Social Support and Social Action Organizing in a “Grey Ghetto”: The Tenderloin Experience

Abstract

The Tenderloin Senior Outreach Project (TSOP) is presented as a case study of effective community-based organizing among the isolated elderly in one of America's large “grey ghettos.” Based on the theoretical underpinnings of social support theory and Freire's “education for critical consciousness,” the Project has attempted to address the interrelated problems of poor health, social isolation and powerlessness endemic among the elderly in Single Room Occupancy hotels.

The Project's metamorphosis is traced from a university-sponsored community development effort to a community-controlled organization focused on broad social action objectives. The transference of leadership from health education facilitators to indigenous elderly leaders within the hotels is examined, as are some of the strategies employed in increasing Project visibility, preventing burn-out, and facilitating replication in other areas.

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References

Tenderloin Ethnographic Research Project , Final Report, Hospitality House, San Francisco, 1978.

Provisional

1980 Census Figures, Population Research Unit, California State Department of Finance, 1982 (unpublished).

Cassel

, An Epidemiological Perspective on Psychosocial Factors in Disease Etiology, American Journal of Public Health, 64, pp. 1040–1043, 1974.

Cobb

, Social Support as a Moderator of Life Stress, Psychosomatic Medicine, 38, pp. 300–313, 1976.

Langer

E. J.

, Old Age: An Artifact, in Aging: Biology and Behavior, McGaugh

and Kiesler

S. B.

(eds.), Academic Press, New York, 1981.

Satariano

W. A.

and Syme

S. L.

, Life Change and Disease in Elderly Populations: Coping with Change, in Aging: Biology and Behavior, McGaugh

and Kiesler

S. B.

(eds.), Academic Press, New York, 1981.

Minkler

, Applications of Social Support Theory to Health Education: Implications for Work with the Elderly, Health Education Quarterly, 8: 2, pp. 147–165, 1981.

Freire

, Education for Critical Consciousness, Seabury Press, New York, 1973.

Langer

E. J.

and Rodin

, The Effects of Choice and Enhanced Personal Responsibility for the Aged: A Field Experiment in an Institutional Setting, Journal of Personality and Social Psychology, 34, pp. 191–198, 1976.

10.

Langer

E. J.

and Avorn

, The Psychosocial Environment of the Elderly: Some Behavioral and Health Implications, in Congregate Housing for Older People, Seagle

and Chellis

(eds.), Lexington Books, Lexington, Massachusetts, 1981.

11.

Pilisuk

, Delivery of Social Support: The Social Innoculation, Journal of Orthopsychiatry, 52: 1, pp. 20–31, 1982.

12.

Minkler

and Cox

, Creating Critical Consciousness in Health: Applications of Freire's Philosophy and Methods to the Health Care Setting, International Journal of Health Services, 10: 2, pp. 311–322, 1980.

13.

Hochchild

, The Unexpected Community, Prentice-Hall, 1973.

14.

Lowenthal

M. F.

and Haven

, Interaction and Adaptation: Intimacy as a Critical Variable, American Sociological Review, 33: 1, pp. 20–30, 1968.

15.

Eckert

J. K.

, The Unseen Elderly, A Study of Marginally Subsistent Hotel Dwellers, The Campanile Press, San Diego, California, 1980.

16.

Alinsky

, Rules for Radicals, Random House, New York, 1972.

17.

Nyswander

, Education for Health: Some Principles and Their Application, California's Health, 14, pp. 65–70, 1956.

18.

In Search of Refuge, San Francisco Business, 17: 7, p. 27, 1982.

19.

Mico

, Developing Your Community-Based Organization, Third Party Publishing Company, Oakland, California, 1981.

20.

Personal communication from Dr. Barbara Haley, Department of Sociology , University of Baltimore. The Figure is based on preliminary findings from the Annual Housing Survey for 1980.