Advertisement

Geriatric Conditions Among Formerly Homeless Older Adults Living in Permanent Supportive Housing

  • Benjamin F. Henwood
  • John Lahey
  • Harmony Rhoades
  • Deborah B. Pitts
  • Jon Pynoos
  • Rebecca T. Brown
Concise Research Reports

INTRODUCTION

Permanent supportive housing (PSH) using a housing first approach is an evidence-based intervention to end chronic homelessness by providing low-barrier affordable housing paired with flexible health and social services.1 The chronically homeless population in the USA has an average age over 50 years old2 and experiences accelerated aging,3 including an elevated prevalence of geriatric syndromes such as cognitive impairment, falls, and urinary incontinence that can jeopardize PSH tenants’ ability to live independently and age in place.4 The objective of this study is to determine the prevalence of common geriatric conditions in PSH tenants. We also assess whether housing tenure is associated with less impairment in daily functioning.

METHODS

Two hundred and thirty-seven adults aged 45 and older were recruited from two PSH agencies located in Los Angeles, California. Residents completed in-person interviews on demographics, housing and homelessness history, and overall...

Notes

Acknowledgements

We thank our interviewer team (Laura Ruzzano, Nora Hedgecock, Manuel Chavez, Carson Klasner, Christine Rodriguez); the staff at participating PSH agencies; and the subjects who generously gave their time to this study. This work was presented at the 22nd Annual Conference of the Society for Social Work and Research on January 14, 2018.

Funding Information

This work was supported by the National Institutes of Health (1R21AG050009).

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest.

References

  1. 1.
    U.S. Interagency Council on Homelessness. Opening Doors: Federal Strategic Plan to Prevent and End Homelessness. Washington, DC: U. S. Interagency Council on Homelessness; 2010.Google Scholar
  2. 2.
    Culhane DP, Metraux S, Byrne T, Stino M, Bainbridge J. The age structure of contemporary homelessness: evidence and implications for public policy. Anal Soc Issues Public Policy. 2013;13(1):228–44.CrossRefGoogle Scholar
  3. 3.
    Brown RT, Hemati K, Riley ED, et al. Geriatric conditions in a population-based sample of older homeless adults. Gerontologist. 2016;57(4):757–66.PubMedCentralGoogle Scholar
  4. 4.
    Henwood BF, Katz ML, Gilmer TP. Aging in place within permanent supportive housing. Int J Geriatr Psychiatry. 2015;30:80–7.CrossRefGoogle Scholar
  5. 5.
    Heaton RK. Revised Comprehensive Norms for an Expanded Halstead-Reitan Battery: Demographically Adjusted Neuropsychological Norms for African American and Caucasian Adults: Professional Manual. Lutz, FL: Psychological Assessment Resources; 2004.Google Scholar
  6. 6.
    National Academies of Sciences, Engineering, and Medicine. Permanent Supportive Housing: Evaluating the Evidence for Improving Health Outcomes Among People Experiencing Chronic Homelessness. Washington, DC: National Academies Press. doi: https://doi.org/10.17226/25133.

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Benjamin F. Henwood
    • 1
  • John Lahey
    • 1
  • Harmony Rhoades
    • 1
  • Deborah B. Pitts
    • 2
  • Jon Pynoos
    • 3
  • Rebecca T. Brown
    • 4
  1. 1.Suzanne Dworak-Peck School of Social Work University of Southern CaliforniaLos AngelesUSA
  2. 2.Chan Division of Occupational Science and Occupational TherapyUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Leonard Davis School of GerontologyUniversity of Southern CaliforniaLos AngelesUSA
  4. 4.Division of Geriatric MedicinePerelman School of Medicine of the University of PennsylvaniaPhiladelphiaUSA

Personalised recommendations