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Giving Voice to The Forgotten Middle

Exploring the urgent housing challenges facing middle-income older adults in a Queens Neighborhood

This project explored the often-overlooked housing challenges facing middle-income older adults, who are part of the “Forgotten Middle” in Queens Community District 2 (CD2). The Forgotten Middle is a term used to describe individuals who are typically ineligible for subsidies (such as Medicaid or food assistance) but still face steep affordability barriers. We selected Queens Community District 2 for its diversity of residents, housing types, and incomes. We engaged with older adults, service providers, and community-based organizations across CD2 to better understand the needs and challenges facing older New Yorkers – through workshops, questionnaires, and key informant interviews.

Our Goal

Identify key areas of concern, unmet needs, and solutions to address older adults of The Forgotten Middle that prevent them from successfully living in and engaging in the community as they age in place.

“The Forgotten Middle”

In 2019 a landmark study the University of Chicago NORC coined the term the Forgotten Middle, to represent middle-income older adults who, based on their income, are unlikely to qualify for Medicaid long-term care, but are also unlikely to have the financial resources to pay for certain housing and care supports necessary as one ages.

They’re forgotten because as a group, they are often overlooked by both policy makers and the investors and operators of private seniors housing.

Findings from our research include:

  • Neighborhood barriers such as uneven sidewalks (a challenge for 55% of questionnaire participants, with some experiencing dangerous incidents) and poor street lighting (a priority for focus groups, especially along Queens Blvd) significantly hinder the safe mobility of seniors in the neighborhood. 
  • There’s a strong demand for affordable, accessible housing that supports aging in place, alongside a high need for home modifications (30% of survey respondents had made them, and the workshops emphasized this need) and medical alert devices (identified as a high need by focus groups, though only 18% of survey respondents had one).
  • Social connection and community spaces are crucial, with participants emphasizing the importance of local, walkable areas for well-being. A significant majority of survey respondents (61%) desired more social events, and 45% wanted more older adult centers.

Meet the Project Team

Allison Cook
Better Aging and Policy Consulting
Allison Cook is the founder of Better Aging and Policy Consulting. Passionate about improving the quality of life of older adults and those who care for them, her experience spans directly providing care, navigating health coverage, implementing new policies, and identifying gaps to be filled by for-profit, non-profit, or government.
Katie Hine
Sunnyside Community Services
Katie Hine is the Director of Caregiver Support Western Queens at Sunnyside Community Services. Katie received her Master’s in Social Work from Columbia University’s School of Social Work, and has been passionately helping caregivers and their families since she joined the program as a caregiver support specialist in 2014.
Andrew Lange
NYC Dept of Housing Preservation and Development
Andrew is dedicated to promoting the inclusion of people with disabilities through evidence-based and participatory policy making. He has over 12 years of experience in this field, with the last 5 years working to improve accessibility and ensure equitable access to affordable housing for people with disabilities at HPD.
Adrien Logeay
Monadnock Development
Adrien is a project developer at Monadnock Development, specializing in affordable housing in NYC and brings expertise in real estate finance, design strategy, and sustainability. Previously an urban designer, he led global projects at Skidmore, Owings & Merrill in London. Adrien holds degrees from the School of the Art Institute of Chicago (MArch) and Pratt Institute (MS).
Jennifer Romeo
Perkins Eastman
Jennifer Romeo’s work focuses on the planning, programming and design of complex projects across a range of educational, healthcare, residential, and senior living clients. In particular, she draws upon her prior career as a User Experience Strategist to link space with user needs and create more meaningful spaces where outstanding, innovative and sensitive design can flourish.
Lauren Smalls-Mantey
NYC Department of Health
Lauren Smalls-Mantey is an urban climate researcher for the NYC Department of Health. With a background in chemical and environmental engineering, her research focuses on climate mitigation, adaptation and resilience strategies. At DOH, she specifically works on urban heat where she examines the connections between the climate, urban environment and health.