The causes of homelessness in later life: findings from a 3-nation study.

OBJECTIVE This article presents findings from a study of the causes of homelessness among newly homeless older people in selected urban areas of the United States, England, and Australia. METHODS Interviews were conducted in each country with > or =122 older people who had become homeless during the last 2 years. Information was also collected from the subjects' key workers about the circumstances and problems that contributed to homelessness. RESULT Two-thirds of the subjects had never been homeless before. Antecedent causes were the accommodation was sold or needed repair, rent arrears, death of a close relative, relationship breakdown, and disputes with other tenants and neighbors. Contributory factors were physical and mental health problems, alcohol abuse, and gambling problems. DISCUSSION Most subjects became homeless through a combination of personal problems and incapacities, welfare policy gaps, and service delivery deficiencies. Whereas there are nation-specific variations, across the three countries, the principal causes and their interactions are similar.

[1]  C. Cohen Aging and homelessness. , 1999, The Gerontologist.

[2]  Lauren J. Krivo,et al.  Structural Determinants of Homelessness in the United States , 1991 .

[3]  A. Warnes,et al.  Resettling Older Homeless People: A Longitudinal Study of Outcomes , 2002 .

[4]  A. Warnes,et al.  Developing homelessness prevention practice: combining research evidence and professional knowledge. , 2006, Health & social care in the community.

[5]  G. Morse Causes of Homelessness , 1992 .

[6]  P. Koegel,et al.  Childhood risk factors for homelessness among homeless adults. , 1995, American journal of public health.

[7]  T. Main How to Think About Homelessness: Balancing Structural and Individual Causes , 1998 .

[8]  M. Horn,et al.  A study of the impact of gambling on homelessness , 2001 .

[9]  P. Koegel,et al.  Pathways to homelessness among the mentally ill , 2000, Social Psychiatry and Psychiatric Epidemiology.

[10]  Carmen DeNavas-Walt,et al.  Income, Poverty, and Health Insurance Coverage in the United States: 2004 , 2006 .

[11]  M. Crane Understanding Older Homeless People: Their Circumstances, Problems, and Needs , 1999 .

[12]  E. Susser,et al.  Adverse childhood experiences: are they risk factors for adult homelessness? , 1997, American journal of public health.

[13]  Fiona E Spiers Housing and social exclusion , 1999 .

[14]  M. Shinn,et al.  Pathways to homelessness , 1990 .

[15]  Barrett A. Lee,et al.  Determinants of Homelessness in Metropolitan Areas , 2003 .

[16]  H. Plawecki Old Men of The Bowery: Strategies for Survival Among the Homeless , 1990 .

[17]  H. Chaiklin Down and Out in America: The Origins of Homelessness , 1991 .

[18]  S. Keigher A Preliminary Study of Elderly Emergency Service Clients in Chicago and Their Housing-Related Problems , 1992 .

[19]  Counting the homeless. , 1986, Science.

[20]  A. Warnes,et al.  Single Homeless People in London: Profiles of Service Users and Perceptions of Needs , 2001 .

[21]  A. Warnes,et al.  Older people and homelessness: prevalence and causes , 2001 .

[22]  M. Sosin Explaining adult homelessness in the US by stratification or situation , 2003 .

[23]  J. Percy-smith Policy responses to social exclusion : towards inclusion? , 2000 .

[24]  Bruce G. Link,et al.  Risk factors for homelessness. , 1993, Epidemiologic reviews.

[25]  P. Shrout,et al.  Risk factors for homelessness among indigent urban adults with no history of psychotic illness: a case-control study. , 2000, American journal of public health.