Safe as Houses? Ageing in Place and Vulnerable Older People in the UK

The UK is very similar to many other European, North American and Australasian countries in its emphasis on ‘ageing in place’. This article does not seek to challenge the importance of this for most older people but rather draws out the challenges and issues raised by older people who are vulnerable or in vulnerable housing situations. This is illustrated through drawing upon three separate studies which are on older homelessness, older people in the private rented sector and owner‐occupiers with dementia.     

Addressing older women's homelessness: service and housing models

There is limited understanding of the nature and extent of older women's homelessness in Australia and how it can be alleviated. The aim of this project is to ascertain the combination of program and housing models that is likely to be most effective in addressing older women's homelessness. The data comprise interviews and correspondence with 14 Australian and international stakeholders. The findings draw on insight from housing, gerontology and gender studies, and highlight the need to match welfare and housing programs with the diverse life experiences and current needs of older women. Alongside flagship models of practice in housing provision are assumptions within housing and homelessness sectors of what older women need. There is a lack of understanding that most older women in housing crisis have limited knowledge of the welfare sector, and with provision of mainstream housing (and community aged care if needed) will live independently. Traditional homelessness programs and specialised supportive housing, associated with both seniors and homelessness sectors, are appropriate for women who have lived with ongoing disruption and substantive health concerns. Addressing older women's homelessness in Australia requires a range of services and housing responses, with increased attention given to a discourse of housing – affordable, secure housing – rather than continued discourse of homelessness.     

A framework for comparing social protection in developing and developed countries: The example of child benefits

Abstract   The article outlines a conceptual and theoretical framework for improved comparative analysis of publicly provided social protection in developing countries, drawing on the research tradition of the study of longstanding welfare democracies. An important element of the proposed institutional approach is the establishment of comparable qualitative and quantitative indicators for social protection. The empirical example of child benefits indicates that differences between developed and developing countries should not be exaggerated, and that the prevalence of child benefits in sub-Saharan African and Latin American countries today resembles the inter-war period (1919-1938) situation in developed regions.     

Religion and coping in older adults: a social work perspective

Religion is an important coping resource for many older adults. This paper briefly describes social work's religious roots, makes a distinction between religion and spirituality for older adults, and presents empirical data showing how older adults employ religious strategies to cope with life challenge. The study reports on religious coping in an available sample of 79 European American and African American older adults residing in urban community dwellings. Implications suggest how social workers and others may support religious coping.     

Employment Exits and the Race Gap in Young Women's Employment*

Objective. A race gap in employment that disadvantages young African‐American women has emerged for the first time in U.S. history. This article addresses the extent to which race differences in employment entry, exits, or both are responsible for the gap. Methods. The article relies on event‐history analysis using NLSY data. Results. Analyses show that differences in rates of exit, not entry, explain the race gap. Factors encouraging higher exit rates among African‐American than white women include lower AFQT scores and greater numbers of children. Conclusion. These findings raise questions about the utility of focusing on employment processes at the point of employment entry, at least for processes involving young women. The importance of exits in understanding race differences in women's employment calls attention to processes within firms that present barriers to African‐American women.     

Elderly African Americans as intragenerational caregivers

A growing number of older Americans serve as caregiving resources for their elderly spouses, partners, relatives, and/or friends. Yet, little research has addressed the impact and implications of this trend among African Americans. This article describes the results of a qualitative study examining the intragenerational caregiving experiences and perspectives of two cohorts of African Americans (urban and rural, N = 129) between the ages of 58 and 89. Its findings reveal important differences and commonalities associated with elderly African American caregivers and their care giving in urban and rural settings. Additionally, the study suggests that volunteer caregivers can often fill the void left by partners and relatives who predecease or fail to assume responsibility for the care of their elderly relatives. Their efforts do not displace those of friends and family members, but rather address unmet needs in available care. The discussion focuses on the implications of the study findings for public policy and practice.     

Cross-Cultural Group Work Practice with African American and Jewish Adolescents: JCC/READY

This article describes a multiethnic group for high school students that were developed to promote tolerance, understanding, and healing among African American and Jewish adolescents. Social group work was used as the practice method, with a focus on ethnic-sensitive practice strategies that support cross-cultural relations and initiatives. The article explains the context surrounding the development of the group and describes the ethnic-sensitive practice strategies and the group work skills that were used to achieve desired outcomes as well as a general week-by-week account of what took place in the group.     

Rethinking needs assessment in planning services for older adults

Needs assessments are widely used in the field of aging, and are considered valuable tools for planning service responses to unmet and undermet needs of older adults. This article describes a comprehensive needs assessment of Bermuda's older population and presents some of its findings to illustrate concerns about needs assessments that emerged from this experience. We suggest that even when needs assessments are carefully planned and adhere to generally recognized best practice principles, they may not be able to fully provide desired information. A revision of key assumptions about needs assessment is offered for researchers, planners, and community workers.     

Integrating service delivery in a regional homelessness service system

All tiers of government in Australia are focused on service integration as a key response to homelessness. However, service integration strategies need to consider particular service system characteristics and location‐specific conditions. This paper reports on an investigation of service integration strategies suitable for a regional context undertaken in 2010 and 2011. A three‐phase participatory action research (PAR) framework was utilised to collect data about the homelessness service system in the Northern Rivers region of New South Wales, and about the existing and potential service integration strategies in the region. The findings suggest that strategies for better integration should take into account specific local conditions and be developed and implemented at a local level with support from government. The paper concludes by presenting an argument that the development and implementation of strategies should be based on a place‐based assessment of demand and suitability.     

A Comparative Study of Homelessness in the United Kingdom and Japan

This article describes the problem of homelessness in Japan, and contrasts the status of the problem between the United Kingdom and Japan. Demographic characteristics of the homeless, including age and gender, vary across the two countries (for example, there are very few homeless women in Japan). Factors contributing to the development of homelessness in each country are discussed and contrasted. Differences in social welfare systems may be the primary contributor to differences in the apparent rates of homelessness and the conditions that the homeless must endure across the two nations. Housing and homeless policy in Japan are discussed in depth.     

How many Australian veterans are homeless? Reporting prevalence findings and method from a national study

This article presents findings from an Australian study of veteran homelessness (Hilferty, Katz et al. 2019). The AHURI Inquiry into Homelessness Amongst Australian Veterans was funded by the Department of Veterans' Affairs (DVA) to estimate the number of homeless veterans and to examine veterans' pathways into homelessness, service usage patterns and ways that service responses may be improved. This article presents the prevalence findings and describes the method employed by the research team. Drawing on primary data and extrapolating results to a larger sample of veterans, the researchers estimate that approximately 5,800 contemporary veterans experience homelessness over a 12‐month period in Australia. This estimate – the first ever to be based on primary data – indicates that veteran homelessness is a much larger problem than previously estimated and deserves priority attention from policymakers and sectoral representatives.     

Racial Differences in Attitudes Toward Professional Mental Health Treatment: The Mediating Effect of Stigma

Stigma associated with mental illness continues to be a pervasive barrier to mental health treatment, leading to negative attitudes about treatment and deterring appropriate care seeking. Empirical research suggests that the stigma of mental illness may exert an adverse influence on attitudes toward mental health treatment and service utilization patterns by individuals with a mental illness, particularly African Americans. However, little research has examined the impact of stigma on racial differences in attitudes toward seeking mental health treatment. This study examined the hypothesis that stigma partially mediates the relationship between race and attitudes towards mental health treatment in a community-based sample of 101 African American and White older adults. Multiple regression analyses and classic path analysis was utilized to test the partial mediation model. Controlling for socio-demographic factors, African American older adults were more likely to have negative attitudes toward mental health treatment, and they also reported more public and internalized stigma than their White counterparts. As hypothesized, the relationship between race and attitudes toward mental health treatment was partially mediated by internalized stigma, suggesting that internalized stigma may cause older adults to develop negative attitudes about mental health treatment. The partial mediation model was not significant for public stigma, however. Implications for social work research and practice are discussed.     

Rethinking Needs Assessment in Planning Services for Older Adults

ABSTRACT

Needs assessments are widely used in the field of aging, and are considered valuable tools for planning service responses to unmet and undermet needs of older adults. This article describes a comprehensive needs assessment of Bermuda's older population and presents some of its findings to illustrate concerns about needs assessments that emerged from this experience. We suggest that even when needs assessments are carefully planned and adhere to generally recognized best practice principles, they may not be able to fully provide desired information. A revision of key assumptions about needs assessment is offered for researchers, planners, and community workers.     

Rural African American Clergy: An Exploration of Their Attitudes and Knowledge of Alzheimer's Disease

Rural African American clergy's ability to recognize Alzheimer's Disease (AD) and their capacity to provide support to elders with this illness has been neglected in the literature. Using a mental health literacy framework, the purpose of this research was to explore rural African American clergy knowledge and beliefs of AD. In-depth interviews were conducted with 9 African American clergy who oversaw churches in central Kentucky. Although few had direct experience with providing pastoral care to elders with AD, all clergy were literate and aware of the need for additional training. This study seeks to further clarify the role of African American clergy and their understanding of AD to inform the future development of appropriate interventions and establish better collaborative community treatment relationships.     

From Interviewers to Friendly Visitors: Bridging Research and Practice to Meet the Needs of Low-Income Latino Seniors

This article describes a community-based participatory research (CBPR) effort conducted in a low-income, predominantly Latino community, which bridged traditionally-separate domains of practice and research by engaging neighborhood residents in a collaborative capacity-enhancement process for meeting the needs of vulnerable elderly residents. What began as a simple needs assessment to facilitate program development became a mechanism for engaging neighborhood residents in a collaborative social capital development process. The article describes the origins of this community-based effort, its consumer-led transformation from traditional needs assessment to service provision, resulting benefits and challenges, and implications for meeting the needs of vulnerable populations.     

From interviewers to friendly visitors: bridging research and practice to meet the needs of low-income Latino seniors

This article describes a community-based participatory research (CBPR) effort conducted in a low-income, predominantly Latino community, which bridged traditionally-separate domains of practice and research by engaging neighborhood residents in a collaborative capacity-enhancement process for meeting the needs of vulnerable elderly residents. What began as a simple needs assessment to facilitate program development became a mechanism for engaging neighborhood residents in a collaborative social capital development process. The article describes the origins of this community-based effort, its consumer-led transformation from traditional needs assessment to service provision, resulting benefits and challenges, and implications for meeting the needs of vulnerable populations.     

‘Growing Old’ in Shelters and ‘On the Street’: Experiences of Older Homeless People

Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless.     

The third-age African American seniors: benefits of participating in senior multipurpose facilities

This article examines the contexts and benefits of African American seniors' participation in multipurpose facilities. Using qualitative data from 15 in-depth participant interviews and 6-month on-site participant observations as well as a survey result, research revealed the physical, emotional, and social benefits that African American seniors reported as a result of their participation in various activities offered in a multipurpose senior center in Atlanta Georgia. The study presents a social context in which African American seniors constructed their new third age identities that is different from the wide-spread negative images depicted by the mainstream about this minority group. Findings from this study increase the knowledge about African American seniors' participation in multipurpose facilities and provide a better understanding for the diverse socio-economic backgrounds of African American seniors. Study results will have policy implications for a better development of senior centers for minority population in the United States for the promotion of productive and successful aging.     

Hearing the voices of abused older women

This paper focuses on a qualitative research process that gathered responses from 64 older women aged fifty and older on their experience of violence and abuse. What older women said about abuse in their lives supports the use of a feminist framework as well as the age based analysis of the elder abuse field. Some respondents spoke of abuse from childhood into their later years. Some spoke of partners witnessing or experiencing abuse as children. Some women express concern about possible abuse by their adult children of their own children. Abused older women like younger women need a safe environment, emotional support, advocacy, information, and peer support. While it is important to consider the perspectives and knowledge of service providers when developing policy and practice on abuse of older women, it is critical to ask the women survivors of abuse or neglect what they believe would benefit them, and others in similar situations.     

International Homelessness: Policy, Socio-Cultural, and Individual Perspectives

This article draws on other papers in the special issue and additional literature to offer a multi-level framework for understanding the causes of homelessness in the developed world and efforts to reduce or end it. Social policies that reduce inequality and provide income and other supports to those at the bottom of the income distribution are associated with lower levels of homelessness across nations. The allocation of subsidies, patterns of social exclusion, and individual levels of economic, social, and human capital interact to influence who becomes homeless. Interventions to reduce homelessness at one level (e.g., social policy) can counteract vulnerabilities at a different level (e.g., individual risk factors) .