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Changes in the health status of newly housed chronically homeless: the Alaska Housing First program evaluation 新安置的长期无家可归者健康状况的变化:阿拉斯加住房优先方案评估
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2018.1441678
David L. Driscoll, J. Johnston, Chelsea Chapman, Travis Hedwig, Sarah Shimer, Rebecca Barker, Nancy Burke, Michael Baldwin, Richard A. Brown
ABSTRACT The Housing First (HF) model is an evidence-based supportive housing initiative that provides permanent housing for the homeless without preconditions such as sobriety or treatment compliance. This three-year longitudinal study investigated the effects of Alaska's inaugural Housing First projects in Anchorage and Fairbanks on local service usage, costs and tenant quality of life (QoL). A total of 94 tenants participated at baseline in the QoL study and 68 continued to follow-up. Cost data was collected from local municipalities, Alaska Department of Corrections, and local hospitals, health care clinics, behavioral health providers, and detox facilities. Emergency services use by tenants decreased from the year before moving into Housing First to the year after. Changes in health care costs were more variable depending on site and type of service.
摘要住房优先(HF)模式是一种基于证据的支持性住房倡议,为无家可归者提供永久性住房,无需清醒或遵守治疗等先决条件。这项为期三年的纵向研究调查了阿拉斯加在安克雷奇和费尔班克斯的首个住房优先项目对当地服务使用、成本和租户生活质量(QoL)的影响。共有94名租户在基线时参与了生活质量研究,68名租户继续随访。成本数据是从当地市政当局、阿拉斯加惩教部、当地医院、医疗诊所、行为健康提供者和排毒设施收集的。租户使用的紧急服务从入住Housing First的前一年到次年有所减少。医疗保健费用的变化因地点和服务类型而异。
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引用次数: 6
Tribe: on homecoming and belonging 部落:关于归乡和归属感
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2017.1374499
Erin R Murphy
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引用次数: 42
Home visiting program impacts on reducing homelessness among young mothers 家访计划对减少年轻母亲无家可归现象的影响
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2017.1396740
Lauren E. Stargel, R. Fauth, M. Easterbrooks
ABSTRACT In the current study, we aimed to determine the effects of Healthy Families Massachusetts (HFM), a statewide home visiting program, on young mothers’ experiences with homelessness during enrollment and after program completion. Data were drawn from a longitudinal, randomized control trial evaluation of HFM. Data collection occurred across 5 time points between 2008 and 2015 from a sample of 704 participants. The current analyses were restricted to a subsample of mothers (n = 443) with Time 5 data (74 months post-enrollment; 59.1% program, 40.9% control), which was representative of the Time 1 sample. We used data from maternal phone interviews to assess program effects on experiences with homelessness. Young mothers who participated in HFM were less likely to experience homelessness when their children were preschool-age or older than mothers in the control group. During program participation, the number of home visits was negatively associated with concurrent homelessness when children were infants or toddlers.
在本研究中,我们旨在确定健康家庭马萨诸塞州(HFM),一个全州范围的家访计划,对年轻母亲在入学期间和项目完成后的无家可归经历的影响。数据来自一项评价HFM的纵向随机对照试验。从2008年至2015年的5个时间点收集了704名参与者的数据。目前的分析仅限于母亲的子样本(n = 443),时间5数据(入组后74个月;59.1%程序,40.9%对照),具有Time 1样本的代表性。我们使用来自母亲电话访谈的数据来评估项目对无家可归经历的影响。与对照组的母亲相比,参加HFM的年轻母亲在孩子学龄前或更大的时候不太可能经历无家可归。在参与项目期间,当儿童是婴儿或学步儿童时,家访次数与同时无家可归呈负相关。
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引用次数: 3
Housing interventions for homeless, pregnant/parenting women with addictions: a systematic review 住房干预无家可归者,怀孕/养育成瘾妇女:系统回顾
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2018.1442186
J. Krahn, V. Caine, J. Chaw-Kant, A. Singh
ABSTRACT Family homelessness is a growing problem in North America with most of these families headed by single women. Homeless women also experience high rates of pregnancy and addiction (drugs and alcohol). Housing interventions have been identified as key to addressing the complex needs of pregnant/early parenting, homeless women with addictions. The aim of this systematic review is to determine what housing models and programs for this population yield the best outcomes. We systematically searched 10 databases and retrieved eight articles describing four distinct studies that met the inclusion criteria for this review. Overall, improved outcomes were found for all intervention groups with the most recent and rigorous studies favoring models combining Housing First and case management. However, methodological limitations, study quality, and varied outcomes made comparison across studies difficult. Further research must be done in this area using standardized outcomes and rigorous designs to develop evidence-based best practice guidelines to address the unique needs of this population.
摘要在北美,家庭无家可归是一个日益严重的问题,其中大多数家庭由单身女性领导。无家可归的妇女也有很高的怀孕率和成瘾率(毒品和酒精)。住房干预措施已被确定为解决怀孕/早期养育、有毒瘾的无家可归妇女的复杂需求的关键。这项系统审查的目的是确定针对这一人群的住房模式和计划能产生最佳结果。我们系统地搜索了10个数据库,检索了8篇文章,描述了符合本综述纳入标准的四项不同研究。总体而言,所有干预组的结果都有所改善,最新的严格研究支持住房优先和病例管理相结合的模式。然而,方法论的局限性、研究质量和不同的结果使得跨研究的比较变得困难。必须在这一领域进行进一步的研究,采用标准化的结果和严格的设计,制定循证最佳实践指南,以满足这一人群的独特需求。
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引用次数: 19
Identity in transition: how formerly homeless individuals negotiate identity as they move into housing 转型中的身份:以前无家可归的人在搬进住房时如何协商身份
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2017.1379720
K. Desjarlais-deKlerk
ABSTRACT It is unclear what happens when stigmatized individuals undergo status transitions into non-stigmatized groups. This paper explores changes in housing status, identity, and social relationships over time and their impact on formerly homeless individuals. Drawing on longitudinal qualitative interview data collected over six months from seven individuals transitioning out of homelessness and into government supported housing, this paper examines identity changes during such a status shift. Analysis shows that individuals distanced themselves from both homeless and formerly homeless people, and connected with others through groups not affiliated with homelessness or shelter life. When exiting a stigmatized status, like homelessness, social distancing may be particularly important as it helps redefine the self as apart from that previously held stigmatized status. Implications for research and policy are discussed.
摘要:当被污名化的个体转变为非污名化群体时,会发生什么还不清楚。本文探讨了住房状况、身份和社会关系随时间的变化及其对以前无家可归者的影响。本文利用六个多月来从七名从无家可归者过渡到政府支持的住房的人身上收集的纵向定性访谈数据,研究了这种身份转变过程中的身份变化。分析表明,个人与无家可归者和以前无家可归的人保持距离,并通过与无家可归者或收容所生活无关的团体与他人建立联系。当离开一种被污名化的状态时,比如无家可归,保持社交距离可能特别重要,因为它有助于重新定义自我,使其与以前的污名化状态不同。讨论了对研究和政策的影响。
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引用次数: 4
A community of singers: employing exploratory cluster analysis to reveal profiles of psychosocial characteristics among members of a street choir for homeless and formerly homeless individuals 歌手社区:采用探索性聚类分析来揭示流浪者和以前流浪者街头合唱团成员的心理社会特征
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2018.1447269
Courtney Cronley, Anne Nordberg, Erin R Murphy, Mary K. Twis
ABSTRACT This exploratory study employed cluster analysis to identify profiles of resilience, social support, stress, and mental health among members of a homeless and formerly homeless street choir; we examined the association between choir attendance and cluster membership, and the interaction of cluster membership and race. Respondents (N = 111, 66% African American, 84% homeless) had participated in the choir for an average of 12 months (SD = 12.02). We stratified the analysis according to homelessness status. Among those housed, k-means cluster analysis revealed two profiles: (1) relatively resourced but lower resilience, and (2) high resilience. Three profiles emerged among the homeless: (1) psychologically vulnerable, high stress and mental health concerns; (2) relatively resourced, showing average levels of mental health concerns and social support, minimally elevated stress, and higher resilience; and (3) low resilience. Examining the interaction, non-African American, housed participants in the high resilience cluster reported the most frequent choir attendance (M = 4.00, SD = 0.00); among the homeless, non-African Americans in the psychologically vulnerable cluster reported the most frequent attendance (M = 3.88, SD = 1.25). Results support the need for programs that address higher order needs concurrently with housing; they also highlight the ongoing need to provide particular outreach to minority populations.
摘要这项探索性研究采用聚类分析来确定无家可归者和以前无家可归的街头合唱团成员的复原力、社会支持、压力和心理健康状况;我们研究了合唱团出席率与集群成员之间的关系,以及集群成员与种族之间的相互作用。受访者(N = 111,66%的非裔美国人,84%的无家可归者)参加合唱团平均12个月(SD = 12.02)。我们根据无家可归状况对分析进行了分层。在被安置者中,k-means聚类分析揭示了两种情况:(1)资源相对丰富,但弹性较低;(2)弹性较高。无家可归者中出现了三种情况:(1)心理脆弱、压力大和心理健康问题;(2) 资源相对丰富,表现出平均水平的心理健康问题和社会支持,压力最小,恢复力更高;和(3)低弹性。研究互动,非非洲裔美国人,居住在高弹性集群中的参与者报告了最频繁的唱诗班出席人数(M = 4.00,标准差 = 0.00);在无家可归者中,心理脆弱群体中的非非洲裔美国人的出勤率最高(M = 3.88,标准差 = 1.25).结果支持在住房的同时满足更高阶需求的计划的需求;他们还强调,目前需要向少数民族人口提供特别的外展服务。
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引用次数: 5
Built community: architecture, community, and participation in a permanent supportive housing project 建成社区:建筑、社区和参与永久性支持性住房项目
IF 1.4 Q3 SOCIAL WORK Pub Date : 2018-01-02 DOI: 10.1080/10530789.2018.1445507
Tim Huffman
ABSTRACT Housing and the social processes that create it are an important part of a better world. The permanent supportive housing movement holds that housing, in addition to a variety of human services, is the most dignified and effective way to help people without homes. But the design of such initiatives matters. This community-based, qualitative research project investigates the connection between space, participation, and community. It draws on the experiences of residents of an innovative housing organization on Skid Row in Los Angeles, California. Residents of the program find community space to be both promising and contested. Their experiences also reveal the way that institutional space can be trauma-informed and impact their overall wellbeing and opportunities for interacting with others. However, their feelings of being a part of the community and their involvement in activities are not always connected, as identity and social context can cause residents to identify or dis-identify with their community despite how involved or uninvolved they are. Intentionally designed community spaces in permanent supportive housing units can respond to trauma and set the stage for interaction, but they cannot solve all problems.
摘要住房和创造住房的社会进程是一个更美好世界的重要组成部分。永久性支持性住房运动认为,住房除了各种人类服务外,是帮助无家可归者的最有尊严和最有效的方式。但这些举措的设计很重要。这个以社区为基础的定性研究项目调查了空间、参与和社区之间的联系。它借鉴了加利福尼亚州洛杉矶Skid Row一家创新住房组织的居民的经验。该项目的居民发现社区空间既有希望,也有争议。他们的经历也揭示了机构空间如何被创伤告知,并影响他们的整体健康和与他人互动的机会。然而,他们作为社区一部分的感觉和他们对活动的参与并不总是联系在一起的,因为身份和社会背景可能会导致居民认同或不认同他们的社区,无论他们是如何参与或不参与。在永久性支持性住房单元中有意设计的社区空间可以应对创伤,并为互动创造条件,但它们不能解决所有问题。
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引用次数: 9
Perspectives 展望
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-07-03 DOI: 10.1080/10530789.2017.1362735
J. Tsai
Since I am starting a new “Perspectives” column, I suppose it is befitting that I write the first article for the column to describe my viewpoint as Editor of the Journal. I’ve had the privilege of serving as Editor for nearly two years and I regularly think about how to improve the Journal. I am creating this new column series to feature first-person narratives or unique perspectives on work related to social distress and homelessness. Most of the regular articles in the Journal describe studies with quantitative or qualitative data, which of course is important, but they often are not the right venue for more personal notes or broad viewpoints about the field which also have their value for the field. As a first article for this column, I will write from my perspective as a Journal Editor in what lessons I have learned that I think are important to share with others. Specifically, I will describe several things I look for as an Editor/Reviewer and lessons I have learned through submitting my own work for peer-reviewed publication. In addition to my Editorship on this Journal, I have served on the Editorial Board of seven other journals and have reviewed for various other journals as well so I bring those experiences to bare in describing my perspective.
由于我正在开设一个新的“观点”专栏,我想我应该为该专栏写第一篇文章来描述我作为《华尔街日报》编辑的观点。我有幸担任编辑近两年,我经常思考如何改进《华尔街日报》。我正在创建这个新的专栏系列,以第一人称叙事或对与社会困境和无家可归有关的工作的独特视角为特色。《华尔街日报》上的大多数常规文章都描述了具有定量或定性数据的研究,这当然很重要,但它们往往不是对该领域进行更多个人笔记或广泛观点的合适场所,而这些笔记或观点对该领域也有价值。作为本专栏的第一篇文章,我将从期刊编辑的角度写下我所学到的教训,我认为这些教训对与他人分享很重要。具体来说,我将描述我作为编辑/审稿人所寻找的几件事,以及我通过提交自己的作品供同行评审出版物所学到的教训。除了担任《华尔街日报》的编辑外,我还曾在其他七种期刊的编辑委员会任职,并为其他各种期刊做过评论,因此我在描述自己的观点时,将这些经历暴露无遗。
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引用次数: 1
Observations from the field: interviewers’ experiences interviewing and retaining homeless and vulnerably housed participants in longitudinal health research 来自现场的观察:采访者在纵向健康研究中采访和留住无家可归者和弱势住房参与者的经验
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-07-03 DOI: 10.1080/10530789.2017.1349598
J. Gerlitz, R. Joyce, A. Gadermann, A. Hubley, Sophie Ma Zhu, Meagan Stowe, A. Palepu
ABSTRACT Conducting longitudinal research with homeless or vulnerably housed (HVH) participants is challenging. Homelessness, poverty, mental health issues, and addiction are social issues with which most cities in North America are grappling today. The study purpose was to explore the experiences of, and lessons learned by, staff in interviewing and retaining HVH adults in a marginalized neighborhood over the course of a 4 year longitudinal study. Four frontline interviewers from the Vancouver Health and Housing in Transition research team participated in six focus group sessions. Content analysis of transcriptions revealed three dominant themes: tracking and retention strategies; interviewer training and support; and interview dynamics. Participants’ mental health and substance use impacted all stages of the research. Interviewers’ experiences, observations, and recommendations contribute to the literature on interviewing and retaining HVH adults in longitudinal research as well as the training and support of staff.
对无家可归者或弱势住房(HVH)参与者进行纵向研究是具有挑战性的。无家可归、贫穷、心理健康问题和吸毒成瘾是当今北美大多数城市都在努力解决的社会问题。本研究的目的是在一项为期4年的纵向研究中,探讨工作人员在采访和留住边缘社区的HVH成年人方面的经验和教训。来自温哥华过渡时期健康和住房研究小组的四名一线采访者参加了六次焦点小组会议。内容分析揭示了三个主要主题:跟踪和留存策略;面试官培训和支持;面试动态。参与者的心理健康和药物使用影响了研究的各个阶段。采访者的经验、观察和建议有助于在纵向研究中采访和留住HVH成人以及培训和支持工作人员。
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引用次数: 10
Homelessness in New York City: policymaking from Koch to De Blasio 纽约无家可归:从科赫到白思豪的政策制定
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-07-03 DOI: 10.1080/10530789.2017.1366110
A. Lovell
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引用次数: 0
期刊
Journal of Social Distress and the Homeless
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