Health Care Groups Aim To Counter Growing 'National Scandal' of Elder Homelessness

The Central Arizona Shelter Services, with help from the City of Phoenix and federal CARES Act COVID relief money, contracted a local hotel to turn 100 rooms into a shelter for the growing number of seniors experiencing homelessness. Known as Project Haven, the rooms help people remain socially distanced and restore people’s dignity. The success of the model brought in other partners, such as behavioral health services and on-site caseworkers to assist with job searches, family reunification, or rental assistance. In the first year, 70% of the 217 seniors it served found positive housing outcomes.

The Community Health Center of Southeast Kansas and its subsidiary Building Health act as safety nets for uninsured people experiencing homelessness by expanding the definition of healthcare to also include housing, serving about 85,000 people a year. By providing wraparound care and services from help finding housing to legal assistance and education, the groups’ combined efforts helped shrink the rate of uninsured, unhoused people from 16% in 2020 to about 12% now.

Inside Safe addresses the significant homelessness crisis in the city by traveling to encampments and offering people hotel rooms to stay in where they are connected with permanent housing and other necessary resources, like mental health care. Hotel rooms provide people with a safe space to heal and rest while working with a case worker to find housing. The initiative has so far moved 1,373 people into hotel rooms and 77 of them have moved into permanent housing.

Street medicine teams across California are bringing therapy directly to unhoused people to address the widespread but overlooked mental health crisis among people experiencing homelessness. These teams conduct flexible, location-based therapy sessions using coping strategies adapted for life on the street, such as journaling and coloring. Multiple patients credit street therapy with helping them stabilize enough to navigate the complex housing application process and maintain housing once obtained.

Cycling Without Age addresses social isolation among elderly people through a volunteer-run program using electric three-wheeled bicycles with two front seats, so elders can enjoy a ride without the physical toll. Founded in Copenhagen in 2012, the program has expanded to 3,600+ chapters across 41 countries with 50,000 volunteers.

Several California cities have adopted a new approach to clearing homeless encampments that prioritizes housing over displacement, called Inside Safe. The model involves spending 6-8 weeks getting to know each encampment resident individually, matching them with appropriate housing, moving people gradually and minimizing police involvement. Los Angeles's Inside Safe program has moved 5,200 people indoors over three years, with approximately 25% securing permanent housing.

Over the past several years, Lithuania has implemented a comprehensive national strategy to combat high suicide rates by shifting from a medicalized approach to community-based support. One such strategy is Sidabrinė Linija, or Silver Line, a nonprofit offering free support to isolated seniors by matching them with a “befriender” who shares some of their interests. Since its inception, Silver Line has befriended 6,000 seniors. As a result of combined efforts from multiple initiatives, Lithuania’s suicide rate has dropped from 44 per 100,000 residents in 2004 to 19.5 per 100,000 today.

Street medicine is breaking down barriers to healthcare access that unhoused individuals face. It brings healthcare directly to them, rather than expecting them to navigate the system on their own. This type of care emerged in Pittsburgh in 1992 and has since created a national network of 85 U.S. cities, 15 countries and five continents. Chicago Street Medicine, specifically, serves about 4,000 patients a year, with the help of its 600 volunteers.

Los Angeles County’s Homeless Outreach & Mobile Engagement (HOME) program uses street psychiatry to get psychiatric medication to people experiencing homelessness in an effort to get them a step closer to housing. The HOME team has 223 full-time staff members and served 1,919 people last year, 22% of whom ended the year housed.

Tiny home complexes are emerging as solutions to combat homelessness throughout the country, offering a cheap and efficient way to provide shelter amidst the national housing crisis. In some cases, living in a tiny home community serves as a stepping stone to help locals achieve permanent housing.