Before the quake, Asile Communal was already the shelter of last resort for disconnected elders unable to care for themselves. Now it has turned into an orphanage for older adults abandoned by families that lacked the resources or ability to care for them.
“Often family can’t look after them because they’re mentally disabled or old age and dementia has taken over,” says Chilcott. “Or all the family has gone to the States and there’s nowhere else for these old people to be.”
More than five months after the quake, roughly 65 residents from Asile Communal are still living outside. They sleep on cots in tents and spend their days waiting for aides to bring food, water and medical supplies, waiting in nakedness to be bathed as passersby giggle and jeer. In the struggle to survive, privacy has been sacrificed and dignity stolen outright.
But hurricane season is coming, and living outside is a concern, says Cunningham. “Most of the residents would like to move back in, but many people here, as in Port-au-Prince, still prefer to sleep outside.”
For some, conditions have improved. The Asile Communal residents who need more intensive care are now in a nearby hospital where an entire floor has been reserved for them. There, they see a doctor on a regular basis. Before the earthquake, patients only saw the doctor when they were near death.
Still, the doctors must focus on treating physical ailments. And though everyone Gorbien and his colleague Lauren Kessler, a social worker, treated appeared incredibly resilient, never complaining about their situation, their bodies relayed the telltale signs of depression. “There were sleep issues and insomnia,” says Kessler. “People described this all-over pain, which could be a reaction to the trauma of it all. It’ll be really difficult to evaluate and treat the emotional needs of this population.”
But psychological issues fall to the bottom of the long list of immediate needs.
A struggle to help
Helping older Haitian’s satisfy their basic needs is an uphill battle. HelpAge’s role at Asile Communal—and other nursing homes throughout the quake zone—is to manage day-to-day operations. The homes are still government-run, and HelpAge can only suggest improvements to care, a major complication to an already challenging situation. The organization has made numerous recommendations to improve the well-being of elders, but HelpAge CEO Richard Blewitt says it’s a struggle to get them implemented.
Although the local government has turned down HelpAge’s request to move more residents to other nursing homes, it has allowed the organization to begin reconstruction work at the Asile soon. In the meantime, Blewitt’s team continues to focus its efforts on providing medical care, food, water and shelter to displaced older adults at risk of chronic illness, spending more than $40,000 a month in the process.
Safety also remains a daily concern. The spontaneous camps that sprung up around Asile Communal bring with them the constant threat of violence. HelpAge workers carting supplies are potential targets for thieves and gangs; they’ve hired security staff on the premises at all times. Leaving food and medicine with elders makes them equally vulnerable to theft and attacks. A fence to thwart displaced people who don’t belong will soon surround those lucky enough to have a tent in the instant village.
In the meantime, older adults are languishing. Losing the comforts of home, income and family are hard enough when you’re young. But youth breeds energy and faith that tomorrow can be a better day. As elders enter the twilight of their years, being optimistic about the future can be exceedingly difficult.
As he traveled through the quake region and met so many patients with dementia, Gorbien couldn’t help but be reminded of a bit of history he learned in medical school. “Theologians once thought that dementia was a gift from God, so people would not have to see evils of the world,” Gorbien says. “And my God, to see your country destroyed, and to be in a situation where one can argue there is truly no hope—if there’s one situation where we perhaps can turn dementia into something positive this is it.”
Cynthia Ramnarace writes about health and families from Rockaway Beach, N.Y.