Terri Lewinson

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.

Traumatic Transitions Homeless Women’s Narratives of Abuse, Loss, and Fear

This article presents traumatic experiences among 21 women residing in budget hotels after housing displacement. Framed in feminist and cumulative trauma theories, the purpose of this study was to explore types of trauma and adversity prior to and during housing at budget hotels. In this qualitative study, narrative and categorical content-analysis approaches were conducted to identify common themes across women’s narratives. Findings revealed trauma narratives of physical and emotional abuse, childhood maltreatment, loss, financial exploitation, sexual intimidation, eviction anxiety, environmental stress, crime exposure, and systematic subjugation. Trauma-informed intervention approaches for social work practice are outlined to promote women’s empowerment.

Increasing Aging Content within the Social Work Curriculum: Perceptions of Key Constituents

Summary This mixed methodology study examines the perceptions of key constituents regarding methods for effectively integrating aging content into the foundation curriculum of the BSW and MSW program at the University of Georgia School of Social Work. Students were asked to complete a survey to determine their perception of geriatric content that existed within the foundation coursework. Following an analysis of the survey results, eight semistructured focus group discussions were conducted with a purposeful sample of students, faculty, field instructors, social work alumni, older adults from the community, and representatives from aging agencies. The intention of these focus groups was to find out what aging content should be infused within the curriculum. The focus group meetings were held in various locations throughout Northeast Georgia and in one remote location in South Georgia. Participants were interviewed about the necessary skills and knowledge for social workers practicing with an aging population in the areas of: essential intervention skills, program policies and regulations, critical information needed to develop client service plans, strategies for addressing service delivery fragmentation, and community collaboration to support intergenerational family needs. The results of this study will be discussed to provide suggestions on how existing foundation courses can integrate aging content.

Social Service Barriers Experienced by Low-Income Extended-Stay Hotel Residents

This article presents findings from a qualitative study of 14 individuals residing in extended-stay hotels after housing displacement. Framed in ecosystems and structuration theory, the purpose of this study was to understand social service barriers experienced by help-seeking residents. Participants were engaged in in-depth interviews and asked about challenges faced when they reached out for assistance to prepare for stable housing. Reported barriers included negative interactions with social service personnel, cumbersome agency processes, and insufficient/inappropriate resources. Hotel residents identified guidance, compassion, and advocacy as interventions practitioners can use to support client transitions to stable housing.

Facilitating Communication About Sexual Health Between Aging Women and Their Health Care Providers

Many women experience changes in sexual health as they age, and discussing these changes with health care providers is an essential component of optimal health management. The purpose of this study was to understand aging women’s perspectives about communicating with providers about sexual health. We used the integrative model of behavioral prediction as a theoretical lens to explore women’s attitudes, perceived norms, and perceived self-efficacy that promote or inhibit the likelihood of communicating about sexual health. In this theory-based qualitative study, we interviewed 28 community-dwelling older women in the Midwestern United States. Through thematic analysis, we identified both positive and negative attitudes about communicating with providers. Women seemed most inclined to discuss sexual health if they perceived that important patient–provider conditions, such as trust and rapport, were in place. Despite situational obstacles and perceived norms, these women held strong beliefs about their abilities to discuss sexual health topics with providers.

“I Overcame That With God’s Hand on Me”: Religion and Spirituality Among Older Adults to Cope With Stressful Life Situations

The purpose of this study was to understand how residents perceived spirituality and religion as a coping strategy when attempting to manage stressful housing and health concerns. This article presents findings from a qualitative study of 16 older adults residing in extended-stay hotels. Older adults were engaged in in-depth interviews to identify stressful environmental conditions in hotels and resident strategies for coping. Narrative analysis identified residents’ faith-based rationales for health/housing outcomes and coping strategies across a temporal dimension.

Living in Extended-Stay Hotels: Older Residents’ Perceptions of Satisfying and Stressful Environmental Conditions

This article presents findings from a qualitative study that explores older adults’ perceptions of budget hotel environments as suitable places to reside and manage health. Fifteen low-income older residents from nine hotels were interviewed using qualitative photo-elicitation methods. Through thematic analysis of transcripts and photographs, satisfying and stressful conditions were identified in the data. Residents described all-inclusive access, surveilled safety, supportive amenities, and livable communities to be satisfying environmental attributes. However, poor air quality, unsanitary surroundings, neglected property management, disruptive guests, and restrictive policies were environmental stressors. Implications and suggestions for practitioners working with older adults in hotels are discussed.

Supportive Housing: An Evidence-Based Intervention for Reducing Relapse among Low Income Adults in Addiction Recovery

Within the ranks of the homeless are individuals coping with substance addiction and/or chronic physical or mental disability. Their special needs often pose significant barriers to successfully re-integrate into society. For these individuals, simply securing a roof overhead may not be an adequate solution. Supportive housing combines housing with access to on-site social services to assist persons coping with disabling physical and behavioral health conditions. This study examined whether an association could be found between length of residency in supportive housing and subjective well-being. For the purposes of this study, subjective well-being was measured by length of sobriety, self-efficacy, and employment.

Co-constructing home with photovoice: Older residents of an assisted living facility build a Photonarrative

The purpose of this secondary data analysis study was to understand how older adults of an assisted living facility used photo narratives to co-construct a shared narrative of home and plan for resident action. Focus group data from an earlier study of African-American older adults in assisted living facilities were explored using narrative analysis to highlight the dialogic process embedded in photovoice methodology. An analysis of content and narrative structure was used to identify the contributions of individual photo narratives to a shared group narrative.

Resource Accessibility and Walkability Among Older Adults in Extended-Stay Hotels

Older adults represent a large and growing population group in the United States. This population cohort is projected to grow to 72.1 million, or 19% of the total population, by 2030, up from 40 million in 2010 (Administration on Aging, 2011; Federal Interagency Forum on Aging-Related Statistics, 2012). Despite reported decreases in the proportion of older adults living in poverty in recent years, inequities prevail. Approximately 40% of older American households reported housing cost burdens1 Cost burdens are expenditures on housing and utilities that exceed 30% of household income. (Federal Interagency Forum on Aging-Related Statistics, 2012). Many of these low-income older adults live in socially and economically marginalized positions, and housing them remains a major challenge complicated by (a) limited affordable housing options and (b) chronic health conditions that seriously undermine long-term health and mobility. In a study on the impacts of public housing transformation in Atlanta, Oakley, Reid, & Ruel (2011) reported that 26% of seniors entered public housing because of a health condition or disability. According to Smith (2006), seniors in public housing are in worse health than other older Americans, even other poor older Americans suffering from such chronic health conditions as hypertension, diabetes, arthritis, and asthma. Despite these realities, Ball (2012) has noted that older adults receive little attention in comprehensive development planning beyond specialized age-segregated retirement and care communities. Salkin (2009) echoes similar concerns about the tendency toward housing initiatives and designs for more affluent older adults. She commented that most states have focused attention on programs that are best suited for seniors who do not have the same income limitations as those who are truly on fixed incomes and living close to the poverty level (Salkin, 2009). While public housing remains the predominant affordable housing option for low-income older adults, such housing is out of reach for many low-income older adults who find themselves displaced and homeless. As a result, some of these adults move into extended-stay hotels to remain sheltered.