Social and Behavioral Sciences Commons^™

Lifelong Instability And Perceived Risk Of Future Homelessness In Older Adults, Sarah Dys, Anna Steeves-Reece, Paula Carder

Institute on Aging Publications

Housing has long been considered a social determinant of individual and population health. Older adults with low incomes face several challenges to maintaining stable, affordable housing. Using data from a previous explanatory study of older adults waitlisted for housing assistance (n = 267), we explore individual characteristics and themes associated with older adults’ perceived housing instability and risk of future homelessness. This mixed-methods study identifies salient themes of financial insecurity, age discrimination, employment and health, interpersonal relationships, and trauma. Our analysis and findings highlight experiences of instability over the life course related to older adults’ current housing circumstances.

Validating The Resident View In Long-Term Care Settings: Final Report To Oregon Department Of Human Services, Aging & People With Disabilities Division, Diana L. White, Ozcan Tunalilar, Serena Hasworth, Jaclyn Winfree, Institute On Aging, Portland State University

Institute on Aging Publications

In 2015, Portland State University Institute on Aging (PSU/IOA) received a grant from the Quality Care Fund to develop the Resident VIEW (Voicing Importance, Experience, and Well-being), a measure of person-centered care (PCC) from the perspective of residents. Structured open-ended interviews were conducted with residents living in nursing homes (NH), assisted living (AL/RC), and adult foster homes (AFH) settings to learn more about their everyday concerns, values, and preferences. Each interview focused on one of eight domains of PCC. These domains had been identified from the literature and in prior research. Personhood, or as described by residents as being “treated …

Assisted Living Communities That Accept Medicaid Are Not Subject To Federal Oversight, Lindsey Smith, Sarah Dys, Paula Carder

Institute on Aging Publications

We commend Mauldin et al. (2020) for their recent article titled “Supports and gaps in federal policy for addressing racial and ethnic disparities among long-term care facility residents,” which addresses opportunities to mitigate racial and ethnic disparities in long-term care (LTC) through federal policies. However, we would like to clarify a statement regarding federal oversight of assisted living (AL) communities made by the authors.

The Resident View In Nursing Homes, Diana L. White, Ozcan Tunalilar, Serena Hasworth, Jaclyn Winfree

Institute on Aging Publications

This article presents the Resident VIEW (Voicing Importance, Experience, and Well-Being), a measure designed to learn directly from long-term care residents the extent to which they experience support that matters most to them. The Resident VIEW contains 63 items across eight domains developed through cognitive interviews with residents in different types of residential settings (e.g., nursing homes, assisted living, and adult foster care). Residents rate items on both importance and their experience. In total, 258 nursing home residents living in 32 Oregon nursing homes were selected through a two-stage random sampling design and participated in the study. Results demonstrate that …

Differential Health And Social Needs Of Older Adults Waitlisted For Public Housing Or Housing Choice Vouchers, Paula C. Carder, Gretchen Luhr, Jacklyn Nicole Kohon

Institute on Aging Publications

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV) (previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. …

Consumer Satisfaction With Aging & Disability Resource Connection: Round 3, Diana White, Serena Worthington

Institute on Aging Publications

This report describes the third round of consumer satisfaction surveys conducted with users of Aging and Disabilities Resource Connections (ADRC) of Oregon. The telephone survey was conducted between October 18 and November 2, 2013 and focused on three of the core ADRC functions: 1) information, referral, and awareness; 2) options counseling (OC); and 3) streamlined eligibility determination for public programs. The ADRC Advisory Committee had previously established benchmarks to be used in determining success for many aspects of the program described in this report.

Sustainable, Affordable Housing For Older Adults: A Case Study Of Factors That Affect Development In Portland, Oregon, Alan Kenneth Delatorre

Dissertations and Theses

Portland, Oregon, is considered to be a leader in sustainable development. Government agencies, nonprofit organizations, and businesses have been innovators in policymaking and practice that is aimed at creating a more sustainable city. Despite population aging, little is known about how or whether planners and developers consider older persons in terms of sustainable development. Thus, this study examined the case of sustainable, affordable housing developed for low-income adults aged 55 and older. Interviews with 31 key informants were conducted in order to answer three research questions: What is the meaning of sustainable development in Portland, Oregon, as it pertains to …

Toward An Age-Friendly Portland, Dawn Hanson, Mark Person, Garrett Phillips, Colin Rowan, Collin Roughton, Alison Wicks

Master of Urban and Regional Planning Workshop Projects

Toward an Age-Friendly Portland connects the people-friendly efforts of the Portland Plan with input and specific needs expressed by older Portlanders to create a vision for what people want their neighborhoods to be like as they grow older. This vision informs recommendations that may be integrated into Portland’s planning efforts. Orca Planning found that the needs of older adults now and in the future are not adequately met by the transportation, housing and greenspace options available in today’s Portland. This project was conducted under the supervision of Ethan Seltzer and Gil Kelley.

The Health And Housing Specialist: An Emerging Job Classification To Support Aging In Place In Subsidized Housing, Paula C. Carder, Jenny Weinstein, Jacklyn Nicole Kohon

Institute on Aging Publications

As the U.S. population ages, the availability of workers with a basic understanding of aging and health-related services has not kept pace. This is true in traditional health care organizations such as hospitals and primary care clinics as well as in long-term care settings and senior housing, including subsidized housing, the focus of this report. Nearly 1.8 million older persons receive some form of publicly-subsidized rental assistance. Some subsidized housing providers, including those that operate buildings designated for older persons, are developing new systems of service delivery that would either coordinate or provide health screenings, physical activity programs, nutrition programs, …

Reshaping The Planning Agenda, Heidi Guenin, Bob Kellett, Vivian Siu, Lindsay Walker, Jenny Weinstein

Master of Urban and Regional Planning Workshop Projects

Housing Land Advocates and AARP Oregon have identified that the participation of older adults in the planning process in Clackamas County is not leading to outcomes that address their needs. One potential barrier to advocacy is older adults' lack of understanding of the planning process. A better informed population of older adults will lead to more effective participation in planning processes and an increased ability to advocate for their needs. Another potential barrier may be the way in which planners engage older adults in planning. Through better engagement strategies there will be better outcomes. This project was conducted under the …

State Experiences With Affordable Housing Plus Services: Report To Seniors And Persons With Disabilities, On The Move, Paula C. Carder, Erika Zoller

Institute on Aging Publications

Housing developers, providers, policy makers, and advocates, increasingly recognize that for some groups of individuals, access to affordable housing alone is "not enough." That is, some individuals require more than shelter. Examples include individuals who have chronic health conditions (e.g., HIV/AIDS), those with physical or cognitive limitations (e.g., persons with developmental disabilities, adults with physical disabilities), and those who have a combination of health conditions or who cannot thrive in traditional housing (e.g., persons who have been homeless, individuals with chronic mental illness). Increasingly, housing providers, social service agencies, advocates, states, and federal agencies have recognized the need to combine …

The World Health Organization Age-Friendly Cities Project In Portland, Oregon, Usa, Margaret B. Neal, Alan Kenneth Delatorre

Institute on Aging Publications

The older population is increasing in size in Portland, the state of Oregon, the United States, and the rest of the world. Our cities and regions are vital to the support of this demographic shift through the provision of quality built environments, services, and social, cultural, and civic engagement opportunities promote healthy and active aging.

Over the next 30 years, the Portland-Vancouver metropolitan area will see dramatic growth in the proportion of the population that is aged 65 and older. Although the total population will increase by 47 percent, the 65+ population will more than double, growing by over 137 …

Age-Related Shifts In Housing And Transportation Demand : A Multidisciplinary Study Conducted For Metro By Portland State University's College Of Urban And Public Affairs, Final Report, Margaret B. Neal, Nancy J. Chapman, Jennifer Dill, Irina V. Sharkova, Alan Kenneth Delatorre, Kathleen A. Sullivan, Tomoko Kanai, Sheila A. Martin

Urban Studies and Planning Faculty Publications and Presentations

Understanding where middle-aged and older adults live, where they are moving, how they get around, and the factors influencing these decisions is essential for planning for the future. To gain an understanding of the impact of age-related shifts on housing and transportation demand, Portland State University's College of Urban and Public Affairs, via its Institute on Aging, was contracted to conduct a review of the literature and to analyze existing key local and national data sources. A multidisciplinary team of faculty and graduate students was assembled and performed the work in the summer of 2006. The literature reviewed and the …

Report On Housing For The Aging, City Club Of Portland (Portland, Or.)

City Club of Portland

No abstract provided.