This article discusses the sociocultural considerations from an anthropolog
ic view superimposed on a physical therapist's perspective. A historic appr
oach to homelessness in America, starting from colonial times and progressi
ng into the late 20th century, provides a fascinating review of cultural ci
rcumstances that lead to elder homelessness. Subgroups of the homeless popu
lation such as older homeless veterans, older homeless men, and older homel
ess women are presented. Discussion revolves around the social dynamics tha
t lead to or prevent homelessness within these subgroups of American cultur
e. Lastly. the changes required in the perceptions and attitudes of rehabil
itation professionals in order to adequately meet the needs of homeless eld
ers are provided. Model programs for providing rehabilitative services for
homeless populations are presented with an emphasis on physical therapy.