Elder Allies

Project Goal:

To reduce three critical issues facing homebound EBCI Elders: food insecurity, chronic social isolation, and falls. Homebound Native Elders face a disproportionate number of interconnected health challenges. They have significantly higher rates of food insecurity than other racial and ethnic groups. This vulnerability is compounded by social isolation, a significant risk factor for adverse health outcomes. Native Elders have the highest prevalence of falls compared to their same-aged peers of other races/ethnicities and have the highest rate of unintentional fall deaths. The incidence rate of falls in the EBCI Elders population was 22/1,000, same as the average among Native Elders in the eastern region. However, fall injuries incidence in the EBCI population was significantly higher, averaging 98/1,000 compared to 68/1,000 for the eastern region. This project will support Elders’ well-being and the ability to age in place by ensuring access to nutrition, social connection, and an opportunity to reduce at home fall risk hazards.

Key project partners include: Deb West Senior Center, Snowbird Senior Center, H.E.L.P., and Western Carolina University. 

Project Includes:

  • Providing microwavable, prepared meals and a drink (juice or milk) to the homebound Elders on all of the Tribal employee holidays. To deliver these meals, we will recruit and compensate Elder Allies with a $20 gas card each time they deliver meals, covering the Qualla Boundary and Snowbird communities.

  • Launching an "Elder Allies" program to create a lasting support network. Community members who are matched with a homebound Elder will agree to deliver meals on the Tribal employee holidays, make at least three in-person visits, and three phone calls per year. To keep Elders connected, we will provide content in their newsletter with relevant program information and provide a gift to them over the winter holiday season.

  • Assessing falls risks in the homebound Elders’ homes.

  • Partnering with Johns Hopkins University and H.E.L.P. to provide and install smoke and carbon monoxide alarms in the homebound Elders’ homes.