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The promises and the reality of smart, digital telecare in England 英国智能数字医疗的前景和现实
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-10-03 DOI: 10.1108/hcs-03-2021-0010
Phoebe Stirling, G. Burgess
PurposeThis paper asks how the introduction of “smart” digital technologies might affect the goals that can be attributed to telecare for older people, by those coordinating its provision.Design/methodology/approachA total of 29 in-depth, qualitative interviews were conducted with local authorities, housing associations and other organisations coordinating smart telecare provision, as well as telecare manufacturers and suppliers. Interviews were analysed by using qualitative thematic analysis.FindingsThe analysis reveals discrepancies between the goals and outcomes of smart telecare provision, according to those coordinating service delivery. This study concludes that the goal for smart telecare to be preventative and cost-efficient may be complicated by various organisational and operational challenges associated with coordinating provision.Originality/valueNew, “smart” telecare technology for older people stands apart from earlier, user-activated or automatic devices. It may have distinct and under-researched organisational and ethical implications.
本文询问“智能”数字技术的引入可能如何影响那些协调其提供的老年人远程医疗的目标。设计/方法/方法共与地方当局、房屋协会和其他协调智能远程医疗服务的组织,以及远程医疗制造商和供应商进行了29次深入的定性访谈。访谈采用定性专题分析进行分析。根据那些协调服务交付的人的说法,分析揭示了智能远程医疗提供的目标和结果之间的差异。本研究的结论是,智能远程医疗的目标是预防性和成本效益,这可能会因协调提供相关的各种组织和运营挑战而变得复杂。独创性/价值针对老年人的新型“智能”远程医疗技术有别于早期的用户激活或自动设备。它可能具有独特的、尚未充分研究的组织和伦理意义。
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引用次数: 0
Meeting the private sector housing condition and adaptation needs of older people: responses from London’s environmental health and allied services 满足私营部门的住房条件和老年人的适应需要:伦敦环境卫生和相关服务部门的反应
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-09-06 DOI: 10.1108/hcs-03-2021-0009
J. Stewart
PurposeThis study aims to explore the environmental health role in meeting the housing condition, adaptation and associated needs of older people living in private sector housing in London, including those living with and at risk of dementia.Design/methodology/approachA multi-method approach was adopted. First, relevant public-facing websites in London were scrutinised. Second, a Qualtrics online survey was designed and circulated to capture relevant information around relevant services offered. Third, seven face-to-face interviews were conducted with front-line practitioners involved in providing housing services to private sector owners and tenants. These were transcribed verbatim and analysed using NVivo software before categorising into themes arising.FindingsAn erratic picture emerged around the meaning of “older people” and the services offered. A mixture of organisational arrangements and types of assistance available was reported, with different ways of access and referral to services, with a range of discretionary grants offered including for dementia. Some local authorities offered minimal specialist services, with others providing highly integrated and client-led, flexible interventions to meet a range of needs. Limited inclusion of research, evidence and evaluation of the effectiveness of interventions was reported overall, although client feedback was noted as good where services were provided.Originality/valueThere is very little published around environmental health work in supporting older people living in London and their housing, health and social care needs. This paper captures a snapshot of current and proposed services offered across London for owner-occupiers and private sector tenants, as a basis for further research for evidence-based, effective front-line services going forward.
目的本研究旨在探讨环境健康在满足居住在伦敦私营部门住房的老年人的住房条件、适应和相关需求方面的作用,包括那些患有痴呆症和有痴呆症风险的老年人。设计/方法/方法采用了多方法的方法。首先,对伦敦面向公众的相关网站进行了仔细审查。其次,设计并分发Qualtrics在线调查,以获取相关服务的相关信息。第三,与参与向私营业主和租户提供房屋服务的前线从业员进行了七次面对面访谈。这些内容被逐字转录并使用NVivo软件进行分析,然后将其归类为出现的主题。围绕“老年人”的含义和所提供的服务,出现了一幅不稳定的图景。据报告,现有的组织安排和援助类型混合在一起,有不同的获得和转介服务的方式,提供了包括痴呆症在内的一系列酌情赠款。一些地方当局提供最低限度的专家服务,而其他地方当局则提供高度综合和以客户为主导的灵活干预措施,以满足一系列需求。总体而言,报告中对干预措施有效性的研究、证据和评价有限,但在提供服务的地方,客户反馈良好。独创性/价值关于支持伦敦老年人及其住房、健康和社会护理需求的环境卫生工作的出版物很少。本文简要介绍了伦敦各地为自住业主和私营部门租户提供的现有和拟议服务,作为进一步研究以证据为基础的有效一线服务的基础。
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引用次数: 0
Pandemic preparedness and response in service hub cities: lessons from Northwestern Ontario 服务中心城市的流行病防范和应对:来自安大略省西北部的经验教训
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-09-03 DOI: 10.1108/hcs-04-2021-0012
R. Schiff, Bonnie Krysowaty, Travis Hay, Ashley Wilkinson
PurposeResponding to the needs of homeless and marginally housed persons has been a major component of the Canadian federal and provincial responses to the COVID-19 pandemic. However, smaller, less-resourced cities and rural regions have been left competing for limited resources (Schiff et al., 2020). The purpose of this paper is to use a case study to examine and highlight information about the capacities and needs of service hub cities during pandemics.Design/methodology/approachThe authors draw on the experience of Thunder Bay – a small city in Northern Ontario, Canada which experienced a serious outbreak of COVID-19 amongst homeless persons and shelter staff in the community. The authors catalogued the series of events leading to this outbreak through information tracked by two of the authors who hold key funding and planning positions within the Thunder Bay homeless sector.FindingsSeveral lessons may be useful for other cities nationally and internationally of similar size, geography and socio-economic position. The authors suggest a need for increased supports to the homeless sector in small service–hub cities (and particularly those with large Indigenous populations) to aid in the creation of pandemic plans and more broadly to ending chronic homelessness in those regions.Originality/valueSmall hub cities such as Thunder Bay serve vast rural areas and may have high rates of homelessness. This case study points to some important factors for consideration related to pandemic planning in these contexts.
满足无家可归者和边缘住房者的需求是加拿大联邦和各省应对2019冠状病毒病大流行的一个重要组成部分。然而,较小的、资源较少的城市和农村地区一直在争夺有限的资源(Schiff et al., 2020)。本文的目的是通过一个案例研究来审查和强调有关服务中心城市在大流行期间的能力和需求的信息。设计/方法/方法作者借鉴了加拿大安大略省北部小城市桑德贝的经验,该城市在社区的无家可归者和收容所工作人员中经历了严重的COVID-19爆发。作者通过两位在桑德贝无家可归者部门担任关键资金和规划职位的作者跟踪的信息,对导致这次爆发的一系列事件进行了编目。一些经验教训可能对国内和国际上具有类似规模、地理和社会经济地位的其他城市有用。作者建议,需要增加对小型服务中心城市(特别是那些有大量土著人口的城市)无家可归者部门的支持,以帮助制定流行病计划,并在更广泛的范围内结束这些地区的长期无家可归现象。像桑德贝这样的小中心城市服务于广大的农村地区,可能有很高的无家可归率。本案例研究指出了在这些情况下与大流行规划有关的一些重要考虑因素。
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引用次数: 2
The impact of a refurbishment programme on older people living in sheltered housing 翻新方案对住在庇护住房的老年人的影响
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-08-19 DOI: 10.1108/hcs-02-2021-0004
Z. Sattar, S. Wilkie, J. Ling
PurposeThis paper aims to explore residents' perceptions of a refurbishment programme to sheltered housing schemes and its impact on their well-being.Design/methodology/approachThe methodology draws upon a realist evaluation framework. Four participatory appraisals (PAs) and 19 interviews with residents were conducted in the sheltered housing schemes. Ages of participants ranged from 50 to 99 years.FindingsTwo categories of residents were identified: healthy active older adults and older frail adults (or over 85+). Residents said their social and emotional well-being improved from the provision of indoor and outdoor communal areas. Older frail residents only accessed the new communal spaces when staff took them in their wheelchairs. The physical changes increased opportunities for social connections for residents. Conservatories and sensory gardens were most popular. Residents felt that structured activities in the new spaces and digital training would improve their social activities.Research limitations/implicationsThe participatory methods spanned over an hour, and some residents felt too tired to complete the full session.Practical implicationsA practical limitation was that some sensory rooms were not fully completed at the time of the evaluation.Originality/valueThis paper adds the following: Perceptions of residents of a refurbishment programme in sheltered housing and the impact on their well-being. Perceptions of residents about social activities after a refurbishment programme. Perceptions of residents about the impact of physical changes to their sheltered housing schemes and impact on their internal accessibility to the improvements.
本文旨在探讨居民对庇护住房计划翻新计划的看法及其对他们福祉的影响。设计/方法/方法该方法借鉴了现实主义的评估框架。在庇护房屋计划内进行了四次参与性评估和19次与居民的访谈。参与者的年龄从50岁到99岁不等。研究发现,居民分为两类:健康活跃的老年人和体弱多病的老年人(或85岁以上)。居民们表示,室内和室外公共区域的提供改善了他们的社交和情感健康。年老体弱的居民只有在工作人员把他们放在轮椅上的时候才能进入新的公共空间。身体上的变化为居民增加了社会联系的机会。温室和感官花园最受欢迎。居民们认为,新空间中的结构化活动和数字培训将改善他们的社交活动。研究局限/启示参与式方法持续了一个多小时,一些居民感到太累而无法完成整个会话。实际意义一个实际的限制是一些感官室在评估时没有完全完成。原创性/价值本文增加了以下内容:居民对庇护住房翻新计划的看法及其对他们福祉的影响。翻新后居民对社会活动的看法。居民对其庇护住房计划的物理变化的影响以及对其内部可达性的影响的看法。
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引用次数: 0
The pandemic and homeless people in the Turin area: the level of housing adequacy shapes experiences and well-being 都灵地区的流行病和无家可归者:住房适足程度决定了经历和福祉
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-08-14 DOI: 10.1108/hcs-03-2021-0006
Daniel C. Leonardi, Silvia Stefani
PurposeConsidering the case study presented, the purpose of this paper is to analyse the impact of the pandemic in local services for homeless people. Drawing from the concept of ontological security, it will be discussed how different services’ levels of “housing adequacy” shaped remarkably different experiences of the pandemic for homeless people and social workers in terms of health protection and agency.Design/methodology/approachThis paper focuses on a case study concerning homeless services for people during the COVID-19 pandemic in the metropolitan and suburban area of Turin, in Northern Italy. In-depth interviews with social workers and participant observation during online meetings of workers from the shelters constitute the empirical data that have been collected during the first wave of the pandemic in Italy.FindingsAccording to the findings, the pandemic showed shelters as unsafe places that reduce homeless people’s decision power and separate them from the rest of the citizenship. Instead, Housing First projects emerged as imore inclusive and safermore inclusive and safer spaces, able to enhance people’s power over their own lives. The pandemic did not create emerging issues in the homeless services system or discontinuities: rather, it amplified pre-existing problematic aspects.Originality/valueThe case study presented provides empirical insights to recognise at the political and organisational level the importance of housing as a measure of individual and collective security, calling for an intervention to tackle homelessness in terms of housing policies rather than exclusively social and emergency treatment.
考虑到所提出的案例研究,本文的目的是分析流行病对当地无家可归者服务的影响。从本体论安全的概念出发,将讨论不同服务的"住房充足性"水平如何在健康保护和机构方面对无家可归者和社会工作者造成显著不同的大流行病体验。设计/方法/方法本文重点研究了意大利北部都灵大都市区和郊区2019冠状病毒病大流行期间无家可归者服务的案例研究。对社会工作者的深度访谈和在收容中心工作人员在线会议期间的参与性观察构成了在意大利大流行第一波期间收集的经验数据。根据调查结果,大流行表明收容所是不安全的地方,会降低无家可归者的决策权,并将他们与其他公民分开。相反,住房优先项目成为更包容、更安全的空间,能够增强人们对自己生活的掌控力。这次大流行并没有在无家可归者服务系统中造成新的问题或不连续性:相反,它放大了先前存在的问题。原创性/价值所提出的案例研究提供了经验见解,在政治和组织层面认识到住房作为个人和集体安全措施的重要性,呼吁在住房政策方面采取干预措施,解决无家可归问题,而不仅仅是社会和紧急处理。
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引用次数: 7
A stakeholder analysis of government policy intervention in the Ghanaian slum communities 加纳贫民窟社区政府政策干预的利益相关者分析
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-07-16 DOI: 10.1108/HCS-12-2020-0020
Anthony Nkrumah Agyabeng, Alexander Preko
PurposeSlum upgrading has received intense attention in the Global South, particularly among stakeholders. This study aims to examine government policy priorities towards slum management with the view of establishing its level of commitment in terms of measures undertaken and identify specific policies to structure the sector.Design/methodology/approachThe study systematically reviewed national policies, guided by the frequency statistics method in identifying key issues relating to slums management. Content analysis was used to identify findings into themes and discussed in line with the study’s objectives.FindingsThe results revealed the government’s determination to upgrade the existing slums, with the establishment of a Ministry for Inner City and Zongo Development to facilitate collaboration between stakeholders in the value chain of slum management. Furthermore, the study established government’s resolve to strengthen the Local Government Act, 1993, and the National Development Planning Act, 1994 within context to pave way for slums upgrading.Research limitations/implicationsThe study used a national policy framework to inform the conclusion reached. Further studies are needed in similar contexts to understand the inputs of government and stakeholders and their contributions towards slum management. This would further expand the frontiers of knowledge in the domain.Practical implicationsThe findings revealed policy-driven that can be used by policymakers, practitioners, housing managers and other relevant stakeholders to create workable policies for slum management.Originality/valueThis study provides first insight into government commitment to slums management using national policy documents in context.
在全球发展中国家,特别是利益攸关方,环境升级受到了高度关注。这项研究的目的是审查政府在贫民窟管理方面的优先政策,以期根据所采取的措施确定其承诺程度,并确定构建该部门的具体政策。设计/方法/方法本研究以频率统计方法为指导,系统地审查了国家政策,以确定与贫民窟管理有关的关键问题。内容分析用于确定主题的发现,并根据研究目标进行讨论。调查结果表明,政府决心对现有贫民窟进行升级改造,并成立了内城和城乡发展部,以促进贫民窟管理价值链中利益相关者之间的合作。此外,这项研究确定了政府加强1993年《地方政府法》和1994年《国家发展规划法》的决心,以便为改善贫民窟铺平道路。研究的局限性/意义该研究使用了一个国家政策框架来为得出的结论提供信息。需要在类似背景下进行进一步研究,以了解政府和利益攸关方的投入及其对贫民窟管理的贡献。这将进一步扩展该领域的知识边界。实际意义研究结果揭示了政策制定者、实践者、住房管理者和其他相关利益攸关方可以利用政策驱动来制定可行的贫民窟管理政策。原创性/价值本研究利用国家政策文件,首次深入了解政府对贫民窟管理的承诺。
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引用次数: 4
Evaluating trauma informed care training for services supporting individuals experiencing homelessness and multiple disadvantage 评估创伤知情护理培训服务支持个人无家可归和多重不利
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-06-26 DOI: 10.1108/hcs-01-2021-0002
Robert A. Burge, Anna Tickle, Nima G. Moghaddam
PurposeImplementing trauma informed care (TIC) for individuals facing homelessness and multiple disadvantage is proposed to help both service users and staff work effectively and therapeutically together. However, the effectiveness of implementing TIC via training is debatable. This study aims to explore the effects of a four-day TIC and psychologically informed environments training package in such services.Design/methodology/approachThe analysis explores the effect of this training on the degree of TIC as measured by the TICOMETER, a psychometrically robust organisational measure of TIC. The study examines group and individual level changes from before training and again at six-month and one-year follow-up time-points.FindingsAt the group level analysis, three of the five TICOMETER domains (knowledge and skills, relationships, and policies and procedures) were higher when compared to pre-training scores. The remaining two domains (service delivery and respect) did not improve. Individual-level analysis showed some participants’ scores decreased following training. Overall, the training appeared to modestly improve the degree of TIC as measured by the TICOMETER and these effects were sustained at one-year follow-up.Research limitations/implicationsFindings are limited by the design and low response rates at follow-up.Practical implicationsTraining is necessary but not sufficient for the implementation of TIC and needs to be complemented with wider organisational and system-level changes.Originality/valueThis paper is the first UK study to use the TICOMETER.
目的提出对面临无家可归和多重不利处境的个人实施创伤知情护理(TIC),以帮助服务使用者和工作人员有效地共同治疗。然而,通过培训实施议会的有效性是值得商榷的。本研究旨在探讨为期四天的心理谘询服务及心理资讯环境培训计划对这些服务的影响。设计/方法/方法本分析探讨了培训对TIC程度的影响,该程度由TICOMETER测量,这是一种心理测量学上强有力的组织测量TIC。该研究考察了从训练前到6个月和1年随访时间点的群体和个人水平变化。在小组水平分析中,与训练前的得分相比,五个TICOMETER领域中的三个(知识和技能、关系、政策和程序)得分更高。其余两个领域(服务交付和尊重)没有改善。个体水平分析显示,一些参与者在训练后得分下降。总体而言,通过TICOMETER测量,训练似乎适度改善了TIC的程度,并且这些效果在一年的随访中持续存在。研究局限性/意义研究结果受限于设计和随访时的低反应率。实际影响是必要的,但不足以实施议会,需要更广泛的组织和系统层面的变革来补充。原创性/价值这篇论文是英国第一个使用时间计的研究。
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引用次数: 3
Tenant management under COVID-19 pandemic season among informal settlement rental housing in Ghana 2019冠状病毒病大流行季节加纳非正式定居点租赁住房的租户管理
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-06-25 DOI: 10.1108/HCS-02-2021-0005
A. Miller, F. Agbenyo, Royal Mabakeng Menare
PurposeThe purpose of this study is to evaluate the roles of landlords in tenant management during COVID-19 pandemic season among informal settlement neighbourhoods in urban Ghana.Design/methodology/approachThis study used a mixed methods research approach and foregrounds the discussions of the results with the social roles theory. Using the quota sampling procedure, this study used 467 semi-structured interviews of tenants from five old informal settlement neighbourhoods in urban Ghana. This study adopted the thematic analytical technique in the results section.FindingsThis study uncovered that landlords perform a gate-keeping social relationship role in ensuring tenant safety during the COVID-19 pandemic season through the provision of security, care and support, discipline, hard work, morale building to accountability. However, this study found that most landlords do not provide tenancy agreements to tenants which strained some social relationships in tenant management.Originality/valueThe application of social roles theory in this study provides a cutting-edge approach to the study of welfare of tenants living in informal settlement housing units during periods of pandemic. This study practically provides a participatory approach to analysing and discussing the roles of landlords in tenant management and proffering solutions for formalisation of these roles in housing policies in Ghana.
本研究的目的是评估加纳城市非正规住区社区在COVID-19大流行季节期间房东在租户管理中的作用。设计/方法/方法本研究采用混合方法研究方法,并以社会角色理论为重点讨论结果。本研究采用配额抽样程序,对加纳城市五个旧非正式住区社区的租户进行了467次半结构化访谈。本研究在结果部分采用专题分析方法。本研究发现,在2019冠状病毒病大流行季节,房东通过提供安全、关怀和支持、纪律、努力工作、建立士气和问责制,在确保租户安全方面发挥了门卫的社会关系作用。然而,本研究发现,大多数房东不向租户提供租赁协议,这使得租户管理中的一些社会关系变得紧张。独创性/价值社会角色理论在本研究中的应用为研究大流行期间居住在非正规安置住房单元的租户的福利提供了一种前沿方法。本研究实际上提供了一种参与式方法来分析和讨论房东在租户管理中的角色,并为加纳住房政策中这些角色的正规化提供解决方案。
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引用次数: 1
Change readiness in individuals experiencing homelessness and multiple complex needs 改变无家可归者和有多种复杂需求的个人的准备情况
IF 0.9 Q3 URBAN STUDIES Pub Date : 2021-05-07 DOI: 10.1108/HCS-11-2020-0017
A. Lord, Anna Tickle, Anna Buckell
Purpose This study aims to understand how staff in homelessness services conceptualise readiness for change in the individuals they support and how this informs their decision-making in practice. Design/methodology/approach A qualitative design was used. Ten staff members participated in semi-structured interviews. Data were examined through inductive–deductive thematic analysis, using a social constructivist epistemological lens. Findings Five main themes were constructed: “multiple complex needs mean multiple complex changes”, “talk versus behaviour”, “change is not a linear trajectory”, “the role of consistent boundaried relationships” and “change is not solely within the individual’s control”. Practical implications This research challenges existing notions of “readiness for change” as located within individuals and a prerequisite for using support from services. It has implications for staff and services, particularly those which are time-limited and address only single problems; service users may not be ready for some changes, but it should not be assumed they are not ready for change in other areas of their life. The offer of supportive relationships may precede and contribute to readiness for positive changes. Support should be offered based not only an individual’s intra-psychic readiness for change but also how the system might actively work to promote hope that change can be achieved and maintained. Originality/value To the best of the authors’ knowledge, this is the first study to explore staff members’ conceptualisations of readiness to change in relation to individuals with multiple complex needs and how this might influence practice.
目的本研究旨在了解无家可归者服务机构的工作人员如何将他们所支持的个人对变化的准备程度概念化,以及这如何影响他们在实践中的决策。设计/方法/方法采用定性设计。10名工作人员参加了半结构化访谈。数据是通过归纳演绎专题分析,使用社会建构主义认识论的镜头检查。研究结果构建了五个主题:“多重复杂的需求意味着多重复杂的变化”、“谈话与行为”、“变化不是线性轨迹”、“一致边界关系的作用”和“变化不仅仅在个人的控制范围内”。实际意义本研究挑战了现有的“变革准备”概念,该概念位于个人内部,是使用服务支持的先决条件。它对工作人员和服务有影响,特别是那些有时间限制和只处理单一问题的工作人员和服务;服务用户可能还没有准备好接受某些变化,但不应该认为他们还没有准备好接受生活中其他领域的变化。提供支持性关系可能先于并有助于为积极的变化做好准备。所提供的支持不仅应基于个人对变革的内心准备,而且应基于制度如何积极地促进实现和维持变革的希望。原创性/价值据作者所知,这是第一个探讨员工对具有多种复杂需求的个人的变化准备程度的概念,以及这可能如何影响实践的研究。
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引用次数: 1
Choosing to be homeless? Persistent rough sleeping and the perverse incentives of social policy in England 选择无家可归?持续的露宿和英国社会政策的反常激励
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-11-26 DOI: 10.1108/hcs-07-2020-0010
G. Bowpitt
Purpose: With the temporary housing of rough sleepers in response to the Covid-19 emergency, some commentators have been tempted to believe that the rising population of rough sleepers in the UK has finally been reversed. This paper aims to examine the choices made by persistent rough sleepers and how far they are influenced by the perverse incentives of social policies, in order to challenge the view that they sleep rough out of choice. Design/methodology/approach: Evidence for this paper is derived from two teams of frontline service providers with routine familiarity with the rough sleeping population: a street outreach team and a team of support workers working with adults with multiple and complex needs. Primary data from focus groups were combined with the secondary analysis of both numerical and narrative accounts routinely recorded by both teams. Findings: The exercise of agency by persistent rough sleepers is constrained by a mixed baggage of complex needs, past negative risk assessments, limited resources and regulatory deterrents to generate choices to reject help that appear irrational. These need to be understood if recent policy initiatives to end rough sleeping are to be effective. Originality/value: The paper draws on the experience and comprehensive records of practitioners with intimate knowledge of the rough sleeping population. It extends narrative accounts of causes by focusing on key choices to show how the perverse incentives of policy combine with personal factors to incline rough sleeping to persist.
为了应对Covid-19紧急情况,英国为露宿者提供了临时住所,一些评论员倾向于认为,英国露宿者人数的增加终于得到了扭转。本文旨在研究长期露宿者的选择,以及他们在多大程度上受到社会政策不正当激励的影响,以挑战他们露宿是出于选择的观点。设计/方法/方法:本文的证据来自两个熟悉露宿人群的一线服务提供者团队:一个街头外展团队和一个支持人员团队,他们与有多种复杂需求的成年人一起工作。来自焦点小组的主要数据与两个团队常规记录的数字和叙述叙述的二次分析相结合。研究发现:长期露宿者的代理行为受到复杂需求、过去负面风险评估、有限资源和监管威慑等因素的制约,这些因素导致他们选择拒绝看似不合理的帮助。要想让最近结束露宿街头的政策举措发挥作用,就必须理解这些问题。原创性/价值:本文借鉴了从业人员的经验和全面记录,对露宿人群有深入的了解。它扩展了对原因的叙述,把重点放在关键的选择上,展示了政策的反常激励与个人因素是如何结合在一起的,从而使粗糙的睡眠持续下去。
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引用次数: 4
期刊
Housing Care and Support
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