Developing Affordable and Accessible Community-Based Housing for Vulnerable Adults Proceedings of a Workshop (2017) / Chapter Skim
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2 Keynote Presentations
2 Keynote Presentations
Pages 5-16
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From page 5... ...
Erika Poethig, a fellow and the director of urban policy initiatives at the Urban Institute, then described the five dimensions of housing policy along with potential areas for changing housing policy to better support the needs of older adults and individuals with disabilities. A brief discussion moderated by Teresa Lee of the Alliance for Home Health Quality and Innovation followed the two keynote presentations.
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From page 6... ...
"When housing is at risk, overall well-being is then threatened." Seeking to play a role in developing and implementing those solutions, AARP Foundation works to help ensure that vulnerable older adults with low incomes have access to healthy and nutritious food and to safe and affordable housing, that they are able to maintain critical social connections, and that they have opportunities to generate income. Collaboration is essential to AARP Foundation's work, Ryerson said.
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From page 7... ...
"For older adults to thrive and to live with independence and dignity in the least restrictive setting, we need new ways to provide health services in the most conducive settings, and this means looking beyond the doctor's office." It is important, she added, to embrace innovation through a more integrated, person-centered model of health care delivery that broadens the concept of health care so that it is not restricted to a hierarchy headed solely by physicians and so that care can be delivered in more places. As an example of innovative thinking, Ryerson described a program called Care Angel -- winner of AARP Foundation's Aging in Place challenge -- which is using an artificial intelligence-driven assistant that calls older individuals daily to check on their well-being.
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From page 8... ...
is another program that links housing and health by providing skilled, individualized nursing care in an environment that looks and feels like home. This latter project is one of several that receives funding from Age Strong, an impact investment initiative of AARP, AARP Foundation, the Calvert Foundation, and Capital Impact Partners that leverages private capital investment for social good.
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From page 9... ...
Instead of talking about health and housing separately, let us do what we are doing today and advance the conversation about housing and health together, a conversation that includes practical ideas for addressing inadequate housing stock and quality as well as disparities based on age, race, ethnicity, gender identity, sexual orientation, and disability."
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From page 10... ...
This is especially true for many older adults and people with disabilities who support themselves on fixed incomes. Housing tenure refers to renting versus owning a home.
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From page 11... ...
Nonetheless, Poethig said, some 11.2 million households face severe rent burdens, as defined by paying more than half of household income on rent, and 91 percent of these severe-rent-burden households are of extremely low income, meaning they earn less than 30 percent of the area median income. Some 16 percent of the households facing both severe rent burdens and extremely low income are older adults, and 26 percent include at least one adult with a disability.
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From page 12... ...
For the 7 million older adults whose incomes are 125 percent of the poverty level, housing costs account for 74 percent of their income. "So absent increased resources for federal rental assistance, America's older adult population and people with disabilities will continue to face these particular housing instability challenges, and I would argue, poor health outcomes," Poethig said.
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From page 13... ...
. 8 Supportive housing is non-time-limited affordable housing matched with voluntary ongoing supportive services appropriate to the tenant.
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From page 14... ...
"That will help us in communication with our partners in Congress." Poethig also called for more work to disaggregate data or, in some cases, to match data from different agencies in order to increase understanding and further fine-tune available programs. DISCUSSION Dara Baldwin of the National Disability Rights Network started the discussion by commenting that even though rental assistance programs are earmarked for various groups, older adults, people with disabilities, and families are all interconnected: families may have parents or children with disabilities, for example.
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From page 15... ...
Ryerson said that this problem confounds her, too, especially considering that accessibility increases livability for everyone across the age span living in an accessible home. Perceived cost is a factor, she acknowledged, which makes it important to look at the evidence that shows that meeting accessibility standards comes with overall cost savings.
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From page 16... ...
v Poethig replied that HUD's federal rental assistance program primarily serves people who are very poor and vulnerable, and minorities represent a disproportionate percentage of those receiving rental assistance. Therefore, she said, federal rental assistance presents an opportunity and a platform upon which to connect and address broader issues surrounding health disparities.
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