Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-25T11:46:47.932Z Has data issue: false hasContentIssue false

The outcomes of rehousing older homeless people: a longitudinal study

Published online by Cambridge University Press:  25 October 2007

MAUREEN CRANE*
Affiliation:
Sheffield Institute for Studies on Ageing, University of Sheffield, UK.
ANTHONY M. WARNES
Affiliation:
Sheffield Institute for Studies on Ageing, University of Sheffield, UK.
*
Address for correspondence: Maureen Crane, Sheffield Institute for Studies on Ageing, University of Sheffield, Elmfield, Northumberland Road, Sheffield S10 2TU, UK. E-mail: m.a.crane@sheffield.ac.uk

Abstract

Older people who become homeless have attracted increasing attention in North America, Western Europe and Australia over the last 20 years, but there have been few projects dedicated to their support, and even fewer studies of the outcomes. This paper reports a longitudinal study of the resettlement of 64 older people who were rehoused into permanent accommodation from homeless people's hostels in England. Their progress was monitored for two years by face-to-face interviews. The theoretical model was that the outcomes of rehousing are a function of personal factors and behaviour, the support that people receive, and the characteristics of the new home. After 24 months, 28 respondents were housed and ‘settled’, 10 were housed but ‘unsettled’, 11 had abandoned their accommodation, and six had been evicted (nine had died or ceased contact). The factors that significantly associated with remaining housed and settled included: previous stable accommodation histories, revived contacts with relatives, taking up activities, and regular help from housing-support workers. Unsettledness and tenancy failure associated with prolonged prior homelessness, worries about living independently, and continuing contacts with homeless people. Rehousing older homeless people successfully is difficult, particularly among those with long histories of homelessness and instability, and more needs to be known about the types of accommodation and the types of support that promote tenancy sustainment.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allardice, J. 2005. A 2020 Vision for Housing and Care. 2020 Project, Association of Alarm Providers, Centre for Sheltered Housing Studies, Emerging Role of Sheltered Housing and National Housing Federation, London.Google Scholar
Aoki, H. 2003. Homelessness in Osaka: globalisation, yoseba and disempowerment. Urban Studies, 40, 2, 361–78.CrossRefGoogle Scholar
Bebout, R. R., Drake, R. E., Xie, H., McHugo, G. J. and Harris, M. 1997. Housing status among formerly homeless dually diagnosed adults. Psychiatric Services, 48, 7, 936–41.Google ScholarPubMed
Bernard, M., Bartlam, B., Sim, J. and Biggs, S. 2007. Housing and care for older people: life in an English purpose-built retirement village. Ageing & Society, 27, 4, 555–78.CrossRefGoogle Scholar
Blood, I. 2002. Sheltered Housing and the Resettlement of Older Homeless People. Help the Aged, London.Google Scholar
Boston Partnership for Older Adults (BPOA) 2003. 100,000 Voices on Growing Older in Boston. BPOA, Boston, Massachusetts.Google Scholar
Broadway 2002. CHAIN Activity Report: April 2001-March 2002. Broadway, London.Google Scholar
Broadway 2005. Rough Sleeping Report for London 2004/05. Broadway, London.Google Scholar
Broadway 2006. Street to Home: Annual Report for London 2005/06. Broadway, London.Google Scholar
Burt, M., Aron, L. Y., Lee, E. and Valente, J. 2001. Helping America's Homeless: Emergency Shelter or Affordable Housing? Urban Institute Press, Washington DC.Google Scholar
Busch-Geertsema, V. 2002. When homeless people are allowed to decide by themselves: rehousing homeless people in Germany. European Journal of Social Work, 5, 1, 519.CrossRefGoogle Scholar
Cattan, M., White, M., Bond, J. and Learmouth, A. 2005. Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing & Society, 25, 1, 4168.CrossRefGoogle Scholar
Chamberlain, C. and Mackenzie, D. 2003. Counting the Homeless 2001: Victoria. Institute for Social Research, Swinburne University, Hawthorn, Victoria, Australia.Google Scholar
Cohen, C. I. and Sokolovsky, J. 1989. Old Men of the Bowery: Strategies for Survival Among the Homeless. Guilford, New York.Google Scholar
Cohen, C. I., Ramirez, M., Teresi, J., Gallagher, M. and Sokolvsky, J. 1997. Predictors of becoming redomiciled among older homeless women. The Gerontologist, 37, 1, 6774.CrossRefGoogle ScholarPubMed
Community and Neighbourhood Services 2006. Results of the 2006 Count of Homeless Persons in Calgary: Enumerated in Emergency and Transitional Facilities, by Service Agencies, and on the Streets – 2006 May 10. Community and Neighbourhood Services, Policy and Planning, City of Calgary, Calgary, Alberta.Google Scholar
Cooper, R., Watson, L. and Allan, G. 1994. Shared Living: Social Relations in Supported Housing. Joint Unit for Social Services Research, University of Sheffield, Sheffield, South Yorkshire.Google Scholar
Craig, T. 1995. The Homeless Mentally Ill Initiative: An Evaluation of Four Clinical Teams. Department of Health, London.Google Scholar
Crane, M. 1993. Elderly People Sleeping on the Streets in Inner London: An Exploratory Study. Age Concern Institute of Gerontology, King's College, London.Google Scholar
Crane, M. 1999. Understanding Older Homeless People: Their Circumstances, Problems and Needs. Open University Press, Buckingham.Google Scholar
Crane, M. and Warnes, A. M. 1997. Coming Home: A Guide to Good Practice by Projects Helping Older Homeless People. Help the Aged, London.Google Scholar
Crane, M. and Warnes, A. M. 2001. Single Homeless People in London: Profiles of Service Users and Perceptions of Needs. Sheffield Institute for Studies on Ageing, University of Sheffield, Sheffield, South Yorkshire.Google Scholar
Crane, M. and Warnes, A. M. 2002. Resettling Older Homeless People: A Longitudinal Study of Outcomes. Sheffield Institute for Studies on Ageing, University of Sheffield, Sheffield, South Yorkshire.Google Scholar
Crane, M., Byrne, K., Fu, R., Lipmann, B., Mirabelli, F., Rota-Bartelink, A., Ryan, M., Shea, R., Watt, H. and Warnes, A. M. 2005. The causes of homelessness in later life: findings from a three-nation study. Journal of Gerontology: Social Sciences, 60B, 3, S1529.CrossRefGoogle Scholar
Dane, K. 1998. Making It Last: A Report on Research into Tenancy Outcomes for Rough Sleepers. Housing Services Agency, London.Google Scholar
Department for Communities and Local Government (DCLG) 2006 a. Statutory Homelessness: Homeless Households in Priority Need Accepted by Local Authorities, by Priority Need Category. DCLG, London.Google Scholar
DCLG 2006 b. Homelessness Statistics September 2006 and Introducing Preventing Homelessness: A Strategy Health Check. Policy Briefing 16, DCLG, London.Google Scholar
Department of the Environment Transport and the Regions (DETR) 2001. Quality and Choice for Older People's Housing: A Strategic Framework. DETR, London.Google Scholar
Edwards, S., Woodward, S. and Fearn, J. 2001. Shared Solutions: A Research Project into Maximising the Use of Shared Housing for Rough Sleepers. Broadway, London.Google Scholar
Elias, C. and Inui, T. 1993. When a house is not a home: exploring the meaning of shelter among chronically homeless older men. The Gerontologist, 33, 3, 396402.CrossRefGoogle Scholar
Focus Futures 2006. St Eugene's Court: Focus Futures Supported Housing Project for Older Irish Men, in Partnership with Irish Welfare and Advice Service Birmingham. Focus Futures, Birmingham, West Midlands.Google Scholar
Garside, P., Grimshaw, R. and Ward, F. 1990. No Place Like Home: The Hostels Experience. Stationery Office, London.Google Scholar
Garwood, S. 2006. Dignity in Housing. Housing Learning and Improvement Network, Department of Health, London.Google Scholar
Goldfinger, S. M., Schutt, R. K., Tolomiczenko, G. S., Seidman, L., Penk, W. E., Turner, W. and Caplan, B. 1999. Housing placement and subsequent days homeless among formerly homeless adults with mental illness. Psychiatric Services, 50, 5, 674–9.CrossRefGoogle ScholarPubMed
Hallebone, E. 1997. Homelessness and marginality in Australia: young and old people excluded from independence. In Huth, M. and Wrighta, T. (eds), International Critical Perspectives on Homelessness. Praeger, Westport, Connecticut, 69103.Google Scholar
Hasegawa, M. 2005. Economic globalization and homelessness in Japan. American Behavioral Scientist, 48, 8, 9891012.CrossRefGoogle Scholar
Hightower, H. C., Hightower, J. and Smith, M. J. G. 2003. Out of Sight, Out of Mind: The Plight of Seniors and Homelessness. Seniors' Housing Information Program, New Westminster, Vancouver, British Columbia.Google Scholar
Homelessness and Housing Support Directorate 2005. Hostels Capital Improvement Programme. Department for Communities and Local Government, London.Google Scholar
Hurlburt, M. S., Hough, R. L. and Wood, P. A. 1996. Effects of substance abuse on housing stability of homeless mentally ill persons in supported housing. Psychiatric Services, 47, 7, 731–6.Google ScholarPubMed
Judd, B., Kavanagh, K., Morris, A. and Naidoo, Y. 2003. Housing Options and Independent Living: Sustainable Outcomes for Older People who are Homeless. Australian Housing and Urban Research Institute, Melbourne, Victoria, Australia.Google Scholar
Kavanagh, K. 1997. The Battlers: Eldery People Residing in Insecure Housing. Mercy Family Centre, Sydney, New South Wales, Australia.Google Scholar
Keigher, S. M. and Greenblatt, S. 1992. Housing emergencies and the etiology of homelessness among the urban elderly. The Gerontologist, 32, 4, 457–65.CrossRefGoogle ScholarPubMed
Kusmer, K. L. 2002. Down and Out, On the Road: The Homeless in American History. Oxford University Press, Oxford.Google Scholar
Kutza, E. 1987. A Study of Undomiciled Elderly Persons in Chicago: A Final Report. Retirement Research Foundation, Chicago.Google Scholar
Lefkowitz, M. 2006. Elderly increasingly at risk of homelessness. Newsday New York, 6 February. Available online at http://www.newsdaya.com/news/local/newyorka/am-home [Accessed 10 February 2006].Google Scholar
Mayor of London 2006. Valuing Older People: The Mayor of London's Older People Strategy. Greater London Authority, London.Google Scholar
McDonald, L., Dergal, J. and Cleghorn, L. 2004. Homeless Older Adults Research Project: Executive Summary. Institute for Human Development, Life Course and Aging, University of Toronto, Toronto, Ontario.Google Scholar
McDonald, L., Donahue, P., Janes, J. and Cleghorn, L. 2006. In From the Streets: The Health and Well-being of Formerly Homeless Older Adults. Institute for Life Course and Aging, University of Toronto, Toronto, Ontario, Canada.Google Scholar
Meschede, T. 2006. Moving Here Saved My Life: The Experience of Formerly Chronically Homeless Women and Men in Quincy's Housing First Projects. Center for Social Policy, University of Massachusetts, Boston, Massachusetts.Google Scholar
Meschede, T., Sokol, B., Raymond, J., Friedman, D. H., Sullivan, N., Kahan, M., Ma, S., Faris, M. and Silvestri, B. 2004. Hard Numbers, Hard Times: Homeless Individuals in Massachusetts Emergency Shelters, 1999–2003. Center for Social Policy, University of Massachusetts, Boston, Massachusetts.Google Scholar
Office of the Deputy Prime Minister (ODPM) 2003. Preparing Older People's Strategies: Linking Housing to Health, Social Care and Other Local Strategies. ODPM, London.Google Scholar
Office of the Deputy Prime Minister 2006. A Sure Start to Later Life: Ending Inequalities for Older People. A Social Exclusion Unit Final Report. ODPM, London.Google Scholar
Oldman, J. 2006. Housing Choice for Older People: A Discussion Paper. Help the Aged, London.Google Scholar
Pannell, J. 2005. Extra Care Housing Models and Older Homeless People. Housing Learning and Improvement Network, Department of Health, London.Google Scholar
Phillipson, C. and Scharf, T. 2004. The Impact of Government Policy on Social Exclusion Among Older People: A Review of the Literature for the Social Exclusion Unit in the Breaking the Cycle Series. Office of the Deputy Prime Minister, London.Google Scholar
Pleace, N. 1995. Housing Vulnerable Single Homeless People. Centre for Housing Policy, University of York, York.Google Scholar
Pollio, D. E., Spitznagel, E. L., North, C. S., Thompson, S. J. and Foster, D. 2000. Service use over time and achieving stable housing in a mentally ill homeless population. Psychiatric Services, 51, 12, 1536–43.CrossRefGoogle Scholar
Quine, S., Kendig, H., Russell, C. and Touchard, D. 2004. Health promotion for socially disadvantaged groups: the case of homeless older men in Australia. Health Promotion International, 19, 2, 157–65.CrossRefGoogle ScholarPubMed
Ragan, T. 2006. Elderly homeless on the rise in Watsonville. Santa Cruz Sentinel, 26 February. Available online at http://www.aasantacruzsentinel.com/archive/ [Accessed 10 December 2006].Google Scholar
Randall, G. and Brown, S. 1994. The Move-In Experience: Research into Good Practice in Resettlement of Homeless People. Crisis, London.Google Scholar
Randall, G. and Brown, S. 1999. Homes for Street Homeless People: An Evaluation of the Rough Sleepers Initiative. DETR, London.Google Scholar
Richards, P. and Elliott, L. 2002. The Unseen Many: A Needs Assessment of Homeless and Near-Homeless Seniors in San Diego. Senior Community Centers, San Diego, California.Google Scholar
Riis, J. 1971. How the Other Half Lives: Studies Among the Tenements of New York. Dover, New York. (First published 1901.)Google Scholar
Rosengard, A., Laing, I., Jackson, A. and Jones, N. 2002. Routes Out of Homelessness. Central Research Unit, Scottish Executive, Edinburgh.Google Scholar
Rossi, P. H. 1989. Down and Out in America: The Origins of Homelessness. University of Chicago Press, Chicago.Google Scholar
Rota-Bartelink, A. 2006. Models of Care for Elderly People with Complex Care Needs Arising from Alcohol-related Dementia and Brain Injury. Wintringham, Flemington, Victoria, Australia.Google Scholar
Scharf, T., Phillipson, C., Smith, A. E. and Kingston, P. 2002. Growing Older in Socially Deprived Areas: Social Exclusion in Later Life. Help the Aged, London.Google Scholar
Schröder-Butterfill, E. and Marianti, R. 2006. A framework for understanding old-age vulnerabilities. Ageing & Society, 26, 1, 935.CrossRefGoogle ScholarPubMed
Shelter, Support and Housing Administration 2006. 2006 Street Needs Assessment: Results and Key Findings. Shelter, Support and Housing Administration, Toronto City Council, Toronto, Ontario.Google Scholar
Shern, D. L., Felton, C. J., Hough, R. L., Lehman, A. F., Goldfinger, S., Valencia, E., Dennis, D., Straw, R. and Wood, P. A. 1997. Housing outcomes for homeless adults with mental illness: results from the Second-Round Mckinney Program. Psychiatric Services, 48, 2, 239–41.Google ScholarPubMed
Shinn, M., Weitzman, B. C., Stojanovic, D., Knickman, J. R., Jiminez, L., Duchon, L., James, S. and Krantz, D. H. 1998. Predictors of homelessness from shelter request to housing stability among families in New York City. American Journal of Public Health, 88, 10, 17.CrossRefGoogle ScholarPubMed
Social Exclusion Unit 2004. Breaking the Cycle: Summary, Taking Stock of Progress and Priorities for the Future. Office of the Deputy Prime Minister, London.Google Scholar
Social Exclusion Unit 2005. Excluded Older People: Interim Report. Office of the Deputy Prime Minister, London.Google Scholar
Sosin, M. R. 2003. Explaining adult homelessness in the US by stratification or situation. Journal of Community and Applied Social Psychology, 13, 91104.CrossRefGoogle Scholar
Srebnik, D., Livingston, J., Gordon, L. and King, D. 1995. Housing choice and community success for individuals with serious and persistent mental illness. Community Mental Health Journal, 31, 2, 139–52.CrossRefGoogle ScholarPubMed
Stergiopoulos, V. and Herrmann, N. 2003. Old and homeless: a review and survey of older adults who use shelters in an urban setting. Canadian Journal of Psychiatry, 48, 6, 374–80.CrossRefGoogle Scholar
Stroick, S. M. 2004. Biennial Count of Homeless Persons in Calgary: Enumerated in Emergency and Transitional Facilities, by Service Agencies, and on the Streets, 2004 May 12. Social Research Unit, Policy and Planning, Community Strategies, City of Calgary, Calgary, Alberta.Google Scholar
Susser, E., Valencia, E., Conover, S., Felix, A., Tsai, W. and Wyatt, R. J. 1997. Preventing recurrent homelessness among mentally-ill men: a ‘critical time’ intervention after discharge from a shelter. American Journal of Public Health, 87, 2, 256–62.CrossRefGoogle Scholar
Thompson, S. J., Pollio, D. E., Eyrich, K., Bradbury, E. and North, C. S. 2004. Successfully exiting homelessness: experiences of formerly homeless mentally ill individuals. Evaluation and Program Planning, 27, 4, 423–31.CrossRefGoogle Scholar
Timms, P. 1996. Homelessness and mental illness: a brief history. In Bhugra, D.(ed.), Homelessness and Mental Health. Cambridge University Press, Cambridge, 1125.CrossRefGoogle Scholar
Tsemberis, S., Gulcur, L. and Nakae, M. 2004. Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94, 4, 651–5.CrossRefGoogle ScholarPubMed
Victor, C. R., Scambler, S. J., Bond, J. and Bowling, A. 2000. Being alone in later life: loneliness, isolation and living alone in later life. Reviews in Clinical Gerontology, 10, 4, 407–17.CrossRefGoogle Scholar
Victor, C. R., Scambler, S. J., Bowing, A. and Bond, J. 2005. The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing & Society, 25, 3, 357–75.CrossRefGoogle Scholar
Vincent, J., Deacon, A. and Walker, R. 1995. Homeless Single Men: Roads to Resettlement. Avebury, Aldershot, Hampshire.Google Scholar
Walker, A., Barnes, M., Cox, K. and Lessof, C. 2006. Social Exclusion of Older People: Future Trends and Policies. New Horizons Research Programme, Department for Communities and Local Government, London.Google Scholar
Warnes, A. M. and Crane, M. 2000 a. Meeting Homeless People's Needs: Service Development and Practice for the Older Excluded. King's Fund, London.Google Scholar
Warnes, A. M. and Crane, M. 2000 b. The achievements of a multi-service project for older homeless people. The Gerontologist, 40, 5, 618–26.CrossRefGoogle Scholar
Warnes, A. M., Crane, M., Whitehead, N. and Fu, R. 2003. Homelessness Factfile. Crisis, London.Google Scholar
Washington, O. G. M. 2005. Identification and characteristics of older homeless African-American women. Issues in Mental Health Nursing, 26, 2, 117–36.CrossRefGoogle ScholarPubMed
Willcock, K. 2004. Journeys Out of Loneliness: The Views of Older Homeless People. Help the Aged, London.Google Scholar
Willcock, K. 2006 a. Moving On: The Meaning of Activity for Older Homeless People. Help the Aged, London.Google Scholar
Willcock, K. 2006 b. Live Choices: Helping Older Homeless People Engage in Meaningful Occupation in the Community. Help the Aged, London.Google Scholar
Wolf, J., Burnam, A., Koegel, P., Sullivan, G. and Morton, S. 2001. Changes in subjective quality of life among homeless adults who obtain housing: a prospective examination. Social Psychiatry and Psychiatric Epidemiology, 36, 8, 391–8.CrossRefGoogle ScholarPubMed
Zlotnick, C., Robertson, M. J. and Lahif, J. 1999. Getting off the streets: economic resources and residential exits from homelessness. Journal of Community Psychology, 27, 2, 209–24.3.0.CO;2-2>CrossRefGoogle Scholar