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":"28 1","pages":"34 - 43"},"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}
{"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":"28 1","pages":"14 - 23"},"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}
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":"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}
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":"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}
{"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}
{"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}
K. Jetelina, J. R. Reingle Gonzalez, M. Clutter, C. Sanders, Sweety Baidhya, M. Schulte, Ray Tsai
{"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}
Stephanie Baker Collins, A. F. Schormans, L. Watt, Becky Idems, Tina E. Wilson
{"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}
Molly Brown, Camilla Cummings, Jennifer Lyons, Andrés Carrión, D. Watson
{"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}
{"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}