Patterns of Shelter Use Among Men New to Homelessness in Later Life

Abstract

People who become homeless for the first time in late life are a growing but understudied population. This study draws on administrative data from one shelter (N = 1,214 first-time homeless) to assess the extent to which age is related to shelter stay and, to examine psychosocial factors that may be associated with shelter departure. Our bivariate and survival analysis results suggest that older homeless men stay in the shelter 2 weeks longer than younger clients. Older men with pending legal issues and mobility concerns were more likely to leave the shelter than those without such concerns. Findings highlight the impact of age and other psychosocial variables on shelter stay, and provide direction from which to address homelessness among men who are new to homelessness in later life.

Keywords

homeless men social services

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References

Abt Associates. (2005). The National HMIS Data Standards and the Arizona Self-Sufficiency Matrix: Collecting Uniform Information on Homeless Person. Retrieved from http://monarchhousing.org/wp-content/uploads/2008/08/ProjectEvaluationTraining.pdf

Aubry

Farrell

Hwang

S. W.

Calhoun

(2013). Identifying the patterns of emergency shelter stays of single individuals in Canadian cities of different sizes. Housing Studies, 28(6), 1-18.

Barken

Grenier

Budd

Sussman

Rothwell

D. W.

Bourgeious-Guerin

(2015). Aging and homelessness in Canada: A review of frameworks and strategies. Hamilton, Ontario, Canada: Gilbrea Center for Studies in Aging, McMaster University. Retrieved from aginghomelessness.com/wp-content/uploads/2012/10/PolicyReview-FINAL-REPORT-April-2015.pdf

Caton

C. L.

Dominguez

Schanzer

Hasin

D. S.

Shrout

P. E.

Felix

. . . Hsu

(2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. American Journal of Public Health, 95, 1753-1759.

Chevalier

Fournier

(1998). Dénombrement de la clientèle itinérante dans les centres d’hébergement, les soupes populaires et les centres de jour des villes de Montréal et de Québec [A count of the homeless clients in shelters, soup kitchens and day centers in the cities of Montreal and Quebec]1996-97. Québec City, Québec, Canada: Santé Québec.

Crane

Byrne

Lipmann

Mirabelli

Rota-Bartelink

. . . Warnes

A. M.

(2005). The causes of homelessness in later life: Findings from a 3-nation study. The Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 60, S152-S159.

Crane

Warnes

A. M.

(2007). The outcomes of rehousing older homeless people: A longitudinal study. Ageing and Society, 27, 891-918.

Crane

Warnes

A. M.

(2010). Homelessness among older people and service responses. Reviews in Clinical Gerontology, 20, 354-363.

Culhane

Parker

Poppe

Gross

Sykes

(2007). Accountability, cost-effectiveness, and program performance: Progress since 1998. In Toward Understanding Homelessness. Retrieved from http://aspe.hhs.gov/hsp/homelessness/symposium07/culhane/

10.

Culhane

D. P.

Kuhn

R. H.

(1998). Patters and determinants of public shelter utilization among homeless adults in New York City. Journal of Policy Analysis and Management, 17, 23-43.

11.

Davis-Berman

(2011). Older women in the homeless shelter: Personal perspectives and practice ideas. Journal of Women & Aging, 23, 360-374.

12.

Employment and Social Development Canada. (2013). Homelessness partnering strategy directives 2014-2019. Retrieved from http://www.esdc.gc.ca/eng/communities/homelessness/funding/directives.shtml

13.

Fortin

Green

D. A.

Lemieux

Milligan

Riddell

W. C.

(2012). Canadian inequality: Recent developments and policy options. Canadian Public Policy, 38, 121-145.

14.

Garibaldi

Conde-Martel

O’Toole

T. P.

(2005). Self-reported comorbidities, perceived needs, and sources for usual care for older and younger homeless adults. Journal of General Internal Medicine, 20, 726-730.

15.

Gelberg

Linn

L. S.

Mayer-Oakes

S. A.

(1990). Differences in health status between older and younger homeless adults. Journal of the American Geriatrics Society, 38, 1220-1229.

16.

Gilbody

Bower

Fletcher

Richards

Sutton

A. J.

(2006). Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166, 2314-2321.

17.

Goering

Veldhuizen

Watson

Adair

Kopp

Latimer

Aubry

(2014). National At Home/Chez Soi final report. Calgary, Alberta: Mental Health Commission of Canada.

18.

Gonyea

J. G.

Mills-Dick

Bachman

S. S.

(2010). The complexities of elder homelessness, a shifting political landscape and emerging community responses. Journal of Gerontological Social Work, 53(7), 575-590.

19.

Gray

(2009). The social capital of older people. Ageing and Society, 29(01), 5-31.

20.

Grenier

Barken

Sussman

Rothwell

D. W.

Lavoie

J.-P.

(in press). Homelessness and aging in Canada: Setting a research agenda to inform policy and practice. Canadian Journal on Aging.

21.

Hecht

Coyle

(2001). Elderly homeless: A comparison of older and younger adult emergency shelter seekers in Bakersfield, California. American Behavioral Scientist, 45, 66-79.

22.

Huxley

Evans

Munroe

Cestari

(2008). Integrating health and social care in community mental health teams in the UK: A study of assessments and eligibility criteria in England. Health & Social Care in the Community, 16, 476-482.

23.

Kalbfleisch

J. D.

Prentice

R. L.

(2011). The statistical analysis of failure time data (Vol. 360). Hoboken, NJ: John Wiley.

24.

Kim

M. M.

Ford

J. D.

Howard

D. L.

Bradford

D. W.

(2010). Assessing trauma, substance abuse, and mental health in a sample of homeless men. Health & Social Work, 35(1), 39-48.

25.

McDonald

Dergal

Cleghorn

(2004). Homeless older adults research project: Executive summary. Toronto, Ontario, Canada: Institute for Human Development, Life Course and Aging. Retrieved from http://www.toronto.ca/legdocs/2005/agendas/committees/rse/rse050301/it005.pdf

26.

McDonald

Dergal

Cleghorn

(2007). Living on the margins. Journal of Gerontological Social Work, 49(1-2), 19-46. doi:10.1300/J083v49n01_02

27.

National Institute on Aging. (2011). Global health and ageing. Bethesda, MA. Retrieved from http://www.who.int/ageing/publications/global_health/en/

28.

North

C. S.

Smith

E. M.

(1993). A comparison of homeless men and women: Different populations, different needs. Community Mental Health Journal, 29, 423-431.

29.

O’Flaherty

(2008). Homeless shelters for single adults: Why does their population change? Social Service Review, 82, 511-550.

30.

Pauzé

Gagné

M. A.

Pautler

(2005, December). Collaborative mental health care in primary health care: A review of Canadian initiatives. Vol. I: Analysis of initiatives. Mississauga, Ontario: Canadian Collaborative Mental Health Initiative.

31.

Peressini

(2007). Perceived reasons for homelessness in Canada: Testing the heterogeneity hypothesis. Canadian Journal of Urban Research, 16, 112-126.

32.

Petersen

Parsell

(2015). Homeless for the first time in later life: An Australian study. Housing Studies, 30, 368-391. doi:10.1080/02673037.2014.963522

33.

Ploeg

Hayward

Woodward

Johnston

(2008). A case study of a Canadian homelessness intervention programme for elderly people. Health & Social Care in the Community, 16, 593-605.

34.

Rich

A. R.

Clark

(2005). Gender differences in response to homelessness services. Evaluation and Program Planning, 28, 69-81.

35.

Shibusawa

Padgett

(2009). The experiences of “aging” among formerly homeless adults with chronic mental illness: A qualitative study. Journal of Aging Studies, 23, 188-196.

36.

Snow

D. A.

Anderson

(1993). Down on their luck: A study of homeless street people. Berkeley: University of California Press.

37.

Tsemberis

Gulcur

Nakae

(2004). Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94, 651-656.

38.

Turcotte

Schellenberg

(2007). A portrait of seniors in Canada, 2006. Ottawa, Ontario: Statistics Canada, Social and Aboriginal Statistics Division.

39.

U.S. Department of Transportation. (2013). Transportation statistics annual report 2012. Washington, DC: Research and Innovative Technology Administration Bureau of Transportation Statistics. Retrieved from http://www.rita.dot.gov/bts/sites/rita.dot.gov.bts/files/publications/transportation_statistics_annual_report/2012/index.html

40.

Watson

D. P.

George

Walker

(2008). “Falling through the cracks”: Health care needs of the older homeless population and their implications. Research in the Sociology of Health Care, 26, 187-204.

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