If your skilled nursing facility or assisted living facility is located in Cleveland, Ohio and is need of psychiatric services, please reach out to us. It would be our pleasure to speak with you.
In addition, if you are seeking a psychiatric APRN career, our Cleveland region of service is expanding rapidly.
While Psych360 has locations across the state and country, we are proud to call the Cleveland area our home.
Named after its founder General Moses Cleaveland, this major city has always held a position of importance. Even at it’s first establishing at the mouth of the Cuyahoga River, Cleveland, Ohio was guaranteed to be a critical stop in shipping routes. By setting up near the shores of Lake Erie, and therefore all the Great Lakes, Cleveland became the primary transportation hub for Great Lakes area. Its position of strength only increased with the building of the Ohio and Erie Canal, which connected the Ohio River and Great Lakes to the Atlantic Ocean. Then, years later, the St. Lawrence Seaway allowed for further growth as it opened up transportation routes from the Great Lakes all the way to the Gulf of Mexico.
Today, Cleveland holds fast with a population of approximately 385,552 people. It has been referred to as the Forest City or the New American City. It covers 82.47 square miles of land. It welcomes new businesses, industries, and generations with open arms while holding onto its heritage, old school strength, and culture.
Senior Population Information
Cleveland is home to over 69,000 residents age 60 and older, who have a wide range of characteristics, abilities, strengths, and needs. This number is likely to grow over time, as people are living longer and healthier lives.
There are an estimated 69,715 individuals age 60 and over living in Cleveland, Ohio. This represents 17.7% of the total population of the city. About 25% of older adults (age 60 and older) in Cuyahoga County live in Cleveland.
About 6.1 percent or 24,000 of Cleveland residents are 75 years old and older. The median age of the population 60 and over is 70.1 years old. The percentage of older adults varies significantly among Cleveland wards, ranging from about 10 percent in central parts of the city to over 20 percent in outer wards. Ward 1, in the southeastern corner of Cleveland has the highest concentration with 28.1 percent of residents age 60 and older.
Overall, data speak to a growing senior population across Cuyahoga County. Adults ages 60 and over were only 21.3 percent of Cuyahoga County’s population in 2010. By 2030, this group’s population share is projected to grow to 31 percent, outnumbering youth under 20 years old. This expected proportion is higher than the projections for the state as a whole (28.7 percent). However, while the share of older adults is projected to increase, in recent years, because of population loss, Cleveland has experienced a decline in the number of residents age 60 and older. Approximately 4,960 fewer older adults reside in Cleveland than did in 2009, representing a decline of nearly 7 percent.
Families and Households
According to the U.S. Census Bureau, “a family household is a household maintained by a householder who is in a family…and includes any unrelated people (unrelated subfamily members and/or secondary individuals) who may be residing there. The number of family households is equal to the number of families.” In Cleveland, over half of older adults ages 65 and over live with family, such as a spouse, children, or other relatives. About 40 percent of Cleveland older adults live alone. Five percent of Cleveland’s older residents live in group quarters such as nursing facilities. Older adults in assisted-living units are counted as being in households.
One-third of older adults are married, compared to 25.6 percent of the overall population in Cleveland. Twenty-eight percent of older adults are widowed.
Overall, approximately 5,000 grandparents are living with and responsible for grandchildren in the city; however, approximately two-thirds of these grandparents are under the age of 60. Roughly 5 percent of Cleveland older adults live with their grandchildren, and 2.4 percent are living with and responsible for the care of their own grandchildren. This represents approximately 1,675 adults over age 60. Of these grandparents, 28 percent are White; 68 percent are Black or African American. Nearly 40 percent of these grandparent caregivers live at incomes below poverty.
Sixty-eight percent of the older adult population in Cleveland have a high school degree or higher. However, 32 percent or over 22,000 Cleveland older adults did not finish high school. This is a substantially higher percentage than for total population age 25 and older; 22.6 percent overall did not complete high school.
Employment Labor force participation is the percent of the population that is either employed or looking for work. Although some workers retire early, in recent decades the overall trend for older adults, ages 65 to 69 has been increased labor force participation. Overall, labor force participation in Cleveland is approximately 21.2 percent for the population age 60 and over. There is, however, a marked decline as older adults age. While over 50 percent of the residents age 60-61 are either employed or seeking work, only 5 percent of adults age 75 and older are in the labor force. Among older adults in the labor force, 19.1 percent are employed, while 2.1 percent are unemployed and seeking work.
For males over age 60 living in Cleveland, overall labor force participation is 23.4 percent; however, this declines significantly as residents age. For Cleveland males, age 60 to 61, labor force participation is 53 percent, yet drops to 13 percent by age 70, and 7 percent by age 75. The labor force participation for Cleveland females age 60 and over is slightly lower overall, at 20 percent. Similar declines are evident for females as they age.
While the pattern of declining labor force participation as age increases holds across geographies, Cleveland older adults are less likely to be in the labor force than their counterparts in Cuyahoga County as a whole, and across the Northeast Ohio region.
Good health, including physical, mental, and emotional aspects, is essential to achieving and maintaining a high quality of life. In 2015, according to the Ohio Medicaid Assessment Survey, about 24 percent of adults ages 65 years and older in Ohio had poor/fair overall health. Having health insurance to assist with covering the cost of medical expenses is often an important consideration in seeking care. Fortunately, similar to the poverty-reducing impact of Social Security, health insurance coverage among older adults tends to be nearly universal due to Medicare, a federal government health insurance program for people age 65 and over. In Cleveland, 99.1 percent of people age 65 and above have health insurance coverage of some kind; 68 percent carry two or more types of health insurance coverage. Of those with two types, 22 percent, or 7,219 older adults, are covered by both Medicare and Medicaid. Over 96 percent carry some type of public insurance, which includes Medicare, Medicaid, and/or military and veterans benefits.
Behavioral health issues, including mental illness and addiction, continues to be an important component of overall health as people age. Compared to the general adult population, noninstitutionalized older adults have lower rates of behavioral health problems. However, issues such as depression and social isolation can become more pronounced as physical capacity decreases and social-emotional supports decline.
According to the Centers for Disease Control and Prevention, about 80 percent of people age 65 and over in the U.S. struggle with at least one chronic disease. By preventing or controlling chronic conditions, older adults are more likely to remain healthy with a high quality of life.
Chronic diseases can be difficult to quantify at the local level, but some insight can be gained from hospital discharge data. In 2012 discharge records, the most common chronic disease diagnoses for older adults in Cuyahoga County were heart disease and hypertension. In general, discharge data indicate that hospitalization for chronic diseases is much higher among persons aged 60 and older than the overall population. These increased rates do not necessarily indicate higher disease prevalence but do illustrate potential issues with accessing care and the greater health toll that chronic diseases can have on older persons.
Disabilities, especially those that limit people’s ability to care for themselves and carry out important functions of daily life without assistance, affect older adults’ quality of life and influence the range of needed community and medical supports. More than 22,000 older adults, or 47.1 percent of people 65 and over in Cleveland, have some disability, with ambulatory difficulties being the most common.
According to the Cuyahoga County Medical Examiner, 4,521 Cleveland residents died who were aged 60 or over at the time of their death in the 10 years from 2005-2014. The Medical Examiner must be given notice when “any person dies as a result of criminal or other violent means, by casualty, by suicide or in any suspicious or unusual manner.” Therefore, the Medical Examiner is involved in only a portion of the deaths. For the past 10 years, approximately 68 percent of all deaths in Cuyahoga County were reported to the Medical Examiner’s Office. For Cleveland residents who were aged 60 or over at the time of their death, natural causes was the most prevalent manner of death, accounting for more than 70 percent of the total, or 3,172 deaths. This was followed by Accidents in the Home (660 deaths, 14.6 percent), and Accidents in Other Places (486 deaths, 10.7 percent).
As older adults age, some reside in institutional facilities, such as nursing homes. Others rely on home and community-based services (HCBS) for care and assistance. According to the most recent data available (2010 U.S. Census), in Cleveland, of the population age 65 and over, approximately 2,006 people live in nursing facilities, which represents a significant decline over recent years as personal preference and state policy change has led to an emphasis on home and community-based services in lieu of institutional care.
More recently, of the 48,335 non-institutional senior households in Cleveland, 63.8 percent live in housing units that they own themselves. The remaining 36.2 percent rent.
The generally accepted threshold for housing affordability is spending less than 30 percent of household income on housing and related expenses. Older adult renters in Cleveland struggle more than senior homeowners with unaffordable housing. Over half of renters and almost 40 percent of owners live in unaffordable housing. The median rent for a senior in Cleveland is $533 per month. To afford this rent, a household needs to have an annual income of about $21,400, or $3,808 more than the average annual Social Security benefit. A single older adult renter would require $630 per month to meet their basic needs for housing, insurance, utilities and taxes, and this increases to $1,199 for a single elder who owned their home with a mortgage.
In general, older adults in Cleveland are comfortable in their community. Compared to seniors nationally, Cleveland older adults are more likely to intend to age in place (81 percent), and more expect to live alone (87 percent). However, they are more concerned about being able to stay in their current home for as long as they’d like. About half of older adults answered yes to the question, “Do you feel your community – meaning the city/town you live in – is doing enough to prepare for the needs of a growing senior population?”
There are many hospitals in Cleveland. A majority of the hospitals are part of University Hospitals group such as the UH Medical Access Clinic, the UH Cleveland Medical Center, and UH Seidman Cancer Center, though the University Hospitals group has over 400 hospitals and doctors’ offices listed to be within driving range of the city.
The Cleveland Metropolitan School District is the second largest district in the state of Ohio. It covers 82 square miles and serves Cleveland, Newburgh Heights, Linndale, Bratenahl, and parts of Garfield Heights and Brook Park. The district has 39 high schools and 69 K-8 schools. Their program offerings include advanced placement, alternative education, dual language (English/Spanish), bilingual education, early college, international baccalaureate, gifted and talented, Montessori, performing and visual arts, new tech network (problem/project and mastery-based), pre-school, post-secondary/dual degree, single gender, STEM, and special education.
Cleveland area features many universities such as Case Western Reserve University, Oberlin College, John Carroll University, and Cleveland Institute of Art. Many more are within a short drive’s distance.
Cleveland’s leading industries are automotive manufacturing, electric and lighting, and metal production and fabrication.
Some leading companies in the area are the Progressive Company, Goodyear Tire and Rubber Company, Sherwin-Williams Company, Vitamix, The J. M. Smucker Company, and Le Gourmet Chef.
Employment rates have grown recently in Cleveland. Between July 2017 and July 2018, there was a 2.13% increase in employment, whereas the nation’s growth was only 1.65% in the same period.
The Cleveland Hopkins International Airport is located in the middle of the city to help you get in and out. The Greater Cleveland Regional Transit Authority also operates a bus and rail mass transit system. To get around the city itself is easy, as Walk Score ranked Cleveland as the US’ 16th most walkable city in 2014, with a Bike Score of 51, a Transit Score of 47, and a Walk Score of 57.
Things to Do
There are many places to go and things to see in Cleveland. If you’re a fan of A Christmas Story, the Parker family home is still standing and has been renovated, both internally and externally, for your enjoyment. The Cleveland Botanical Garden is another beautiful place to visit. With both indoor and outdoor experiences, like the Eleanor Armstrong Smith glasshouse and the Japanese garden, you can visit year-round. Playhouse Square is another place to visit and embrace the culture. A center for theaters–some lasting from the 1920s–to display all kinds of artistic endeavors and history. University Circle is a square mile that holds a little of everything, no matter what your tastes. From museums to gardens, churches to Little Italy, theaters to apartments, there’s everything you could need.
A Great Place
With its proven persistence, growing employment rates, value on seniors, education, and culture, Cleveland is the place to live and settle.