scholarly journals New Solutions for “Old” Problems: Implications and Opportunities of Intergenerational HomeSharing

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 782-782
Author(s):  
Raza Mirza ◽  
Jacalyn Tanner ◽  
James Hull ◽  
Taylor Hocking ◽  
Anna Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Affordable Housing ◽  
Institutional Care ◽  
Well Being ◽  
Social Needs ◽  
Housing Crisis ◽  
Household Tasks ◽  
Age In Place ◽  
The City ◽  
Additional Income

Abstract Across North America, many older adults have expressed their preference to live in their own homes and communities for as long as possible — and to 'age in place'. To address challenges faced by older adults living in the community, home-sharing - an exchange-based intergenerational housing approach, has empowered older adults to ‘thrive in place’ by providing additional income, companionship, and support with household tasks. In 2018, Toronto HomeShare was launched as an intergenerational home-sharing pilot program (n=22), matching older adults (55+) with postsecondary students intending to simultaneously address social isolation and the affordable housing crisis. In 2019, the pilot was adopted as a funded program in the City of Toronto with over 200 participants. Program results highlight unique benefits and challenges for older adults participating in home-sharing: (1) the capacity for intergenerational engagement to fulfill social needs, and (2) the importance of agency facilitation as a determinant of the experience for older adults. Survey findings indicate 88% of participants reported that participation in HomeShare positively impacted their general well-being, 88% reported improved financial security, 94% reported a delay in the need to move out of their community, and 72% felt that participation in HomeShare prevented the need for institutional care. These findings were used to transition Toronto HomeShare into a fully funded program as well as in the development of a national program. Beginning in January 2021 Toronto HomeShare transitioned to Canada HomeShare and will be scaling the program to Vancouver, Winnipeg, Halifax, Calgary, Montreal and other Canadian cities.

scholarly journals Challenges and Supports to Aging in Place in a Gentrifying Context

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Manish Kumar ◽  
Laura Richman
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Affordable Housing ◽  
Low Income ◽  
Healthy Aging ◽  
Aging In Place ◽  
Well Being ◽  
Neighborhood Change ◽  
Structured Interviews ◽  
Age In Place

Abstract Neighborhoods play a central role in healthy aging, with changes to neighborhoods having a profound impact on older adults’ ability to age in place. Using gentrification as an indicator of neighborhood change and applying the theoretical framework of the Environmental Press model (Lawton and Nahemow, 1973), this study examined the relationship between changing environments, affordable housing, and environmental attributes that support and hinder the health and well-being of older adults. A qualitative, case-study approach was used to interview low-income, majority Black older adults in a gentrifying area of Washington DC. 32 individuals (16 in non-profit and 16 in for-profit affordable housing) aged 55 and older participated in semi-structured interviews on perceptions of gentrification, neighborhood change, and challenges and supports to aging in place. Transcripts were then analyzed using the framework method of analysis. Although participants generally reported that gentrification improved their neighborhood’s built environment, many attributed it to a decline in social capital. Affordable housing provided an ability to age in place, though participants expressed uncertainty over their long-term ability to age in the context of continuing change. These findings suggest that while the physical changes accompanying gentrification may support older adults’ ability to age in place, its detrimental impact on social capital further increases their risk for social isolation. While affordable housing may enable older adults to age in place, fostering a greater sense of permanence and well-being will require additional policies that both increase accessibility to the physical amenities provided by gentrification and preserve older adults’ social capital.

scholarly journals They Do Their Best, but Their Best Isn’t Good Enough: How Social Housing Can Support Older Tenants Aging in Place

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 23-23
Author(s):  
Christine Sheppard ◽  
Andrea Austen ◽  
Sander Hitzig
Keyword(s):  
Older Adults ◽  
Social Housing ◽  
Service Providers ◽  
Policy Implications ◽  
Service Model ◽  
Building Trust ◽  
Age In Place ◽  
Access To Health ◽  
The City

Abstract Toronto Community Housing (TCH) is the second largest social housing landlord in North America, and is home to over 27,000 older adults, half of whom live in 83 “seniors-designated” buildings. There is inadequate and inconsistent delivery of services in these buildings, negatively impacting tenants’ ability to age in place. We conducted two half-day consultations with service providers (n=74) and tenants (n=100) to identify strategies to improve unit condition, promote stable tenancies (i.e., prevent evictions) and enhance access to health and support services for older adults living in TCH. Through facilitated discussion, participants identified their top two recommendations for each priority area and reflected on the strategies that were hardest and easiest to implement, as well as the ones that would have the most and least impact on quality of life for older tenants. Participants recognized the need for more education as a way to empower older tenants and reduce stigma associated with unit condition issues (e.g., pest problems) and arrears. More frequent touch points with tenants was also recommended as a way to identify older adults at-risk of eviction and work proactively (instead of reactively) to support them. Service providers and tenants believed that system navigators working directly in the buildings would be a key facilitator to building trust and helping older tenants access needed services. Outcomes of the have several program and policy implications for TCH, as they partner with the City of Toronto to design a new integrated service model for the seniors-designated buildings.

scholarly journals Reframing Aging: Penn’s Village Members Thrive While Aging in Place

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 199-200
Author(s):  
Lois Evans ◽  
Jane Eleey ◽  
Avalie Saperstein
Keyword(s):  
Older Adults ◽  
Later Life ◽  
Well Being ◽  
Knowledge And Skills ◽  
Age In Place ◽  
Social Events ◽  
Affinity Groups ◽  
It Support ◽  
Center City ◽  
Survey Responses

Abstract Villages help older neighbors age-in-place as they manage their environments, take advantage of opportunities for social and civic engagement, and improve or maintain health and well-being. National surveys repeatedly indicate that older adults prefer community living as long as possible. But communities change, and post-retirement living may require rebuilding social connections with old and new neighbors. Fortunately, today’s retirees bring a wealth of knowledge and skills to later life which they are happy to share. Drawing on the talents and career experiences of older adults in Center City, Philadelphia, Penn’s Village (PV) was created in 2007 to address the needs and wishes of neighbors wanting to stay in their own homes as they aged. A member of the Village-to-Village Network, PV (a 501c3) has itself matured through board development, strategic planning, and member engagement. In reframing aging in Center City, PV currently offers its over 300 members and volunteers an array of educational and recreational programs (e.g., talks, affinity groups, social events and outings); services (including transportation, home repairs, IT support, companionship, accompaniment to medical appointments), and opportunities to use their personal knowledge and skills to help their neighbors-- as drivers, companions, volunteer staff and co-chairs/members of committees (e.g., Board of Directors, Program, Welcoming, Marketing & Communications, Finance, Fundraising). In FY2019, volunteers provided nearly 1200 services to PV members. Our most recent survey responses indicate that 82% of volunteers found their work highly meaningful and 79% of those who received services believed their quality of life was greatly improved.

scholarly journals AGING IN COMMUNITY: A LEGAL MAPPING ANALYSIS OF MASSACHUSETTS MUNICIPAL ACCESSORY DWELLING UNIT ZONING BYLAWS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S250-S251
Author(s):  
Travis M Gagen
Keyword(s):  
Older Adults ◽  
Functional Decline ◽  
Institutional Care ◽  
Well Being ◽  
Functional Health ◽  
Dwelling Unit ◽  
Older Americans ◽  
Alternative Housing ◽  
Accessory Dwelling Units ◽  
Health Promoting

Abstract Accessory-dwelling units (ADUs) are one alternative housing arrangement that enable older adults to remain in the home despite functional decline. Functional decline increases with age making older adults more susceptible to loosing independent housing. Involuntary relocation to institutional care can result in a decline of functional health, reduced life satisfaction, impairment of psychological well-being and increased mortality rate. The majority of older Americans (93%) wish to remain in their home for as long as possible. ADUs function to maintain, stimulate and support an older adult as a means to prevent relocation to an institution. The modified environment coupled with adaptable features maintains and supports activities of daily living (ADL) within a familiar place. Under Massachusetts law MGL c. 40A, the state gives authority to cities and towns to adopt ordinances and bylaws to regulate the use of land, buildings and structures. Restrictive zoning laws limit the ability to construct health-promoting built-environments to age-in-community. All 351 Massachusetts municipalities Accessory Dwelling Unit (ADU) zoning bylaws were coded using the ADU Friendliness Score. Once scored, the 351 municipalities were placed into four categories based off their ADU score; the four categories are poor (0-24), fair (25-49), good (50-74), and excellent (75-100). Eighty-nine municipalities (25%) are in the poor category; thirty municipalities (8.5%) are in the fair category; one hundred and eighty-five municipalities (53%) are in the good category; forty-seven municipalities (13.5%) are in the excellent category. These findings contributed to a model ADU bylaw specific for aging Americans for municipalities to adopt.

scholarly journals WHEN NETWORKS FAIL: ISOLATION AND INDEPENDENCE AMONG OLDER ADULTS IN PUBLIC HOUSING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S180-S180
Author(s):  
Brooke Wagen ◽  
Whitney Williams ◽  
Jan Bennett ◽  
Elizabeth A Jacobs
Keyword(s):  
Older Adults ◽  
Problem Solving ◽  
Public Housing ◽  
Affordable Housing ◽  
Qualitative Interviews ◽  
Well Being ◽  
Poverty Level ◽  
Cultural Perceptions ◽  
Health Aging ◽  
Problematic Experiences

Abstract In the coming decades, the population of adults over 65 in the US will increase dramatically. Many older adults live at or below the poverty level, and the growing lack of affordable housing combined with fixed incomes promises to increase the number of older adults facing combined housing and health challenges. Despite their vulnerability, little is known about the lived experiences of older adults aging in place in public housing. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas to gain an understanding of their thoughts on health, aging, home, community, and problem solving. We conducted interviews in Spanish (n=10) and English (n=17) with 16 female and 11 male interviewees with a mean age of 71.7 years (range 65-85 years). We systematically coded transcribed interviews and used grounded theory to analyze the data. Participants described feeling isolated due to language barriers, cultural perceptions about neighbors, and previous problematic experiences with neighbors leading to intentional isolation for safety. Some, however, spoke of how they acted as community connectors or responded to connectors in the community in ways that reduced their isolation. Participants framed individual problem-solving and personal choices as central to health and wellness. Our findings suggest a way forward for housing authorities, communities, and health systems working together to provide services to these adults. Incorporating their points of view and even co-creating interventions to enhance their health and well-being will make these interventions more successful and welcome.

scholarly journals HOUSING AFFORDABILITY AND INTER-REGIONAL MOVES AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S276-S276
Author(s):  
Sarah Mawhorter ◽  
Jennifer A Ailshire
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Urban Areas ◽  
Low Cost ◽  
Housing Prices ◽  
Well Being ◽  
Housing Affordability ◽  
Housing Crisis ◽  
Mobility Patterns ◽  
Home Equity

Abstract Housing prices have risen in urban areas across the US since 2000, with only a brief interruption after the housing crisis of 2008. At the same time, prosperous urban areas have pulled away from declining urban and rural areas. Older adults are more likely to be affected by both increases and divergence of housing prices: owners may not be able to afford rising property taxes (though they benefit from increasing home equity), and renters are especially vulnerable. Housing affordability constraints may also affect the places where older adults can afford to move. In this paper, we compare the residential mobility patterns of adults aged 50+ living in high-cost, mid-cost, and low-cost areas from 2000-2014, using data from the Health and Retirement Study with county-level US Census and American Community Survey contextual data, as well as the Zillow Home Value Index. We find that both homeowners and renters living in high-cost areas remain in place at higher rates compared with those living in mid-cost and low-cost areas. Among those who move, older adults living in high-cost regions move towards mid-cost and low-cost regions more often than the reverse. The differences are particularly pronounced for renters. The overall outcome is a net movement of older adults away from high-cost areas towards mid-cost and low-cost areas. These shifts have consequences for the well-being of older adults facing budget constraints that may limit the areas where they can afford to live or move, and broader implications for the future of urban areas.

scholarly journals Informing the informal: visualizing laneway housing and increased density in Toronto

2021 ◽  
Author(s):  
Samira Behrooz
Keyword(s):  
Affordable Housing ◽  
Field Research ◽  
Housing Crisis ◽  
Structured Interviews ◽  
Informal Housing ◽  
Middle Income ◽  
Physical Character ◽  
Density Limit ◽  
The Impact ◽  
The City

Toronto is growing and attracting new population. Given that housing is a basic human need, Toronto’s population growth indicates a rising demand for housing. Meanwhile, spatial polarization of income is increasing in the city. Using Hulchanski’s illuminating study outlining those low and middle income households initially lived in the core of the city, near to transit networks and currently they cannot due to the high costs of housing this research investigates the physical and spatial capacity of a Toronto neighbourhood to increase affordable housing close to public transit while maintaining the physical character of the neighbourhood. As a means to address this affordable housing crisis laneway and informal housing is studied and the impact of these on the urban fabric, morphology, of neighbourhoods is studied. This research paper utilizes a mixed methods approach using semi-structured interviews, field research, spatial analysis and mapping, and the development of scenarios to test laneway and informal housing paradigms. This research concludes that: 1) informal housing and laneway housing can increase density while maintaining the physical character of a neighbourhood, 2) Toronto has an under-utilized laneway system that is a missed opportunity to increase density, 3) The current density limit for stable neighbourhoods defined by Toronto’s Zoning By-law is not realistic and there is a potential for increasing density limit while retaining the integrity of neighbourhood character, 4) Four to six storey laneway developments can create a new distinct character in laneways without changing street character.

scholarly journals Positive Role of Purpose in Life in Health Outcomes and Perspectives on Environment

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 577-577
Author(s):  
Shyuan Ching Tan ◽  
Alyssa Gamaldo ◽  
Angela Sardina
Keyword(s):  
Older Adults ◽  
Affordable Housing ◽  
Purpose In Life ◽  
Well Being ◽  
Positive Health ◽  
Positive Role ◽  
Healthy Behaviors ◽  
State College ◽  
Job Opportunities ◽  
Meaningful Engagement

Abstract Having a sense of purpose directs behaviors, hence, purpose in life (PIL) can be a useful indicator/moderator of healthy mental and physical behaviors and outcomes. As such, purpose in life, particularly in lower income older adults, might encourage meaningful engagement in activities and life that lead to positive health. Thirty-nine residents (M=68.01, SD=10.26) of affordable housing for older adults in Wilmington, NC and State College, PA were surveyed on demographics, mental health, well-being (i.e., PIL), health behaviors, and their perceptions on immediate housing and the community resources. Findings suggest that for higher educated, younger and Black older adults, PIL moderates or protects against negative mental outcomes (p<.05). For higher educated older adults, PIL moderates or encourages positive perception of job opportunities in the community (p<.05) and healthier behaviors (p<.05). More research is needed to understand how environment interacts with PIL to promote healthy behaviors and outcomes.

scholarly journals Prioritizing supports and services to help older adults age in place: A Delphi study comparing the perspectives of family/friend care partners and healthcare stakeholders

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259387
Author(s):  
Megan Campbell ◽  
Tara Stewart ◽  
Thekla Brunkert ◽  
Heather Campbell-Enns ◽  
Andrea Gruneir ◽  
...  
Keyword(s):  
Older Adults ◽  
Affordable Housing ◽  
Assisted Living ◽  
Delphi Study ◽  
Future Research ◽  
Adult Care ◽  
Community Based ◽  
Sustainable Solutions ◽  
Age In Place ◽  
Care Partners

Background Aging in place (AIP) is a policy strategy designed to help older adults remain in their community. While planners internationally have modified aspects of the older adult care continuum (e.g., home care, assisted living, nursing homes) to facilitate AIP, further improvements to community-based supports and services are also required. This study compared and constrasted the community-based factors (e.g., supports, services and personal strategies or characteristics) that family/friend care partners and healthcare stakeholders (i.e., planners/providers) view as most important to help older adults successfully AIP. Methods An initial list of factors shown to influence AIP was created from the academic literature. These factors were used to develop a Delphi survey implemented separately on care partners and healthcare stakeholders. Respondents rated the importance of each factor using a 10-point Likert Scale (1 = not important; 10 = absolutely critical). Consensus in each group was defined when at least 80% of participants scored a factor ≥8 (“very important”), with an interquartile range ≤2. Respondents suggested additional factors during Delphi round one. Results Care partners (N = 25) and healthcare stakeholders (N = 36) completed two and three Delphi rounds, respectively. These groups independently agreed that the following 3 (out of 27) factors were very important to help older adults age in place: keeping one’s home safe, maintaining strong inter-personal relationships, and coordinating care across formal providers. While healthcare stakeholders did not reach consensus on other factors, care partners agreed that 7 additional factors (e.g., access to affordable housing, having mental health programs) were important for AIP. Conclusions Compared to healthcare stakeholders, care partners felt that more and diverse community-based factors are important to support older adults to successfully AIP. Future research should replicate these findings in other jurisdictions, examine the availability and accessibility of the priority factors, and develop sustainable solutions to enhance their effectiveness.

scholarly journals Religiosity and spirituality as resilience strategies among long-living older adults in their daily lives

2017 ◽  
Vol 70 (4) ◽  
pp. 761-766 ◽  
Author(s):  
Luana Araújo dos Reis ◽  
Tânia Maria de Oliva Menezes
Keyword(s):  
Older Adults ◽  
Family Health ◽  
Well Being ◽  
Phenomenological Approach ◽  
Being And Time ◽  
Central Position ◽  
Daily Lives ◽  
The Bible ◽  
Religiosity And Spirituality ◽  
The City

ABSTRACT Objective: to investigate religiosity and spirituality as a resilience strategy for the long-living older adults in their daily lives. Method: Qualitative research of phenomenological approach based on Martin Heidegger thoughts. Interviews were conducted with 14 older adults registered at a family health unit in the city of Jequié, BA, Brazil. The data were analyzed in the light of Being and Time. Results: The results revealed that God occupies a central position in their lives, and the reading of the bible, praying the rosary and prayers are resilience strategies used for coping with unfavorable situations, recovery and/or maintenance of health, personal and family protection, and, above all, the experience of a satisfactory aging. Final considerations: Religiosity and spirituality were presented as an important resilience strategy in the existence of older adults, showing that through them it is possible to achieve well-being and cope with health and social problems.

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