Search results

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.

Homelessness has been a growing problem in many countries since the 1980s. The purpose of this paper is to examine homeless peoples’ perspectives on public library services, and to compare these with the attitudes of library staff.

Eight interviews have been conducted with rough sleepers and formerly homeless library patrons to examine their experiences, needs and expectations or the library. In addition, four library staff have been interviewed about their attitudes to services for members of the homeless community.

Most rough sleepers and formerly homeless patrons who participated in this research viewed the public library as a safe place because it offered a welcoming atmosphere, access to a variety of resources and services targeted at the homeless. Nonetheless, sleeping has always been a major reason for their use of the library. Most staff members agreed that providing services targeted toward rough sleepers changed the dynamic between staff and the homeless patrons, but there was some disagreement between staff members about whether targeted services were the most appropriate approach.

Understanding homeless and rough sleepers’ expectations for public library services may be useful in revising policy and developing services for this community. In particular, developing partnerships with organisations supporting the homeless is an effective way of developing relevant services for this often-marginalised group.

Little research has considered public library services from the perspective of homeless people. This research is intended to fill that gap.

The purpose of this paper is to report an analysis of arrangements in English mental health trusts to meet the needs of adult service users who are homeless. Homelessness is associated with various forms of mental ill-health, yet homeless people are not always well-served by statutory mental health services. In recent years, practice guidance seeking to improve health outcomes for the homeless has emphasised the need for NHS services to improve care pathways and professional provision for this service user group, in part by collaborating more closely with homelessness organisations.

Responses to freedom of information requests sent to trusts were analysed. The requests asked trusts for information concerning partnerships with external agencies, particular projects/staff, training available to trust professionals, referral pathways, and intervention models/approaches informing work with homeless service users.

In total, 49 trusts provided information that could be used in the analysis. Just under half of these had dedicated arrangements or resources, including outreach teams and clinical staff co-located in accommodation and support services for the homeless. The remaining trusts indicated that they either had some limited specific arrangements, such as links between local agencies working with the homeless and existing services, or no dedicated arrangements in place. Training to improve staff awareness around, and knowledge in, working with homeless service users tended to be minimal if provided at all.

This analysis further evidences gaps in the way the needs of the homeless population are addressed by statutory mental health services and adds support to concerns about the homeless having equitable access to care and treatment.

The purpose of this paper is to review the history and current state of provision of homeless medical respite services in the UK, drawing first on the international context. The paper then articulates the need for medical respite services in the UK, and profiles some success stories. The paper then outlines the considerable challenges that currently exist in the UK, considers why some other services have failed and proffers some solutions.

The paper is primarily a literature review, but also offers original analysis of data and interviews, and presents new ideas from the authors. All authors have considerable experience of assessing the need for and delivering homeless medical respite services.

The paper builds on previous published information regarding need, and articulates the human rights argument for commissioning care. The paper also discusses the current complex commissioning arena, and suggests solutions.

The literature review was not a systematic review, but was conducted by authors with considerable experience in the field. Patient data quoted are on two limited cohorts of patients, but broadly relevant. Interviews with stakeholders regarding medical respite challenges have been fairly extensive, but may not be comprehensive.

This paper will support those who are thinking of undertaking a needs assessment for medical respite, or commissioning a new medical respite service, to understand the key issues involved.

This paper challenges the existing status quo regarding the need for a “cost-saving” rationale to set up these services.

This paper aims to be the definitive paper for anyone wishing to get an overview of this topic.

This paper aims to illustrate realities of homeless people's lives during a time of significant change in UK public sector funding and welfare policy.

A participatory research approach was used including working with two co‐researchers; two people who have direct experience of homelessness. A sustainable livelihoods approach was adapted to provide a framework for analysis. The research was undertaken during May to October 2011.

The paper interrogates five areas of assets held by people themselves that support sustainable livelihoods, an existing approach used in other research. Life journey narratives show that a connected range of services, operating through an empowerment model, promote human dignity.

Findings resonate with issues identified in larger studies; however, as the funding and policy context is rapidly changing it is recommended that additional local qualitative studies could be conducted during the next three years to illustrate impacts in people's lives.

The paper suggests front‐line services must include resettlement as well as crisis and stabilising services in order to ensure homeless people can successfully move from home to home.

The research identified negative attitudes towards homeless people. By illustrating homeless people's achievements the study provides evidence of the impact of, and the value of continuing to fund, homeless services.

The paper suggests that people who have experienced homelessness achieve a successful life with support by drawing on their considerable life experience and personal talents. This message is important for practitioners, commissioners and policy makers working through a period of change for homeless services.

The purpose of this paper is to discuss the current state of provision for homeless people in Prague.

This is primarily a narrative account, though supported by and referenced with contemporary Czech social policy scholarship. It first traces the roots of the current situation through the history of the Czech legal framework for citizenship; the effects of communist-era ideology, when homelessness was simply hidden; and the post-communist (new-era) economic and political climate. The range of existing services is then described and analysed with respect to the difficulties in the demands posed for people in this situation.

The paper outlines the current approach with outreach (“terrain”), engagement (“threshold”) and “accommodation” (support and rehab) services; and the challenges in transition from one to the next. Many systemic barriers remain for the re-integration of homeless people, stemming from attitudes within the community and amongst professionals, as much as a sheer lack of resources, or the psychological and emotional difficulties of the homeless themselves.

There are few papers published internationally on homelessness in the new EU states. The similarity in the structure of services to what are sometimes called “staircase models” may therefore be instructive.

The purpose of this paper is to focus on the denial of social support to homeless persons and related societal effects of new local governance arrangements.

Analysis of new data and secondary evaluative and comparative data on the policies, administrative structures and management styles of Copenhagen, Glasgow and Amsterdam have brought better understanding of the elements of local governance arrangements that influence the number of homeless persons who are denied access to services and the number of persons sleeping rough who are not eligible for social support. Theoretical explanations for the impact of governance arrangements on these processes and societal effects are considered.

It appears that while the body of research, reports and policy documents on non-eligibility for homelessness services is growing, legal responses at best remain vague, and policies are still in the process of being developed. Modest progress on policy goals, and even more so on policy instruments, leading to less detrimental outcomes, can be explained by centralising and decentralising trends and the relationships between state and society. The latter may also be indicative of how the increased focus on the legal problems of some EU migrants can be explained.

The two points in time documented for the case studies are relevant in understanding processes underlying the current circumstances of homeless persons and homeless migrants and offer an interdisciplinary insight into governance and politics, law, and public and health service perspectives.

Good policy practice, as this paper shows, can lead to a difference in individual lives.

Much is unknown about considerations inside government. This paper contributes by combining theoretical and insider perspectives.

Amid widespread social and cultural shifts and advocacy toward lesbian, gay, bisexual, and transgender (LGBT) rights remain a hidden population of homeless adolescents who are cast out from families and communities because of their sexual and gender orientation. The result is an over-representation of LGBT adolescents among the homeless in the United States. The purpose of this paper is to provide a review of literature and research which explores the status and needs of LGBT homeless adolescents in the United States.

To understand the experiences of LGBT adolescents leading up to and during homelessness, I provide a thematic and critical review of four decades of research to connect our understanding of the LGBT homeless experience with institutional and collective efforts that work to promote their well-being.

Bringing together this body of literature, I explore four interrelated questions. First, has the rate of homelessness increased for LGBT adolescents in recent decades? Second, what is the experience of LGBT adolescents who become homeless? Third, what role does advocacy and support play in ameliorating the difficulties these young people face? Finally, what role can future research and policy play in shaping the well-being of LGBT adolescents who become homeless?

Understanding the experience of homeless LGBT adolescents and the collective advocacy efforts designed to promote their well-being offers insight into the intersection of symbolic, inter-personal, and institutional forces which shape their trajectories.

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 purpose of this paper is to explore the perception of the mental health problems of the homeless population in a high-income country (Luxembourg) by social service providers and to develop proposals for better inclusion of homeless people into the mental health services and homeless people with mental health issues into society.

The study was of qualitative design and conducted using a semi-structured interview method (in person). The semi-structured interviews (seven participants) were conducted to analyse the challenges, practice approaches and prospects of stakeholders or decision-makers working in housing exclusion and homelessness. A secondary thematic analysis of this content regarding mental health issues was performed.

Three main themes in the social providers’ perception were identified related to mental health and homelessness: the general view on the mental health problems of homeless people (accent on substance use disorders [SUDs], overshadowing of other mental health conditions by the SUDs); the positive impact of housing and social services on the mental health of the homeless per se (role of social rhythms, social connectedness and multidisciplinary approach are emphasised); and the need for improvement of mental health services in the country (need for the long-term timely continuing mental health support and recognition of the importance of complex intersectional and multidisciplinary solutions).

Mental health themes were not the primary focus while research was planned and conducted. They were revealed as results of secondary qualitative data analysis. Therefore, additional mental health-focused mixed methods research is needed to verify the conclusions. The paper is written on the results of the research project “Social Housing and Homelessness” (SOHOME), implemented at the University of Luxembourg with the financial support of the Fonds National de la Recherche of Luxembourg (FNR12626464). The sponsor had no involvement in the study design, the collection, analysis and interpretation of data or the preparation of the paper.

The study brings together different perspectives from social workers, stakeholders and decision-makers. The results show that there are cross-field connections between homelessness and mental health that require specialised and coordinated services. The first existing approaches seem to be promising in their continuation but need to be promoted by social policy.

To promote social cohesion in the Luxembourgish society and also to include one of the most vulnerable people, the study points to the importance of the link between homelessness and compromised mental health. Appropriate support and service provision as well as social and affordable housing play a central role.

To the best of the authors’ knowledge, this study is the first of its kind, revealing several social work stakeholders’ perspective on the mental health of homeless people in Luxembourg.