Older adults who are experiencing homelessness have three to four times the mortality rate of the general population due to unmet physical health, mental health, and substance use treatment needs. The combination of issues typically associated with homelessness such as mental health and substance abuse with those related to aging such as reduced mobility and a need for assistance with daily activities is requiring that elder housing and services providers develop creative solutions. Fortunately, permanent supportive housing with flexible services is a model that works to address homelessness among older adults and elders.

This paper will highlight components of successful models that combine affordable housing and supportive services for the population over 45 years old. It will also propose policy recommendations at the federal and state levels to facilitate the work of ending homelessness.