Journal of Social Distress and the Homeless最新文献_第10页

Relationships in healthcare and homelessness: Exploring solidarity 医疗保健和无家可归者之间的关系:探索团结

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-07-02 DOI: 10.1080/10530789.2016.1254862

A. Oudshoorn, C. Ward-Griffin, H. Berman, C. Forchuk, B. Poland

{"title":"Relationships in healthcare and homelessness: Exploring solidarity","authors":"A. Oudshoorn, C. Ward-Griffin, H. Berman, C. Forchuk, B. Poland","doi":"10.1080/10530789.2016.1254862","DOIUrl":"https://doi.org/10.1080/10530789.2016.1254862","url":null,"abstract":"Abstract Background: People experiencing homelessness have some of the highest morbidity rates and lowest age of mortality in Canada yet face many barriers to care, in particular the attitudes of healthcare providers. Objectives: In this critical ethnographic study, power within client–provider relationships in health care with people experiencing homelessness is explored. Methods: Multiple qualitative methods of document analysis, participant observation, interviews, and focus groups were used with both clients and providers in a community clinic for people experiencing homelessness. Data analysis involved individual and team thematic analysis, guided by Lather's (2007, Getting lost: Feminist efforts towards a double(d) science. Albany, NY: SUNY Press) criteria for validity. Results: Caregiving relationships involve a negotiation of power based on the many differences of social location between clients and providers. Both clinic policies and personal practices influence the ways power is asserted, taken, or shared. Conclusions: In discussing the implications for addressing power relations in caregiving relationships, it is highlighted that most work in this area has focused on educating health professionals to assist them to relate in more appropriate ways. More needs to be done to actively address the power differentials inherent in caregiving with people experiencing homelessness, for which the concept of ‘solidarity’ is presented as offering some promise.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2016.1254862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60195384","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}

引用次数: 3

Prevalence and correlates of diabetes mellitus among homeless veterans nationally in the Veterans Health Administration 退伍军人健康管理局统计的全国无家可归退伍军人糖尿病患病率及相关因素

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-07-02 DOI: 10.1080/10530789.2016.1169722

T. Iheanacho, R. Rosenheck

{"title":"Prevalence and correlates of diabetes mellitus among homeless veterans nationally in the Veterans Health Administration","authors":"T. Iheanacho, R. Rosenheck","doi":"10.1080/10530789.2016.1169722","DOIUrl":"https://doi.org/10.1080/10530789.2016.1169722","url":null,"abstract":"Abstract Background: Homeless people are at high risk for many chronic medical conditions although their risk of diabetes has not been well studied. Current epidemiological studies of diabetes prevalence among homeless adults have been based mostly on self-report data not supported by clinical assessments. Objectives: To determine the prevalence and risk factors for diabetes mellitus (DM) among homeless veterans in the Veteran Health Administration (VHA). Methods: The sample included 3 464 364 veterans with documented body mass indexes (BMI), 137 720 (4%) of whom had been homeless. Logistic regression models were used to determine the odds of having DM among homeless veterans compared to non-homeless veterans. Bivariate and multi-variate analyses were then used to identify potential risk factors for DM among homeless veterans. Results: The prevalence of DM in homeless veterans was 19%. Homeless veterans with DM, compared to those without it were older, more likely to have a BMI > 40 and more likely to have DM-related co-morbidities. Conclusions: There is a high prevalence of DM among homeless veterans in the VHA compared to previous reports for homeless adults (8%). Tailored approaches to improve access to DM screening, prevention, and treatment could benefit homeless veterans.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2016.1169722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60194976","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}

引用次数: 4

Stress on the streets: Validation of a measurement 街道上的压力:测量的验证

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-02 DOI: 10.1080/10530789.2015.1116837

L. Rew, T. Powell, S. Thompson

{"title":"Stress on the streets: Validation of a measurement","authors":"L. Rew, T. Powell, S. Thompson","doi":"10.1080/10530789.2015.1116837","DOIUrl":"https://doi.org/10.1080/10530789.2015.1116837","url":null,"abstract":"Abstract Background: Homeless and street-dependent youths experience myriad stressors, but to date there has been no published measure of this phenomenon. Objective: This study was designed to describe the process of developing and testing a measure of stress experienced on the streets suitable for use with this population. Methods: Classical measurement theory was used to develop and evaluate relevance and validity of items in the scale. Results: The total scale content validity index was .95 and the Cronbach’s alpha was .92 in a combined sample of homeless youths (n = 90) and university students (n = 94). The mean scores of the two subsamples were statistically significantly different (t(166) = 4.22, P < .001), supporting construct validity. Factor analysis, using Principal Component Analysis, of data collected from the homeless youths yielded five subscales congruent with content in initial item construction. The subscales were: (1) safety on the streets, (2) housing stability, (3) interpersonal relationships, (4) immediate security and (5) stress about future. Conclusions: The final scale has 27 items suitable for future research with this population.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2016-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2015.1116837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60194984","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}

引用次数: 5

Conducting public health photovoice projects with those who are homeless: A review of the literature 与无家可归者一起开展公共卫生摄影项目:文献综述

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-02 DOI: 10.1080/10530789.2015.1135565

Christopher M. Seitz, R. Strack

引用次数: 19

Exploring the nutritional vulnerability of homeless men in a Canadian urban setting 探索加拿大城市环境中无家可归者的营养脆弱性

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-02 DOI: 10.1080/10530789.2015.1116839

C. D'andreamatteo, J. Slater

引用次数: 2

Social exclusion and survival for families facing homelessness in rural New England 新英格兰农村面临无家可归的家庭的社会排斥和生存

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-02 DOI: 10.1080/10530789.2016.1138603

E. Carpenter-Song, Joelle C Ferron, Sara Kobylenski

引用次数: 20

Negotiating the service system: Professionals and patients talk about healthcare for the homeless in a Midwestern City in the U.S. 协商服务体系:美国中西部城市，专业人员和病人讨论无家可归者的医疗保健问题

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-02 DOI: 10.1080/10530789.2015.1116838

J. Davis-berman

引用次数: 1

Co-occurring Substance Abuse and Mental Health Problems among Homeless Persons: Suggestions for Research and Practice. 无家可归者共同发生的药物滥用和心理健康问题:研究与实践建议。

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-01 Epub Date: 2015-08-26 DOI: 10.1179/1573658X15Y.0000000004

Douglas L Polcin

{"title":"Co-occurring Substance Abuse and Mental Health Problems among Homeless Persons: Suggestions for Research and Practice.","authors":"Douglas L Polcin","doi":"10.1179/1573658X15Y.0000000004","DOIUrl":"https://doi.org/10.1179/1573658X15Y.0000000004","url":null,"abstract":"Communities throughout the U.S. are struggling to find solutions for serious and persistent homelessness. Alcohol and drug problems can be causes and consequences of homelessness, as well as co-occurring problems that complicate efforts to succeed in finding stable housing. Two prominent service models exist, one known as \"Housing First\" takes a harm reduction approach and the other known as the \"linear\" model typically supports a goal of abstinence from alcohol and drugs. Despite their popularity, the research supporting these models suffers from methodological problems and inconsistent findings. One purpose of this paper is to describe systematic reviews of the homelessness services literature, which illustrate weaknesses in research designs and inconsistent conclusions about the effectiveness of current models. Problems among some of the seminal studies on homelessness include poorly defined inclusion and exclusion criteria, inadequate measures of alcohol and drug use, unspecified or poorly implemented comparison conditions, and lack of procedures documenting adherence to service models. Several recent papers have suggested broader based approaches for homeless services that integrate alternatives and respond better to consumer needs. Practical considerations for implementing a broader system of services are described and peer managed recovery homes are presented as examples of services that address some of the gaps in current approaches. Three issues are identified that need more attention from researchers: 1) improving upon the methodological limitations in current studies, 2) assessing the impact of broader based, integrated services on outcome, and 3) assessing approaches to the service needs of homeless persons involved in the criminal justice system.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1573658X15Y.0000000004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34326854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52

Complex Recovery: Understanding the Lives of Formerly Homeless Adults with Complex Needs. 复杂的恢复：了解有复杂需求的前无家可归成年人的生活。

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2016-01-01 Epub Date: 2016-07-26 DOI: 10.1080/10530789.2016.1173817

Deborah K Padgett, Emmy Tiderington, Bikki Tran Smith, Katie-Sue Derejko, Benjamin F Henwood

{"title":"Complex Recovery: Understanding the Lives of Formerly Homeless Adults with Complex Needs.","authors":"Deborah K Padgett, Emmy Tiderington, Bikki Tran Smith, Katie-Sue Derejko, Benjamin F Henwood","doi":"10.1080/10530789.2016.1173817","DOIUrl":"10.1080/10530789.2016.1173817","url":null,"abstract":"Objective: This report examines mental health recovery in a population neglected in the literature--formerly homeless adults with serious mental illness and co-occurring substance abuse. The term 'complex recovery' is used to examine the onset and impact of various types of adversity over the life course.Method: Burawoy's extended case method was conducted on in-depth interviews with 74 formerly homeless adults living in housing programs in New York City. Data included verbatim transcripts, interviewer feedback forms, and case summaries.Results: Seven themes emerged: the longstanding influence of poverty, childhood hardship, social support and network depletion, substance abuse and recovery, unequal impact of gender differences, experiences of incarceration and fragmented service system. Structural as well as individual factors were found to comprise complex recovery.Conclusions: Complex recovery, which situates mental health recovery amidst homelessness and other forms of adversity, has implications for policies and practices designed to assist this vulnerable population.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400368/pdf/nihms-828031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34938577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guest Editorial Best Interests of the Child? 儿童的最大利益?

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2015-11-01 DOI: 10.1179/1053078915z.00000000028

引用次数: 0