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For Homeless Seniors, Getting Into Steady Housing Takes a Village — And a Lot of Luck – KFF Well being Information
The Tycoon Herald > Health > For Homeless Seniors, Getting Into Steady Housing Takes a Village — And a Lot of Luck – KFF Well being Information
Health

For Homeless Seniors, Getting Into Steady Housing Takes a Village — And a Lot of Luck – KFF Well being Information

Tycoon Herald
By Tycoon Herald 9 Min Read Published January 17, 2025
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COLUMBIA FALLS, Mont. — Over two years in the past, Kim Hilton and his accomplice walked out of their dwelling for the ultimate time. The home had offered, and the brand new landlord raised the hire.

They couldn’t afford it. Their Social Safety funds couldn’t cowl the price of any flats in northwestern Montana’s Flathead Valley.

Hilton’s accomplice was capable of transfer into her daughter’s studio residence. There wasn’t sufficient house for Hilton, in order that they reluctantly cut up up.

At 68 years previous, he moved into his truck — a forest-green Chevy Avalanche.

Hilton shortly came upon how arduous it will be to outlive. Hilton has diabetes. That first evening, his insulin froze, rendering it ineffective.

Issues didn’t get any simpler that winter. On the coldest nights, temperatures dropped to about minus 20 levels. Hilton stored the truck working, however finally his gasoline pump failed. He was on his personal within the chilly.

Hilton is extremely optimistic, however in that second, he mentioned, his spirit broke.

“I just said I want to go to sleep and not wake up and I won’t have to worry about anything. I’ll just sit here and be a little popsicle in the truck,” Hilton recalled.

Hilton was certainly one of tens of 1000’s of seniors within the U.S. who grew to become homeless for the primary time in 2022. A dramatic improve within the variety of homeless seniors nationwide is overwhelming companies for unhoused individuals.

For Homeless Seniors, Getting Into Steady Housing Takes a Village — And a Lot of Luck – KFF Well being Information
Hilton bins up his belongings on July 9. He was capable of get a backed residence in September after practically a 12 months of homelessness. His proper leg was amputated after he had spent 5 months of dwelling in his truck. He misplaced his second leg a number of months later. He believes he’d nonetheless have each legs if he hadn’t develop into homeless.(Aaron Bolton/Montana Public Radio)

Older Montanans particularly are struggling as a result of housing prices have skyrocketed since 2021, partially due to the rise of distant work. The state has one of many nation’s fastest-growing homeless populations, in line with federal knowledge.

College of Pennsylvania researcher Dennis Culhane estimated that the variety of homeless individuals age 65 and up within the U.S. would triple between 2019 and 2030. He lately up to date that estimate utilizing federal knowledge for a lately printed paper.

“We are on track to meet that prediction. In fact, the growth has been slightly higher than we predicted,” he mentioned.

In response to Culhane’s analysis, the variety of individuals 65 and older jumped by a bit of over a 3rd between 2019 and 2022 alone. By 2022, there have been about 250,000 individuals over 55 who have been unhoused. About half of this inhabitants are homeless for the primary time.

What researchers and advocates name the “gray wave” of homeless seniors is overwhelming service suppliers attempting to assist.

Wendy Wilson is seeing the grey wave coming firsthand. She’s a case supervisor at Help, a nonprofit that helps Flathead residents struggling to satisfy their medical wants. Up to now, that meant serving to them get free meals or discovering a experience to the physician’s workplace.

More and more, Wilson helps older individuals like Hilton discover housing.

“They have medical issues. It’s not easy for them to be living in a truck or at the homeless shelter when you have medical issues going on,” she mentioned.

Wilson discovered Hilton a spot in early 2023 on the Samaritan Home in Kalispell, which has non-public rooms. However after 5 months of dwelling in his truck, Hilton’s well being had gone downhill quick. He had a number of fainting episodes on the shelter, then-manager Sona Blue mentioned.

“It scared us because we have no medical care in this facility,” she mentioned.

That’s not traditional for shelters. Lastly, Hilton took a nasty fall, and shelter employees despatched him to an emergency room.


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The physician who handled Hilton found he had developed strain wounds from sitting for months in the identical place in his truck. Due to the neuropathy in his limbs from his diabetes, Hilton couldn’t really feel the ache. These wounds by no means healed and have become contaminated, one other widespread complication of diabetes. 

Hilton had one leg amputated. Later, his different leg was amputated as nicely. Returning to the shelter in a wheelchair wasn’t an choice: There have been no shelter staffers or medical personnel obtainable to assist together with his primary wants.

A handful of homeless service suppliers, together with shelter staffers and different medical case employees, tried to assist Hilton discover one other place to go. They put him on ready lists for the restricted provide of backed housing within the space.

Wilson secured one of many few slots in a Medicaid program that helps pay for assisted dwelling for Hilton. However it may well take a 12 months or extra for models to open. So Wilson crossed her fingers that Hilton would get fortunate earlier than he was launched from the hospital after his second amputation.

Many seniors throughout the nation are caught taking part in the identical harmful ready recreation, mentioned Caitlyn Synovec with the Nationwide Well being Look after the Homeless Council.

“Sometimes they can’t be safely served in a shelter because they have issues with incontinence or cognition. Then they’re more likely to be on the streets, and their conditions will worsen quite a bit,” she mentioned.

Communities are in search of options.

To serve growing old individuals with complicated medical wants, homeless shelters for seniors are cropping up in such cities as Salt Lake Metropolis and Fort Lauderdale, Florida.

Montana lately bought approval from federal well being officers to make use of Medicaid funding to briefly assist individuals with medical situations make hire.

However that’s not sufficient, in line with Synovec. She mentioned the actual resolution is constructing extra inexpensive housing so older People don’t develop into homeless within the first place.

That housing will have to be accessible, too. Older homeless individuals like Hilton want properties they’ll safely navigate. Due to his new wheelchair, he wanted a ground-floor residence.

A photo of the exterior of an assisted living facility.
Snow covers the bottom on the assisted dwelling facility the place Hilton lives in Columbia Falls, Montana. He says he doesn’t know whether or not he may have survived one other winter dwelling in his truck.(Aaron Bolton/Montana Public Radio)

Within the fall, Hilton lastly bought a spot in a facility that may take his Medicaid waiver. He additionally bought an electrical wheelchair to make it simpler to get to physician appointments on the town.

Hilton mentioned he hasn’t pushed his new wheelchair to its high velocity but. “It goes fast for a wheelchair. I’m going to find out when I go down to dinner. I’ll stretch it out, break it in,” he mentioned with amusing.

Hilton is grateful to lastly have secure housing. Wilson is grateful too. She mentioned it was one of many few instances she’s been capable of assist a senior regain housing.

“It was a woo-hoo moment,” she mentioned.

So long as the power stays open and the Medicaid waiver program isn’t minimize, she’s assured Hilton can have made it by way of homelessness.

This text is a part of a partnership with NPR and Montana Public Radio.

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