[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-425481-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-425481-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","i-had-no-choice-i-had-to-come-somewhere-the-journey-to-assisted-living-for-low-income-older-adults","I HAD NO CHOICE. I HAD TO COME SOMEWHERE - THE JOURNEY TO ASSISTED LIVING FOR LOW-INCOME OLDER ADULTS","","Assisted living enables older adults to age in a home-like setting, but access is often limited for those who cannot pay out of pocket. This study examines the transition and “arrival story” of Medicaid/Medicare dually eligible, low-income older adults into New York’s Assisted Living Program (ALP), focusing on social determinants of health. Interviews with 72 residents across three New York City ALPs use narrative thematic analysis. Preliminary findings indicate three entry trajectories shaped by housing, healthcare access, relationships, networks, and policy factors, often with ambivalence and care needs tied to health-emergency and stability.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/i-had-no-choice-i-had-to-come-somewhere-the-journey-to-assisted-living-for-low-income-older-adults/425481/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/i-had-no-choice-i-had-to-come-somewhere-the-journey-to-assisted-living-for-low-income-older-adults/425481.png","ImageObject",300,407,{"name":42,"@type":43},"Riley","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the goal of this study?","Question",{"text":63,"@type":64},"To describe how Medicaid/Medicare dually eligible low-income older adults transition into New York’s Assisted Living Program and to identify how social determinants of health shape their “arrival story.”","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were participants selected and how many were interviewed?",{"text":68,"@type":64},"Low-income residents (n=72), largely from underserved racial and ethnic backgrounds, residing in three New York City ALPs were interviewed.",{"name":70,"@type":61,"acceptedAnswer":71},"What do preliminary results suggest about how residents enter assisted living?",{"text":72,"@type":64},"Individuals arrive through three trajectories: well-resourced people after a financial setback; lifelong low-income adults who cannot afford other care; and indigent or marginally housed individuals who gain stability through ALP support.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},425481,1790812546,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":30,"preview_page_count":4},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","Innovation in Aging, 2025, Vol. 9, No. S2 503  \nAbstract citation ID: igaf122.1720  \n“I HAD NO CHOICE. I HAD TO COME SOMEWHERE”  \n-THE JOURNEY TO ASSISTED LIVING FOR  \nLOW-INCOME OLDER ADULTS  \nKimberly Hadson, Neha Tungaturthy, and Daniel David, New York University, New York, New York, United States  \nAssisted living provides support for older adults to age in a home-like environment. Traditionally associated with clients paying for services “out of pocket”, New York’s Assisted Living Program (ALP) extends access to those who are Medicaid/ Medicare dually-eligible. The purpose of this study is to describe the transition experience and “arrival story” of dually-eligible older adults into New York’s ALP and identify the influence of social determinants of health (SDOH) . Low-income residents (n=72), largely from underserved racial and ethnic backgrounds residing in three New York City ALPs were interviewed. Narrative thematic analysis is uncovering themes related to social relationships, and access to housing and healthcare. Preliminary results suggest individuals arrive via three trajectories: 1. Well-resourced individuals after a financial set-back 2. Life-long low-income older adults who cannot afford other care 3. Indigent and marginally housed individuals who develop stability through ALP support Many arrive after a medical or social emergency that led to a hospitalization or skilled nursing stay. Interactions between individual health and housing needs, interpersonal relationships and networks, community support, and policy factors lead people to choose ALP placement with some ambivalence. Residents reluctantly view their ALP placement as necessary; however, desire alternative options when few are available. Understanding how and why people enter assisted living and the influence of SDOHat multiple levels will support the implementation of policies and nursing care interventions in these lower resourced environments for healthy aging in a historically marginalized population.","cbCaigHskGjRVGSI","https://ap.wps.com/l/cbCaigHskGjRVGSI","pdf",475638,"English","# Abstract\n## Assisted living access in New York ALP\n## Study purpose and methods\n## Participant narratives and entry trajectories\n## Key themes: relationships, housing, healthcare, policy","[{\"question\":\"What is the goal of this study?\",\"answer\":\"To describe how Medicaid/Medicare dually eligible low-income older adults transition into New York’s Assisted Living Program and to identify how social determinants of health shape their “arrival story.”\"},{\"question\":\"How were participants selected and how many were interviewed?\",\"answer\":\"Low-income residents (n=72), largely from underserved racial and ethnic backgrounds, residing in three New York City ALPs were interviewed.\"},{\"question\":\"What do preliminary results suggest about how residents enter assisted living?\",\"answer\":\"Individuals arrive through three trajectories: well-resourced people after a financial setback; lifelong low-income adults who cannot afford other care; and indigent or marginally housed individuals who gain stability through ALP support.\"}]","I HAD NO CHOICE. I HAD TO COME SOMEWHERE - THE JOURNEY TO ASSISTED LIVING FOR LOW-INCOME OLDER ADULTS | PDF",1790637421]