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Residing in communal senior housing: situating the ageing self within debates of the universal welfare state

Published online by Cambridge University Press:  13 October 2022

Paula Vasara Open the ORCID record for Paula Vasara [Opens in a new window]
Paula Vasara*
Affiliation:
Welfare Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland Centre of Excellence in Research on Ageing and Care (CoE AgeCare), University of Jyväskylä, Jyväskylä, Finland
*
Email: paula.vasara@tuni.fi
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Abstract

Currently, Nordic welfare societies are at a crossroads. Ongoing demographic changes – such as ageing, accompanied by challenges in financing adequate services for all – have highlighted the need to consider the roles of citizens and the state in a novel way. Balancing rights and responsibilities has always been at the core of universalism, even though, traditionally, trust in the welfare state's ability to fulfil its basic function of providing necessary services for all has been strong. However, of late, subtle signs of change have become more visible, and in practice, older people's housing and care provisions have been marked by the state's withdrawal. By employing narrative analysis, this study explores, through the experiences of residents in age-related intermediate housing, how older people make use of, negotiate and embed the arguments being made in societal debates on the rights and responsibilities of ageing citizens. The accounts showcase the ways in which these narrators are able to accommodate the sometimes contradictory elements in their narration, accept the demand for increased responsibility for their later-life arrangements and construct plausible portraits of themselves as morally responsible citizens. These subtle negotiations and the acceptance of personal responsibility indicate a change in their perceptions of and expectations from the citizens and the state. Whilst the findings comprise stories of good outcomes, they also question the legitimacy of the current welfare system's universalism and its ability to guide the way to achieve equally good outcomes for all in the future.

Keywords

citizenshipolder individualsresponsibilityNordic universalismhousing policies
Type
Article
Information
Ageing & Society , First View , pp. 1 - 23
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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References

Aaltonen, M, Forma, L, Rissanen, P, Raitanen, J and Jylhä, M (2010) Transitions in health and social service system at the end of life. European Journal of Ageing 7, 91–100.CrossRefGoogle ScholarPubMed
Andersson, S (2012) Ageing in place – ikäihmisten asumisen ongelmat ja sosiaaliset suhteet [Ageing in place – older people's problems with housing and social relations]. Gerontologia 26, 2–13.Google Scholar
Anttonen, A (2002) Universalism and social policy: a Nordic-feminist revaluation. Nordic Journal of Feminist and Gender Research 10, 71–80.CrossRefGoogle Scholar
Anttonen, A and Häikiö, L (2011 a) Care ‘going market’: Finnish elderly-care policies in transition. Nordic Journal of Social Research 2, 1–21.Google Scholar
Anttonen, A and Häikiö, L (2011 b) From social citizenship to active citizenship? Tensions between policies and practices in Finnish elderly care. In Newman, J and Tonkens, E (eds), Participation, Responsibility and Choice. Summoning the Active Citizen in Western European Welfare States. Amsterdam: Amsterdam University Press, pp. 67–86.Google Scholar
Anttonen, A and Karsio, O (2016) Eldercare service redesign in Finland: deinstitutionalization of long-term care. Journal of Social Service Research 42, 151–166.CrossRefGoogle Scholar
Anttonen, A and Sipilä, J (2012) Suomalaista sosiaalipolitiikkaa [Finnish Social Policy]. Helsinki: Vastapaino.Google Scholar
Béland, D and Powell, M (2016) Continuity and change in social policy. Social Policy and Administration 50, 129–147.CrossRefGoogle Scholar
Bengtson, VL and Settersten, RA (eds) (2016) Handbook of Theories of Aging. New York, NY: Springer.CrossRefGoogle Scholar
Bengtsson, B and Jensen, L (2021) Unitary housing regimes in transition – comparing Denmark and Sweden from a perspective of path dependence and change. In Erola, J, Naumanen, P, Kettunen, H and Paasivaara, V-M (eds), Norms, Moral and Social Structures. Essays in Honour of Hannu Ruonavaara (Acta Universitatis Upsaliensis). Uppsala, Sweden: Uppsala University, pp. 15–33. Available at https://www.diva-portal.org/smash/get/diva2:1463975/FULLTEXT01.pdf.Google Scholar
Bengtsson, B and Ruonavaara, H (2010) Introduction to the special issue: Path dependence in housing. Housing, Theory and Society 27, 193–203.CrossRefGoogle Scholar
Bengtsson, B, Annaniassen, E, Jensen, L, Ruonavaara, H and Sveinsson, JR (2013) Varför så olika? Nordisk bostadspolitik in jämförande historiskt ljus [Why So Different? Nordic Housing Policy in a Comparative Historical Term]. Århus, Denmark: Égalité.Google Scholar
Brown, K, Ecclestone, K and Emmel, N (2017) The many faces of vulnerability. Social Policy and Society 16, 497–510.CrossRefGoogle Scholar
Bruner, J (1990) Acts of Meaning. Cambridge, MA: Harvard University Press.Google Scholar
Buffel, T (2021) A manifesto for the age-friendly movement: supporting citizen engagement and interdisciplinary collaboration to improve older people's lives. In Hammond, M and Saunders, N (eds), A Design for Life. Urban Practices for an Age-friendly City. Manchester, UK: Manchester Metropolitan University, pp. 31–37.Google Scholar
Chase, SE (2005) Narrative inquiry. Multiple lenses, approaches, voices. In Denzin, NK and Lincoln, YS (eds), The SAGE Handbook of Qualitative Research. London: Sage, pp. 651–679.Google Scholar
Clapham, D (2005) The Meaning of Housing. A Pathways Approach. Bristol, UK: Policy Press.Google Scholar
Davy, L (2019) Between an ethic of care and an ethic of autonomy. Negotiating relational autonomy, disability, and dependency. Angelaki 24, 101–114.CrossRefGoogle Scholar
del Barrio, E, Marsillas, S, Buffel, T, Smetcoren, A and Sancho, M (2018) From active aging to active citizenship: the role of (age) friendliness. Social Sciences 7, 1–16.CrossRefGoogle Scholar
Dillaway, HE and Byrnes, M (2009) Reconsidering successful aging: a call for renewed and expanded academic critiques and conceptualizations. Journal of Applied Gerontology 28, 702–722.CrossRefGoogle Scholar
Elder, GH (1994) Time, human agency and social change: perspectives on the life course. Social Psychology Quarterly 57, 4–15.Google Scholar
Esping-Andersen, G (1990) The Three Worlds of Welfare Capitalism. Cambridge: Polity Press.Google Scholar
Fineman, MA (2008) The vulnerable subject: anchoring equality in the human condition. Yale Journal of Law & Feminism 20, 1–24.Google Scholar
Finnish Institute of Health and Welfare (2017) Sosiaalihuollon laitos- ja asumispalvelut 2015 [Institutional Care and Housing Services in Social Care 2015]. Helsinki: Finnish Institute of Health and Welfare.Google Scholar
Fogelholm, M, Raivio, R, Haapola, I and Karisto, A (2013) Ikihyvä Päijät-Häme, kymmenen vuotta [Ikihyvä Päijät-Häme, ten years]. In Haapola, I, Karisto, A and Fogelholm, M (eds), Vanhuusikä muutoksessa: Ikihyvä Päijät-Häme -tutkimuksen tuloksia 2002–2012 [Changing Old Age: Results from the Ikihyvä Päijät-Häme Research 2002–2012]. Lahti, Finland: Päijät-Hämeen sosiaali- ja terveydenhuollon kuntayhtymä, pp. 9–14.Google Scholar
Forma, L, Jylhä, M, Aaltonen, M, Raitanen, J and Rissanen, P (2012) Vanhuuden viimeiset vuodet [Final Years of Old Age]. Helsinki: Kunnallisalan kehittämissäätiö.Google Scholar
Golant, SM (2015) Aging in the Right Place. Baltimore, MD: Health Professions Press.Google Scholar
Gullette, MM (2018) Against ‘aging’: how to talk about growing older. Theory, Culture & Society 35, 251–270.CrossRefGoogle Scholar
Hägglund, AE and Rotkirch, A (2021) The family situation across the life course. In Komp-Leukkunen, K (ed.), Life-histories in Finland: First Results from the Survey of Health, Ageing and Retirement in Europe. Helsinki: Population Research Institute, pp. 62–74.Google Scholar
Haltia, E, Keskinen, P, Karikallio, H, Alho, E, Vuori, L and Alimov, N (2019) Miten ja missä kaupunkilaiset haluavat asua? [How Do People Want to Live in Cities?] (PTT Raportteja 260). Available at https://www.ptt.fi/julkaisut-ja-hankkeet/kaikki-julkaisut/kaupunkiseutujen-asukkaiden-asumispreferenssit-miten-ja-missa-kaupunkilaiset-haluavat-asua.html.Google Scholar
Hannikainen, K (2018) Ikääntyneiden sosiaali- ja terveyspalveluiden tarve ja käyttö eroavat tulotason mukaan [Need and Use of Social and Health Care Services Vary Among Older People According to Income Levels]. Helsinki: Finnish Institute for Health and Welfare.Google Scholar
Havighurst, RJ (1961) Successful ageing. The Gerontologist 1, 8–13.CrossRefGoogle Scholar
Helliwell, JF, Layard, R and Sachs, JD (2019) World Happiness Report 2019. Available at https://s3.amazonaws.com/happiness-report/2019/WHR19.pdf.Google Scholar
Hoppania, H-K, Karsio, O, Näre, L, Olakivi, A, Sointu, L, Vaittinen, T and Zechner, M (2016) Hoivan arvoiset. Vaiva yhteiskunnan ytimessä [Worthy of Care. Ailment at the Core of the Society]. Helsinki: Gaudeamus.Google Scholar
Huhta, J and Karppanen, S (2020) Kohti ikäystävällistä yhteiskuntaa. Iäkkäiden henkilöiden palvelujen uudistamistyöryhmän raportti [Towards Age-friendly Society: Working Group Report on Reforming the Services for Older People]. Helsinki: Ministry of Social Affairs and Health.Google Scholar
Ilmarinen, K (2017) Iäkkäiden kotihoidon ja tukipalvelujen asiakasmaksuissa isoja eroja kuntien välillä [Vast Differences Between the Payments of Older People's Home Care and Support Services Between Municipalities]. Helsinki: Finnish Institute of Health and Welfare.Google Scholar
International Alliance of Carer Organizations (2022) Global State of Caring. Available at https://internationalcarers.org/.Google Scholar
Johansson, H and Saarikangas, K (2009) Homes in Transformation: Dwelling, Moving, Belonging. Helsinki: The Finnish Literature Society SKS.Google Scholar
Jolanki, O, Leinonen, E, Rajaniemi, J, Rappe, E, Räsänen, T, Teittinen, O and Topo, P (2017) Asumisen yhteisöllisyys ja hyvä vanhuus [Communality of Living and Well-being in Old Age]. Helsinki: Prime Minister's Office.Google Scholar
Juhila, K and Kröger, T (eds) (2016) Siirtymät ja valinnat asumispoluilla [Transitions and Choices on the Housing Pathway]. Jyväskylä: SoPhi.Google Scholar
Jylhä, M (2015) Vanhuus pitenee, hoiva vähenee? [Old age lengthens, care decreases?]. Talous ja Yhteiskunta 1, 40–45.Google Scholar
Katz, S (2020) Precarious life, human development and the life course: critical intersections. In Grenier, A, Phillipson, C and Settersten, RA (eds), Precarity and Ageing. Understanding Insecurity and Risk in Later Life. Bristol, UK: Bristol University Press, pp. 41–66.Google Scholar
Katz, S and Calasanti, T (2015) The critical perspectives on successful aging: does it ‘appeal more than it illuminates’? The Gerontologist 55, 26–33.CrossRefGoogle ScholarPubMed
Kehusmaa, S and Hammar, T (2019) Kahdeksan faktaa vanhuspalvelujen tilasta [Eight Facts About the Situation in Older People's Care]. Available at https://thl.fi/fi/-/8-faktaa-vanhuspalvelujen-tilasta.Google Scholar
Kettunen, H (2021) Housing Policy in Retrenchment. Constructing Housing Policy in Times of Change (Annales Universitatis Turkuensis B565). Turku: University of Turku.Google Scholar
Komp-Leukkunen, K (2021) Health care across the life-course. In Komp-Leukkunen, K (ed.), Life-histories in Finland: First Results from the Survey of Health, Ageing and Retirement in Europe. Helsinki: Population Research Institute, pp. 30–39.Google Scholar
Kröger, T (2003) Universalism in social care for older people in Finland: weak and still getting weaker. Nordisk Sosialt Arbeid 23, 30–34.CrossRefGoogle Scholar
Kröger, T (2011) Retuning the Nordic welfare municipality: central regulation of social care under change in Finland. International Journal of Sociology and Social Policy 31, 148–159.CrossRefGoogle Scholar
Kröger, T and Leinonen, A (2012) Transformation by stealth: the retargeting of home care in Finland. Health and Social Care in the Community 20, 319–327.CrossRefGoogle ScholarPubMed
Kulmala, J, Lisko, I and Im, Z (2021) Health and disability across the life-course. In Komp-Leukkunen, K (ed.), Life-histories in Finland: First Results from the Survey of Health, Ageing and Retirement in Europe. Helsinki: Population Research Institute, pp. 18–29.Google Scholar
Lampinen, S (2021) Monisukupolvisen yhteisöllisen asumisen hyvät käytännöt ja solmukohdat [Good Practices and Nodal Points in Intergenerational Communal Living]. Jyväskylä: Keski-Suomen sosiaalialan osaamiskeskus.Google Scholar
Laslett, P (1989) A Fresh Map of Life: The Emergence of the Third Age. London: Weidenfeld & Nicolson.Google Scholar
Lintunen, J (2019) Yhä useampi ikäihminen asuu kotona – yli puolet pientaloissa [Increasing Number of Older People Live at Home – Over Half of Them at Their Own Houses]. Available at http://www.tilastokeskus.fi/tietotrendit/artikkelit/2019/yha-useampi-ikaihminen-asuu-kotona-yli-puolet-pientaloissa/.Google Scholar
Lujanen, M (ed.) (2004 a) Housing and Housing Policy in the Nordic Countries (Norden 2004:007). Copenhagen: Nordic Council of Ministers. Available at http://norden.diva-portal.org/smash/get/diva2:702479/FULLTEXT01.pdf.Google Scholar
Lujanen, M (2004 b) Main features of Nordic housing policy. In Lujanen, M (ed.), Housing and Housing Policy in the Nordic Countries (Norden 2004:007). Copenhagen: Nordic Council of Ministers, pp. 15–22. Available at http://norden.diva-portal.org/smash/get/diva2:702479/FULLTEXT01.pdf.Google Scholar
Marshall, TH (1950) Citizenship and Social Class, and Other Essays. Cambridge: Cambridge University Press.Google Scholar
Massey, D (2002) The conceptualization of place. In Massey, D and Jess, P (eds), A Place in the World? (The Open University Series The Shape of the World: Explorations in Human Geography 4). New York, NY: Oxford University Press, pp. 45–85.Google Scholar
Massey, D (2008) Samanaikainen tila [Space]. Tampere: Vastapaino.Google Scholar
Meagher, G and Szebehely, M (eds) (2013) Marketisation in Nordic Eldercare: A Research Report on Legislation, Oversight, Extent and Consequences. Stockholm: Stockholm University.Google Scholar
Means, R (2007) Safe as houses. Ageing in place and vulnerable old people in the UK. Social Policy and Administration 41, 63–85.CrossRefGoogle Scholar
Mikkola, H and Hänninen, J (2021) Housing and geographical differences across the life-course. In Komp-Leukkunen, K (ed.), Life-histories in Finland: First Results from the Survey of Health, Ageing and Retirement in Europe. Helsinki: Population Research Institute, pp. 76–87.Google Scholar
Ministry of Social Affairs and Health (MSAH) (2014) Kansallinen omaishoidon kehittämisohjelma. Työryhmän loppuraportti [National Development Programme for Family Care: Final Report]. Helsinki: MSAH.Google Scholar
Ministry of Social Affairs and Health (MSAH) (2017) Laatusuositus hyvän ikääntymisen turvaamiseksi ja palvelujen parantamiseksi 2017–2019 [Quality Recommendation to Guarantee Good Quality of Life and Improved Services for Older Persons 2017–2019]. Helsinki: MSAH and Association of Finnish Municipalities.Google Scholar
Ministry of Social Affairs and Health (MSAH) (2020) Kansallinen ikäohjelma vuoteen 2030. Tavoitteena ikäkyvykäs Suomi [National Programme on Ageing 2030: For an Age-competent Finland]. Helsinki: MSAH.Google Scholar
Ministry of the Environment (MOE) (2013) Housing Development Programme for Older Population 2013–2017: Government Resolution. Helsinki: MOE.Google Scholar
Muehlebach, A (2012) The Moral Neoliberal. Welfare and Citizenship in Italy. Chicago, IL: University of Chicago Press.CrossRefGoogle Scholar
Newman, J and Tonkens, E (2011) Introduction. In Newman, J and Tonkens, E (eds), Participation, Responsibility and Choice. Summoning the Active Citizen in Western European Welfare States. Amsterdam: Amsterdam University Press, pp. 9–28.Google Scholar
Oosi, O, Koramo, M and Sadeoja, S (2019) Ikääntyneiden palvelu- ja yhteisökorttelin toteuttaminen [Building Older People's Service and Community Block]. Lahti: Asumisen rahoitus- ja kehittämiskeskus.Google Scholar
Oosi, O, Kortelainen, J, Luukkonen, T and Haila, K (2020) Ikääntyneiden välimuotoisen asumisen tilanne ja tulevaisuuden tarpeet [Situation of and Future Needs for Intermediate Housing for Older People]. Helsinki: Ministry of the Environment.Google Scholar
Paavolainen, T (2021) Yhteisöllisyys asumisessa. Katsaus ikääntyneiden yhteisölliseen asumiseen [Communality in Housing: Review of Older People's Communal Housing]. Jyväskylä: Keski-Suomen sosiaalialan osaamiskeskus KOSKE.Google Scholar
Peace, S, Holland, C and Kellaher, L (2011) ‘Option recognition’ in later life: variations in ageing in place. Ageing & Society 31, 734–757.CrossRefGoogle Scholar
Peterson, E and Brodin, H (2022) Choice, needs or equality? Discursive struggles about defining home care for older people in Sweden. Ageing & Society 42, 2433–2453.CrossRefGoogle Scholar
Riessman, CK (2008) Narrative Methods for the Human Sciences. Los Angeles, CA: Sage.Google Scholar
Rowe, JW and Kahn, RL (1997) Successful aging. The Gerontologist 37, 433–440.CrossRefGoogle ScholarPubMed
Ruonavaara, H, Kettunen, H, Sutela, E and Tyvelä, H (2020) Asuntopolitiikkaa Euroopassa – mitä voimme oppia? [Housing Policies in Europe – What Can We Learn?] (Publications of the Ministry of Environment 30). Available at http://urn.fi/URN:ISBN:978-952-361-435-2.Google Scholar
Ruusuvuori, J and Tiittula, L (2009) Tutkimushaastattelu ja vuorovaikutus [Research interview and interaction]. In Ruusuvuori, J and Tiittula, L (eds), Haastattelu. Tutkimustilanteet ja vuorovaikutus [Interview. Research and Interaction]. Tampere: Vastapaino, pp. 22–56.Google Scholar
Saikkonen, P, Kestilä, L and Karvonen, S (2019) Katse kohti hyvinvointipolitiikan tulevaisuutta [A look towards the future of welfare politics]. In Kestilä, L and Karvonen, S (eds), Suomalaisten hyvinvointi 2018 [Welfare of Finns 2018]. Helsinki: Finnish Institute of Health and Welfare.Google Scholar
Scharlach, AE and Diaz-Moore, K (2016) Aging in place. In Bengtson, VL and Settersten, RA Jr (eds), Handbook of Theories of Aging. New York, NY: Springer, pp. 407–425.Google Scholar
Statistics Finland (2019 a) Population Projection. Available at http://www.stat.fi/til/vaenn/2019/vaenn_2019_2019-09-30_tie_001_en.html.Google Scholar
Statistics Finland (2019 b) Population Structure. Available at http://www.stat.fi/til/vaerak/2019/vaerak_2019_2020-03-24_tie_001_en.html.Google Scholar
Statistics Finland (2020) Dwellings and Housing Conditions. Available at http://www.stat.fi/til/asas/index_en.html.Google Scholar
Szebehely, M (2022) Future of care and care policies: some reflections on Nordic similarities and peculiarities. Keynote lecture presented at Longer lives, better care? CoE AgeCare Midterm Congress, Tampere, Finland, 17 June 2022.Google Scholar
Szebehely, M and Meagher, G (2017) Nordic eldercare: weak universalism becoming weaker? Journal of European Social Policy 28, 294–308.CrossRefGoogle Scholar
The Constitution of Finland 731/1999 (1999) Available at https://www.finlex.fi/fi/laki/kaannokset/1999/en19990731.pdf.Google Scholar
Timonen, V (2016) Beyond Successful and Active Ageing: A Theory of Model Ageing. Bristol, UK: Policy Press.Google Scholar
Timonen, V and Kautto, M (2014) Sustaining the Nordic welfare model in the face of population ageing. In Harper, S and Hamblin, K (eds), International Handbook on Ageing and Public Policy. Cheltenham, UK: Edward Elgar, pp. 279–290.Google Scholar
Tuan, Y-F (1979) Space and place: humanistic perspective. In Gale, S and Olsson, G (eds), Philosophy in Geography (Annual). Dordrecht, The Netherlands: D. Reidel Publishing Company, pp. 387–427.CrossRefGoogle Scholar
Twigg, J (2007) Clothing, age and the body: a critical review. Ageing & Society 27, 285–305.CrossRefGoogle Scholar
Tyvimaa, T and Kemp, CL (2011) Finnish seniors’ move to a senior house: examining the push and pull factors. Journal of Housing for the Elderly 25, 50–71.CrossRefGoogle Scholar
Vaarama, M, Karvonen, S, Kestilä, L, Moisio, P and Muuri, A (eds) (2014) Suomalaisten hyvinvointi 2014 [The Welfare of Finns 2014]. Helsinki: Finnish Institute for Health and Welfare.Google Scholar
Vasara, P (2015) Not ageing in place. Negotiating meanings of residency in age-related housing. Journal of Aging Studies 35, 55–64.CrossRefGoogle ScholarPubMed
Vasara, P (2020) Väistämättömyyksiä ja valintoja. Kertomuksia ikäihmisten asumispolulta [Exigencies and Choices: Narratives of Older People's Housing Paths]. Jyväskylä: University of Jyväskylä.Google Scholar
Vilkko, A, Suikkanen, A and Järvinen-Tassopoulos, J (eds) (2010) Kotia paikantamassa [Locating Home]. Rovaniemi: Lapland University Press.Google Scholar
World Health Organization (WHO) (2002) Active Ageing: A Policy Framework. Geneva: WHO. Available at https://apps.who.int/iris/bitstream/handle/10665/67215/WHO_NMH_NPH_02.8.pdf;jsessionid=CC523A0BA4D97E70ED653FC69FB7AF8A?sequence=1-.Google Scholar
World Health Organization (WHO) (2022) Ageing and Health. Geneva: WHO. Available at https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.Google Scholar