Sheppard Christine L, Yau Matthew, Semple Claire, Lee Candy, Charles Jocelyn, Austen Andrea, Hitzig Sander L
St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Can J Aging. 2023 Jun;42(2):217-229. doi: 10.1017/S0714980822000332. Epub 2022 Nov 14.
Community support services are an integral enabler of aging in place. In social housing, older adult tenants struggle to access these services because of the siloed nature of housing and health services. This study examined the provision of government-funded community support services to 83 seniors' social housing buildings in Toronto, Ontario. Although there were 56 different agencies operating within the buildings, only about one third of older tenants were actually receiving services. There was a subset of services that were available in more than 80 per cent of the buildings, and the most widely accessed services were food supports, crisis intervention, transportation, caregiver support, and hearing/vision care. There were also many cases in which multiple agencies offered duplicative services within the same building, suggesting that there are opportunities for improving service coordination. Practice recommendations for increasing access to community support services among low-income older adults in social housing are provided.
社区支持服务是就地养老不可或缺的推动因素。在社会住房中，老年租户因住房和医疗服务的孤立性质而难以获得这些服务。本研究调查了安大略省多伦多市83栋老年人社会住房建筑的政府资助社区支持服务的提供情况。尽管这些建筑内有56个不同的机构在运营，但实际上只有约三分之一的老年租户在接受服务。有一部分服务在80%以上的建筑中都有提供，而使用最广泛的服务是食品支持、危机干预、交通、护理人员支持以及听力/视力护理。在许多情况下，同一栋建筑内有多个机构提供重复的服务，这表明在改善服务协调方面存在机会。本文还提供了关于增加社会住房中低收入老年人获得社区支持服务机会的实践建议。
