Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
College of Social Work, University of Utah, Salt Lake City, UT, USA.
J Gerontol Soc Work. 2023 Jan;66(1):29-42. doi: 10.1080/01634372.2022.2087128. Epub 2022 Jun 8.
Older people with experiences of homelessness (OPEH) tend to experience more complex health, social, and psychological issues than people experiencing homelessness at younger ages. Simultaneously, many housing resources (e.g., shelters, temporary housing) are often ill equipped to meet the needs of OPEH. As such, OPEH are often unable to age in the right place (AIRP) - that is, in a place that supports unique needs and vulnerabilities. However, several promising practices exist that deliver housing and services tailored to OPEH. To investigate the aspects of housing and shelter that both promote and impede AIRP for OPEH, this study examines the delivery of services in three such promising practices from the perspective of service providers. Findings from fifteen qualitative interviews revealed three overarching themes: 1) (e.g., staff turnover); 2) (e.g., housing market changes); and 3) (e.g., facilitating smooth transitions into permanent housing). These findings provide evidence to support the refinement of service delivery to promote AIRP for OPEH. In doing so, these insights can help to elevate promising practices to the level of best practice.
有 homeless 经历的老年人（OPEH）往往比年轻的 homeless 人群经历更多复杂的健康、社会和心理问题。同时，许多住房资源（例如 shelter、temporary housing）往往无法满足 OPEH 的需求。因此，OPEH 往往无法在合适的地方 aging in the right place（AIRP），也就是说，无法在一个支持其独特需求和脆弱性的地方 aging。然而，有一些有前途的实践方法可以提供专门针对 OPEH 的住房和服务。为了研究住房和 shelter 促进和阻碍 OPEH 的 AIRP 的方面，本研究从服务提供者的角度调查了三种这样的有前途的实践方法中的服务提供情况。来自十五次定性访谈的研究结果揭示了三个总体主题：1）（例如，员工 turnover）；2）（例如，住房市场变化）；3）（例如，促进顺利过渡到永久住房）。这些发现为支持改进服务提供以促进 OPEH 的 AIRP 提供了证据。这样做可以帮助将有前途的实践提升到最佳实践的水平。
