Y’ROVTNG GROUNDS FOR SENIOR CHEERS: Thesis {or the Dam o! M. A. MlCHKiAN STATE COLLEGE. Blanche: Braun Cogga’n M . .1950 , ' c159 ‘ This is to certify that the thesis entitled "Proving Grounds for Senior Citizens" presented by Blanche B. Coggan has been accepted towards fulfillment of the requirements for _N._A.___damwein_juncaiion £11ng professor ‘ Date W P307130 GROUNDS FOR SENIOR CITIZENS By Blanche Braun Ooggan A THESIS Submitted to the School of. Graduate Studies of lichigan State College of Agriculture and Applied science in partial fulfillment of the requirement. for the degree of. “STIR 01' LETS Divieicn of Education 1950 If!!! (I I l l I l l: l l l llll. . [Ill ll|l|.1|"l * Jl I TABLE OF CONTENTS CHAPTER I. THE PROBLEM AND DEFINITIONS OF TERMS USED . . . The problem Statement of the problem . Importance of the study Definitions of terms used . . . . Vegetative existence . Good adjustment . . . . . . . . . . . . . Senior citizens . . . . . . . . . Organization of remainder of the thesis . II. REVIEW OF THE LITERATURE . . . . . . . . . . . . Who are the old? . . . . . Major problems that confront older peOple Institutions and forced leisure . . . . What happens to the unemployed old outside of institutions?. . . . . . . . . . . . . . . Does retirement begin at 65? . . . . . . . What happens to the employed old? . . . . . . Is our old age economy sound? . . . . . . . . III. A SEARCH AMONG BUSINESS AND CIVIC LEADERS TO FIND EFFECTIVE USE OF SENIOR CITIZENS . . . . Methods used . . . . . . . . . . . . . . . . . Organized groups . . . . . . . . . . . . . . . Attitudes of leaders toward organizations for senior citizens . . . . . . . . . . . . PAGE c: cs (A I4 F‘ r4 r4 (OCDU‘UIPCR ll 13 15 21 _‘.¢ u. u. l CHAPTER IV. TECHNIQUE AND RESU TS OF RESEARCH IN TEN HOME The S FOR THE AGED experiment The problem . Description of home Preparation period . Effectiveness of program . Other homes visited V. A CASE STUDY OF AN OLD MAN TRYING TO FIND A “av-\‘f' Penn ANENT JOB Techniques . . . . The VI. SUMH RY AND CONCLUSIONS Restatement of problem . Restatement of grooedures case of John . Summary Conclusions BIBLIOGRAPHY . APPENDIX A. APPENDIX B. 0 Organizations for Older Peeple Suggested List of Occupations for Older PeOple LIST OF TABLES TABLE PAGE 1. Age Period at Which Retirement is Desired O O O 16 II. Effects of Retirement . . . . . . . . . . . . . . 17 III. Number, Sex, Supervision,and Social Attitudes of Members in Ten Homes for the Aged . fllll‘fll‘fllII‘fl-‘ll‘ [i[[[[[lllil|llll! lllllll lll LIST OF FIGURES FIGURE 1. 2. Life Curves of Vital Functions . Labor Force Decline . . . . . . CRAP TER I THE PROBLEM AND DEFINITIONS OF TERMS USED The past half century has seen rapid advancement in the conservation and effective use of human resources. In» deavcre to conserve human resources, during childhood, youth, and young adulthood, have been especially noticeable in the fields of medicine, guidance, and social work. Cf comparative endeavors in the field of older adults, little has been recorded. I . THE PROBLEM gtateaent _9_f_ the problem. It was the purpose of this study (1) to gather information on the major problems the confront older people; (a) to find organisations, public or private, the aim of which was to provide opportunities, be- yond vegetative existence, for good adiustment and effective use of senior citisens; (3) to discover attitudes of Mayors and Chambers of Commerce toward the need for organisations of this kind; and (s) to make available a list of the organisations surveyed, how they began, grew, and have served. Igportance 2g_thg_stud1. This study was believed he- luortant because (1) the average length of life (in the C. 8. A.) increased more from 1900 to 1948 than from the time of Christ to 1900. In the year One A. D. the average length of life was twentyafive years; in 1900 it was fortyatwo years; (2) in the forty years, 1900-1940, the average _ duration of life for men in the United States has increased fourteen and one-half years; for women, fifteen and one-third years. In 1940 the expectation of life fo men was 62.6 years; for women, 66.4 years, and in 1949 it approximated seventy years; (3) the number of people sixty-five years and over increased as follows: Year 1900 1940 Number 3 million 9 million Percent e of pOpula ion 4.1 6.8 It has been estimated that by 1980 one in every six Americans then alive will have attained three score years. More than half of the children.born in 1948-49 will live to be seventy years old;3 (4) the lowest cost of living, estimated by several Social Service agencies, for one person annually (3500) would provide only vegetative existence. The average amount of insurance paid by Social Security to men who for twenty years have averaged a 4 $3,500 salary was $45 a month or $540 annually. In the U. S. A. (1948) $33 million a month was paid in Old Age Insurance to about one ‘ 1 Alfred C. Schwab Jr., 'Are We Ready For the New Life Open To Us?,' lhat'g New _I; Hearing, (Maico Foundation for Better Hearing, Minneapolis, Minnesota, 1949), pp. 10-12. 3 Ralph Barton Perry Ple £93.; gag Ag; Movement (new York: The Vanguard Press, I942), p. 23. , 3 a... Tibbitte, “Adjustment in Old Ageu'l‘he Beginning 01' a Universit E eriment " The ggrterlz Review-2M1 h g Alumnu , 55mg: 8(1)}: 234-241, May , . ' c 1 an 4 Mary Berkeley Finke and Helen Knox, 'Family “039?." 1'he American Magazine, 147:158, May, 1949. “ \ III III [llll and one-half million persons; 890 million was paid in Old Age Assistance to about two and one-half million persons. This made an average of $30 a month livlihood for four mill on older people-~one third of our senior citizens on vegetative existence; (6) statistics have shown that the average life span has lengthened rapidly, the average birth rate has lowered, the hiring age in most industries has fallen to forty years or below, and Social Security has called people 'old' and expected them to retire at sixty-five years; and (6) at the time that the number of old.pecple increased there was less offered for them to do; as they have lived longer there has been an earlier and more rapid turnover and depreciation. The purpose of this study was to determine if there were any emphasis, anywhere, placed on the conservation and effective use of human.rescurces in the growing latter half of life. lhat ways had been found to use this 'lew'Life'? II. DEFINITION OF TERIE USED Igggtative exigtence. Vegetative existence was inter- preted to mean food and lodging, in I'needed" amounts barely adequate to maintain life, usually granted by lelfare Agencies. Good gaggtment. Good adjustment was meant to imply a feeling of belonging, of doing something for society worthy of themselves and of their culture. {figgigg,01ti§gng. Senior Citizens was interpreted to III-{ll 4 mean.people of sixtyhfive years and older, since this was the accepted retiring age in the Social Security Program. III. ORGANIZATION OF REMAINDER OF THESIS The findings summarized in this study were determined through (1) the review of pertinent literature; (2) questionnaire interviews with seventybfive Mayors, secretaries of the Chamber of Commerce, and other agencies to which they referred; (3) the visitation of ten Homes for the Aged in- cluding three county infirmaries, and comp parison based on control data from a three month project in Social Organization in a Church Home for Old People; and (4) a case study of an old man trying to find a permanent job. It was the thesis of this study that a chronological date does not measure 'oldness', and that a.program can‘be devised .m in the smallest community which will provide op- portunities for the effective use of senior citizens, preferably outside of institutions. [Ill-bl CHAPTER II REVIEW 01' THE LITERATURE Minimalist Life's processes are continuous, but we have labeled certain divisions as infancy, childhood, adolescence, maturity, and involution. Involution is a term applied to the degeneration of bodily organs, i.e. their atrophy, shrinkage, or disappearance, which leads to functional decline or cessation. Involution is present during the entire life, including prenatal growth.1 Modern science has outdistanced the late Anton Dvorak's song M which stated, We begin to die at birth.‘ Dr. Carl I. teller, noted pathologist at the University of lichigan, also has found a great variation between indivi- duals and a great variation in the decline of capacities within each individual. lietabolism, motor activity, and reproductive functions undergo early involution, and cerebral functions persist into old age, as shown in figure 1, page 6. Strata and larthin found these curves of proportionate activity in the successive decades of life. (Adapted by teller) '1 Clark Tibbitts, 'Aging and Living,‘ Adult ldgcgtign Bulletin, October, 1948, p. l. of .- ~ paint. ‘9 'lu‘v l' i I YEAR to lo 11¢ 3181'“ 4 .wprxeu..s «qrsaeupm._._._.._. TIGURE 1. Life Curves of Vital Functions From the time the human egg is fertilised to the time of birth, the increase in weight is eleven million times, whereas the increase in weight from the time of birth to aver- age maturity is only about twenty-two times. ‘ During the nine months of prenatal growth, the living organism has exhausted over 99 per cent of its capacity for growth. One per cent has been exposed to our so-called en- vironment. The placental blood vessels show senile changes at time of birth. Aging is a part of living. Conversely, Carrel found that cells themselves do not age. They mature and divide into 3 Carl v. teller, BiolOgical mm 2;, m m Process(Clark Tibbitts, editor, Livigg Thrgggh the Older legs, Ann Arbor, llichigan: University of lichigan Press, 1949), p. 33. 7 daughter cells. His classical epoch-making studies of growing a bit of chick embryo heart in a flask containing a nutrient, which began in 1912, reveal that in 1946, thirty-four years later, much beyond the life span of a chick, the descendants of these heart cells are growing just as rapidly, just as vigorously, utterly unchanged in appearance. Carrel concluded that the cells themselves are immortal when given an appro- priate environments The age span used in the following research in litera- ture has followed the one used by Burgess-~the four decades of the sixties through the nineties—as long a period as young adulthood and middle maturity combinec.‘ A combined statement made by Theodore L. Clumps and Dr. Maurice L. Tainter6 concluded that medical science is faced with the challenge to give man health so that he can live to be 125 to 150 years old.7 Dr. Clump said that only a few die of old age; most die prematurely from degenerative diseases. Dr. Tainter cited six 3 Edward J. Stieglitz, _hg Personalc o_f_ _Agigg: Biolggicfi _ngggg in; Maintenanceo _9_f Health Clark Tibbitts, editor, iLigg hrc h _hg Oldegd'9 ,Inn Arbor, Michigan: University of Michigan Press, , p. 46. 4 Ernest W. Burgess, Ph. n., is Chairman of the Depart- ment of Sociology at the University of Chicago. 5 President of the linthrop Chemical Company. 6 Director of the Stirling-winthrop Research Institute. 7 News item in the m State JourpLI, May 82, 1947. 8 of the medical advances since 1870 which have lengthened life expectancy from thirty-four to sixty-five years, the average in l947-anesthssia, Pasteur's bacteria findings, sulfa drugs, penicillin, anti-molarials and nutritional aids. The writers of the literature reviewed emphasized that 'being old' in itself did not entail inefficiency. The pace- making leaders mentioned in 'The Half Century' in_1;mg Magazing for January 2, 1950, were men.in their sixties or beyond: Morgan, Churchill, Compers, Stalin, Roosevelt, Clemenceau, Chiang Kai-Chek, Lenin, and Ghandi. Our own Supreme Court and the men we choose for President affirm the ability of years. Major Problem! That Confrgnt Older Pegple Today the United States boasts of fourteen million persons, or one-tenth of the population, who are sixty or more years of age. Of these there are five or six million unoccue pied. To many of these, lack of occupation is 'forced leisure.“ lhile the words "force'I and 'eompulsory' are generally attributed to use in other countries than ours, we find that some industries have voiced what many others have done in action. h. D. Marshall, assistant secretary of General Electric Company, at an industrial relations conference in Detroit, January, 1950, stressed 'a compulsory retirement age would be good,"8 and Michigan Bell Telephone definitely states, “Retirement is ‘ ‘1950 3 News item in the Lansigg State Journal, January 29, compulsory at 65."9 In his studies of leisure, Samuel Wyer, Economist, found that the proper use of leisure has created every civili- zation in the past and the improper use of leisure had killed every civilization in the past.10 Institutions _a_n__d £93393 Leigpgg How is this leisure time used? In the United States, during the nineteenth century, a program of care for the indigent old evolved the County Poor Farm-following the same pattern as that developed for the mentally ill and the criminally inclined. The general idea was to institutionalize them, separate them from all social and economic contacts with the world, offer non other, and pro- vide medical care only for acute illness with barely enough food to keep them alive.n Today these institutions are little changed. A step-sister to the County Poor Farm, according to Senator Elmer R. Porter of Michigan and C. J. McNeill, legis- lative controller of the same State, is the State Mental Hospital _—. 5: , "Minimum Pensions for Bell Employees Hiked, Now $100 Fer Month,‘I News Lines, Vol. 10, No. 1, January, 1950. 10 Samuel S. lyer, Primer 93 Economics: How We Live Off m 9139; (Columbus, 'Ohio: Better Iorld Fund, 1945), p. 2. 11 Robert A. Moore, “The Medical Approach to the Problem §§4$gingfl The Journal 2; Gerontolggy, Vol. 4, No. 2:93, April, 10 with its ward of elderly people. McNeill said that in the past five years nearly 3,500 persons more than seventy years of age were admitted to state mental hospitals. 'The trouble is,‘I Porter said, 'that it is very simple to get a person committed to a state hospital now. All you need is the signature of two medical doctors and a probate judge. If a family has a troublesome elderly person on their hands, it is easy to get a couple of doctors to certify to inp sanity and the probate judge orders the commitment.‘ State hospitals, according to Porter, must take the senility cases upon a.probate judge's commitment and then cannot get rid of them.13 Albert Deutsch writes, with the approval and cooperap tion of mental hospital officials, of his visits from Manhattan State Hospital, New York, across the country to California. 'I saw plentiful evidence of railroading. Many of these old folks die within a few days or a few weeks after they arrive here. They don't die of any mental or physical disease. They die of a broken heart. They feel themselves betrayed. They commit psychic suicide.'13 I Commenting on this sad situation, Dr. David A. Boyd Jr., well known psychiatrist on the staff of Mayo Clinic, urges the establishment in all states of a new type of institution for older peeple built on a colony or village plan to minimize :Physical dangers while permitting maximum freedom of movement.14 ’13 News item in the Lansigg Stgte Journal, January 6, 1950. 13 Albert Deutsch, "Committed,'l Ioman's Home Companion, P. 39, January, 1950. 14' Ibid., p. 53. 11 Dr. E. M. Bluestone, who has made extensive research in the medical care of aged, when asked for suggestions for an ideal institution said: 'An ideal institutional life for the aged is a cone tradiction in terms. Under the best of circumstances, an institution, and the general hospital is included in this category, cannot help adding insult to injury when a client is admitted, and the home for the aged is no exception.'15 _I_hai Happens _t_o_ 1113 Unegxployed 91d Outside 9_f_ Institutions? About four million old peeple are receiving either Old Age Assistance or Old Age and Survivors Insurance. A few are on private charity. These groups comprise approximately one- third of our senior citizens. Charles V. Kidd, a.member of President Truman's Scien- tific Research Board (1948), supplied the following informer tion on the adequateness of our public security for older per- IOM: 16 (1) Old Age Assistance-~the average oldsage benefit of twenty-four dollars today will purchase only 70 per cent as much as the average old age benefit of twenty-four dollars in 1940. ' (a) The amount which the Federal Coverne ment will grant to a state approximates the amount which the stats provides for old-age assistance. (This does not ive adequate weight to wide variations n economic and fiscal capacity of states.) ~ 15 Dr. . M. Bluestone, 'Medical Care of the Aged,’ Journaligprgrontolggy, Vol. 4, No. 4:307, October, 1949. 16 Charles V. Kidd, Economic Security for Older Persons (Clark Tibbitts, editor, Livipg Through the Older Igggg, Ann Arbor, Michigan: University of Michigan Press, 1949), pp. 160-70. )1!" All! I I‘ll‘ 13 (b) An elderly couple needs from 8120 to $150 a month, depending upon place of residence, to support a minimum standard of living. (c) The Federal Government will match no part of any payment over $50 a month per aged erson. (This has been raised to 60 (1950).) (d) About two and four-tenths million persons are receiving old-age assis- tance. (e) Over $90 million a month is being disbursed for old-age assistance-- over one billion a year. (2) Old Age and Survivors Insurance (a) Inadequate for basic security. (b) Now actually less important than old- age assistance. About one and one-half million persons are receiving old age insurance. (o) About 845 million a month is now being . dianursed. (d) About $33 million goes to aged persons. (e) About twenty-five million persons-- two out of every five in the labor force-~do not work in jobs covered by this insurance. (3) Private Group Pension.P1ans-Social Security (a) About six million workers covered. (All ages) (b) Private plans can never approach uni- versal coverage. (c) Many plans are so designed that employers are reluctant to hire older workers be- cause of potential pension cost involved. 13 (4) Recommendations for Improvement (a) The benefits increased by at least 50 per cent. (b) Beneficiaries permitted to earn at least $40 a month--rather than 815-- without sacrificing benefit. (c) Beneficiaries over seventy years of age permitted to earn unlimited amounts without sacrificing pensions. (d) Expand devices for providing income to older persons as a matter of right, rather than a matter of charity. (e) For older persons who want to work and who can work, continuing employb ment is the most satisfying means of securi an income so far as the in- divid is concerned and the most productive so far as the economy is concerned. Does Retiggmgnt ngin 51 §§7 Late in the 1930s it became apparent that not only the older workers but men over 45 years old were experiencing con- siderable difficulty in reentering employment. This lowering of employability age tended to make large numbers of peOple not only idle at 65 but totally dependent. rew had savings to support them over the twenty intervening years. Many had their life's sayings confiscated by the de- pression.which hit our economy in the early 30s. This gave rise to a resurgence of pension movements such as the Townsend IPlan.which in 1944 claimed to have ten thousand clubs, some ‘with.two thousand members and none with less than thirty-five. x, ,l|.))ll|( l4 Basically the Townsend.program has changed little since it be- gan fifteen years ago. It proposes a 3 per cent income tax to pay pensions to persons aged sixty and older on the base of citizen right-~not on a basis of disability or need. The amount of the pension would depend wholly upon the sum.produced by the tax, thus fluctuating with the volume of national income. Townsend said, 'If the old people have enough money to spend to hire what they need, the young people will have enough jobs.‘17 The Ham ‘n Eggers, the Thirtbeollars-Every-Thursday Club and other movements have been overtones of deep need among older peOple. The Citizens Committee in California led by George McLainp-a rich.man's son who saw his father's business wrecked and the proud broken parent forced on the 'dole,‘ is one of these movements. I"I'he welfare authoritiee,‘ George relates, "finally okayed father for an old age pension of $18 a month, ‘but when they found he was a Christian Scientist they deducted $4--which was an allowance for people who bought medicine."18 The extreme tension brought death to the father in a few months, and fired by this unfortunate memory, McLain has proven that he can line up a tremendous majority of California's quarter I’ News item in the Lansigg State Journal, January 9, 1950. 18 Albert I. Maisel, 'The Pension.Preaoher: He lants to 'be President,‘ Look, Vol. 14, No. 3:21-25, January 31, 1950. 15 million pensioners into a political phalanx that can bargain its way into alliance with other powerful groups. The main aims of the Citizens Committee are: Bigger pensions with no responsible relative clause, paid for by higher taxes on larger incomes. Ewan Clague, commissioner of the United States Bureau of Labor Statistics, Iashington, D. 0., warns that if unemploy- ment and destitution are chronic among the millions of older men and women in this country, they will be numerous enough to force us to some kind of social action. What we may get from such pressures may be very unsatisfactory--socially, eco- nomically, and politically. If we can use these millions of able and willing men and women as part of the productive labor force of our nation, we may raise the standard of living of Americans to levels far beyond our present dreams.19 1mm amine 3.9. the _ulLEm 1 a me? Do older people want to retire? Research has shown a conspicuous reluctance on the part of our older people to submit to retirement. The results of two studies, one by Edrita G. Tried and one by Dr. Clark Tibbitts, show the attitudes of the older POpulation groups toward activity and inactivity. ¥ 19 Ewan Olague, m and Emplozabilitz (Clark Tibbitts, editor, Livipg Throggh the Later Years, Ann Arbor, Michigan: University of Michigan Press, 1949), p. 153. 16 (1) Summary 9; 2;, Fried's study?O Seventy-five in, vi uals between fifty and eighty years were interviewed with the intention to examine their attitudes toward activity curtailment, activity modification, and retirement. The individuals were drawn from all socio-economic strata of the pOpulation, averaging one-third in each division named of Lower Class, Middle Class, and Upper Class. (a) It was found that the percentage of in- active subjects in the lower class was six times higher than that of the mid- dle class and almost three times higher than in the upper class. The majority of inactive subjects in the lower class group desired to be active again. (b) Adaptations were more frequently desired than are actually received. (c) The desire for part-time arrangement ex- ceeded the actual number of accommoda- tions. (d) The tendency among the sample was to postpone the date of retirement, to give little thought to post-retirement plans, and to react to retirement with acute disturbances such as depression and ill- he'se TABLE I AGE PERIOD ST WHICH RETIREMENT IS DESIRED Active and inactive group percentage 'Before 65 20.0 After 65 25.4 Want to go on indefinitely 54.6 W _IR 30 Edrita G. Fried, 'Attitude of the Older Population Groups Toward Activity and Inactivity,‘ Journal 52 Gerontology, Vol. 4, No. 2:143, April, 194.9. 17 . TABLE II EFFECTS OF RETIREMENT Effects mentioned‘ Percentgge Satisfaction 30.3 Ambivalent reaction 15.2 De ression 36.3 €91eeplessness, loss of appetite, apathy, suicidal ideas, etc.) Serious illness 18.2 Home subjects mentiaaea‘nar. than an. effect. (e) It appeared from the findings that our economy was not geared to extract the bene- fits from the changing abilities of aging persons. (2) My g; _D_;. Tgbbitts' study. This was a year- long survey in ashtenaw cunty, Michigan, con- ducted by personal interviews with older peOple, 1948-1949. (a) People over sixty years of age have many problems and desires similar to those of younger pecple, but they have little cp- portunity to find satisfaction. (b) Older people are not willing nor eager to give up responsibility for children, for work, and for community activities. (0) They do not enjoy the prospect of having nothing they are required to do. They do not willingly withdraw into lives of inactivity. (d) Their savings, contributions of children, social security payments, and.pensions do not provide adequate retirement in- come. 18 (e) With insufficient funds they skimp on recreation, church, medical care, heat, and food. (f) They are not willing to have their lives planned for them by their children, or Otharae (g) Two-thirds of the older people in the United States are partly or wholly depene dent on others for support. (h) A very large number of those interviewed complained of feeling “useless.“ (i) The two circumstances that stood out most clearly were first, the desire of older peOple to maintain their own inde- pendent homes, and second, the determinap tion to live apart from their married children. (j) The I'need for companionship' was expressed more strongly than any other need.3 Observations and experiences of medical doctors and economists agree with Fried and Tibbitts. Dr. Carl D. Camp warned Michigan‘s state medical men that old age is no‘bar to work. From his experiences he said: (1) It is not wise to retire a man from his regular occupation at a.particular age. (2) Peo 1e do not age at the same rate, and they don t grow old in the same ways. (3) People who give up their occupation often degener- ate rapidly. Insomnia, restlessness, and stomach trouble often disappear when a man goes back to work. (4) A hobby doesn't necessarily serve the same pur- 31 News item in the Lansipg State Journal, May 5, 1949. 19 pose. The individual has to have something that really keeps his attention.32 Dr. Frederick Swartz, Lansing M. D., suggested that the retirement age should be raised beyond sixty-five years so that the more vigorous elderly pOpulation can find means of gupport for themselves. 'Old age,‘ the doctor emphasized, 'is no reason for decline in.mental vigor.‘ He also emphasized that I'more than 50 per cent of the chronic diseases coming to the attention of medics today are found among people under fortybfive, rather than among the so-called aged.‘83 Experiences during the late war, as recorded in the fol- lowing statistics from the Social Security Board, showed that there was an actual shift from retirement back to gainful em- ployment when the opportunity to work was given: (1) Many thousands of oldpage beneficiaries dropped the benefits and voluntarily returned to work. (2) By April, 1945, there were one and one-half mil- lion ‘extra' workers aged fifty-five years and over. (3) About three-fourths of a million workers, eligible for retirement under Social Security, had cone tinued to work. (4) About seventy thousand beneficiaries had returned from retirement to covered employment. Many of these older people were found still working; 33 Clinical Institute, Detroit, March 25, 1949. 1950 33 News item in the Lansigg State Journal, January 26, 30 nevertheless, the following graph of our labor force of men“ over sixty-five years of age showed the trend. Per cent in labor force of men sixty- five years and over 70 so K\\ . 40 ._.____i.i _ .1 _ L_ \4\ so WW--. 1 _ _ _W __ __\.--_ so ___- W ____, lo AW £ WW Tears TIGURE 2. Labor Force Decline“ From the United States Bureau of Labor Statistics, it was found that the papulation of men sixty-five years and over was rising approximately 2 per cent each year, while employ- ability for the same age group was lowering approximately 2 per cent each year. Pressures against hiring men over forty-five were evi- _— 3“ chun- v. Kidd. Ms M £93; 9.1.92: Ear-.212 (Clark Tibbitts, editor, Livigg Through the Older Tears, Ann Arbor, Michigan: University of Michigan Press, 1949), p. 157. 81 dent. The American Federation of Labor recently urged a Massa- chusetts legislative committee to amend the State FEPG law to protect middle-aged workers against discrimination. The union said that the insurance companies were 'ooercing' employers to prevent them from hiring men over tortybfive. A man of tortybfive is twenty years closer to pension eligibility than a man or twenty-five and is thus a bookkeeping liability.35 Yet John M. Convery, speaking for the National Associ- ation of Manufacturers, said that surveys showed that the older workers, in many instances, were more reliable, had bet- ter work habits, less absenteeism, were steadier workers, and showed less turnover than younger workers.26 gummmm onom 3.21.34? Society, as well as man, has proven itself to be a living changing organism. In 1850, only 16 per cent of the people of the United States lived in communities of 2,500 population and over. In 1947, 59 per cent lived in urban areas and 19 per cent lived on farms-approximate1y a complete reversal in one hundred years. The farmer and wife, in 1949, who owned their farm, as 35 News item in the Detroit Free Press, March 13, 1950. 26 Lecture, Industrial Relations Division of N. A. M., Second Annual Institute 2; Living in the Later Years, Ann Arbor, July 31, 1949. 22 in society a hundred years ago, were able to make a relatively easy and simple adjustment to their declining physical powers. Very different was the lot of the unskilled worker in the city. Typically, by sixty-five he was out of a Job and probably had lost it some time before. There was also an increasing number of skilled voca- tional activities subject to compulsory retirement at the ages of seventy, sixtybfive, and even sixty.37 From the findings, the life-line of our economy seemed to divide itself generally into the following sections: School and Production and . ...... . . . . I ......... . . . . College I Reproduction. L 1 Years 0 2.5 50 75 100 Statistics showed that the productive worker had on his back an average of two and one—half members of his family, the unemployables, the chronic invalids, and the retired oldsters. To assist the productive worker, we should change our view- point from 'what capacity has the older person lost' to 'what capacity has the older person retained which can be utilised.“38 Surveys of men receiving federal old-age benefits in 1940 37 Ernest W. Burgess, The Growing Problem gf_Agigg_ (Clark Tibbitts, editor, Ling Through the Older Years, Ann Arbor, Michigan: University of Michigan Press, 1949}, pp. 1-35. 38 Charles V. Kidd, Economic Security for Older Persons (Clark Tibbitts, editor, Living Through the Older Years, Ann Arbor, Hichigan: University of Michigan Press, 1949), p. 160. 33 showed that only about one in twenty stopped work voluntarily while he was in good health. More than half of them had been discharged. Roger W. Babson, famous economist, who at seventy-five ‘was experimenting on a way to 'circumvent the law of gravity,‘ said: IIWhether a man is twentybfive or seventy-five makes no difference if his work will earn money. The more peOple there are earning money, spending and saving it, the better off everyone will be. A well or anized study ought to be promoted to find how to exp the work opportunities for senior citizens. The idea that old men at work deprive young men of Jobs is largely nonsense. The greater the total number of people earning money to spend or save, the more jobs there will be."39 The major attack on the problem will have to come withp in industry itself which employs the vast preportion of the labor force. lith agriculture declining (in employment) and urban self-employed‘being limited in numbers, the real Job is to discover how industry can provide gradual self-adjusting- employment for its older workers. But industry is not alone in this responsibility. The worker's distinct responsibility is (l) to accept different kinds of work; (2) to accede willingly to changes in pay for such work; (3) to undertake any training or retraining which 39 Roger Babson, 'Work for Seniors,‘ £51h1i2921, P. 31. February 9, 1950. 24 might be required to keep emplcyability.30 The community-combined agencies could be responsible for providing facilities for assisting industry and workers to make these adaptations. (1) Training and retraining facilities. (3) Adequate public placement service. (3) Educational opportunities for older peOple. (4) Counseling and guidance services for older people. (5) Other kinds of professional service to meet the needs of our growing population. 0f the costs involved in normal industry, Consulting Engineer Wyer of Columbus, Ohio, concluded that in normal oper- ation in industry the men, due to age, wear out Just as capital (machines) wear out. The social costs for meeting the medical attention for the iniured, fair compensation for permanent maiming, fair compensation to the dependents in case of the accidental death of a worker, and old age pension after the worker's usefulness is over, are a definite part of industry‘s obligation and should be included in all cost computations.31 The above statement made in 1949 became actively alive 30 men Clague, gig and miolebiiitl (Clark Tibbitts, editor, Livigg Throggh the Older Years, Ann Arbor, Michigan: University of Michigan.Press, 19495, p. 153. 31 Samuel S. lyer, Primer of Economics-~How We Live Off Each Other (Columbus, Ohio: The Better World Fund, 1949), p. 10. 25 33 March 16,'l950, by the Nash-CIO Pact. The three basic prc- visions were: (1) A trust fund to secure pension payments. (2) Joint administration by the company and the union. (3) Financing by the company alone. (a) The company pays a flat ten cent hourly allotment per employee. (b) Seven cents goes into a.pension fund. 1. Pensions of $100 a month, including social security benefits, will be paid to workers retiring at age of sixty—five after twenty-five years service. 2. Employees retiring at age of sixty- five with less than twenty-five years service will be paid.prcpor- tionately. 3. Employees between sixty and sixty- five with twenty-five years service may retire on a.pension of $32.50 a month until they reach sixty-five, after which they will receive the full pension. (c) Four-tenths of a cent pays for administration of fund. (d) Two and six-tenths cents pays for life in, surance, disability benefits, and sickness and accident benefits. (Employees will contribute and receive ‘benefits in prcpcrtion to their hourly rates.) ‘ (4) Seventeen hundred hours of work a year is required to obtain a full pension. 33 lews item in the Detroit News, March 16, 1950, and verified in Interview with Asst. Regional Director of 010, Lansing, Michigan. 36 (5) Adjusted credit will be given for all over seven hundred hours work. (6) Employees may continue working until sixty-eight years of age, after which future employment will be subject to decision through regular contract procedure (a distinct arture from compulsory retirement at sixty-five . A summary of the foregoing literature seemed to con- firm.the following: (1) One-tenth of our population.was living in an 'lxtended Age,‘ the rules and uses for which the world has no precedent. This group will increase in number. (2) The number of people involuntarily unemployed because of their age was on the increase be- cause cf increasing life span and lowering of the hiring age. (3) Chronological age was found to be the only measure of aging and there seemed great need of an instrumen that would provide a realistic index of aging in its physiological, psycho- logical, and social uses. (4) 'Bei old' in itself did not necessarily entai inefficiency, but that present disuse of older people develOped deterioration of physical and mental capacities and abilities. (5) The major problems confronting older people , were found to be loneliness, apathy, physical and mental illness, loss of ability and skill, the lack of belonging to or receiving the es- teem cf cne's community, penury, and the general feeling of being a burden. This could be largely allevia ed by gearing our economy to screen and match Jobs and men. A basic know5 ledge of how to retire peOple to something, rather than from something, was needed. As one elderly man said to an occupational therapist, 'Give me the occupation and you can have the therapy.‘ 27 (6) Although in the last few years some determined studies have been made and a few organizations put into Operation, the combined efforts of in- dustry, the older workers themselves, and com- munity agencies would be needed to solve the problem. A chapter “Aging Belongingly' in George Lawton's new book AEAEE Creatively will give a detailed description of recreation centers and clubs for older people. This book just off the press should be available at an early date. (7) There was a noticable lack of organization or service in vocational guidance or placement for older psOple in all of the literature studied. CHAPTER III A SEARCH AMONG BUSINESS AND CIVIC LEADERS TO FIND EFFECTIVE USE OF SENIOR CITIZENS Well adjusted older peeple show these characteristics in their life's pattern: plenty of work and a liking for it; strong and varied interests; economic independence and secur- ity; good health; many social contacts; hobbies and recreations; living in the present rather than in retrospect; a desire to live life over again; and a predominance of spiritual and mental factors.1 Lawton emphasized four things needed to maintain mental and physical well being, and to keep one's self respect in older life: (1) A job or its equivalent—~an activity judged by standards set by others. (2) Close relationships with individual human beings. (3) To participate in the work of one's community and contribute to its life. 3 That society has recognized a lcpsided socio-economic (4) To express one's self. condition and would be willing to stopgap the emergency with more taxes was found in a recent survey poll in the State of 1 Wilma Donahue, Room 1510 Rackham Building, Ann Arbor, Michigan. 3 George Lawton, Ph. D., Association for Successful Aging, New York City, New York. 89 lashington by J. n. ledemeyer. He found that only a per cent of the people were definitely not willing to pay more taxes for the support of older people, and that seventy-six were clearly willing but disagreed on the particular kind of tax- ation. A summary of other findings by Iedemeyer recommended that communities and legislators give more consideration to such subjects as: '(l) Deferred retirement, rather than mandatory retirement schemes. (2) Selected employment of olger people, and jobs fitted to their capacity. (3) Incentives and other provisions which will en- courage individual planning for retirement security. (4) Services and facilities which will provide needed sources of social satisfaction; other- win, money will continue to be the primary means of social expression by older people, and there will be increasing resort to pressure tactics.“ Loy B. LaSalle, Director of Adult Education in Lansing, lichigan, voiced a need beyond money for older people. He said, I'security alone dulls initiative and stifles the spirit of risk and adventure that is needed in progress.‘ 'Creation's greatest event,‘ according to lysr, 'was when man became more than a mere animal. Crea- tive ability and spiritual elation became man's 5 Suggested list of Oc ations for Older Pe le Appendix B. cup op in ‘ J. I. ledemeyer, Supervisor, Division of Old Age Assistance, lashington State Department of Social Security. 30 generic mark. The unknown author of Genesis pogiically describes this as 'Man became a living so . 5 Harry A. Overstreet, professor emeritus of the Depart— ment of PhilosOphy and Psychology, College of the City of New York, asked, “What has community environment done to peOple that permit themselves in older adult life to be victimized by all kinds of forces that hold them back from maturing?" When asked "How can we make our adulthood move toward maturityl', Overstreet answered, "Groups of adults in con- tinuing education studying (l) t know about themselves as individuals. (a) Physical-~how to keep in good shape and grow in vigor; (b) Psychological-~to understand their mental, emotional,and social selves; (3) to get a true insight into the community environ- ment in which they live. What does it do to them, their children, and their fellowmen? (a) Educational--how it influenced them in their early years and now. . (b) Economical--do older adults have enough to live on and how can we gear the earlier economic earning years so that older adults will be kept happily growing?; and (3) to read, discuss, and study to be intelligent makers of public opinionp-to have good judgment on public affairs, to understand and contribute to the social and political world.“ But where was this continuing education practiced? Were older people divided into two classes--the toughest *who would fight to retain their rights as individuals, and ¥ 5 Samuel S. Wyer, 325 Cambridge Boulevard, Columbus, Ohio 81 those that felt themselves inter10pers and slipped gradually into rocking chair spheres trying to be “as little trouble as possible?“ In all previous cultures-~primitivs, ancient, medieval-- older persons have had a recognized and, with few exceptions, the most importanttrole. Research comparisons seemed to show that older persons have a much lower status in America than in any other society today. Our modern society seems to have failed to redefine the functions in our modernpurban world. Our traditional attitude is that increasing years bring progressive worthlessness to society and that if older peOple have food and shelter they should wait contentedly to die. Again, with Overstreet, one asks, “What has community environment done that peOple permit themselves to be victimized and arrested in their maturing?“ It has long been known that when the effort of the mind to grow into new knowledge and new insights ceases, the mind ceases, becomes fixated, settledp-the pattern of an arrested develOpment. As one elderly man who just walked seven miles a day to try to keep his sanity added, “The dead in this coun- try are often not buried for quite a while.“ A sign “Pioneer Club“ cleverly executed over the door of a small building centrally located in Iron Mountain, Nichigan, was largely the deciding factor in starting a search to find 32 what older citizens were doing. What were the major problems of older people, especially in our urban centers? Were there organizations working for good adjustment and effective use of senior citizens, and what were the attitudes of civic leaders toward the need for organizations for their older peeple? Inquiry about the Pioneer Club moved, step by step, to the Chamber of Commerce, the Mayor, and the editor of Iron Mountain-Kingsford News. Here was found an organization of older men, self-manned, that had for two years been providing companionship, recOgnizing individuality, rebuilding self- esteem through usefulness and belonging. Started as the result of a suggestion to the city council by the Mayor, and assisted by the Chamber of Commerce, news- paper editor, radio station, and other individuals, this move- ment represents an unique combined city movement. This social group, organized January; 1948, when elderly men were refused the use of the local railroad station as a “hang out,“ has good potentialities for future expansion into co—social, edu- cational, and vocational guidance. The opinion of the leaders is that their present old peOple are the ones to whom they are indebted for the greatest half century of progress the world has known, and who are ‘watching, with great interest, the progress of others in the community who have come along to take their places in the local IOBDO e 33 The simplicity and naturalness of this assumption made the movement easily understood and everyone's father and mother, grandfather and grandmother, became a live member of their community. The gracious acceptance of the club was ex- pressed by David T. Reese, 77, retired engineer: “It's the finest thing that has ever been done in this town. We, of the older generation, have often talked about it, but we never thought it would be done.“ It became the thesis of this study that programs could be found or devised even in small villages and towns that would result in improved mental and physical health by effec- tive use of senior citizens. The growing ego, health, and mental elation that come to citizens from contacts with their city's leaders was strongly evident in the members of the Pioneer Club and their immediate families. They talked of their letters and visits from the Mayor, the members of the Chamber of Commerce, the editor? and other business men, and were proud of their membership cards reading “Compliments of the City of Iron Mountain.“ Introspective proof of the ego strength in the above response can be felt in one's own personal reaction when re- “ oeiving a letter from the Chamber of Commerce as compared to receiving a letter from the Welfare Department. Both agencies —__ 5 L. D. Tucker, Editor, Iron MountainpKingsford News Office, Iron Mountain, Michigan. 34 -are useful, but contacts with one builds ego. Methods Used From these visits came the decision to interview Mayors and Chambers of Commerce for the study of our older peOple and what they were doing. Conviction grew, that if senior citi- zens were to again add a well adjusted natural sequence to so- ciety, the movement to achieve this must stem from a combined force of the highest esteemed civic, business, medical, reli- gious, and educational groups-~the focal point of Operation to be through present established business or educational organi- Zations, preferably the former. Ours is an industrial age and the Chambers of Commerce are the “eye“ of business and industry. The purpose of the interviews was: (1) to locate organizations of and for Senior Citizens; (2) to stimulate interest in such organizations; (3) to create a desire for movements of this kind; and (4) to exchange information between them. Seventy-five interviews were made in three states-— twenty-six in Michigan, twenty-four in Indiana, and twenty-five in Ohio. Sampling was divided equally among three groups: villages with up to 10,000 pOpulation; towns on up to 25,000; and cities of 35,000 and over. These three states were believed to be typical of indus- trial regions. Investigations did not aim to show average coverage, but 35 were more concerned in finding organizations serving older people. Because no precedent could be found for gathering in- formation on this subject from Mayors and Chambers of Commerce, the first week was spent explaining the problem and develOping a brief questionnaire with the help of those interviewed. No set of questions was found completely satisfactory as each situation was markedly different, generally originating from a.peculiar local condition. In order to find every worthy of- fort, it was decided to keep the formal part of the questions guide to a brief outline merely to form a working basis for establishing good rapport and “building in“ valuable data during the “thinking together“ on the problem. Some of the most excellent ideas came from those whose communities, as yet, had no organized movement in this direc- tion, but who had sensed the growing need and were anxious for suggestions to meet it. Only four of those interviewed felt no need to provide any assistance other than Federal Old Age Assistance for people over sixty-five years of age. Seventy-five per cent asked for a summary of the results of this survey and for a list of groups now in operation. In return, they will send a report of any further activity along this line in their own city. Those who had organizations working were willing to answer letters of inquiry about their deveIOpment and function. Organized Groupg . In order to facilitate exchange of information among in- terested readers of this study, the names and addresses of leaders of organized groups will be given in the footnotes. Organized groups were found in fifteen communities. Three were in Indiana, five in Ohio, and seven in Michigan. Some of the larger communities (cities) had more than one group: Port Huron, two; Fort Wayne, three; and Cleveland, twenty-four. That the size of the community did not determine its likelihood or ability to have activity was shown in the pepu- lation of the fifteen communities having groups. Seven were cities of more than 35,000, 812 were in villages of less than 10,000, and two were in towns varying between villages and cities. Six colleges, varying in enrollment from 300 to 20,000, in or near the communities visited were interviewed. Contacts were made with the educational and psychology departments. Three of these colleges were over one hundred years old, all offering doctors degrees. One offered graduate work for Doctors of Divinity. 0f the five, only one had courses or was doing research in geront010gy. From those having no activity in this field came the following comments, and all asked for a summary of the survey: “The need is evident, the project extremely interesting, and it merits thought and effort.“ 37 On studies for or about older adults, one (a member of the National Vocational Guidance Association) said, 'We don't have, we should have.“ After explaining an excellent project for graduate placement, one said, I'Older peOple have vocational problems as well as do young people. Hitherto we have concerned ourselves only with the young.” Another felt, 'We need a department in this field in the N. V. G. A.‘ Of guidance, placement, and education for the older adult, Dr. Lawrence Hess of the N. V. G. A. stated, "The survey you are making is in a hitherto untouched field. It's interesting because it's new. It's inp teresting because it's needed.'7 Second only to the thoughtful counsel given by Mayors and Chambers of Commerce, was their ability to refer to other agencies and individuals for source material. At the beginning of the interviews, 90 per cent said they thought the Welfare Department would have the information wanted. To which the following statement was made: I'They do have valuable information, but we wanted also to find what your father and mother and my father and mother were doing.‘ Later in the same interviews, only one per cent again referred to the Welfare Department. Whenever possible, all references were followed. In- teresting attitudes and ideas came from the Welfare conferen- ces. lost of the workers were well trained, efficient, and 1anderstanding--carrying a load that could be largely lifted ¥ 7 Dr. Lawrence W. Hess, 1130 8. Barr, Ft. Wayne, Indiana. 38 by screening and adjusting our vocations. For under the ori- ginal Social Security Law, old age assistance payments were supposed to be only a temporary 'stop gap" to handle the situ- ation until workers had been able to build up retiring pensions. But instead of decreasing, old age assistance has mounted stea- dily, rising from 430 million in 1939 to one and one-third bil- lion in 1949. One County Director of Welfare when asked where the ex- perience and training of older people was going answered, "Mentally and physically the oldsters are going to hell.‘ When asked how old peOple used their added years, he said, I'Doing nothing.“ Two Welfare offices had well started.pr0posals for hous sing projects of older people. One office planned to work with the local Chamber of Commerce. The other had organized the Welfare workers in Iextra projects beyond the line of duty,‘ bringing together ideas from clients, counseling among the workers, and in turn influencing the interest of the community through conferences and the press. The first plan was a home for both men and women, housing :not more than sixty people, with three hospital beds, and a staff trained in receiving members, finding out their past ex- periences, what they are interested in now, and using their skills (such as shoe repair, tailoring, etc.) to help other :members (for an established.price). A committee would search out abilities, desires, and “gripes.“ Each one could do some- 39 thing to earn a little if he so desired, inside or outside. A paid recreation director, having committees of members, would plan weekly programs including speakers, contributions from members, receptions, exhibits, and cpen house. Rates were to be established so that Old Age Assistance recepients could live there and have a little spending money left.8 The second idea was an outgrowth of interest aroused through the Caseworkers' Christmas Project of letter-writing, magazine distribution, and a radio project of supplying radios to shut-ins. It was called the Homewood Cottage Community for Older People--a group of small low rent cottages arranged around a square court of lawn with a Chapel Hall for Community planning and pleasure at one end, a grocery nearby, and the community as self-governed as possible. This is a.plan well worth consideration. Drawings of plans and more complete de- tail can be obtained from F. H. Clary, Subdivision Manager, Division of Aid for Aged, Citizens Bank Building, Norwalk, Ohio. Some referrals were to ministers and priests who felt the need and were glad to give of their experiences. One Ohio minister said, “You have put your finger on a sore spot in our society.‘ It was the general admission of these clerics that although older people are welcome to attend church and all of _— 8 Mrs. Bertha Ochiltree, 489 Central Avenue, Cambridge, IndiaMe 40 its functions, nevertheless there are very few, if any, groups especially designed to promote the older adult's continued growth, and that in mixed age groups the tendency was for the oldsters to feel that the younger ones should have the offices and do most of the managing. This was especially true of an older parent who was living with a son or daughter and attending their church. A good example of how an organization can be formed by the combined churches of a city was a 'Good Will Industry" for older citizens in New Albany, Indiana. It was originated by the late Dr. Bartle, sponsored by the Women's organizations of the Churches, governed by a Board of Directors from the Churches, and was self supporting, but had the assurance of the backing of the Community Chest if needed. Its two greatest services were to provide some occupation for older peOple who needed work, especially supplementary work, and to provide articles of clothing and home furnishings at moderate cost. Suitable quarters and heat were furnished by the city. Furniture and clothing were made and repaired by workers who were paid on an hourly basis. The articles were sold at the lowest possible cost to give families with low incomes an opportunity to have good furnishings and clothing. Older experienced workers trained newcomers, and some handicapped workers were being re- trained for occupations suitable to their abilities. There ‘were no officers chosen from among the workers themselves,as 41 yet. Future plans may include more self-government and worker- management.9 The Recreation Opportunities for Older People of greater Cleveland coordinated by the Welfare Federation was the most expansive and the oldest organization found.10 Cleveland was a pioneer in this movement, beginning in 1908 when Benjamin Rose, a Cleveland industrialist, died and left the greater part of his estate 'to provide relief for respectable and de- serving needy aged peoplell because his own last days had been empty, following the death of his wife and children. The Cleveland Program for Older PeOple was organized on an experimental basis by the Benjamin Rose Institute. Aided by funds from other sources, it conducted a demonstra- tion project for seven years. The first club started in a set- tlement house. Later clubs were started in churches, housing estates, women's clubs, and other agencies who furnished only room and heat. As the value of these clubs became apparent, many of the agencies assumed responsibility for them and provided.bud- gets and leadership. The Rose Institute turned the project over to the Wel- fare group in 1948, where twenty-four clubs now cperate under _* *9 Mrs. Wm. D. Bartle, 1819 State Street, New Albany, Indiana. 10 James H. Woods, Recreation Project for Older People, 1001 Huron Road, Cleveland, Ohio. 42 the Group Work Council. The aim is to have recreation for older peOple which provides (1) mental stimulation; (2) satisfactory social relations; (3) encouragement in the acceptance of responsi- bilities; and (4) the security of belonging to a group where one is wanted. These Golden Age Clubs, run by the old folks themselves, provide lectures, music, games, teas, picnics, and tours of interesting places, and always refreshments to provide light conversation and make for friendliness. They range in size from twenty to sixty members, and each one is suited to the neighborhood and cultural background of its members. Membership is secured by (1) names furnished by Division of the Aged and Family Service, hospitals, and clinics; (2) news items in daily papers--pictures and stories of activities; (3) direct invitations to oldsters in the immediate neighborhood; (4) posters in store windows; (5) pastors of all denominations; (6)k ggpeoplet of neighborhood who help with planning suggest names; and (7) word of mouth--interested oldsters tell others. Occasionally, several clubs join together for a picnic or dance. In October, four hundred oldsters cheered the Cleveland 43 Indians toward a World Series victory. Cleveland's next step was the organization of Hobby Clubs. These smaller groups are given supervision by trained leaders and are a real solution to the greatest enemy of the aged--idleness. Members are encouraged to try new things, to sell what they make, or work for fun and exhibition. Each September brings a ten-day Golden Age Hobby Show. Last year there were two hundred exhibitors and they sold over one thou- sand articles. A list of these clubs and their sponsors is given in Appendix A. Other projects in Cleveland are the Cleveland Church Federation that sponsors worship, vesper services, and coun- seling service for older people, and the Women's Volunteer Committee—-eixty women who give four hours each week helping at Cooley Farms, Cleveland's giant home for the aged and chro— nically‘infirmw-an institution which now rates as a model in its field. Another town houses its older men in a different way. '<3abin homes for elderly men,‘ said the real estate dealer. "A Lum and Abner village," said the storekeeper from whom the amen bought homemade sausage, hamburg, bread, and the companion- ship of a warm stove. "A Shack camp for old fellows across the track! said the townsman. Three names covered half of one trailer house--John- George-Ike. The storekeeper explained that these were the I ,. a .Q.‘ 7r 44 three who first began the village--that John was a Belgian who couldn't get a pension and worked when he could find work; George didn't live there any more, but Charles had bought his rights; and Ike drank. All of them worked a little. One was a watchman on the R. R. They paid $8 a month rent, had no modern plumbing, and got water from the back of the store. The grocer furnished electric light from his meter and the one man burned it all night, probably because he just had an operation. The men could bring their own furniture if they owned any; otherwise, a few simple articles were furnished. There were three villages within a radius of approxi- mately a half mile, each housing from eight to twelve men. These men sat around the stove in the store for their commu- nity life. Loathe to give any information at first, the owner gradually visited freely. He had bought the place in May, 1949, was enlarging it, and showed his extra stocks and sup- plies as he commented. I'Men alone in the world need a private home, one that they can afford and manage. They need many things. A lot of good could be done for their thinking, by the right person.‘I His customers received a happy welcome with some per- sonal questioning or banter. Living and movement here seemed more natural, if frugal, than in any institution or home for old folks visited. f 45 One important question developed from this survey: 'Why are there many more homes for older women than for older men?‘ In the communities visited, four homes for women were found and none for men. There was a greater percentage of women in small private and public homes and a greater percen- tage of men in large public institutions and in cheap rooming houses. Quoted answers to where older men congregate and what they do were quite uniform: I'I've been wondering what they do myself, especially since I've had my 0 fice off the hotel lobby. Many just come in and sit around with nothing to do day after day.‘I 'They congregate in the two pool rooms across the street." . 'The older fellows just walk along the water front.“ “Older men attend local ballgames in the summer or sit on park benches. Winter habitat unknown.“ 'Our old people congregate mostly on the street. There is a need for a place for them, but no action to meet it." One answer in seventy-four, a woman's, an Old Age As- sistance Visitor, was different: I'I see no need for entertaining older folks. If they've ever been any good, they are doing things for themselves at any age.‘I All four of the homes for women were clean and comfor- tably furnished and each member had some of her own private furniture. 'None of the homes had more than sixteen members, 46 none less than twelve, with one or two in a room. Each had her own bed. All homes had one Sunday Service. All had a piano. None had planned programs for recreation, education, rehabilitation, or vocational direction. The duties of the home were shared according to desire and ability. None had a trained nurse on the staff. The members had been carefully selected. Three had waiting lists. One had television. One was endowed, one a private venture, and two were sponsored Jointly by Women's Groups and Community Chests. The private venture was the result of an early dream by Virginia Monk, who is now the wife of a State Representae tive. Her aim was a congenial home for old people who could bring their own furniture, pay $10 to $15 a week, and share the duties of the home as they desiredP-a kind of “cooperative in which the guests furnish the money and the hostess furnishes labor and comfortable care, lacking crystalized efficiency." She believes that more couples would open their homes to older people, providing them with home-like protection and comfort-- EL foster home--if it were not for the present licensing neces- sary with Welfare. She will work with her husband in the le- gislature to have the law amended that requires homes having three or more people sixty-five years old and over to Operate tuuLer Welfare as a Nursing Home. She believes inspection and operation should be controlled by the local city housing agen- ciea.11 _— ll The Merritt Monks, Winchester, Indiana. 47 The Gratiot Memorial Home originated five years ago through the ingenuity of four women who canvassed and obtained enough $100 donations to make a down payment on a house and lot for aged women. One woman gave $15,000 to complete the payment. Most of the women guests are Old Age pensioners. Five dollars is returned to them for spending money. Any deficit is paid by the Community Chest. In addition to buying this home, the sponsors have since placed more than two hundred older women in private foster homes.12 The need for directed activity and outside contacts was expressed in a chat with a member of one of these homes who had traveled extensively when she was younger: “We used to have a Bible Study on Wednesday afternoons. A missionary who could play the piano taught us. She died, and we women tried to keep it up, but we seemed to lack ability to teach regularly and didn't have the strength to keep going. This lack of opportunities for further mental maturing was evident in all of the homes for women. When interviewed, Fort Wayne's Mayor promptly contacted the Board of Park Commissioners who sponsor three Older Adult Groups: (1) The Bloomington Oldsters Club organized about five years ago when about twenty—five men in a rooming house, assisted by the Park Board and Mayor, organized a social club which has added 13 Mrs. Rhue Bradley, 604-12th Street, Port Huron, Michigan. 48 continuing education, recreation, and self-planning activities. One of its present services is fur- nishing programs to the County Infirmary members. (2) Jefferson Center Oldsters Club, March, 1949, began in an older school building leased to the park board for a Community Center. Membership was re- cruited by canvassing and newspaper articles. There were three at the first meeting, sixteen at the second, and now about forty members at- tend. They have $90 in their "free-will“ trea- sury, have an independent program, refreshments each week, and Dance with an rchestra at Christ- mas. They expect to purchase window drapes this spring. A sorority furnished magazines, and ac- tivities include shuffleboard, card games, lec- tures, home talent evenings, movies, and square dancing. (3) McCulloch Oldsters Club is just organizing. It will be 99 per cent Negro and will be a part of the $63,000 Negro Community Center that has been in Operation one and one-half years. For these clubs ground level rooms are renovated and painted by the city, electric outlets are provided for hot plates, and heat and light are furnished. Tables and chairs are loaned until the Clubs can furnish their own.13 An interesting comparison in life expectancy between ‘whites and non-whites was disclosed in the estimated popula- tion census (1945-1946) by the U. S. Bureau of the Census: Idafe expectancy is greater for whites up to about sixty-five years of age, but after that the non-white exceeds the white. So, in our plans for older people, special emphasis should be placed on the non-white above sixty-five. 13 Martin Nading, Recreation, City Park Board, Fort Wayne , Indime 49 That more women live longer than men should also re- ceive consideration. An example of unique brotherhood was shown in the be- ginning of one Golden Age Club sponsored by the Salvation Army. It was championed by the Mayor, Chamber of Commerce, and City Editor, who bring their parents to the weekly meetings. The membership of sixty—five is composed of fifty-seven white and eight non-white (the excellent pianist is non-white). This is a fair representation of the percentage of mixture of population in the United States. The club is partially fi- nanced by the Community Chest, to which the Club itself paid $10. It cooperates with the Board of Education for buses and music, has both Catholic and Protestant members and leaders, was started in September, 1949, and follows loosely the fol- lowing weekly program: (1) Opening with a verse of America, or other familiar hymn. ’ (2) Lord's Prayer or short prayer by one of the leaders. (3) Play dominoes, checkers, or other games for about a half hour. (4) Volunteer numbers--songs, recitations, mouth organ, piano, or other. (5) Two motion pictures, one colored and one black and white. (6) Refreshments--tea or coffee, doughnuts or cookies (free). Monthly birthday table with cake and ice cream for all birthdays in the month. 50 Their suggested.plans for the coming months included: (1) Preparing a "Radio Program“ from their own voluns teer numbers for the County Infirmary members. School bus and speaker system to be borrowed from school for trip to Infirmary. (9) Historical and biographical sketch of each meme ‘ ber to show past experiences and training that might be used for "part time” jobs or free ser- vice in the community. (3) Have group select one of their members to speak before Rotary Club, Chamber of Commerce, or other civic groups on subject, "What We Do In the Golden Age Club.“ (4) Sponsor Wilma Donahue from the University of Michigan to speak before the Combined Social Group of sixty to eighty social workers in the city. (5) Crown the oldest lady as May Day Queen. Have two oldest men escort her. Club members to wind a May Pole. (6) Hold summer picnics.l4 Fenton's five thousand villagers have a modern Commu- nity Hall, a gift from a former village girl whose father set- 'tled the land on which it stands. Here a group of Golden Age peOple meet every two weeks for social recreation, some dri- ving as far as fifteen miles to get there. Sponsored by the Kiwanis, the club began about two years ago, has 150 members with an average of ninety in attendance, and, according to the caretaker, 'It holds up better than any other group.“ It books its dates and plans programs a year ahead.15 IA John Ward, Brigadier, 607 Huron Avenue, Port Huron, Michigan. 15 J. Chesnut, Director, Community Hall, Fenton, Michigan. 51 Greenville, another village of 7,500, has just appointed a City Committee of Recreation, hired a full time director, and begun a building to house the City Recreation Program on land donated by the city. Sponsored by the business men of the city and the Gibson Refrigerator Company, the program will serve all ages. Both the Mayor and the Secretary of the Cham- ber of Commerce stated, “The program will include the older adult.'16 Findlay's Chamber of Commerce is a picture gallery of historical city events--pictures showing Senior Citizens and past members in good proportion and in line with former inter- ests. Chamber of Commerce Civic groups, Masonic order, and 'lElks Club all have so-called 'Senior Groups." These former active members have life memberships and meet regularly with the organization. The Chamber of Commerce began the movement by calling and using its past members for consultation and for social occasions. Birthdays are honored with a large cake. Pictures are taken, and histories and newspaper articles are written by older men. Older men are used for receptionists. Some write periodic news releases on 'Why a Chamber of Commerce?" They have reserved seats at local stadium, plan programs, and send out gifts to County Infirmary. They furnished a law of- _— 15 Fred Bock, Director, City Recreation, Greenville, Michigan. 53 fice for the rehabilitation of an older lawyer. The attendance of oldsters is encouraged at the I'Ignorance Club'I whose motto is 'Bay nothing good about those present and nothing bad about those absent.‘ This breaks formality and encourages repartee. The city is planning a “Toll Taylor Day' in honor of a local composer who wrote 'Down By the Old Mill Stream.‘ Older inhabitants will be used to find history, in planning, and in presentation. They send congratulations to older statesmen on their birthdays, and had, when interviewed, just received an answer from Herbert Hoover with his autographed photo as a 'thank you.' A Palmer Home for elderly women is being built from a legacy trust fund. * The llks Club, which has a public cafeteria, uses their three oldest members to greet newcomers and visitors-~they know all the members so can 'spot' strangersu-and call them the Three Husketeers.17 During the spring of 1948, the University lxtension Service and the Institute for Human.Adjustment at Ann Arbor offered a course for older people called |'Problems and Adjust- ments in Later Maturity and Old Age.'18 This was a six month 1" Floyd J. Habien, lxecutive Secretary, Chamber of Comerce, rindlay, Ohio. 19 Dr. Clark Tibbitts, formerly Director of the Insti- tute for Human Adjustment, University of Michigan, Ann Arbor, now in public health work with I. 8. A., Iuhington, D. C. 53 experimental course. It appealed to more than fifty persons ranging in ages from twenty-three to eighty-four years. Many were timid. Some were ashamed to admit they were old or get- ting old. This was a six month experience, and only a short sen- tence summary can be listed here of the many interesting re- sults. (1) Initial Experiences (a) As the course developed, both sponsors and students expressed need to trans— late discussion into practical experience. (b) Class members formed a social group to promote sense of belonging, to make friends, to express themselves, to enjoy the feeling that something was being done for them. (c) They wanted to continue meetings after end of course, but practically no one had any suggestions or knew exactly what he wanted to do. (Important) (2) Beginnings of a Continuing Program (a) In c00peration with the Department of Physical Education and Recreation of the Ann Arbor Schools which supplied equip- ment, tables, benches, and reserved the only shuffle board court in Ann Arbor for Thursday evening. (b) Picnic suppers were enjoyed before games. (o) Croquet, horseshoes, badminton, conversa- tion, and just being spectators supplied entertainment. (d) The summer group grew from fifteen to fifty. (e) Leadership was provided by members of the Institute for Human Adjustment Staff. 54 (f) PeOple became more relaxed, suggestions came more frequently, and it was finally decided to organize, to elect officers, and to experiment with a varied program of discussion and recreation. (g) The winter program consisted of singing, dramatics, games, sports, lectures, and discussions of current and cultural topics. (3) Mechanics of the Program (a) Ground floor location and transportation are important. This group used a high school cafeteria that had a piano, tables, chairs, and cooking facilities. (b) School recreation department furnished equipment: games, instruments for toy orchestra, projection equipment for movies, and other items. (c)'Relationship between the group and the school was mutually beneficial. Group is now sponsored by the Board of Education. (d) Approximately forty regular attendants divided by chance into small groups of five individuals in each group electing a chairman seemed to function best. Each group planned for one of the discussion, recreation periods. (4) Results (a) The most interesting and rewarding thing observed was the number who made new friends. (b) They had an opportunity to do something for others--exchanged reading material, shared cars in transportation, brought unusual cooked food for lunches, adopted a family for Christmas food and clothing, and contributed time, effort, and materials for the patients at the local County In- firmHIYe 55 (0) Leadership was deve10ped. A new set of officers was elected for each twelve weeks and committees rearranged. (d) The group voted to name themselves the Senior Citizens Club. (5) Short Comings (a) Individuals should be stimulated to par- ticipate further in communities--estab- lished organizations such as churches, YWCA, YMCA, Red Cross, Salvation Army, public evening school, Council of Social Agencies, etc. should enlarge their pro- grams to include active participation of older peOple. (b) Some always remained spectators. During the fall of 1948, this course was given to eighty people in Detroit, and arrangements were made so that it was offered in Flint during the winter. Local groups in Traverse City and Windsor, Ontario, also offered it in their communi- ties with the assistance of the University speakers. In September-November 18, 1949, this Extension course was repeated in Detroit and a continuation course added from November 35-January 27 of this year. This included instruc- tion in Legal Problems of the Older Person and Community Pro- grams for Older People. University Extension workers are available for other communities.19 Dr. Harry A. Overstreet, at Ann Arbor, spoke of a growing interest of late among business men and others to find what 19 Dr. Wilma Donahue, 1510 Rackham Building, University of Michigan, Ann Arbor, Michigan. 56 they might best do in their years of retirement. The consen- sus among them has been that they must plan early in their adult years, with years still ahead of them, for dependable riches in the years to come instead of 'a dying-back of the brain.‘ He suggested five important practice periods: (1) Practice creating-~music, drama, story, painting, sculpture, woodwork, sewing. (2) Practice obligations--debt to past traditions and to their human fellows. (5) Practice research--some area of life's problems with thoroughness and exactness. (4) Practice happiness--sociability and play. Being happy with people is a way of being wise. (5) Practice Code-envisaging "a way of life.‘l A growing interest for "a way of lifefi that started among older business men but now claims an equal number of younger men, was evidenced on a Friday afternoon not long ago when a group of twenty prominent business men of New York boarded a train for a sequestered farmhouse in a hill country about fifty miles from New York to spend “a quiet weekend with God', as one of them put it. Roman Catholics, Episcopalians, Quakers, Presbyterians, and Lutherans were included in this amazing movement for inner peace. Retreats are being held in every state, but this was the best organized group found of men and women who are seeking new strength for facing life's problems by making religious retreats. Probably not fewer than 57 two hundred thousand Americans benefit from this little publi- cized mental therapy.20 Kalamazoo, the city whose ramps and railings at street crossings show thoughtful consideration for children and others who find steps difficult, has a Three Quarters Century Club21 that admits social members at sixty years of age and grants full membership at seventy-five. It began sixteen years ago by the personal visitation of Mr. Muffly to older people. Room, heat, and light are furnished by the County, and the meetings are held every two weeks on the fourth floor of the County Building, which has an elevator. Starting with a very few, the Club now has more than two hundred members, a choir of its own that also does community singing, brings in outside speakers, plays cards and games for recreation. The Marleborough Building, in Kalamazoo, is the home of an excellent class of older women who have means to pay for good small apartments and wish to live alone, and the Salva- tion Army has purchased a forty room hotel on North Burdick-- a housing project for older men. Kalamazoo also has a Flower Fund Memorial built from sympathy gifts for bereavements in place of flowers. This is 30 Rev. w. Robert Hampshire, Chairman of the Retreat Committee, American Church Union, New York City. 31 Mrs. Doris Stearns (Program Chairman), Marlborough Building, Kalamazoo, Michigan. Phone 7004. 58 a Senior Citizens fund earmarked for an Apartment House for Older PeOple.2é Several cities, like Lansing, are laying the ground work toward good adjustment between "Our Age and Our Aging” by enlarging their adult education pregram in the night schools and by lectures, panel discussions, and conferences, sponsored by individual organizations such as the Ingham County Council of Social Welfare and the City Women's Inter Club Council. The Adult Evening School sponsors the Lansing Senior Community Club which began last fall (1949). Its forty regular members, sixty to ninety years of age, have had prominent speakers on their weekly program and have engaged in hobbies, including metal-work and upholstering. They opened a dancing class in February at Eastern High School.33 Attitudes 2£_Leaders Toward Organizations for Senior Citizens The following expressions came from communities having no organizations for older people. Quotations from those in- terviewed best express their attitudes: "There is a real need for some agency to utilize the great storehouse of ability and experience of older peOple, but we don't know how to use it. Juvenile delinquency is misuse of assets. Older Adult delin- 33 Senior Citizens Fund, 1203 National Bank Building, Kalamazoo, Michigan. 33 Loy B. LaSalle, Adult Education Center, 419 N. Capitol, Lansing, Michigan. 59 quency is disuse of assets.‘ Charles Morris Cambridge, Indiana 'If we can et the people interested, the city will go along. an't think of any meeting place, but if we got to thinking, that probably would come too. I've visited a Florida Camp of 8,500 Older People with a Community building and planned recreation. It was fine. It was operated privately for profit, but we could use the general idea without the profit motive.‘ Fred Williams Bryan, Ohio 'A very worthy cause. It's very pleasant and sur- prising to find someone, especially from a.1arge educational institution, interested in older peeple and their use. Older peeple need to feel that they are contributing in order to have satisfaction. Recreation (basketball games) is enjoyed vicariously by most older peeple in Madison, but that isn't actually doing something to help the community.‘ James looden Madison, Indiana 'There is needed a central cleari house (could be a Colle e Adult Department Project of records and files 0 older people, their abilities, and vocap tional desires made available to communities regu- larly. It would serve two ways, for smaller cities hare a financial problem.of insufficient funds to pay for the best personnel. Older persons from larger cities or higher positions might retire to similar positions in smaller places and be used to train and enlarge ideas of younger assistants. For example, a former retired Chief of Police from.lew York City is head of Mt. Clemens' force and has a 'The retirement plan.of our college could be improved. It should not be according to age. Our educational plan should, in some way, provide for the continued 60 use of most of our experienced educators. The present plan loses much from the education field. Dr. Clyde M. Campbell East Lansing, Michigan A typical example of 'thinking through” by a civic leader, who has never really thought of his Older People and their problems, is shown by these periodical quotations taken from an interview with the Mayor of a city of fifty thousand in Indiana: 'No, I guess we have no organizations of, or for, our older peOple. Hadn't thought much about it. Both my father and my wife's father are dead. My mother runs a small hotel back home. My wife's mother has edited a weekly newspaper for the last twenty-five years. Both like independence and have been in good health. The paper is quite a load for her since her husband is gone. My son is taking journalism at college and will help her upon graduation. I guess there aren't too many old people that need attention. There was a man of seventy-five in here yesterday, hale and hearty, can't find work. Wondered if I could help him find part-time work. I've known him for a long time. He's fighting transferal from a room to the County Infirmary. I support his independent attitude. I'm going to see that he gets aid to stay in that room. I 11 try to find work for him. There's about one thousand old age pensioners in our county. Eighty per cent are inside the city limits. ll 61 There must be as many more out of work and not get- ting assistance. There's an elderly man, about ninety, walks past here every day to his son's sales room about three blocks away. That's all he does. He needs social and recreational outlets through contacts with people of his own age. I'm a member of the Lion's Club and they are looking for a project. They can 'epearhead' a movement to investigate these needs and find a building and ways to use it.” One of the greatest values of having more than one in- terview in each town was the Opportunity it gave to promote concerted future action. Quotations from three interviews in one town will illustrate this: “We need an agency or organization to promote social life and part-time vocation for both older men and women. A date on the calendar should not determine efficiency. Our laws and education need adjustment. I will talk to the City Council about it.” Mayor Butcher Union City, Indiana-Ohio 'The need is clear. What shall we do?...I will sug- gest appointing an Exploring Committee to locate older citizens, try to determine their needs and de- sires, and formulate plans to meet them.‘ President of Chamber of Commerce Stewart Union City, IndianaPOhio 'I will introduce the idea at the next meeting for discussion." Secretary of Chamber of Commerce Bickle Union City, IndianaPOhio ll 62 Many believed that since public agencies have assumed responsibilities for basic living needs, private agencies, private funds, and personal interest have been curtailed. Another strong feeling expressed was that public agencies, es- pecially when they assume Federal prcpcrtions, have a tendency to 'get the job done" rather than "serve the individual.“ When one can think of older peOple in terms of his own parents or grandparents, the attitude toward their problems assumes better perspective for a more permanent solution. Of the fifteen organizations found, all were social or recreational. None were vocational. However, three plans were suggested for vocational procedure. These plans are now in operation on an experimental basis by individuals actively interested. (1) The Luker Block Plan (a) One person employed by each community to contact Mayors and Chambers of Commerce, business firms, religious organizations, civic building managers, educational building and ground directors, and others to find “by the job“ occupation for older peOple. (b) Job worth to be estimated by time study based on normal hour output, but rigid adherence to hours not required. Paid by the job. (0) The establishment of a centrally located office and invitations sent to older citizens to record their experience and work desires with the object of obtaining employment. 63 (d) Goal of plan to be "Every establishment use one pioneer."e4 (2) Sedan's Central Clearing House'65 Given on page 59. (3) Sternman's Screening Plan (a) Screened all requests for help from em- ployers, to see if work could be done by older peOple. (b) Personally contacted employers to see if older peOple would be acceptable. (c) Encouraged acceptance and use of older - workers. (d) “Followed-up" to record mutual satisfaction.26 There seems to be a general growing awareness that "new life" has been added to our years,and adults are beginning to ask, lTomorrow and I, What?" The same trend in public thinking was shown at the An- nual Conference of the National Education Association (October, 1949), when the Department of Adult Education created a commit- tee to report on "Education for an Aging Population." The com- mittee recommended that the Department of Education transmit a resolution to the Federal Security Administration looking toward the establishment of a facility within the Administration which will 34 Dr. L. Luker, Mason-Abbott Hall, East Lansing, Michigan. 25 Michigan. 26 Director of United States Employment, E. North Street, Fostoria, Ohio. Secretary of the Chamber of Commerce, Mt. Clemens, h 64 (I) collect and disseminate information about all types of programs for aging and older peOple; (2) stimulate the develOpment of experimental programs, demonstrations, and research; and (3) promote OOOperation and effort among profes- sional groups working in the aging field at all levels. This search among business and civic leaders to find effective use of senior citizens confirms the following: (1) One-tenth of our present population are receiving an extended period of "new life“ with no apparent use for it. The remedy suggested was to create and re-allocate jobS. (2) The number of people involuntarily unemployed be- cause of their age will increase because of in- creasing longevity and constant lowering of hiring age. The solution is obviously "jobs." (3) The erroneous chronological measurement of aging is obsolete. Another instrument of measuring efficiency is needed. Jobs to suit the worker could be this. (4) The deterioration of physical and mental capa- cities through disuse was found to be the most vicious problem of older peOple. Vocations for all that want to work would largely solve this problem. (5) Other ma or problems were loneliness, physical and mental i 1ness, loss of abilities and skills, lack of belonging to or receiving the esteem of one's community, penury, and the general feeling of being a burden. Work with pay would be the answer to most of the above needs. (6) Some organized movements are being made for recreational and social improvement, but none were found for vocational placement. The remedy would be movements to find jobs. (7) Three plans to find and reallocate jobs were given. _.n unrefi.‘ Ls} ll CHAPTER IV TECHNIQUE AND RESULTS OF RESEARCH IN TEN HOMES FOR THE AGED Specialists in the new clinic for gerontology and geria- trics established at "Moosehaven"1, Home for Older PeOple, are putting old age under the micrOBOOpe. The investigations will include physical, nutritional, social, educational, and emo— tional factors. Beside these eminent scholars, there is a resident physician, four nurses, and a new hospital wing of thirty-four rooms. 'A job for everyone“ is Moosehaven's philoBOphy. Near- ly all the work is done by the folks themselves. Every per- son able to work, helps. This provides occupational therapy for the individuals and help for Moosehaven. Everyone re- ceives some compensation for his labor. Those unable to do physical work can be 'Sunshiners,‘ and they too receive some compensation for being friendly and cheerful.2 The Hodson Community Center in New York has found a program of activities that promotes continued use of skills and talents suitable to the individual, and yet offers the #1 The Moosehaven Research Laboratory at Orange Park, Florida, began September, 1949, and is headed by Dr. Robert W. Kleemeier, Northwestern University psychologist, and Dr. Anton J. Carlson of the University of Chicago. 3 Dorothy Anderson, “Science May Yet Outwit Old Age," Moose Magazine, p. 7, March, 1950. 67 warm companionship of others. It has also found that such a program will recover and reestablish a feeling of usefulness and belonging. "A rediscovery of himself...as an integral creative part of his times." There has never been an admis- sion to a mental hospital in the six years Of existence of this center for seven hundred members. On the other hand is Dr. Bluestone's caustic comment on institutional life: summariseearnestness: . was. stances an institution, and the general hospital is included in this category, cannot help adding in- sult to injury when a client is admitted, and the home for the aged is no exception."4 The general attitude of Mayors and Chambers of Commerce concerning the commitment of peOple to County Homes in seventy- five communities was expressed by Schendel's, "To the County Home to Die."5 That the aged do prefer social living and that the need for companionship is their strongest expressed need, beyond vegetative subsistence, was found by Clark Tibbitts6 in his 3 David Laurence, "What Is Case Work for the Aged?," Public Welfare, 7:188, October, 1949. 4 Dr. E. M. Bluestone, "Medical Care of the Aged," Journal 2; Gerontology, Vol. 4, No. 4:307, October, 1949. 5 G. Schendel, "To the County Home to Die," Colliers, p. 15, October 8, 1949. 6 Clark Tibbitts, "Aging and Living," Adult Education Bulletin, pp. 1-4, October, 1948. 68 study of the older peOple in Washtenaw County, Michigan, and by John Griffin's thorough analysis of the living arrangements of nineteen hundred old people in Somerville, Massachusetts.7 Only about 13 per cent lived alone. Institutions are the exact Opposite of living alone, and yet the most lonely are found in these two places. "Institutions represent the last desper- ate resort," according to Griffin, because it means removal from familiar old neighborhoods, acceptance of regimentation, routine, and constant mingling with the terminally sick. Ju Shu Pan also found the influence of institutionalism deteriorates personality.8 I According to the records, being in an institution and living alone, two seemingly Opposities, shared the ignominy of being the least desirable places to live. What have these two extremities in common? Through past experiences, the feeling of being alone in an empty house in a period of illness with a lack of funds and friends can be understood by almost everyone. During this ex- perience, personality definitely changes. If no relief comes, deterioration and apathy follow. At any age in life, there will be a decay of personality when the physical, social, in- ‘7 John J. Griffin, "The Sheltering of the Aged," Journal .gbeerontology, 5:31-45, January, 1950. 8 Ju Shu Pan, "A Study of the Influence of Institution- alism on the Social Adjustment of Old PeOple," Journal 2: Gerontolo , 5:276—280, March, 1948. 69 tellectual, and spiritual functions are not exercised. The using of these combined functions is thought of, in this study, as human exercise. THE EXPERIMENT The Problem The conviction that lack of this human exercise was the evil common to "living alone" and "institutionalism," the two places where the most lonely and apathetic are found, motive» ted a desire to explore homes for the aged to find if there was relationship between the amount of human exercise and the state of loneliness and apathy. Description 2; the Home A Home for Old PeOple in a city in Michigan was chosen to furnish control data because it was a medium sized, modern, recently built, church home. It housed about one hundred old peOple, was financed by endowment and free will gifts, was away from central meeting places yet inside the city limits, had mostly paying members but some nonepaying, had one regis- tered nurse (for children and old people), a chapel, a social room, and spacious grounds. ’ It was assumed that this home was near the average in size, location, equipment, and personnel, and that a three— month prOgram, one day a week, could be developed that would _g--_..‘-.‘ A‘t.‘ - nih- '5‘”. 70 result in improvement in the mental and physical health of its residents. The results of this program would be the basis for determining the 'human exercise quotient" of other homes for the aged to be visited later for comparison. There were about seventy-five members, twenty of whom were men living on the first floor. One couple, husband and wife, also had a two room apartment on this floor. The second floor was for women and the third floor was the hospital. About 10 per cent were in the hospital or confined to their rooms. The rooms were private with one exception where two women shared a room. More than 50 per cent were over eighty years of age. The Home was under the supervision of a pastor, who had been there for twenty-five years. He was appointed by a Church Board. The building was intensively clean and coldly inviting. The supervisor was OOOperative in a friendly, passive way, but made no active contribution to the project beyond supplying names of members he thought might be interested if contacted. The office secretary found their room numbers. It was neces- sary to plan and execute the experiment completely within the existing schedule. The attitude of the supervisor was, "Most of my peeple come here for rest. They are tired.‘I The activities found in the Home were weekly church services in the Chapel and visits from Women's auxiliaries in the social room, which usually consisted of songs, announce- ‘S'T‘T‘T‘i ' 1.: .«n ‘st‘lib .A" "v.3 u-u " s, 1.33 no-4 s l 71 ments, and a speech by the pastor. There was no mental activity in which the residents of the home were other than observers. A few helped occasionally in the kitchen or laundry room. The nurse tried to help by encouraging handwork among the women and bringing the necessary work materials to them as she came past the stores on her way to the Home. For the men, there was t nOthinge Prgpgration.Period Recorded observations of group situations (dining room, I! l_ .-‘_:I-a . u‘.‘ e‘ sitting rooms, hallway standing waiting for meals) were made the first day (Tuesday) and used as control data for this ex- periment. These group situation observations were recorded as: (1) Changes in facial expression (3) Conversation (3) Physical activity (4) Bodily posture Among the men there was almost no changes in facial ex- pression, very little notice of others entering or leaving, and an occasional word of conversation, but no use of sentence structure. There was some notice of presence of the observer (woman) in downstairs living room where men generally eat, but soon they looked out the window or Just sat. There was no laughter, no smiles, no animation. The man whose wife also 73 lived there showed the most activity and spontaneity. One man walked incessently up and down the hall. There was more activity among the women and some visi- tation as they came down the elevator for noon-day meal. But then they lined up against the walls, dully waiting for the dining room door to cpen. Inside, they moved as quickly as possible to their places, a strong matron stoically and firmly said grace, everyone ate, and the room was empty in twenty minutes . In the first afternoon, the research worker made five room calls on those whose names had been suggested by the sup pervisor. These contacts were made to (l) establish rapport; (2) discover past interests or activities through personal articles in rooms, building, or grounds; (3) gather other facts and ideas for future plans; (4) find something in which at least two peeple were interested on which to begin group work; and (5) be constantly alert for possible leadership in the group. The observer's attitude in approaching these interviews was, “Where they from their experience speak, and I from my inexperience ask and answer.‘ Good rapport was established by asking these older peeple for their guidance and assistance. The notes made from the first day's contact show this:9 9 Names have been changed to protect identity. 73 Mr. Adams--First met walking to outside mail box. Eighty-four years of age. Retired minister and farmer. Would enjoy singing. Hymns preferred. Reads music. Can sing tenor, bass, or seprano. Need,mental activity. Mr. Mills-~Met while visiting Mr. Adams. Rheumatic, but able to walk with cane. He and wife have a two room apartment. Attitude very normal and ex- cellent. Has had his children and relatives pro- vide entertainment at Home. Plans to have ano- ther program on his birthday (Mother's Day) this year. This might be a beginning for group activity. ‘rT—‘_.:—_—__—‘-’..t-* Mrs. Mills--Called on her at husband's suggestion. Friendly. Making a small rug. Has good health, physical and mental. Active. Could be good group worker. Took me to library, nurse's room (who was out), and laundry room, where she was going to iron. Doesn't think she could do anything in group work because of lack of practice, but re- fers constantly to her children and grandchildren and their abilities to help on programs. Joins with Mr. Mills in wanting a program on Mother's Day. _f' 'Tm——‘* .1. ._ Mr. Neller—-New member of Home two weeks ago. Eighty- two years old. Seems in good health. Talks of his daughter's first visit from Cleveland in two weeks. A little wistful and new. Seemed interes- ted in singing with a men's group, but thought he couldn‘t. Mrs. Carl--Dowager type. Unusual mental abilities. Had recently completed and published a family history through assistance of a nephew. Formerly liked to sing, but sang too loudly and was asked to step. Loves music, but thinks she couldn't contribute in that way anymore. Feels that with so many personalities in the Home, little can be done in group thinking. Liked praise of her his- tory and request to display it. Her abilities should be utilizedp-her forcefulness guided into leadership channels. As members gathered in the halls for the evening meal, the observer met friends of those who had been interviewed in 74 the afternoon. This visitation made the waiting in line more flexible and pleasant, and a little curiosity and interest were aroused in other members. It is evident that these folks have achieved in the past but have been losers for such a long time that they will need much and varied encouragement in order to try anything again. If they can feel that they are only in a new community, rather than outside of all communities, it will help. The superintendent's comment was, "Communities have done ‘ little or nothing for their aged peOple. Old peeple trust no a— one, or very few.‘ The second Tuesday's work was a continuation of private visits to encourage acceptance of the idea that activity might be possible or profitable and to stimulate more suggestions. Another aim was to use the indirect method of guidance and have the ideas come from the members themselves, from ac- tivities they had previously enjoyed. This method took more time and required more patient searching for avenues of ap- proach. A diary report was written at the close of each day. The one for the third Tuesday shows the trepidation and ex- periences of exploring these unchartered depths of disused abilities: I left at 7:80 for the Evangelical Home with the plans as outlined in last week's report. It is a good thing to have plans written. It is quite another thing to convert plans into flesh and blood. This process 1!." Us!” .- G 7 continually appalls me, and it never happens exactly as planned. It is doubly true with this project-- trying to think with and beyond folks who have such a store of past experiences and maturity. It is like telling your parents how they should "bring you up.‘ Work and plans for children and young people can be built upon one's own past experiences, but that is not true in planning for the generation beyond you. One senses a new meaning to the message of the latch- less door, “Behold, I stand at the door and knock.“ While searching for methods of approach, the idea came to take a flower for each member of the Home as an introduction to the group, so sweet peas, some fern, and two packages of pins were purchased, although the way to distribute them was left to be worked out after reaching the Home. On my arrival, the superintendent met me with a cordial handshake. Some of his comments concerning our present project were, "More than 50 per cent of my people are over eighty years of age. Most of my people have come here to rest. They are tired.“ I liked the way that he said "my peonle.” I was not sure that I liked the finality of 1'to rest' and ”are tired.‘ Then another guest called and the superin- tendent had to leave. The flowers were still in the car. The first Plan on my list said, “Contact the head nurse, as she was mentioned by the Pastor as the one who had tried to plan for some mental motivation in the past." I inquired where she was, but none seemed to know. 'She could be anywhere in the building.” The building is a three story structure covering more than an acre or ground. Most of the next hour led me through a modern laun- dry, kitchen, chapel, heating plant, gymnasium, music practice rooms, auditorium, a children's dinning room, and one for adults. Then I came to a small library that had a sign on the door, "Open Thursday, Friday, and Saturday afternoons.‘ Through the glass it looked a little too neatly kept, too new and unused. On the second floor, my coming surprised a little aged lady dressed in blue who was emptying her waste basket. I smiled and began chatting with her. In a few minutes she was visiting easily. Two other el- derly women came around the corner, and she called to them in such a happy voice, "Come here and meet this friend who came right up and talked to me." Within a few minutes, one was telling about the daily housekeeping tasks that she was doing, and the other, Mrs. Ring, when asked about her youthful looks, said that she would have a birthday April 25. Mrs. Timer, who peeked out a door and was invited to join us, said that she had thought about having a Ladies' Club. As we walked toward the ladies' parlor, a slow-minded woman, who has been a helper in the Home for twenty- six years, joined the group. Birthdays seemed to be a good topic of conversa- tion, and one woman knocked on doors as we passed, calling out two women, whom she introduced, and asked for their birthdates as we all slowly walked toward the parlor. Two women there, dejectedly sitting at different ends of the room, stirred a little and then looked up with mingled surprise and a little suspicion. Walking over to the further one, and fol- lowed by the group, we asked if she had seen the head nurse, then began telling her about "all these birth- dates' we had collected. She smiled as we wrote down here, and the woman in the other end of the room slipped halfway around the room in curiosity, so we included her. The list was handed to the one who seemed the most aggressive and she was selected, by suggestion of the visitor and node from the women, to try to get all the birthdays for April. By that time it was 10:45. The mid-day meal is at eleven o'clock and from twelve to two is the rest period. The head nurse sleeps during that time, so I made short calls on some of my friends of last week: Mr. and Mrs. Mills and Mr. Adams. The two men were not so well as be- fore. Mr. Mills was walking with a crutch and cans because of arthritis. Mr. Adams was mentally depressed and feels that his usefulness is entirely passed so would welcome release from this life. Mr. Charles, just across the hall from Mr. Adams, came out of his room and inquired about his neighbor's welfare. His speech and manner were highly cultured. He is a retired attorney with musical (piano) training, and was formerly an accompanist for his wife, an ac- 76 77 complished singer until her death. He may be the possible leader for the men. Next week will give more information about him. A small man walked incessantly up and down the hall. After he had passed a number of times, I talked to him about hiking as soon as the weather was warmer. He spoke eagerly about taking walks. Later two other men referred to him as the “walker." I shall try to see him next week. Five minutes after two o'clock, I knocked on the head nurse's door. She was hardly awake as she ad- mitted me, but insisted that I stay, saying that she should be up at two. She was an attractive, inter- esting, mature woman. We had an hour conference in which she told of many things she had tried to do for the people there. The more able of the women are invited to assist her occasionally in serving for special groups, and last Christmas at their ens tertainment a few of the women did extemporaneous The men find singing, speaking, and a little jig. it more difficult to adjust. They do very little visiting, but occasionally listen to the ball games on the radio in their own parlor, where they sit stiff against the wall without comment. This situav tion troubles her, but she has no solution. We then visited her "shut-in" women. Mrs. Made, very overweight, is trying to reduce and needs daily light treatments. Her hand-made bed spreads, baby jackets, laces, and doilies would excite the envy of any art shop. This refined educated lady doesn't like to “just sit around. " She would enjoy discussion groups. Mrs. Sander, a little German Grandmcther, eighty- seven years old, when visited became happy and gay about getting dizzy and falling out of the elevator on her way to dinner, showed us how she could still dance a little with her one good foot, while both bandaged wrists and one wrapped foot were waiting to get well. A snow-white-haired woman, that hated white hair, extremely depressed and lonely shared adjoining rooms with a stolid Matilda, who co uld speak bo h German and English, but who spoke German mostly because her com- 78 panion spoke only English and they were not too compatible. This case merits more study and help. A determined planned effort to save the mind of this depressed woman is needed. She has been there only since September and isn't able to adjust as yet. Millie, a fifty-seven year old child with an eight year develOpment in mind and body, cherished and protected by a noted father and his wife while they lived, is really a misplaced member of this Home. She has her meals in her room. It would seem that she should be in another institution. During our trip, the distribution of the flowers I had brought was discussed, and it seemed best to distribute them at the evening meal--at each place in the dining room and on the trays for the shut- ins. Preparing them was a happy experience. The next day a followbup Birthday greeting let- ter, with return stamped envelope, was sent to Mrs. Ring and repeated the suggestion that because of the interest she exhibited in birthdays, she might be able to find the names and dates of all, both men and women, who have a birthday in April, and we would meet next Tuesday for an April Birthday Visit. She is to notify the peeple and I will bring light refreshments. She is to answer my let- ter with her decision. Plans for Next Week: (1) Get cepies of questionnaire mimeographed. (2) Secure cepy of Family History from Miss Carl for class display. Secure a few samples of craft work from others. (3) Contact Mr. Charles about music and ques- tionnaire. (4) Locate and visit “the walker.“ (5) Visit Mr. Adams for mental stimulation in some way. . (6) Visit 'white—haired' lady and try to find some way for relief for her depressive state. 79 (7) Work with Birthday results from Mrs. Ring. Effectiveness 9; Program The conditions did not make it possible to have experi- mental and control groups. The comparison of the behavior ob- served during the first two weeks with that during the last few weeks was the measure of effectiveness. Change in the desired direction was assumed to be evi- dence of the positive effect of the program. Favorable response was judged by: (1) Increased conversation with members, experi- menter, visitors, and staff. (2) Increased participation in the activities pro- vided. (3) Initiative and imagination in suggestions for new activities. (4) Improved personal habits-—more baths and rooms ready for callers. (5) ReOOgnition of other residents' worth. (6) More signs of expressions to direct their own lives. Visitation was continued throughout the project. Out- side community, world, and weather tOpics were introduced whenever possible. Some of the activities suggested by the members were: (1) Remembering Birthdays (2) Group singing of old favorite hymns and songs 80 (3) Story telling and travel talks (4) Games such as flinch and checkers (5) Spelling Bees (6) Research study on civic affairs, public of- ficials, and voting (7) Hiking and trips (8) Study and discussion groups on history and missions (9) Exhibitions of members' collections (hobbies). Efforts were made to help members carry out their own suggestions. Evidence of this is given in the diary re- cord of the April Birthday Party: All members having birthdays in April had been contacted by Mrs. Ring and other women she had asked to help. (List was checked at office to be sure no one was omitted.) Dishes, napkins, card tables, and the largest private room were reserved by committee of women guided by head nurse. Zither music and group singing was chosen for the first part of program. White cake decorated with pink rosebuds and fruit cocktail would be furnished by experimenter. Nine. ladies were at the party and two shut-ins who couldn't come sent extra chairs and good wishes. The group took them cake, fruit, and a lighted candle during the party. One April man, who was thought visiting away from the Home, arrived that afternoon but didn t want to come to the Women‘s Party. A committee, accompanied by the experimenter and nurse, knocked at his door with refreshments and candle, and sang ”Happy Birthday to You.“ He was so surprised that he stood stiffly at attention and never moved a muscle. Then everyone laughed and explained what was happening. He invited them inside and after a short enjoyable visit, the committee reported back to the group. Another interesting 'find“ came as the experi- menter, who in order to assist with the serving, laid - -11. (”A 4.. "‘J‘m. I d 81 the zither down on the lap of one member who had sung well. Someone started humming '0 Du Lieber Augustine,“ others joined, and the woman with the zither drew her fingers across the strings. When showed how to operate the chord bars, and assisted by the nurse who sat beside her, she played and the group sang several old songs. (They were working together and liking it.) Then she sang Schubert's "Heiden Rosen” and Brahm's "Cradle ong.“ Visiting the shut-in unreachable men was the most dif- ficult activity of all, but the experimenter had promised to I try because several men had become so intensely depressive and apathetic that they were approaching removal to another insti- tution. One of the men seldom slept, but formerly had played Flinch. The visits to four of these men are recorded from the daily diary: After lunch most of the members na until two o'clock, but as I walked past the men s parlor the “sleepless" man sat gazing out of the rain-soaked window across the wet lawn that stretched away to the clump of bushes lining the boulevard. Buses passed occasionally, and one turned around and parked on the opposite side before starting back. I walked to the window and talked of the grass growing greener and the expanse of lawn that could be used for outside enjoyment when warm weather came. Nature or an accident had made the man's back different, and I thought of the Hunchback of Notre Dame. He had a strong square face, but talked frettingly about the weather, the inconve- nience of etting away, and most of all about the fact that he bus insisted on parking behind the bushes making it difficult for him to watch it. The rain dripped from the trees. I suggested that we play Flinch or Pedro on the wide window sill. He sat quietly for a long five minutes and then said, 'Go upstairs and try to get the women to play. They might like it.“ He was still gazing out of the window at the bus in the rain when I passed by a half hour later. "I’ ‘3 4—». .MMM .m—gm- “an 82 Mr. Adams had fallen during the week. A bruised forehead and a three inch cut in his head made par- tioipat ion in any interest group a future experi- ment, but we had a bri ht exchange of repartee about his assailant (a table . He really seemed less melancholy than on previous visits and even suggested that. he would like to have the men try an Old Fashioned Spelling Bee for entertainment. A few doors away was Mr. Hoover's room, a paralytic whom I had visited once before. He was better and managed to tell me that his name was John Plover in- stead of Hoover. He told me that he felt better but that he never could use his right hand again. Mr. Adams had told me that Mr. Plover had been a minis- ter in northern Michigan, so I suggested a game of Elinch. He tried hard to remember how to play it, and we enjoyed trying together. I won the first game. He won the second and third. From the middle of the second game, he began occasionally to trans- fer some cards over to his right hand and after several attempts, managed to grip them in his fin- gers. He was winning in more than cards. Mr. Charles, the retired attorney who played the piano, mentioned on page 76, was slowly recovering from the effects of pneumonia, heart trouble, and arthritis. He became interested and showed me some of his writings--theses, he called thew-concerning needed improvements in our government structure. Together we tried to think of some definite plan on which to start group work, but he felt that "These men can, and will, contribute very little." The clock chimed five. My zither, that needed tuning, and I came home quietly. “Whew! Lazarus Is Not Dead, He Sleepeth.‘ Those were the words that came to me as exhausted, baffled, and almost stymied I closed. my day's work with the men--a day spent in seeking for ways and trying out avenues to awaken desire to participate in some group thinking and activity that would cultivate friendships and dispel the mind isolation that en- tombs so many. Men who have managed important parts of the world in the past, with ideas of rest and se- curity in their last years, now having found both, .I" #1...- .n- _II'A- --. 1' 83 discover that they have forgotten, or never knew, how to play with or enjoy other peOple just as friends, instead of co-workers or competitors. After a careful study of their abilities and limitap tions, a general questionnaire to find the needs and desires of these peOple did not seem feasible, so whenever an interest was found, follow-up letters were sent. For example: - gar-rt". (1) Miss Carl was asked for information on the E preparation and permission to use her family 5 history book. i (2) Mr. Adams, who suggested a Father and Son Ban- i quet,_was requested to contact and return names of other men who might help. ‘7. ‘n—w—T ' L I (3) Mrs. Good (the white-haired lady,referred to on page 77, whose only shown interest was in chil- dren) was asked for ideas about making puzzles for sick children by mounting pictures from magazines and cutting them. (4) Letters of appreciation for things already done by members and requests for further sug- gestions. A Six Member Planning Group was an example of movement toward group coOperation. Two men and four women came. This group met at the close of the sixth week of work and planned a group program for the following week. The meeting accom- plished three immediate visible results: (1) One mixed gathering. (2) Mr. Charles and Miss Carl, excellent leaders in the past, had met for the first time and had ex- perienced working together for a common good. (3) The library had been opened for meetings and used by the older peOple for the first time. 84 The successful carry-over of this planning group can be estimated from the diary account of their executed program: I found the library unlocked at one-thirty, and wondered if there would be a half dozen there at the two o'clock meeting. There were three tables in the library with three chairs on each side of the tables. I arranged six of the chairs in a semi-circle near the door, cpened the window, and waited. At five minutes of two, three ladies came. They looked un- easy and out of their accustomed habitat as they came to the door. A few minutes of friendliness put them more at ease and by that time several other peOple came, including Mr. Charles. When Mrs. Mills . saw him she said, “My goodness! I wish I'd brought Mr. Mills.“ Mr. Charles offered to go after him, and did. By the time they returned, there were twelve others there. I had to hurry and re-arrange the chairs in a circle around the outside of the tables. Thrilling, excited little chills ran up and down me as each new arrival met others, almost suspiciously at first, and with a strangeness as to what was happening. -Still they kept coming. We sang choruses while the folks were arriving, favorites as they were suggested by members of the group, and by the time all were seated, we felt like a party. There were only eighteen chairs, and when an extra lady came, Miss Carl, who always knows what to do, eat on a table. _ We decided together that instead of calling a roll we would pass a paper around and each put our name on it. Then I turned the meeting over to Mr. Charles. He confessed that he had been invited out to dinner on the night he was to have listened to the radio broadcast on which he was to report. He had asked Mr. Mills to listen in for him, and Mr. Mills had tried to but had fallen asleep and couldn't remember any of the report. We all had a good laugh and then talked about the general idea of having a club or group gathering regularly. It seemed best to meet at least twice a month so we wouldn't forget, and then they decided to meet every Tuesday at two o'clock until we decided otherwise. Among the suggestions offered for future gatherings was group singing, and two women offered to get song 8‘... 'MH--Iw-L- I T 85 books from the chapel which we could use. Another suggested a missionary study. This suggestion was followed by one by Mrs. Socks that we have studies but that they should be about something besides religion, probably history. She had been keeping history clippings of early Detroit for the last fifty years. (When I went to her room after the meeting, she showed me two very large scrap books, one of news articles and another of pictures.) She offered to bring her pictures for exhibition, but the lady who had requested missionary study said she thought all the members had seen the early Detroit pictures. Then Mrs. Grimes told us that _ her niece had just arrived in Detroit on a furlough from work in China and had planned to visit her soon. She would ask her niece to make the visit next Tues- day and tell us of her work. This was accepted by the group as the main part of our next week's pro- gram. Mrs. Noon and Mrs. Jackson, whom we nick- named "Mrs. Jax," were to bring song books and se- lect the songs. The serving of refreshments was discussed, but it was decided that because dinner was served at five o'clock, it would be better to use all out-time--S:OO to 3:15—-for meetings. We all joined hands in our circle, sang one verse of "Blest Be the Tied That Binds,I and prayed the Lord's Prayer as a closing to our meeting. Mr. Charles and Mr. Mills hurried away to hear their 3:30 broad- cast, but others lingered and seemed to enjoy un- hurried fellowship as they moved slowly down the halls. The Eloise Hospital Lecture was a develOpment from the May Meeting. This was a substitute lecture because the woman from China had another engagement. The substitution was ar- ranged by the woman who had been made responsible for the speaker. [Group singing preceded the lecture. The next meeting had to be discontinued because a Woman's Auxiliary had arrived without notification and the members of the Home were supposed to be the audience. 86 The Study of China showed further develOpment in group participation. Preliminaries of this meeting included reading of a poem, exhibition of a command invitation issued by Kaiser Wilhelm to one of the women on her former trip to Europe, and his autographed picture presented to her at the time of the visit. After much discussion, it was voted to hold the next regular indoor meeting the first Tuesday in September, having special outdoor gatherings occasionally during the summer. Mr. Charles suggested that at our next Program we should di- vide into four groups: The Bible, Parents, Community, and the Boy, and discuss from two angles, punishment and protec- tion, the case of a boy from Imlay City who had recently shot four of his companions. Then we listened to a forty-five minute description of the back countries of China. The speaker had lived there for several years and was going back. This was a long meeting, but nobody seemed to mind and all lingered for another half hour visiting, taking up an offering for the bus expense of their speaker, and expressing appreciation for the three months they had spent working together. Near the close of this research experiment, four col- lege women who had heard about the project offered their help to continue the work. Conclusion This three month study was made to find if there was a 8? relationship between the amount of mental, physical, and spiri- tual exercise and the state of loneliness or apathy. Original- ly it was planned to include all seventy-five members, but be- cause of limited time, cOOperation, and facilities, only about sixty people were contacted. Of these about twenty-five ac- tively participated. The others were spectators. Some lea- dership develOped. This sometimes showed growth and sometimes emphasized the disintegration that had occurred in the indi- vidual. I In the aggregate there seemed to be a gain in attitude toward the future,conversation with members and staff, laughter was heard in the halls occasionally, there was less staring blankly into space, and they liked each other better for having met and sang together. Those who had contributed most seemed to be the least lonely, and the majority wished to continue future planning. This seems to affirm that a simple program can be devised and carried out by members of Old PeOple's Homes and that some loneliness and apathy can be relieved by exercising the human faculties in a three-month project. OTHER HOMES VISITED Other communities have developed programs for older people--programs designed to counteract the tendency for older Persons to become increasingly inactive and isolated. 88 One experiment by the extension workers of the Univer- sity of Michigan in the restoration and preservation of per- sonality in the aged at the leshtenaw County Infirmary was outstanding in this respect.10 Donahue found this institution filled with chronically ill, defeated, fearful, insecure, old people. They had I. strong sense of personal inferiority and were deeply ashamed that they were no longer financially able to take care of Allah r.“ 14"“... _ themselves. They had lost their own sense of personal worth and appeared passive and disinterested in life. rm trained observers spent their first thirty hours recording observation, which showed a 'shocking degree of deprivation and deterioration of personality.' This record was used as control data for an intensive three month experi- mental activity program to stimulate the residents physically and psychologically toward greater happiness and better per- sons]. adjustment. A second objective was to stimulate com- munity interest so that some permanent program would continue. I Members of the newly organised Ann Arbor Senior Citi- sens' Club, students in training in occupational therapy at the Michigan State Normal College of Education, students of Recreation, the local Garden Club, and other groups helped. Some of the projects were: (1) The weekly newspaper (Iashtenav Home Sunshine 1° Wilma Donahue, Coordinator, 1510 Rackhem Building, Ann Arbor, Michigan. 89 Weekly) which used reporters, newswriters, poems, jokes, riddles, and general obser- vation. (2) Articles made--dish gardens, rugs, mats, pot holders, slippers, etc. (3) A garden project of flower and vegetable plots, a combined group of the men of the home and members of the Garden Club working together. (4) Movies of history, science, agriculture, foreign countries and customs, travel, music, sports, parks, animals, and comedy (created the most anticipation). s.‘ i4?' (5) Auction sale: (Created most interest and first bursts of laughter) Articles in excellent cons dition collected from community--suits, dresses, coats, shirts, ties, slips, jewelry, books, etc. were on sale by a good auctioneer. One hundred and fifty dollars of paper money purchased at the toy counter was distributed to each person. "At the end of the sale they went back to their rooms with loaded arms and it was not until after midnight, when all the new possessions had been examined and tried on, that the lights went out." '“TT‘ . . (6) Weekly parties in winter; picnics in summer with outdoor games. (7) Picture-taking project. (8) Off-campus activities--movie party, private in- vitations took several of the residents fishing and to ballgames. To compare homes for the aged using the Home described in the first part of this chapter as control data, visits to the following were made: (1) Three county infirmaries (2) One fraternal home (3) Two religious homes 90 (4) Three privately owned homes for women (5) One privately owned camp for men Only one visit was made to each establishment. The in- formation was gathered from the supervisors, a few members, and general observation. From these comparisons, shown in Table III on next page, it was assumed that the political—controlled County Infirmaries were the most restricted and resulted in the greatest defeat in personalities, and that very little was attempted to pre— serve, use, or develOp maturity in many homes for the aged. The Home listed on the Table as Religious No. l was the control group. It seemed, from the compilation, that it ap- proximated the average in size, adjustment, and opportunities for further maturity. It also confirmed the thesis that a program can be devised in any institution for the aged, which would result in improvement in mental and physical health of the aged. Of the two methods of approach, indirect in the Religious Home11 and direct in the Washtenaw County Infirmaryz, both seemed effective in relieving loneliness and apathy. Both helped reestablish interest, curiosity, and ability, and a re— liable comparison of their value could not be ascertained from the data. llffxperiment on page 69. 12 Experiment on page 88. 1‘; as s _n. r“..u.~n~.o.—s an..- amen .. r . .5... ...,..5.../ l .l . a . r. s/ . 91. Eirslullo..w.l IP11. ....n . .I as; obwpsmos men one on» n+ ask.o>apmsuwmme mom vows stn any H .oapsa wasp :H voosaoufi pom ask.has8hfimsm hunsoo masoponmfiz one a hrc ' | I - I. | .I .7 I .0- mnflsnsv VCMSH snoop ovHspso hnpmmd .J hvfibfimnmm .m muosHHosoH .N apHsOHsodsH .H Q . Q Q Q Q Q Q Q Q Q chflg pwgfi m m m m m m m m 4.m m H 4 m m H .3 m m H occupaps< soap: escapaom + + + + + + + + I + mousse aHmopr I I I I + + + I I + hhdhpwq oosscasw conmsam I I I I + I I I I I mambo no harness I I I I + I I I I. I mannaccdoq H sosHsspuaHHsaoom ones no nos scabs soaps smack. nose? soaps save mos mos nos . h No HHd HHd HHs HHd H new p m vnssdsocoam NH NH 0H om 4m ma omm om Hm ooH aHruhopsmm. uaosHb naonab «sonar sounds. schema carom vasom carom Iuomsm Iaomsm Iaemsm soHnghemsm tango oosHm cosHm tango .ooxm .ooxm .ooum no .em do .cm no .em 4 .02 m .02 m .02 H .02 m .02 H .oz H .oz m .02 m .oz H .02 unease g ovsbahm nsoawuaom Hammepmam moansahamnH AdoHaHAomIzoz A Newspaper Writer Electrician Nursery Flowers Factory Office Work Farmer Optometry 1 William G. Lennox, Rehabilitation (New York: Prentice Hall, 1942), p. 9. ROOM USE ONLY 0231! 5A '57 “12‘ 4 AW \Iuflil INA-waly JIM!)— u 7. MITIH'GWHTIWTE 31 293 “WWW WWW 03046 5162