing Home Oversight Sputters","source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/jocelyn-wiener/\">Jocelyn Wiener\u003c/a>","path":"/news/11869869/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An effort to fix problems with the oversight of California’s nursing homes has stalled, sparking fears that the bill is doomed — and prompting elder-care advocates to warn that even a delay jeopardizes residents’ safety.\u003c/p>\n\u003cp>“I’m incredibly frustrated,” said Democratic Assemblymember Al Muratsuchi of Los Angeles, author of \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1502\" target=\"_blank\" rel=\"noreferrer noopener\">Assembly Bill 1502\u003c/a>. “The pandemic has clearly exposed the horrible conditions of so many of our nursing homes.\u003c/p>\n\u003cp>“People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'People are dying as we wait. ... We cannot sit around with a broken state oversight system while our most vulnerable residents continue to live in these nursing homes.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Assemblymember Al Muratsuchi, D-Los Angeles","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A recent \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> spotlighted an opaque licensing process for California’s nursing homes, plagued by indecision, delays and misleading information. For instance, the investigation found that the California Department of Public Health has allowed the state’s largest nursing home owner, Shlomo Rechnitz, to operate facilities for years through a web of companies while license applications for his facilities languish in “pending” status.\u003c/p>\n\u003cp>That story “blew the lid off of my thinking,” said Assemblymember Jim Wood, a Santa Rosa Democrat who chairs the Assembly Health Committee — and helps decide which health legislation in that house will live or die. “I didn’t realize to the extent that it was happening.”\u003c/p>\n\u003cp>Nonetheless, his committee declined to hear the bill, which would forbid the use of management agreements to “circumvent state licensure requirements” and would require owners and operators to get approval from CDPH before acquiring, operating or managing a nursing home. Instead, the committee turned Muratsuchi’s proposal into a two-year bill that won’t be heard before next January.\u003c/p>\n\u003cp>Advocates had expected the bill to face opposition from the nursing home industry, which has deep ties to influential players at the Capitol. The \u003ca href=\"https://www.cahf.org/Resources/Media-Center/Press-Releases/CAHF-Names-New-CEO-President\" target=\"_blank\" rel=\"noreferrer noopener\">CEO of the nursing home industry group\u003c/a>, Craig Cornett, was a top aide to two former state Senate leaders and four former Assembly speakers before joining the California Association of Health Facilities in 2017. He’s known for having masterful knowledge of the state government bureaucracy and is included on \u003ca href=\"https://capitolweekly.net/craig-cornett-capitol-weeklys-top-100/\" target=\"_blank\" rel=\"noreferrer noopener\">a list\u003c/a> of the most influential people around the Capitol. \u003c/p>\n\u003cp>Cornett’s industry group employs \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Firms/Detail.aspx?id=1147785&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">a lobbying firm\u003c/a> that counts Assembly Speaker Anthony Rendon’s cousin, \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Lobbyists/Detail.aspx?id=1398339&session=2021\" target=\"_blank\" rel=\"noreferrer noopener\">Edward Rendon\u003c/a>, as one of its lobbyists. Edward Rendon is also \u003ca href=\"https://www.capitoladvocacy.com/edward-rendon/\" target=\"_blank\" rel=\"noreferrer noopener\">a partner\u003c/a> at a consulting firm called Spiker Rendon that was paid $45,000 last year by Cornett's organization, according to its \u003ca href=\"https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2549822&amendid=0\" target=\"_blank\" rel=\"noreferrer noopener\">lobbying reports\u003c/a>.\u003c/p>\n\u003cp>The California Association of Health Facilities has donated more than $1.6 million to California campaigns in the past decade, according to filings with the \u003ca href=\"https://cal-access.sos.ca.gov/\" target=\"_blank\" rel=\"noreferrer noopener\">California secretary of state\u003c/a>.\u003c/p>\n\u003cp>And Rockport Healthcare Services, the administrative services company for many nursing homes, employs the lobbying firm of \u003ca href=\"https://calmatters.org/politics/2018/12/jason-kinney-gavin-newsom-california-governor-transition/\">Jason Kinney\u003c/a>, whose \u003ca href=\"https://calmatters.org/politics/2020/11/newsom-dinner-california-medical-lobby-french-laundry-pandemic/\">French Laundry birthday bash last November\u003c/a> was attended by Gov. Gavin Newsom.\u003c/p>\n\u003cp>The Newsom administration also hasn’t taken a position on the bill, although that is not unusual at this stage.\u003c/p>\n\u003cp>Wood insists that delaying Muratsuchi’s bill will not lead to its death, saying he is deeply committed to solving the state’s nursing home licensing problems “once and for all.”\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of California Health and Human Services Agency, which oversees CDPH, declined to answer questions for this story or for CalMatters’ investigation into the department’s licensing practices. Newsom also declined to be interviewed for either story.\u003c/p>\n\u003cp>However, the \u003ca href=\"https://laist.com/latest/post/20210412/Solorzano-Renew-Newsom-Contribution-Nursing-Home-LAist-Investigation\">governor recently agreed to donate $10,000 to charity\u003c/a> after an \u003ca href=\"https://laist.com/special-reports/nursing-homes-renew.php\">investigation by LAist\u003c/a> showed that he had received a political contribution in that amount from ReNew Health Consulting Services, which is affiliated with a troubled nursing home chain. LAist, affiliated with KPCC in Los Angeles, and CalMatters are part of a collaboration of California’s nonprofit newsrooms to investigate the state’s supervision of nursing homes.\u003c/p>\n\u003cp>Wood’s communications director, Cathy Mudge, told CalMatters this week that the Newsom administration had not pressured his committee to stall the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"nursing-homes"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Wood said he is so committed to fixing these issues that he plans to take the uncharacteristic step of putting his name on it as a joint author next year. He has long been an ally of nursing home oversight, calling for \u003ca href=\"https://www.documentcloud.org/documents/20447178-ca-state-auditor-2018-report-skilled-nursing-facilities-absent-effective-oversight-substandard-quality-of-care-has-continued-2017-109\" target=\"_blank\" rel=\"noreferrer noopener\">a May 2018 audit\u003c/a> that said licensing lapses by CDPH increased the probability that residents might not receive adequate care. He has also authored previous bills to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB275\" target=\"_blank\" rel=\"noreferrer noopener\">protect nursing home residents\u003c/a> and \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1953\" target=\"_blank\" rel=\"noreferrer noopener\">improve transparency\u003c/a> in the licensing process.\u003c/p>\n\u003cp>“I don’t want you to walk away with the impression that I’m stalling this, because I’m not,” Wood said. “I just want it to be right and I want it to be meaningful and I want to use this process to change the way we put this industry together.”\u003c/p>\n\u003cp>Before the bill is heard in January, Wood said he believes staff and outside consultants will need to invest a huge amount of time to gather data and communicate with various state agencies about complex issues. He also wants to work to get CDPH and the Newsom administration on board as “active partners.” He said he worries about the department’s bandwidth during the pandemic, and said his committee has also been inundated with 165 health-related bills.\u003c/p>\n\u003cp>The state’s licensing and oversight problem “really falls on the backs of CDPH for the most part,” he said.\u003c/p>\n\u003cp>“My hope is that, in the interim, as we move forward and do our work on this, that we get feedback from CDPH, that we get cooperation from them on how we can make this process work better,” he said. “I hope we’re not going to see a situation where they circle the wagons and lock the doors and really don’t work with us.”\u003c/p>\n\u003cp>“We need more time,” he said. “I hate that, quite frankly. I really do.”\u003c/p>\n\u003cp>Top officials at the department, including its director, \u003ca href=\"https://www.cdph.ca.gov/Pages/Meet-the-Director.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Tomás Aragón\u003c/a>, have refused CalMatters’ requests to be interviewed about the licensing situation. In an email Thursday, an unnamed spokesperson said the department does not comment on proposed legislation.\u003c/p>\n\u003cp>The spokesperson told CalMatters the department had initiated a regulatory package related to the change-of-ownership licensing process, but that the effort has been “placed on a temporary hold due to staff redirections associated with COVID response.”\u003c/p>\n\u003cp>Proponents of the bill say it is strong as it is, and that it can help resolve urgent problems.\u003c/p>\n\u003cp>“I don’t think the problem’s complicated,” said Tony Chicotel, a staff attorney for \u003ca href=\"http://www.canhr.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Advocates for Nursing Home Reform\u003c/a>, which sponsored Muratsuchi’s bill. “People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.”\u003c/p>\n\u003cp>“We should all agree that’s not good and work out something to attend to it now. I think we owe that to the residents who have suffered so horribly this year,” he said.\u003c/p>\n\u003cp>Chicotel said he worries, from past experience, that the bill’s chance of becoming law “was diminished when it was postponed.” He also believes it buys CDPH more time to not take action on the issue.\u003c/p>\n\u003cp>“They’re pretty comfortable doing nothing, but now they have an excuse,” he said. “You blink and another year’s gone by.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'People are running facilities without licenses. That shouldn’t happen for years and years and years. It shouldn’t happen for another year.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Chicotel said past bills to improve nursing home oversight have often been vetoed or significantly watered down. This includes a 2019 bill authored by Democratic Assemblymember Wendy Carrillo of Los Angeles, that initially \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB1695\" target=\"_blank\" rel=\"noreferrer noopener\">proposed to streamline ownership reviews\u003c/a>.\u003c/p>\n\u003cp>Chicotel said his organization initially supported the bill, but vigorously opposed it after it was amended to allow new owners to receive provisional licenses by default if CDPH missed a deadline.\u003c/p>\n\u003cp>“It went from a bill that could have been great to a bill that would have been devastatingly bad,” he said.\u003c/p>\n\u003cp>The bill ended up passing with proposed alterations to the change-of-ownership licensing process removed.\u003c/p>\n\u003cp>Chicotel said something similar happened in 2015 with a measure that would have \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB927\" target=\"_blank\" rel=\"noreferrer noopener\">prevented nursing home operators\u003c/a> from acquiring more facilities under certain circumstances. Chicotel’s group initially sponsored the bill, but ended up opposing it after amendments were made. So did its author, Democratic Assemblymember Kevin McCarty of Sacramento, who pulled the bill.\u003c/p>\n\u003cp>Another hurdle to changing the law: opposition from the nursing home industry.\u003c/p>\n\u003cp>In a previous interview with CalMatters, Deborah Pacyna, a spokesperson for the \u003ca href=\"https://www.cahf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">California Association of Health Facilities\u003c/a>, which represents most of the state’s 1,100 nursing homes, described the state’s change-of-ownership licensing process as “broken.” The organization had not yet officially weighed in on Muratsuchi’s bill, but she said it probably would have opposed the bill unless it was amended.\u003c/p>\n\u003cp>She said a recent California Court of Appeal \u003ca href=\"https://www.documentcloud.org/documents/20616280-canhr-v-aragon\" target=\"_blank\" rel=\"noreferrer noopener\">ruling\u003c/a> determined that state approval of unlicensed interim nursing home managers to operate nursing homes does not violate state or federal law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“It just shows to us that if the trial lawyers can’t win in court, they’re going to go to the Legislature,” she said.\u003c/p>\n\u003cp>She commended Wood’s decision to wait a year before attempting to alter the state’s licensing system.\u003c/p>\n\u003cp>“We really appreciate the reasoned approach, looking at all this from a big picture standpoint, instead of just striking out,” she said.\u003c/p>\n\u003cp>Wood anticipates pushback on licensing reform from “players in this industry who don’t want the scrutiny and don’t want their business models upset.”\u003c/p>\n\u003cp>“This bill is about government oversight and fixing our own house,” he said. “But I guarantee you that this will be a challenge.”\u003c/p>\n\u003cp>\u003cem>CalMatters political reporter Laurel Rosenhall contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11869869/people-are-dying-as-we-wait-bid-to-tighten-california-nursing-home-oversight-sputters","authors":["byline_news_11869869"],"categories":["news_457","news_8"],"tags":["news_2704","news_18543","news_2813","news_2081"],"featImg":"news_11869876","label":"source_news_11869869"},"news_11869659":{"type":"posts","id":"news_11869659","meta":{"index":"posts_1591205157","site":"news","id":"11869659","score":null,"sort":[1618567203000]},"guestAuthors":[],"slug":"nursing-home-residents-are-finally-starting-to-see-their-loved-ones","title":"Nursing Home Residents Are Finally Starting to See Their Loved Ones","publishDate":1618567203,"format":"audio","headTitle":"Nursing Home Residents Are Finally Starting to See Their Loved Ones | KQED","labelTerm":{},"content":"\u003cp>About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day.\u003c/p>\n\u003cp>But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a year apart.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: Barbara Feder Ostrov, contributing writer for CalMatters\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3wY0LhK\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ci>Subscribe to \u003c/i>\u003ca href=\"https://www.kqed.org/news/tag/the-bay\">\u003ci>The Bay\u003c/i>\u003c/a>\u003ci> to hear more local Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003c/i>\u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">\u003ci>Apple Podcasts\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">\u003ci>Spotify\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">\u003ci>Stitcher\u003c/i>\u003c/a>\u003ci>, NPR One or via \u003c/i>\u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">\u003ci>Alexa\u003c/i>\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1700693006,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":112},"headData":{"title":"Nursing Home Residents Are Finally Starting to See Their Loved Ones | KQED","description":"About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day. But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Nursing Home Residents Are Finally Starting to See Their Loved Ones","datePublished":"2021-04-16T10:00:03.000Z","dateModified":"2023-11-22T22:43:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/KQINC4933505825.mp3?updated=1618527096","path":"/news/11869659/nursing-home-residents-are-finally-starting-to-see-their-loved-ones","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>About 9,000 nursing home residents in California have died of COVID-19. At the height of the winter surge, more than 80 residents were dying every day.\u003c/p>\n\u003cp>But now, thanks to the COVID-19 vaccines, there are now fewer than 20 confirmed cases daily. And now, many families are reuniting with loved ones after more than a year apart.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: Barbara Feder Ostrov, contributing writer for CalMatters\u003c/p>\n\u003cp>Episode transcript \u003ca href=\"https://bit.ly/3wY0LhK\">here\u003c/a>.\u003c/p>\n\u003cp>\u003ci>Subscribe to \u003c/i>\u003ca href=\"https://www.kqed.org/news/tag/the-bay\">\u003ci>The Bay\u003c/i>\u003c/a>\u003ci> to hear more local Bay Area stories like this one. New episodes are released Monday, Wednesday and Friday at 3 a.m. Find The Bay on \u003c/i>\u003ca href=\"https://podcasts.apple.com/us/podcast/the-bay/id1350043452?mt=2\">\u003ci>Apple Podcasts\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ\">\u003ci>Spotify\u003c/i>\u003c/a>\u003ci>, \u003c/i>\u003ca href=\"https://www.stitcher.com/podcast/kqed/the-bay\">\u003ci>Stitcher\u003c/i>\u003c/a>\u003ci>, NPR One or via \u003c/i>\u003ca href=\"https://www.amazon.com/KQED-The-Bay-Flash-Briefing/dp/B07H6YYV23\">\u003ci>Alexa\u003c/i>\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11869659/nursing-home-residents-are-finally-starting-to-see-their-loved-ones","authors":["7240","8654","11649"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_683","news_2813","news_2081","news_22598"],"featImg":"news_11869667","label":"source_news_11869659"},"news_11848290":{"type":"posts","id":"news_11848290","meta":{"index":"posts_1591205157","site":"news","id":"11848290","score":null,"sort":[1606244797000]},"guestAuthors":[],"slug":"with-covid-19-concerns-anxious-families-eye-in-home-senior-care","title":"With COVID-19 Concerns, Anxious Families Eye In-Home Senior Care","publishDate":1606244797,"format":"audio","headTitle":"The California Report Magazine | KQED News","labelTerm":{"term":26731,"site":"news"},"content":"\u003cp>\u003cem>Note: To respect the privacy of the family in this story, and because of sensitivity around their work visa, we are not using their full names.\u003c/em>\u003c/p>\n\u003cp>One evening in August, Johnny was at home with his family in Europe when his phone rang. It was the director of his mother’s assisted living facility in Oakland, with news he had dreaded for months: His mother tested positive for the coronavirus. The director said his mother was asymptomatic. But she hadn’t eaten in days.\u003c/p>\n\u003cp>Johnny was halfway across the world from his mother. He had a newborn daughter to care for, and his visa application process was in limbo. Once he left Europe, he didn’t know when he’d be allowed back. But something told him his mother’s life might be at risk.\u003c/p>\n\u003cp>“I lost all trust in the information they were giving me,” Johnny said in a recent phone interview. “I had to come back.”\u003c/p>\n\u003cp>Since the onset of the pandemic, Johnny’s experience has become all too typical. Residents in assisted living facilities and nursing homes have accounted \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/nursing-homes/\">for more than a third of coronavirus deaths statewide\u003c/a>. But until recently, California care home populations were reaching record highs. From 2012 to 2019 alone, assisted living populations statewide \u003ca href=\"https://www.mcknightsseniorliving.com/home/news/california-sees-double-digit-growth-in-assisted-living-with-need-expected-to-increase-report/\">grew by 30%\u003c/a>. For thousands of families like Johnny’s, these facilities once seemed safer than leaving an aging parent at home. Now, some of these families are grappling with what to do next.\u003c/p>\n\u003cp>[aside postID=\"news_11844521,science_1965009,science_1964008\" label=\"Care Facilities and COVID-19\"]The flight to Oakland took 12 grueling hours. Thirty minutes after landing, he was at his mother’s bedside. He found her covered in bedsores, dehydrated and malnourished. Her doctors warned that her kidneys weren’t working properly, and she would need immediate hospitalization to stay alive.\u003c/p>\n\u003cp>Johnny rode with her in the ambulance on the way to the hospital. When she went in alone, he wasn’t sure he’d ever see his mother again.\u003c/p>\n\u003cp>“She could have very easily died all by herself,” he said. “I felt a lot of guilt.”\u003c/p>\n\u003cp>That guilt Johnny felt stems from the fact that he was responsible for putting his mother in the facility in the first place.\u003c/p>\n\u003cp>Before April 2019, Johnny’s parents had lived together in their Oakland apartment for decades. But they’re both in their 80s, and his mother has advanced dementia. By early last year, she could no longer walk, and it was clear to Johnny that his father couldn’t care for her on his own. So Johnny suggested moving her to a home, but his dad resisted.\u003c/p>\n\u003cp>“He wasn't physically able to provide the care for her,” Johnny said. “Emotionally, he wasn't ready to be separated from her.”\u003c/p>\n\u003cp>Johnny insisted. He found a memory care home nearby designed for dementia patients. His mom would be living an active, social life and getting round-the-clock care. Johnny felt confident in his choice. Still, the day they dropped her off, his father was distraught.\u003c/p>\n\u003cp>“It was heartbreaking,” Johnny said. “To him, it was as if my mom was dying.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>Johnny’s debate with his father isn’t unique. For decades, families with aging parents have faced a similar decision: to keep an aging parent home or move them out for better care. Today, as the pandemic rages in senior care homes across the state, the stakes of that debate are higher than ever.\u003c/p>\n\u003cp>Since the onset of the pandemic, assisted living facilities have become virus hot spots — with nearly \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/nursing-homes/\">450 outbreaks statewide\u003c/a> so far, according to the California Department of Social Services. The Centers for Disease Control and Prevention estimates that more than \u003ca href=\"https://www.assistedlivingcare.com/california/#:~:text=In%20California%2C%20there%20are%20120%2C000,to%20www.cdc.gov.\">100,000\u003c/a> aging Californians currently live in care homes. For their families, an already tough decision could turn deadly.\u003c/p>\n\u003cp>But there’s another option.\u003c/p>\n\u003cp>At a tiny downtown Oakland office, Leah Bloom runs Homewatch CareGivers of Oakland, which connects Bay Area seniors to caregivers who come directly to their homes. Bloom has run the agency with her husband, Ben, since 2014. Homewatch is one of thousands of licensed home care agencies in the state, according to the state’s \u003ca href=\"https://www.cdss.ca.gov/inforesources/community-care/home-care-services\">Home Care Services Bureau\u003c/a>.\u003c/p>\n\u003cp>[pullquote align=\"right\" citation=\"Leah Bloom\"]'It’s really dangerous to be an elder yourself, caring for elders.'[/pullquote]Bloom said she sees aging couples like Johnny’s parents all the time. And she says being a caregiver when you’re 80 just doesn’t work.\u003c/p>\n\u003cp>“It’s really dangerous to be an elder yourself, caring for elders,” Bloom said.\u003c/p>\n\u003cp>But to Bloom, “assisted living” doesn’t require a facility. Her caregivers help with everything from moving around and eating, to driving and companionship.\u003c/p>\n\u003cp>Once, Bloom says, home care was a niche industry.\u003c/p>\n\u003cp>“I used to be in the business of convincing people that there was a need for home care,” Bloom said. “Now the industry is really booming.”\u003c/p>\n\u003cp>Even before COVID-19, there weren't enough home care aids to meet the increase in demand, according to an \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/directcareworkersfactsheet.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> from the U.S. Bureau of Health Workforce. And, though the state has not yet collected data on the home care industry this year, \u003ca href=\"https://theconversation.com/how-coronavirus-could-forever-change-home-health-care-leaving-vulnerable-older-adults-without-care-and-overburdening-caregivers-137220\" target=\"_blank\" rel=\"noopener noreferrer\">long-term care researchers have warned\u003c/a> that the coronavirus will only accelerate this demand.\u003c/p>\n\u003cp>But, like assisted living, home care is expensive. Most of Bloom’s clients have long-term care insurance, or can afford to pay out of pocket.\u003c/p>\n\u003cp>“Home care is still not considered a medical necessity,” Bloom said. “Even though there is study after study that shows that after a hospital discharge, you're much less likely to return to the hospital again if you have the proper home care.”\u003c/p>\n\u003cp>Back in the hospital, Johnny’s mother was one of the lucky ones: She began to recover. As she regained strength, Johnny and his father felt they could never send her back to the assisted living facility. Then, a social worker told Johnny about Homewatch CareGiver. Today, caregivers from the agency work with his mother around the clock, in the apartment she shares with his dad.\u003c/p>\n\u003cp>“To come back from where she was, the day that I got back, I never would have guessed,” Johnny said. “It's nothing short of a blessing.”\u003c/p>\n\u003cp>And, now that Johnny’s father doesn’t have to worry about taking care of his wife’s medical needs around the clock, Johnny says he can instead focus on the moments he has left with her.\u003c/p>\n\u003cp>“It’s been him reconnecting with her,” Johnny said. “It’s kind of like getting reacquainted.”\u003c/p>\n\u003cp>Johnny’s still waiting to fly back to Europe to see his own family again.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Moving a parent to a senior home for better care is a fraught decision. And as the pandemic rages in care homes across California, the stakes are higher than ever.","status":"publish","parent":0,"modified":1606244797,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1183},"headData":{"title":"With COVID-19 Concerns, Anxious Families Eye In-Home Senior Care | KQED","description":"Moving a parent to a senior home for better care is a fraught decision. And as the pandemic rages in care homes across California, the stakes are higher than ever.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"With COVID-19 Concerns, Anxious Families Eye In-Home Senior Care","datePublished":"2020-11-24T19:06:37.000Z","dateModified":"2020-11-24T19:06:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11848290 https://ww2.kqed.org/news/?p=11848290","disqusUrl":"https://ww2.kqed.org/news/2020/11/24/with-covid-19-concerns-anxious-families-eye-in-home-senior-care/","disqusTitle":"With COVID-19 Concerns, Anxious Families Eye In-Home Senior Care","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2020/11/SimpsonCareHome2HomeCare.mp3","nprByline":"Brett Simpson","path":"/news/11848290/with-covid-19-concerns-anxious-families-eye-in-home-senior-care","audioDuration":380000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Note: To respect the privacy of the family in this story, and because of sensitivity around their work visa, we are not using their full names.\u003c/em>\u003c/p>\n\u003cp>One evening in August, Johnny was at home with his family in Europe when his phone rang. It was the director of his mother’s assisted living facility in Oakland, with news he had dreaded for months: His mother tested positive for the coronavirus. The director said his mother was asymptomatic. But she hadn’t eaten in days.\u003c/p>\n\u003cp>Johnny was halfway across the world from his mother. He had a newborn daughter to care for, and his visa application process was in limbo. Once he left Europe, he didn’t know when he’d be allowed back. But something told him his mother’s life might be at risk.\u003c/p>\n\u003cp>“I lost all trust in the information they were giving me,” Johnny said in a recent phone interview. “I had to come back.”\u003c/p>\n\u003cp>Since the onset of the pandemic, Johnny’s experience has become all too typical. Residents in assisted living facilities and nursing homes have accounted \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/nursing-homes/\">for more than a third of coronavirus deaths statewide\u003c/a>. But until recently, California care home populations were reaching record highs. From 2012 to 2019 alone, assisted living populations statewide \u003ca href=\"https://www.mcknightsseniorliving.com/home/news/california-sees-double-digit-growth-in-assisted-living-with-need-expected-to-increase-report/\">grew by 30%\u003c/a>. For thousands of families like Johnny’s, these facilities once seemed safer than leaving an aging parent at home. Now, some of these families are grappling with what to do next.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11844521,science_1965009,science_1964008","label":"Care Facilities and COVID-19 "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The flight to Oakland took 12 grueling hours. Thirty minutes after landing, he was at his mother’s bedside. He found her covered in bedsores, dehydrated and malnourished. Her doctors warned that her kidneys weren’t working properly, and she would need immediate hospitalization to stay alive.\u003c/p>\n\u003cp>Johnny rode with her in the ambulance on the way to the hospital. When she went in alone, he wasn’t sure he’d ever see his mother again.\u003c/p>\n\u003cp>“She could have very easily died all by herself,” he said. “I felt a lot of guilt.”\u003c/p>\n\u003cp>That guilt Johnny felt stems from the fact that he was responsible for putting his mother in the facility in the first place.\u003c/p>\n\u003cp>Before April 2019, Johnny’s parents had lived together in their Oakland apartment for decades. But they’re both in their 80s, and his mother has advanced dementia. By early last year, she could no longer walk, and it was clear to Johnny that his father couldn’t care for her on his own. So Johnny suggested moving her to a home, but his dad resisted.\u003c/p>\n\u003cp>“He wasn't physically able to provide the care for her,” Johnny said. “Emotionally, he wasn't ready to be separated from her.”\u003c/p>\n\u003cp>Johnny insisted. He found a memory care home nearby designed for dementia patients. His mom would be living an active, social life and getting round-the-clock care. Johnny felt confident in his choice. Still, the day they dropped her off, his father was distraught.\u003c/p>\n\u003cp>“It was heartbreaking,” Johnny said. “To him, it was as if my mom was dying.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Johnny’s debate with his father isn’t unique. For decades, families with aging parents have faced a similar decision: to keep an aging parent home or move them out for better care. Today, as the pandemic rages in senior care homes across the state, the stakes of that debate are higher than ever.\u003c/p>\n\u003cp>Since the onset of the pandemic, assisted living facilities have become virus hot spots — with nearly \u003ca href=\"https://www.latimes.com/projects/california-coronavirus-cases-tracking-outbreak/nursing-homes/\">450 outbreaks statewide\u003c/a> so far, according to the California Department of Social Services. The Centers for Disease Control and Prevention estimates that more than \u003ca href=\"https://www.assistedlivingcare.com/california/#:~:text=In%20California%2C%20there%20are%20120%2C000,to%20www.cdc.gov.\">100,000\u003c/a> aging Californians currently live in care homes. For their families, an already tough decision could turn deadly.\u003c/p>\n\u003cp>But there’s another option.\u003c/p>\n\u003cp>At a tiny downtown Oakland office, Leah Bloom runs Homewatch CareGivers of Oakland, which connects Bay Area seniors to caregivers who come directly to their homes. Bloom has run the agency with her husband, Ben, since 2014. Homewatch is one of thousands of licensed home care agencies in the state, according to the state’s \u003ca href=\"https://www.cdss.ca.gov/inforesources/community-care/home-care-services\">Home Care Services Bureau\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'It’s really dangerous to be an elder yourself, caring for elders.'","name":"pullquote","attributes":{"named":{"align":"right","citation":"Leah Bloom","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Bloom said she sees aging couples like Johnny’s parents all the time. And she says being a caregiver when you’re 80 just doesn’t work.\u003c/p>\n\u003cp>“It’s really dangerous to be an elder yourself, caring for elders,” Bloom said.\u003c/p>\n\u003cp>But to Bloom, “assisted living” doesn’t require a facility. Her caregivers help with everything from moving around and eating, to driving and companionship.\u003c/p>\n\u003cp>Once, Bloom says, home care was a niche industry.\u003c/p>\n\u003cp>“I used to be in the business of convincing people that there was a need for home care,” Bloom said. “Now the industry is really booming.”\u003c/p>\n\u003cp>Even before COVID-19, there weren't enough home care aids to meet the increase in demand, according to an \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bhw/nchwa/projections/directcareworkersfactsheet.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> from the U.S. Bureau of Health Workforce. And, though the state has not yet collected data on the home care industry this year, \u003ca href=\"https://theconversation.com/how-coronavirus-could-forever-change-home-health-care-leaving-vulnerable-older-adults-without-care-and-overburdening-caregivers-137220\" target=\"_blank\" rel=\"noopener noreferrer\">long-term care researchers have warned\u003c/a> that the coronavirus will only accelerate this demand.\u003c/p>\n\u003cp>But, like assisted living, home care is expensive. Most of Bloom’s clients have long-term care insurance, or can afford to pay out of pocket.\u003c/p>\n\u003cp>“Home care is still not considered a medical necessity,” Bloom said. “Even though there is study after study that shows that after a hospital discharge, you're much less likely to return to the hospital again if you have the proper home care.”\u003c/p>\n\u003cp>Back in the hospital, Johnny’s mother was one of the lucky ones: She began to recover. As she regained strength, Johnny and his father felt they could never send her back to the assisted living facility. Then, a social worker told Johnny about Homewatch CareGiver. Today, caregivers from the agency work with his mother around the clock, in the apartment she shares with his dad.\u003c/p>\n\u003cp>“To come back from where she was, the day that I got back, I never would have guessed,” Johnny said. “It's nothing short of a blessing.”\u003c/p>\n\u003cp>And, now that Johnny’s father doesn’t have to worry about taking care of his wife’s medical needs around the clock, Johnny says he can instead focus on the moments he has left with her.\u003c/p>\n\u003cp>“It’s been him reconnecting with her,” Johnny said. “It’s kind of like getting reacquainted.”\u003c/p>\n\u003cp>Johnny’s still waiting to fly back to Europe to see his own family again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11848290/with-covid-19-concerns-anxious-families-eye-in-home-senior-care","authors":["byline_news_11848290"],"programs":["news_26731"],"categories":["news_457","news_8"],"tags":["news_6734","news_18538","news_27350","news_27989","news_27504","news_22072","news_2081"],"featImg":"news_11848580","label":"news_26731"},"news_11847700":{"type":"posts","id":"news_11847700","meta":{"index":"posts_1591205157","site":"news","id":"11847700","score":null,"sort":[1605621636000]},"guestAuthors":[],"slug":"life-experience-helps-seniors-brave-pandemic-isolation","title":"Seniors Making It Through Pandemic With a Little Tech and a Lot of Wisdom","publishDate":1605621636,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp class=\"p2\">On the rare occasion she leaves her room, Diane Evans uses a walker to gingerly navigate San Francisco's Tenderloin neighborhood. Most days, the 74-year-old wears a multicolored head wrap, extra large T-shirt and plaid pajama pants.\u003c/p>\n\u003cp class=\"p2\">Deprived of classes and shared meals at the senior center she calls home, she is alone most of the time, beset by numerous health problems and severe clinical depression.\u003c/p>\n\u003cp class=\"p2\">She is, in fact, a prime candidate during this pandemic to be crushed by loneliness.\u003c/p>\n\u003cp>[pullquote]'You get to be 85 years old, you know you got a foot on the banana peel.'[/pullquote]\u003c/p>\n\u003cp class=\"p2\">Yet, she is making it through OK.\u003c/p>\n\u003cp class=\"p3\">“If adverse situations beat you down, there wouldn't be an African American in this country,” said Evans, who is Black. “You do what you have to do to survive.\u003c/p>\n\u003cp class=\"p2\">Recent research reveals older populations are less consumed by pandemic depression than those who are younger. According to a recent \u003ca href=\"https://www.apa.org/pubs/journals/releases/amp-amp0000690.pdf\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a>, some seniors have even expanded their social support network during the lockdown.\u003c/p>\n\u003cp class=\"p2\">“They've been finding ways to adapt and cope,” said Ashwin Kotwal, a UCSF geriatrician. “They're finding creative ways to interact with family members through Zoom, taking dance classes online or joining virtual book clubs.”\u003c/p>\n\u003cp class=\"p2\">Kotwal led a \u003ca href=\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.16865\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a> that tracked 150 older adults in the Bay Area over six months, beginning in April. Measures of loneliness peaked in the first few months of the outbreak, but decreased as time passed.\u003c/p>\n\u003cfigure id=\"attachment_11847725\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg class=\"size-full wp-image-11847725\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-scaled.jpeg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1020x765.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-160x120.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1536x1152.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-2048x1536.jpeg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1920x1440.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1832x1374.jpeg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1376x1032.jpeg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1044x783.jpeg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-632x474.jpeg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-536x402.jpeg 536w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Diane Evans steps outside for a brief stroll through the Tenderloin neighborhood in San Francisco. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p2\">Evans credits a lot of her positive attitude to technology. Grinning, she reached for a purple cellphone and said, \"I learned how to text!’ She now Zooms regularly with her daughter in Chicago. When she’s not chatting online, she streams the radio or Hulu Live.\u003c/p>\n\u003cp class=\"p2\">She keeps solvent by buying very little, subsisting on about $1,000 a month from Social Security. The room she lives in is federally subsidized. Medicare covers doctor bills, and Meals on Wheels delivers food. Her biggest expense is laundry.\u003c/p>\n\u003cp class=\"p2\">On gloomy days inside her room, she reminds herself, \"This too shall pass.\"\u003c/p>\n\u003cp class=\"p2\">She’s eager for the virus to retreat enough for her to join protests for racial equality.\u003c/p>\n\u003cp class=\"p2\">“I want to be alive at the end of this,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Connection Is Key\u003c/h3>\n\u003cp class=\"p2\">Evans' story is not uncommon. At the Curry Senior Center, where she lives, older adults who connect virtually with friends and family are doing well, says Angela Di Martino, the facility’s wellness program manager.\u003c/p>\n\u003cp>Technology, though, is not a panacea.\u003c/p>\n\u003cp class=\"p2\">“Video calls cannot replace personal contact,” she said.\u003c/p>\n\u003cp class=\"p2\">Di Martino is among the experts who fear virtual interaction won’t offer a meaningful substitute for live conversation in the long run. Zoom fatigue is a real thing.\u003c/p>\n\u003cp class=\"p2\">Unsurprisingly, those seniors who are still engaging with people in person are faring the best. UCSF geriatrician Louise Aronson says she’s been hearing from older people who actually feel less isolated now than prior to the pandemic, because they live in multigenerational households, with family members who no longer rush off to work or school. Some are finding new purpose by helping their grandkids with distance learning.\u003c/p>\n\u003ch3>1 in 4 Lonely\u003c/h3>\n\u003cp class=\"p2\">To be sure, not all seniors\u003cb> \u003c/b>are riding out the storm smoothly. About 1 in 4 older adults say they’re anxious or depressed, according to a Kaiser Family Foundation \u003ca href=\"https://www.kff.org/medicare/issue-brief/one-in-four-older-adults-report-anxiety-or-depression-amid-the-covid-19-pandemic/#:~:text=Amid%20the%20ongoing%20coronavirus%20pandemic,older%20adults%20who%20reported%20anxiety\">\u003cspan class=\"s1\">poll\u003c/span>\u003c/a>, a rate that has more than doubled during the pandemic.\u003c/p>\n\u003cp class=\"p2\">The isolation is especially acute in nursing homes that prohibit visitors. Aronson says she’s seen patients who are refusing to eat, or who cry alone in their rooms for long stretches. \u003cspan class=\"s2\">One \u003ca href=\"https://www.jamda.com/article/S1525-8610(20)30738-6/fulltext?rss=yes\">\u003cspan class=\"s3\">recent study\u003c/span>\u003c/a>\u003c/span> of 111 residents in a Chicago-area nursing home found the group had shed an average of about four-and-a-half pounds from December through April. The researchers attribute the changes to fewer social interactions, a halt to family visits, and shifts in schedule, driven by the pandemic\u003cspan class=\"s2\">.\u003c/span>\u003c/p>\n\u003cp class=\"p2\">“Because they haven't touched another human being or been touched by another human being since March,” said Aronson, “there is isolation. There is depression. There is battle fatigue.”\u003c/p>\n\u003cp class=\"p2\">Aronson points to a former patient of hers, Shirley Drexler, who died at an assisted living facility in San Francisco two months into the coronavirus outbreak. Though 102 years old, prior to the pandemic she was highly social, bright-eyed and steady on her feet. She used to dash from table to table to share lewd jokes during group meals, Aronson said.\u003c/p>\n\u003cp class=\"p2\">“But after a few weeks, when it became clear that the coronavirus wasn't going to go away, she basically took to bed and died. Because at 102, she wasn't going to live long enough to see the end of it. And so she figured that was it.\u003c/p>\n\u003cp class=\"p2\">“We’ve heard many other stories like that.”\u003c/p>\n\u003cp class=\"p2\">A growing body of \u003ca href=\"https://journals.sagepub.com/doi/10.1177/1745691614568352\">\u003cspan class=\"s4\">literature\u003c/span>\u003c/a> shows persistent loneliness has a number of consequences, such as depression, physical pain, increased disabilities and even death. Some \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1188033\">\u003cspan class=\"s4\">research\u003c/span>\u003c/a> has shown a link between loneliness and the development of dementia, heart disease and stroke. A recent \u003ca href=\"https://link.springer.com/article/10.1007/s00125-020-05258-6\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a> for the first time showed an association between loneliness and diabetes risk.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe frameborder=\"0\" height=\"200\" scrolling=\"“no”\" src=\"https://playlist.megaphone.fm?e=KQINC2415600030&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch3>One Day at a Time\u003c/h3>\n\u003cp class=\"p2\">Sukari Addison is one of the lucky ones. Dressed in a stylish pair of silver earrings and gold glasses, she says her motto is not to worry about things she can’t control.\u003c/p>\n\u003cp class=\"p2\">“We are in a really big change now,” Addison said. “But I've been through changes before. A lot of them as an African American.”\u003c/p>\n\u003cp class=\"p2\">She suffers from congestive heart failure and high blood pressure, both of which are risk factors for COVID-19. But Addison is not living in fear.\u003c/p>\n\u003cp class=\"p3\">“You get to be 85 years old, you know you got a foot on the banana peel,” she said.\u003c/p>\n\u003cp class=\"p2\">On a hot summer night in August, after collapsing on her bed from fatigue, she tried not to panic. Within days she tested positive for COVID-19 and landed in the hospital with pneumonia. The hardest part, she says, was the no-visitor policy. After two dire weeks, her physician sent her home, and she credits her recovery to the kindness of the nurses and doctors.\u003c/p>\n\u003cp class=\"p3\">She’s still moving slowly and spends most days alone in the room she rents near Union Square. But she says she’s not lonely, as her devices keep her connected.\u003c/p>\n\u003cp class=\"p2\">“I learn so much because of technology,” she said. “All I have to do is turn on my iPhone or my iPad or my computer. And there is a new subject for me to learn.”\u003c/p>\n\u003cp class=\"p2\">She often showcases her new skills over FaceTime with her six great-grandchildren on the East Coast. In the evenings, her sweetheart visits. They make dinner in her instant pot.\u003c/p>\n\u003cp class=\"p2\">On difficult days she pulls on her gloves, tightens her mask and strolls the city, chatting with folks on the street. She looks forward to a lot more social interaction when the pandemic ends.\u003c/p>\n\u003cp class=\"p2\">“I’m a professional volunteer!” proclaimed Addison. Until that’s safe, she’s taking it one day at a time.\u003c/p>\n\u003cp class=\"p2\">“The good news overall is that older adults are adapting. They’re resilient,” Kotwal said. “They're finding ways to continue to cope despite these really prolonged restrictions. On the other hand, I think there is that subgroup that has had persistent loneliness that hasn't been able to adopt new technologies or has had trouble coping.”\u003c/p>\n\u003cp class=\"p2\">Kotwal says it’s critical that doctors and social service agencies track older adults who may not have access to or feel comfortable navigating technology. He and his UCSF colleagues plan to check back with their original study cohort in a few months. He worries colder weather and a very different holiday season may lead to increased loneliness, and he suggests calling seniors more often this fall and winter.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Emerging research shows older generations are less susceptible to pandemic woe than younger folks. Staying connected online helps.","status":"publish","parent":0,"modified":1610566825,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":5,"wordCount":1378},"headData":{"title":"Seniors Making It Through Pandemic With a Little Tech and a Lot of Wisdom | KQED","description":"Emerging research shows older generations are less susceptible to pandemic woe than younger folks. Staying connected online helps.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Seniors Making It Through Pandemic With a Little Tech and a Lot of Wisdom","datePublished":"2020-11-17T14:00:36.000Z","dateModified":"2021-01-13T19:40:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11847700 https://ww2.kqed.org/news/?p=11847700","disqusUrl":"https://ww2.kqed.org/news/2020/11/17/life-experience-helps-seniors-brave-pandemic-isolation/","disqusTitle":"Seniors Making It Through Pandemic With a Little Tech and a Lot of Wisdom","sourceUrl":"Coronavirus","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/d5702d57-74d1-43c7-96de-ac7501352759/audio.mp3","path":"/news/11847700/life-experience-helps-seniors-brave-pandemic-isolation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p2\">On the rare occasion she leaves her room, Diane Evans uses a walker to gingerly navigate San Francisco's Tenderloin neighborhood. Most days, the 74-year-old wears a multicolored head wrap, extra large T-shirt and plaid pajama pants.\u003c/p>\n\u003cp class=\"p2\">Deprived of classes and shared meals at the senior center she calls home, she is alone most of the time, beset by numerous health problems and severe clinical depression.\u003c/p>\n\u003cp class=\"p2\">She is, in fact, a prime candidate during this pandemic to be crushed by loneliness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'You get to be 85 years old, you know you got a foot on the banana peel.'","name":"pullquote","attributes":{"named":{"label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp class=\"p2\">Yet, she is making it through OK.\u003c/p>\n\u003cp class=\"p3\">“If adverse situations beat you down, there wouldn't be an African American in this country,” said Evans, who is Black. “You do what you have to do to survive.\u003c/p>\n\u003cp class=\"p2\">Recent research reveals older populations are less consumed by pandemic depression than those who are younger. According to a recent \u003ca href=\"https://www.apa.org/pubs/journals/releases/amp-amp0000690.pdf\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a>, some seniors have even expanded their social support network during the lockdown.\u003c/p>\n\u003cp class=\"p2\">“They've been finding ways to adapt and cope,” said Ashwin Kotwal, a UCSF geriatrician. “They're finding creative ways to interact with family members through Zoom, taking dance classes online or joining virtual book clubs.”\u003c/p>\n\u003cp class=\"p2\">Kotwal led a \u003ca href=\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.16865\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a> that tracked 150 older adults in the Bay Area over six months, beginning in April. Measures of loneliness peaked in the first few months of the outbreak, but decreased as time passed.\u003c/p>\n\u003cfigure id=\"attachment_11847725\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003cimg class=\"size-full wp-image-11847725\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-scaled.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-scaled.jpeg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1020x765.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-160x120.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1536x1152.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-2048x1536.jpeg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1920x1440.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1832x1374.jpeg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1376x1032.jpeg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-1044x783.jpeg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-632x474.jpeg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/11/IMG_5840-536x402.jpeg 536w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Diane Evans steps outside for a brief stroll through the Tenderloin neighborhood in San Francisco. \u003ccite>(Lesley McClurg/ KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p2\">Evans credits a lot of her positive attitude to technology. Grinning, she reached for a purple cellphone and said, \"I learned how to text!’ She now Zooms regularly with her daughter in Chicago. When she’s not chatting online, she streams the radio or Hulu Live.\u003c/p>\n\u003cp class=\"p2\">She keeps solvent by buying very little, subsisting on about $1,000 a month from Social Security. The room she lives in is federally subsidized. Medicare covers doctor bills, and Meals on Wheels delivers food. Her biggest expense is laundry.\u003c/p>\n\u003cp class=\"p2\">On gloomy days inside her room, she reminds herself, \"This too shall pass.\"\u003c/p>\n\u003cp class=\"p2\">She’s eager for the virus to retreat enough for her to join protests for racial equality.\u003c/p>\n\u003cp class=\"p2\">“I want to be alive at the end of this,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Connection Is Key\u003c/h3>\n\u003cp class=\"p2\">Evans' story is not uncommon. At the Curry Senior Center, where she lives, older adults who connect virtually with friends and family are doing well, says Angela Di Martino, the facility’s wellness program manager.\u003c/p>\n\u003cp>Technology, though, is not a panacea.\u003c/p>\n\u003cp class=\"p2\">“Video calls cannot replace personal contact,” she said.\u003c/p>\n\u003cp class=\"p2\">Di Martino is among the experts who fear virtual interaction won’t offer a meaningful substitute for live conversation in the long run. Zoom fatigue is a real thing.\u003c/p>\n\u003cp class=\"p2\">Unsurprisingly, those seniors who are still engaging with people in person are faring the best. UCSF geriatrician Louise Aronson says she’s been hearing from older people who actually feel less isolated now than prior to the pandemic, because they live in multigenerational households, with family members who no longer rush off to work or school. Some are finding new purpose by helping their grandkids with distance learning.\u003c/p>\n\u003ch3>1 in 4 Lonely\u003c/h3>\n\u003cp class=\"p2\">To be sure, not all seniors\u003cb> \u003c/b>are riding out the storm smoothly. About 1 in 4 older adults say they’re anxious or depressed, according to a Kaiser Family Foundation \u003ca href=\"https://www.kff.org/medicare/issue-brief/one-in-four-older-adults-report-anxiety-or-depression-amid-the-covid-19-pandemic/#:~:text=Amid%20the%20ongoing%20coronavirus%20pandemic,older%20adults%20who%20reported%20anxiety\">\u003cspan class=\"s1\">poll\u003c/span>\u003c/a>, a rate that has more than doubled during the pandemic.\u003c/p>\n\u003cp class=\"p2\">The isolation is especially acute in nursing homes that prohibit visitors. Aronson says she’s seen patients who are refusing to eat, or who cry alone in their rooms for long stretches. \u003cspan class=\"s2\">One \u003ca href=\"https://www.jamda.com/article/S1525-8610(20)30738-6/fulltext?rss=yes\">\u003cspan class=\"s3\">recent study\u003c/span>\u003c/a>\u003c/span> of 111 residents in a Chicago-area nursing home found the group had shed an average of about four-and-a-half pounds from December through April. The researchers attribute the changes to fewer social interactions, a halt to family visits, and shifts in schedule, driven by the pandemic\u003cspan class=\"s2\">.\u003c/span>\u003c/p>\n\u003cp class=\"p2\">“Because they haven't touched another human being or been touched by another human being since March,” said Aronson, “there is isolation. There is depression. There is battle fatigue.”\u003c/p>\n\u003cp class=\"p2\">Aronson points to a former patient of hers, Shirley Drexler, who died at an assisted living facility in San Francisco two months into the coronavirus outbreak. Though 102 years old, prior to the pandemic she was highly social, bright-eyed and steady on her feet. She used to dash from table to table to share lewd jokes during group meals, Aronson said.\u003c/p>\n\u003cp class=\"p2\">“But after a few weeks, when it became clear that the coronavirus wasn't going to go away, she basically took to bed and died. Because at 102, she wasn't going to live long enough to see the end of it. And so she figured that was it.\u003c/p>\n\u003cp class=\"p2\">“We’ve heard many other stories like that.”\u003c/p>\n\u003cp class=\"p2\">A growing body of \u003ca href=\"https://journals.sagepub.com/doi/10.1177/1745691614568352\">\u003cspan class=\"s4\">literature\u003c/span>\u003c/a> shows persistent loneliness has a number of consequences, such as depression, physical pain, increased disabilities and even death. Some \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1188033\">\u003cspan class=\"s4\">research\u003c/span>\u003c/a> has shown a link between loneliness and the development of dementia, heart disease and stroke. A recent \u003ca href=\"https://link.springer.com/article/10.1007/s00125-020-05258-6\">\u003cspan class=\"s1\">study\u003c/span>\u003c/a> for the first time showed an association between loneliness and diabetes risk.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe frameborder=\"0\" height=\"200\" scrolling=\"“no”\" src=\"https://playlist.megaphone.fm?e=KQINC2415600030&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch3>One Day at a Time\u003c/h3>\n\u003cp class=\"p2\">Sukari Addison is one of the lucky ones. Dressed in a stylish pair of silver earrings and gold glasses, she says her motto is not to worry about things she can’t control.\u003c/p>\n\u003cp class=\"p2\">“We are in a really big change now,” Addison said. “But I've been through changes before. A lot of them as an African American.”\u003c/p>\n\u003cp class=\"p2\">She suffers from congestive heart failure and high blood pressure, both of which are risk factors for COVID-19. But Addison is not living in fear.\u003c/p>\n\u003cp class=\"p3\">“You get to be 85 years old, you know you got a foot on the banana peel,” she said.\u003c/p>\n\u003cp class=\"p2\">On a hot summer night in August, after collapsing on her bed from fatigue, she tried not to panic. Within days she tested positive for COVID-19 and landed in the hospital with pneumonia. The hardest part, she says, was the no-visitor policy. After two dire weeks, her physician sent her home, and she credits her recovery to the kindness of the nurses and doctors.\u003c/p>\n\u003cp class=\"p3\">She’s still moving slowly and spends most days alone in the room she rents near Union Square. But she says she’s not lonely, as her devices keep her connected.\u003c/p>\n\u003cp class=\"p2\">“I learn so much because of technology,” she said. “All I have to do is turn on my iPhone or my iPad or my computer. And there is a new subject for me to learn.”\u003c/p>\n\u003cp class=\"p2\">She often showcases her new skills over FaceTime with her six great-grandchildren on the East Coast. In the evenings, her sweetheart visits. They make dinner in her instant pot.\u003c/p>\n\u003cp class=\"p2\">On difficult days she pulls on her gloves, tightens her mask and strolls the city, chatting with folks on the street. She looks forward to a lot more social interaction when the pandemic ends.\u003c/p>\n\u003cp class=\"p2\">“I’m a professional volunteer!” proclaimed Addison. Until that’s safe, she’s taking it one day at a time.\u003c/p>\n\u003cp class=\"p2\">“The good news overall is that older adults are adapting. They’re resilient,” Kotwal said. “They're finding ways to continue to cope despite these really prolonged restrictions. On the other hand, I think there is that subgroup that has had persistent loneliness that hasn't been able to adopt new technologies or has had trouble coping.”\u003c/p>\n\u003cp class=\"p2\">Kotwal says it’s critical that doctors and social service agencies track older adults who may not have access to or feel comfortable navigating technology. He and his UCSF colleagues plan to check back with their original study cohort in a few months. He worries colder weather and a very different holiday season may lead to increased loneliness, and he suggests calling seniors more often this fall and winter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11847700/life-experience-helps-seniors-brave-pandemic-isolation","authors":["11229"],"categories":["news_457","news_8","news_356"],"tags":["news_27350","news_29029","news_27626","news_28199","news_18543","news_2081"],"featImg":"news_11847702","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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