Journal of Social Distress and the Homeless最新文献_第5页

Everyday discrimination among formerly homeless persons in permanent supportive housing. 在永久性支助性住房中，对以前无家可归者的日常歧视。

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-01-01 Epub Date: 2019-06-15 DOI: 10.1080/10530789.2019.1630959

Suzanne L Wenzel, Harmony Rhoades, Wichada LaMotte-Kerr, Lei Duan

{"title":"Everyday discrimination among formerly homeless persons in permanent supportive housing.","authors":"Suzanne L Wenzel, Harmony Rhoades, Wichada LaMotte-Kerr, Lei Duan","doi":"10.1080/10530789.2019.1630959","DOIUrl":"https://doi.org/10.1080/10530789.2019.1630959","url":null,"abstract":"Experiences of discrimination are associated with poor health and are particularly common among persons experiencing homelessness. Permanent supportive housing (PSH) provides a foundation for improved well-being among persons with homelessness histories, but research on discrimination among this population is lacking. We examined changes in experiences of, and perceived reasons for, everyday discrimination when persons moved into PSH. 421 adults in Los Angeles County completed baseline (pre-housing), 3-, 6- or 12-month post-housing structured interviews. Generalized linear mixed models (GLMM) examined change in discrimination outcomes, controlling for demographic characteristics. Everyday discrimination experiences decreased significantly when persons moved from homelessness into PSH, and remained consistently lower across the first year in PSH. Reports of homelessness/poverty, race/ethnicity, and neighborhood as reasons for discrimination also decreased from baseline levels. PSH may offer respite from everyday discrimination, but the persistence of discrimination and particularly racism in society requires structural solutions addressing implicit bias and systemic inequities.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1630959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38399922","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: 7

Longitudinal Cost of Services in a Homeless Sample with Cocaine Use Disorder. 可卡因使用障碍的无家可归者样本的纵向服务成本。

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-01-01 Epub Date: 2019-03-27 DOI: 10.1080/10530789.2019.1598618

Emine R Ayvaci, David E Pollio, Barry A Hong, Carol S North

{"title":"Longitudinal Cost of Services in a Homeless Sample with Cocaine Use Disorder.","authors":"Emine R Ayvaci, David E Pollio, Barry A Hong, Carol S North","doi":"10.1080/10530789.2019.1598618","DOIUrl":"https://doi.org/10.1080/10530789.2019.1598618","url":null,"abstract":"Homeless people with cocaine use disorder have multiple comorbidities and costly service needs. This study examined service costs associated with cocaine use and substance service use in substance, psychiatric, and medical service sectors. 127 homeless participants with cocaine use disorder were interviewed annually. Self-report and agency-report service use and cost data were combined. Pairwise comparisons were made with cocaine abstinence and substance service use in relation to mean and yearly proportional service costs in 3 service sectors. Among substance service users, achievement of abstinence was not associated with decreased substance service costs. Cocaine abstinence was associated with proportional reduction of substance service costs over time. Substance service use was associated with proportional reduction of psychiatric service costs over time among the abstinent subgroup. Conversely, substance service use was associated with continuing higher medical service expenditures in the abstinent subgroup and higher psychiatric service expenditures in those not abstinent. Homeless individuals who achieved cocaine abstinence after using substance services had decreased substance service expenditures. Individuals with continued substance service use had greater medical and psychiatric service costs. Policy based on maximizing benefits while minimizing costs appears insufficiently complex to incorporate the multiple needs and associated with costs of treating homeless populations.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1598618","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37463138","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

Distance Matters: Geographic barriers to long acting reversible and permanent contraception for homeless women Veterans. 距离问题：无家可归妇女长期可逆和永久避孕的地理障碍退伍军人。

IF 1.1

Journal of Social Distress and the Homeless Pub Date : 2019-01-01 Epub Date: 2019-05-22 DOI: 10.1080/10530789.2019.1619242

Lori M Gawron, Warren B P Pettey, Andrew M Redd, Ying Suo, David K Turok, Adi V Gundlapalli

{"title":"Distance Matters: Geographic barriers to long acting reversible and permanent contraception for homeless women Veterans.","authors":"Lori M Gawron, Warren B P Pettey, Andrew M Redd, Ying Suo, David K Turok, Adi V Gundlapalli","doi":"10.1080/10530789.2019.1619242","DOIUrl":"10.1080/10530789.2019.1619242","url":null,"abstract":"Women Veterans who experience homelessness are at high risk of unintended pregnancy and adverse outcomes. Contraception could mitigate risks, yet access barriers exist across the Veterans Health Administration (VHA). We identified all US women Veterans, age 18-44y with evidence of homelessness in VHA administrative data between fiscal years 2002-2015, in order to document the geographic distribution of ever-homeless women Veterans in relation to VA Medical Centers (VAMCs) and assess geographic associations between long acting reversible contraceptives (LARC) or permanent contraception (PC) use. We calculated VAMC travel distance from last known ZIP Code. We used multivariate logistic regression models to explore contraceptive method associations. We included 41,722 ever-homeless women Veterans; 9.2% had LARC exposure and 7.5% PC. We found 29% of ever-homeless women Veterans resided >40miles from the nearest VAMC and increasing drive distance was negatively correlated with contraceptive exposure, especially for Veterans residing >100miles from a VAMC. Increasing distance to the nearest VAMC results in a geographic barrier to the most effective contraceptive options for women Veterans. The VHA is uniquely positioned to leverage its rural and homeless healthcare expertise to address geographic barriers and integrate comprehensive contraceptive services into established programs for high-risk Veterans.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814171/pdf/nihms-1534803.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215602","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

Social and psychological resources among homeless youth: protection against risk for physical victimization? 流浪青年的社会和心理资源:防止身体伤害的风险?

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-01-01 Epub Date: 2019-02-26 DOI: 10.1080/10530789.2019.1585034

Kimberly A Tyler, Rachel M Schmitz, Colleen M Ray

{"title":"Social and psychological resources among homeless youth: protection against risk for physical victimization?","authors":"Kimberly A Tyler, Rachel M Schmitz, Colleen M Ray","doi":"10.1080/10530789.2019.1585034","DOIUrl":"https://doi.org/10.1080/10530789.2019.1585034","url":null,"abstract":"This study examines child physical abuse, social and psychological resources, and street physical victimization among 150 homeless youth from the Midwest. Path analyses results show that males have higher self-efficacy than females, while older youth and those who experienced less child physical abuse reported higher self-esteem. Self-efficacy and self-esteem were positively associated with social support as was being younger and having experienced less child physical abuse. Younger respondents reported fewer difficulties obtaining basic necessities, and those who had less trouble finding these necessities experienced less street physical victimization. Females, younger youth, and those who experienced less child physical abuse reported lower rates of physical victimization. Agencies should be aware that many youth experiencing homelessness have trouble obtaining basic necessities, which increases risk for victimization. Moreover, the ability to obtain necessities appears to override the influential role of social support, further affirming the foundational importance of agencies helping youth meet their basic needs.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1585034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39446123","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

Applying the Housing First approach to single-site permanent supportive housing 将住房优先方法应用于单点永久性支持性住房

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-11-20 DOI: 10.1080/10530789.2018.1546796

A. Montgomery, Sonya Gabrielian, Meagan C. Cusack, E. Austin, S. Kertesz, Jesse K. Vazzano

{"title":"Applying the Housing First approach to single-site permanent supportive housing","authors":"A. Montgomery, Sonya Gabrielian, Meagan C. Cusack, E. Austin, S. Kertesz, Jesse K. Vazzano","doi":"10.1080/10530789.2018.1546796","DOIUrl":"https://doi.org/10.1080/10530789.2018.1546796","url":null,"abstract":"ABSTRACT This study explored how the U.S. Departments of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program applies Housing First principles in the context of ten single-site programs. Focus group discussions with 64 HUD-VASH staff and community partners explored how the programs were influenced by Housing First principles and specific strategies to implement these principles in a single-site setting. Focus group respondents described resourceful ways that the principles of Housing First were implemented in their programs specifically related to (1) housing choice and structure, (2) separation of housing and services, (3) service philosophy, and (4) service array. Several of the Housing First domains cite the importance of integrated housing and the provision of services off-site; it was of particular interest to learn how single-site programs address these issues logistically. Lessons learned from this study include the importance of leveraging the independent yet overlapping tasks of case management and property management to ensure functional – if not geographic – separation of housing and services; maintaining staff on-site to address Veterans’ needs; working with community service organizations to complement the array of service available to residents; and housing single-site programs in mixed-use buildings.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1546796","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49396150","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: 9

Mothering in the margin: a narrative inquiry of women with children in a homeless shelter 边缘的母性:对无家可归者收容所里带着孩子的妇女的叙事性调查

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-11-17 DOI: 10.1080/10530789.2018.1548091

Katharina A. Azim, Laurie Macgillivray, Donalyn Heise

{"title":"Mothering in the margin: a narrative inquiry of women with children in a homeless shelter","authors":"Katharina A. Azim, Laurie Macgillivray, Donalyn Heise","doi":"10.1080/10530789.2018.1548091","DOIUrl":"https://doi.org/10.1080/10530789.2018.1548091","url":null,"abstract":"ABSTRACT Women living with their children in residential treatment family homeless shelters are often stigmatized on multiple fronts: for their addictions, being “homeless”, and assumptions about their mothering skills. This qualitative narrative inquiry study explored women’s experiences of living in a homeless shelter with their children as they recover from alcohol/drug addiction. Specifically, we examined the various ways in which the women conceptualized and performed mothering while residing at the New Beginnings shelter (pseudonym) in the mid-Southern U.S. Understanding the complexities of the women’s social, emotional, and health-based contexts can enable institutions to examine and shape implicit and explicit assumptions surrounding motherhood. We employed semi-structured interviews with six women and analyzed transcripts using two rounds of thematic coding. Five recurring themes emerged. The findings illustrate the way “appropriate mothering” is situated in specific institutional, political, historical, and economic contexts. We suggest hegemonic assumptions need to be interrogated to better serve families in crisis.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1548091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60195499","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: 11

‘I hope one more flower will bloom in my life’: retelling the stories of being homeless in Japan through narrative inquiry “我希望我的生命中再绽放一朵花”：通过叙事探究复述日本无家可归的故事

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-10-31 DOI: 10.1080/10530789.2018.1541638

Hiroko Kubota, D. Clandinin, V. Caine

{"title":"‘I hope one more flower will bloom in my life’: retelling the stories of being homeless in Japan through narrative inquiry","authors":"Hiroko Kubota, D. Clandinin, V. Caine","doi":"10.1080/10530789.2018.1541638","DOIUrl":"https://doi.org/10.1080/10530789.2018.1541638","url":null,"abstract":"ABSTRACT Once becoming homeless, people confront various challenges. Despite hardships in their lives, the voices of people who are homeless are often silenced in society and the multiplicity of their experiences are undermined. To recognize the impact of homelessness from their understandings of life, the study reports in-depth conversations with people who are homeless in Japan. Through the qualitative research methodology of narrative inquiry, I engaged in a close relationship with three men who are/were homeless and inquired into their experiences of being homeless. From our conversations, four narrative threads emerged; (1) living with memories of loss, (2) feeling of being without control, (3) feeling discouraged from weaving forward-looking stories, and (4) nourishing generosity amidst unexpected life circumstances. Considering these narrative threads, we highlight the diversity in the experiences of becoming/being homeless in Japan embodied by the stories of three men. We put forward recommendations for future practice and knowledge development to support people who are homeless.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2018.1541638","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43687477","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: 1

Women and homelessness, a complex multidimensional issue: findings from a scoping review 妇女与无家可归，一个复杂的多层面问题：范围界定审查的结果

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-10-15 DOI: 10.1080/10530789.2018.1534427

Monique Phipps, Lisa Dalton, H. Maxwell, M. Cleary

{"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":null,"pages":null},"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}

引用次数: 44

Cold-related injuries in a cohort of homeless adults 一组无家可归成年人的感冒相关损伤

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-09-18 DOI: 10.1080/10530789.2018.1523103

Paige Zhang, K. Bassil, Stephanie Gower, M. Katić, A. Kiss, Evie Gogosis, Stephen W. Hwang

{"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":null,"pages":null},"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}

引用次数: 8

A systematic approach to smoking cessation activities in Danish shelters 对丹麦收容所的戒烟活动采取系统方法

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2018-07-03 DOI: 10.1080/10530789.2018.1497836

C. Pisinger, K. Green, Birgitta Dreiøe, C. Larsen

{"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":null,"pages":null},"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}

引用次数: 0