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Young homeless people have mental health needs. Research and national policies have highlighted that accommodation providers need to offer holistic interventions to…
Young homeless people have mental health needs. Research and national policies have highlighted that accommodation providers need to offer holistic interventions to encourage this vulnerable group to break the cycle of homelessness. Currently no research literature documents how homeless shelters respond to mental health needs. This research was intended to address this research question.A postal questionnaire was sent to 132 managers of homeless shelters, achieving a response rate of 64.4%. Frequencies and descriptive statistics were calculated, and written data was analysed using content analysis. Mental health problems were highly prevalent, and homeless shelters responded in a variety of ways (use of GP services, internal services, referring to external services, in‐house outreach services, no service provision, etc). Only 27.1% of managers of homeless shelters reported that their services were sufficient to meet their young people's needs. These findings reflect the need for inclusion of mental health in homeless shelters' strategic objectives, and development of commissioning of local partnerships with health agencies.
The purpose of this paper is to explore the objectives and overall approach of a faith-based homeless outreach campaign. It aims to stimulate wider discussion about how…
The purpose of this paper is to explore the objectives and overall approach of a faith-based homeless outreach campaign. It aims to stimulate wider discussion about how civil society can play a role in achieving participatory parity for the homeless.
Using a case study approach, this viewpoint paper then connects practical considerations to extant literature on community inclusion.
This particular homeless outreach campaign generated a tremendous amount of volunteerism – perhaps unparalleled relative to any other recent campaign driven by civil society. Yet it aimed only to funnel the homeless into the private social sector. Furthermore, most of the homeless people engaged on the streets did not complete the rehabilitation programs.
Campaigns such as this may need to adopt discursive habits in order to recognize the social distances that must be bridged between the housed and the homeless. With greater reflexivity, volunteers can use their interactions with the homeless to develop empathy, compassion, and understanding. Volunteers may then feel inspired to leverage their personal resources to address community perceptions of homelessness, or to advocate for systematic changes.
This paper suggests recasting the goals of homeless campaigns to include the development of social bridges between the housed and the homeless, which can guide advocacy efforts.
Homelessness is a growing concern across the globe that has multiplied during the pandemic. According to a recent report by the Department of Housing and Urban Development…
Homelessness is a growing concern across the globe that has multiplied during the pandemic. According to a recent report by the Department of Housing and Urban Development (HUD, 2018), 20% of the homeless population have a severe mental illness and 16% chronically used substances. This paper aims to address the effectiveness of in-shelter mental health services provided by qualified clinicians.
In this study, clients from a homeless shelter were provided in-shelter mental health intake and resources by predoctoral clinicians. Their pre- and postdistress scores were recorded to establish the effectiveness of the intervention.
Ninety-eight guests were provided services of which 51% reported co-occurring mental health and substance use diagnoses. There was a clinically significant difference in the pre- to postsession distress levels based on the ratings at the intake session. It was noted that making services accessible increased the ability to provide triage services, help with housing options and integrate care with other providers and decrease distress levels.
The current program was implemented in only one shelter in Upstate New York, other similar settings need to be explored in different locations. Objective indicators will be analyzed in the future to establish the effectiveness of services.
This paper outlines a procedure that can guide and help future projects to establish clinical care at homeless shelters across the USA and globally. This paper provides examples of the intake form, list of resources and basic coping strategies that can aid other clinicians and researchers to establish similar programs.
This paper sheds light on the mental health needs of an underserved and underrepresented population in the field of mental health – the homeless. The guidelines outlined in this paper can help set up more mental health clinics at homeless shelters and make mental health services more accessible, which can help prevent recurring homelessness.
This paper establishes guidelines for effective single session interventions that help decrease distress levels. This paper also establishes the need for in-shelter services to overcome barriers in mental health care for the homeless population.
The purpose of this chapter is to illustrate the centrality of the tabula rasa concept of self for the medical model of homeless service provision. Using four years of…
The purpose of this chapter is to illustrate the centrality of the tabula rasa concept of self for the medical model of homeless service provision. Using four years of ethnographic data analyzed with a grounded fractal methodology, we illustrate the logical interconnections between the particular phenomena of homeless service institutions and broad cultural contexts. While social science has been somewhat critical of the medicalization of homelessness, its shared supposition about the self has relegated it to structural critiques that offer little to the currently homeless and those who want to help them. In contrast, we illuminate a path toward the development of an alternative pedagogy of individualism that is more directly responsive to the problematics of the medical model of homeless service provision.
This is a demographical exploration of a wide variety of topics, which are as follows: gender, race, age, employment, substance abuse, mental illness, physical illness, veteran status, government assistance, physical & sexual abuse, hunger, and space. All of these topics were explored in conjuncture to ascertain who the homeless are. To explore this topic, data from LAHSA (Los Angeles Homeless Services Authority) was utilized to calculate demographical aspects of the homeless population with a raw sample of 4,852. I coded this data to further find insight among the population. Throughout this study it was found that nearly 60% of the homeless population in Los Angeles County are unemployed, 50% of the population have been incarcerated, a third of the population is homeless by age 20, a quarter of the population are women, and a third don’t utilize government assistance programs.
At the turn of the twenty-first century, a “new orthodoxy” in explaining homelessness had emerged in the field of homeless research. Combining structural and individual…
At the turn of the twenty-first century, a “new orthodoxy” in explaining homelessness had emerged in the field of homeless research. Combining structural and individual factors, the consensus is that people with personal problems are more vulnerable than others to the structural conditions of becoming homeless.
Drawing on a three-year ethnographic study of older homeless people (aged 50 years and above) in Singapore, this chapter highlights three issues with this new orthodoxy. The first is the continued reliance on a strict dichotomy of structural and individual factors. This strict dichotomy does not reflect the realities in people’s lives. The “individual vulnerabilities” of older people in the study had structural dimensions that must be considered as well. The second is the framing of individual vulnerabilities as individual pathologies. This way of framing homelessness results in the assumption that there is something deficient with all people who are homeless that requires correction. Such a view is encapsulated in the compulsory institutionalisation and rehabilitation of rough sleepers in Singapore. The final and most fundamental issue is the problematic association of individual vulnerabilities with one’s heightened risk of becoming homeless. Older people in the study did not become homeless solely because they had more personal problems or issues than others. Rather, multiple pathways (or life events) that encompass both structural and individual factors weakened their ability to draw resources from work, family and friends and government assistance. Homelessness occurred when older people in the study ran out of all these three options.
The focus of the study was to explore the understanding of family among homeless adults in Southeast Texas. We incorporated both qualitative and quantitative methods by…
The focus of the study was to explore the understanding of family among homeless adults in Southeast Texas. We incorporated both qualitative and quantitative methods by interviewing two key groups (short-term homeless, long-term homeless) over a 16-week period. Thirty homeless participants were interviewed using 18 questions designed to explore their understanding of family and the social supports that lead to resiliency. Participant ages ranged from 19 to 56 with an average of 44 years. Twenty-six participants were male and four were female. Half of all homeless participants claimed to lack familial support from either biological family or close friends. Among short-term homeless individuals, five of seventeen identified their biological family as fulfilling the role of a traditional family, while among long-term homeless adults, five of thirteen identified their friends as fulfilling the role of a familial unit. A recurring theme emerged in which participants defined family as those individuals who were consistently accessible for support, whether biological relations or non-related friends and companions. As we seek to improve our programs of assistance and advocacy, these findings become important as a step toward honoring our clients and recognizing the validity of their perceived realities as we reconstruct the models by which we facilitate interaction and intervention.
The homelessness of those 50–64, older homeless people, is a growing problem in the United States. This chapter seeks to understand the unique healthcare issues faced by…
The homelessness of those 50–64, older homeless people, is a growing problem in the United States. This chapter seeks to understand the unique healthcare issues faced by this population. Data in the city of Chicago was collected and analyzed through a variety of qualitative and quantitative methods. Data included answers to survey questions by older homeless individuals, interviews with providers and older homeless individuals, focus groups with older homeless individuals, and agency data from homeless service organizations. Findings agree with previous research that shows a growth in the homeless population, the greater number and severity of health problems in the population, the significant number of barriers that the population encounters in obtaining health care, housing, and jobs, and the concern with preventative health that the older homeless have. After outlining these findings, this chapter offers policy and program recommendations for the larger health care and homeless service systems.
The McKinney-Vento Homeless Assistance Act (42 U.S.C. 11431 et seq.) establishes basic levels of service, support, and protection for homeless students and families in the…
The McKinney-Vento Homeless Assistance Act (42 U.S.C. 11431 et seq.) establishes basic levels of service, support, and protection for homeless students and families in the United States and specifically prohibits discrimination while ensuring educational rights. According to the 2014 Annual Homeless Assessment Report, homelessness continues to be a pervasive concern, particularly for children under the age of 18 who account for nearly 25% (135,701) of homeless individuals, and youth between 18 and 24 who represent nearly 10% (58,601) of the homeless population. Despite the statutory protections afforded by McKinney-Vento, a number of barriers persist and prevent full enjoyment of the basic rights established by the Act. Overcoming these barriers in the courts has provided some relief, but is insufficient given the limits of McKinney-Vento. Thus, homeless students and families need school leaders who promote social justice and educational opportunities to prepare them for meaningful participation in democratic society. This chapter provides analysis regarding the legal rights of homeless youth, including an overview of significant cases and federal policy updates, and concludes with several recommendations for school leaders to establish clear guidelines and implement procedures to address the educational needs of homeless students.
As cities choose entrepreneurial strategies to lure the mobile corporate service sector and its professional workforce, they also present more forbidding faces to the…
As cities choose entrepreneurial strategies to lure the mobile corporate service sector and its professional workforce, they also present more forbidding faces to the working class and poor. Scholars and activists have pointed to the passage of public conduct laws as evidence of how modern cities signal to the poor that their downtown cores are reserved for the privileged classes. Yet, even as scholars and advocates attest to the growing “meanness” of American cities, their reports have also routinely showcased cities that develop alternatives to criminalization. This chapter presents data from a historical case study of homeless politics in Philadelphia to shed light on the complex local dynamics undergirding or challenging the modern urban phenomena of “anti-homeless” legislation. Though a pro-development paradigm has slowly transformed Philadelphia since the early 1990s, the local business community has been consistently unsuccessful in its attempts to have new public conduct legislation passed or to have existing laws stringently enforced. Urban regime theory helps explain how a network of local homeless service provider and advocacy organizations has been able to use collaborative strategies to effectively shape the politics and policies of street regulation in the city.