Mom was
doing well in her home, still mentally sharp, eating well, and engaged with
friends. She adjusted after my father
passed away five years ago and found a new life that worked for her. But her risk of falling and sustaining a
serious injury was a constant concern.
Friends were advising my sister and me of their worries about her living
arrangements, not that we needed the reminders.
After
discussing the alternatives, including in-home support, Mom decided that a
senior community was the best fit for her.
So we helped her pack up and make the move. She’s doing well in her new setting, making
friends, enjoying the vista from her apartment, and seemingly content to be out
from under the burdens of home maintenance.
But I can still
look back at the family home, now listed for sale, and observe the urbanist
lessons to be learned.
My parents
built the home in 1967, one of the first houses in a custom-home subdivision
near the American River in Carmichael, an unincorporated portion of Sacramento
County northeast of Sacramento. With
relatively large lots, an absence of through traffic, and proximity to the
river, it was a desirable place for couples of my parents’ age to build homes
and to settle in for a long stay.
(Although I
lacked the words to express myself at age 14, I was less enthralled with the
location, sensing that I was far removed from schools, friends, and interesting
places to visit. Luckily, at age 14, I
could hop on a bike and overcome some of the deficiencies of living in a home
with a Walk Score
of 11. Plus, the allure of having a
backyard pool and of being able to easily wet a fishing line in the river
overcame some of the unease with the location.)
Flashing
forward 48 years, a surprising number of the original homeowners in the
subdivision remain in place. Less
surprisingly, they’re all 48 years older, which means that the physical
infirmities of the elder years are an increasing part of their lives.
The
neighborhood has become a NORC, a naturally occurring retirement community, a
concept that I described a few month when writing about senior living in urban settings.
To their
credit, four-plus decades of friendly waves, holiday parties, and shared fence
maintenance tasks have created something of a community. Neighbors take in mail for those who are
away, provide assistance with moving garbage cans, watch for suspicious sorts
walking the sidewalks, and even stay alert for the first daily appearance of
one another. Not only is the
neighborhood a NORC, but it’s a NORC with a level of mutual support.
But that
mutual support isn’t enough to truly make seniors safe. Although no tragedies have happened in my
mother’s long-time neighborhood, we all know stories of seniors who have fallen
or been stricken with a medical condition and who have waited an agonizingly
long time before anyone became aware of their plight. Cell phone and medic alert buttons are great,
as far as they go, but nothing compares with having another person actively
checking on a senior’s well-being. And
my mother’s former neighborhood didn’t meet that standard.
As described
by Kriston Capps in CityLab, New York City has been
working for 30 years with the concept of Naturally Occurring Retirement Community
Supportive Service Networks, or NORC SSPs, striving to provide a more attentive
level of service for seniors. And,
although more funding will always be needed, the concept is finding success.
Although
every SSP will likely be unique, the general concept is mutual support between
aging neighbors, described in a report quoted by Capps as “a determinant of
well-being in old age”, supplemented by a layer of oversight from trained
geriatric professionals, not intrusive, but alert to the possible need for
assistance.
This subject
is relevant to this blog because, as Capps notes, NORC SSPs have had their “greatest
gains in New York, in part because the city's high density allows for the kind
of NORC that's easiest to support.” So
urbanism can be a key element in the concept.
Personally,
I love the idea of a group of 85 year olds meeting every day for coffee, with one
of them toddling off to check if someone is unexpectedly absent, supplemented
by geriatric oversight. Indeed, I hope
to be a member of a group like that when I’m 85. But that kind of community isn’t well-suited
to single-family homes where the nearest coffee shop is a ten-minute drive away
and many of residents should never again be behind a wheel.
I’ll always
appreciate the neighbors who remained aware of my mother’s well-being during
her final years in Carmichael, but wish that there were more urban settings
where she and my father could have moved ten or fifteen years, to begin
nurturing an even stronger support network.
Next time,
I’ll write more about Carmichael. With
my mother moved into senior living, it fell to me to finish cleaning up the
family home, preparing it for sale. Those
tasks gave me a reason to take a final, lingering look around my hometown. Saying goodbye brought up good memories and
causes for urbanist dismay.
As always,
your questions or comments will be appreciated.
Please comment below or email me.
And thanks for reading. - Dave Alden (davealden53@comcast.net)
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ReplyDeleteI have no expectation or desire for living now in my hometown of Sharon, Massachusetts, but it is where I went to high school (at least for ninth grade), and for me that does make it my hometown. Petaluma now ranks a close and well-loved second. When Janie and I moved here in 1985, I wanted to find a home we could live, grow old and die in. I like to think we did just that.
ReplyDeleteWithin urbanist walking distance (walk score 85) to post office, grocery, hardware, bank, feed store, City Hall, four parks, theatre, Aqus and Dempsey's, et al, and with picturesque streets and friendly neighbors on all sides, I have no interest in ever making anywhere else my home. With the hoped-for blessings of health and community services, I may well die right here on Sixth Street. If I live to my mother’s age of 99, that will be in 2046, hopefully ahead of the rising tides from nearby Petaluma Slough, also in walking distance!