The proportion of adults age 50 and older experiencing homelessness is growing. People at risk for homelessness may stay with family and friends during homelessness episodes. Moving in with housed family and friends is a strategy used to exit homelessness. Little is known about these stays with family and friends. This study examined the motivations for and challenges of older adults experiencing homelessness staying with or moving in with family or friends.
Methods
We purposively sampled 46 participants from the HOPE HOME study, a cohort of 350 community-recruited adults experiencing homelessness age ≥50 in Oakland, CA. Inclusion criteria included having stayed with housed family/friends for ≥1 nights in the prior 6 months. We sampled 19 family/friends who had hosted participants experiencing homelessness. We conducted separate, semi-structured interviews, summarized, memoed and coded data consistent using a grounded theory approach.
Results
Older adults experiencing homelessness reported primarily temporary stays. Motivations for stays on the part of participants included a need for environmental, physical, and emotional respite from homelessness. Both individuals experiencing homelessness and hosts cited the mutual benefits of stays. Barriers to stays included feelings of shame, concerns about burdening the hosts, and interpersonal conflicts between older adults experiencing homelessness and host participants.
Conclusions
There are potential opportunities and concerns surrounding temporary stays between older adults experiencing homelessness and their family or friends. Policy solutions should support the potential mutual benefits of temporary stays, while addressing interpersonal barriers to strengthen kinship and friendship networks and mediate the negative impacts of homelessness.
AbramsonCM (2017) The End Game: How Inequality Shapes Our Final Years. Cambridge, MA: Harvard University Press.
2.
BazariAPatanwalaMKaplanLM, et al. (2018) The thing that really gets me is the future’: Symptomatology in older homeless adults in the hope home study. Journal of Pain and Symptom Management56(2): 195–204.
3.
BourgoisPSchonbergJ (2009) Righteous Dopefiend. Berkeley: CA: University of California Press.
4.
BrownRTHematiKRileyED, et al. (2017) Geriatric conditions in a population-based sample of older homeless adults. The Gerontologist57(4): 757–766.
5.
BuchE (2018) Inequalities of Aging: Paradoxes of Independence in American Home Care. New York: NYU Press.
6.
BushHShinnM (2017) Families’ experiences of doubling up after homelessness. Cityscape19(3): 331–356.
7.
CatonCLMDominguezBSchanzerB, et al. (2005) Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults.American Journal of Public Health95(10): 1753–1759.
8.
CoyneI (1997) Sampling in qualitative research: Purposeful and theoretical sampling, merging or clear boundaries?Journal of Advanced Nursing26(3): 623–630.
9.
CraneM (1999) Understanding Older Homeless People: Their Circumstances, Problems and Needs. Buckingham, UK: Open University Press.
10.
CulhaneDPMetrauxSByrneT, et al. (2013) The age structure of contemporary homelessness: Evidence and implications for public policy. Analyses of Social Issues and Public Policy13(1): 228–244.
DenningP (2010) Harm reduction therapy with families and friends of people with drug problems. Journal of Clinical Psychology66(2): 164–174.
13.
DesjarlaisRR (1997) Shelter Blues: Sanity and Selfhood Among the Homeless. Philadelphia, PA: University of Pennsylvania Press.
14.
DesmondM (2017) Evicted: Poverty and Profit in the American City. New York, NY: Penguin Random House.
15.
EckerbladJTheanderKEkdahlA, et al. (2015) Symptom burden in community-dwelling older people with multimorbidity: A cross-sectional study. BMC Geriatrics15: 1–9.
16.
FlemingTDamonWCollinsAB, et al. (2019) Housing in crisis: A qualitative study of the socio-legal contexts of residential evictions in Vancouver’s downtown eastside. The International Journal on Drug Policy71: 169–177.
17.
GlaserB (1998) Doing Grounded Theory: Issues and Discussions. Mill Valley, CA: Sociology Press.
18.
GreerALShinnMKwonJ, et al. (2016) Targeting services to individuals most likely to enter shelter: Evaluating the efficiency of homelessness prevention. Social Service Review90(1): 130–155.
19.
HahnJAKushelMBBangsbergDR, et al. (2006) BRIEF REPORT: The aging of the homeless population: Fourteen-year trends in San Francisco. Journal of General Internal Medicine21(7): 775–778.
20.
HamiltonABPozaIWashingtonDL (2011) Homelessness and trauma go hand-in-hand: Pathways to homelessness among women veterans. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health21(4 Suppl): S203–S209.
21.
HopperKJostJHayT, et al. (1997) Homelessness, severe mental illness, and the institutional circuit. Psychiatric Services (Washington, D.C.)48(5): 659–665.
22.
HumphreysM (2019) There is a way to connect homeless people with their loved ones—And you can be a part of it. Nation Swell, 24 May 2019. Available at: https://nationswell.com/homeless-people-reunite-loved-ones/ (accessed 10 June 2020).
MilburnNGIribarrenFJRiceE, et al. (2012) A family intervention to reduce sexual risk behavior, substance use, and delinquency among newly homeless youth. Journal of Adolescent Health50(4): 358–364.
28.
MontgomeryPBaileyPH (2007) Field notes and theoretical memos in grounded theory. Western Journal of Nursing Research29(1): 65–79.
29.
OgdenJAvadeT (2011) Being homeless and the use and nonuse of services: A qualitative study. Journal of Community Psychology39(4): 499–505.
30.
PatanwalaMTieuLPonathC, et al. (2018) Physical, psychological, social, and existential symptoms in older homeless-experienced adults: An observational study of the hope home cohort. Journal of General Internal Medicine33(5): 635–643.
31.
PaulDWKnightKROlsenP, et al. (2020) Racial discrimination in the life course of older adults experiencing homelessness: Results of the HOPE HOME study. Journal of Social Distress and the Homeless29(2): 184–193.
32.
PopeNDBuchinoSAscienzoS (2020) “Just like jail”: Trauma experiences of older homeless men. Journal of Gerontological Social Work63(3): 143–161.
33.
PortacoloneEPerissinottoCYehJC, et al. (2018) “I feel trapped”: The tension between personal and structural factors of social isolation and the desire for social integration among older residents of a high-crime neighborhood. The Gerontologist58(1): 79–88.
34.
PortacoloneERubinsteinRLCovinskyKE, et al. (2019) The precarity of older adults living alone with cognitive impairment. The Gerontologist59(2): 271–280.
35.
RavenMCTieuLLeeCT, et al. (2017) Emergency department use in a cohort of older homeless adults: Results from the HOPE HOME study. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine24(1): 63–74.
36.
Rosenwohl-MackSKushelMRamseyC, et al. (2019) “We really help, taking care of each other”: older homeless adults as caregivers. Gerontology & Geriatric Medicine5: 2333721419894765.
SandelowskiMLeemanJ (2012) Writing usable qualitative health research findings. Qualitative Health Research22(10): 1404–1413.
39.
ShinnMKnickmanJRWeitzmanBC (1991) Social relationships and vulnerability to becoming homeless among poor families. American Psychologist46(11): 1180–1187.
40.
ShinnMWeitzmanBCStojanovicD, et al. (1998) Predictors of homelessness among families in New York city: From shelter request to housing stability. American Journal of Public Health88(11): 1651–1657.
41.
StokolsD (1996) Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion10(4): 282–298.
42.
StraussACorbinJM (1990) Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Thousand Oaks, CA: SAGE Publications, Inc.
43.
TsaiJEdensELRosenheckRA (2011) A typology of childhood problems among chronically homeless adults and its association with housing and clinical outcomes. Journal of Health Care for the Poor and Underserved22(3): 853–870.
U.S. Department of Housing and Urban Development (2015) Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH): Defining Chronically Homeless Final Rule. Washington DC: U.S. Department of Housing and Urban Development.
Van VlietJ (2008) Shame and resilience in adulthood: A grounded theory study. Journal of Counseling Psychology55(2): 233–245.
48.
Woodhall-MelnikJDunnJRSvensonS, et al. (2018) Men’s experiences of early life trauma and pathways into long-term homelessness. Child Abuse & Neglect80: 216–225.
49.
WrightMOCrawfordESebastianK (2007) Positive resolution of childhood sexual abuse experiences: The role of coping, benefit-finding and meaning-making. Journal of Family Violence22(7): 597–608.
