Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.     

Age-Friendly Portland: A University-City-Community Partnership

This article addresses the question of how creating an age-friendly city has come to be an important policy and planning issue in Portland, Oregon. In 2006, researchers from Portland State University's Institute on Aging examined the meanings of age friendliness among a broad range of participants in Portland, Oregon. The research was conducted in conjunction with the World Health Organization's (WHO) Age-Friendly Cities project and followed the completion of two earlier non–WHO-related projects. The city of Portland, through the Institute on Aging, was one of nine original members to apply for and be accepted into the WHO Global Network of Age-Friendly Cities and Communities. An Age-Friendly Portland Advisory Council was formed to guide the development of an action plan, monitor progress over time, and suggest additional research. To understand how Portland's age-friendly policy effort has developed over time, we use Kingdon's (1984) agenda-setting framework to explain how the policy problem was formulated, how solutions were developed, and the influence of local politics. The policy actors, including individuals and organizations working within and outside of government, are described. The Portland experience provides a case study that other cities, especially those with a strong commitment to community-engaged urban planning, may find useful as they develop age-friendly initiatives.     

The development of a low-income housing finance sector in South Africa: Have we finally found a way forward?

Since the 1994 democratic elections, the South African government has been intent on encouraging the country's financial sector to extend finance to low-income households as a means of delivering an acceptable standard of housing through its housing subsidy scheme. This paper examines the history of lending to low-income black households beginning in the late 1980s and describes the problems encountered by the banks from the early 1990s onward. It also demonstrates how intertwined the development of housing finance has been with the formulation of the country's housing policy. As a means of understanding the development of the sector, the following issues are considered: the effort to mobilize mortgage finance via the banks; the shift in focus toward the use of micro-finance for housing purposes via non-bank lenders; the competition that has arisen between the banks and non-bank lenders; the recent attempt by government to compel the banks to lend through community reinvestment-type legislation and the banks’ response through the establishment of a Financial Sector Charter negotiation process aimed at transforming the entire financial sector. The paper concludes by offering some judgments as to whether this recent attempt by government and the banks to break through the decade-old housing finance logjam will be successful.     

Blind Faith in the Free Market: Urban Poverty, Residential Segregation, and Federal Housing Retrenchment, 1970–1995

In recent years, research on poverty and segregation has been organized within a dominant discourse that centers on the relative salience of racial discrimination or macroeconomic change as a determinant of concentrated minority poverty. In contrast, little sociological research has focused on federal housing policies and programs as important factors shaping racial patterns of poverty and residential segregation in U.S. metropolitan areas. Drawing upon census data, public documents, housing reports, and interviews with local residents, I examine how federal and local housing initiatives in the 1980s and 1990s have interacted with the shift to a service-oriented economy to reinforce racial residential segregation and exacerbate urban poverty in Kansas City. I find that persistent racial residential segregation, including minority poverty concentration and the spatial isolation of inner-city neighborhoods, is due to post-1970 changes in the operation of the metropolitan housing market and retrenchment in federal and local housing policy. Rather than viewing racial discrimination and macroeconomic change as disconnected and separate "variables," I focus on the interconnectedness and mutually reinforcing character of both factors. Such an emphasis moves beyond separate-variables approaches and analyses to identify how concentrated minority poverty is sustained not only by racial discrimination and large-scale macroeconomic and demographic changes, but also by the market-centered orientation of federal housing programs and policies.     

Separate and Unequal: The Housing Act of 1968 and the Section 235 Program

In recent years scholars have identified racial disparities in wealth and home ownership as crucial factors underlying patterns of racial inequality and residential segregation in American metropolitan housing markets. While numerous federal housing policies have been identified as responsible for reinforcing residential segregation and racial inequalities in home ownership, little research has focused on the segregative effects of the Section 235 program. As one component of the 1968 Housing Act, Section 235 was designed to shift the focus of federal housing policy away from dispensing aid to local housing authorities for building public housing to providing direct supply-side subsidies to the private sector to stimulate home ownership for nonwhites and the poor. Archival and census data, government reports and housing analyses, and oral histories and interviews are used to examine the segregative effects of the Section 235 program in Kansas City, Missouri from 1969 through the early 1970s. Findings indicate that while the housing subsidy program allowed a vast majority of participating white families to purchase new housing in suburban areas, most participating African American families purchased existing homes located in racially transitional neighborhoods in the inner city. These findings corroborate recent research showing how the market-centered focus of federal housing policy has impaired the ability of African Americans to accumulate wealth through home ownership and reinforced racially segregative housing patterns.     

Revisiting the urban housing crisis in Zimbabwe: Some forgotten dimensions?

The housing problem in Zimbabwe has become synonymous with housing shortages. The mismatch between housing supply and demand has for long been accepted as the housing problem. Virtually all policies and strategies aimed at alleviating the housing problem reflect this pre-occupation with numbers. The quantitative dimension has been taken so seriously by policy makers that policy and practical responses are aimed almost exclusively towards new construction. This paper re-examines the wider housing crisis in urban Zimbabwe. It looks at problems of obsolescence, overcrowding and other qualitative aspects. It concludes by cautioning that although some of these problems have to do with numbers, construction alone is not the complete solution.     

Disability and Dependency: origins and futures of 'special needs' housing for disabled people

In this paper we analyse the provision of housing for disabled people in both its historical and ideological contexts. While the recent extension of part M of the Building Regulations to dwellings by the government represents a significant advance towards the inclusion of disabled people, we argue that the shift in funding of public housing from a 'bricks and mortar' subsidy to Housing Benefit potentially creates greater dependency. This amounts to a policy contradiction in which the government is punishing disabled people for being dependent whilst simultaneously being the cause of their dependency. If this issue is not addressed disabled people will continue to remain excluded, albeit within accessible dwellings.     

The Impact of Public Housing Policy on Family Social Work Theory and Practice

Social workers are the professionals most engaged with families living in low-income and subsidized housing and most familiar with the problems associated with inadequate housing. Yet the discussion of public housing policy has been left largely to economists and housing activists and the clear implications for family social work practice have not been made clear. To connect these critical policy and practice issues, this article provides a theoretical foundation and a review of the research supporting the use of housing vouchers to combat race and class segregation, joblessness, family breakdown, inferior public services, child abuse, mental illness and crime victimization.     

城市农民工的住房问题与改革政策

本文研究城市农民工的住房问题和改革政策。农民工住房问题的制度根源是城乡二元住房制度改革滞后。农民工住房问题主要表现为绝大多数农民工无力在城市购买住房以及住房质量和居住环境较差。住房问题对农民工市民化具有严重的负面影响,住房房租支出比重偏高削弱了农民工的经济收入,居住质量差阻碍了农民工思想观念和行为方式的市民化,居住边缘化造成严重的社会隔阂对立。本文分析了广东省农民工住房政策和实施情况,提出深化改革的建议。     

Linking Federally Assisted Housing with Services for Frail Older Persons

Advocates of policies designed to link federally assisted housing with social services for the frail elderly have encountered barriers such as the historical separation of housing and services, political and bureaucratic fragmentation, and budget constraints. Over a 20-year period, they have attempted to address these issues by identifying the nature and extent of the problem, creating workable models, and developing a political constituency. Major reform, however, occurred only in 1990 when Congress passed the landmark National Affordable Housing Act (NAHA) which provided an "open policy window" for supportive housing legislation. NAHA's passage, however, still left many issues unresolved (e.g., targeting and funding for services). The future challenge is to develop new models of supportive housing and provide a range of residential settings and portable services to increase the choices for frail older persons.     

Linking federally assisted housing with services for frail older persons

Advocates of policies designed to link federally assisted housing with social services for the frail elderly have encountered barriers such as the historical separation of housing and services, political and bureaucratic fragmentation, and budget constraints. Over a 20-year period, they have attempted to address these issues by identifying the nature and extent of the problem, creating workable models, and developing a political constituency. Major reform, however, occurred only in 1990 when Congress passed the landmark National Affordable Housing Act (NAHA) which provided an "open policy window" for supportive housing legislation. NAHA's passage, however, still left many issues unresolved (e.g., targeting and funding for services). The future challenge is to develop new models of supportive housing and provide a range of residential settings and portable services to increase the choices for frail older persons.     

Identity in transition: how formerly homeless individuals negotiate identity as they move into housing

It is unclear what happens when stigmatized individuals undergo status transitions into non-stigmatized groups. This paper explores changes in housing status, identity, and social relationships over time and their impact on formerly homeless individuals. Drawing on longitudinal qualitative interview data collected over six months from seven individuals transitioning out of homelessness and into government supported housing, this paper examines identity changes during such a status shift. Analysis shows that individuals distanced themselves from both homeless and formerly homeless people, and connected with others through groups not affiliated with homelessness or shelter life. When exiting a stigmatized status, like homelessness, social distancing may be particularly important as it helps redefine the self as apart from that previously held stigmatized status. Implications for research and policy are discussed.     

Chapter 3. Housing Older Canadians

ABSTRACT

Reflecting a world-wide trend toward avoidance of institutionahzation and the fostering of aging in place in the community, a range of housing alternatives has been developed for older persons in Canada. This paper examines: (1) current patterns of housing and living arrangements of older Canadians; (2) philosophies that have dominated policy and production of housing for seniors for the last 30 years; and (3) seniors' preferences and utilization rates of various options. Data sources include the 1991 census and two cross-Canada studies, one urban and one rural, in which seniors were asked about their housing and related support service needs, usage patterns and preferences. The paper concludes with a discussion of emerging trends blending shelter and services and of policy gaps that need to be addressed in meeting the future housing needs of older Canadians.     

Connecting Policy to Practice

Abstract

Eight variables affect the policy process of the Section 8 housing program. An analysis of the eight variables allows for conceptualization of the factors influencing the shape and direction that Section 8 policy has taken through the course of history. Examining the variables of the Section 8 housing program can lead to an understanding of the program as a whole, the impact of the policy process on the recipients of the program, and the impact on social work practice. In addition, an understanding of these eight variables provides a useful heuristic for social workers engaged in policy changing activities.     

公共租赁房建设与新型城镇化

上海推进的公共租赁住房建设,是上海＂十二五＂期间住房保障体系的重要组成部分,符合深化住房制度改革和加快完善住房保障体系的总体要求,同时也与上海推进新型城镇化建设相呼应。新型城镇化的核心是＂人的城镇化＂,人的安居乐业是新型城镇化的关键所在。上海公租房政策对推动＂人的城镇化＂,具有极为重要的引导作用：强化了对非沪籍居民和中等收入阶层居住权的保障;有助于对工作者居住权利的保障;有助于带动整个区域的和谐、均衡发展。政府在推动公共租赁住房建设的过程中,还须适度扩大规模,改变产权式保障的传统思路;从严实行进出筛选机制,鼓励向上流动;坚持运作市场化、社区社会化、政策政府化;关注产业布局,突出其人才属性。     

Determinants of housing quality: A comparison of white,African-American,and Hispanic single-parent women

This study examines housing quality among three groups of single-parent women: white, African-American, and Hispanic. Three indicators of housing quality—crowding, affordability, and satisfaction—are used to discover the extent to which these groups experience housing problems. This study also explores differences and similarities in the factors that precipitate problems in housing quality for these three groups of single parents. Findings suggest important differences and similarities in the nature of housing quality problems among white, African-American, and Hispanic single-parent women. The specified variables explained about 20% of the variance in crowding, housing affordability, and housing satisfaction. On measures of objective and subjective housing quality, white single mothers are better housed than their African-American or Hispanic counterparts. Hispanic single mothers have the largest housing cost burden and average more persons per household than the other groups. African-Americans are twice as likely as either group to live in low-quality housing and reported the lowest average satisfaction with their housing. Her research interests include housing and neighborhood assessment and women and public policy issues. She has recently published articles inUrban Affairs Quarterly andHousing and Society on housing and neighborhood assessment criteria among black urban households and the housing cost burden of various groups of female-headed households. She received her Ph.D. from Ohio State University. Her research interests include the housing adjustment behavior of women and public policy. She has recently completed her thesis on the role of noncustodial parents in determining the quality of life of their children. She is also the recipient of the Tessie Agan Award for research excellence from the American Association of Housing Educators for a paper titled “Unterstanding Constraints and Residential Satisfaction among Low-Income Single-Parent Families.”     

Fiscal conservatism versus local paternalism: divergent experiences of public housing decline in rural areas of England during the 1980s

This paper examines the differential response of two rural districts of England (Fenland and Waveney) to changes in council house provisioning in the 1980s. It is situated in a decade when major policy shifts in social housing policy were occurring at the national level with local governments devising new social housing strategies in response. Against a fast moving legislative background, the study examines the extent to which Stoker's categorisation of policy-making behaviour helps us to understand the diversity of policy-making influences at work in rural areas. In displaying a resentment of outside influence and a vision grounded in local considerations that offered minimal support for housing association activity, both Fenland and Waveney both exhibited attributes of what Stoker (The Politics of Local Government, second ed., 1991, Macmillan, London) called a ‘traditionalist’, Conservative stance. However, contrasts in the social housing policy of each authority over the decade revealed the limitations of this categorisation. In Fenland, pressures for housing growth led to increasing problems for those on low-incomes. Nevertheless, the District's social housing policy was dominated by fiscal conservatism and a reluctance to maintain financial support for either construction or the maintenance of council housing. By contrast, the social housing policies adopted by Waveney were characterised by a paternalistic desire to maintain a higher level of support for council housing combined with a more overtly critical attitude of central government policy. By identifying different dimensions of ‘traditionalist’ Conservative behaviour, the paper underscores the need for further studies on the role played by local leadership and key actors in policy-making processes.     

Sustainable housing applications and policies for low-income self-build and housing rehab

Recent years have seen an increased focus on the role of house construction and retrofitting within the broader agenda of sustainable development and climate change. To date this focus has largely targeted middle- and upper-income residential neighborhoods in urban areas. However, in the United States, and in middle developing countries such as Brazil and Mexico, there is growing recognition that urban sustainability will only gain traction if widespread applications are also incorporated into self-help and do-it-yourself housing construction and home improvements, especially those that address lower-income housing markets. Here we explore some of the potential ways in which contemporary sustainable housing applications may be integrated into the existing housing stock in low-income and informal settlements in the United States and in Latin America. We document the range of sustainable housing applications that are increasingly available in the U.S. as a baseline for discussion and evaluation of the potential application to lower-income segments of the housing market in both developed and developing countries. A heuristic model is presented to assess the extent to which policy makers, NGOs and low-income owner households may realistically participate in sustainable home building. Beyond physical development applications we close by emphasizing that sustainable housing agendas must adopt a holistic approach: one that embraces community and social organizational development, as well as fiscal and juridical policy dimensions.     

A Conspectus of Types,Options and Conditions of Elder-accommodation in the European Continent

A European housing typology for older people does not exist. There is a need to formulate a workable typology of elder-housing to enable planners and providers to make use of a meaningful categorization of accommodation within public, voluntary, private and mixed housing in a highly diversified Europe. This paper proposes an overarching typology, incorporating the notion of independent living accommodation and of assisted living accommodation as major categories, embracing 21 housing options. The usual use of the category of social housing is excluded because in Europe it has conflicting and overlapping meanings. Using the suggested typology, the provisions of independent living and of assisted living are commented upon in centre-periphery terms. Finally, the paper indicates that although the EU is the main European provider of welfare, it has virtually no housing policy, and its planning and provision are hindered by long-term constraints.     

Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.