Pub Date : 2018-10-15DOI: 10.1080/10530789.2018.1534427
Monique Phipps, Lisa Dalton, H. Maxwell, M. Cleary
ABSTRACT Homelessness is an increasingly prevalent issue worldwide. Women represent the fastest growing segment of the homeless population and have differing needs to men. These differences need to be considered by service providers and other stakeholders working with homeless women. A scoping review was conducted to address the question “What is known about issues relating to homeless women in the existing literature?” PubMed, PsycInfo, Embase, CINAHL, Scopus and Web of Science were searched up until March 2018 with no date limits. The final sample of articles included in this scoping study was 232 from which six themes were extracted: (1) pathways into homelessness, (2) trauma, victimization and adverse childhood experiences, (3) mental and physical health issues, (4) barriers to accessing treatment and experiences with service providers, (5) social support and life satisfaction and (6) strengths, hopes and leaving homelessness. This review suggests a strengths-based approach to addressing women’s homelessness. This approach emphasizes people’s self-determination and strengths and views clients as resilient to problems they encounter in their lives. Future research and service provision should take into account the complexities in the lives of homeless women and recognize the autonomy of women to move out of homelessness.
摘要无家可归问题在世界范围内日益普遍。妇女是无家可归人口中增长最快的群体，与男子有不同的需求。服务提供者和与无家可归妇女合作的其他利益攸关方需要考虑这些差异。对PubMed、PsycInfo、Embase、CINAHL、Scopus和Web of Science进行了范围界定审查，以解决“现有文献中与无家可归妇女有关的问题已知多少？”。这项范围界定研究中包含的文章的最终样本为232篇，其中提取了六个主题：（1）无家可归的途径，（2）创伤、受害和不良童年经历，（3）心理和身体健康问题，（4）获得治疗的障碍和与服务提供方的经历，（5）社会支持和生活满意度，希望和无家可归。这篇综述提出了一种基于优势的方法来解决妇女无家可归的问题。这种方法强调人们的自决权和优势，并认为客户对生活中遇到的问题有弹性。未来的研究和服务提供应考虑到无家可归妇女生活的复杂性，并承认妇女摆脱无家可归的自主权。
{"title":"Women and homelessness, a complex multidimensional issue: findings from a scoping review","authors":"Monique Phipps, Lisa Dalton, H. Maxwell, M. Cleary","doi":"10.1080/10530789.2018.1534427","DOIUrl":"https://doi.org/10.1080/10530789.2018.1534427","url":null,"abstract":"ABSTRACT Homelessness is an increasingly prevalent issue worldwide. Women represent the fastest growing segment of the homeless population and have differing needs to men. These differences need to be considered by service providers and other stakeholders working with homeless women. A scoping review was conducted to address the question “What is known about issues relating to homeless women in the existing literature?” PubMed, PsycInfo, Embase, CINAHL, Scopus and Web of Science were searched up until March 2018 with no date limits. The final sample of articles included in this scoping study was 232 from which six themes were extracted: (1) pathways into homelessness, (2) trauma, victimization and adverse childhood experiences, (3) mental and physical health issues, (4) barriers to accessing treatment and experiences with service providers, (5) social support and life satisfaction and (6) strengths, hopes and leaving homelessness. This review suggests a strengths-based approach to addressing women’s homelessness. This approach emphasizes people’s self-determination and strengths and views clients as resilient to problems they encounter in their lives. Future research and service provision should take into account the complexities in the lives of homeless women and recognize the autonomy of women to move out of homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"1 - 13"},"PeriodicalIF":1.4,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1534427","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41701422","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 : 2018-09-18DOI: 10.1080/10530789.2018.1523103
Paige Zhang, K. Bassil, Stephanie Gower, M. Katić, A. Kiss, Evie Gogosis, Stephen W. Hwang
ABSTRACT People experiencing homelessness have an increased risk of cold-related injuries. This study determined the rate of emergency department (ED) visits for cold-related injuries among homeless adults and low-income controls in Toronto, Canada. Homeless individuals were recruited at shelters and meal programs. Age- and sex-matched controls living in low-income neighborhoods were selected. ED utilization was ascertained over 4-years of follow-up (2005–9) using administrative databases. A total of 16 ED visits for cold-related injuries were observed among 587 homeless men and 296 homeless women. The rate of ED visits was 6.7 (95% CI, 4.2–12.4) per 1000 person-years of observation among homeless men and 0.9 (95% CI, 0.03–5.6) among homeless women. ED visit rates were significantly higher among homeless men compared to low-income men (P < 0.001) and significantly higher among homeless men compared to homeless women (P = 0.03). Targeted public health interventions are needed to reduce the risk of cold-related injuries among people experiencing homelessness.
{"title":"Cold-related injuries in a cohort of homeless adults","authors":"Paige Zhang, K. Bassil, Stephanie Gower, M. Katić, A. Kiss, Evie Gogosis, Stephen W. Hwang","doi":"10.1080/10530789.2018.1523103","DOIUrl":"https://doi.org/10.1080/10530789.2018.1523103","url":null,"abstract":"ABSTRACT People experiencing homelessness have an increased risk of cold-related injuries. This study determined the rate of emergency department (ED) visits for cold-related injuries among homeless adults and low-income controls in Toronto, Canada. Homeless individuals were recruited at shelters and meal programs. Age- and sex-matched controls living in low-income neighborhoods were selected. ED utilization was ascertained over 4-years of follow-up (2005–9) using administrative databases. A total of 16 ED visits for cold-related injuries were observed among 587 homeless men and 296 homeless women. The rate of ED visits was 6.7 (95% CI, 4.2–12.4) per 1000 person-years of observation among homeless men and 0.9 (95% CI, 0.03–5.6) among homeless women. ED visit rates were significantly higher among homeless men compared to low-income men (P < 0.001) and significantly higher among homeless men compared to homeless women (P = 0.03). Targeted public health interventions are needed to reduce the risk of cold-related injuries among people experiencing homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"85 - 89"},"PeriodicalIF":1.4,"publicationDate":"2018-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1523103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47500280","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: 10.1080/10530789.2018.1497836
C. Pisinger, K. Green, Birgitta Dreiøe, C. Larsen
ABSTRACT Introduction: Shelter users have an alarmingly high smoking prevalence; our aim was to develop systematic smoking cessation activities in the shelters. Method: All available (n = 13) shelters in Copenhagen were included. This Participatory Action Research had a development/test period and an implementation period for the revised intervention. Shelter-staff completed a questionnaire at baseline. Municipal smoking cessation counselors were trained to work with shelter users. Three types of on-site smoking cessation activities were developed and offered. Results: The estimated mean smoking prevalence in shelter users was 79%. Only two shelters ran smoking cessation activities prior to study start. All but one of the shelters implemented group-based intervention activities and approximately 13% of smokers signed-up; 26.6% of those who attended the first session were abstinent after approximately 12 weeks, as confirmed by staff. Conclusion: Smoking cessation activities in shelters are wanted by staff and shelter users, they are feasible and even very vulnerable persons are able to quit. Based on our experiences in Copenhagen shelters, we propose a systematic approach for future smoking cessation initiatives: smoking activities should be driven by the municipality, be pro-active, on-site, tailored and flexible, in addition, free nicotine therapy should be offered and trained smoking cessation counselors should be available.
{"title":"A systematic approach to smoking cessation activities in Danish shelters","authors":"C. Pisinger, K. Green, Birgitta Dreiøe, C. Larsen","doi":"10.1080/10530789.2018.1497836","DOIUrl":"https://doi.org/10.1080/10530789.2018.1497836","url":null,"abstract":"ABSTRACT Introduction: Shelter users have an alarmingly high smoking prevalence; our aim was to develop systematic smoking cessation activities in the shelters. Method: All available (n = 13) shelters in Copenhagen were included. This Participatory Action Research had a development/test period and an implementation period for the revised intervention. Shelter-staff completed a questionnaire at baseline. Municipal smoking cessation counselors were trained to work with shelter users. Three types of on-site smoking cessation activities were developed and offered. Results: The estimated mean smoking prevalence in shelter users was 79%. Only two shelters ran smoking cessation activities prior to study start. All but one of the shelters implemented group-based intervention activities and approximately 13% of smokers signed-up; 26.6% of those who attended the first session were abstinent after approximately 12 weeks, as confirmed by staff. Conclusion: Smoking cessation activities in shelters are wanted by staff and shelter users, they are feasible and even very vulnerable persons are able to quit. Based on our experiences in Copenhagen shelters, we propose a systematic approach for future smoking cessation initiatives: smoking activities should be driven by the municipality, be pro-active, on-site, tailored and flexible, in addition, free nicotine therapy should be offered and trained smoking cessation counselors should be available.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"27 1","pages":"118 - 125"},"PeriodicalIF":1.4,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1497836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46079815","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: 10.1080/10530789.2018.1501947
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}
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