http://query.nytimes.com/gst/fullpage.html?res=9D07E2DE133BF932A05752C0A963948260&sec=&pagewanted=printJanuary 31, 1985
FOR OLDER PEOPLE, COMMUNAL LIVING HAS ITS REWARDS
By MICHAEL DECOURCY HINDS
AFTER health and money problems, the biggest concern for many elderly Americans is housing. Several million older but physically fit people face the stark choice of struggling alone at home or moving into an institution of one kind or another. But a new form of housing for the elderly, called shared housing, has emerged in recent years as a way to provide a homelike alternative. Generally organized by social service agencies, these communal residences are usually single-family homes that are occupied by an average of five elderly people. They share meals and chores, but usually have help with heavy housework, laundry and house management.
Part-time social workers at many homes help new residents make the adjustment to shared living - which can be difficult for people accustomed to living alone or with families. Social workers also help relocate residents who need nursing care, since the communal houses do not have nursing or medical facilites, ''I went from retirement home to apartment and back again,'' said Rose Becker, 89 years old, who now lives with eight other elderly people in a Spanish-style stucco home near Los Angeles. ''The retirement home was terribly depressing,'' she said. ''As beautiful as it was, there were a lot of people and a lot of disease. You'd hear those sirens and the ambulances would come. And the apartment was so lonely. But here, I have people who care like a family. I couldn't ask for anything better.''
Up to 40 percent of the people who enter nursing homes do not need the nursing care but have no better alternative, according to Leo E. Baldwin, housing coordinator for the American Association of Retired Persons. After four to eight months, he added, it can be almost impossible for formerly independent people to leave the full- service nursing home environment. In a survey of shared houses for the elderly, residents in Boston, Memphis, Los Angeles, Ann Arbor, Mich., and Madison, Conn., reported that they are an attractive, inexpensive alternative to nursing homes, dormitory-style projects or living alone. The key is to help older people avoid living in institutions, said Dennis Day-Lower, adding, ''It's the most cost-effective and the most popular solution - polls have shown that.'' Mr. Day-Lower is executive director of the National Shared Housing Resource Center, a nonprofit organization in Philadelphia that is spearheading the development of shared residences around the country.
Mr. Baldwin, whose nationwide organization for retired people has 17 million members, quoted estimates that 3.5 million to 4.5 million of the nation's 29 million people over the age of 65 would benefit by shared living arrangements. In the last 10 years, more than 200 shared residences have been formed, primarily by churches and community groups for low-income elderly, ''because they are the most in need,'' said Mr. Day-Lower. In addition, about 150 nonprofit organizations have programs for matching elderly homeowners with compatible roommates. The United States Census Bureau estimates that there are 95,000 men and 158,000 women, or a total of 253,000 elderly people, who participate in some sort of shared living arrangement. By comparison, there are 1.4 million people in nursing homes. Mr. Day-Lower predicts that the number of programs will double during the next few years because many public and private agencies - as well as profit-motivated developers - are showing interest in the concept. In 1983 Congress directed the United States Department of Housing and Urban Development to permit Federal rent subsidies to be used for the first time in shared residences for the elderly.
''It's too cost effective to be ignored,'' said Mr. Day-Lower, who made the following comparisons: An apartment in a housing complex for the elderly averages $450 a month, compared with an average cost of $200 a month in a shared home. Nursing homes range in annual cost between $15,000 and $30,000 per person, compared with the annual per-person costs of $9,000 to $14,400 in shared residences that provide all meals, laundry and housekeeping services; or $6,000 to $7,200 in shared residences that provide some meals and housekeeping services; or $2,400 to $3,000 for shared residences that provide little or no service. The average shared residence has five members, primarily because local zoning regulations commonly use that figure for the maximum number of unrelated individuals permitted in a single-family house. Studies have found that elderly people preferred sharing a home with anywhere from 4 to 12 people and that they did not like having too many services provided - they liked to be in control of their lives, Mr. Day- Lower said.
Visits to five shared residences, which were selected for their diversity, suggest the reasons for their popularity. In Memphis, Code North, a nonprofit community development organization, used church and Government subsidies to open a shared house for seven low-income, elderly people. The residents pay $300 a month for a private room, all meals and laundry services. ''We are able to charge so little because we participate in the Memphis Food Bank, where we purchase food for 10 cents a pound,'' said Chiquita Brown, director of Code North.
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Intergenerational shared houses are rare, but refreshing. A stately, four-story row house in Boston's Back Bay is home to 14 people, whose ages range from 2 to ''80-some,'' with most residents being over 55, according to Bradley J. Day, housing development coordinator for Boston Aging Concerns: Young and Old United Inc. A private nonprofit organization concerned with issues affecting the elderly, Boston Aging Concerns is the sponsor of the residence, called Shared Living House. ''We are very much interested in bridging the age gap and reducing age segregation in society,'' he said. Applicants to the house must have an income of less than $18,000 a year. Monthly charges range from $150 to $310, depending on the size of the room, and cover housing costs, breakfast and the services of two part-time advisers. Residents manage the house themselves, do all their own cooking, laundry and housekeeping. They also interview and select new housemates. Male applicants are especially well received, since Brian Lemere, a 25-year-old clerk who plans to enter a seminary next year, is currently the only man in the house. Residents meet formally once a week for dinner and to discuss the building's management, but they spend a lot of time together socially. Catherine Doyle, a 25-year-old college student, said: ''I love it here. My friends ask me, 'How is everybody in your beautiful house?' - they realize it is part of who I am.'' The group is currently writing guidelines to decide when a resident is too infirm to participate in house activities and must move to a place where nursing care is provided. ''We don't want it to turn into a home for sick little old ladies,'' said Christine Spurgeon, 69, who is a full-time dispatcher for the city's Senior Shuttle, a free transportation service for the elderly.
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Further information on shared living can be obtained from: Shared Housing Resource Center, 6344 Greene Street, Philadelphia, Pa. 19144, 215-848-1220.