In Walworth County, Wisconsin, a grassroots effort is reimagining what care can look like across generations. A local community group has launched the “Nursery to Nursing Home” campaign, a proposal to transform a vacant wing of the county’s nursing home into a combined child care center and living space for older adults, addressing caregiving shortages.
“Some of the issues we’ve seen as top concerns in Walworth County include a lack of child care, a lack of senior care and the loneliness that comes with living in a rural community with an aging population and harsh winters. Together, it all creates a perfect storm for feeling isolated,” said Maddie Sweetman, who lives in Walworth County. “(The intergenerational care center) would be a beautiful way to not only address the need for seats and beds, but also to bring these two vulnerable communities together.”
The Lakeland Health Care Center, a county-owned skilled nursing facility in Elkhorn, has had a vacant wing since 2019 when staff shortages forced the facility to downsize. Now, Groundswell Collective, a local community group with a track record of advocating for older residents, is leading an effort to turn that space into 12 apartments for older people and a child care center that serves 60 to 70 children. After nearly a year of community organizing around the proposal, the Walworth County Board approved funding for a feasibility study in November for the intergenerational care center, a major step in advancing the project.
“In Walworth County, all 2,240 licensed child care slots, spread across the 35 active centers listed on the DCF (Department of Children and Families) website, are already full. That leaves nearly 2,680 children without stable care,” said Abriana Krause, who lives and works in East Troy as a child care provider, at a board committee meeting. “At the same time, Wisconsin is projected to need 30,000 additional senior beds by 2030 .… We are facing two parallel crises, child care and senior care, and the vacant wing at Lakeland Health Care Center offers us a rare opportunity to address both at once.”
As part of the proposal, county employees would get priority for child care slots.
Sweetman, a mother of two who is a full-time student and employee at the University of Wisconsin-Whitewater, knows firsthand how valuable this benefit could be for parents. When Sweetman’s children were younger, her husband worked at Lakeland Health Care Center as a certified nursing assistant while he completed nursing school. Unable to afford child care, Sweetman stayed home with her young children.
“I wonder whether having a child care facility under the same roof would have given me more access to child care, allowing me to return to school work sooner, graduate sooner, and be working full time now,” Sweetman said. “I also think about how that might have changed our overall trajectory, and what it would have meant for me personally as I managed two kids under two on my own and all the mental health challenges that came with that.”
Now, Sweetman is part of Groundswell Collective and advocating for other families to have the opportunity she did not.
“That (child care opportunity) didn’t happen for us, but I think about how it could happen for people going forward and for our community, not just for those who have children but also for seniors and for people who may soon need assisted living,” Sweetman said.
Groundswell Collective has leaned heavily on research to make its case.
“We have looked into the evidence-based benefits of intergenerational care,” said Deb Gill-Dorgan, a retired speech language pathologist and member of Groundswell Collective. “We know that adults report less loneliness, better health, a renewed sense of purpose in life, and it improves children’s social skills and educational outcomes.”
Research shows that intergenerational care sites boost well-being for both children and older people, reducing isolation, improving cognitive and physical health for older people, and cultivating empathy and connection in young children. Studies also find that these programs create cost efficiencies, especially when facility expenses and other operational costs can be shared.
Jill Juris, Ph.D., professor and chair of the Department of Recreation Management and Physical Education at Appalachian State University, is seeing these benefits through her research with BRIDGE2Health, an intergenerational mentoring program. The program is a collaboration between the Cooperative Extensions in Ohio and Virginia that connects high school students with older adults and is generating qualitative and quantitative data demonstrating increases in social connections and life skills.
“These findings align with other research indicating intergenerational interaction improves empathy, peer relationships and academic performance in younger populations, while increasing the quality of life and sense of purpose for older adults,” Juris said. “By bridging the gap between ages, these programs truly make a difference, improving the all-around well-being of everyone involved.”
Sheri Steinig, director of strategic initiatives and communications at Generations United, said that intergenerational care fosters relationships that transcend age that can serve the community as a whole.
“There’s a breakdown of age stereotypes that we see at a very young age when babies and toddlers are around older people,” Steinig said. “There are these characteristics of care, compassion and empathy that ripple out into both the families and the communities.”
In intentionally creating spaces that bring older and younger people together, these benefits organically emerge in daily interactions.
“By eliminating or reducing barriers that we’ve unintentionally put up between connecting younger and older people, there’s just a wealth of benefits that we can see in terms of educational outcomes, well-being, physical and mental health,” Steinig said.
“Intergenerational spaces offer opportunities for meaningful interactions through repeated connections that foster lasting relationships,” Juris said. “Children and older adults seeing each other within a daily routine allows for magical moments of interaction to occur.”
Those benefits extend to the caregiving staff. Steinig said that daily interaction with both children and older adults can enhance the work environment and make intergenerational centers more rewarding for staff.
Gill-Dorgan said she hopes that prioritizing county employees for child care placements at the proposed intergenerational center will help retain nursing staff, who can experience high turnover while managing their own family caregiving responsibilities.
For many involved in Groundswell Collective, the intergenerational center proposal offers a path forward on common ground at a time of uncertainty.
“As gaps widen at the federal level, I feel like there’s this turn to local solutions and our local government, and how can we fill the gaps? I see this intergenerational facility as part of that effort,” Sweetman said.
Pastor Lily Brellenthin, a mother of three who leads a Lutheran church in Walworth that serves an older congregation, has found hope through her community work with Groundswell Collective.
“In a world that’s so divided, to have some people now linking arm and arm to come together in our little place of the world is so uplifting,” said Brellenthin. “I feel like it’s proving that we are stronger in community.”
“We hope this is just the beginning,” Gill-Dorgan said. “We hope something like this will be seen as being beneficial and a wonderful idea, and hopefully other people will get involved and build more such centers.”
This article was written with the support of a journalism fellowship from The Gerontological Society of America, The Journalists Network on Generations, and The Commonwealth Fund.
This article first appeared on The Daily Yonder and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
