Perks and Pitfalls of Care from a Federally Qualified Health Center (FQHC) for Urban Older Adults

Purpose of ReviewThis paper examines the unique challenges of providing geriatric care to underserved urban populations, focusing on Chicago's West Side, particularly North Lawndale. It explores how Federally Qualified Health Centers (FQHCs), such as Lawndale Christian Health Center (LCHC), can address barriers faced by older adults, including multi-morbidity, substance use disorders, poor health literacy, discrimination, social isolation, and limited access to housing and healthcare.Recent FindingsRecent studies emphasize the importance of integrated, community-based geriatric care models. LCHC has implemented key strategies such as home visits, a senior clinic model, and the Program of All-Inclusive Care for the Elderly (PACE). These approaches enhance access to comprehensive, patient-centered care by integrating behavioral health services, senior day programming, and support for aging in place. Research supports the effectiveness of such interdisciplinary, holistic models in improving health outcomes for vulnerable older adults.SummaryLCHC's experience highlights the critical role of FQHCs in advancing health equity for aging urban populations. The launch of PACE at LCHC demonstrates the value of coordinated, multidisciplinary care in addressing medical and social needs. These models reinforce that a community-centered approach is essential for improving health outcomes and reducing disparities among underserved older adults.