'They Don't Want to Label It': Insights from Communities Not Enrolled in the Network of Age-Friendly States and Communities.

More than 800 municipalities and 11 states and territories in the United States have joined the Network of Age-Friendly States and Communities (NAFSC); however, to our knowledge, no studies have examined the many communities that have not joined. The present study explored the factors that inhibit communities from joining the NAFSC. Data were drawn from semi-structured interviews conducted with 12 community leaders in Massachusetts and Maine. Results indicated variation in perceptions and attitudes, with some participants seeing benefits to joining but encountering barriers to doing so, while others did not see sufficient benefit to joining to make the effort worthwhile. Key themes included lack of human and financial capacity, concerns over aspects of the NAFSC model, and desire to maintain local control over the process and components of age-friendly efforts. Participants voiced a need for funding and technical assistance in order to expand their age-friendly work.