The epidemic of the elderly homeless is growing rapidly in
recent years and has causes from many different fronts. Like any growing
homeless population, the elderly homeless population poses a significant amount
of unique problems that can cause or exacerbate many individual and societal
ills. Though many of these issues seem insurmountable or generally difficult to
grasp, there are many solutions that can be implemented to reduce the amount of
elderly homeless on the street and in shelters.
Causes
Although a cause for homelessness can’t be pinned down for
every homeless person, or even every homeless person in a particular subgroup,
there are generalizations that can easily be made within the groups themselves.
The elderly, even ones who are not destitute, are generally at a few stark
disadvantages compared to the rest of the population. This can be seen in the
fact that 3.6 million American seniors are below the poverty line. Unlike other
segments of the population, the elderly may not be able to generate any
additional income to get out of poverty.
The effect of poverty can be seen when the issue of
affordable housing is discussed. This lack of affordable housing has less to do
with the price of the home than you may think. It is due, in large part, to the
cost of several other things that the elderly experience, such as health issues
that may become costly over time. With certain resources, such as social security
benefits, running out, as well as the fact that many workers are unable to save
up for retirement, it is no surprise that this problem may worsen significantly
as people are able to get less and less money after they are unable to work.
Another concern that many elderly Americans will run into is
the likelihood of a specific “trigger event” that will send them into a
downward spiral, leading to homelessness. Often the elderly will see the
dissolution of a long-lasting marriage, whether from divorce or death. This may
cause them to become depressed and withdrawn, leading to a lack of care for
themselves and possibly even destitution.
It’s also likely that they will experience their own
declining health that, as mentioned before, will bring up a lot of specific
economic challenges that other segments of the population may not have to
experience. Mental health concerns, in particular, are of consequence when
discussing the elderly homeless as many of them will go to their primary care
physician for the physical symptoms of things like depression or anxiety rather
than recognizing, or admitting, the problem and seeing a mental health
specialist.
Unique Problems
The elderly homeless have significant and unique, problems
that are specific to their group. One of the main concerns with the elderly
homeless is the fact that many health issues can be caused by or exacerbated by
situations that they are exposed to while homeless. Chronic diseases, such as
diabetes or arthritis, which may be able to be easily controlled and regulated,
may be neglected while homeless. Oftentimes a homeless person of any age will
become more physically frail due to malnutrition or even instances of injury or
assault. This is especially true of those whose health is already declining due
to old age.
Just the act of being homeless can bring about feelings of
loneliness and isolation may take over, causing even further withdrawal. These
habits and lack of mental stimuli have been shown to have a direct link to
Alzheimer’s disease.
Because of these unique problems for elderly individuals, it
puts a strain on already under-funded and thinly stretched homeless resources.
While many individuals in their late 40s and early 50s in a stable situation
may be able to work, the accelerated physical and mental degradation that a
person experiences while homeless may take them out of the workforce entirely. This
can make it significantly more difficult for homeless resources to help them
create a future for themselves until they are in their late 60s.
Solutions
Many of the solutions that can be implemented to help the
elderly are easier to create as preventative care methods, rather than waiting
for the elderly to become homeless first. One of the possible solutions is to
create community living homes which could be subsidized homes at which
professional teams can meet the needs of elders who are at risk of becoming
homeless or are recovering from being homeless.
These communities could provide several solutions to the
elderly that would not be available to them if they were to utilize the usual
homeless resources, such as psychiatric care and old age-centric medical care.
They would also allow for some self-sufficiency for those who are otherwise
healthy.
Even within, or near, these same communities could be a
section of subsidized housing for elderly people complete with in home care
from the community. This would be a less restrictive option than a nursing home
or even a closely monitored community and could be a good option as a stepping-stone
to independence for the previously homeless elders.
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