Beyond Housing First: rethinking neoliberal policies impacting homelessness.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Public Health Policy Pub Date : 2024-12-11 DOI:10.1057/s41271-024-00537-7
Kathleen J Farkas, Jaroslaw R Romaniuk, Mariusz Baranowski
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Abstract

This article critically examines the Housing First model within the broader context of neoliberal policies impacting homelessness, particularly at the intersection of mental illness, poverty, and addiction. While Housing First is celebrated for its effectiveness in providing immediate housing to chronically homeless individuals, this model's alignment with neoliberal principles prioritizes cost effectiveness and visible outcomes over comprehensive care. As a harm reduction approach, Housing First often overlooks the underlying mental health and addiction issues that maintain homelessness, resulting in a cycle of dependency rather than long-term recovery. In this article, we argue that the reduction in funding for transitional housing and mental health services, driven by neoliberal policies, has exacerbated the challenges faced by marginalized populations. A call is made for a shift toward more holistic and integrated approaches that balance immediate housing solutions with robust mental health care and social support systems, aiming for sustained recovery, independence, and social reintegration for individuals experiencing homelessness.

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超越住房优先:重新思考影响无家可归的新自由主义政策。
本文在新自由主义政策影响无家可归问题的大背景下,对 "住房优先 "模式进行了批判性研究,尤其是在精神疾病、贫困和成瘾问题交织在一起的情况下。尽管 "住房第一 "模式因其为长期无家可归者提供即时住房的有效性而备受赞誉,但这种模式与新自由主义原则的一致性将成本效益和可见结果置于全面护理之上。作为一种减少伤害的方法,"住房第一 "往往忽视了造成无家可归现象的潜在心理健康和成瘾问题,导致依赖性循环,而非长期康复。在这篇文章中,我们认为,在新自由主义政策的推动下,过渡性住房和心理健康服务的资金减少,加剧了边缘化人群所面临的挑战。我们呼吁转向更全面、更综合的方法,在即时住房解决方案与强大的心理健康护理和社会支持系统之间取得平衡,从而实现无家可归者的持续康复、独立和重新融入社会。
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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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