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Addressing loneliness and isolation in retirement housing

Published online by Cambridge University Press:  21 November 2016

ANNE GRAY  and
GEORGE WORLLEDGE
ANNE GRAY*
Affiliation:
Weeks Centre for Social and Policy Research, London South Bank University, UK.
GEORGE WORLLEDGE
Affiliation:
Hanover Housing Association, Staines, UK.
*
Address for correspondence: Anne Gray, Visiting Research Scholar, Weeks Centre for Social and Policy Research, South Bank University, 103 Borough Road, London SE1 0AA, UK E-mail: [email protected]
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Abstract

Loneliness is a significant health risk for older people, linked with bereavement, living alone and declining health. Previous research suggests loneliness is common amongst residents of English retirement housing, who show a relatively high incidence of these factors. This invites the question, what can providers of retirement housing do to help their residents avoid loneliness, thus remaining healthier and less likely to need care services? Through a survey of 326 retirement-estate managers, we investigate the role of staff and residents' groups in developing organised social activities for residents in retirement housing, and the potential of these activities for generating social contacts which may provide a pathway to avoid loneliness. The survey was informed by a literature review with two objectives: firstly, to consider the nature and causes of loneliness amongst older people and how these apply to retirement housing residents; secondly, to identify good practice models of previous interventions designed to widen social interactions for older people or provide emotional support. The sample was drawn from the all-England property portfolio of a major provider of retirement housing for people over 55. The sampled estates, mostly social rented but including some with a mixture of leasehold and rented dwellings, represent a sector also described as sheltered or supported housing, which has over 550,000 dwellings in the United Kingdom. It is characterised by having some form of staff support for people who are frail, immobile or isolated, such that they may occasionally need help available on call. In the literature review, we consider how different kinds of social contact can help develop friendships and meet social support needs, in retirement housing and elsewhere – in particular, organised group activities (clubs, classes, etc.) and specific interventions designed to address loneliness. The fieldwork suggests that organised activities in retirement housing have considerable potential to meet residents' social support needs, but that this potential is often not fully realised. A wider range of activities is needed, which may require the support of housing management staff, volunteers and community organisations.

Keywords

retirement housinglonelinessisolationsocial capitalfriendships
Type
Articles
Information
Ageing & Society , Volume 38 , Issue 3 , March 2018 , pp. 615 - 644
Copyright
Copyright © Cambridge University Press 2016 

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References

Andrews, G. J., Gavin, N., Begley, S. and Brodie, D., 2003. Assisting friendships, combating loneliness: users’ views on a ‘befriending’ scheme. Ageing & Society, 23, 3, 349–62.CrossRefGoogle Scholar
Bartlett, H., Warburton, J., Lui, C.-W., Peach, L. and Carroll, M. 2013. Preventing isolation in later life: findings and insights from a pilot Queensland intervention. Ageing & Society, 33, 5, 1167–89.Google Scholar
Beach, B. and Bamford, S.-M. 2014. Isolation: The Emerging Crisis for Older Men. ILCUK/Independent Age, London. Available online at http://www.independentage.org/media/828364/isolation-the-emerging-crisis-for-older-men-report.pdf [Accessed 15 October 2014].Google Scholar
Bernard, M., Bartlam, B., Sim, J. and Biggs, S. 2007. Housing and care for older people: life in an English purpose-built retirement village. Ageing & Society, 27, 3, 555–78.Google Scholar
Bernard, M., Liddle, J., Bartlam, B., Scharf, T. and Sim, J. 2012. Then and now: evolving community in the context of a retirement village. Ageing & Society, 32, 1, 103–29.Google Scholar
Biggs, S., Bernard, M., Kingston, P. and Nettleton, H. 2000. Lifestyles of belief: narrative and culture in a retirement community. Ageing & Society, 20, 4, 649–72.Google Scholar
Blood, I. and Pannell, J. 2012 a. Supported Housing for Older People in the UK: An Evidence Review. Joseph Rowntree Foundation, York, UK.Google Scholar
Blood, I. and Pannell, J. 2012 b. Building Mutual Support and Social Capital in Retirement Communities. Housing Learning and Improvement Network, London. Available online at http://www.housinglin.org.uk/_library/Resources/Housing/Support_materials/Viewpoints [Accessed 13 June 2014].Google Scholar
Bolton, M. 2012. Loneliness: The State We're In. Age UK Oxfordshire, UK. Available online at http://www.ageuk.org.uk/brandpartnerglobal/oxfordshirevpp/documents/loneliness 20the20state20we20are20in20-20report202013.pdf [Accessed 12 June 2014].Google Scholar
Cacioppo, J. T. and Patrick, W. 2008. Loneliness: Human Nature and the Need for Social Connection. Norton and Company, London.Google Scholar
Callaghan, L. 2008. Social well-being in extra care housing: an overview of the literature. PSSRU Discussion Paper 2528, Policy and Social Science Research Unit, University of Kent, Canterbury, UK.Google Scholar
Callaghan, L., Netten, A. and Darton, R. 2009. The Development of Social Well-being in New Extra Care Housing Schemes. Joseph Rowntree Foundation, York, UK.Google Scholar
Callaghan, L., Netten, A., Darton, R., Baumker, T. and Holder, J. 2008. Social Well-being in Extra Care Housing: Emerging Themes. Joseph Rowntree Foundation, York, UK.Google Scholar
Callan, S. 2013. ‘When I get off the phone I feel like I belong to the human race’. Evaluation of The Silver Line Pilots. The Silver Line – Resources and Leaflets. Available online at http://www.thesilverline.org.uk/wp-content/uploads/2013/11/Evaluation-of-The-Silver-Line-Helpline-pilot-_When-I-get-off-the-phone-I-feel-like-I-belong-to-the-human-race_.pdf [Accessed 19 February 2014].Google Scholar
Cattan, M., Kime, K. and Bagnall, A.-M. 2011. The use of telephone befriending in low level support for socially isolated older people – an evaluation. Health and Social Care in the Community, 19, 2, 198–206.Google Scholar
Cattan, M., White, M., Bond, J. and Learmouth, A. 2005. Preventing social isolation and loneliness among older people: a systemic review of health promotion interventions. Ageing & Society, 25, 1, 41–67.Google Scholar
Croucher, K. and Bevan, M. 2010. Telling the Story of Hartfields: A New Retirement Village for the 21st Century. Joseph Rowntree Foundation, York, UK.Google Scholar
Croucher, K., Hicks, L. and Jackson, K. 2006. Housing with Care for Later Life: A Literature Review. Joseph Rowntree Foundation, York, UK.Google Scholar
Croucher, K., Pleace, N. and Bevan, M. 2003. Living at Hartrigg Oaks: Residents’ Views of the UK's First Retirement Community. Joseph Rowntree Foundation, York, UK.Google Scholar
Dahlberg, L. and McKee, K. J. 2014. Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging and Mental Health, 18, 4, 504–14.Google Scholar
Darton, R., Bäumker, T., Callaghan, L. and Netten, A. 2011. Improving housing with care choices for older people: the PSSRU evaluation of extra care housing. Housing, Care and Support, 14, 3, 77–82.Google Scholar
De Jong Gierveld, J. and van Tilburg, T. 2010. The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. European Journal of Ageing, 7, 2, 121–30.CrossRefGoogle Scholar
De Jong Gierveld, J., van Tilburg, T. and Dykstra, P. 2006. Loneliness and social isolation. In Vangelisti, A. and Perlman, D. (eds), Cambridge Handbook of Personal Relationships. Cambridge University Press, Cambridge, 485–500.Google Scholar
Demakakos, P., Nazroo, J. and Nunn, S. 2006. Loneliness, relative deprivation and life satisfaction. In Retirement, Health and Relationships of the Older Population in England: The 2004 English Longitudinal Study of Ageing (Wave 2). Institute of Fiscal Studies, London. Available online at http://www.elsa-project.ac.uk/reportWave2 [Accessed 21 October 2015].Google Scholar
Dickens, A. P., Richards, S. H., Greaves, C. and Campbell, J. L. 2011. Interventions targeting social isolation in older people: a systematic review. BMC Public Health, 11, 647.Google Scholar
Evans, S. 2009. ‘That lot up there and us down here’: social interaction and a sense of community in a mixed tenure UK retirement village. Ageing & Society, 29, 2, 199–216.CrossRefGoogle Scholar
Gray, A. 2006. Growing old in a London Borough; the shrinking personal community and how volunteers help to maintain it. Working Paper, Families and Social Capital Group, London South Bank University, London.Google Scholar
Gray, A. 2009. The social capital of older people. Ageing & Society, 29, 1, 5–31.CrossRefGoogle Scholar
Gray, A. 2014. Care in the community or care of the community? Some reflections on the role of support services in retirement housing. Housing, Care and Support, 17, 2, 75–83.Google Scholar
Gray, A. 2015. Social capital and neighbourhood in older people's housing. In Forsman, A. and Nyqvist, F. (eds), Social Capital and Health Amongst Older People. Springer, New York, 65–85.Google Scholar
Green, M. and Rossall, P. 2013. Digital Exclusion Evidence Report. Age UK, London. Available online at http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/Age20UK20Digital20Inclusion20Evidence20Review202013.pdf?dtrk=true [Accessed 8 October 2014].Google Scholar
Hanover 2009. Hanover Inpractice. Volume 1, September. Available online at http:www.hanover.org.uk/about-uspublications/corporate-publications [Accessed 9 October 2014].Google Scholar
Hanover 2010. Hanover Inpractice. Volume 2, September. Available online at http://www.hanover.org.uk/about-us/publications/corporate-publications/ [Accessed 9 October 2014].Google Scholar
Hanover 2011. Hanover Inpractice. Volume 3, September. Available online at http://www.hanover.org.uk/about-us/publications/corporate-publications/ [Accessed 9 October 2014].Google Scholar
Hanover 2012. Hanover Inpractice. Volume 4, September. Available online at http://www.hanover.org.uk/about-us/publications/corporate-publications/ [Accessed 9 October 2014].Google Scholar
Hanover 2013. Hanover Inpractice. Volume 5, September. Available online at http://www.hanover.org.uk/about-us/publications/corporate-publications/ [Accessed 9 October 2014].Google Scholar
Hays, T. and Minichiello, V. 2005. The contribution of music to quality of life in older people: an Australian qualitative study. Ageing & Society, 25, 2, 261–78.Google Scholar
Hobby, L. 2006. Evaluation of Chester Healthy Living Network Chair-based Exercise. HACCRU, University of Liverpool, Liverpool, UK.Google Scholar
Holt-Lunstad, J., Smith, T. B. and Layton, J. B. 2010. Social relationships and mortality risk: a meta-analytic review. PLOS Medicine, 7, 7, e1000316.Google Scholar
Iecovich, E., Jacobs, J. M. and Stessman, J. 2011. Loneliness, social networks, and mortality: 18 years of follow-up. International Journal of Aging and Human Development, 72, 3, 243–63.Google Scholar
James, B. D., Wilson, R. S., Barnes, L. L. and Bennett, D. A. 2011. Late-life social activity and cognitive decline in old age. Journal of the International Neuropsychological Society, 17, 6, 153–62.Google Scholar
King, N., Pannell, J. and Copeman, I. 2009. Nobody's Listening: The Impact of Floating Support on Older People Living in Sheltered Housing. Help the Aged, London. Available online at http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Housing/ [Accessed 20 October 2014].Google Scholar
Kneale, D. 2013. Establishing the Extra in Extra Care: Perspectives from Three Extra Care Housing Providers. International Longevity Centre UK, London. Available online at www.ilcuk.org.uk [Accessed 13 June 2014].Google Scholar
Lemon, B. W., Bengston, V. L. and Peterson, J. A. 1972. Exploration of the activity theory of aging: activity types and life satisfaction among in-movers to a retirement community. Journal of Gerontology, 27, 4, 511–23.Google Scholar
Lester, H., Mead, N., Graham, C. C., Gask, L. and Reilly, S. 2012. An exploration of the value and mechanisms of befriending for older adults in England. Ageing & Society, 32, 2, 307–28.CrossRefGoogle Scholar
Litwin, H. and Shiovitz-Ezra, S. 2006. The association between activity and wellbeing in later life: what really matters? Ageing & Society, 26, 2, 225–42.Google Scholar
Litwin, H. and Shiovitz-Ezra, S. 2010. Social network type and subjective well-being in a national sample of older Americans. The Gerontologist, 51, 3, 379–88.Google Scholar
Lock, I. and Whittington, T. 2006. Age-restricted housing in the UK – retirement villages in context. Journal of Care Services Management, 1, 1, 51–65.Google Scholar
Luanaigh, C. O. and Lawlor, B. A. 2008. Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 12, 1213–21.Google Scholar
Milligan, C., Payne, S., Bingley, A. and Cockshott, Z. 2013. Place and wellbeing: shedding light on activity interventions for older men. Ageing & Society, 33, 6, 1–26.Google Scholar
National Association of Providers of Activity for Older People (NAPA) 2012. ‘Fit as a Fiddle’: Life and Soul Final Programme Report. Available online at http://www.ageuk.org.uk/Global/LifeandSoulevaluation.pdf?dtrk=true [Accessed 22 October 2014].Google Scholar
Pahl, R. and Pevalin, D. J. 2005. Between family and friends: a longitudinal study of friendship choice. British Journal of Sociology, 56, 3, 433–50.Google Scholar
Pannell, J., Aldridge, H. and Kenway, P. 2012. Older People's Housing: Choice, Quality of Life, and Under-occupation. Joseph Rowntree Foundation, York, UK.Google Scholar
Percival, J. 2001. Self-esteem and social motivation in age-segregated settings. Housing Studies, 16, 827–40.Google Scholar
Pinquart, M. and Sörensen, S. 2001. Influences on loneliness in older adults: a meta-analysis. Basic and Applied Social Psychology, 23, 4, 245–66.Google Scholar
Scharf, T. and De Jong Gierveld, J. 2008. Loneliness in urban neighbourhoods: an Anglo-Dutch comparison. European Journal of Ageing, 5, 2, 103–5.Google Scholar
Social Exclusion Unit 2006. A Sure Start in Later Life. HMSO, London.Google Scholar
Stevens, N. 1995. Gender and adaptation to widowhood in late life. Ageing & Society, 15, 1, 37–58.Google Scholar
Stevens, N. 2001. Combating loneliness: a friendship enrichment programme for older women. Ageing & Society, 21, 2, 183–202.Google Scholar
Stevens, N., Martina, C. and Westerhof, G. 2006. Meeting the need to belong: predicting effects of a friendship enrichment program for older women. The Gerontologist, 46, 4, 495–502.Google Scholar
Sundström, G., Fransson, E., Malmberg, B. and Davey, A. 2009. Loneliness among older Europeans. European Journal of Ageing, 6, 4, 267–75.Google Scholar
Taylor, B. and Neill, A. 2009. Sheltered housing and care for older people. Quality in Ageing and Older Adults, 10, 4, 18–28.Google Scholar
Tiikkainen, P., Heikkinen, R.-L. and Leskinen, E. 2008. Predictors of perceived togetherness in very old men, and women: a 5-year follow-up study. Archives of Gerontology and Geriatrics, 46, 3, 387–99.Google Scholar
Van Baarsen, B. 2002. Theories on coping with loss: the impact of social support and self-esteem on adjustment to emotional and social loneliness following a partner's death in later life. Journals of Gerontology: Psychological Sciences and Social Sciences, 57B, 1, S33–42.Google Scholar
Verstraten, P. F. J., Brinkmann, W. L. J. H., Stevens, N. L. and Schouten, J. S. 2005. Loneliness, adaptation to vision impairment, social support, and depression among visually impaired elderly. International Congress Series, 1282, 317–21.CrossRefGoogle Scholar
Victor, C. R., Scambler, S., Bond, J., Bowling, A. and Marston, L. 2006. Older people's experiences of loneliness in the UK: does gender matter? Social Policy and Society, 5, 1, 27–38.Google Scholar
Victor, C. R., Scambler, S., Bowling, A. and Bond, J. 2005. The prevalence of and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing & Society, 25, 2, 357–75.Google Scholar
Wenger, C. and Burholt, V. 2004. Changes in levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study. Canadian Journal on Aging, 23, 2, 115–27.Google Scholar
Wenger, C., Davies, R., Shahtahmasebi, S. and Scott, A. 1996. Social isolation and loneliness in old age: review and model refinement. Ageing & Society, 16, 3, 333–58.Google Scholar
Windle, K., Francis, J. and Coomber, C. 2011. Preventing Loneliness and Social Isolation: Interventions and Outcomes. Social Care Institute for Excellence. Available online at http://www.scie.org.uk/publications/briefings/files/briefing39.pdf [Accessed 9 January 2015].Google Scholar