Recently, an old friend was moved into a dementia unit on the upper west side. It appeared to be as cheerful, well-run and upbeat as one could hope, with art-filled corridors and photos of patients’ families outside their rooms. Within a few weeks of his move, families were suddenly informed that the unit was closing and patients requiring this special security and care would have to be evicted. Although the facility encompassed only 28 beds, the panic and distress this notice caused made me curious about the availability of residential dementia units in NYC and I was shocked by what I discovered.
Going by the population numbers of the 2010 census, there are approximately 320,000 seniors who live in Manhattan. The Alzheimer’s Association estimates that 1 in 9 people over 65 has dementia, leaving us with approximately 34,450 Manhattan residents who are afflicted with this disease. Out of these, a significant number will eventually require custodial care outside the home, preferably in Manhattan so that elderly spouses (and family and friends) would be able to visit without driving or the expense of car service. Yet, in all of our medically sophisticated borough, there are only a handful of residential facilities which accept patients with dementia – under 200 beds in all.