Family-assisted Housing for Older Homeless Adults

为老年无家可归者提供家庭援助的住房

• 批准号: 9134564
• 负责人: Kelly Ray Knight
• 金额: $ 32.35万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9134564
• 关键词: Address; Adult; Affect; Age; Aging; Belief; Case Manager; Chronic; Code; Communities; Complex; County; Data; Data Analyses; Elderly; Enrollment; Epidemiologist; Ethnography; Failure; Family; Family member; Funding; General Population; Health; Healthcare; Home environment; Home visitation; Homelessness; House Call; Housing; Impaired cognition; Individual; Interdisciplinary Study; Intervention; Interview; Lawyers; Learning; Life; Link; Loneliness; Longitudinal Studies; Low income; Medicaid; Medical; Methodology; Modeling; Outcome; Parents; Participant; Personal Satisfaction; Policies; Policy Maker; Population; Population Intervention; Principal Investigator; Provider; Qualitative Methods; Research Personnel; Risk; Sampling; Science; Services; Site; Social Problems; Social isolation; Visit; Work; aged; base; cohort; community based service; cost; disability; ethnographic method; experience; functional disability; informant; member; mortality; prevent; programs; social; success; supported housing; theories; willingness; working group

 DESCRIPTION (provided by applicant): The proposed study will use qualitative methods to understand barriers to and facilitators of re-housing older homeless adults (aged 50 and older) with members of their family. The proportion of homeless adults age 50 and older has grown at a rate exceeding the general population for the past two decades. Despite extensive evidence demonstrating the severe deleterious effects of homelessness on health, gaps exist in identifying housing strategies for older homeless adults. The NIA funded R01, "Aging among the homeless: geriatric conditions, health and healthcare outcomes," (AG041860, PI Kushel) a longitudinal study of 350 older homeless adults, will serve as the parent study to the proposed project. In the Aging Homeless Study, a large proportion of older homeless adults have frequent and on-going contact with family members; approximately one-third were temporarily housed with family for a week or longer in the prior six months, most homeless participants expressed a willingness to live with family and a belief that their family members would allow them. This combination of temporary housing with family and willingness to continue has raised questions as to whether steps could be taken to make these temporary housing situations permanent. Existing interventions to promote older individuals' ability to thrive in the community bolster social ties, as loneliness and social isolation are associated with higher rates of chronic medical conditions, cognitive decline, and mortality. The proposed project will examine whether re-housing with family members is an effective means to promote re-housing and support older homeless adults' existing social ties. We propose to adapt the social-ecological model to address the following specific aims: Aim 1: To understand the factors influencing older homeless adults' ability to live with housed family members from the perspective of both older homeless adults and their family members. Aim 2: To understand the factors influencing older homeless adults' ability to live with housed family members from the perspective of key programmatic and policy stakeholders. Aim 3: To develop a toolkit addressing the barriers and facilitators to housing older homeless adults with family members for clinicians, homeless services providers, low-income housing program leaders and policy makers. To address Aims 1 and 2, we will conduct one-to-one qualitative interviews with a purposive sample of older homeless adults enrolled in the parent study, their family members, and service providers and policy stakeholders. We will conduct ethnographic participant observation in family members' home environments. Qualitative data will be transcribed, coded and analyzed using grounded theory methodologies by the multidisciplinary research team, consisting of an internationally recognized researcher of health for homeless populations (Principal Investigator), a medical anthropologist (Principal Investigator), and an epidemiologist with expertise in transitional science (Co-investigator). For Aim 3, we will synthesize study data and develop the toolkit to provide guidance about re-housing older homeless adults with family members.

 描述（由适用提供）：拟议的研究将使用定性方法来了解与家人的成员重新召集的老年无家可归者（50岁及50岁）的障碍和促进者。在过去的二十年中，50岁及以上无家可归的成年人的比例以超过一般人口的速度增长。尽管有大量证据表明无家可归者对健康的严重有害影响，但在确定老年无家可归成年人的住房策略中仍然存在差距。 NIA资助了R01，“无家可归者之间的老化：老年病情，健康和医疗保健结果”，（AG041860，PI Kushel）对350名老年无家可归的成年人进行了纵向研究，将作为拟议项目的父母研究。在衰老的无家可归研究中，很大一部分老年无家可归的成年人经常与家人接触；在前六个月中，大约有三分之一的人与家人一起住了一周或更长时间，大多数无家可归的参与者表示愿意与家人住在一起，并相信他们的家人允许他们允许他们。这种临时住房与家人和继续愿意继续的结合提出了问题，即是否可以采取措施使这些临时住房情况永久性。现有的干预措施以促进老年人在社区中成长的能力加强社会关系，因为孤独和社会隔离与较高的慢性医学率有关 条件，认知能力下降和死亡率。拟议的项目将检查与家庭成员重新居住是否是促进并支持老年无家可归成年人现有社会联系的有效手段。我们建议调整社会生态模型以解决以下特定目的：目标1：了解这些因素会影响老年无家可归的成年人从老年无家可归的成年人及其家人的角度与住所家庭成员一起生活的能力。目的2：了解这些因素会影响老年无家可归的成年人从关键的计划和政策利益相关者的角度与住所家庭成员一起生活的能力。目标3：开发一个工具包，以解决障碍和促进者，以容纳临床医生，无家可归的服务提供商，低收入住房计划领导者和政策制定者的家庭成员的年长无家可归者。为了解决目标1和2，我们将对参加父母研究，家庭成员以及服务提供者和政策利益相关者的自然无家可归成年人的自然样本进行一对一的定性访谈。我们将在家庭成员家庭环境中进行民族志参与者的观察。多学科研究团队将使用基础理论方法对定性数据进行转录，编码和分析，该方法由国际公认的无家可归者人群健康研究人员（主要研究员），医学人类学家（主要研究者），一名医学人类研究者（主要研究者），以及与过渡科学专家的流行病学学家（共同投资者）。对于AIM 3，我们将综合研究数据并开发工具包，以提供有关与家人重新住房的老年无家可归成年人的指导。