Hui is terrified that she may soon have to go to the bathroom on her own.
For more than a decade, the 80-year-old woman, who is debilitated from a stroke, has spent part of her days at an adult day health care center in Alhambra. There, Hui converses with other elderly immigrants, is fed a hot meal from a local restaurant, and depends upon social workers who use a coarse brown woven belt to support her as she walks.
“I need the center,” Hui said in Cantonese, as tears began to flow. (The center’s management, concerned about the mental capacity of its participants, requested that only first names be used for this article). The adult day health center where she spends her days will likely be forced to close at the end of next month, a casualty of state budget cuts.
Easy to miss in an area of strip-mall Chinese restaurants, M & T Adult Day Health Care Center has provided a daily refuge for roughly 100 elderly and severely disabled men and women for the past 11 years. The center offers basic health care and, through classes and activities, a version of group therapy where participants socialize with others who share their experiences, as well as their ailments and fears.
But recently, Hui and her fellow center participants, who are from China, Vietnam, Hong Kong, Macao and Taiwan — and almost all of whom are ethnically Chinese — received a letter from the California Department of Health Care Services announcing that the state will be eliminating the Medi-Cal Adult Day Health Care (ADHC) benefit.
“With this kind of prospect, of course they get very depressed,” said Raymond Chu, one of the center’s administrators. “These people, they worry about everything, even really minor things. Most of them have insomnia.”
M & T is just one of the state’s adult day health care centers, most of which are in Los Angeles County, that fears the worst. At least two dozen of the state’s 311 centers have already closed this year, among them the only other facility located in Alhambra.
The center calculates that 25 staff members would lose their jobs, 200 participants would be stuck at home, and nearly as many families would face taking care of ailing loved ones themselves.
Over the last 10 years, M & T’s presence has meant that Susan, the mother of one participant, was relieved from caring for her for six hours a day and could work at an elementary school.
She is reeling at the prospect of not having that limited freedom. “We already knew the government had no money, but this left us feeling unsettled,” said Susan, in Mandarin.
Chu said a pay model is being considered, with patients’ families providing around $30 a day for an adult day program. Some, including Susan, could afford that, but Chu does not believe that there will be sufficient enrollment to make it a viable option. He remains hopeful that the program won’t die. “Even at this time I don’t believe that they can shut it down,” he said. “This is a government program. If they are going to eliminate this program they have to do it in a responsible way.”
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On a recent morning, Hui, neatly dressed in a purple vest, sits at the Cantonese-speaking table of M & T’s main room, which is decorated with red streamers and birthday greetings in Chinese and English. At the table next to her sit the severely disabled, a few lost in their own worlds, eyes roaming as arms flail. Across the room in the Mandarin corner, Ter, 87, chats with others who have shared this white plastic table for years. It might not look like much, but without the option to spend part of his days at this adult day-heath care center, Ter says he would “sit at home and wait to die.” Although his friends chuckle at his dark comment, they agree it’s a truth they share.
With its own version of cliques — mostly dictated by language and background —and group activities, the institutional room vaguely resembles a high school cafeteria. In the front, some gesture slowly and hit their arms in a version of Chinese martial arts targeted for elderly residents. In a far corner, others play a spirited game of mah jong underneath Xeroxed signs warning “No Gambling,” while chips click and bang against the table.
Removed from the commotion of the main room are small classrooms for activities like calligraphy, English and art. From one of them comes the tune of a heartfelt, if sometimes wrong, rendition of “O’Susannah.” A spry 90-year-old man is practicing the American folk song on the piano, preparing for a singing class he will lead. Julio, a Hong Kong native who picked up a Spanish name doing business in Honduras, can grasp only basic English, but center staff has translated for him American folk and patriotic songs.
Moments later he leads a half dozen elderly Chinese women in a rousing rendition of “O’Susannah”, as well as “America the Beautiful” and “God Bless America.” Next to him lies his bag, on which he has taped a Disabled American Veterans logo, a gift when he provided a donation. “I’m an American citizen,” explains Julio, who said he moved to the United States at the age of 78. “I’m supposed to know American songs.”
The mood is joyful until Julio thinks about the fact that this center, where he has spent his mornings for most of his years in the United States, may cease to exist in less than a month. Without warning, tears cascade down his wrinkled cheeks. “With this, we’re really happy,” Julio says in Cantonese. “Without it, we don’t know what we’ll do.”
-Albert Lu and Stephanie Lee, community contributors to Alhambra Source, assisted with reporting and translating.
The CHFC Center for Health Reporting partnered with New American Media (NAM) and LA Beez, a collaborative of Los Angeles ethnic media outlets, to produce a multi-media news package chronicling the effects of the pending elimination of the state-funded Adult Day Health Care program (ADHC). The LA Beez partners include Alhambra Source, Asian Journal, CaribPress, Eastern Group Publications, Impulso, India Journal, Latino California, and Media Central.
Resources for Elderly or Disabled Adults in Alhambra
Case Management Project: The City of Alhambra Case Management Project provides free assistance to Alhambra seniors 60 and older and functionally-impaired adults 18 and older in English, Mandarin, and Spanish. Case Management caseworkers can assist in providing contacts concerning Medicare, Medi-Cal and Social Security. They also serve as advocates for medical and mental health referrals, in-home service referrals, transportation, nutritional referrals, counseling and much, much more. For more information, call(626) 570-3220 weekdays from 8 a.m. to 5 p.m.
County of Los Angeles Info Line, dial 2-1-1
LA County Community and Senior Services Programs — Area Agency on Aging
Programs include: Alzheimer's Day Care, Dispute Resolution, Family Caregiver support, Health Insurance Counseling and Advocacy, Home-Delivered Meals, Integrated Care (ICM), Legal Assistance, Long Term Care Ombudsman, Senior Centers, Case Management, and Title V-Senior Employment.
For services, call (800) 510-2020 or visit http://css.lacounty.gov/
Los Angeles Foundation on Aging (LAFA)
Programs include: Meals on Wheels; Project CARE (Caring Actions Responding to Elders) and provides items such as food, clothing, personal hygiene products, books, and craft materials to low-income seniors throughout Los Angeles; Elderly Tenant Hoarding Program to “clean-up” and help with on-going mental health care and support; Consumer Education on Financially Literacy.
For information call (213) 252-4081.