Our 30th Anniversary - VillageCare by opzroyikiwizik


									2                                                                                                                           VILLAGE CARE OF NEW YORK

    Village Care
                                                          he organization’s storied history       firmly in place, Village Care turned its

    of New York                                           began in the mid-1970s when
                                                          community residents rallied to
                                                   prevent the closure of Village Nursing
                                                   Home, ending up purchasing the home
                                                                                                  attention back toward seniors, recogniz-
                                                                                                  ing new demands and new needs in the
                                                                                                  community in the mid-1990s. This led
                                                                                                  to the development of SeniorChoices,

    is Celebrating Its                             and transforming it into a not-for-profi t
                                                   residence that has been a valued com-
                                                   munity resource ever since.
                                                                                                  an array of services that focus atten-
                                                                                                  tion on at-home and community services
                                                                                                  designed to foster and support continued
                                                      In the 1980s, the community board           living, as independently as possible, in the

    30th Anniversary
                                                   operating Village Nursing Home con-            community.
                                                   fronted the AIDS epidemic raging                  To complement these services, Village
                                                   through Manhattan, particularly in the         Care will begin construction this year of
                                                   neighborhoods surrounding the facility.        a new Village Center for Rehabilitation
                                                   The organization created some of the           and Nursing, which will replace Village
                                                   very first care services for those living       Nursing Home.
                                                   with HIV/AIDS, including the first AIDS            The articles in this publication trace
                                                   Day Treatment Program, which served as         the history of the organization, and offer
                                                   a model for the development of similar         a look at the services that are provided
                                                   offerings throughout the nation.               today, including perspectives from those
                                                      With a Network of AIDS Services             being served.

            CEO Arthur Webb on Village Care s
            Legacy and Future Endeavors
                            Q. What do you think Village Nursing Home has             community service – we’re not driven by some eco-
                         meant to this community?                                     nomic imperative and it’s not our goal just to become
                            A. For the past 30 years, as a not-for-profit, Village     bigger. The people we serve are the people that guide
                         Nursing Home has provided a reliable community ser-          us. As their needs change, we’ve had to change, but
                         vice – offering a place where community residents felt       we are as mission-oriented today as our founders were.
                         comfortable placing their loved ones. That this com-         That’s why we continue to improve on the innovative
                         munity “saved” Village Nursing Home three decades            AIDS services that we pioneered at the beginning of
                         ago and has supported it ever since is symbolic of the       the epidemic. And it’s why we’ve opened new services
                         caring of the people who live here. Village residents,       for seniors – day health centers to help people continue
                         with their relationship with our nursing home since its      to live at home, information centers where people can
                         founding era, represent the “essence of neighborhood”        become knowledgeable and gain access to care and
                         that Jane Jacobs and others espoused – advocating for        many more from assisted living to care advocacy.
                         places that are accessible, affordable and where people
                         feel safe and secure and know that others care about            Q. When you took over as CEO in 1993, the new
                         them.                                                        and innovative AIDS programs that Village Nursing
                            We’re now engaged in replacing Village Nursing            Home created were just hitting their stride. What have
                         Home with a new facility that is true to our heritage        these programs done to change the face of AIDS in New
                         and to our moral imperative to serve the community.          York, and how have they changed over the years?
                         The new Village Center for Rehabilitation and Nursing           A. We’ve always prided ourselves at Village Care
                         will be a state-of-the-art, modern facility that this com-   as being innovative. We opened the first AIDS day
                         munity can be proud of. It will meet today’s – and           treatment program in the city in 1988 and it served as
                         tomorrow’s needs – and it will continue the legacy of        a model throughout the country. We opened an AIDS-
                         making sure this community has a resource it can count       specific Certified Home Health Agency and Rivington
                         on that will provide high quality care that is accessible    House. We have a case management program to get
                         and reliable.                                                people connected not just to AIDS care but to a variety
                                                                                      of services that help them. We have treatment adher-
                            Q. Compared to the small entity it was 30 years           ence to help people maintain difficult regimens and we
                         ago, the organization, now called Village Care of New        offer primary care and dental care.
                         York, has grown substantially. Has this affected or             We’ve learned that with AIDS care people’s needs
                         changed its mission?
                            A. Our growth has been driven by our mission of                                               WEBB, continued on p.4
30TH ANNIVERSARY                                                                                                                        3

        onstruction will begin late this year on a new
        Village Center for Rehabilitation and Nursing,
        a facility that will complement Village Care of
New York’s burgeoning community care network.
    While the SeniorChoices array of services places
considerable emphasis on the creation and expansion
of community services, the new Center will be a state-
of-the-art residential care facility that will replace the
current Village Nursing Home
    Taken together, all the components of SeniorChoices
are a radical transformation of care and services for older
    The new facility, which will have 105 beds, will be
built on West Houston Street between Sixth Avenue and
Varick Street. The new building, which will be predomi-
nantly a care center offering short-stay services such as
inpatient rehabilitation, will extend through the block to

                                                              A Radical
Downing Street.
    In addition to 60 short-stay rehabilitation beds, the
53,000-square-foot facility will also provide 45 beds for
persons with complex continuing care needs who may
require longer-term services in a skilled nursing facility.
These beds will offer end-of-life care and palliative care.
When fully operational, the new facility will serve more
than 600 different individuals each year.
    Village Care President and CEO Arthur Y. Webb
                                                              Transformation of Care
said that the new facility has been designed to get away      A new facility designed to get away from traditional institutional care
from the institutional feeling found in traditional nursing
homes, and the program places a great deal of emphasis
on privacy and in preserving individual dignity.
    Some of the features will include:
    Private rooms make up a major part of the capacity,
a break from long-standing tradition and requirements
that see most traditional nursing homes having at least
two persons to a room
    A neighborhood design to each floor, with open space
and a community feel.
    Instead of a large-scale dining room, the residents of
each floor will take their meals on the floor where they
reside, and eating facilities will be available beyond the
traditional breakfast-lunch-dinner timetable.
    An interior garden will add to the building’s aesthet-
ics and offer a place of serenity for patients and their
families, and a rooftop garden will offer opportunities
for planting.
    “While the true emphasis of what we are seeking to
achieve is to offer and provide care for older adults in
the community, the new facility will provide a reliable
anchor for those community services and a center for the
community to relate to,” Webb said.
    With emphasis on physical and occupational thera-
pies, the overriding goal will be to restore individual’s
ability to function and to “get them back home,” Webb
    Herbert Fillmore, Village Care’s executive vice-pres-
ident for SeniorChoices, pointed out that the current
Village Nursing Home is the only skilled nursing facility
on the West Side of Manhattan south of 86th Street,
and that with the new facility and the expanded array of
community-based care and services, the organization will
continue to meet the needs of those living in that area.
    “With the complement of services we will provide in
SeniorChoices, Village Care will vastly expand the num-
bers of persons we can serve each year,” Fillmore said.
SeniorChoices currently serves about 1,000 individuals
a year and by 2010 that will be expanded to more than
2,300 a year.
    Currently, with Village Nursing Home and two adult
day health centers, the organization serves about 750
people a year with nursing home-level needs. In 2010,
that number will more than double with the opening of
the new facility and the addition of a PACE (Program of
All-inclusive Care for the Elderly) component, expansion
of Long-Term Home Health Care and day health center
slots and the creation of a Medicaid Assisted Living
    For those living independently, Village Care will
expand its home care and home health care services.
The organization has also operates a health clinic in
    “We have a legacy going back to 1977 that we are
committed to preserving and protecting,” Webb said,
noting that with the transformation that will occur over
the next few years, seniors and their families will have
more choices and greater opportunities for community
4                                                                                                                                                                    VILLAGE CARE OF NEW YORK

    WEBB, from p.2                              Friday we had a memorial service in the           A. The first thing they will find is       something that was unthinkable just over
                                                CHHA (Certified Home Health Agency)             respect. No matter where they enter, they   a decade ago. That’s part of the genius
change and that we need to be there for         where the names of those who had died          will find acceptance and that we’re non-     of Village Care in that we’ve adapted to
them, even if it means we need to change,       that week were written on a “tree of life.”    judgmental. We have a commitment to         changes in the epidemic and adopted new
or offer something new. We have a drop-         Our goal was to do anything and every-         help people. That’s our motto: We’re here   ways to help people and give them oppor-
in center in Red Hook in Brooklyn, a peer       thing to help people minimize pain and to      for you. We respect people as individuals   tunities – for housing, jobs, relationships,
outreach program where those who have           ease their suffering.                          no matter what their life circumstances     etc. Not only is it about successful medical
been successful in stabilizing their own life                                                  are.                                        treatment, it’s about restarting lives.
and managing their HIV now help get oth-            Q. Is there anything that differentiates                                                   But the bad news is that people still die.
ers into care and treatment                     Village Care from other organizations?             Q. AIDS has become almost a treat-      AIDS remains a killer disease, and perhaps
   We are always asking ourselves: What’s           A. I think the single-most and obvious     able disease for many. How has this         a lot of people have forgotten that. People
next on the horizon?                            difference is the extent we go – how far we    affected what Village Care does?            with AIDS still have to confront their own
                                                will go – to help someone, both for seniors        A. The good news is that AIDS is a      mortality, and we still are engaged in help-
   Q. What do you remember most about           and those living with HIV. I hear that a       treatable disease and an enormous amount    ing deal with end-of-life care. Not unlike
those early days of the AIDS programs?          lot from the people we serve – they seem       of public money has been dedicated to       in the beginning. The numbers of those
   A. A sense of “anything goes.” What I        almost taken aback by the lengths that we      helping people with AIDS and a tremen-      dying are smaller. But death is a reality.
recall from the AIDS epidemic was that it       go to help them.                               dous amount of clinical work was sup-           We emphasize secondary prevention a
was killing people and that from a personal                                                    ported to create new treatment drugs.       lot. Treatment is prevention. If we can get
and client level, Village would do whatever        Q. What can people expect when they         This has allowed us to work with people     someone into treatment, that helps prevent
was necessary. I arrived in 1993, and every     enter one of your programs?                    and help them get a new lease on life,      the spread of AIDS because part of treat-
                                                                                                                                           ment is recognizing and realizing that they
                                                                                                                                           are capable of transmitting HIV and that
                                                                                                                                           they need to change behaviors so that they
                                                                                                                                           don’t infect others.

                                                                                                                                              Q. We hear a lot about how people
                                                                                                                                           don’t want to go into a nursing home.
                                                                                                                                           What do you say to them?
                                                                                                                                              A. I agree. Who wants to go into a
                                                                                                                                           nursing home? But, indeed, nursing homes
                                                                                                                                           play a vital role in our community and in
                                                                                                                                           our health care system. They are places
                                                                                                                                           that deal with many things – strokes, hip
                                                                                                                                           replacement, joint replacement – for which
                                                                                                                                           nursing homes are centers of rehabilitation
                                                                                                                                           where patients come, get served and then
                                                                                                                                           go back home. The other reality though
                                                                                                                                           is that there are families who cannot
                                                                                                                                           continue to care for a loved one at home
                                                                                                                                           and they need someplace they can trust.
                                                                                                                                           Nursing homes can be a safe refuge that
                                                                                                                                           families can count on. Families have to
                                                                                                                                           work with nursing homes by being there,
                                                                                                                                           advocating and challenging us to be the
                                                                                                                                           best that we can be.

                                                                                                                                               Q. Where is Village Care concentrating
                                                                                                                                           its services for older adults these days –
                                                                                                                                           what kind of programs do you offer?
                                                                                                                                               A. We’re totally focused on finding
                                                                                                                                           ways to keep people in their homes where
                                                                                                                                           they can live longer and better and have a
                                                                                                                                           sense of safety and security. This is what
                                                                                                                                           society is demanding – high quality care
                                                                                                                                           that is responsive to individual needs.
                                                                                                                                           There is an increasingly high level of
                                                                                                                                           expectation that long-term care be respon-
                                                                                                                                           sive, and that is influencing what we do.
                                                                                                                                           It’s a great example of how consumer
                                                                                                                                           demands for quality is shaping care.

                                                                                                                                               Q. What do you see as the future of
                                                                                                                                           care for seniors with frailties and chronic
                                                                                                                                           needs, or what some call long-term care
                                                                                                                                               A. I see the silos being torn down.
                                                                                                                                           People want high quality medical care,
                                                                                                                                           they want to have access to a high level
                                                                                                                                           of information. I see care being more and
                                                                                                                                           more consumer-driven, and that people
                                                                                                                                           want to be able to make informed deci-
                                                                                                                                           sions. People with great needs want to
                                                                                                                                           have access to care without being con-
                                                                                                                                           fronted with a system so complex that
                                                                                                                                           they don’t know what to do. Our task is
                                                                                                                                           to make it easier for them to make those
                                                                                                                                           informed choices by providing various
                                                                                                                                           options that can offer each individual the
                                                                                                              Village Care of              most appropriate level of care. We also
                                                                                                                                           need to provide consistent professional
       Chelsea Senior Information Center         Village Senior Information Center                                 New York                assistance – we call them “care advocates”
       220 West 26th Street                      51 Seventh Avenue                                                                         – that can make available reliable informa-
                                                                                                                                           tion that helps people gain the knowledge
       (near Seventh Avenue)                     (near 14th Street)                                                                        to make the right choice for them. This is
       212-337-5900                              212-337-5800                                                  ’    h   f                  a person-centered model of care, which is
                                                                                                                                           what Village tries to give people.
30TH ANNIVERSARY                                                                                                                                                   5

                    Village Care, A 30-Year History
                    From rescuing a nursing home to early AIDS care leading care ideas

                                                                     headed a quest to raise money to purchase                he members of the community who
                   “...all rivers must have a beginning.”            the failed nursing home and to block the                 sat on the board of Village Nursing
                                      – American Indian proverb      state’s closure efforts. No donation was too             Home found themselves by the mid-
                                                                     small in this grassroots campaign as hats        1980s to be in a deadly epidemic’s epi-

                         n 1975, a proprietary nursing home in       were passed at public meetings and numer-        center. They were first-hand witnesses
                         the West Village neighborhood failed,       ous bake sales were held. Then-First Lady        to the devastation this new incurable,
                         leaving more than 240 residents and         Rosalynn Carter championed their cause,          untreatable disease was having as it cut
                   their families in the lurch.                      visiting the nursing home with media in tow.     a swath across Greenwich Village and
                        Pessimism prevailed in the era. And for      “Rosalynn Carter comes to lunch at Village       its neighboring communities. The dis-
                   nursing homes it was no different. Scandals       Nursing Home,” blared the headline on the        ease, which we now know as AIDS, was
                   had rocked the industry, with overcrowding,       front page of The Villager newspaper.            unmerciful – it took the community’s best
                   dismal conditions and poor care contributing          The new, not-for-profit Village Nursing       and brightest along with those who toiled
                   to a negative image of nursing homes that         Home was incorporated on September 20,           every day to keep things going. The dis-
                   persists to today, and which providers are        1977, after nearly eighteen months of receiv-    ease didn’t care.
                   still trying to shake.                            ership, and the board met for the first time          With the same concern about the needs
                        Conditions at the nursing home at 607        that October.                                    of their community displayed nearly a decade
                   Hudson Street were not ideal. It, too, was            The hard work of the community “saved”       earlier, the nursing home’s board of direc-
                   overcrowded and care was poor. When               a much-needed resource and transformed it        tors in 1985 committed itself to take action
                   the for-profit owners essentially walked           into a skilled nursing residence where staff     and began to plan its response to AIDS.
                   away, leaving staff and residents to fend for     and board were aware of community needs          Confronting the disease in those days meant
                   themselves, officials at the New York State        and dedicated to meeting them. Perhaps just      mostly finding ways to provide comfort and
                   Department of Health were disinclined to do       as significantly, a tradition of responsiveness   support for those with the infection for
                   anything but commence action to shut down         had been established and, likely unrecognized    which treatments were entirely experimental
                   the facility.                                     at the time, the foundation was laid to create   and most often ineffective. A white paper
                        Closure would have meant that those liv-     a much broader community organization.           was prepared for the board, which then
                   ing in the facility would have been spread far        By the early 1980s, with a $6.5 mil-         formed a special committee to lay out a
                   and wide in nursing homes throughout the          lion federal grant from the Department of        formal plan. That plan, put forth in 1986,
                   metropolitan area, away from familiar neigh-      Housing and Urban Development, major             called for development of a day program,
                   borhoods and distant from their families.         renovations to Village Nursing Home were         a home care program and a skilled nursing
                        The state saw this as the best solution to   completed and the once-overcrowded facility      facility dedicated to AIDS patients.
                   a bad situation.                                  now housed a manageable 200 persons.                 Two years later, with the opening of
                        The people who lived in the Village and          The new decade, however, brought a new,      the first AIDS Day Treatment Program in
                   its environs, those who had family members        and deadly, challenge to the community.          New York City, the board and staff created
                   in the nursing home, or who had relied on it                                                       a model not for just the city and state, but
                   in the past, saw it differently.                                                                   for other municipalities across the country
                        The 1970s was also a time of activism,                                                        seeking to find ways to engage those living
                   and those with a stake in the downtown            The AIDS epidemic                                with HIV/AIDS with medical and alternative
                   community recognized that not only could          ENGAGING THE FIGHT AGAINST A                     treatments along with social and support
                   they “save” this facility and keep loved ones     DEADLY DISEASE                                   services.
                   nearby, but they could also transform it into                                                          The 20th Street day program was fol-
                   a caring and important resource for frail and     “This AIDS stuff is pretty scary. I hope I       lowed in 1991 with the city’s first AIDS-
                   chronically ill individuals. What came of this    don’t get it.”                                   specific Certified Home Health Agency and
                   is the stuff of legends.                                – Robert Mapplethorpe, photographer,       in 1995 with a Community Case Management
                        In nearly a two-year-long struggle against   who died at 42 of complications from AIDS
                   the odds, members of the community spear-                                  on March 9, 1989                              HISTORY, continued on p.7
                                                               K   C
                                                               Y   M

6                                                                                                     VILLAGE CARE OF NEW YORK

                        Village Care of New York

       Legends of the Village
        C e l e b r a t i n g o u r Pa s t , B u i l d i n g o u r Fu t u r e

                                         Charles B. Persell
                                        Daphne Rubin-Vega
                                              Performance by
                                        Tony Award-Winning Actress

             Monday, November 12, 2007
                        New York University Kimmel Center
                          60 Washington Square South
                            6:00 PM Cocktails - 7:00 PM Seated Dinner

    Introducing the 2008 Calendar Legends
    George Bartenieff                              Bob Kohler          For ticket information, please call
    Joanne Beretta                               Paul Krassner
    Madeline Lee Gilford                      Phyllis Newman               212.337.5743
    Farley Granger and Robert Calhoun     Anna Deavere Smith                       or visit
    Anthony Heilbut                                Ann Snitow                    www.vcny.org
    Elizabeth Kendall                    Dr. Charles P. Vialotti

                                                               K   C
                                                               Y   M
30TH ANNIVERSARY                                                                                                                                                                                 7

Headlines from
The Villager

    HISTORY, from p.5                            year earlier, the organization in 1996 spon-       – Luc Montagnier, French virologist and        ing access and appropriate services, whether
                                                 sored a leading edge conference at the New     co-discoverer of the AIDS virus; co-founder        it is in supporting individuals to maintain the
Program.                                         York Academy of Medicine where AIDS            of the World Foundation for AIDS Research          often strict demands of medication regimens
    In the early 1990s, the organization began   clinical experts and practitioners told of                                 and Prevention         through a treatment adherence program, or
working on an ambitious goal to create its       the promise of these new therapies, or drug                                                       in engaging persons through a unique “peer

signature AIDS care project – a new 219-bed      “cocktails” as they were called by some.               illage Care is committed to engag-         marketing” approach in which those living
residential skilled nursing facility dedicated   The conference also laid the foundation for            ing the AIDS epidemic for as long          with HIV/AIDS reach out to other HIV-
to the care of those with HIV infection that     treatment adherence concepts to help those             as it continues to impact residents        positive persons in the community to encour-
would be the capstone to a Network of AIDS       with the disease cope with and manage the      of New York City, and to creating the ser-         age testing and treatment. Prevention, both
Services. In 1992, a financing package for        often-difficult regimens demanded by these      vices that are required to meet the specific        primary and secondary, has seen a renewed
the $76 million capital project was secured      new miracle drugs.                             needs of individuals with HIV infection,           emphasis in the Network and new services,
that included a combination of state monies          AIDS remains incurable and continues       whatever their life circumstances.                 such as primary medical care and dental care,
and donations from corporations, founda-         to claim many lives. As many as 4,000 die          As the AIDS epidemic has evolved, Village      have been added to reach out to an under-
tions and individuals.                           annually in New York City alone. For large     Care’s Network of AIDS Services has adapt-         served population that is often poor and
    In 1995, Rivington House – The Nicholas      numbers of those with the disease, how-        ed, creating new responses and addressing          clustered within minority populations.
A. Rango Health Care Facility opened in a        ever, treatments that first emerged in the      collateral health and psychosocial needs in an          In the Red Hook area of Brooklyn, where
historic lower East Side school building, the    mid-1990s, and which have been developed       era when HIV can be effectively treated for        women make up 60 percent of the popula-
interior of which had been completely recon-     and refined since, have brought longer and      many with the infection. Despite the great         tion and where 72 percent of the population
structed to create a state-of-the-art nursing    healthier lives. This, in turn, has brought    strides that have been made, however, AIDS         is African-American, women of color are
home for those with AIDS. The facility also      new challenges to those with the disease       continues to spread and has been growing in        at particularly high risk for HIV infection.
included a second day treatment program.         and to care providers, including meeting the   particular among women and black men. At           In reaching out to this community, Village
The residence was named after Nick Rango,        demand for expanded out-patient services       the same time, other sub-groups within the         Care established the Red Hook Community
a member of the Village Nursing Home             and supportive housing.                        infected population, such as those over 55,        Center, which offers a safe haven for women
board starting in 1981 and one of the lead-                                                     bring new treatment and service demands.           and their families to connect to services, par-
ing figures in the organization in spearhead-                                                    Meanwhile, HIV surveillance statistics indi-       ticipate in educational programs and obtain
ing the response to the AIDS epidemic. He                                                       cate that as much as a quarter of those in         information and AIDS prevention services.
became director of the New York State AIDS       A Community Focus                              New York City who are HIV positive are             The Red Hook initiative has offered Village
Institute in 1988 where he remained until his    CONFRONTING AN ENTRENCHED                      unaware of their infection.                        Care the opportunity to expand its commu-
death in 1993.                                   AIDS EPIDEMIC                                      As a result, for Village Care, this has been   nity organizing skills and experience.
    Within a year of Rivington House’s open-                                                    a time of specialization in AIDS services.              Despite the advancements in treat-
ing, new treatment drugs – protease inhibi-         “The danger is that many people believe         Breakthrough treatments that have              ment, the AIDS epidemic continues to be
tors – increased the prospects for survival of   that AIDS is a treatable disease and should    allowed many with HIV infection to live lon-       entrenched in the New York community
everyone with the disease.                       not receive more attention than other dis-     ger and healthier lives have also brought new
    Renamed as Village Care of New York a        eases.”                                        demands on the Network in terms of provid-                                HISTORY, continued on p.9
8                                                        VILLAGE CARE OF NEW YORK

    the Groove On
    A major part of aging successfully is keeping active,
    and Village Care knows how to keep it moving

                                                   Clockwise from left:

                                               A dimentia unit resident
                                               plays with a beach ball;

                                   Volunteer Jane Rainone dances with
                                      a Village Nursing Home resident;

                                   Linwood Peel grooves with staff and
                               clients at the Village Day Health Center;

                                       46th & 10 resident Harry Davis
                               stretches during morning exercise class.
30TH ANNIVERSARY                                                                                                                                                                                                                                 9
    HISTORY, from p.7                               tion projects to evaluate and implement pro-
                                                    grams and to test new models that encourage              V        I L L A G E                    C       A R E           O F       N       E W              Y     O R K
and there are many individuals who are not          community-based care and promote consum-

                                                                                                       Network of AIDS Services
connected to services, or who have been dis-        er choice. Subsequently, the organization
connected from AIDS care. While there are           conducted an arduous and comprehensive
many among today’s HIV-infected population          certificate of need process together with the
who have a more stable health situation,            New York State Department of Health to cre-
there are others with a wide range of medical       ate a broad plan to transform long-term care
and social needs, as well as those who are not      in the extended Manhattan community that                                                    Day Treatment Centers
                                                                                                                                        Chelsea- 121B West 20th Street - 212.337.9220
receiving services at all who need prevention,      Village Care serves.                                                             Rivington House- 45 Rivington Street - 212.539.6458
education and treatment.
   Village Care’s commitment is to continue             This plan calls for Village Care to:
to expand its reach to these individuals in             – Decertify half of its skilled nursing                                       Community Case Management
                                                                                                                                             Serving all 5 boroughs of New York City
order to continue to improve the orga-              home beds, and close the aging Village                                                             COBRA, Ryan White
nization’s capacity to meet the needs of            Nursing Home.                                                                                           212.337.5705
difficult-to-serve populations and to address            – Construct a new $42 million Center
the diverse needs of those living with HIV/         for Rehabilitation and Nursing, focusing on
AIDS.                                               short-stay rehabilitation and on palliative and                                              Treatment Adherence
                                                    end-of-life care.
                                                        – Expand community care opportunities
                                                    with a Medicaid Assisted Living Program                                               Rivington House
A Community Focus                                   and additional Long-Term Home Health Care                                The Nicholas A. Rango Health Care Facility
NEW & EMERGING DEMANDS AND                          Program slots.                                                                       A skilled nursing facility for HIV/AIDS patients.
NEEDS OF OLDER ADULTS                                   – Establish a Program of All-inclusive                                                          45 Rivington Street
                                                    Care for the Elderly (PACE), which provides
   “We turn not older with years, but newer         a managed care option for persons who are
every day”.                                         nursing-home eligible to receive a wide range                                Certified Home Health Care Agency
            – Emily Dickinson, 19th Century         of at-home care and services.                                                      Serving Brooklyn and Manhattan - 212.337.5654
                             American Poet              – Create a care advocate program to
                                                    provide professional guidance to help seniors                                       Long-Term Home Health Care

     n the 1990s it was becoming clear that         and their families arrange services that best                                                                 212.337.5611
     something was happening. The nation            meet individual needs and help maximize
     was beginning to see a cohort of older         independence.                                                                                             Primary Care
adults who were living longer, and staying                                                                                                     121A West 20th Street - 212.337.9290
healthier longer, for whom the available                The planned, new 105-bed Village Center
array of traditional long-term care services        for Rehabilitation and Nursing will pro-
centered in the nursing home was neither            vide the community with state-of-the-art,                                                                                         For the person living with HIV, the Network of AIDS
appropriate nor desirable.                          residential rehabilitation care in a unique                               For information on all of Village Care’s services       Services offers unique, and complete care. Whatever
                                                                                                        Village Care of                          call toll free                       the stage of the disease, the Network has a care offer-
    By the mid-1990s, Village Care, whose           setting designed to promote restoration and
roots went deeply back to those community           recovery. An affiliate of NYU’s renowned                New York                     877.822.7369                                  ing to match each individual’s needs. And as those
                                                                                                                                                                                      needs change, persons in our care move seamlessly
                                                                                                                                           (877.V-CARE.NY)                            into the appropriate Network offering, receiving the
activists who responded to the needs of older       Rusk Rehabilitation Network, the Center                                                                                           right level and intensity of care in the setting that is

adults in the 1970s, was looking to develop         will be the hub of Village Care’s expansive        We’re here for you.    healing body, mind and spirit                           best for them.

programs that would champion the concepts           system of home and community-based care.
of supporting community living and pro-             This new facility will also include a discrete
moting independence, privacy, respect and           palliative care/end-of-life residential program
dignity. Already there were greater demands         that will be a pleasant, comforting and caring
on Village Nursing Home, for example, as            place for individuals and their families. The                     VILLAGE CARE                                          O F       NEW YORK
people needed and wanted a place, not where         Center has been designed to create intimate
they would come to spend the rest of their
days, but where they could receive services
                                                    and home-like areas that will function like
                                                    neighborhoods, with a bright and airy open-         Adult Day Health Centers
they needed to get them back on their feet          space design, a unique interior garden con-
and return home.                                    ducive to promoting healing and a roof deck                     Village Care’s Adult Day Health Centers are state-of-the-art facilities,
    In recognition of this, the Village Care        and garden. Other amenities, such as a spa                      providing comfort, safety and independence. We provide a full range of
board outlined a vision of care for older           on each residential floor, will break with the
adults that saw the development of a range of       traditional concept of a nursing facility.                      in-house services including personal care, transportation, meals, health
services focusing on community care.                    This Center will be a place of healing and                  screenings and monitoring, coordination of medical appointments and
    In 1996, with funds from the state              hope, and of comfort and compassion.                                            care, educational programming and counseling.
Legislature, the sixth floor of Village Nursing          With the expansion and addition of new
Home was reconstructed with new rehabilita-         services, Village Care expects that by 2010
tion equipment and facilities and the Short-        its SeniorChoices complement will be able                                                                        Medication Management                      Occupational Therapy
Term Rehabilitation Unit providing discrete         to nearly double the number of persons with                                                                      Social Services                            Case Management
residential care was opened.                        nursing home-level needs receiving care to                                                                       Psychotherapy                              Help with Personal Care
    Seemingly in rapid succession, new initia-      some 1,550 individuals annually. At the                                                                          Dietary Counseling & Services              Podiatry
tives took form and were launched: Village          same time, as many as 800 persons at home                                                                        Physical Therapy                           Health Education
Care Plus, Inc., a licensed home care agency;       will be able to access needed services such
Village and Chelsea adult day health centers;       as home health care, home care and health                                                                      Therapeutic recreation programs include:
The Village at 46th & Ten, apartment living         clinic services that will help them continue to                                                                  Art Therapy                          Discussion Groups
for seniors; Village and Chelsea senior infor-      live independently; this represents more than                                                                    Music Therapy                        Tai Chi
mation centers.                                     three times the number currently served.                                                                         Creative Arts                        Exercise
    With this dramatic expansion, by mid-               Village Care will offer a full array of ser-                                                                 Yoga                                 Cooking Classes
2002, services for older adults that just a         vices dominated by community options and                                                                         Poetry                               Local Trips
few years before had been concentrated in a         choices with high-quality, inpatient rehabili-                                                                   Relaxation                           Aromatherapy
single residential care facility, Village Nursing   tation care and a compassionate end-of-life                                                                      Salon Services
Home, were being transformed into an array          environment, all designed to address the
of programs that provide care for those liv-        impact of persistent and intermittent frailty
ing at home and which promote community             in the most optimal way possible.                                                                           Come in for lunch and a free tour.
care options.                                           Village Care’s vision is to make grow-                                                                   For general information on all of
    Village Care also needed to address the         ing old in the community sustainable, by
                                                                                                                                                                      Village Care´s services,
fact that not only was the existing Village         offering older adults access to services and
Nursing Home an aging facility and physi-           supports that are affordable, safer and which                                                           please call 877.V.CARE.NY (877.822.7369)
cally incapable of meeting today’s care needs,      effectively combine medical and non-medical
but that large-scale residential care nursing       interventions. The organization envisions
facilities are increasingly out-of-step with the    care that is patient- and consumer-focused                                                                    We have two locations:
demands of individuals and their families           and which offers care management and advo-
seeking a continuing care remedy.                   cacy for older adults and their families both
                                                                                                                                  Village Adult Day Health Center                      Chelsea Adult Day Health Center
    In 2004, the state selected Village Care as     within its SeniorChoices programs and in the                                   644 Greenwich St., 212.337.5870                      121A West 20th St., 212.337.9260
one of two long-term-care reform demonstra-         broader community.
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10                                                                                                                                                                      VILLAGE CARE OF NEW YORK

              Making the Right
              A New Brand of Senior Living Options Ensures Getting Old is Something to Look Forward To


     n the mid-1970s, when the private
     owners of a modest nursing home
     began efforts to close the facility and
relocate those living there throughout
New York City, community residents
banded together to rally support to
“save Village Nursing Home.”
    These everyday-people-turned-activists
did everything they could think of — from
holding bake sales to waging a media cam-
paign to enlisting public officials. And they
succeeded — creating a new not-for-profit
entity with a board composed of members
of the surrounding community.
    Thirty years later, Village Nursing
Home has become a community icon,
and is part of Village Care of New York’s      facilities, including two that offer day care,       “If somebody is living in their own       borhood between West 8th and West 13th
SeniorChoices wide array of care and ser-      a senior living residence, a short-term reha-    apartment, we do everything we can to         streets that has some 1,700 residents who
vices for older adults.                        bilitation program and information centers       keep them there, rather than having them      are 60 and older.
    And today, the unassuming nursing          where seniors can do everything from             move out into a nursing home,” Fillmore           In this Neighborhood NORC (Naturally
home at 607 Hudson Street is merely the        find information about different health           explains, “and if we can’t keep them there    Occurring Retirement Community), at
starting point for what Herb Fillmore,         care options, get help with entitlements,        with home care and adult day health care,     least half of the over-60 population live
executive vice president for SeniorChoices,    learn about computers — or simply to             we’ll offer them the opportunity to move      alone, putting them at risk for social isola-
describes as “a lot of innovation in long-     make copies or send faxes. Additionally, as      to assisted living, where they can receive    tion and self-care disability.
term care.” From short-term rehabilitation,    seniors may move from one care program           care, but still stay in the community.”           To serve this community, Village Care
to long-term care, to home care, assisted      to another, SeniorChoices has developed a            Village Care does this by focusing on     has put together a supportive services
living and end-of-life care, the services      care advocate service that helps individuals     what a person actually needs to sustain       program to provide the right menu of
Village Care offers in Manhattan include       and their families arrange services in the       a healthy and safe lifestyle, rather than     assistance to maximize the quality of life
much of what a senior might need or want       setting that is most appropriate.                just placing someone in a nursing home        of seniors through information and refer-
to age comfortably.                                One of SeniorChoices main goals is           because they need help with a few tasks.      ral, case management, health care coor-
    “SeniorChoices is a program and sort of    to allow seniors to retain the maximum           For example, Fillmore said, sometimes         dination, home-bound case management,
a philosophy,” says Fillmore, “it’s designed   amount of independence as possible, and          people will just need Meals on Wheels, or     therapeutic exercise classes and formal
to make aging more comfortable and more        to allow them to live at home as long as         someone to check in on them once a week,      health education sessions, screenings and
dignified.” SeniorChoices has a tradition       possible.                                        so they’ll set that up. For many seniors,     vaccinations. Some particular program
of giving back to its community — the              “We’re moving away from the idea that        smaller things can end up making a huge       focuses will be on pain and depression.
original nursing home was saved by the         nursing home care is the only option,”           difference and allow them to stay in their        And while 30 years ago, the threatened
community and, Fillmore explains, there is     says Fillmore. “In fact, we see it as the        homes.                                        closing of the Village Nursing Home nearly
a long-standing commitment to a mission        last choice — people want to stay in their           The New York State Office for the          ended a long-term care option for seniors
to serve that community with innovation        homes, and in Manhattan.”                        Aging has awarded Village Care of New         in lower Manhattan, today Village Care
and high-quality care.                             SeniorChoices exists, in part, to help       York at grant of nearly $100,000 to pro-      New York is innovating and expanding,
    SeniorChoices isn’t just a nursing home.   seniors remain as active a participant in        vide supportive services to older adults in   “This little nursing home has been the little
SeniorChoices is comprised of a variety of     the community as much as possible.               the Heart of Greenwich Village,” a neigh-     engine that could,” says Fillmore.

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30TH ANNIVERSARY                                                                                                                                                                           11

                                                Institute of Rehabilitation Medicine, help-    ing electronic medical records (no paper         at certain times, ate and showered at cer-
THE VILLAGE NURSING HOME AND                    ing expand the innovative and state-of-the-    charts!) and will use wireless communi-          tain times. Now the focus is on individual
SHORT TERM REHABILITATION                       art methods they use to help patients get      cation devices, both of which are being          needs,” Pollack said.
                                                better and get out the door. They now staff    tested at the present site now.
   Village Nursing Home celebrates its          a full range of employees for rehabilitative       The new building will also maintain
30th anniversary this year. Today, it is the    care, from a full-time medical director to     several traditions of the old building, tra-     ADULT DAY HEALTH CENTERS
only nursing home below 86th Street, so         physicians and speech pathologists.            ditions proven to foster a therapeutic and
with 200 beds and a growing short-term              In fact, Village Nursing Home is tak-      social environment. At Village Nursing               The SeniorChoices program has two
rehabilitation program, the last 30 years       ing another leap toward moving more and        Home, often music can be heard wafting           facilities for adult day care, one in Chelsea
have certainly meant advancing by leaps         more patients out of the nursing home and      through the corridors from live musicians.       and one in the Village. These centers
and bounds. Village Nursing Home applies        back into the community. Next month,           There are Chinese, and Spanish classes,          respond to the needs of seniors who do
one of the most innovative approaches           they are breaking ground on a new facility,    and movie screenings, plus all the rehab         need some medical assistance, but don’t
to senior care around, with a focus on          which will consist primarily of short-term     rooms have their own TVs. They also offer        need it 24-hours a day — allowing them to
maintaining the maximum amount of inde-         stay beds.                                     both Jewish and Catholic services, host          receive care but still live at home.
pendence possible for each patient and a            The new Village Center for Rehabilita-     casino nights and cooking classes, as well           Nancy Ferrara, director of Village Adult
reduced reliance on long-term institutional     tion and Nursing will address the issues       as trips to local restaurants, museums and       Day Health Center, explains that “Village
care and expanded use of short-stay ser-        that the old building — which was built in     the zoo. Residents (or patients) actively        Day is a one stop shop” — whether patients
vices.                                          1905 — did not. Nearly half of the rooms       participate in formulating their own com-        need nursing, occupational therapy, speech
   “More and more, when people enter            will be private, with dining rooms and pan-    munity — there is a resident council to          therapy or any other kind of medical treat-
a nursing home, it is not the last stop in      tries on each floor. There will be an indoor    discuss the quality of life issues, and a food   ment, they can find it at either the Village
their life,” says Neil Pollack, administrator   garden, roof deck and a meditation room        committee that tastes different foods to         or Chelsea center. Or maybe patients just
of Village Nursing Home, “We’re seeing          on the first floor. Feng Shui principals will    decide what should be added to the menu.         need to work on their social skills — they
younger, more active people, who are more       be applied to the entire building’s design     And of course, meals are taken restaurant        can do that too, through the various activi-
vocal about what they want.”                    to maximize the spiritual environment.         style with a waitress, no plastic trays.         ties, psychiatric and psychotherapy the
   In addition, Village Nursing Home has        In addition, the new facility is going ultra       “In the past nursing homes have been
partnered with NYU Medical Center’s Rusk        high-tech. They are in the process of build-   very institutional — people were woken                          SENIORCHOICES, continued on p.12

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12                                                                             VILLAGE CARE OF NEW YORK

        SENIORCHOICES, from p.11                     from studios to two-bedrooms. Len
                                                     Hirschhorn, director, says the popula-
     center offers. The center is open six days      tion is diverse, with residents ranging
     a week from 9 a.m. to 3 p.m., and the           from their early sixties to well into their
     participants are prescribed how many days       nineties, and residents who are perfectly
     a week to come in, so they can come in          healthy to those who might otherwise
     everyday if necessary or only a few times       be in a nursing home. The living pack-
     a week.                                         age includes linen service, one meal a
         Not only do the day centers provide         day, a 24-hour concierge, and once a
     medical assistance and help with the activ-     week housekeeping. Prices are relatively
     ities of everyday life, the center sponsors     moderate, especially given the premium
     other activities ranging from tai-chi and       Manhattan location, with package prices
     yoga to art and massage therapy. The            ranging form $3,300 for a studio (which
     center also sponsors trips — to places like     most of 46th and Ten’s units are) to
     museums or the Circleline Cruise they took      $4,750 for a two-bedroom, two-bath
     this summer. But, Ferrara emphasizes, all       apartment. If an apartment houses more
     activities provide some kind of therapy and     than one resident, it’s an extra $600 a
     serve a purpose outside of merely social-       month per person. Fees for personal care
     izing. For example, “Art is for people who      are not included in these prices, but the
     need help with fine hand movements, and          advantage in this is that residents have
     Bingo helps with hand-eye coordination,”        the ability to decide whatever kind of
     she says.                                       additional health and personal care they
         Every morning a van picks participants      need — whether it be nothing at all or
     up and brings them to the center, where         someone to help them with the majority
     they have coffee and breakfast and time         of their everyday life tasks. The on-site
     to read the paper. In a group called Jump       health care is offered by an affiliated
     Start, they go over things like current         licensed home care agency, Village Care
     events, or what has happened on that            Plus, and ranges in cost from an addi-
     day in history. Then the daily activities       tional $400 to $1600 a month.
     commence, ranging from art to physical              Additionally, the low-income housing
     therapy, and at 3 p. m. the van takes them      allows residents who normally couldn’t
     back home.                                      afford assisted living to be able to partici-
         “We’re keeping patients independent         pate in the program. The enriched housing
     and in the community, while still getting       program allows participants most of the
     them the medical and social services they       same services, but at present is subsidized
     need,” says Ferrara.                            by Village Care. In the next few months,
         Additionally, while both centers offer      the Village at 46th & Ten will be receiving
     most of the same services, each also has        a Medicaid ALP (Assisted Living Program)
     its own specialty. For example, the Village     license, which will convert residents in
     center specializes in Parkinson’s Disease       the low-income program who qualify for
     and behavioral health and the Chelsea           Medicaid to the assisted living program.
     center caters especially well to partici-       This will offer some greater benefits to
     pants with dementia, such as Alzheimer’s        the participants —such as entitlement to
     disease. Chelsea offers classes in aroma        things like occupational therapy — and
     therapy and music therapy, which stimu-         also provide the residence with increasing
     late the senses. The Village center also has    revenue that will lower the organization’s
     a grant from the New York State Health          subsidy of the low-income program.
     Foundation to fund a sub-acute rehabilita-          Additionally, Hirschhorn notes, it will
     tion program, which provides services on        relieve a huge burden for residents who
     an out-patient basis for participants who’ve    face the risk of running out of money while
     suffered strokes or cardiac problems.           in the program or don’t think they can
         The centers are equipped with things        afford it to begin with. The ALP license
     like a nice gym, a fully stocked art room,      will allow residents to feel comfortable
     computer room, café and a living room           spending down their assets, because they
     with big, plush furniture. Ferrara points       will be able to remain at the residence. It
     out the décor of the Village center, which      also will fill a huge gap in the assisted liv-
     houses a dining room with wall-to-wall          ing sector, says Hirschorn, which has many
     windows. There is also a fully equipped         programs for the wealthy or the poor, but
     kitchen, where a Culinary Institute of          “leaves the middle class out of the assisted
     America graduate prepares gourmet meals         living boom.”
     twice a month. Meanwhile, the dayroom at            The best part of the Village at 46th &
     the Chelsea center features three panels of     Ten, however, is that residents have full
     brightly colored murals, with more being        control over their own lives and living situ-
     added.                                          ations — just with a little extra help nearby
         The daycare model that both centers         when they need it. Residents furnish and
     operate on has allowed seniors to main-         decorate their own apartments, have full
     tain maximal independence as they “age          eat-in kitchens (which most assisted living
     in place,” but still receive the help they      facilities do not), can have visitors stay
     need.                                           over, and essentially live the exact same
                                                     way they would in any other apartment
                                                     complex in Manhattan.
     VILLAGE AT 46TH AND TEN                              In addition, the facility offers some of
                                                     the trappings of a luxury, doorman build-
         The Village at 46th & Ten is an inde-       ing, with a large outdoor deck complete
     pendent living senior residence, with a         with tables and umbrellas, a 24-hour laun-
     small “enriched housing” program for            dry room, a media room where films are
     low-income residents. Independent living        shown every afternoon, a lounge and a
     means an apartment complex that offers          library. Residents can take classes in every-
     hospitality, food, laundry, concierge ser-      thing ranging from exercise and drama to
     vices, security and activities in addition to   current events. Twice a month the facility
     usually having health and health-related        hosts trips to places like museums, malls
     services on site. Most of the residents who     or even sometimes the Yonkers raceway.
     move into independent living communities        And of course, don’t miss the cocktail par-
     either already require some sort of assis-      ties every Friday night.
     tance, or will require it as they age.
         At The Village at 46th and Ten, there
     are 84 apartment units which range                             SENIORCHOICES, continued on p.14
30TH ANNIVERSARY                                                                                                                                                                           13

                                               Aiding Aging and Recovery,
                                               One Step at a Time
                                               Village Nursing Home helps one person walk,
                                               Village Adult Day Health Center helps another to live

           hen 66-year-old Elyn Karant
           fell last May and broke two
           bones in her hip she had no
idea how she would recover. She was
taken to St. Vincent’s Hospital and
remembers the agonizing, seven hour
wait for a CAT scan.
    “You feel so nervous and fragile when
you go through something like this,” said
Karant. “It’s the fear of the unknown.”
    Part of the unknown was where and
how she would get rehabilitated after her
bones healed. “The social worker at the
hospital gave me a list of rehab places,”
said Karant. “I choose the Village Care
Nursing Home because it was closest to my
friends and family for visiting. I’m so glad
I chose that.”
    Learning how to walk again was com-
pounded with other ailments; Karant was
dehydrated, which resulted in a bladder
infection. On top of that she suffered
from carpel tunnel syndrome and hearing
difficulties. There was a re-adjustment
period for about a week after she arrived at
Village Nursing Home and then she started
physical and occupational therapy.
    For three weeks, occupational therapist
Caterina Kucera worked with Karant.
    “The main goal was to get her endur-
ance back,” Kucera, who has worked at
the nursing home for four years, said. “We
taught her how to keep her balance when
she was learning how to get out of the
wheel chair and into the walker.”
    Along with the work to get Karant to
walk came a great deal of encouragement
from the staff.
    Kucera said it was hard in the begin-
ning. “She thought she would never get
better, but the more we worked with her
the more her mood improved. You keep
encouraging them and tell them you’ve                                                                                                          Village Care helped Elyn Karant recover
seen this a million times even though it                                                                                                       after she fell and broke two bones.
seems like they won’t get out of the wheel
chair, you assure them that they will.”
    Karant remembers Kucera’s cheery dis-
position.                                      can get the most out of therapy when they        anymore. Also because I’m 66 they called        stairs,” said Karant. “I learned how to take
    “She was very optimistic,” she said.       are here. We also teach them some breath-        me the baby. I thought it would be a nurs-      a walk and get on the subway. Now I’m
“Early in the morning she would draw my        ing and relaxation techniques to help with       ing home filled only with old people and it      on my own. I cook and have lunch with
curtain and say ‘Good morning!’                the pain. It helps with the anxiety and the      would be very depressing but I talked to a      my friends. I’m never taking anything for
    Karant said that the nursing home staff    fear from expecting pain, which can make         lot of people there.”                           granted. It’s thrilling to be able to walk to
was very upbeat. “I never imagined myself      the pain worse and exacerbate it.”                   It took Karant three weeks to finally        my hairdresser.”
walking with a cane, but they taught me            Eventually Karant started to respond         feel her strength and be sent home. “She            Another senior citizen that Village Care
how.” Karant also remembers dealing with       to the physical therapy and was anxious          was a quick one,” Kucera said of Karant’s       is helping to cope with aging and health
the pain. “First they gave me Percocet,        to get to the rehab room. “I was so moti-        recovery. “It’s great to see people come in,    issues is Nicolai George. George is a par-
but that didn’t help. Then they gave me a      vated to go to rehab I would sit out by          quickly improve and go home indepen-            ticipant at the Village Adult Day Health
morphine patch. I never believed the pain      the elevator in the morning and wait,” she       dently on a walker. I got a letter from her     Center at 644 Greenwich Street, a daytime
would go away, especially after the therapy.   said. “Folks would tell me it wasn’t opened      some weeks later and she told me she was        facility for senior citizens. George is also a
But the pain did go away. The aides were       until 9:30.”                                     taking the subway. It was good to hear          resident at The Village at 46th & Ten.
wonderful.”                                        Karant progressed quickly from a wheel-      about her progress.”                                George, 64, has multiple sclerosis
    Village Nursing Home staff spends a        chair to a walker to a cane, but because of          When Karant was home Village Care           and started coming to the center in July.
lot of time on pain management, accord-        her carpel tunnel and mild deafness, she         sent therapists to her home. “A physical        Village Care transports him to the center
ing to Kucera. “A lot of time we encour-       found it easier to cope. “They helped me a       therapist came to my apartment after I          three days a week for physical therapy,
age patients to take their pain medication     lot with the little things like opening a milk   went home for about 4 – 6 weeks and
about half an hour before therapy so they      container – I won’t take things for granted      taught me how to walk up and down                                   RECOVERY, continued on p.14
14                                                                                                                                                                                                                                               VILLAGE CARE OF NEW YORK

                                                                                                                                                                        RECOVERY, from p.13

             V        I L L A G E                     C       A R E           O F            N        E W                 Y       O R K                                                                                    “We are allowed to provide service
                                                                                                                                                                     meals and recreational activities.               to 50 patients a day,” said Ferrara. “We
                                                                                                                                                                         “The more I come here the more I like        have 90 people on the register and they
                                                                                                                                                                     it,” said George. “It’s so interesting. I love   attend different days – either Monday,

               SENIORCHOICES                                                                                                                                         the music and exercise combined together
                                                                                                                                                                     – especially in my condition – what better
                                                                                                                                                                     can I look for?”
                                                                                                                                                                                                                      Wednesday and Friday or Tuesday,
                                                                                                                                                                                                                      Thursday and Saturday. The main objec-
                                                                                                                                                                                                                      tive is to keep our patients from getting
                                                                                                                                                                         Lisa Bohmart, George’s social worker         bored and to encourage them to par-
                                                     Skilled Nursing Care                                                                                            at the center said that although he is in a      ticipate in activities and adhere to their
                                  Village Nursing Home - 607 Hudson Street 212.337.9400                                                                              wheelchair he can occasionally walk with a       medications.”
                                          Short-Stay Rehabilitation - 212.337.9411
                                                                                                                                                                     walker. “He’s very independent and strong             In order to spend the day at the facility,
                                                                                                                                                                     willed,” said Bohmart.                           Medicaid requires that patients have to
                                                 Adult Day Health Care                                                                                                   George, a wiry, bespectacled man origi-      have a safe place to live, either in a super-
                                         Chelsea - 121A West 20th Street 212.337.9260                                                                                nally from Bulgaria, came to the United          vised environment or living with their fam-
                                         Village - 644 Greenwich Street 212.337.5870
                                                                                                                                                                     States about 30 years ago. Part of dealing       ily. Medicaid also requires patients to have
                                                                                                                                                                     with MS is going through rigorous physi-         a need for the center.
                                                                   Senior Living                                                                                     cal therapy session that places him upright           “Since this is a day program, patients
                              The Village at 46th & Ten - 510 West 46th Street 212.977.4600                                                                          on apparatus to help him learn to walk.          can come up to six days a week,” said
                                                                                                                                                                         “Randi’s physical therapy stretches and      Ferrara. “This is a comprehensive medical
                                             Senior Information Centers                                                                                              prepares me for standing and postur-             program with nurses, physical and occu-
                                          Chelsea - 220 West 26th Street 212.337.5920                                                                                ing,” he explains about staff therapist          pational therapists, dieticians, as well as
                                           Village - 51 Seventh Avenue 212.337.5800                                                                                  Randi Schwartz, adding: “There is also the       musicians, artistic recreational therapists
                                                                                                                                                                     bicycle and treadmill, but I’m not ready for     - it’s like a one stop shopping.”
                                      Home Care / Home Health Care                                                                                                   those. Nancy has a lot of fancy schmancy              For George, the mental stimulation is
              Village Care Plus, inc. Licensed Home Care - 154 Christopher Street 212.337.5730                                                                       equipment here.”                                 his own personal requirement.
               Certified Home Health Agency & Long Term Home Health Care - 212.337.5611                                                                                   He’s referring to Nancy Ferrara, director         “I love word games – they are very
                                                                                                                                                                     of the Center. She said the physical therapy     stimulating,” he said. ‘You have to know
                                                               Primary Care                                                                                          room had new, updated apparatus which            the meanings, how to spell and check what
                                                121A West 20th Street - 212.337.9290
                                                                                                                                                                     was geared to help seniors work on circu-        you know.”
                                                                                                                                                                     lation and other ailments. “We also have              English is a second language for George,
                                                Care Advocate Service                                                                                                some passive aerobic machines and there’s a      who arrived here in the United States
                                                 220 West 26th Street - 212.337.5658
                                                                                                                                                                     space for massage. This room is always bus-      1970 and learned English by watching TV,
                                                                                                                                                                     tling.” The medium size physical therapy         talking to people and reading the newspa-
                                                                                                                                                                     room at the one-floor facility also has a         pers. Although he was a medical student
                                                                                                                                                                     shower and bath and a washer and dryer to        in Bulgaria, he started out as a janitor in a
                                                                                                                                                                     teach people how to wash their clothes.          New Jersey hospital when he arrived here
                                                                                       Village Care of New York has built a foundation for the future with an
                               For information on all of Village Care’s services       array of care and services we call SeniorChoices. SeniorChoices is a              Ferrara has been at the center’s helm        in the United States. He eventually did
         Village Care of                          call toll free                       person-centered model that offers long-term care services and support in
                                                                                       ways that make the most of dignity, privacy, socialization opportunities,
                                                                                                                                                                     for over one year, a post she took on after      his residency in psychiatry at Metropolitan
           New York                      877.822.7369                                  choice and cost-effectiveness. The SeniorChoices concept places older         she worked as branch manager of Village          Hospital for 12 years and later decided to
                                            (877.V-CARE.NY)                            adults squarely in the middle of a range of medical and social services,
                                                                                       enabling them to choose, and have access to, exactly what is needed at        Care’s Certified Home Health Agency.              go into social work.
     We’re here for you.      healing body, mind and spirit                            the appropriate time and place. A core value that guides Village Care is
                                                                                       respect for those in its care and responsiveness to their individual needs.
                                                                                                                                                                         She said the building at the Village              These days George gets his much-
                                                                                                                                                                     Adult Day Health Center was designed             needed mental stimulation at Village Adult
                                                                                                                                                                     in a circle particularly so that Alzheimer       Day Health Center.
                                                                                                                                                                     patients don’t get lost. The walls are deco-          “I also love the trivia games,” he said.
                                                                                                                                                                     rated with art created by the program            “It’s what I call gymnastics for the brain.
              The New York                                                                      you deserve.                                                         participants and the circle is dotted with       You have to be a life-long student.” The
                                                                                                                                                                     various rooms. This includes an art ther-        recreational therapy is just part of what
                                                                                                                                                                     apy room with a large T-shaped table that        keeps George enamored with the center.
                                                                                                                                                                     seats about a dozen people, staff offices,        “I love the energy here, the young people
                                                                                                                                                                     and a large, bright and airy dining room,        – it feels so rejuvenating,” he said. “You
                                                                                                                                                                     which can be sectioned off for larger,           can even see it in the way they present
                                                                                                                                                                     more popular group activities such as            themselves – some are leaders of the pack
                                                                                                                                                                     music and movement, George’s favorite.           in terms of how they dress and their sense
                                                                                                                                                                     A piano sits at one end of the room.             of fashion.”

                                           510 West 46th Street
                           Recently named one of New York’s best senior living options by New York magazine.
                                                                                                                                                                        SENIORCHOICES, from p.12                      on Wheels and set it up. Or, in another
                                                                                                                                                                                                                      instance, Cottrell says, a woman came in
                                                                                                                                                                                                                      with a question about what would happen
 The Village at 46th & Ten is a modern                                                                                                                                                                                to her if her building were sold, so the
 senior living residence for those who                                                                                                                               SENIOR INFO CENTERS                              center called the Department of Housing
 love the culture of our city, value                                                                                                                                                                                  and advocated on her behalf. Staff on site
                                                                                                  r new
 their independence and desire a                                                           out ou                                                                       For seniors who don’t quite know what         can assist with applications for things like
                                                                                   Ask ab program
                                                                                    lice nsed
 warm and inviting living experience.                                                        rovide
                                                                                       that p in case of
                                                                                                                                                                     they need yet, but want to find out more,         housing Medicare Part.
                                                                                            Net                                                                      the SeniorChoices program operates two               “The center has a nice feel, it’s a
 Offering peace of mind, safety,                                                   Safety end down.
                                                                                      asset sp                                                                       information centers — one in Chelsea             community establishment,” Cottrell says,
 security, companionship, as well
                                                                                                                                                                     and one in the Village. At these informa-        “there are people who have been com-
 as friendship, the Village at 46th & Ten
                                                                                                                                                                     tion centers, not only can seniors find           ing here a long time, and people know
 truly provides you and your loved ones
 with the         lifestyle you all deserve.                                                                                                                         out about Village Care’s programs, they
                                                                                                                                                                     can find out things about other health
                                                                                                                                                                                                                      each other. And it reflects the flavor of
                                                                                                                                                                                                                      the Village — the people that come in are
                                                                                                                                                                     programs, use computers, fax and copy            playwrights and artists and musicians”
                                                                                                                                                                     things, and receive referrals and social             Cottrell pinpoints the overarching

(212) 977-4600                                                                                                                                                       work service. The centers also operate sev-
                                                                                                                                                                     eral outreach programs, including NORC
                                                                                                                                                                     and a grant-funded lightbulb replacement
                                                                                                                                                                                                                      theme of SeniorChoices — a community.
                                                                                                                                                                                                                      The facilities are not sterile, white-washed
                                                                                                                                                                                                                      hospices, but rather vibrant, flourishing
                                                                                                                                                                     assistance, which offers to help seniors         communities where seniors can enjoy their
The Village at 46th & Ten, built in 2001, features:
                                                                                                                                                                     change their light bulbs, batteries or do        golden years, and ensure that they are,
  Apartments with full kitchens and baths
                                                                                                                                                                     any other small tasks around the house to        in fact, golden. “We’re maintaining our
  24-hour concierge service
                                                                                                                                                                     ensure their safety.                             tradition of caring for seniors in the com-
  Restaurant style dining                                                                                                                                               Renee Cottrell, acting director of            munity,” says Fillmore, “we’ve been doing
  Housekeeping and linen services                                                                                                                                    senior community services, says the pur-         it for 30 years and we’re going to keep
  Wellness services                                                                                                                                                  pose of the centers is to “provide a file         doing it.”
  Outdoor terrace and resident gardening                                                                                                                             cabinet of resources.” The senior informa-           (A complete listing of Village Care of
  Stimulating activities program that includes:                                                                                                                      tion centers can advocate on the behalf          New York’s programs and services, along
   Acting workshops, exercise with yoga,                                                                                                                             of its clients for a number of things,           with contact information, can be found on
   current events and weekly trips                                                                                                                                   for example, the center can call Meals           page 19.)
                                                                                           K   C
                                                                                           Y   M

30TH ANNIVERSARY                                                                                                                                                                     15

Much Needed Information
And a heck of a lot more

        mid the small tornado of ques-
        tions, requests, ringing phones
        and door buzzers, Victoria
Lampado keeps a level head, seemingly
with ease. She’s even smiling through
it all.
    Tuesday through Friday from 1:30 to
5 p.m., Lampado staffs the Village Senior
Information Center at 51 Seventh Ave.,
which requires a mixture of skills in social
work (she’s working towards her masters),
office management, customer service and
tech support as every afternoon she meets
with about 15 seniors seeking information
about New York senior services, helps
another 15 or so use the office’s computers
(free of charge to anyone over 55), makes
copies for any senior who comes through
the door (also free), send faxes (yup, free)
answers phones and generally keeps the
office running.
    “She’s as patient a person as you ever
want to meet, very sweet,” says Laurel
Lockhart, who has seen Lampado at the
Information Center on a regular basis over
the past year. “She’s really a most kind
person.” Then she repeats for emphasis,
“Very patient.”
    As a coordinator at the Information
Center, that patience serves Lampado well
as she helps seniors steer through a dizzy-
ing array of public programs designed to
help but whose bureaucratic rules can be       Victoria Lampado works the phone and computer to help a client.
mind-numbing and frustrating to even the
most intrepid and informed advocates.              Renee Cottrell, acting director of senior   their “reserve days,” which made that          “every day,” and has done so for nearly two
                                               community services, says “providing sup-        person ineligible for more hospital cover-     years. Right now he’s looking for a job and
                                               port service information for seniors in such    age through Medicare. Cottrell had never       uses the computer to seek listings, work on
                                               quickly changing times” is crucial for many     heard of such a thing. Within a week,          his resume and check e-mail.
                                               seniors and is the center’s overall goal. “So   though, another person came to her con-            “Most of the people who come in are
                                               many are overwhelmed,” she says. “We            cerned about a long-term hospital stay and     really nice,” he says. “And the people who
                                               help them interpret all the options, help       Cottrell was able to alert that person about   work here are really helpful.”
                                               them make calls, make connections. We’re        the policy and set out to seek secondary           The Chelsea Information Center is at
                                               providing not just information, but sup-        coverage.                                      220 W. 26th Street and is also open
                                               port. That’s our biggest mission.” After a         Besides sharing information, the cen-       Tuesday through Friday from 9:30 a.m. to
                                               slight pause she adds, “and achievement.”       ters provide free computer use, copies and     12:30 p.m. The Village Information Center,
                                                   Lampado puts it this way: “We’re sort       faxes to anyone over 55. Kevin O’Donnell       at 51 Seventh Avenue and is open Tuesday
                                               of like a triage center for seniors facing      says he comes in to use the computers          through Friday from 12:30 to 5 p.m.
                                               emergency issues. Say someone is facing
                                               eviction in 30 days, we can give them
                                               information on certain programs and help
                                               them stay in their apartment.”
                                                   One such program that might help
                                               but is little known is the Senior Rent
                                               Increase Exemption (SCRIE), run by the
                                               city’s Department of the Aging. “Many of
                                               the people we see are on fixed incomes,”
                                               Lampado says, and they can’t afford extra
                                               expenditures such as a rent increase, which
                                               is all too common in New York’s rising
                                               real estate market. “Most seniors wouldn’t
                                               know about this program because it’s not
                                               broadcasted” and without that knowledge,
                                               it would be hard to stay where they are.”
                                                   Lampado and Cottrell say they help
                                               seniors deal with all kinds of problems,
                                               from decluttering to home care to meals to
                                               shopping assistance.
                                                   “Anything goes,” Lampado says of the
                                               questions and issues she’s confronted. “I
                                               would say a day doesn’t go by where I don’t
                                               learn something new in the course of help-
                                               ing someone.”
For the last year, Laurel Lockhart has             Cottrell agrees, relating a story about
been using the free computers at the           a Medicare recipient she had just helped
Village Senior Information Centers in          who had a five-month hospital stay. She          Renee Cottrell gives some computer help to Kevin O’Donnell, who comes in
an effort to find an apartment.                 found out that the person had used up           nearly every day.

                                                                                           K   C
                                                                                           Y   M
16                                                                                                                                                                               VILLAGE CARE OF NEW YORK

Confronting the New Faces of HIV/AIDS
It may be gone from the
headlines, but AIDS still
kills as many as 4,000
New Yorkers each year

BY BONNIE ROSENSTOCK                                 - Because of people’s misperceptions that      Applying the expertise they had honed for        day center. “The case manager goes to the
                                                 HIV/AIDS is no longer a threat, funding is         senior adult day health care, Village Care       client and says ‘What do you think of it?’”

       oday, if you ask the average per-         evaporating.                                       opened the first HIV/AIDS day treatment           Every three months, we assess if the client
       son about the AIDS epidemic, the              Nobody is more aware of these troubling        program in the city and in the country in        has reached the goals.”
       response might be “What epidemic?”        statistics than the dedicated professionals        1988. Since that time, they have also been           The day program offers a wide scope
A headline in the September “New York            who work at Village Care of New York, a            providing technical assistance to help other     of services, which include medical, treat-
Press” heralds, “The Plague Returns.” But        multi-service community care-based orga-           organizations across the nation to start up      ment adherence, health education, nutrition
the truth is the “plague” has never left us;     nization that has been serving those living        day treatment centers.                           counseling, meal programs (two to three hot
it has just become underreported in the          with HIV/AIDS since the disease emerged.               Village Care’s AIDS Day Treatment            meals daily), social work, case management,
media, or so accepted as a fact of life in the       “The epidemic is not over,” asserted           Program first opened at 133 W. 20th Street,       substance abuse counseling, referrals to psy-
21st century that it isn’t newsworthy.           Emma DeVito, chief operating officer of             renting the Gay Men’s Health Crisis’ ground      chiatric care, creative arts therapies (art and
    True, with the development of multi-         and executive vice president responsible for       floor space. When GMHC’s legal depart-            dance), occupational therapy, fitness with
drug “cocktails” and protease inhibitors,        Village Care’s Network of AIDS Services.           ment moved, Village Care took over its cur-      dumbbells, and very strong complimentary
people with HIV/AIDS are living longer and       “It has shifted. We see more black and             rent space at 121 B West 20th Street – and it    care services that include acupuncture, mas-
healthier lives.                                 Latino, people of very low socio-economic          has been growing and expanding ever since,       sage, chiropractic and Chinese herbs and
    At the same time, AIDS remains a stag-       status and very young people. As long              declared Jan Zimmerman, the program              teas. “This is the only place in the city where
gering health problem. A recent New York         as people continue to use drugs and have           director. “In the early days, people didn’t      someone who is on Medicaid can get these
City Health Department report points out         unprotected sex, the disease will continue to      live more than a year,” related Zimmerman.       latter services, if it is part of an individual’s
that nearly one million people nationwide        spread and mutate,” she said.                      “The work was oriented toward respite            treatment plan,” stressed Zimmerman.
are HIV positive, with the rate of infection         “Just observe this area after 6 p.m.,” noted   care and end-of-life issues such as bereave-         The State Department of Health, AIDS
in New York City four times the national         Valerie Collins, administrator of Village          ment and symptom management because no           Institute, which regulates the program, has
average. AIDS infection has more than dou-       Care Plus, the organization’s licensed home        treatment was available. It included the day     strict guidelines about what Medicaid can
bled in Manhattan over the last six years.       care agency. (DeVito and Collins work out          treatment program and then the home care         be billed for. Within the last six months, the
    About one in four New Yorkers with           of the corporate offices at 154 Christopher         agency, which were all AIDS-specific.”            program advocated to allow licensed cre-
HIV don’t know they are infected, and the        Street.) “It’s a crazy place, with young               At the beginning, having Medicaid (the       ative art therapists to be considered mental
disease is spreading quickly among women.        people heading for the pier. They think, ‘I’ll     program is 100-percent Medicaid funded)          health practitioners. “They have as many
Early in the epidemic, 10 percent of New         take a chance’ because they look at this as a      and an HIV diagnosis would be sufficient          skills as a social worker to do mental health
Yorkers with HIV were women, and today           chronic disease.” she said.                        to qualify for the day treatment program.        work,” said Zimmerman. “Not everybody
about a third are women.                             “It’s good that the medications work,”         However, over the last five or six years, as      gets help sitting in a talk group. A lot of
    And AIDS is still a killer. As many as       added DeVito, “but when someone gives              the disease has changed, so has the program.     our clients are pre-verbal, which is why
4,000 of those with AIDS in New York die         you the diagnosis of HIV, your life is altered     It has transformed into being more goal-         they go to drugs and alcohol because they
each year.                                       forever. The counseling that needs to take         oriented around medical, mental health and       can’t express their feelings. The state acqui-
    The face of HIV/AIDS has changed:            place to get people to be encouraged to keep       substance abuse issues. “You have to have        esced,” she said. “But it has to be on their
    - The disease is flourishing in minorities,   on living is extensive at times.”                  a need around your HIV being unstable,           care plan and in closed groups.”
especially among boys 13 to 19.                      Village Care has had thirty years worth        you really need help with your medication,           The treatment plan is based on a harm
    - African-Americans comprise 15 per-         of experience in nurturing the sick and            or your life is unstable — there is persistent   reduction model, so that clients will feel
cent of the U.S. population, yet they rep-       underserved. In 1977, when the Village             chronic mental illness, like anxiety, bipo-      safe and engaged enough to break their
resent half of all new cases. It is now the      Nursing Home on Hudson Street had been             lar, depression, schizophrenia, or substance     alcohol and drug dependency. The plan
number one cause of death among African-         abandoned by its owners and was going into         abuse. This is a treatment center. Clients       starts where the client is at -- that is, the
Americans between the ages of 25 and 44.         public receivership, a group of community          have to be able to and want to identify their    program accepts individuals as they are, not
    Other disturbing facts:                      activists got together, saved it, bought it        goals, receive treatment for it and engage       demanding abstinence from drug use, but
    - More than 8,000 New Yorkers over           and turned it into a non-profit with a com-         with us clinically,” she said.                   they can’t come for services if they are high.
50 have been diagnosed with AIDS because         munity board of directors. When the AIDS               Creating a goal is an interdisciplin-        Their goals are identified along with what
they mistakenly believe that if they are not     crisis broke out and was ravaging the Village      ary team collaboration, explained Brian
at risk.                                         community, the board took swift action.            Murphy, supervisor of mental health at the                         FIGHTING AIDS, continued on p.17
30TH ANNIVERSARY                                                                                                                                                                                17
    FIGHTING AIDS, from p.16

kind of support, treatment and referral they
need to achieve them. It’s a combination of
individual counseling, team assessment and
a lot of group support. Clients have to do a
group every day, minimum of three groups
                                                                                                   17 Years With AIDS
a week, related to their treatment issues.
     “People come here initially in really
bad shape and get into shape pretty quick-
                                                                                                   John Shuford was one of the earliest
ly,” said Zimmerman, “because it’s a very                                                          Village Care AIDS Day Treatment clients
strong social environment with peer sup-
port. A lot of people here need a support
system because they don’t have a primary
family that is supportive. Most clients
describe it as their home away from home,
if they have a home.”
     The program’s current population is              BY ABBY LUBY                                                                                      gram has worked with Shuford since
about one-third gay. Other clients include                                                                                                              she arrived four years ago. “I know

those who don’t identify themselves as gay,                   s John Shuford walks                                                                      almost everything there is to know
but have contracted HIV/AIDS through                          through the hall of Village                                                               about John and certain other clients
sexual contact with men; others include                       Care of New York’s AIDS                                                                   who trust me,” said Captan, who often
drug users and women who have been                    Day Treatment Program at 121B                                                                     calls Shuford at home to remind him
infected by their partners. The center sees           20th Street he stops to talk to just                                                              of doctor appointments. “He used to
between 50 to 60 clients daily, and around            about everyone. As he passes three                                                                come here more often, but now I call
30 people on weekends. The center is open             or four bulletin boards crammed                                                                   him more at home or his girlfriend calls
seven days a week.                                    with group therapy schedules and                                                                  me. I also make sure he is taking his
     The two-floor facility is decidedly non-          calendars, friends slap him on the                                                                medications.”
institutional. It is cheerfully painted and           back and joke around. Others just                                                                     The approach to working with HIV
brightly lit, with artwork on the walls, some         coming out of the main dining room                                                                AIDS clients has radically changed over
of which were done by clients. A former               wave and smile.                                                                                   the last 20 years.
smoking room has been turned into a com-                  Shuford, 60, is considered an insti-                                                              “In the early days we would have
puter room because many clients asked for             tution at the AIDS Day Treatment                                                                  three and four people dying every
Internet access. Although Medicaid cannot             Program having been involved for the                                                              month,” recalled Zimmerman. “It was
be billed for computer training, this service         last 17 years. He learned he was HIV-                                                             very different working with people who
is provided. There is also a quiet room               positive about two decades ago, and                                                               only had a year or two to live as opposed
with two beds. Sometimes fatigue due to               today walks with the aid of a cane                                                                to an unlimited time to live.”
medication overwhelms a client. Showers               because of vascular problems, one of                                                                  Captan put it this way, “People are
are thoughtfully available because some               many medical problems complicated                                                                 healthier and are moving on,” she said.
people are homeless or have inadequate                by the virus and being older.                                                                     “We look at AIDS as a chronic illness
living arrangements.                                      “There’s a lot more people going                                                              and we teach you how to take care of
     About a year ago, the center opened              through a lot more worse stuff,” said                                                             yourself so you will live a healthy life.”
a primary care clinic. While the clinic is            Shuford, who, despite dealing with a                                                                  Getting clients healthy and back
available to the general public and accepts           plethora of health issues in addition to                                                          into society is what the goal of the
Medicare and most health plans, 75 per-               AIDS, is cheery and jovial.                                                                       program.
cent of those who use the services have                   Shuford said when he first came                                                                    Part of the transition to re-inte-
HIV/AIDS. A nurse practitioner, who is                to the treatment program it was one                                                               grating into society is psychologi-
a specialist in women’s issues, is also on            of the few places that would take him                                                              cally focused group therapy sessions.
staff because of the tremendous amount of             in. “It was 1990 and it was so much         John Shuford at Village Care’s AIDS Day                George Jagatic, Shuford’s case man-
gynecological issues associated with HIV/             different then. We were outcasts. No        Treatment facility in Chelsea                          ager, oversees many of the program’s
AIDS.                                                 one wanted to be with us, we were                                                                  group sessions. “Clients feel stuck and
     In a traditional primary care setting            shunned, even by our own. This was a                                                               at a loss. They come to my groups to
the doctor has no time to sit with a client           safe haven for people that had the virus,” he said.                   deal with that on some level,” said Jagatic. “It’s very related to
individually and answer all questions, or                 Program director Jan Zimmerman said the AIDS Day Treatment post-traumatic stress syndrome. AIDS puts into question the rest
the client is too intimidated to even ask.            Program was the first of its kind. “Village Care invented the model of your life and how you deal with that emotionally. They ask
“I came here from an agency where it took             to help people change their lives in a diverse environment,” themselves ‘what do I do now?’ We talk about how that feels - it
a year trying to get a doctor to talk to a            explained Zimmerman. “Nobody had ever done aids day treatment can be overwhelming. It’s a lot of work.”
group for an hour,” said Murphy. “Here                before. We opened in 1988 and there were no other day treatment          For Shuford the group sessions are welcome.
it happens every day. There’s a constant              for AIDS until about 1996.”                                              “It’s where you can talk and not be judged,” he said. “This has
flow of information, not just about HIV,                   Zimmerman has been the director for over four years, but has always been a place to do that.”
but everything, like medications, diabetes,           been involved with the program for 16 years. She also directs an         It was in a group session that Shuford, for the first time in his
lifestyle -- anything you can think of that           AIDS day program for Village Care at Rivington House on the life, spoke about being molested as a child. “When you find a
helps people stay healthy or get well. It’s           lower east side. Before the advanced, more effective medications group of people you can talk to about a bad experience the less
all about accessibility to services. I think          had been developed for the HIV, the program had less structure impact it [that experience] has. To be able to talk about being
it’s the relationships that really help people        and acted as an oasis for people infected.                            molested at the age of six was like taking something off. I held that
get encouraged to take better care of them-               Shuford agreed. “We had no place else to go,” he said. “You secret in for all those years, but in the group we are able to touch
selves.”                                              couldn’t go to churches, people were always putting on gloves on things, share darkest secrets.”
     “The traditional medical system is often         because they didn’t want to touch you and you had to use paper           Melding the social problems such as molestation, rape and
hostile to our clients, who for the most              plates. It was bad back then. But when we came here we bonded domestic violence with health issues is a part of the challenge to
part are poor,” explained Zimmerman. So               with everyone, they were our family, our community.”                  integrating a safe space into a social atmosphere. “Here we deal
it’s great to have a primary care clinic                  Downstairs at the two story facility are several small rooms with the social aspects alongside the mental health facility frame-
now, which has our philosophy and our                 for medical consultations, check ups, therapy and a few rooms work,” said Jagatic. “We try to bridge both of those in the same
client-centered approach. Primary care was            with one or two beds. Shuford remembered how exhausted and space. It’s quite an accomplishment for a client to feel safe enough
the one piece that we hadn’t had for a lot            sick most people were in the 1990s and they could rest or sleep to talk in a group and then be able to go out in the day-room and
of years,” said Zimmerman proudly. (The               if needed.                                                            have lunch.”
clinic is still undergoing construction to                “Having this place made a big difference, it helped to sustain       Groups that meet on as regular weekly basis include “Support
provide additional treatment rooms.)                  us,” he said. “Everyone was always here to reassure us, give and Group,” “Anger Tool Kit,” “Women’s Health Group,” “Harm
     In the fall of 1991, Village Care insti-         get hugs. They would tell us ‘you are all going to get through this. Reduction,” “Spanish Support,” among others. Physical-oriented
tuted the Certified Home Health Agency                 You are going to live and love again. That all came from the staff classes include relaxation, yoga, acupuncture, art therapy and
(CHHA) to provide home care for those                 here who supported us.”                                               massage therapy.
dying of AIDS. Now that people are liv-                   Since the late 1990s improved treatments for what was once           Clientele at the treatment program is diverse; one third black,
ing with the disease, the challenge is in             almost invariably a killer disease has made HIV into a disease that one third Latino and one third white, according to Zimmerman.
helping them stay well. CHHA’s programs               can be treated, bringing on longer, healthier lives for those living “Twenty percent are women, and about 50 percent are gay,” she
and services include AIDS home care, reha-            with the infection. The treatment regimen is demanding, however, said. “There are some very homophobic men here and it’s very
bilitation therapies (physical, speech and            and there can be major side effects. And, it is always on people’s moving to see the gay/straight issues meld.”
occupational), in-home management and                 minds that AIDS still kills.
                                                          Beth Captan, senior clinical coordinator at the treatment pro-                                                 17 YEARS, continued on p.18
                   FIGHTING AIDS, continued on p.18
18                                                                                                                                                                           VILLAGE CARE OF NEW YORK

     FIGHTING AIDS, from p.17                    seventy-five patients are permanently dis-         connected, and work together seamlessly.        a community center in Red Hook to provide
                                                 abled, some of whom have been in the facil-       For example, at the moment the Community        HIV/AIDS information, community ser-
administration of medications, including         ity for as long as eleven years. Patients come    Case Management Program is advocating           vices, education, seminars and HIV testing.
the newest class of fusion inhibitors, disease   from all over the city, as well as other parts    for about twenty-five patients at Rivington          “The people we serve are poor,” said
management education, medical equipment          of the state and Long Island. About 125           House.                                          Stewart. “They don’t need one more gov-
and supplies, nutritional services and refer-    beds turn over quickly, and the occupancy             “The problem is when they are dis-          ernment body to talk down to them from
rals to community services. “People can live     rate is around 97%. “We have a screening          charged and back into the community, they       a desk.”
very full lives with HIV/AIDS, but they have     process to make a determination that they         have nothing,” explained case management            The team typically “shadows” people,
to take care of themselves,” said Roberta        have nursing needs. If they do, we always         Director Kenneth Stewart. “So Medicaid          for instance, to make sure they go to their
Greengold, administrator of CHHA, located        have a bed available,” said Biga.                 allows me to work with anyone who is            medical appointments and to go over what
at 112 Charles Street. “We work with                 Many of those admitted were formerly          going to be discharged, set them up with an     the doctor said; they go to their homes to
the issues that block them from helping          homeless who also have substance abuse            apartment, transportation, budgeting, food      check that they are taking their medica-
themselves. For example, if they are losing      and metal health issues along with having         shopping, how to eat properly (a nutrition-     tions, or go to the Medicaid office with
weight because of the medication, we have        AIDS. “They are a rather disenfranchised          ist goes to their homes), and more.”            them. Women are assigned a female worker
a nutritionist work with them with supple-       population,” said Biga, “which is one of the          Case management’s intervention in           to monitor their gynecological needs. Most
ments. If there is a housing issue, we get       missions of Village Care, to serve people         people’s lives is often when they are at        of the case management staff is either black
the Community Case Management Program            that many other people don’t want to              the lowest point in their lives, according      or Hispanic, because as Stewart put it,
involved.”                                       serve. I think we do special work here,” he       to Stewart. “We will try to get a healthy       “People of the community taking care of
    Ever striving to improve on their ser-       stated.                                           citizen out of someone who has had a sad,       the community.”
vices and skills, last year, CHHA decided to         Residential services are patient-centered     bleak or unhealthy life,” he said.                  Specialized treatment educators will
encourage their nurses, who all have home        and holistic, integrating state-of-the-art            Additionally, case management gets          also go into the home and work with the
care training, to take the AIDS specialist       medical and complimentary therapies. In           referrals from the day treatment programs       case management team, if required. “If
certification. About twenty nurses are now        addition to on-site medical staff, there          in Chelsea and Rivington House, CHHA            we weren’t there, they would go on liv-
AIDS certified, and others are studying to        is psychiatric staff, a recreation therapy        (which also gets referrals from hospitals) as   ing as usual with no help and show up in
become certified.                                 department, a social work division to help        well as directly from hospitals, HASA (the      an emergency room when they are next
    As administrator of Village Care Plus,       with entitlements and housing, and a com-         city’s HIV/AIDS Services Administration),       to death or drop over dead in the street,”
Valerie Collins’ program supports home           prehensive physical rehabilitation program.       and a housing program in the Bronx,             stated Stewart.
care, the nursing homes, case management,        Moreover, within Rivington House there is         to name a few. The Community Case                   About four years ago, Village Care devel-
and the day program with paraprofessional        a special 28-bed sub-acute care unit, and         Management Program, which was created           oped a popular peer outreach program,
services – home health aides, personal           a mental health/substance abuse program,          in 1994, is currently working intensively       which trains physically able clients in the
care aides, homemakers and housekeepers          which offers supportive therapeutic strate-       with about 250 people with HIV/AIDS and         AIDS Network to reach out to others to get
– after a team assesses the client’s needs.      gies. There is an experienced staff of sub-       their children, spouses and partners. Each      tested and into care and treatment. The cli-
The agency serves approximately 1,500            stance abuse counselors.                          client is assigned a team, consisting of a      ents go through a very structured training in
people with HIV/AIDS on a daily basis in             Rivington House is also on the cutting        case manager, assistant case manager and a      order to do prevention seminars, mix with
Manhattan and Brooklyn, the two primary          edge in trying new medications that are still     community outreach person, who collabo-         the community and go to places like bars
service areas. Over 900 aides go out to all      in clinical trials, which means the drug has      rate on a six-month treatment plan. These       and hotels. Six to eight paid peers serve
the boroughs. The aides don’t wear identi-       passed a certain point in testing, but has not    services are, for example, treatment alcohol    between six to nine months. This is in order
fying uniforms to ensure the client’s privacy    yet been approved by the FDA. They have           and drug use, help in obtaining financial        to give others an opportunity to participate.
in the community. Many times they will           partnered with the pharmaceutical com-            entitlements, finding housing, getting hous-     It has been successful in engaging people in
use their own money to buy food or other         pany Roche/Trimeris in the application of         ing repairs, finding legal services, help with   some of their programs, especially the day
necessities, like toothpaste or soap. “They      Fuzeon, a “salvage therapy,” the last resort      wills, assistance in resolving immigration      treatment programs and case management.
go above and beyond to make sure clients         for some patients who have developed resis-       issues, and setting up health, mental health        “When someone who has been there
have what they need,” said Collins.              tance to current medications. “We monitor         services, nurse/home health attendant, pain     tells you their story, it makes an impact,”
    For those who need more intensive            the response and report back to the drug          management, transportation.                     said DeVito.
in-patient care, Village Care’s Network of       companies. Three or four residents have               “The team designs a service for each            “No matter where a person is in their
AIDS Services provides a crucial residen-        shown a positive response,” said Biga.            client, which comes from spending time          continuum of need from getting healthy to
tial component in a supportive environ-              In addition, Rivington House has an           with them to assess their situation individu-   needing a little support in the community,
ment. Rivington House – The Nicholas A.          AIDS day treatment program, which offers          ally,” explained Stewart. “We advocate for      to home care when they can’t come out,
Rango Health Care Facility at 45 Rivington       the same array of services that are provided      them in two ways: change the way they are       to where they can stay in their home and
Street, which opened in March 1995, is           on W. 20th Street. The only difference,           doing things, so they can interact with oth-    need long-term care, we have it all,” stated
a 206-bed nursing home for people with           according to Jan Zimmerman, who does              ers and get the services that they need, and    Zimmerman. “The mission of Village Care
AIDS. It is the largest such facility in the     double duty as the program director here          we advocate with various providers (doc-        of New York is to be a partner in healing
country.                                         as well, is the size. On any given day there      tors, therapists, landlords, social security,   mind, body and spirit of the people we
    “Effective treatment for people with         are not more than thirty people, which            Medicaid, courts), so they would listen to      serve, to create an environment that is sup-
AIDS had not yet been realized when we           makes for a more intimate environment,            the people we are trying to assist.”            portive and respectful for our employees
opened twelve years ago,” explained the          and it tends to draw people who live on               Case management sees people in their        and clients, to do it very well and to be the
administrator, Jerry Biga. “Within a year of     the Lower East Side and Brooklyn. There is        homes in four boroughs (not Staten Island,      last one standing. We plan to be here for a
being open, new therapies were available         also a dental clinic, which is available to the   which is too far to be cost effective). The     long time,” she promised.
and extended people’s lives greatly.”            community at large. Zimmerman hopes to            teams spend most of the day in the field and         (A complete listing of Village Care of
    Now three-quarters of patients come in       add a dental clinic to the Chelsea facility in    do paperwork and make phone calls out of        New York’s programs and services, along
to recover from an acute illness. The aver-      the near future.                                  their offices at 112 Charles Street and in       with contact information, can be found on
age length of stay is seven months; however,         The programs at Village Care are inter-       Red Hook, Brooklyn. Village Care operates       page 19.)

     17 YEARS, from p.17                         move on.”                                         “Poverty, mental illness, addiction are all          Shuford juggles HIV medication with
                                                     Moving on presents a different set of         life issues that take on different meaning      other prescription drugs for heart disease,
    If clients, or members, do have a need       problems, said Captan. “Some people are           when you have AIDS and might be living          diabetes, and depression. “But I’m no lon-
for the services, they are required to take      now healthy but they are stuck here,”             15, 20 years,” said Zimmerman.                  ger living just for the day,” he said. “I used
part in the program at least two days a          she said. “They are so connected to us –              Because transitioning out of the program    to live loose and reckless and never plan for
week, which includes being in a group            they could have money issues, lose their          into the real world is difficult, Zimmerman      tomorrow. Not any more.”
session one hour each day. “The state has        Medicaid or housing. The truth is some can        has been working to keep clients on their           Zimmerman said she’s seen people at the
made it very clear that people can not           get jobs, even part time jobs, and we try         radar screen.                                   treatment center take control of their lives
be here solely for social or recreational        to get them to volunteer to do something              “We’ve opened it up for people who          in dramatic ways. “Clients who have drug
purposes.”                                       since they are so much healthier.”                have not had any behavioral problems who        addictions who have been coming here for
    But not everyone can deal with the               For some clients graduating is akin to        can come back as guests. There’s no fast        six or seven years suddenly decide to stop,”
new structured program; for one reason or        leaving one’s family. Zimmerman said it’s         and hard rule and we want to keep them          she said. “Some change just from being in
another getting to the center two or three       because those clients don’t have too much         in our network.” Zimmerman’s hope is to         this community for a few months.”
days a week could be difficult for those who      going on in their lives. “They don’t have         address the needs of what she sees as the           For clients to take the medication, come
have an erratic lifestyle and Zimmerman          supportive families or a good housing envi-       two ends of the population; people who          to the program and deal with their health in
will refer them to other programs. There         ronment and they are probably doing very          can’t deal with the structure because their     an intensive way is not always easy. “They
are also those that Zimmerman calls lower        risky activities out in the community. We         lives are too chaotic and disorganized and      could easily run away and be in denial, but
threshold who no longer require the inten-       try to hold people and identify what their        the people who are too healthy for the          they don’t,” said Zimmerman. “I love the
sity of day services. “Some people are           realistic goals are.”                             program. “I’d like to create a membership       community of people here. They are very
healthier so we don’t keep them, we gradu-           Even though treatment for the disease         club where once a year a client can come        brave and strong and committed to go on
ate people out. They are successful and          has changed, there are still barriers to the      here to be part of the Village club and still   these meds. They really do want to live. Its
they go back to work or school or just           type of care and HIV/AIDS patient can get.        be entitled to certain things.”                 just remarkable.”
30TH ANNIVERSARY                                                                                                                           19

A complete listing                                                       Village Care of New York
of Village Care of New York services
and their locations

                               THE VILLAGE AT 46TH & TEN
                                 510 West 46th Street
                                                                   Legends of the Village
                                 New York, New York 10036
AIDS DAY TREATMENT CENTERS       Tel: 212.977.4600                 C e l e b r a t i n g o u r Pa s t , B u i l d i n g o u r Fu t u r e
    121B West 20th Street        Fax: 212.977.4848
    New York, New York 10011     www.46and10village.org
    Tel: 212.337.9220
    Fax: 212.633.6587          SENIOR INFORMATION CENTERS                                    Honoring
                                                                                Charles B. Persell
                                 51 Seventh Avenue
    45 Rivington Street          New York, New York 10011
    New York, New York 10002     Tel: 212.337.5800
    Tel: 212.539.6450
    Fax: 212.539.6455
                                 Fax: 212.367.1905
                                 220 West 26th Street
    112 Charles Street
                                 New York, New York 10001
                                 Tel: 212.337.5920
                                                                               Daphne Rubin-Vega
    New York, New York 10014     Fax: 212.924.5049
    Tel: 212.337.5681
    Fax: 212.366.5317          SHORT-STAY REHABILITATION
                                                                                    Performance by
                                 607 Hudson Street
                                 New York, New York 10014
                                                                              Tony Award-Winning Actress
    112 Charles Street
    New York, New York 10014
                                 Tel: 212.337.9400
                                 Fax: 212.255.9459
    Tel: 212.337.5705
         212.337.5717          CARE ADVOCATE SERVICE
    Fax: 212.337.5759            220 West 26th Street
                                 New York, New York 10001             Monday, November 12, 2007
    The Nicholas A. Rango
                                 Tel: 212.337.5658
                                                                      New York University Kimmel Center
    Health Care Facility
    45 Rivington Street
                                                                        60 Washington Square South
    New York, New York 10002   OTHER SERVICES                              6:00 PM Cocktails - 7:00 PM Seated Dinner
    Tel: 212.477.3100
    Fax: 212.477.3121          LONG-TERM HOME HEALTH CARE
TREATMENT ADHERENCE              112 Charles Street                     Introducing the 2008 Calendar Legends
PROGRAM                          New York, New York 10014
    112 Charles Street           Tel: 212.337.5640
    New York, New York 10014     Fax: 212.366.6516
                                                                                           George Bartenieff
    Tel: 212.337.5854
    Fax: 212.337.5787          VILLAGE CARE PLUS, INC                                        Joanne Beretta
                                 Licensed Home Care
VILLAGE CARE HEALTH CENTER       154 Christopher Street                                  Madeline Lee Gilford
    121A West 20th Street        New York, New York 10014
    New York, New York 10011     Tel: 212.337.5730                              Farley Granger and Robert Calhoun
    Tel: 212.337.9290            Fax: 212.366.1177
    Fax: 212.337.9275                                                                      Anthony Heilbut
                               RED HOOK COMMUNITY SERVICES
   45 Rivington Street         CENTER                                                      Elizabeth Kendall
   New York, New York 10002      83 Coffey Street
   Tel: 212.539.6265             Brooklyn, New York 11231                                     Bob Kohler
   Fax: 212.539.6391             Tel: 718.852.5748
                                                                                             Paul Krassner
                                                                                            Phyllis Newman
                                                                                         Anna Deavere Smith
CENTER                                                                                        Ann Snitow
    121A West 20th Street      CORPORATE OFFICE
    New York, New York 10011     154 Christopher Street, 1st Fl.                        Dr. Charles P. Vialotti
    Tel: 212.337.9260            New York, New York 10014
    Fax: 212.337.9299            Tel: 212.337.5600
                                 Fax: 212. 366.5528
    644 Greenwich Street
                               VILLAGE CENTER FOR CARE FUND
                                 154 Christopher Street
                                                                     For ticket information, please call
    New York, New York 10014     New York, New York 10014
    Tel: 212.337.5870            Tel: 212.337.5750
    Fax: 212.337.5899            Fax: 212. 337.5759

    607 Hudson Street
                               www.vcny.org                                                or visit
    New York, New York 10014
    Tel: 212.337.9400
                               E-mail: info@vcny.org                                     www.vcny.org
    Fax: 212.255.9459
                                 K   C
                                 Y   M

20                                                                                             VILLAGE CARE OF NEW YORK

           Experience the
          Village Care story.
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          and the inspiring tales of individuals who wanted
          to make a difference in the lives of frail adults
          and of persons living with HIV/AIDS? And hear
          from remarkable individuals who have confronted
                     aging and HIV infection?

                                             To receive a copy of this book, complete the form
                                             below and send it along with your contribution to:

                                                        Village Center for Care Fund
                                                              154 Christopher Street
                                                                New York, NY 10014
                                                                or visit www.vcny.org
                                                         In appreciation we’ll send you a copy of
                                           VILLAGE – a story about caring.

                                                   Enclosed is my contribution (minimum of $35)
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                                         Please send
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                                                                                         Village Care of
                                                                                             New York

     vcny.org                                                                           We’re here for you.

                                 K   C
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