Bringing together housing and aging services: the experiences of area agencies on aging

Aging organizations generally do not consider housing issues as an important priority. Research suggests that lack of knowledge may be a significant barrier that prevents their involvement in housing-related activities. This article reports on a study that examined the extent and level of AAAs' involvement in housing-related activities with particular attention to instances of cooperation and collaboration between AAAs and housing agencies. It employed a national survey of Area Agencies on Aging (AAAs). Further, since the lack of knowledge about housing is a barrier to involvement, the study examined the role of a housing specialist in motivating higher levels of activity. Though there is no single overall indicator of activities to do with housing, the results indicate a range of activities pursued by AAAs. The presence of a housing specialist within the AAA generally served as a catalyst, motivating higher levels of this kind of activity. The importance of housing as a component of a comprehensive long-term care continuum is also discussed.     

Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation

While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation. Narratives revealed differences between AAAs and SCs regarding knowledge about EB programs and reasons to promote and adopt these programs. The only agreement occurred when discussing concerns about funding and program inflexibility. Substantial gaps exist between how EB lifestyle programs are promoted and implemented at the regional and community levels.     

Lesbian and gay men’s perceptions of their local area agency on aging

This article reviews data from a qualitative study of lesbians and gay men about engagement with their local Area Agency on Aging (AAA). Findings include lack of knowledge about the local AAA, feelings of exclusion, and the need for better outreach. It is important that AAAs engage their local lesbian, gay, bisexual, and transgender (LGBT) elders, as data show they are at higher risk for aging alone and can often harbor mistrust of formal services due to lifetimes of discrimination. Suggestions on where AAAs can find training and resources on reaching out to the LGBT older adult community and implications for the profession of social work are provided.     

A Model for Aging in Place in Apartment Communities

The purpose of this article is to introduce a theoretical model for an aging-in-place housing specialist for those living in congregate housing facilities. A “needs assessment” tool is outlined to help facilitate the successful implementation of a Health and Aging Residential Service Coordinator (HARSC), both from a research perspective and from implementation of training curriculum for this specialized population. A model that provides both on- and off-site services is hypothesized to be most effective.     

It’s not just about where someone lives: educating student social workers about housing-related matters to promote an understanding of social justice

The links between housing and wellbeing are well established, and yet failings of current UK policy and practice can result in severely limited and inappropriate accommodation options for those in greatest need. Access to appropriate and affordable housing should therefore be a key area of concern for social work professionals: such access is closely linked to social justice and the promotion of human rights. Nevertheless, there is a paucity of detailed research on the links between housing and social work practice, and practitioners have reported feeling ill-equipped to support service-users with housing related needs. This paper draws on the illustrative example of a teaching session developed by the authors to argue that educating social work students about housing-related matters not only reduces this reported practice knowledge gap, but may also develop their understanding of social justice. In addition to supporting calls for further research, the authors therefore encourage those involved in social work education to ensure that practice in the context of housing related needs is covered clearly within the curriculum.     

Planning for the Residential Needs of Lesbian,Gay, Bisexual,and Transgender Older Adults

Lesbian, gay, bisexual, and transgender (LGBT) older adults experience housing-related barriers. Previous research has described residential challenges experienced by this population, but few studies have examined implementation of housing solutions. This exploratory study conducted 7 semistructured phone interviews with program directors and/or development managers from initiatives offering residential services to LGBT older adults. Qualitative analysis identified themes that characterize the implementation of housing solutions. Study results suggest that future residential solutions for LGBT older adults should consider housing in relation to other aging-related barriers and frame solutions that promote collaboration among community actors (e.g., residential and service providers).     

Community Relationship Building: Local Leadership in the Risk Communication Infrastructure

This study examined the impact of the risk communication infrastructures-local emergency planning committees (LEPCs) and citizens advisory committees (CACs)-on risk communication activities in communities where chemicals are manufactured, stored, and transported. Findings indicated low unawareness of both types of organizations and low use of such organizations as information sources or forums for voicing concerns. These organizations played a minor role in communication activities in the community that lacked local city government. Findings suggested that a fully functioning communication infrastructure leads to a healthier community that responds to risks as manageable uncertainties. Infrastructures that can exert little control and are weak cannot be corrected simply by the creation of such committees as LEPCs and CACs. In addition, problem recognition, uncertainty, control with approval, involvement with stake, and knowledge are the focal variables motivating active communication behaviors.     

Influence of physiological androgen levels on wound healing and immune status in men

Aging in men is associated with a progressive decline in the production of several hormones, including androgens. The extent to which an age-dependent decline in androgen levels lead to health problems or can affect quality of life remains under debate. Clinical results on replacement therapy do not yet provide a definitive clue on the benefit/risk balance. A sexual dimorphism of the immune system is well established, and the differences between female and male immune responses under normal, as well as pathological, conditions are generally attributed to the influence of estrogens, progestins, and androgens. The suppressive effects of male sex hormones on immune functions have been observed in a wide variety of disease processes and appear to be testosterone-mediated. Endogenous testosterone inhibits skin wound healing response in males and is associated with an enhanced inflammatory response. Although there are no known gender-related differences in permeability barrier function in adults, estrogens accelerates—whereas testosterone retards—barrier development in fetal skin, and male fetuses demonstrate slower barrier development than female littermates.     

Toward Measuring Proactivity in Person-Environment Transactions in Late Adulthood

Abstract

Both a life-span developmental control perspective as well as an environmental gerontology view, particularly Lawton's notion of environmental proactivity, served as the theoretical background to suggest a new dimension of domain-specific control, namely housing-related control beliefs. The newly developed 23-item Housing-Related Control Beliefs Questionnaire (HCQ) is based on the widely used dimensions of Internal Control, External Control: Powerful Others, and External Control: Chance. In two studies of older adults (N= 485; 66-69 years and N= 107; 65-91 years), we examined the psychometric quality of the questionnaire and explored its relation with socio-structural variables, general control beliefs, and a set of housing-related aspects. Psychometric results indicate satisfactory levels of internal consistency and re-test stability in all three scales of the instrument and factor analysis supported the theoretically expected three-factor solution. Also, HCQ's external control subscales were correlated with higher age, lower education, and lower income and the correlational pattern between the HCQ and a general control measure was substantial and consistent with theoretical expectations. Relations between the HCQ and objective and subjective housing-related variables tended to be low in size. These preliminary findings suggest the potential usefulness of the HCQ as a measure to address environmental proactivity in late adulthood.     

Synthesizing ENABLE-AGE Research Findings to Suggest Evidence-Based Home and Health Interventions

ABSTRACT

As the quest for knowledge translation from research to practice and policy contexts is growing stronger, researchers need to develop strategies for synthesizing research findings. Since home environments constitute an important context for the delivery of health care and social services to older adults and people aging with disabilities, research in this field can serve as an example for such endeavors. Using 35 original publications and one unpublished doctoral dissertation based on the European ENABLE-AGE Project, we aimed to demonstrate a systematic approach to synthesize research findings generated by large research projects as the basis for evidence-based interventions. The synthesized findings highlighted the complex interactions between objective and perceived aspects of housing and aspects of health in very old age, impacting on, for example, residential decision making. Independence in daily activity is influenced by the sociocultural care and service context. A familiar and safe neighborhood, a social network, and a good supply of services are important to perceptions of participation. Going further, we suggest housing-related interventions that address problems and challenges related to ongoing demographic changes. This article contributes to the development of strategies for knowledge translation, connecting research and practice and policy contexts struggling to meet the societal challenges that accompany population aging.     

Predicting Adolescents' Organized Activity Involvement: The Role of Maternal Depression History,Family Relationship Quality,and Adolescent Cognitions

Although the potential benefits of organized activity involvement during high school have been documented, little is known about what familial and individual characteristics are associated with higher levels of participation. Using structural equation modeling, this longitudinal study examined the extent to which maternal depression history (i.e., risk), family relationship quality, and adolescents' cognitions (i.e., self‐worth and attributional style), predicted organized activity involvement during high school among 145 adolescents, controlling for socioeconomic status and adolescent depressive symptoms. Results showed that risk predicted less adolescent high school activity involvement, and this relation was mediated by family relationship quality. Family relationship quality indirectly affected activity involvement through adolescent cognitions. The overall predictive model generally supported the importance of the interplay between family and individual factors in predicting activity involvement during high school.     

Understanding the functionality of housing-related support services through mapping methods and dialogue

This article describes the experience and process of using community mapping as a tool for collecting data on the functioning of housing-related support services in Metro Vancouver. We outline our mapping methods and discuss strengths and challenges encountered during workshops aimed at understandings how the system of housing-related supports function. Strengths were that workshops provided a forum for social participation and engagement. In addition, mapping is a research tool that enables local knowledge of service functioning and service gaps to be accessed and exchanged. Challenges include ensuring diverse representation; reducing power imbalances; and having adequate space to accommodate interested participants.     

State Units on Aging and Housing for the Elderly:

One major goal of the Older Americans Act (OAA) is to promote suitable housing for the elderly through the aging network that includes the State Units on Aging (SUAs). Little is known, however, about SUA activity in this area. This article reports on the results of a recent survey of SUA housing efforts and roles played, collaborations and networks, resources, and priorities, accomplishments and future initiatives. To better link housing and services and expand housing options as some SUAs are already doing-especially in services coordination in existing housing, board and care, home equity conversion mortgages and assisted living-they must redefine housing as part of community-based care, vigorously focus political and advocacy skills on housing issues, and expand their capacity building and expertise in housing by resetting priorities and reallocating budgets.     

The Impact of Housing Instability on Child Maltreatment: A Causal Investigation

More than a half million children are confirmed as victims of maltreatment by the child welfare system each year. Children from unstably housed families are over-represented in child maltreatment reports, and a growing body of evidence links housing problems to maltreatment and Child Protective Services (CPS) investigation. The present study applies two propensity score analysis approaches—greedy matching and propensity score weighting—to data from the Fragile Families and Child Well-being Study to move toward a causal explanation of child maltreatment behaviors among mothers in low-income households. Utilizing two separate methods to correct for overt selection bias, the present study finds that housing instability leads to a small increase in maltreatment behaviors, yet this small positive net impact on child maltreatment does not fully explain the over-representation of unstably housed families in the child welfare system. Families experiencing housing problems likely have a range of needs that require earlier, targeted intervention to mitigate consequences of poverty, domestic violence, and maternal depression. Child welfare services should invest resources in housing assistance programs in-house as well as through partnerships with local public housing authorities to stabilize families, reduce housing-related strain on caregivers, and promote family preservation.     

Housing tenure,structure, and crowding among Latino households

This article examines the effect of federal housing and public assistance programs on the housing quality of different Latino households. The research tests models of crowding and housing tenure and structure for Latino households. The data for this research are from the 1990 Latino National Political Survey-Panel Study of Income Dynamics (LNPS-PSID). Findings reveal that housing and public assistance programs do help alleviate crowding among the Latino population, but they do not help Latino households achieve ownership of a single-family home. All the demographic variables in the model contribute to the explanation of crowding, and a majority also significantly explain housing tenure and structure. Significant differences are found among Latino subgroups in the explanatory variables for crowding, tenure, and structure. She is also the director of the Center for the Study of Aging at Illinois State. Her research interests include housing of minority households and congregate housing for the elderly. She received her Ph.D. from Iowa State University. Her research interests include housing needs of Latino households, resource management of female-headed Puerto Rican households, fertility decisions of Puerto Rican women, and student labor force participation. She received her Ph.D. from the University of Illinois.     

Area agency on aging outreach and assistance for households with older carers of an adult with a developmental disability

A demonstration project was undertaken in the state of New York to assess how area agencies on aging (AAAs) would approach outreach and direct aid to families caring for someone with a developmental disability. It was found that AAAs organized their outreach and direct-aid efforts using three main approaches: direct operation, contract operations, and multi-organizational. They generally organized staff time so that about two days per week of effort was devoted to undertaking outreach activities, conducting community education, and providing casework and referrals for target families. Four major distinctions were identified that differentiated work with older carers of persons with a developmental disability from that with other kinds of carers: complexity of problems presented by households identified, vagaries of fiscal resources, diverse household composition, and planning for eventualities. It was concluded that targeting AAAs for outreach and providing help to these carers was effective and productive and should be replicated throughout the United States.     

Social Capital,Interpersonal Trust,and Public Housing

Abstract

Addressing the relationship between housing tenure and social disadvantage, this research examines social capital among public tenants in Australia, concentrating on their level of interpersonal trust and confidence in a range of public institutions. Through multivariate analyses of national survey data it also profiles the social and political background of public housing tenants. As expected, public tenants tend to have lower incomes, lower levels of education, and working-class backgrounds, or do not identify with any class location at all. They are less likely to be married or in de facto relationships than people in other housing tenures, but are more likely to identify with the Australian Labor Party than with the Coalition parties. Although public housing tenants have access to secure and affordable housing, they appear to be generally less trusting than private renters or homeowners and exhibit less confidence in government institutions such as the Australian parliament. Public housing tenants express lower levels of interpersonal trust even controlling for a range of social background factors, suggesting that as a form of tenure, public housing in some ways exacerbates the disadvantage of tenants.     

Race,Mortgage Lending and Loan Rejections in a U.S. City

Abstract

The negative effect of neighborhood racial composition on mortgage lending has been documented in recent years in several cities, even after controlling for income, condition of housing and related neighborhood and housing characteristics. Lending industry officials maintain that the racial distribution of mortgage lending is the unintended consequence of profit-based lending activities. In contrast, community activists and civil rights groups claim that racial discrimination is the motivating force underlying mortgage lending practices. Data from the 1991 Home Mortgage Disclosure Act (HMDA) for the Kansas City metropolitan area are used to measure trends in mortgage lending and loan rejection ratios by local lenders. This study finds that Kansas City lenders reject minority applicants at higher rates than whites and reject high-income minorities as often as low-income whites. More importantly, results show that high-income African Americans are rejected at a higher rate than low-income whites, indicating that race of loan applicants plays a crucial role in the decision to approve a mortgage loan, even after controlling for income and other factors. Findings from Kansas City and other cities indicate that the low percentage of minority loan applications from some lenders suggests not only meager marketing, but possible pre-screening of minority applicants where they are discouraged from completing an application form.     

A Longitudinal Study of Breadth and Intensity of Activity Involvement and the Transition to University

We examined prospective relations between activity involvement and successful transitioning to university. A sample of 656 students from 6 Canadian universities completed questionnaires before beginning university and at the end of their first year. Breadth (number of different activity domains) and intensity (mean frequency) of activity involvement as well as changes in breadth and intensity, were examined jointly. Consistent with developmental theory, higher levels of pre‐university breadth and intensity of activity involvement and greater increases in breadth and intensity over time predicted various indicators of positive adjustment to university.     

Daddy's little girl

This paper examines the correlation between perceived paternal figure support and hope for future success among 866 African‐American girls, aged 9–19, residing in two South Alabama cities. Data from the 1998 Youth Survey conducted by the Institute for Social Science Research with 1,800 youth residing in low‐income and public housing communities in Mobile and Prichard, Alabama were explored. Overall, it is apparent that girls in this sample need at least low levels of support from their paternal figures to have this support positively impact their level of hope for the future. Hope reflects a person's belief in her ability to achieve certain goals, thus affecting academic achievement, healthy emotional development, and successful transition to adulthood. Implications for social work policy and practice include the need to consider development of programs that support or promote enrichment of paternal figure involvement in the lives of girls who may be identified as at risk for potentially damaging life experiences, further increasing the likelihood of moderate to high levels of hope, thus motivating girls to achieve regardless of their circumstances.