Well, I'm not really 'vintage' (yet). I was 47 when I went into the nursing home after losing both legs to diabetes and am 53 now. You'd be surprised at some of the ages of people in nursing homes in the US - we had one girl who was 19. Most of the residents were 60+ but there were probably 20 or so of use, out of 120, that were between 19-55. I just decided that, with a little help, I could make it on my own. Last November, the Medicaid offices in Alabama began something called the "Alabama Community Transition (ACT)" waiver. It allowed people that drew larger-than-normal disability checks to still stay on some Medicaid programs and even some extra 'help' (I have a caregiver that comes in 4 days a week to help me shower, clean, run errands, etc.).
So it's not just the 'aged' in elderly care facilities! Not in the US, at least.
I'm in the process of putting together all of the information that I gathered when I was trying to get out so that others will know that there are alternatives to nursing homes for some. The biggest impedement for most is cost - someone injured at an early age hasn't paid in enough to Social Security to draw $24,000 a year, for example. And those are the type of people that need all the help they can get. It's estimated that it costs the state of Alabama $55,000 a year to keep one person in a nursing home - whereas the average cost for someone on the ACT waiver is $11,000. So it's to the state's advantage for those who are able to get out of the nursing homes.
Just now, I'm trying to get two friends out - one is 52 and the other 63. Neither of them need to be in a facility. But both were gunned down (literally) at an early age and did not pay much into Social Security Disability. But we're working on it - there are so many programs that can help but social workers in nursing homes don't want folks to leave, so some of the programs are difficult to find.
I know I got off topic - just want you to know that notebooks and iPads aren't unusual in nursing homes at all these days!
Clinton