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Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska 内布拉斯加州奥马哈市城市男性无家可归退伍军人与非退伍军人的特征
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1304185
S. Ramaswamy, D. Driscoll, J. Tsai, Jodette Rose, Lynette M. Smith, R. Rosenheck
ABSTRACT The current study examined differences between urban homeless veterans and non-veterans on sociodemographics, housing, clinical characteristics, and psychosocial factors. We recruited a sample of 196 homeless men (101 veterans, 95 non-veterans) from the Omaha, Nebraska metropolitan area. Structured interviews were conducted by research staff. The results showed that the two groups were similar in most respects, though there were several notable differences. Homeless veterans were found to be older and more educated than non-veterans, more likely to have married, and reported having fewer non-adult children. Multivariable models controlling for age further showed that veterans reported a higher number of medical problems and were more likely to report being diagnosed with major depression or PTSD than non-veterans. Comparison with previous studies suggests changes in certain characteristics of homeless veterans over the past few decades that may reflect the growing proportion of veterans from the all-volunteer force, initiated after the draft ended in 1975. Findings from this study were consistent with previous comparative studies suggesting limited changes in recent decades in the characteristics of homeless veterans as compared to non-veterans, although the high prevalence of major depression and PTSD merit special treatment for these disorders.
本研究考察了城市无家可归退伍军人和非退伍军人在社会人口统计学、住房、临床特征和心理社会因素方面的差异。我们从内布拉斯加州奥马哈市区招募了196名无家可归者(101名退伍军人,95名非退伍军人)作为样本。由研究人员进行结构化访谈。结果表明,这两组人在大多数方面是相似的,尽管有几个显著的差异。研究发现,与非退伍军人相比,无家可归的退伍军人年龄更大,受教育程度更高,结婚的可能性更大,非成年子女的数量也更少。控制年龄的多变量模型进一步表明,与非退伍军人相比,退伍军人报告了更多的医疗问题,更有可能报告被诊断患有严重抑郁症或创伤后应激障碍。与之前的研究比较表明,在过去几十年里,无家可归的退伍军人的某些特征发生了变化,这可能反映了1975年征兵结束后开始的全志愿部队退伍军人比例的增加。这项研究的结果与之前的比较研究一致,表明近几十年来无家可归的退伍军人的特征与非退伍军人相比变化有限,尽管严重抑郁症和创伤后应激障碍的高患病率值得对这些疾病进行特殊治疗。
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引用次数: 6
The role of eviction in veterans’ homelessness recidivism* 驱逐在退伍军人无家可归再犯中的作用*
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1314093
Meagan C. Cusack, A. Montgomery
ABSTRACT Eviction is one of the leading causes of homelessness in the U.S.A. Though permanent supportive housing (PSH) helps participants maintain housing, some still leave due to eviction. This study aimed to determine whether eviction is an important predictor of recidivism and time to return to homelessness for participants exiting PSH. The characteristics and post-exit service use of 2802 Veteran PSH participants were analyzed based on exit reason. A Cox proportional hazards survival analysis modeled risk factors for returning to homelessness within 360 days of exit. Compared with other exiters, evicted Veterans remained in the program for less time, were less likely to be receiving service-connected compensation, and used more services – particularly mental health and substance use services – following their exit, and those who returned to homelessness did so more quickly. Identifying participants who might benefit from more intensive services, project-based housing, or income supports may prevent evictions and subsequent returns to homelessness.
摘要驱逐是美国无家可归的主要原因之一。尽管永久性支持性住房(PSH)有助于参与者维持住房,但仍有一些人因驱逐而离开。这项研究旨在确定驱逐是否是退出PSH的参与者再次犯罪和重返无家可归时间的重要预测因素。基于退出原因,对2802名PSH退伍军人的特点和退出后服务使用情况进行了分析。Cox比例风险生存分析模拟了在离开后360天内返回无家可归的风险因素。与其他流亡者相比,被驱逐的退伍军人在该项目中停留的时间更短,不太可能获得与服务相关的补偿,并且在他们离开后使用了更多的服务,特别是心理健康和药物使用服务,而那些无家可归的人做得更快。确定可能从更密集的服务、基于项目的住房或收入支持中受益的参与者,可以防止驱逐和随后的无家可归。
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引用次数: 13
An autopsy-based evaluation of deaths of homeless unknown persons (HUPs) 基于尸检的无家可归者死亡评估
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1303565
B. Chaudhary, R. Vidua, P. Pramanik, Arvind Kumar, Sukhdeep Singh
ABSTRACT Background: India is a significant host to homeless unknown persons (HUPs) and subsequently to their untimely deaths due to various reasons. The autopsy-based evaluation has been always important in knowing the exact reasons behind it. Objective: To know about the epidemiological mortality profile such as magnitude, cause and manner of death, seasonality, and year-wise distribution of their untimely and unattended deaths. Materials and Methods: A retrospective autopsy-based evaluation of unnatural deaths among HUPs was done at LHMC, New Delhi for a total duration of 5 years (January 2006 to December 2010). Results: Out of 749 cases in the study group in this duration, 536 deaths have been caused due to some natural events and 213 due to some unnatural events. Among the natural deaths, the pulmonary pathology did contribute for 509 cases. Conclusion: The study population is a vulnerable segment of the society which often suffers the extreme adversity of natural and unnatural events in the form of their deaths. It is a significant host to the pulmonary infections that often spread to the other segments of the society at the point of contact. Thereby it deserves an urgent public health intervention and a policy response for the same for the well-being of HUPs and the general public at large.
背景:印度是无家可归的未知人士(HUPs)的重要东道国,随后由于各种原因导致他们过早死亡。以尸体解剖为基础的评估对于了解其背后的确切原因一直很重要。目的:了解我市过早死亡和无人照料死亡的流行病学死亡概况,包括死亡规模、死亡原因和死亡方式、季节性和年度分布。材料和方法:在新德里LHMC进行了为期5年(2006年1月至2010年12月)的基于回顾性尸检的hup非自然死亡评估。结果:在这段时间内,在研究组的749例病例中,536例死亡是由于一些自然事件造成的,213例是由于一些非自然事件造成的。在自然死亡病例中,肺部病理确实占509例。结论:研究人群是社会的弱势群体,他们经常遭受以死亡形式出现的自然和非自然事件的极端逆境。它是肺部感染的重要宿主,经常传播到接触点的其他社会阶层。因此,它应该得到紧急的公共卫生干预,并为此作出政策回应,以造福于HUPs和广大公众。
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引用次数: 1
Sense of community through supportive housing among formerly homeless individuals with serious mental illness 在患有严重精神疾病的以前无家可归的人中建立社区意识
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1294973
Brad Forenza, D. Lardier
ABSTRACT Much research documents the correlation between homelessness and mental illness. Often, existing research focuses on deficits that live at the intersection of these phenomena. The present study utilizes a sense of community (SOC) framework to interrogate the ways in which formerly homeless individuals with serious mental illness perceive and experience community in supportive housing. Through focus groups with 18 consumers, this study contextualizes dimensions of SOC (membership, emotional connection, needs fulfillment, and influence) for the aforementioned population. Analysis of focus group data produced 16 themes and subthemes that support and extend our understanding of SOC for a population often conceptualized as isolated and alone. Implications for policy and practice emphasize: (1) the importance of supportive housing communities and the call for policymakers to increase funding for such programing; and, (2) that practitioners facilitate housing members’ voices to effectuate change in supportive housing and increase SOC.
许多研究记录了无家可归与精神疾病之间的相关性。通常,现有的研究集中在这些现象交叉点的赤字上。本研究利用社区感(SOC)框架来询问患有严重精神疾病的前无家可归者在支持性住房中感知和体验社区的方式。通过18名消费者的焦点小组,本研究将上述人群的SOC维度(会员资格、情感联系、需求满足和影响力)置于情境中。对焦点小组数据的分析产生了16个主题和子主题,支持和扩展了我们对SOC的理解,因为SOC通常被概念化为孤立和孤立的人群。对政策和实践的影响强调:(1)支持性住房社区的重要性,并呼吁决策者增加对此类计划的资助;以及,(2)从业者促进住房成员的声音,以实现支持性住房的变革并提高SOC。
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引用次数: 15
Using WhatsApp for a homeless count 用WhatsApp统计无家可归者
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1286793
F. Calvo, X. Carbonell
ABSTRACT The study analyses how the use of instant messaging (WhatsApp) alongside other ICT tools is adequate to complement the count of homeless people in an area. In particular, it describes the methodology used in order to organize the first official count of homeless people in Girona (Catalonia, Spain). Given that this is the first count of individuals experiencing homelessness in the city, it is difficult to say that it is an improvement, but it could be suggested that the app might make the future counts more efficient. Both professional and volunteers and homeless people used WhatsApp to send information. A total of 283 homeless people were detected. Results show that the usage of this application optimized the results of the count. 36.1% of the data were obtained online. Homeless people, who were reluctant to contact directly with the professional team, used WhatsApp to communicate with them, adding up to 19.4% of the data obtained. Results show how communication between homeless people and health and mental health services can be potentially improved with this type of application.
摘要本研究分析了即时通讯(WhatsApp)与其他信息和通信技术工具的使用如何足以补充一个地区无家可归者的数量。特别是,它描述了赫罗纳(西班牙加泰罗尼亚)首次官方统计无家可归者人数所使用的方法。鉴于这是该市首次对无家可归者进行统计,很难说这是一个改善,但可以认为该应用程序可能会提高未来的统计效率。专业人员、志愿者和无家可归者都使用WhatsApp发送信息。共发现283名无家可归者。结果表明,该应用程序的使用优化了计数结果。36.1%的数据是在线获得的。无家可归的人不愿直接与专业团队联系,他们使用WhatsApp与他们交流,总计获得了19.4%的数据。结果表明,通过这种类型的应用程序,无家可归者与健康和心理健康服务之间的沟通可能会得到改善。
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引用次数: 6
Creating safe spaces: designing day shelters for people experiencing homelessness 创造安全空间:为无家可归者设计日间庇护所
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2016.1260879
James C. Petrovich, Erin Roark Murphy, Lauran Hardin, Brooke R. Koch
ABSTRACT Day shelter programs are an important resource for people experiencing homelessness, offering respite from inclement weather, social stigma, victimization, and access to essential services and resources. Creating functional day shelter spaces requires that staff, services, and facilities support the needs of this vulnerable and marginalized population. Little guidance, however, is available regarding the design of day shelter spaces that support service engagement and positive service outcomes. This systematic review was conducted to support the development of a new day shelter in Fort Worth, Texas, identifying and reviewing interdisciplinary resources relevant to the design of these facilities. Based on the review, a preliminary taxonomy emphasizing day shelter client safety, security, dignity and health and well-being is proposed. Additional discussion identifies practical considerations affecting the implementation of the taxonomy, design priorities, and how the taxonomy was applied to the design of the Fort Worth day shelter.
摘要日间庇护所计划是无家可归者的重要资源,为他们提供了摆脱恶劣天气、社会耻辱、受害以及获得基本服务和资源的机会。创建功能性日间庇护所需要工作人员、服务和设施来满足弱势和边缘化人群的需求。然而,关于支持服务参与和积极服务成果的日间庇护所空间的设计,几乎没有可用的指导。进行这项系统审查是为了支持在德克萨斯州沃斯堡开发一个新的日间庇护所,确定并审查与这些设施设计相关的跨学科资源。在此基础上,提出了一个初步的分类法,强调日间庇护所客户的安全、保障、尊严以及健康和福祉。额外的讨论确定了影响分类法实施的实际考虑因素、设计优先级,以及如何将分类法应用于沃斯堡日间庇护所的设计。
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引用次数: 12
“I’m not homeless, I’m houseless”: identifying as homeless and associations with service utilization among Los Angeles homeless young people “我不是无家可归,我是无家可归者”:洛杉矶无家可归的年轻人中无家可归者的身份及其与服务利用的联系
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-02 DOI: 10.1080/10530789.2017.1280204
H. Winetrobe, H. Rhoades, E. Rice, N. Milburn, R. Petering
ABSTRACT Little is known about homeless young people’s identification of being homeless and how that identity may or may not be associated with service utilization. This study of 444 homeless young people attending Los Angeles area drop-in centers explores the associations of demographic characteristics, homelessness characteristics, negative lifetime experiences, mental health symptoms, technology use, and past month service utilization with identifying as homeless. Fifty-two percent of the sample identified as being homeless. Being Black, a current traveler, and history of injection drug use were all significantly associated with a decreased likelihood in identifying as homeless. However, having fair/poor health, accessing shelter services, and reporting one’s own substance use as a reason for homelessness were all significantly associated with identifying as homeless. There are important service implications for reaching young people who are in need of services but may not identify with the target population label of homeless.
关于无家可归的年轻人对无家可归的认同,以及这种认同与服务利用之间的关系,我们知之甚少。这项针对444名参加洛杉矶地区收容中心的无家可归年轻人的研究,探讨了人口统计学特征、无家可归特征、负面生活经历、心理健康症状、技术使用和过去一个月的服务利用率与认定为无家可归者的关系。52%的样本被认定为无家可归。身为黑人、目前的旅行者和注射吸毒史都与无家可归的可能性降低显著相关。然而,健康状况尚可/较差、获得收容所服务以及报告自己的药物使用情况是无家可归的原因,这些都与认定为无家可归者有很大关系。对于那些需要服务但可能不认同无家可归目标人群标签的年轻人来说,这对服务有重要影响。
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引用次数: 12
Barriers to Healthcare for American Indians Experiencing Homelessness. 无家可归的美国印第安人获得医疗保健的障碍。
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-01 Epub Date: 2017-01-22 DOI: 10.1080/10530789.2016.1265211
Stephanie M Wille, Katherine A Kemp, Brenna L Greenfield, Melissa L Walls

Members of American Indian (AI) communities face many barriers to receiving both mental and physical healthcare. These barriers can have a negative effect on overall health. Barriers are compounded for AIs who are also experiencing homelessness, and AI make up a disproportionate percentage of the homeless population nationwide. In-depth semi-structured interviews were conducted with 12 service providers and 16 homeless participants in a mid-size Midwestern city to identify barriers to care for homeless participants. Key barriers identified in this study for homeless participants were: transportation, phone accessibility, discrimination, and cold and bureaucratic cultures of healthcare systems. Major barriers identified by service providers were: access to care, discrimination and mistrust, and restrictive policies. Given generally higher disease prevalence within the homeless population and health disparities within the AI community, steps should be taken to reduce barriers to healthcare.

美国印第安人(AI)社区的成员在接受精神和身体保健方面面临许多障碍。这些障碍会对整体健康产生负面影响。对于同样无家可归的人工智能来说,障碍更加复杂,人工智能在全国无家可归人口中所占比例不成比例。在中西部一个中型城市对12名服务提供者和16名无家可归者进行了深入的半结构化访谈,以确定照顾无家可归者的障碍。本研究确定的无家可归参与者的主要障碍是:交通、电话可及性、歧视以及医疗系统的冷漠和官僚文化。服务提供者确定的主要障碍是:获得护理、歧视和不信任以及限制性政策。鉴于无家可归人口中普遍较高的患病率和人工智能社区内的健康差距,应采取步骤减少获得保健的障碍。
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引用次数: 15
No Digital Divide? Technology Use among Homeless Adults. 没有数字鸿沟?无家可归的成年人使用科技产品。
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-01 Epub Date: 2017-03-22 DOI: 10.1080/10530789.2017.1305140
Harmony Rhoades, Suzanne Wenzel, Eric Rice, Hailey Winetrobe, Benjamin Henwood

Homeless adults experience increased risk of negative health outcomes, and technology-based interventions may provide an opportunity for improving health in this population. However, little is known about homeless adults' technology access and use. Utilizing data from a study of 421 homeless adults moving into PSH, this paper presents descriptive technology findings, and compares results to age-matched general population data. The vast majority (94%) currently owned a cell phone, although there was considerable past 3-month turnover in phones (56%) and phone numbers (55%). More than half currently owned a smartphone, and 86% of those used Android operating systems. Most (85%) used a cell phone daily, 76% used text messaging, and 51% accessed the Internet on their cell phone. One-third reported no past 3-month Internet use. These findings suggest that digital technology may be a feasible means of disseminating health and wellness programs to this at-risk population, though important caveats are discussed.

无家可归的成年人经历负面健康结果的风险增加,基于技术的干预措施可能为改善这一人群的健康提供机会。然而,人们对无家可归的成年人获取和使用科技产品的情况知之甚少。利用一项对421名搬进PSH的无家可归成年人的研究数据,本文提出了描述性技术发现,并将结果与年龄匹配的一般人口数据进行了比较。绝大多数人(94%)目前拥有一部手机,尽管在过去3个月内,手机(56%)和电话号码(55%)的交易量相当大。超过一半的人目前拥有智能手机,其中86%的人使用安卓操作系统。大多数人(85%)每天使用手机,76%的人使用短信,51%的人用手机上网。三分之一的人报告过去3个月没有使用过互联网。这些发现表明,数字技术可能是向这些高危人群传播健康和保健计划的可行手段,尽管讨论了重要的注意事项。
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引用次数: 92
Life Goals and Gender Differences among Chronically Homeless Individuals Entering Permanent Supportive Housing. 长期无家可归者进入永久性支持性住房的生活目标与性别差异。
IF 1.4 Q3 SOCIAL WORK Pub Date : 2017-01-01 Epub Date: 2017-01-24 DOI: 10.1080/10530789.2016.1274570
Melissa Bird, Harmony Rhoades, John Lahey, Julie Cederbaum, Suzanne Wenzel

This research seeks to understand goals and the gender differences in goals among men and women who are transitioning into permanent supportive housing. Because of systemic gender inequality, men and women experience homelessness differently. Data collected for this study come from a longitudinal investigation of HIV risk behavior and social networks among women and men transitioning from homelessness to permanent supportive housing. As part of this study, 421 baseline interviews were conducted in English with homeless adults scheduled to move into permanent supportive housing; participants were recruited between September 2014 and October 2015. This paper uses goals data from the 418 male-or female-identified respondents in this study. Results identified goal differences in education and general health between men and women that should be taken into account when service providers, policy makers, and advocates are addressing the needs of homeless women.

本研究旨在了解目标和目标的性别差异的男性和女性谁正在过渡到永久的支持性住房。由于系统性的性别不平等,男性和女性无家可归的经历是不同的。本研究收集的数据来自对从无家可归者过渡到永久性支持性住房的女性和男性的艾滋病毒风险行为和社会网络的纵向调查。作为这项研究的一部分,421名无家可归的成年人用英语进行了基线访谈,他们计划搬进永久性的支持性住房;参与者在2014年9月至2015年10月期间被招募。本文使用了418名男性或女性受访者的目标数据。结果确定了男女之间在教育和一般健康方面的目标差异,服务提供者、决策者和倡导者在解决无家可归妇女的需求时应考虑到这些差异。
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引用次数: 16
期刊
Journal of Social Distress and the Homeless
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