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Aging in place within permanent supportive housing.

Benjamin F Henwood1, Marian L Katz, Todd P Gilmer

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|April 17, 2014
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Permanent supportive housing (PSH) effectively ends homelessness. However, PSH programs need enhanced staff training and support to better assist aging individuals with serious mental illness in aging in place successfully.

Keywords:
homelessnessmixed methodsserious mental illness

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Area of Science:

  • Gerontology
  • Public Health
  • Social Work

Background:

  • Permanent supportive housing (PSH) is a critical intervention for ending homelessness.
  • Aging populations with serious mental illness face unique challenges in maintaining housing stability.
  • Understanding how PSH programs support aging in place is essential for program improvement.

Purpose of the Study:

  • To investigate the effectiveness of PSH programs in supporting aging in place for individuals with serious mental illness.
  • To identify specific challenges and facilitators in PSH for older adults.

Main Methods:

  • A convergent parallel mixed-method design was employed, integrating quantitative and qualitative data.
  • Quantitative analysis compared pre- and post-residential outcomes for PSH enrollees across different age groups.
  • Qualitative case study analysis involved interviews with PSH staff serving older adults.

Main Results:

  • PSH significantly reduced homelessness and justice system involvement for all enrollees.
  • Older adults experienced less decline in homelessness and justice system involvement compared to younger adults.
  • Qualitative findings highlighted increased medical vulnerability, institutional care effects, and preference for congregate living among older adults.

Conclusions:

  • PSH is effective in ending homelessness, but specific strategies are needed to support housing stability for aging populations.
  • Enhanced staff support and training are crucial for PSH programs to promote successful aging in place among individuals with serious mental illness.