Areas of Study
Research Methods
Data Tables
Contact Us
Site Map
Related
Links
|
2003 Healthy Hall Focus
Group Report - Seniors
Sunshine Senior Group
20 Participants
Overview of the Group
This group is made up of women who have, for the most part, lived their
whole lives in Hall County. The newcomer in the group said she lived in
the county only 45 years. All of the women in the group were African
American. The average age appeared to be approximately 65 to 75 years of
age.
With this longevity comes a deep love of the area and an important
perspective on the qualities and characteristics of the community. These
women have lived the history of the county for the past 50 to 75 years.
They’ve seen the population growth and the demographic shifts. They’ve
experienced the civil rights movement and have witnessed the increasing
urbanization of the area.
They love living in Hall County. In that conclusion they are unanimous,
but they see trends they do not like and problems that worry them.
Priority Issues Affecting Life In Hall County
When asked what they would do to create a healthy Hall County, this
group was quick to focus on the socialization and recreation needs of
young and old.
For example, the participants in the group observed that too many young
people just hang out on the streets and do not have enough parks,
recreational facilities to interest them and occupy their time. They
also said that young adults need night clubs and social spots, and that
these are lacking in Hall County.
Continuing to focus on youth, the group observed that too many young
people choose to leave the Hall County area after finishing school. They
would like to see more jobs, better jobs and more opportunity to
encourage young adults to stay in the area. One woman observed that
young people with genuine skills and abilities are more likely to leave
the area, robbing Hall County of its best and brightest.
The group observed that many seniors also need access to safe parks and
recreational facilities, especially for older adults who don’t drive.
Some in the group observed that there are few public places for seniors
to walk and socialize. One woman said the county had plans to produce
walking trails, but the work had not been done.
Those in the group acknowledge the importance of senior centers, but
noted there is only one in south Hall County.
Health Care Issues
Perhaps the major observation from the discussion of health care issues
is that out of 20 older women, many of them likely lower income, none
reported difficulty accessing essential health care services. All
reported having doctors they see regularly. None reported any difficulty
getting the care of a physician when needed.
There were some critical comments about doctors offices, about the
amount of time doctors spend with patients, and the cost of care, but
seniors in the group are generally pleased with their health care
services. There were no complaints about the hospitals or access to
specialty care.
Seniors in the group were very complementary of a program called Legacy
Link, saying it provides useful information, referrals to needed
services, and care at home when needed. Four women in the group reported
being helped directly by Legacy Link. One woman reported Legacy Link had
arranged for the fire department to install a smoke detector in her
home.
Despite the value of the Legacy Link service, over half of the seniors
in the room were apparently unaware of it. When asked if they were aware
of Legacy Link prior to the discussion in the meeting, only five raised
their hands-the four who had received service and one other.
One participant also spoke favorably about the United Way and a grant to
the Sunshine Group for home care aids like grab bars, elevated toilet
seats and ramps. This is not to imply that only one person in the group
was aware of the grant, but only one person brought it up.
Participants in the group are very complementary of emergency medical
services. Participants said ambulances are prompt and reliable, even
from elderly who call these services repeatedly.
Safety and Security Issues
Seniors in the group overwhelmingly said they feel safe living in Hall
County. They feel safe in their homes, and for the most part, feel safe
in the community.
When asked if there was anything going on the community that frightened
them, a somewhat surprising first response focused on industrial
pollution from a nearby Cargill plant. A member of the group explained
there had been a chemical release at Cargill in the mid-1990’s. Another
woman added there are occasional sewer problems, but she expressed
confidence the county was addressing the problem.
While apparently not an object of fear, women in the Sunshine Group are
bothered by the presence of gangs. None had any first-hand knowledge of
gang violence, but they are troubled by graffiti and the prospects of
gang violence in the future.
There were mixed reviews of the police and their impact on community
safety. Most believe the police do a good job, but some want the police
to be more aggressive in their response to what seem to be obvious
problems-such as drug trafficking. One representative comment was that
everyone knows where the drug dealing is being done, but that police
just drive by and do nothing.
Some in the group said that responsiveness of the police depends on
where one lives. In some areas, police are slower to respond.
The group seemed to express high satisfaction with the response of fire
services.
Community Connections
Some of the women in this group recalled the segregationist experiences
of their youth. They told how they rode buses long distances to go to
the black school and their difficulties seeking education and economic
opportunity. It is clear these were foundational experiences that still
influence their views of race relations today.
The consensus of the group seemed to be that while all children today go
to school together, and may even be friends with children of other
races, there is still significant racism in the community.
One woman referred to it as hidden racism that influences who gets a
loan at the bank, or who gets a job or a promotion.
Many in the group admitted that bias and racism are greater problems in
the older generation than among children. The consensus was that
children learn it from their parents, however, and the problem is
perpetuated. The parents teach the children.
One woman told a story about how her children began to play with some
white children in the neighborhood. The white children told her children
they could come over to their house (the white’s house) but they (the
white children) could not go to their house. This angered the woman
telling the story, of course, and she confronted her white neighbor.
Unfortunately, the solution to the problem was to keep the children from
playing together at all.
The needs and interest of children are clearly priorities for these
older women. They believe the county in which they were reared is still
a good place for children and a good place to raise a family, but they
see worrisome trends.
Several of the women talked about the loss of respect among children for
adults. They lamented that many children grow up never having learned to
respect those older than them. Further, this basis loss of respect leads
to trouble in the community.
While most believe Hall County schools do an adequate job preparing
children, a strong, discordant theme emerged from this discussion. These
women continue to see the vestiges of racism in the way schools treat
some black children. They believe some children are disadvantaged
because of race or poverty.
One story that had many heads nodding in agreement was told by one woman
who said children are evaluated and labeled at an early age. If they
have behavior problems, perhaps brought about by a poor home life, they
are permanently labeled, even if their behavior improves or they switch
schools. The implication was that this happens to black children more
frequently.
An observation was made that most teachers do not know what it is like
to live in a poor neighborhood. Teachers live middle-class lives and
they do not relate to those who live in repressive, low-income
communities. Their focus is limited to the behavior of the child, not
the sources of the behavior, which may be rooted at home or in the
neighborhood.
The ladies in this group are bothered by the flight of upper income Hall
Countians to north Hall County schools. They perceive those with
resources are seeking to get away from lower-income African Americans
and Latinos. Someone in the group called Hispanics the “new blacks.” The
belief is that the better schools and better education will follow the
upper income folks, and that those in poorer neighborhoods will be left
with lesser schools.
Transportation is an issue for these senior women. They would like to
see more access to low-cost or no-cost public transportation. They are
familiar with the Red Rabbit buses and think this is a valuable service,
but they also expressed the opinion that access to the service is
limited and, though the price is low, still too expensive for some
senior adults.
It was also noted that the Red Rabbit is a city service, and that
elderly in rural areas have little or no access to reliable
transportation.
For those who do not drive, taxi’s, family, benevolent friends and
churches are the only other available modes of transportation.
One woman said she would like to see the churches, many of which have
buses, get more involved in transportation for the elderly. This
suggestion brought a number of nods of agreement.
Views Of The Future
Most in the Sunshine Seniors group express optimism about the future of
Hall County, saying that life is better now than when they were young,
and expressing hope that problems such as racism will get continuously
better.
Their optimism is diluted, however, by ever-present concerns about young
people and the impact of an uncertain economy, lack of employment
opportunities, and declining civility and morality in the culture. The
ladies seemed to be saying that they were optimistic about their own
families, but less so for Hall County families in general.
Participants were asked what they would want to tell the leaders of Hall
County. In the case of the Sunshine ladies, this question initiated a
discussion of traffic congestion and urban development.
One participant noted there is no place in South Gainesville to go the
grocery store, the drug store or a dry cleaner. Residents there must go
to another part of town for shopping, which is especially difficult for
those who do not drive much. Participants would like to see investment
on the south side in basic retail services.
They would also like to see new investment in housing, but not
developments that cram too many people into too small an area. They
perceive that the only types of residential development conceived for
the south side of town are multi-family developments. They would like to
see more lawns, trees, sidewalks and park areas.
The Sunshine group also perceives indifference to the problems of
traffic in the south Gainesville area. There are too many cars, too few
sidewalks and too few traffic lights. Walking is made especially
difficult by these factors. Highway 124 was mentioned as especially
dangerous.
The comments about parks and green spaces prompted an observation that
there are too few places to host family reunions. The comment was made
that pavilions at public parks are an option, but they must be cleared
too early in the evening to allow for a satisfactory reunion. The only
options, according to the participant speaking, are to rent places like
Lanier Islands, which are too expensive.
Senior Center Group
11 Participants
Overview of the Group
These seniors are all regular participants in the programs and services
of the senior center. The average age of this group seemed somewhat
older than the Sunshine Seniors group, and several exhibited distinct
mobility difficulties due to age.
The group was mostly female and white. Two of the women in the group
were black. One white male participated.
Most in the group were long-time or lifetime Hall County residents,
though a few were relative newcomers. One moved to Hall County only 2
years ago. Another moved to Hall 8 years ago. While most have family in
the area, they live alone and look to the senior center for social
support and recreation.
Priority Issues Affecting Life In Hall County
Though all in the group said they were happy to live in Hall County,
this group needed little prompting to begin a list of things they would
like to see improved, including:
Traffic, roads and urban sprawl. Several in the group expressed
frustration with the increasing traffic in the area and related problems
with roads, potholes and maintenance. One participant talked about how
hard it is to get to shopping areas for essential goods and services.
Medicine prices. Fixed incomes make it very difficult to afford the
increasing costs of prescription medications.
Recreational and social opportunities for young people. This lament,
which sounded very similar to the discussion in the Sunshine Seniors
group, came from one of the black women in the discussion. She said she
was very concerned about young people who seem to have nowhere to go
other than to hang out on the street.
Affordable personal care homes for seniors. The comment was made that
the nicer personal care homes, assisted living centers and nursing homes
were not affordable to many seniors, and the affordable homes are not
very nice.
Of all the potential improvements suggested, the cost of medicine
generated the biggest reaction. It is clear that many in the group
struggle with prescription costs.
Health Care Issues
As in the Sunshine group, few in this group expressed any complaints
about health care quality or access to health care services. All enjoy
the services of a regular doctor and many in the group took the time to
brag about the attentiveness and dedication of their doctors.
One woman in the group, the one who moved to Hall County only two years
ago, reported that she had difficulty getting a doctor to accept her at
first. She was looking for a female physician, and could not get a
doctor to accept her as a new patient for several months. She did
ultimately get into a practice that meets her needs, however. She
reported that she did use Quick Care several times before getting
established with a doctor of her own.
Several in the group expressed frustration with being rushed by their
doctors. They also reported that physician office employees often do not
know how to relate to older patients, and that communication suffers.
One in the group suggested that medical office employees should be
trained to communicate better and understand the needs of the elderly.
Members of the group are very happy with hospital care. No real
complaints about Hall County hospitals were registered at all, except
for expected references to the high cost of care. Several in the groups
said local hospitals are “very nice” and that they had been treated well
there. Two in the group did express regret that they had lost the
private room benefit they once had as members of the hospital’s seniors
program.
One possible health treatment void expressed by the group is dental
care. Because Medicare does not cover dental care, most seniors have no
dental insurance. Several remarked this is a big problem. One woman told
of a recent experience where she paid $200 for treatment for a broken
tooth. She implied that it was money she did not really have, but she
had no choice but to pay it.
When asked if they feel healthy, most in the group replied that they do,
even if they are dealing with chronic health problems. Those who talked
about being active, exercising regularly, seemed to be most enthusiastic
in their self-appraisals of health. The activity they experience at the
senior center is a big part of their positive, healthy outlook.
Safety and Security Issues
While most in the group live alone, all reported feeling safe in their
homes. No one expressed fear about living alone, saying they would just
“call 911” if something happens to them. Only two in the group reported
having an emergency alert system in their home.
One woman who lives in the neighborhood near the senior center said she
does not necessarily feel safe in her neighborhood. She expressed some
concern about gangs and about young people just hanging out. In her
words, “you don’t know if they’re doing drugs or not.”
Members of this group have little awareness or personal experience with
gangs. No one in the group reported any experiences with gang violence.
One woman reported that someone shot holes in her windshield, but she
thought it was just vandalism, not gang related.
Members of this group expressed high levels of confidence in fire and
police and voiced no complaints or criticisms.
Community Connections
Members of this group report that they are usually able to get where
they need to go. Transportation is not a big worry in their lives. Some
still drive. Some use the Red Rabbit. Some rely on family and friends.
None mentioned taxis. All expressed appreciation to the senior center
for providing them a place to fellowship and transportation to get
there.
Members of the group did express worry, however, for friends and
neighbors who are more frail, homebound and isolated. One woman said
there are far fewer support services for homebound elderly
When asked if they could name their neighbors, most in the group could
not. Some said they could name some of their neighbors, but not all.
This is an interesting observation because you would expect older
residents, those who have lived in Hall County a long time, to be most
likely to know the names of the persons living around them.
No one reported any problems with their neighbors, but it seems clear
there is little social interaction between these seniors and those who
live around them.
It is clear from the comments in this group that many have Latino
neighbors. Over half reported living on a street with someone of a
different race. Neither blacks nor whites were mentioned in the
conversation, but participants of both races mentioned Latinos among
their neighbors. They refer to their neighbors not by name, but as “an
Hispanic family” or as “Mexicans.”
There seems to be a live-and-let-live attitude among these seniors
concerning the influx of Latinos into their neighborhoods. If they see
it as a negative trend, and some apparently do based on their comments
and body language, there is nothing they can do about it.
Views Of The Future
Members of this group have little to say about the future, positively or
negatively. They are happy with the leadership in Hall County. They feel
the community is growing in a positive direction and that their children
and grandchildren will benefit from that growth.
Worries about the future focus primarily on a time in the future when
they may not be able to care for themselves any longer. Several
verbalized this worry saying that they do not want to go to a nursing
home.
Fear of nursing homes may be a major theme for Hall County seniors.
Avoiding nursing homes was high on the agenda for several in the senior
center group. Concerns over low staffing levels and uncaring staff were
expressed by several participants. There is fear of the unknown
consequences and the finality of the nursing home move. One woman
perhaps represented the group when she said, “You really have no idea
what goes on there unless you are in there.”
When asked what they would do to change Hall County, members of the
group returned to two of the major points they started with-provide
recreation for idle youth and do something about the high cost of
prescription medications.
|
Focus Group Table of Contents |