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Abstract

The number of older people experiencing or at risk of homelessness, both long-termand first-time homelessness, is increasing. The proportion of women facing homelessness within that cohort is also increasing. When combined with complex healthneeds, appropriate long-term care options remain limited. This qualitative study conducted in Sydney, Australia, aimed to explore the care needs of older people with comorbid health issues who are facing homelessness and, from this assessment, derivea preferred model of residential aged care. Interviews and focus groups were conducted with 29 participants from providers in the aged care and homelessness sectors. Data were analysed using a grounded theory approach. Causal and contextualfactors, and consequences surrounding the experience of homelessness, informedthe wide range of care needs of this group (model of care), and the organisationalresources required to deliver them (management issues and staff). A trauma-informedapproach to care consistently applied by all staff to all processes throughout the carehome was recommended. Such an approach would further strengthen existing models of care and take into account both health needs (such as mental health, substancedependence and acquired brain injury) and significant losses through the life courseof this vulnerable population.

Item Type:	Article
Authors/Creators:	Rowlands, A and Poulos, R and Agaliotis, M and Faux, S and Raguz, A and Poulos, C
Keywords:	long-term care, model of care, older age homelessness, trauma-informed care
Journal or Publication Title:	Health and Social Care in the Community
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	0966-0410
DOI / ID Number:	https://doi.org/10.1111/hsc.12999
Copyright Information:	Copyright 2020 John Wiley & Sons Ltd
Related URLs:	Google Scholar: Agaliotis, M
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