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Supporting Older People Experiencing Homelessness and Memory Problems in Hostels: Learning From an Ethnographic

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Staff support older hostel residents with memory problems in under-resourced settings. This ethnographic study highlights challenges and identifies strategies for meaningful interactions and improved care for this vulnerable population.

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Area of Science:

  • Gerontology
  • Social Sciences
  • Healthcare Studies

Background:

  • Older adults in hostels with memory problems experience longer stays and higher care needs.
  • Hostel environments present unique challenges for supporting residents with memory issues.
  • Existing support systems may be inadequate for the complex needs of this population.

Purpose of the Study:

  • To understand how staff support older hostel residents with memory problems.
  • To identify contextual factors influencing the provision of care.
  • To explore facilitators of positive and meaningful outcomes for residents and staff.

Main Methods:

  • Ethnographic study employing interviews and participant observations.
  • Involved older residents (≥50 years) with memory problems and homelessness, hostel staff/managers, and health/social care practitioners.
  • Data collected from 7 residential facilities in London between September 2021 and December 2022, analyzed thematically.

Main Results:

  • Identified four themes: compensatory strategies, hostels as non-homes, compassionate handling of challenging interactions, and facilitating meaningful interactions.
  • Social interactions for residents with memory problems were restricted, lacking safety and positive engagement opportunities.
  • Staff provided care beyond their roles in resource- and time-limited contexts with unmet needs.

Conclusions:

  • Staff demonstrate dedication in supporting older residents with memory problems despite resource constraints.
  • The study informed the co-design of a support intervention for hostel staff.
  • Recommendations for policy and practice are provided to improve care for older adults with memory problems in hostels.