Pub Date : 2018-07-03DOI: 10.1080/10530789.2018.1501947
A. Ponce, Molly Brown, A. Cunningham, M. Rowe
ABSTRACT This article concerns a SAMHSA-funded service intervention, Pathways to Independence, that combined the use of SAMHSA’s SSI/SSDI Outreach, Access, and Recovery approach to facilitating disability entitlement claims with financial management classes, mental health assessment and referral, and access to employment and housing for people experiencing chronic homelessness. The purpose of this study was to explore perceptions of this form of service delivery and the benefits and challenges of the program model from the perspective of those who experienced it. Focus groups were conducted with a total of 17 program stakeholders, including program participants, program staff, collaborating case management staff of the parent agency, and a landlord and an employer, with questions to each regarding the program and its impact. Focus groups were analyzed through independent coding followed by discussion to reach consensus on key themes. Five themes were identified across the groups: (a) the importance of relationships, (b) staff specialization and provision of individualized services, (c) an orientation to outcomes, (d) comprehensiveness of services and facilitation of connections to community resources, and (e) systems challenges. The Pathways to Independence program provides a working model for integrated employment, entitlement assessment and application, housing, and behavioral health treatment for persons experiencing chronic homelessness.
{"title":"Stakeholder perspectives on integrated services for people who experience chronic homelessness","authors":"A. Ponce, Molly Brown, A. Cunningham, M. Rowe","doi":"10.1080/10530789.2018.1501947","DOIUrl":"https://doi.org/10.1080/10530789.2018.1501947","url":null,"abstract":"ABSTRACT This article concerns a SAMHSA-funded service intervention, Pathways to Independence, that combined the use of SAMHSA’s SSI/SSDI Outreach, Access, and Recovery approach to facilitating disability entitlement claims with financial management classes, mental health assessment and referral, and access to employment and housing for people experiencing chronic homelessness. The purpose of this study was to explore perceptions of this form of service delivery and the benefits and challenges of the program model from the perspective of those who experienced it. Focus groups were conducted with a total of 17 program stakeholders, including program participants, program staff, collaborating case management staff of the parent agency, and a landlord and an employer, with questions to each regarding the program and its impact. Focus groups were analyzed through independent coding followed by discussion to reach consensus on key themes. Five themes were identified across the groups: (a) the importance of relationships, (b) staff specialization and provision of individualized services, (c) an orientation to outcomes, (d) comprehensiveness of services and facilitation of connections to community resources, and (e) systems challenges. The Pathways to Independence program provides a working model for integrated employment, entitlement assessment and application, housing, and behavioral health treatment for persons experiencing chronic homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"126 - 134"},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1501947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46956041","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 : 2018-07-03DOI: 10.1080/10530789.2018.1509179
K. Jetelina, J. R. Reingle Gonzalez, M. Clutter, C. Sanders, Sweety Baidhya, M. Schulte, Ray Tsai
ABSTRACT The objective of this paper is to examine whether children with a history of unstable housing, and more specifically homelessness, have unmet physical and mental healthcare needs. Further, this paper describes primary caregivers’ barriers to children’s healthcare. Data were collected from 6492 primary caregivers of children ages 0–17 years residing in five Dallas, Texas counties. Primary caregivers reported whether they previously experienced homelessness with their children, their children’s unmet mental and physical healthcare needs, and primary reasons for the unmet healthcare needs. Results suggest that children with a history of homelessness or unstable housing had increased odds of both mental and physical unmet healthcare needs. Prevention efforts should attempt to bridge resources for families who obtain housing but are still at increased risk for the long-term effects of homelessness exposure.
{"title":"Unmet physical and mental healthcare needs of children with a history of familial homelessness and unstable housing","authors":"K. Jetelina, J. R. Reingle Gonzalez, M. Clutter, C. Sanders, Sweety Baidhya, M. Schulte, Ray Tsai","doi":"10.1080/10530789.2018.1509179","DOIUrl":"https://doi.org/10.1080/10530789.2018.1509179","url":null,"abstract":"ABSTRACT The objective of this paper is to examine whether children with a history of unstable housing, and more specifically homelessness, have unmet physical and mental healthcare needs. Further, this paper describes primary caregivers’ barriers to children’s healthcare. Data were collected from 6492 primary caregivers of children ages 0–17 years residing in five Dallas, Texas counties. Primary caregivers reported whether they previously experienced homelessness with their children, their children’s unmet mental and physical healthcare needs, and primary reasons for the unmet healthcare needs. Results suggest that children with a history of homelessness or unstable housing had increased odds of both mental and physical unmet healthcare needs. Prevention efforts should attempt to bridge resources for families who obtain housing but are still at increased risk for the long-term effects of homelessness exposure.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"135 - 140"},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1509179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43637184","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 : 2018-06-08DOI: 10.1080/10530789.2018.1480892
Stephanie Baker Collins, A. F. Schormans, L. Watt, Becky Idems, Tina E. Wilson
ABSTRACT A largely unexplored complexity in the lives of youth who have experienced homeless is the presence of intellectual, developmental and/or learning disabilities. Although emerging research shows that youth with cognitive disabilities are more likely to become homeless and that rates of cognitive disabilities are higher among the homeless population than the population in general, exploring the intersection of disability and homelessness for youth has not been a priority. In this study, a critical disability and systems failure lens is brought to bear on the vulnerability of youth who experience this intersection. Based on interviews with key informants in the disability, homelessness, education, employment and child welfare sectors in three sites in Ontario, Canada, the invisibility of disability among homeless youth is brought to light. We explore the ways youth with a disability in the homelessness sector are made vulnerable, the insurmountable barriers to getting access to the requisite assessment for disability services and the siloed nature of the homelessness and disability service sectors. An argument is made that “working outside the box” to assist youth to navigate significant system disjunctures is insufficient.
{"title":"The invisibility of disability for homeless youth","authors":"Stephanie Baker Collins, A. F. Schormans, L. Watt, Becky Idems, Tina E. Wilson","doi":"10.1080/10530789.2018.1480892","DOIUrl":"https://doi.org/10.1080/10530789.2018.1480892","url":null,"abstract":"ABSTRACT A largely unexplored complexity in the lives of youth who have experienced homeless is the presence of intellectual, developmental and/or learning disabilities. Although emerging research shows that youth with cognitive disabilities are more likely to become homeless and that rates of cognitive disabilities are higher among the homeless population than the population in general, exploring the intersection of disability and homelessness for youth has not been a priority. In this study, a critical disability and systems failure lens is brought to bear on the vulnerability of youth who experience this intersection. Based on interviews with key informants in the disability, homelessness, education, employment and child welfare sectors in three sites in Ontario, Canada, the invisibility of disability among homeless youth is brought to light. We explore the ways youth with a disability in the homelessness sector are made vulnerable, the insurmountable barriers to getting access to the requisite assessment for disability services and the siloed nature of the homelessness and disability service sectors. An argument is made that “working outside the box” to assist youth to navigate significant system disjunctures is insufficient.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"109 - 99"},"PeriodicalIF":1.4,"publicationDate":"2018-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1480892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47881979","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 : 2018-06-08DOI: 10.1080/10530789.2018.1482991
Molly Brown, Camilla Cummings, Jennifer Lyons, Andrés Carrión, D. Watson
ABSTRACT This study examined the reliability and validity of the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT), a widely-used assessment of the health and social vulnerabilities and housing needs of individuals experiencing homelessness. Homeless Management Information System data were obtained for 1495 individuals who were administered the VI-SPDAT between 2014 and 2016. Subsamples were selected for reliability and validity assessments. Results suggest there are challenges to the reliability and validity of the VI-SPDAT in practical use. VI-SPDAT total scores did not significantly predict risk of return to homeless services, while type of housing was a significant predictor. Vulnerability assessment instruments have important implications for communities working to end homelessness by facilitating prioritization of scarce housing resources. Findings suggest that further testing and development of the VI-SPDAT is necessary.
{"title":"Reliability and validity of the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT) in real-world implementation","authors":"Molly Brown, Camilla Cummings, Jennifer Lyons, Andrés Carrión, D. Watson","doi":"10.1080/10530789.2018.1482991","DOIUrl":"https://doi.org/10.1080/10530789.2018.1482991","url":null,"abstract":"ABSTRACT This study examined the reliability and validity of the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT), a widely-used assessment of the health and social vulnerabilities and housing needs of individuals experiencing homelessness. Homeless Management Information System data were obtained for 1495 individuals who were administered the VI-SPDAT between 2014 and 2016. Subsamples were selected for reliability and validity assessments. Results suggest there are challenges to the reliability and validity of the VI-SPDAT in practical use. VI-SPDAT total scores did not significantly predict risk of return to homeless services, while type of housing was a significant predictor. Vulnerability assessment instruments have important implications for communities working to end homelessness by facilitating prioritization of scarce housing resources. Findings suggest that further testing and development of the VI-SPDAT is necessary.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"110 - 117"},"PeriodicalIF":1.4,"publicationDate":"2018-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1482991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44965428","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 : 2018-05-15DOI: 10.1080/10530789.2018.1475695
M. Bennett
{"title":"Shifting perspectives and finding gold: a review of Cross-Cultural Dialogues on Homelessness","authors":"M. Bennett","doi":"10.1080/10530789.2018.1475695","DOIUrl":"https://doi.org/10.1080/10530789.2018.1475695","url":null,"abstract":"","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"141 - 142"},"PeriodicalIF":1.4,"publicationDate":"2018-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1475695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46075387","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}
ABSTRACT Since 1986, the Family Team at Boston Health Care for the Homeless Program has implemented an integrated, inter-professional, team-based model of care to serve families experiencing homelessness. The Family Team employs key strategies delineated by the well-established Health Care for the Homeless model, which emphasizes the importance of outreach medicine and a case management “one-stop shop approach”. We include an account of a specific case where the Family Team’s unique model helped a refugee family in Massachusetts access medical and social services otherwise more difficult to obtain. The Family Team’s onsite presence in the hotel-shelter and the team-based approach facilitated diagnosis of and successful treatment for cervical cancer in a mother of eight children. This case report suggests that the Health Care for the Homeless model of care should be more widely adopted in order to best serve homeless families. Abbreviations: Boston Health Care for the Homeless Program (BHCHP); Emergency Assistance (EA); Health Care for the Homeless (HCH); Massachusetts General Hospital (MGH)
{"title":"The Family Team at Boston Healthcare for the Homeless Program: an integrated approach to care in outreach settings","authors":"Ariana Nestler, Aura Obando, Terri LaCoursiere-Zucchero, Avik Chatterjee","doi":"10.1080/10530789.2018.1452563","DOIUrl":"https://doi.org/10.1080/10530789.2018.1452563","url":null,"abstract":"ABSTRACT Since 1986, the Family Team at Boston Health Care for the Homeless Program has implemented an integrated, inter-professional, team-based model of care to serve families experiencing homelessness. The Family Team employs key strategies delineated by the well-established Health Care for the Homeless model, which emphasizes the importance of outreach medicine and a case management “one-stop shop approach”. We include an account of a specific case where the Family Team’s unique model helped a refugee family in Massachusetts access medical and social services otherwise more difficult to obtain. The Family Team’s onsite presence in the hotel-shelter and the team-based approach facilitated diagnosis of and successful treatment for cervical cancer in a mother of eight children. This case report suggests that the Health Care for the Homeless model of care should be more widely adopted in order to best serve homeless families. Abbreviations: Boston Health Care for the Homeless Program (BHCHP); Emergency Assistance (EA); Health Care for the Homeless (HCH); Massachusetts General Hospital (MGH)","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"95 - 98"},"PeriodicalIF":1.4,"publicationDate":"2018-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1452563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47644891","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 : 2018-01-02DOI: 10.1080/10530789.2017.1377959
L. Mullins, Claire E. O’Hanlon, W. Shadel, J. Tucker
ABSTRACT Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts. This study examined reasons for quitting smoking, previous experiences quitting smoking, and preferences for smoking cessation programs among homeless young adults. Four focus groups (N = 27) were conducted in centers serving homeless 18–25 year olds in Los Angeles. Sessions were audio recorded, transcribed, and analyzed by a systematic procedure for qualitative analysis to identify key themes on the topics of interest. The short-term health-related consequences of smoking and high cost of cigarettes were the main reasons participants indicated for quitting or wanting to quit. In terms of barriers to quitting, exposure to peers who smoke and smoking to cope with the daily stressors of homelessness were the two most salient themes. Suggested features of a smoking cessation program for homeless youth included having a group-based component to provide support, offering incentives to attend, and using “scare tactics” as a tool to increase motivation to quit. To increase acceptability and uptake, smoking cessation programs for homeless youth need to focus on the short-term consequences of smoking and harness of the power of peer influences.
{"title":"A qualitative study of smoking cessation experiences and perceptions among homeless young adults","authors":"L. Mullins, Claire E. O’Hanlon, W. Shadel, J. Tucker","doi":"10.1080/10530789.2017.1377959","DOIUrl":"https://doi.org/10.1080/10530789.2017.1377959","url":null,"abstract":"ABSTRACT Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts. This study examined reasons for quitting smoking, previous experiences quitting smoking, and preferences for smoking cessation programs among homeless young adults. Four focus groups (N = 27) were conducted in centers serving homeless 18–25 year olds in Los Angeles. Sessions were audio recorded, transcribed, and analyzed by a systematic procedure for qualitative analysis to identify key themes on the topics of interest. The short-term health-related consequences of smoking and high cost of cigarettes were the main reasons participants indicated for quitting or wanting to quit. In terms of barriers to quitting, exposure to peers who smoke and smoking to cope with the daily stressors of homelessness were the two most salient themes. Suggested features of a smoking cessation program for homeless youth included having a group-based component to provide support, offering incentives to attend, and using “scare tactics” as a tool to increase motivation to quit. To increase acceptability and uptake, smoking cessation programs for homeless youth need to focus on the short-term consequences of smoking and harness of the power of peer influences.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"1 - 8"},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2017.1377959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47056609","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 : 2018-01-02DOI: 10.1080/10530789.2018.1441677
Rebecca A. Cherner, S. Farrell, Stephen W. Hwang, T. Aubry, F. Klodawsky, A. Hubley, A. Gadermann, Matthew J To
ABSTRACT Homelessness is related to poorer mental health, yet, there is limited understanding of the predictors of mental health of men and women experiencing homelessness. To support service providers in identifying individuals who might be at particular risk of poor mental health, this study investigated the predictors of mental health in 501 single men and women experiencing homelessness in Vancouver, Toronto, and Ottawa, Canada. Data were obtained via in-person, structured interviews. In order to identify whether predictors differ by gender, multiple linear regressions were conducted separately for men and women. Mental health status was measured by the Mental Component Summary score of the 12-item Short-Form Health Survey. Better mental health for men and women was associated with the presence of fewer chronic health conditions and a higher level of social support. An older age, not having experienced a recent physical attack, and absence of a mental health diagnosis were related to better mental health for women. The absence of unmet mental health needs within the past 12 months was associated with better mental health for men. The study highlights differences in factors associated with mental health for men and women. Service providers should be aware of the association of these factors with mental health to guide assessment and service planning.
{"title":"An investigation of predictors of mental health in single men and women experiencing homelessness in three Canadian cities","authors":"Rebecca A. Cherner, S. Farrell, Stephen W. Hwang, T. Aubry, F. Klodawsky, A. Hubley, A. Gadermann, Matthew J To","doi":"10.1080/10530789.2018.1441677","DOIUrl":"https://doi.org/10.1080/10530789.2018.1441677","url":null,"abstract":"ABSTRACT Homelessness is related to poorer mental health, yet, there is limited understanding of the predictors of mental health of men and women experiencing homelessness. To support service providers in identifying individuals who might be at particular risk of poor mental health, this study investigated the predictors of mental health in 501 single men and women experiencing homelessness in Vancouver, Toronto, and Ottawa, Canada. Data were obtained via in-person, structured interviews. In order to identify whether predictors differ by gender, multiple linear regressions were conducted separately for men and women. Mental health status was measured by the Mental Component Summary score of the 12-item Short-Form Health Survey. Better mental health for men and women was associated with the presence of fewer chronic health conditions and a higher level of social support. An older age, not having experienced a recent physical attack, and absence of a mental health diagnosis were related to better mental health for women. The absence of unmet mental health needs within the past 12 months was associated with better mental health for men. The study highlights differences in factors associated with mental health for men and women. Service providers should be aware of the association of these factors with mental health to guide assessment and service planning.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"25 - 33"},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1441677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41748393","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 : 2018-01-02DOI: 10.1080/10530789.2017.1421871
J. Gortney, J. Mendez, Cassandra Bowers, Joel Appel, D. Blanks, Wing Lee Cheung
ABSTRACT The development and validation of a patient exit interview tool, the Interprofessional Clinic Homeless Satisfaction with Student Engagement Survey (ICHSES), and its incorporation in the administration of an interprofessional, co-curricular program, the Community Homeless Interprofessional Program (CHIP) is described. Incorporation of patient satisfaction with student engagement during interprofessional training experiences serving individuals who are homeless has not been previously published. At CHIP, medical, pharmacy and social work students engage with individuals experiencing homelessness in a church and faculty-supervised environment. The students provide basic health assessment, education, and referrals to community resources. Once the interaction with the students is complete, patients are asked to participate in an exit-interview using the ICHSES. Questions in the ICHSES focus on engagement with the students and the patient’s perception of the assistance they received. Based on survey responses by 220 patients, the 5 question ICHSES showed high reliability (Cronbach’s alpha = 0.77). The ICHSES survey could be utilized in similar clinics engaged in serving the homeless.
{"title":"Patient assessment of engagement with students in an interprofessional student-run free clinic for individuals experiencing homelessness","authors":"J. Gortney, J. Mendez, Cassandra Bowers, Joel Appel, D. Blanks, Wing Lee Cheung","doi":"10.1080/10530789.2017.1421871","DOIUrl":"https://doi.org/10.1080/10530789.2017.1421871","url":null,"abstract":"ABSTRACT The development and validation of a patient exit interview tool, the Interprofessional Clinic Homeless Satisfaction with Student Engagement Survey (ICHSES), and its incorporation in the administration of an interprofessional, co-curricular program, the Community Homeless Interprofessional Program (CHIP) is described. Incorporation of patient satisfaction with student engagement during interprofessional training experiences serving individuals who are homeless has not been previously published. At CHIP, medical, pharmacy and social work students engage with individuals experiencing homelessness in a church and faculty-supervised environment. The students provide basic health assessment, education, and referrals to community resources. Once the interaction with the students is complete, patients are asked to participate in an exit-interview using the ICHSES. Questions in the ICHSES focus on engagement with the students and the patient’s perception of the assistance they received. Based on survey responses by 220 patients, the 5 question ICHSES showed high reliability (Cronbach’s alpha = 0.77). The ICHSES survey could be utilized in similar clinics engaged in serving the homeless.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"19 - 24"},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2017.1421871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46246538","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 : 2018-01-02DOI: 10.1080/10530789.2018.1446407
M. Gaboardi, G. Zuccalà, Michela Lenzi, S. Ferrari, M. Santinello
ABSTRACT In Italy, many organizations are experimenting with the Housing First (HF) model to promote a change in how they work with homeless people. This change creates some difficulties, especially in promoting freedom of choice in people involved in the HF programs. This study explored the definition of “home” in homeless people’s points of view. The study participants were 5 homeless men involved in a HF program called “The Road Home” implemented in the city of Padua. Data were collected using Photovoice, a photographic method based on participatory action research. During the project, the participants took photographs to illustrate their definitions of “home” and then engaged in a critical dialogue about the images represented in the photographs. The results of the study showed that occupants identified the home as being related to family, friendship, cohabitation, and hope for the future. The Photovoice project provided an opportunity to promote discussions that revealed the true needs of the people involved, and in the meantime, it brought a change to the program and to the community, in addition to promoting the HF model in the community.
{"title":"Changing the method of working with homeless people: a photovoice project in Italy","authors":"M. Gaboardi, G. Zuccalà, Michela Lenzi, S. Ferrari, M. Santinello","doi":"10.1080/10530789.2018.1446407","DOIUrl":"https://doi.org/10.1080/10530789.2018.1446407","url":null,"abstract":"ABSTRACT In Italy, many organizations are experimenting with the Housing First (HF) model to promote a change in how they work with homeless people. This change creates some difficulties, especially in promoting freedom of choice in people involved in the HF programs. This study explored the definition of “home” in homeless people’s points of view. The study participants were 5 homeless men involved in a HF program called “The Road Home” implemented in the city of Padua. Data were collected using Photovoice, a photographic method based on participatory action research. During the project, the participants took photographs to illustrate their definitions of “home” and then engaged in a critical dialogue about the images represented in the photographs. The results of the study showed that occupants identified the home as being related to family, friendship, cohabitation, and hope for the future. The Photovoice project provided an opportunity to promote discussions that revealed the true needs of the people involved, and in the meantime, it brought a change to the program and to the community, in addition to promoting the HF model in the community.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"53 - 63"},"PeriodicalIF":1.4,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1446407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47818217","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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