Pub Date : 2019-12-05DOI: 10.1108/hcs-04-2019-0011
C. Bailey, Natalie Forster, Barbara Douglas, Claire Webster Saaremets, Esther Salamon
Quality, accessible and appropriate housing is key to older people’s ability to live independently. The purpose of this paper is to understand older people’s housing aspirations and whether these are currently being met. Evidence suggests one in five households occupied by older people in England does not meet the standard of a decent home. The Building Research Establishment has calculated that poor housing costs the English National Health Service £1,4bn annually (Roys et al., 2016).,This paper reports on the findings of a participatory theatre approach to engaging with those not often heard from – notably, those ageing without children and older people with primary responsibility for ageing relatives – about planning for housing decisions in later life. The project was led by an older people’s forum, Elders Council, with Skimstone Arts organisation and Northumbria University, in the north east of England.,Findings suggest there is an urgent need to listen to and engage with people about their later life housing aspirations. There is also a need to use this evidence to inform housing, health and social care policy makers, practitioners, service commissioners and providers and product and service designers, to encourage older people to become informed and plan ahead.,Use of a participatory theatre approach facilitated people to explore their own decision making and identify the types of information and support they need to make critical decisions about their housing in later life. Such insights can generate evidence for future housing, social care and health needs. Findings endorse the recent Communities and Local Government (2018) Select Committee Inquiry and report on Housing for Older People and the need for a national strategy for older people’s housing.,Although this call is evidenced through an English national case study, from within the context of global population ageing, it has international relevance.
{"title":"Housing voices: using theatre and film to engage people in later life housing and health conversations","authors":"C. Bailey, Natalie Forster, Barbara Douglas, Claire Webster Saaremets, Esther Salamon","doi":"10.1108/hcs-04-2019-0011","DOIUrl":"https://doi.org/10.1108/hcs-04-2019-0011","url":null,"abstract":"Quality, accessible and appropriate housing is key to older people’s ability to live independently. The purpose of this paper is to understand older people’s housing aspirations and whether these are currently being met. Evidence suggests one in five households occupied by older people in England does not meet the standard of a decent home. The Building Research Establishment has calculated that poor housing costs the English National Health Service £1,4bn annually (Roys et al., 2016).,This paper reports on the findings of a participatory theatre approach to engaging with those not often heard from – notably, those ageing without children and older people with primary responsibility for ageing relatives – about planning for housing decisions in later life. The project was led by an older people’s forum, Elders Council, with Skimstone Arts organisation and Northumbria University, in the north east of England.,Findings suggest there is an urgent need to listen to and engage with people about their later life housing aspirations. There is also a need to use this evidence to inform housing, health and social care policy makers, practitioners, service commissioners and providers and product and service designers, to encourage older people to become informed and plan ahead.,Use of a participatory theatre approach facilitated people to explore their own decision making and identify the types of information and support they need to make critical decisions about their housing in later life. Such insights can generate evidence for future housing, social care and health needs. Findings endorse the recent Communities and Local Government (2018) Select Committee Inquiry and report on Housing for Older People and the need for a national strategy for older people’s housing.,Although this call is evidenced through an English national case study, from within the context of global population ageing, it has international relevance.","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"85 1","pages":"181-192"},"PeriodicalIF":0.9,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75977769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-05DOI: 10.1108/hcs-04-2019-0010
J. Barrett, S. Evans, Neil Mapes
Purpose The purpose of this paper is to examine the recent evidence relating to green (nature-based) dementia care for people living with dementia in long-term accommodation and care settings (housing for older people that provides both accommodation and care, such as residential care homes, nursing homes and extra care housing schemes). The review formed part of a pilot study exploring interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. Rather than a comprehensive systematic or critical literature review, the intention was to increase understanding of green dementia care to support the pilot study. Design/methodology/approach The review draws together the published and grey literature on the impacts of green (nature-based) dementia care, the barriers and enablers and good practice in provision. People living with dementia in accommodation and care settings are the focus of this review, due to the research study of which the review is part. Evidence relating to the impacts of engaging with nature on people in general, older people and residents in accommodation and care is also briefly examined as it has a bearing on people living with dementia. Findings Although interaction with the natural environment may not guarantee sustained wellbeing for all people living with dementia, there is some compelling evidence for a number of health and wellbeing benefits for many. However, there is a clear need for more large-scale rigorous research in this area, particularly with reference to health and wellbeing outcomes for people living with dementia in accommodation and care settings for which the evidence is limited. There is a stronger evidence base on barriers and enablers to accessing nature for people living with dementia in such settings. Research limitations/implications The literature review was conducted to support a pilot study exploring green (nature-based) dementia care in care homes and extra care housing schemes in the UK. Consequently, the focus of the review was on green dementia care in accommodation and care settings. The study, and thus the review, also focussed on direct contact with nature (whether that occurs outdoors or indoors) rather than indirect contact (e.g. viewing nature in a photograph, on a TV screen or through a window) or simulated nature (e.g. robot pets). Therefore, this paper is not a full review of all aspects of green dementia care. Originality/value This paper presents an up-to-date review of literature relating to green dementia care in accommodation and care settings. It was successful in increasing understanding to support a pilot study exploring opportunities, benefits, barriers and enablers to interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. It demonstrated the impacts, value and accessibility of nature engagement in these settings and identified gaps in the evidence base. This revie
{"title":"Green dementia care in accommodation and care settings: a literature review","authors":"J. Barrett, S. Evans, Neil Mapes","doi":"10.1108/hcs-04-2019-0010","DOIUrl":"https://doi.org/10.1108/hcs-04-2019-0010","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to examine the recent evidence relating to green (nature-based) dementia care for people living with dementia in long-term accommodation and care settings (housing for older people that provides both accommodation and care, such as residential care homes, nursing homes and extra care housing schemes). The review formed part of a pilot study exploring interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. Rather than a comprehensive systematic or critical literature review, the intention was to increase understanding of green dementia care to support the pilot study.\u0000\u0000\u0000Design/methodology/approach\u0000The review draws together the published and grey literature on the impacts of green (nature-based) dementia care, the barriers and enablers and good practice in provision. People living with dementia in accommodation and care settings are the focus of this review, due to the research study of which the review is part. Evidence relating to the impacts of engaging with nature on people in general, older people and residents in accommodation and care is also briefly examined as it has a bearing on people living with dementia.\u0000\u0000\u0000Findings\u0000Although interaction with the natural environment may not guarantee sustained wellbeing for all people living with dementia, there is some compelling evidence for a number of health and wellbeing benefits for many. However, there is a clear need for more large-scale rigorous research in this area, particularly with reference to health and wellbeing outcomes for people living with dementia in accommodation and care settings for which the evidence is limited. There is a stronger evidence base on barriers and enablers to accessing nature for people living with dementia in such settings.\u0000\u0000\u0000Research limitations/implications\u0000The literature review was conducted to support a pilot study exploring green (nature-based) dementia care in care homes and extra care housing schemes in the UK. Consequently, the focus of the review was on green dementia care in accommodation and care settings. The study, and thus the review, also focussed on direct contact with nature (whether that occurs outdoors or indoors) rather than indirect contact (e.g. viewing nature in a photograph, on a TV screen or through a window) or simulated nature (e.g. robot pets). Therefore, this paper is not a full review of all aspects of green dementia care.\u0000\u0000\u0000Originality/value\u0000This paper presents an up-to-date review of literature relating to green dementia care in accommodation and care settings. It was successful in increasing understanding to support a pilot study exploring opportunities, benefits, barriers and enablers to interaction with nature for people living with dementia in care homes and extra care housing schemes in the UK. It demonstrated the impacts, value and accessibility of nature engagement in these settings and identified gaps in the evidence base. This revie","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"94 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81797228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-05DOI: 10.1108/hcs-02-2019-0006
R. Schiff, B. Pauly, Shana A. Hall, K. Vallance, Andrew Ivsins, Meaghan Brown, E. Gray, Bonnie Krysowaty, Joshua Evans
Recently, Managed Alcohol Programs (MAPs have emerged as an alcohol harm reduction model for those living with severe alcohol use disorder (AUD) and experiencing homelessness. There is still a lack of clarity about the role of these programs in relation to Housing First (HF) discourse. The authors examine the role of MAPs within a policy environment that has become dominated by a focus on HF approaches to addressing homelessness. This examination includes a focus on Canadian policy contexts where MAPs originated and are still predominately located. The purpose of this paper is to trace the development of MAPs as a novel response to homelessness among people experiencing severe AUD and to describe the place of MAPs within a HF context.,This conceptual paper outlines the development of discourses related to persons experiencing severe AUD and homelessness, with a focus on HF and MAPs as responses to these challenges. The authors compare the key characteristics of MAPs with “core principles” and values as outlined in various definitions of HF.,MAPs incorporate many of the core values or principles of HF as outlined in some definitions, although not all. MAPs (and other housing/treatment models) provide critical housing and support services for populations who might not fit well with or who might not prefer HF models.,The “silver bullet” discourse surrounding HF (and harm reduction) can obscure the importance of programs (such as MAPs) that do not fully align with all HF principles and program models. This is despite the fact that MAPs (and other models) provide critical housing and support services for populations who might fall between the cracks of HF models. There is the potential for MAPs to help fill a gap in the application of harm reduction in HF programs. The authors also suggest a need to move beyond HF discourse, to embrace complexity and move toward examining what mixture of different housing and harm reduction supports are needed to provide a complete or comprehensive array of services and supports for people who use substances and are experiencing homelessness.
{"title":"Managed alcohol programs in the context of Housing First","authors":"R. Schiff, B. Pauly, Shana A. Hall, K. Vallance, Andrew Ivsins, Meaghan Brown, E. Gray, Bonnie Krysowaty, Joshua Evans","doi":"10.1108/hcs-02-2019-0006","DOIUrl":"https://doi.org/10.1108/hcs-02-2019-0006","url":null,"abstract":"Recently, Managed Alcohol Programs (MAPs have emerged as an alcohol harm reduction model for those living with severe alcohol use disorder (AUD) and experiencing homelessness. There is still a lack of clarity about the role of these programs in relation to Housing First (HF) discourse. The authors examine the role of MAPs within a policy environment that has become dominated by a focus on HF approaches to addressing homelessness. This examination includes a focus on Canadian policy contexts where MAPs originated and are still predominately located. The purpose of this paper is to trace the development of MAPs as a novel response to homelessness among people experiencing severe AUD and to describe the place of MAPs within a HF context.,This conceptual paper outlines the development of discourses related to persons experiencing severe AUD and homelessness, with a focus on HF and MAPs as responses to these challenges. The authors compare the key characteristics of MAPs with “core principles” and values as outlined in various definitions of HF.,MAPs incorporate many of the core values or principles of HF as outlined in some definitions, although not all. MAPs (and other housing/treatment models) provide critical housing and support services for populations who might not fit well with or who might not prefer HF models.,The “silver bullet” discourse surrounding HF (and harm reduction) can obscure the importance of programs (such as MAPs) that do not fully align with all HF principles and program models. This is despite the fact that MAPs (and other models) provide critical housing and support services for populations who might fall between the cracks of HF models. There is the potential for MAPs to help fill a gap in the application of harm reduction in HF programs. The authors also suggest a need to move beyond HF discourse, to embrace complexity and move toward examining what mixture of different housing and harm reduction supports are needed to provide a complete or comprehensive array of services and supports for people who use substances and are experiencing homelessness.","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"1 1","pages":"207-215"},"PeriodicalIF":0.9,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90836299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-05DOI: 10.1108/HCS-10-2018-0029
Desneige Meyer, Wanda Martin, L. Funk
Purpose Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care. Design/methodology/approach The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions. Findings Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs. Research limitations/implications Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation. Originality/value This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.
{"title":"Symbiotic care between residents in service-integrated housing","authors":"Desneige Meyer, Wanda Martin, L. Funk","doi":"10.1108/HCS-10-2018-0029","DOIUrl":"https://doi.org/10.1108/HCS-10-2018-0029","url":null,"abstract":"\u0000Purpose\u0000Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care.\u0000\u0000\u0000Design/methodology/approach\u0000The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions.\u0000\u0000\u0000Findings\u0000Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs.\u0000\u0000\u0000Research limitations/implications\u0000Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation.\u0000\u0000\u0000Originality/value\u0000This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"7 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86642787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-05DOI: 10.1108/HCS-12-2018-0035
M. Gresham, Liz Taylor, S. Keyes, H. Wilkinson, D. McIntosh, C. Cunningham
PurposeThe purpose of this paper is to to describe development of a framework for use in the evaluation of the effectiveness of signage to assist people with dementia.Design/methodology/approachThe study consisted of two parts. Workshops held in both Sydney and Edinburgh using “world café” methodology with 28 knowledgeable participants produced a pool of statements. These were subsequently used in a three-round Delphi process administered to 38 participants in order to generate ideas and develop consensus content for a signage evaluation framework.FindingsThis process resulted in a framework consisting of Delphi statements which had a 70 per cent level of agreement and a series of prompt questions. Both intrinsic factors and wider environmental, extrinsic factors in signage for wayfinding were identified.Research limitations/implicationsLimitations of this study were the small number of participants, including only four people with dementia, and the unresolved problems inherent in designing signage that may simultaneously be universally relevant and readily understood, yet meets the idiosyncratic needs of each individual living with dementia.Originality/valueAs there is little prior work in this field concerning signage use by people with dementia, this framework provides an original preliminary tool that may be used in further research on evaluating signage effectiveness. In designing signage and testing its effectiveness, it was concluded that the direct involvement of people with dementia is essential.
{"title":"Developing evaluation of signage for people with dementia","authors":"M. Gresham, Liz Taylor, S. Keyes, H. Wilkinson, D. McIntosh, C. Cunningham","doi":"10.1108/HCS-12-2018-0035","DOIUrl":"https://doi.org/10.1108/HCS-12-2018-0035","url":null,"abstract":"PurposeThe purpose of this paper is to to describe development of a framework for use in the evaluation of the effectiveness of signage to assist people with dementia.Design/methodology/approachThe study consisted of two parts. Workshops held in both Sydney and Edinburgh using “world café” methodology with 28 knowledgeable participants produced a pool of statements. These were subsequently used in a three-round Delphi process administered to 38 participants in order to generate ideas and develop consensus content for a signage evaluation framework.FindingsThis process resulted in a framework consisting of Delphi statements which had a 70 per cent level of agreement and a series of prompt questions. Both intrinsic factors and wider environmental, extrinsic factors in signage for wayfinding were identified.Research limitations/implicationsLimitations of this study were the small number of participants, including only four people with dementia, and the unresolved problems inherent in designing signage that may simultaneously be universally relevant and readily understood, yet meets the idiosyncratic needs of each individual living with dementia.Originality/valueAs there is little prior work in this field concerning signage use by people with dementia, this framework provides an original preliminary tool that may be used in further research on evaluating signage effectiveness. In designing signage and testing its effectiveness, it was concluded that the direct involvement of people with dementia is essential.","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"93 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75266193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-05DOI: 10.1108/HCS-01-2019-0002
Ali M. Alqahtany, A. B. Mohanna
PurposeThe purpose of this paper is to identify the obstacles to the availability of suitable housing units for various socioeconomic segments of society with an emphasis on single-family homes, which is the most preferred housing type in the Saudi society.Design/methodology/approachTo achieve the aim of this paper, the Delphi method was used to explore the experts’ opinions on the most important obstacles.FindingsThe findings of the study underline 17 different obstacles affecting the availability of suitable housing units for various segments of the Saudi society. The most critical obstacle is the high cost of land followed by the low income of the families, high cost of construction, high interest rate of mortgages and shortage of suitable residential lands.Originality/valueThe study concludes with a number of proposed recommendations that can contribute to address the current shortage of suitable housing units.
{"title":"Housing challenges in Saudi Arabia: the shortage of suitable housing units for various socioeconomic segments of Saudi society","authors":"Ali M. Alqahtany, A. B. Mohanna","doi":"10.1108/HCS-01-2019-0002","DOIUrl":"https://doi.org/10.1108/HCS-01-2019-0002","url":null,"abstract":"PurposeThe purpose of this paper is to identify the obstacles to the availability of suitable housing units for various socioeconomic segments of society with an emphasis on single-family homes, which is the most preferred housing type in the Saudi society.Design/methodology/approachTo achieve the aim of this paper, the Delphi method was used to explore the experts’ opinions on the most important obstacles.FindingsThe findings of the study underline 17 different obstacles affecting the availability of suitable housing units for various segments of the Saudi society. The most critical obstacle is the high cost of land followed by the low income of the families, high cost of construction, high interest rate of mortgages and shortage of suitable residential lands.Originality/valueThe study concludes with a number of proposed recommendations that can contribute to address the current shortage of suitable housing units.","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"35 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76143025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-03DOI: 10.1108/HCS-10-2018-0026
M. Lodder, A. J. Schrijvers, J. D. Leeuw, R. Brouwer, W. Cahn
Purpose The purpose of this paper is to examine whether there is an association between case managers’ personality traits and functional outcome of people with severe mental illness (SMI) living in community housing programs (CHP). Design/methodology/approach Functional outcome is measured by the extent of self-reliance. Self-reliance of people with SMI was measured with the Dutch Self-Sufficiency Matrix. The personality of the case manager was measured with the NEO Five Factor Inventory. Findings Conscientiousness of case managers was associated with an increased self-reliance over a period of two years, in those with SMI living in CHP (OR.2.800 ρ = 0.04). Practical implications When these findings are replicated, they could be used in the case managers selection process and/or training programs. Social implications Conscientiousness of case managers was associated with functional outcome of persons with SMI living in supported housing and that female subjects benefitted the most. This study suggests that conscientious care planning is essential in the recovery process. Originality/value No previous studies have been performed examining the specific relationship between the case manager’s personality traits and functional outcome of people with SMI.
{"title":"Community housing: functional outcome of severe mental illness is associated with the personality traits of the case manager","authors":"M. Lodder, A. J. Schrijvers, J. D. Leeuw, R. Brouwer, W. Cahn","doi":"10.1108/HCS-10-2018-0026","DOIUrl":"https://doi.org/10.1108/HCS-10-2018-0026","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to examine whether there is an association between case managers’ personality traits and functional outcome of people with severe mental illness (SMI) living in community housing programs (CHP).\u0000\u0000\u0000Design/methodology/approach\u0000Functional outcome is measured by the extent of self-reliance. Self-reliance of people with SMI was measured with the Dutch Self-Sufficiency Matrix. The personality of the case manager was measured with the NEO Five Factor Inventory.\u0000\u0000\u0000Findings\u0000Conscientiousness of case managers was associated with an increased self-reliance over a period of two years, in those with SMI living in CHP (OR.2.800 ρ = 0.04).\u0000\u0000\u0000Practical implications\u0000When these findings are replicated, they could be used in the case managers selection process and/or training programs.\u0000\u0000\u0000Social implications\u0000Conscientiousness of case managers was associated with functional outcome of persons with SMI living in supported housing and that female subjects benefitted the most. This study suggests that conscientious care planning is essential in the recovery process.\u0000\u0000\u0000Originality/value\u0000No previous studies have been performed examining the specific relationship between the case manager’s personality traits and functional outcome of people with SMI.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"10 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89438083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-03DOI: 10.1108/HCS-12-2018-0036
B. Annor, A. Oudshoorn
Purpose The purpose of this paper is to report the findings of a scoping review on the health challenges of families experiencing homelessness. There is a bi-directional relationship between health and homelessness in that poor health can increase the risk of housing loss, and experiencing homelessness is bad for one’s health. The experience of homelessness differs between populations and this review focuses on families as one of the fastest growing segments of the homeless population. While research has been integrated on the causes of homelessness for families, this same integration has not been conducted looking at health challenges of families experiencing homelessness. Design/methodology/approach A scoping review methodology is utilized in the paper. As the goal of this work is to ultimately develop interventions for a Canadian context, primacy is given to Canadian sources, but other relevant literature is also included. Findings A clear distinction is seen in the literature between health challenges of children of homeless families and health challenges of parents. These themes are explored separately, and preliminary recommendations are made for potential points of intervention as personal, program and policy levels. Originality/value This review of current evidence is an important first step in building a foundation for interventions to improve health outcomes for those experiencing housing loss.
{"title":"The health challenges of families experiencing homelessness","authors":"B. Annor, A. Oudshoorn","doi":"10.1108/HCS-12-2018-0036","DOIUrl":"https://doi.org/10.1108/HCS-12-2018-0036","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to report the findings of a scoping review on the health challenges of families experiencing homelessness. There is a bi-directional relationship between health and homelessness in that poor health can increase the risk of housing loss, and experiencing homelessness is bad for one’s health. The experience of homelessness differs between populations and this review focuses on families as one of the fastest growing segments of the homeless population. While research has been integrated on the causes of homelessness for families, this same integration has not been conducted looking at health challenges of families experiencing homelessness.\u0000\u0000\u0000Design/methodology/approach\u0000A scoping review methodology is utilized in the paper. As the goal of this work is to ultimately develop interventions for a Canadian context, primacy is given to Canadian sources, but other relevant literature is also included.\u0000\u0000\u0000Findings\u0000A clear distinction is seen in the literature between health challenges of children of homeless families and health challenges of parents. These themes are explored separately, and preliminary recommendations are made for potential points of intervention as personal, program and policy levels.\u0000\u0000\u0000Originality/value\u0000This review of current evidence is an important first step in building a foundation for interventions to improve health outcomes for those experiencing housing loss.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"37 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/HCS-12-2018-0036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72449590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-03DOI: 10.1108/HCS-10-2018-0030
Clare S Watson, Lizette Nolte, Rachel Brown
Purpose Trusting and empathic relationships between project workers and people experiencing homelessness (PEH) form the cornerstone for their needs to be met. However, under the UK austerity agenda project workers practice in a context of increasing pressure and limited resources; with relationships often characterised by conditionality and disconnection. The purpose of this paper is to report on a study investigating project workers’ experiences of building relationships with PEH living in supported housing projects. Design/methodology/approach A qualitative design was employed in which focus groups were carried out in six projects, using an opportunity sample of 22 project workers. Data were analysed using thematic analysis, within a social constructionist epistemology. Findings Three main themes were identified: “Working hard to build connection”, “Supporting each other within an unsupportive context” and “Draining but sustaining”. Project workers acted out of strong value systems in building relationships with residents against a backdrop of systemic disconnection. Originality/value Clear clinical implications are put forward with in a Psychologically Informed Environment framework. Services supporting PEH need to be psychologically informed and organisations need to embed reflection within their policies and every day practice. In developing services for PEH interdependence not in/dependence needs to be the aim. Finally, the responsibility for improving the lives of PEH should be placed back on society to provide a context in which PEH can thrive.
{"title":"Building connection against the odds: project workers relationships with people experiencing homelessness","authors":"Clare S Watson, Lizette Nolte, Rachel Brown","doi":"10.1108/HCS-10-2018-0030","DOIUrl":"https://doi.org/10.1108/HCS-10-2018-0030","url":null,"abstract":"\u0000Purpose\u0000Trusting and empathic relationships between project workers and people experiencing homelessness (PEH) form the cornerstone for their needs to be met. However, under the UK austerity agenda project workers practice in a context of increasing pressure and limited resources; with relationships often characterised by conditionality and disconnection. The purpose of this paper is to report on a study investigating project workers’ experiences of building relationships with PEH living in supported housing projects.\u0000\u0000\u0000Design/methodology/approach\u0000A qualitative design was employed in which focus groups were carried out in six projects, using an opportunity sample of 22 project workers. Data were analysed using thematic analysis, within a social constructionist epistemology.\u0000\u0000\u0000Findings\u0000Three main themes were identified: “Working hard to build connection”, “Supporting each other within an unsupportive context” and “Draining but sustaining”. Project workers acted out of strong value systems in building relationships with residents against a backdrop of systemic disconnection.\u0000\u0000\u0000Originality/value\u0000Clear clinical implications are put forward with in a Psychologically Informed Environment framework. Services supporting PEH need to be psychologically informed and organisations need to embed reflection within their policies and every day practice. In developing services for PEH interdependence not in/dependence needs to be the aim. Finally, the responsibility for improving the lives of PEH should be placed back on society to provide a context in which PEH can thrive.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90515720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-12DOI: 10.1108/HCS-10-2018-0025
Nikos Kourachanis
Purpose The purpose of this paper is to compare homelessness policies in Portugal and Greece. Design/methodology/approach After a brief overview of the relationship between welfare regimes and homelessness, the characteristics of homelessness policies within the South-European regime are studied. Subsequently, by employing empirical data, a comparison between the homelessness policies of these two countries is attempted through three axes of analysis: the historical emergence of homelessness policies; the impact of the memoranda, as a series of fiscal measures associated with welfare retrenchment, on the deterioration of homelessness; and the characteristics of the social policies being developed. Findings It is noted that the two countries consolidate a residual social intervention model that fails to address homelessness adequately. Originality/value This is the first attempt to compare homelessness policies between Portugal and Greece.
{"title":"Southern European welfare states and homelessness: Portugal and Greece","authors":"Nikos Kourachanis","doi":"10.1108/HCS-10-2018-0025","DOIUrl":"https://doi.org/10.1108/HCS-10-2018-0025","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to compare homelessness policies in Portugal and Greece.\u0000\u0000\u0000Design/methodology/approach\u0000After a brief overview of the relationship between welfare regimes and homelessness, the characteristics of homelessness policies within the South-European regime are studied. Subsequently, by employing empirical data, a comparison between the homelessness policies of these two countries is attempted through three axes of analysis: the historical emergence of homelessness policies; the impact of the memoranda, as a series of fiscal measures associated with welfare retrenchment, on the deterioration of homelessness; and the characteristics of the social policies being developed.\u0000\u0000\u0000Findings\u0000It is noted that the two countries consolidate a residual social intervention model that fails to address homelessness adequately.\u0000\u0000\u0000Originality/value\u0000This is the first attempt to compare homelessness policies between Portugal and Greece.\u0000","PeriodicalId":43302,"journal":{"name":"Housing Care and Support","volume":"8 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88981913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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