As the population ages, more older adults in North America are experiencing homelessness. To prevent and end homelessness among older adults, we need stronger policies and solutions. While there isn’t a lot of research on proven policy approaches, some promising practices exist that could lead to better policies with further study.
Using the five-level typology by Fitzpatrick et al. (2021), this discussion paper outlines policy-oriented recommendations at varying levels of prevention:
- Universal prevention – broad policies that help everyone avoid homelessness.
- Upstream prevention – targeted support for those at risk.
- Crisis prevention – interventions for people in urgent housing trouble.
- Emergency prevention – immediate help for those who lose their housing.
- Repeat prevention – long-term support to stop homelessness from happening again.
Key recommendations highlight the need for different sectors—like health care and housing—to work together on better policies. By using strategies at all five levels, we can move closer to eliminating homelessness altogether.
Health and housing professionals have an important role in shaping and improving policies. They can help design, implement, and advocate for better services that address homelessness in their fields. Additionally, more research is needed to evaluate how different housing models impact older adults. This evidence is essential for improving policies and ensuring a safer, healthier, and more stable future for aging populations.