Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-16T03:32:41.781Z Has data issue: false hasContentIssue false

Later-Life Homelessness as Disenfranchised Grief

Published online by Cambridge University Press:  02 April 2018

Victoria F. Burns*
Affiliation:
University of Calgary, Faculty of Social Work, Calgary, Alberta
Tamara Sussman
Affiliation:
McGill University, School of Social Work, Montreal, Quebec
Valérie Bourgeois-Guérin
Affiliation:
Université de Québec à Montréal, Département de psychologie, Montreal, Quebec
*
La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Victoria Burns, Ph.D. Assistant Professor University of Calgary, Faculty of Social Work PF 3220, 2500 University Drive NW Calgary, AB T2N 1N4 <victoria.burns@ucalgary.ca>

Abstract

Although interest on older homelessness is gaining momentum, little research has considered the experiences of first-time homelessness from the perspective of older adults themselves. This constructivist grounded-theory study addresses this gap by exploring how societal perceptions of homelessness and aging shape access to housing, services, and perceptions of self for 15 older adults residing in emergency homeless shelters in Montreal, (Quebec, Canada). Findings revealed that homelessness evoked a grief response characterized by shock, despair, anger, and in some cases, relief. Connecting and receiving support from other shelter residents and staff helped participants to acknowledge and grieve their losses. However, difficult shelter conditions, the stigma associated with aging and homelessness, and not having their grief recognized or validated served to disenfranchise grief experiences. Conceptualizing later-life homelessness as disenfranchised grief contributes to the aging and homelessness literature while providing new avenues for understanding and validating the experiences of a growing population of vulnerable older adults.

Résumé

Bien que l’itinérance chez les personnes âgées soit un sujet qui se soit développé ces dernières années, peu de recherches ont considéré les expériences des « nouveaux » itinérants plus âgés à partir de leur propre perspective. La présente étude, reposant sur la théorie constructiviste, vise à combler cette lacune en explorant les liens entre la perception sociétale de l’itinérance et du vieillissement, d’une part, et l’accès au logement et aux services, ainsi que la perception de soi, d’autre part, pour 15 personnes âgées vivant dans des refuges d’urgence pour sans-abris à Montréal (Québec, Canada). Les résultats démontrent que l’itinérance provoque une réaction de deuil caractérisée par le choc, le désespoir, la colère et, dans certains cas, le soulagement. Le fait d’entrer en contact et de recevoir de l’appui d’autres personnes vivant dans les refuges et du personnel sur place ont aidé les participants à reconnaître et à faire le deuil de leurs pertes. Cependant, les conditions difficiles de la vie en refuge, le stigma associé au vieillissement et à l’itinérance, et la non-reconnaissance ou l’absence de validation des expériences de deuil ont contribué à empêcher la reconnaissance du deuil. La conceptualisation de l’itinérance au grand âge comme un deuil non reconnu contribue aux études concernant le vieillissement et l’itinérance, et trace une nouvelle voie pour améliorer la compréhension et la validation des expériences d’une population vulnérable et âgée en croissance.

Type
Article
Copyright
Copyright © Canadian Association on Gerontology 2018 

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.)

Footnotes

*

We thank all of the interviewees and community organizations that provided guidance and assistance with this study.

References

André, D., & Payeur, F. (2008). Perspectives démographiques des MRC du Québec, 2006–2031 [Demographic perspectives of the Quebec MRC, 2006–2031]. Retrieved from http://www.stat.gouv.qc.ca/statistiques/population-demographie/perspectives/population/perspectives-mrc-2006-2031.pdfGoogle Scholar
Bacqué, M. F. (2004). Augmentation de la longévité, multiplication des deuils: Les nouveaux “vieux” sont aussi de grands endeuillés [Living longer means multiple mournings: The new “old” are also greatly bereaved], Études sur la mort, 126(2), 149158.CrossRefGoogle Scholar
Bell, S., & Menec, V. (2013). “You don’t want to ask for the help.” The imperative of independence: Is it related to social exclusion? Journal of Applied Gerontology, 34(3), 121. doi:10.1177/0733464812469292.CrossRefGoogle ScholarPubMed
Bevan, D., & Thompson, N. (2003). The social basis of loss and grief: Age, disability and sexuality. Journal of Social Work, 3(2), 179194.CrossRefGoogle Scholar
Billette, V., & Lavoie, J. P. (2010). Introduction. Vieillissements, exclusions sociales et solidarités [Aging, social exclusions and solidarity]. In Charpentier, M., Guberman, N., Billette, V., Lavoie, J. P., Grenier, A., & Olazabal, I. (Eds.), Vieillir au pluriel: Perspectives sociales (pp. 122). Québec City, QC: Presses de l’Université du Québec.Google Scholar
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Burns, V. (2016). Oscillating in and out of place: Experiences of older adults residing in homeless shelters in Montreal, Quebec. Journal of Aging Studies, 39, 1120.CrossRefGoogle ScholarPubMed
Burns, V., Grenier, A., Lavoie, J. P., Rothwell, D., & Sussman, T. (2012). Les personnes âgées itinérantes–invisibles et exclues: Une analyse de trois stratégies pour contrer l’itinérance [Older homelessness – invisible and excluded: An analysis of three strategies to counter homelessness]. Frontières, 25(1), 3156.CrossRefGoogle Scholar
Burns, V. F., & Sussman, T. (2018). Homeless for the first time in later life: Uncovering more than one pathway. The Gerontologist. https://doi.org/10.1093/geront/gnx212Google Scholar
Canadian Mortgage and Housing Corporation (CMHC). (2016). What is core housing need? Retrieved from https://www.cmhc-schl.gc.ca/en/hoficlincl/observer/observer_044.cfmGoogle Scholar
Caris Islington Organization. (2010). Bereavement & homelessness: Vulnerable people coping and struggling with loss. London, ENG: Voluntary Action Islington.Google Scholar
Charmaz, K. (2006). Constructing grounded theory: Practical guide through qualitative analysis. Thousand Oaks, CA: Sage.Google Scholar
Charmaz, K. (2014). Constructing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
Cline, S. (1995). Lifting the taboo: Women, death and dying. London, ENG: Little, Brown.Google Scholar
Cohen, C., Teresi, J., Holmes, D., & Roth, E. (1988). Survival strategies of older homeless men. The Gerontologist, 28(1), 5865.CrossRefGoogle ScholarPubMed
Crane, M., Byrne, K., Ruby, F., Lipmann, B., Mirabelli, F., Rota-Bartelink, A., … & Warnes, A. M. (2005). The causes of homelessness in later life: Findings from a 3-nation study. Journal of Gerontology: Social Sciences, 60B(3), 152159.CrossRefGoogle Scholar
Crane, M., & Warnes, A. M. (2010). Homelessness among older people and service responses. Reviews in Clinical Gerontology, 20(04), 354363. doi:10.1017/S0959259810000225CrossRefGoogle Scholar
Dedoose [Computer software]. (2016). Retrieved from www.dedoose.comGoogle Scholar
Dey, I. (1999). Grounding grounded theory. San Diego, CA: Academic Press.Google Scholar
Doka, K. J. (1989). Disenfranchised grief: Recognizing hidden sorrow. New York, NY: Lexington.Google Scholar
Federation of Canadian Municipalities. (2013). Canada’s aging population: The municipal role in Canada’s demographic shift. Retrieved from https://www.fcm.ca/Documents/reports/FCM/canadas_aging_population_the_municipal_role_in_Canadas_demographic_shift_en.pdfGoogle Scholar
Furlotte, C., Schwartz, K., Koornstra, J. J., & Naster, R. (2012). “Got a room for me?” Housing experiences of older adults living with HIV/AIDS in Ottawa. Canadian Journal on Aging/La Revue canadienne du vieillissement, 31(01), 3748.CrossRefGoogle Scholar
Gaetz, S., Dej, E., Richter, T., & Redman, M. (2016). The state of homelessness in Canada 2016. Toronto, ON: Canadian Observatory on Homelessness Press. Retrieved from http://homelesshub.ca/sites/default/files/SOHC16_final_20Oct2016.pdfGoogle Scholar
Gaetz, S., Donaldson, J., Richter, T., & Gulliver, T. (2013). The state of homelessness in Canada 2013. Toronto, ON: Canadian Homelessness Research Network Press. Retrieved from http://homelesshub.ca/sites/default/files/SOHC2103.pdfGoogle Scholar
Gélineau, L. (2013). Vieillir dans la rue: Mieux comprendre l’itinérance et la très grande précarité des personnes de 55 ans et plus [Aging in the street: Understanding of later-life homelessnessfor individuals aged 55 and over ]. Rapport de Recherche, Le PAS de La Rue, Montreal, QC. Retrieved from http://pasdelarue.org/services-2/recherche-et-developpement/Google Scholar
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory. Chicago, IL: Aldine.Google Scholar
Government of Canada. (2014). Old age security pension. Retrieved from http://www.servicecanada.gc.ca/eng/services/pensions/oas/pension/index.shtmlGoogle Scholar
Grenier, A. (2003). Unhinging the assumptions within independence: Toward a broader conceptualization of diversity and difference in home care. Canadian Review of Social Policy, 51, 2947.Google Scholar
Grenier, A., Barken, R., Sussman, T., Rothwell, D., Bourgeois-Guérin, V., & Lavoie, J. P. (2016). A literature review of homelessness and aging: Suggestions for a policy and practice-relevant research agenda. Canadian Journal on Aging/La Revue canadienne du vieillissement, 35(01), 2841.CrossRefGoogle ScholarPubMed
Guba, E., & Lincoln, Y. (1989). Fourth generation evaluation. Newbury Park, CA: Sage.Google Scholar
Guba, E. G., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. In Denzin, N. K. & Lincoln, Y. S. (Eds.), Handbook of qualitative research (1st ed., pp. 105117). Thousand Oaks, CA: Sage.Google Scholar
Hulchanski, D. (2009, February 18). Homelessness in Canada: Past, present, future. Keynote address at The Growing Home: Housing and Homelessness in Canada Conference, University of Calgary, Alberta, Canada. Retrieved from http://www.canadiansocialresearch.net/hulchanski.pdfGoogle Scholar
Hwang, S. W., Wilkins, R., Tjepkema, M., O’Campo, P. J., & Dunn, J. R. (2009). Mortality among residents of shelters, rooming houses, and hotels in Canada: 11-year follow-up study. BMJ, 339: b4036. doi:https://doi.org/10.1136/bmj.b4036CrossRefGoogle ScholarPubMed
Institut de recherche et d’informations socio-économiques. (2010). Différents visages de la crise [Different faces of the crisis]. Retrieved from http://www.habitation.gouv.qc.ca/fileadmin/internet/centredoc/NS21626.pdfGoogle Scholar
Johnsen, S., Cloke, P., & May, J. (2005). Day centres for homeless people: spaces of care or fear? Social & Cultural Geography, 6(6), 787811. doi: 10.1080/14649360500353004CrossRefGoogle Scholar
Kübler-Ross, E. (1969). On death and dying. New York, NY: MacMillan.Google Scholar
La Maison Marguerite de Montreal Inc. (2013). Rapport annuel 2013 [Annual report 2013]. Retrieved from http://maisonmarguerite.com/wp-content/uploads/2014/04/RAPPORT-ANNUEL-2013.pdfGoogle Scholar
Latimer, E., McGregor, J., Méthot, C., & Smith, A. (2015). Dénombrement des personnes en situation d’itinérance à Montréal le 24 mars 2015 [Montreal’s point-in-time count, March 24, 2015]. Montreal, QC: Ville de Montreal. Retrieved from https://ville.montreal.qc.ca/pls/portal/docs/PAGE/D_SOCIAL_FR/MEDIA/DOCUMENTS/RAPPORT_DENOMBREMENT_PERSONNES_SITUATION_ITINERANCE.PDFGoogle Scholar
Maison du Père. (2014). Rapports d’activités 2014 [Report of activities 2014]. Retrieved from https://docs.wixstatic.com/ugd/95dc75_f5bd3897d7014de98a6d2688d0d8ffda.pdfGoogle Scholar
McDonald, L., Dergal, J., & Cleghorn, L. (2007). Living on the margins: Older homeless adults in Toronto. Journal of Gerontological Social Work, 49(1–2), 1946.CrossRefGoogle ScholarPubMed
McDonald, L., Donahue, P., Janes, J., & Cleghorn, L. (2009). In from the streets: The health and well-being of formerly homeless older adults. In Hulchanski, D., Campsie, P., Chau, S., Hwang, S., & Paradis, E. (Eds.), Finding home: Policy options for addressing homelessness in Canada (pp. 117). Toronto, ON: Canadian Observatory on Homelessness.Google Scholar
Morris, A., Judd, B., & Kavanagh, K. (2005). Marginality amidst plenty: Pathways into homelessness for older Australians. Australian Journal of Social Issues, 40(2), 241251.CrossRefGoogle Scholar
Padgett, D. K. (2007). There’s no place like (a) home: Ontological security among persons with serious mental illness in the United States. Social Sciences and & Medicine, 64(9), 19251936. Retrieved from https://www.sciencedirect.com/science/article/pii/S0277953607000494?via%3DihubCrossRefGoogle Scholar
Parsell, C., & Parsell, M. (2012). Homelessness as a choice. Housing, Theory and Society, 49(4), 420434. doi:10.1080/14036096.2012.667834CrossRefGoogle Scholar
Petersen, M., & Parsell, C. (2015). Homeless for the first time in later life: An Australian study. Housing Studies, 30(3), 368391. doi:10.1080/02673037.2014.963522CrossRefGoogle Scholar
Ploeg, J., Hayward, L., Woodward, C., & Johnston, R. (2008). A case study of a Canadian homelessness intervention programme for elderly people. Health & Social Care in the Community, 16(6), 593605.CrossRefGoogle ScholarPubMed
Regehr, C., & Sussman, T. (2004). Intersections between grief and trauma: Toward an empirically based model for treating traumatic grief. Brief Treatment and Crisis Intervention, 4(3), 289309.CrossRefGoogle Scholar
Reynolds, K. A., Isaak, C. A., DeBoer, T., Medved, M., Distasio, J., Katz, L. Y., & Sareen, J. (2016). Aging and homelessness in a Canadian context. Canadian Journal of Community Mental Health, 35(1), 113. doi:10.7870/cjcmh-2015-016CrossRefGoogle Scholar
Rothwell, D. W., Sussman, T., Grenier, A., Mott, S., & Bourgeois-Guérin, V. (2016). Patterns of shelter use among men new to homelessness in later life: Duration of stay and psychosocial factors related to departure. Journal of Applied Gerontology, 36(1), 7193. doi:10.1177/0733464815624154CrossRefGoogle ScholarPubMed
Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433440. doi:10.1093/geront/37.4.433CrossRefGoogle ScholarPubMed
Shinn, M., Gottlieb, J., Wett, J. L., Bahl, A., Cohen, A., & Baron Ellis, D. (2007). Predictors of homelessness among older adults in New York City: Disability, economic, human and social capital and stressful events. Journal of Health Psychology, 12(5), 696708.CrossRefGoogle ScholarPubMed
Statistics Canada. (2011). Population, urban and rural, by province and territory. Ottawa, ON: Author. Retrieved from http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/demo62a-eng.htmGoogle Scholar
Statistics Canada (2013). Low income lines 2013–2014. Ottawa, ON: Income Statistics Division. Retrieved from http://www.statcan.gc.ca/pub/75f0002m/75f0002m2015001-eng.pdfGoogle Scholar
Walsh, C. A., Hewson, J., Paul, K., Gulbrandsen, C., & Dooley, D. (2015). Falling through the cracks: Exploring the subsidized housing needs of low-income pre-seniors from the perspectives of housing providers. SAGE Open, 5(3), 19. Retrieved from http://journals.sagepub.com/doi/pdf/10.1177/2158244015607353CrossRefGoogle Scholar
Weinstein, J. (2008). Working with loss, death and bereavement. Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
Woolrych, R., Gibson, N., Sixsmith, J., & Sixsmith, A. (2015). “No home, no place”: Addressing the complexity of homelessness in old age through community dialogue. Journal of Housing for the Elderly, 29(3), 233258. doi:10.1080/02763893.2015.1055024CrossRefGoogle Scholar
Worden, W. (1991). Grief counselling and grief therapy: A handbook for the mental health professional: London, ENG: Routledge.Google Scholar
World Health Organization. (2002). Active ageing policy framework. Geneva, CHE: Author.Google Scholar