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Sample records for va homeless providers

  1. 76 FR 48204 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-08

    ... availability of funds for currently operational fiscal year (FY) 2009 VA Grant and Per Diem Special Need Grant Recipients in conjunction with their collaborative VA Special Need partners and currently operational VA... under VA's Homeless Providers Grant and Per Diem Program for FY 2009 operational Grant and Per...

  2. 78 FR 48543 - Veterans Health Administration Fund Availability Under the VA's Homeless Providers Grant and Per...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... Veterans Affairs (VA) is announcing the availability of 1-year renewal funding for currently operational... Special Need partners and currently operational VA GPD Special Need Grant Recipients which do not involve... under VA's Homeless Providers GPD Program for FY 2011 operational GPD Special Need grant recipients...

  3. 75 FR 3970 - Fund Availability Under the VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... FURTHER INFORMATION CONTACT: Ms. Chelsea Watson, VA Homeless Providers Grant and Per Diem Program... and per diem applicants. Dated: January 13, 2010. John R. Gingrich, Chief of Staff, Department of... if the applicant scores at least 500 cumulative points from paragraphs (b), (c), (d), (e), and (i)...

  4. 75 FR 3968 - Fund Availability Under the VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ... not funded. FOR FURTHER INFORMATION CONTACT: Ms. Chelsea Watson, VA Homeless Providers Grant and Per... funds available for other grant and per diem applicants. Dated: January 11, 2010. John R. Gingrich... points under the criteria in paragraphs (b), (c), (d), (e) and (i) of Sec. 61.13. The...

  5. 78 FR 12600 - VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ... and dealing with mental health issues, including substance use. Other related VA programs that offer... professions, Health records, Homeless, Mental health programs, Reporting and recordkeeping requirements... a diagnosis from a licensed mental health professional, with at least one documented...

  6. 78 FR 28947 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program (VANS)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ... veteran participants for currently operational Grant and Per Diem grantee projects funded under VA's... Grant and Per Diem Program for current operational Grant and Per Diem grantees seeking to purchase a van... operational grant project number may be awarded. However, in the one allowable application, if the grantee...

  7. 78 FR 28949 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program (Rehabilitation)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ..., applicants must be operational and therefore have previously provided documentation of Accounting System... announcing the availability of funds for assistance to rehabilitate currently operational Grant and Per Diem... for current operational Grant and Per Diem grantees to rehabilitate their Grant and Per Diem...

  8. VA Health Service Utilization for Homeless and Low-income Veterans

    PubMed Central

    Gabrielian, Sonya; Yuan, Anita H.; Andersen, Ronald M.; Rubenstein, Lisa V.; Gelberg, Lillian

    2016-01-01

    Background The US Department of Housing and Urban Development (HUD)-VA Supportive Housing (VASH) program—the VA’s Housing First effort—is central to efforts to end Veteran homelessness. Yet, little is known about health care utilization patterns associated with achieving HUD-VASH housing. Objectives We compare health service utilization at the VA Greater Los Angeles among: (1) formerly homeless Veterans housed through HUD-VASH (HUD-VASH Veterans); (2) currently homeless Veterans; (3) housed, low-income Veterans not in HUD-VASH; and (4) housed, not low-income Veterans. Research Design We performed a secondary database analysis of Veterans (n = 62,459) who received VA Greater Los Angeles care between October 1, 2010 and September 30, 2011. We described medical/surgical and mental health utilization [inpatient, outpatient, and emergency department (ED)]. We controlled for demographics, need, and primary care use in regression analyses of utilization data by housing and income status. Results HUD-VASH Veterans had more inpatient, outpatient, and ED use than currently homeless Veterans. Adjusting for demographics and need, HUD-VASH Veterans and the low-income housed Veterans had similar likelihoods of medical/surgical inpatient and outpatient utilization, compared with the housed, not low-income group. Adjusting first for demographics and need (model 1), then also for primary care use (model 2), HUD-VASH Veterans had the greatest decrease in incident rates of specialty medical/surgical, mental health, and ED care from models 1 to 2, becoming similar to the currently homeless, compared with the housed, not low-income group. Conclusions Our findings suggest that currently homeless Veterans underuse health care relative to housed Veterans. HUD-VASH may address this disparity by providing housing and linkages to primary care. PMID:24714583

  9. Identifying Homelessness among Veterans Using VA Administrative Data: Opportunities to Expand Detection Criteria

    PubMed Central

    Peterson, Rachel; Gundlapalli, Adi V.; Metraux, Stephen; Carter, Marjorie E.; Palmer, Miland; Redd, Andrew; Samore, Matthew H.; Fargo, Jamison D.

    2015-01-01

    Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA conventional identification criteria (ICD-9-CM code V60.0, VA specific codes for homeless services), plus closely allied V60 codes indicating housing instability. Logistic regression analyses examined differences between Veterans who received these codes. Health care services and co-morbidities were analyzed in the 90 days post-identification of homelessness. VA conventional criteria identified 21,021 homeless Veterans from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (rate 2.5%). Adding allied V60 codes increased that to 31,260 (rate 3.3%). While certain demographic differences were noted, Veterans identified as homeless using conventional or allied codes were similar with regards to utilization of homeless, mental health, and substance abuse services, as well as co-morbidities. Differences were noted in the pattern of usage of homelessness-related diagnostic codes in VA facilities nation-wide. Creating an official VA case definition for homelessness, which would include additional ICD-9-CM and other administrative codes for VA homeless services, would likely allow improved identification of homeless and at-risk Veterans. This also presents an opportunity for encouraging uniformity in applying these codes in VA facilities nationwide as well as in other large health care organizations. PMID:26172386

  10. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion.

    PubMed

    Tsai, Jack; Rosenheck, Robert A

    2014-01-01

    Administrative data on the population of Department of Veterans Affairs (VA) service users in 2010 under the age of 65 (n = 3,841,225) were analyzed to identify the number and characteristics of homeless and nonhomeless VA service users who are likely to be eligible for the Medicaid expansion (LEME) option under the Affordable Care Act. Results showed that, estimating conservatively, about 1.2 million (21%) current VA users are LEME if all states implement the expansion. Homeless service users were twice as likely to be eligible than nonhomeless users (64% vs 30%). VA service users who are LEME, regardless of housing status, were physically healthier than those not LEME but were more likely to have substance use disorders and posttraumatic stress disorder. These findings suggest that many VA service users are LEME, particularly those who are homeless and/or have mental health needs. Cross-system use of VA and Medicaid-funded services may be advantageous for veterans with extensive medical and psychiatric needs but also risks fragmented care. Information and education for VA clinicians and their patients about possible implications of the Affordable Care Act may be important. PMID:25358031

  11. VA Disability Compensation and Money Spent on Substance Use Among Homeless Veterans: A Controversial Association

    PubMed Central

    Tsai, Jack; Rosenheck, Robert A.

    2015-01-01

    Objective There has long been concern that public support payments are used to support addictive behaviors. This study examined the amount of money homeless veterans spend on alcohol and drugs and the association between public support income, including VA disability compensation, and expenditures on alcohol and drugs. Methods Data were from 1,160 veterans from 19 sites on entry into the Housing and Urban Development–Veterans Affairs Supportive Housing program. Descriptive statistics and nonparametric analyses were conducted. Results About 33% of veterans reported spending money on alcohol and 22% reported spending money on drugs in the past month. No significant association was found between public support income, VA disability compensation, and money spent on alcohol and drugs. Conclusions A substantial proportion of homeless veterans spend some income on alcohol and drugs, but disability income, including VA compensation, does not seem to be related to substance use or money spent on addictive substances. PMID:25726979

  12. 7 CFR 272.9 - Approval of homeless meal providers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Approval of homeless meal providers. 272.9 Section 272.9 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM REQUIREMENTS FOR PARTICIPATING...

  13. 7 CFR 272.9 - Approval of homeless meal providers.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 4 2013-01-01 2013-01-01 false Approval of homeless meal providers. 272.9 Section 272.9 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM REQUIREMENTS FOR PARTICIPATING...

  14. 7 CFR 272.9 - Approval of homeless meal providers.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 4 2012-01-01 2012-01-01 false Approval of homeless meal providers. 272.9 Section 272.9 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM REQUIREMENTS FOR PARTICIPATING...

  15. 7 CFR 272.9 - Approval of homeless meal providers.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 4 2014-01-01 2014-01-01 false Approval of homeless meal providers. 272.9 Section 272.9 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM REQUIREMENTS FOR PARTICIPATING...

  16. 7 CFR 272.9 - Approval of homeless meal providers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 4 2011-01-01 2011-01-01 false Approval of homeless meal providers. 272.9 Section 272.9 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM REQUIREMENTS FOR PARTICIPATING...

  17. 38 CFR 63.10 - Selection of non-VA community-based providers.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of non-VA... in 48 CFR chapters 1 and 8. Such contracts will be awarded only after the quality, effectiveness and... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Selection of...

  18. 38 CFR 63.10 - Selection of non-VA community-based providers.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of non-VA... in 48 CFR chapters 1 and 8. Such contracts will be awarded only after the quality, effectiveness and... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Selection of...

  19. 38 CFR 63.10 - Selection of non-VA community-based providers.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... in 48 CFR chapters 1 and 8. Such contracts will be awarded only after the quality, effectiveness and safety of the applicant's program and facilities have been ascertained to VA's satisfaction, and then... VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of...

  20. Providing smoking cessation programs to homeless youth: the perspective of service providers.

    PubMed

    Shadel, William G; Tucker, Joan S; Mullins, Leslie; Staplefoote, Lynette

    2014-10-01

    There is almost no information available on cigarette smoking among homeless youth, whether they are currently receiving services for smoking cessation, and how to best help them quit. This paper presents data collected from a series of semi-structured telephone interviews with service providers from 23 shelters and drop-in centers serving homeless youth in Los Angeles County about their current smoking cessation programming, interest in providing smoking cessation services to their clients, potential barriers to providing this service, and ways to overcome these barriers. Results indicated that 84% of facilities did not offer smoking cessation services, although nearly all (91%) were interested in doing so. Barriers to implementing formal smoking cessation programs on site included lack of resources (e.g., money, personnel) to support the programs, staff training, and concern that smoking cessation may not be a high priority for homeless youth themselves. Overall, service providers seemed to prefer a less intensive smoking cessation program that could be delivered at their site by existing staff. Data from this formative needs assessment will be useful for developing and evaluating a smoking cessation treatment that could be integrated into the busy, complex environment that characterizes agencies that serve homeless youth. PMID:25012554

  1. Providing Lifelines for Our Nation's Homeless Youth

    ERIC Educational Resources Information Center

    Duffield, Barbara

    2013-01-01

    This article discusses educational challenges for homeless children and explains how districts can and must meet their needs. According to the U.S. Department of Education Federal Data Collection, 1,065,794 homeless children and youth were enrolled in public schools for the school year 2010-2011, the highest number on record. After listing…

  2. Increasing School Stability for Students Experiencing Homelessness: Overcoming Challenges to Providing Transportation to the School of Origin

    ERIC Educational Resources Information Center

    Bowman, Diana; Barksdale, Katina

    2004-01-01

    The purpose of this monograph is to review the provisions of the McKinney-Vento Homeless Assistance Act as related to the provision of transportation of homeless children and youth to their school of origin and provide recommendations for implementing the transportation mandate. The National Center for Homeless Education (NCHE) in 2003-2004…

  3. 78 FR 42455 - Medications Prescribed by Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse... section to read as follows: Sec. 17.96 Medication prescribed by non-VA physicians. * * * * * (a) * * *...

  4. 78 FR 26250 - Payment for Home Health Services and Hospice Care to Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ... November 21, 2011 (76 FR 71920), VA proposed to amend its regulations concerning the billing methodology... AFFAIRS 38 CFR Part 17 RIN 2900-AN98 Payment for Home Health Services and Hospice Care to Non-VA Providers... services and hospice care. Because the newly applicable methodology cannot supersede rates for which VA...

  5. Communication between VA providers and sexual and gender minority veterans: a pilot study.

    PubMed

    Sherman, Michelle D; Kauth, Michael R; Shipherd, Jillian C; Street, Richard L

    2014-05-01

    Approximately one million gay and lesbian Americans are veterans, and rates of engagement in the Veterans Affairs (VA) health care system may be increasing for both sexual and gender minority veterans. Very little research has examined the experience of these veterans when receiving care at VA health care facilities. The purpose of this study was to explore the experiences, beliefs, and preferences of lesbian, gay, bisexual, or transgender (LGBT) veterans in their communication with VA health care providers. LGBT veterans (n = 58) participated in focus groups or individual interviews and completed self-report measures at two southern VA hospitals. Approximately 2/3 of veterans report that none of their VA providers have specifically asked about their sexual orientation, and 24% of the veterans indicate that they have not disclosed their orientation to any VA provider. Although some veterans want providers to initiate these discussions, veterans also expressed fears about disclosure and its possible negative consequences. Similarly, LGBT veterans report varied opinions about the appropriateness of routine assessment of minority status. Only 28% of these veterans experience VA as welcoming to them as LGBT veterans. Systematic training is needed for all VA providers about the rationale for assessing sexual and gender orientation. Staff education should include specific skills for initiating these assessments, and ways of responding to veteran concerns about discussing this topic in the VA health care system. PMID:24588107

  6. College Access and Success for Students Experiencing Homelessness: A Toolkit for Educators and Service Providers

    ERIC Educational Resources Information Center

    Dukes, Christina

    2013-01-01

    This toolkit serves as a comprehensive resource on the issue of higher education access and success for homeless students, including information on understanding homeless students, assisting homeless students in choosing a school, helping homeless students pay for application-related expenses, assisting homeless students in finding financial aid…

  7. The Education of Homeless Children: Rules, Rights and Practical Solutions. A Training Manual for Shelter Providers, Staff, Advocates and Parents.

    ERIC Educational Resources Information Center

    Heybach, Laurene M.; Nix-Hodes, Patricia; Price, Sarah

    These training materials provide advocates with the tools needed to help families obtain a stable and effective education for their children despite the condition of homelessness and the trauma that accompanies it. Nine sections include: (1) "Introduction"; (2) "How Mobility Hurts Homeless Children and Schools"; (3) "Laws and Rules Governing the…

  8. Provider views of harm reduction versus abstinence policies within homeless services for dually diagnosed adults

    PubMed Central

    Padgett, Deborah K.; Tiderington, Emmy

    2013-01-01

    Harm reduction is considered by many to be a legitimate alternative to abstinence-based services for dually diagnosed individuals, yet there is limited understanding of how varying approaches affect front-line practice within supportive housing services for homeless adults. This paper examines how front-line providers working with individuals who have experienced homelessness, serious mental illness, and addiction view policies of harm reduction versus abstinence within two distinctly different approaches to homeless services: the traditional or ‘treatment first’ (TF) approach that requires abstinence and the more recent Housing First (HF) approach that incorporates harm reduction. As part of a federally-funded qualitative study, 129 in-depth interviews conducted with 41 providers were thematically analyzed to understand how providers view a harm reduction versus abstinence approach. Themes included: (a) harm reduction as a welcomed alternative; (b) working with ambiguity; and (c) accommodating abstinence. Drawing on recovery principles, we consider the broader implications of the findings for behavioral health care with this population. PMID:23404076

  9. Medical Respite and Linkages to Outpatient Health Care Providers among Individuals Experiencing Homelessness.

    PubMed

    Zur, Julia; Linton, Sabriya; Mead, Holly

    2016-01-01

    Medical respite programs provide nursing care and case management to individuals experiencing homelessness following hospitalization for an acute medical problem. One goal of these programs is to link clients to outpatient providers to decrease their reliance on hospital services. Through qualitative interviews with staff members (n = 8) and clients (n = 14) at a medical respite program, we explored processes of, and challenges associated with, linking clients to outpatient care. Six themes were identified, which offer insight about important considerations when linking clients to outpatient providers and highlight the value of medical respite programs for this population. PMID:27074404

  10. 76 FR 79067 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ...- connected conditions. As explained in a notice of proposed rulemaking published on June 11, 2010 (75 FR... with Non- VA Outpatient Care''. 75 FR 7218 (Feb. 18, 2010). Second, section 402(b)(3) made the... proposed rule published on June 11, 2010 (75 FR 33216), we proposed to amend the following VA...

  11. 76 FR 71920 - Payment for Home Health Services and Hospice Care by Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ... medical charges associated with non-VA outpatient care, provided under 38 CFR 17.52 or 17.120. 75 FR 78901.... See 75 FR 78901. We explained: Home Health Care and Hospice Care he pricing methodology adopted by... amended Sec. 17.56. See 75 FR 7218 (Feb. 18, 2010); 75 FR 78901. We need not repeat them here. Indeed,...

  12. 77 FR 12647 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... within the unit to store, prepare, and serve food in a sanitary manner (including, at a minimum, a refrigerator, freezer, sink, and stove). Note: Microwave ovens, hot plates, or similar items are not...

  13. 77 FR 12697 - VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... supportive housing, health care, and social services programs, have more successful outcomes. We would... Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (877... regulatory approaches that maximize net benefits (including potential economic, environmental, public...

  14. Development and Validation of an Instrument to Assess Imminent Risk of Homelessness Among Veterans

    PubMed Central

    Fargo, Jamison D.; Kane, Vincent; Culhane, Dennis P.

    2014-01-01

    Objectives Veterans are overrepresented within the homeless population compared with their non-veteran counterparts, particularly when controlling for poverty. The U.S. Department of Veterans Affairs (VA) aims to prevent new episodes of homelessness by targeting households at greatest risk; however, there are no instruments that systematically assess veterans' risk of homelessness. We developed and tested a brief screening instrument to identify imminent risk of homelessness among veterans accessing VA health care. Methods The study team developed initial assessment items, conducted cognitive interviews with veterans experiencing homelessness, refined pilot items based on veterans' and experts' feedback and results of psychometric analyses, and assigned weights to items in the final instrument to indicate a measure of homelessness risk. Results One-third of veterans who responded to the field instrument reported imminent risk of homelessness (i.e., housing instability in the previous 90 days or expected in the next 90 days). The reliability coefficient for the instrument was 0.85, indicating good internal consistency. Veterans who had a recent change in income, had unpaid housing expenses, were living temporarily with family and friends, needed help to get or keep housing, and had poor rental and credit histories were more likely to report a risk of homelessness than those who did not. Conclusion This study provides the field with an instrument to identify individuals and households at risk of or experiencing homelessness, which is necessary to prevent and end homelessness. In addition, it supports VA's investment in homelessness prevention and rapid rehousing services for veterans who are experiencing or are at risk for homelessness. PMID:25177054

  15. 76 FR 52575 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... AFFAIRS 38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY: Department of... community-based treatment facilities in the Health Care for Homeless Veterans (HCHV) program of the... enrolled in the VA health care system. Through the HCHV program, VA identifies homeless veterans...

  16. Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts

    PubMed Central

    Steward, Jocelyn; Holt, Cheryl L; Pollio, David E; Austin, Erika L; Johnson, Nancy; Gordon, Adam J; Kertesz, Stefan G

    2016-01-01

    Purpose Homeless individuals face unique challenges in health care. Several US initiatives seeking to advance patient-centered primary care for homeless persons are more likely to succeed if they incorporate the priorities of the patients they are to serve. However, there has been no prior research to elicit their priorities in primary care. This study sought to identify aspects of primary care important to persons familiar with homelessness based on personal experience or professional commitment, and to highlight where the priorities of patients and professionals dedicated to their care converge or diverge. Methods This qualitative exercise asked 26 homeless patients and ten provider/experts to rank 16 aspects of primary care using a card sort. Patient-level respondents (n=26) were recruited from homeless service organizations across all regions of the USA and from an established board of homeless service users. Provider/expert-level respondents (n=10) were recruited from veteran and non-veteran-focused homeless health care programs with similar geographic diversity. Results Both groups gave high priority to accessibility, evidence-based care, coordination, and cooperation. Provider/experts endorsed patient control more strongly than patients. Patients ranked information about their care more highly than provider/experts. Conclusion Accessibility and the perception of care based on medical evidence represent priority concerns for homeless patients and provider/experts. Patient control, a concept endorsed by experts, is not strongly endorsed by homeless patients. Understanding how to assure fluid communication, coordination, and team member cooperation could represent more worthy targets for research and quality improvement in this domain. PMID:26929607

  17. Teaching Our Homeless Children

    ERIC Educational Resources Information Center

    Sheldon, George H.

    2011-01-01

    This paper discusses some of the major concerns associated with the instructional process of our homeless children. The reader is provided with a brief overview of the prevalence of this population. According to the National Center on Family Homelessness the number of school children who are homeless is growing rapidly with 1.4 to 1.5 million…

  18. Providing Palliative Care in a Swedish Support Home for People Who Are Homeless.

    PubMed

    Håkanson, Cecilia; Sandberg, Jonas; Ekstedt, Mirjam; Kenne Sarenmalm, Elisabeth; Christiansen, Mats; Öhlén, Joakim

    2016-07-01

    Despite high frequencies of multiple, life-limiting conditions relating to palliative care needs, people who are homeless are one of the most underserved and rarely encountered groups in palliative care settings. Instead, they often die in care places where palliative competence is not available. In this qualitative single-case study, we explored the conditions and practices of palliative care from the perspective of staff at a Swedish support home for homeless people. Interpretive description guided the research process, and data were generated from repeated reflective conversations with staff in groups, individually, and in pairs. The findings disclose a person-centered approach to palliative care, grounded in the understanding of the person's health/illness and health literacy, and how this is related to and determinant on life as a homeless individual. Four patterns shape this approach: building trustful and family-like relationships, re-dignifying the person, re-considering communication about illness and dying, and re-defining flexible and pragmatic care solutions. PMID:25994318

  19. Experience of Primary Care among Homeless Individuals with Mental Health Conditions

    PubMed Central

    Chrystal, Joya G.; Glover, Dawn L.; Young, Alexander S.; Whelan, Fiona; Austin, Erika L.; Johnson, Nancy K.; Pollio, David E.; Holt, Cheryl L.; Stringfellow, Erin; Gordon, Adam J.; Kim, Theresa A.; Daigle, Shanette G.; Steward, Jocelyn L.; Kertesz, Stefan G

    2015-01-01

    The delivery of primary care to homeless individuals with mental health conditions presents unique challenges. To inform healthcare improvement, we studied predictors of favorable primary care experience among homeless persons with mental health conditions treated at sites that varied in degree of homeless-specific service tailoring. This was a multi-site, survey-based comparison of primary care experiences at three mainstream primary care clinics of the Veterans Administration (VA), one homeless-tailored VA clinic, and one tailored non-VA healthcare program. Persons who accessed primary care service two or more times from July 2008 through June 2010 (N = 366) were randomly sampled. Predictor variables included patient and organization characteristics suggested by the patient perception model developed by Sofaer and Firminger (2005), with an emphasis on mental health. The primary care experience was assessed with the Primary Care Quality-Homeless (PCQ-H) questionnaire, a validated survey instrument. Multiple regression identified predictors of positive experiences (i.e. higher PCQ-H total score). Significant predictors of a positive experience included a site offering tailored service design, perceived choice among providers, and currently domiciled status. There was an interaction effect between site and severe psychiatric symptoms. For persons with severe psychiatric symptoms, a homeless-tailored service design was significantly associated with a more favorable primary care experience. For persons without severe psychiatric symptoms, this difference was not significant. This study supports the importance of tailored healthcare delivery designed for homeless persons’ needs, with such services potentially holding special relevance for persons with mental health conditions. To improve patient experience among the homeless, organizations may want to deliver services that are tailored to homelessness and offer a choice of providers. PMID:25659142

  20. Improving PTSD/substance abuse treatment in the VA: a survey of providers.

    PubMed

    Najavits, Lisa M; Norman, Sonya B; Kivlahan, Daniel; Kosten, Thomas R

    2010-01-01

    We surveyed 205 Veterans Affairs (VA) staff on treatment of posttraumatic stress disorder (PTSD), substance use disorder (SUD), and the combination (PTSD/SUD). The survey was anonymous and VA-wide. PTSD/SUD was perceived as more difficult to treat than either disorder alone; gratification in the work was stronger than difficulty (for PTSD, SUD, and PTSD/SUD); and difficulty and gratification appeared separate constructs. Respondents endorsed views that represent expert treatment for the comorbidity; however, there was also endorsement of "myths." Thus, there is a need for more training, policy clarifications, service integration, and adaptations for veterans returning from Iraq and Afghanistan. Limitations are described. PMID:20525033

  1. VA Community Mental Health Service Providers' Utilization of and Attitudes toward Telemental Health Care: The Gatekeeper's Perspective

    ERIC Educational Resources Information Center

    Jameson, John Paul; Farmer, Mary Sue; Head, Katharine J.; Fortney, John; Teal, Cayla R.

    2011-01-01

    Context: Mental health (MH) providers in community-based outpatient clinics (CBOCs) are important stakeholders in the development of the Veterans Health Administration (VA) telemental health (TMH) system, but their perceptions of these technologies have not been systematically examined. Purpose: The purpose of this study was to investigate the…

  2. 78 FR 68364 - Payment for Home Health Services and Hospice Care to Non-VA Providers; Delay of Effective Date

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... (78 FR 26250) a final rule to change the billing methodology for non-VA providers of home health... for the final rule published May 6, 2013, at 78 FR 26250, is delayed from November 15, 2013, until... final rule published in the Federal Register on May 6, 2013 (78 FR 26250). The original effective...

  3. 77 FR 39342 - Proposed Information Collection (Homeless Providers Grant and Per Diem Program) Activity; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... Federal Docket Management System (FDMS) at www.Regulations.gov ; or to Cynthia Harvey-Pryor, Veterans... 20420; or email: cynthia.harvey-pryor@va.gov . Please refer to ``OMB Control No. 2900-0554'' in any... INFORMATION CONTACT: Cynthia Harvey-Pryor (202) 461-5870 or Fax (202) 273-9381. SUPPLEMENTARY...

  4. The New Homelessness Revisited

    PubMed Central

    Lee, Barrett A.; Tyler, Kimberly A.; Wright, James D.

    2014-01-01

    The ‘new homelessness’ has drawn sustained attention from scholars over the past three decades. Definitional inconsistencies and data limitations rendered early work during this period largely speculative in nature. Thanks to conceptual, theoretical, and methodological progress, however, the research literature now provides a fuller understanding of homelessness. Contributions by sociologists and other social scientists since the mid-1990s differentiate among types of homelessness, provide credible demographic estimates, and show how being homeless affects a person's life chances and coping strategies. Agreement also exists about the main macro- and micro-level causes of homelessness. Active lines of inquiry examine public, media, and governmental responses to the problem as well as homeless people's efforts to mobilize on their own behalf. Despite the obstacles faced when studying a stigmatized population marked by high turnover and weak anchors to place, recent investigations have significantly influenced homelessness policy. A greater emphasis on prevention should further strengthen the research-policy nexus. PMID:24910495

  5. Evaluating Programs for the Homeless.

    ERIC Educational Resources Information Center

    Rog, Debra J., Ed.

    1991-01-01

    Six articles provide an overview of the multiple approaches to evaluating the problems of homelessness and introduce the challenges of evaluating interventions for the homeless. The first part focuses on research about homelessness, and the second part describes major demonstration programs and their evaluations. (SLD)

  6. Addressing Homelessness: Recent Happenings--Iowa, 2004

    ERIC Educational Resources Information Center

    Iowa Department of Education, 2004

    2004-01-01

    This guide provides information on the following resources available to the homeless in Iowa: (1) Funding Sources for School District Programs Serving Homeless Students; (2) Local Educational Liaison for Homeless Children and Youth; (3) Homeless Advisory Committee; (4) Identification, Counting, and Maintaining Data at the Local School District…

  7. People Experiencing Chronic Homelessness

    MedlinePlus

    ... Ending Family Homelessness Ending Youth Homelessness Setting a Path to End All Homelessness Solutions Solutions Housing Housing ... Ending Family Homelessness Ending Youth Homelessness Setting a Path to End All Homelessness Solutions Solutions Housing Housing ...

  8. Supporting School Success for Homeless Children of Veterans and Active Duty Military Members. Best Practices in Interagency Collaboration

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2011

    2011-01-01

    This brief is designed for local staff of the Department of Veterans Affairs (VA), state McKinney-Vento coordinators and school district McKinney-Vento liaisons, educators, and other providers of services to active members of the military and veterans, and their children. It provides basic information to assist homeless children of veterans or…

  9. Where Do You Go from Nowhere: Homelessness in Maryland.

    ERIC Educational Resources Information Center

    Health and Welfare Council of Central Maryland, Inc., Baltimore.

    This report assesses the extent of homelessness in Maryland. Data are provided in the following areas: (1) the number of homeless people; (2) causes of homelessness; (3) distribution of the homeless and characteristics of those sheltered; (4) shelter beds available; (5) what is needed to address the problems of homelessness; (6) the extent of the…

  10. Comparison of provider-documented and patient-reported brief intervention for unhealthy alcohol use in VA outpatients☆

    PubMed Central

    Lapham, Gwen T.; Rubinsky, Anna D.; Shortreed, Susan M.; Hawkins, Eric J.; Richards, Julie; Williams, Emily C.; Berger, Douglas; Chavez, Laura J.; Kivlahan, Daniel R.; Bradley, Katharine A.

    2015-01-01

    Background Performance measures for brief alcohol interventions (BIs) are currently based on provider documentation of BI. However, provider documentation may not be a reliable measure of whether or not patients are offered clinically meaningful BIs. In particular, BI documented with clinical decision support in an electronic medical record (EMR) could appear identical irrespective of the quality of BI provided. We hypothesized that differences in how BI was implemented across health systems could lead to differences in the proportion of documented BI recalled and reported by patients across health systems. Methods Male outpatients with unhealthy alcohol use identified by confidential satisfaction surveys (2009–2012) were assessed for whether they reported receiving BI in the past year (patient-reported BI) and whether they had BI documented in the EMR during the same period (documented BI). We evaluated and compared the prevalence of documented BI to patient-reported BI across 21 VA networks to determine whether documented BI had a variable association with patient-reported BI across the networks. Results Of 9896 eligible male outpatients with unhealthy alcohol use, 59.0% (95% CI 57.4–60.5%) reported BI (50.4–64.9% across networks) and 37.4% (95% CI 36.0–38.9%) had BI documented in the EMR (28.0–44.2% across networks). Overall, 72.9% (95% CI 70.8–75.5%) of patients with documented BI also reported BI. The association between documented BI and patient-reported BI did not vary across VA networks in adjusted logistic regression models. Conclusions Performance measures of BI that rely on provider documentation in EMRs appear comparable to patient report for comparing care across VA networks. PMID:26072218

  11. Homelessness and Hunger*

    PubMed Central

    Lee, Barrett A; Greif, Meredith J

    2014-01-01

    We employ data from the National Survey of Homeless Assistance Providers and Clients to examine the character and correlates of hunger among homeless people. Our analysis, couched in an adaptation framework, finds more support for the differentiation hypothesis than for the leveling hypothesis: Complex patterns of food insecurity exist at the individual level, and they vary with the resources available (e.g., higher monthly income, regular shelter use) and obstacles faced (e.g., alcohol, drug, and physical and mental health problems). The chronically homeless, who suffer from multiple deficits, appear particularly food-insecure, a finding that favors the desperation hypothesis over its street-wisdom alternative. We conclude that hunger is not uniformly experienced by members of the homeless population. Rather, some individuals are better situated than others to cope with the stressful nature of homelessness when addressing their sustenance needs. PMID:18418982

  12. For Homeless Veterans

    MedlinePlus

    ... families find and sustain permanent housing. How It Works Through public housing authorities, HUD provides rental assistance ... might remain homeless without this assistance. How It Works Through referrals and direct outreach, nonprofit agencies and ...

  13. 38 CFR 63.15 - Duties of, and standards applicable to, non-VA community-based providers.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of... facility must meet all applicable safety requirements set forth in 38 CFR 17.81(a). (b) Treatment plans and... counseling, including counseling on self care skills, adaptive coping skills and, as appropriate,...

  14. 38 CFR 63.15 - Duties of, and standards applicable to, non-VA community-based providers.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of... facility must meet all applicable safety requirements set forth in 38 CFR 17.81(a). (b) Treatment plans and... counseling, including counseling on self care skills, adaptive coping skills and, as appropriate,...

  15. 38 CFR 63.15 - Duties of, and standards applicable to, non-VA community-based providers.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... any additional requirements set forth in a specific contract. (a) Facility safety requirements. The facility must meet all applicable safety requirements set forth in 38 CFR 17.81(a). (b) Treatment plans and... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties...

  16. Providing health care services to the formerly homeless: a quasi-experimental evaluation.

    PubMed

    Ciaranello, Andrea L; Molitor, Fred; Leamon, Martin; Kuenneth, Christina; Tancredi, Daniel; Diamant, Allison L; Kravitz, Richard L

    2006-05-01

    We performed a quasi-experiment to assess the effects of a focused health care intervention delivered in transitional housing facilities in Sacramento, California. Four transitional housing facilities (THFs) receiving the intervention were compared with 2 THFs that did not receive it. A multidisciplinary team provided a diverse package of services to residents at the intervention sites. Residents at comparison sites received usual care. Survey and physical examination data were collected in repeated cross-sectional surveys at baseline (pre-intervention) and after 6 and 18 months of follow-up (post-intervention). Using analysis of covariance techniques, our statistical models showed improved odds of receiving recommended gynecologic preventive care and decreased odds of frequent Emergency Department use at 18 months among residents at the intervention sites. At 6 months, residents at the intervention sites also experienced improved blood pressure control. There was no intervention effect on residents' access to specialists or on physical functioning, mental health, or dental health. PMID:16702726

  17. 78 FR 6405 - Advisory Committee on Homeless Veterans, Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... AFFAIRS Advisory Committee on Homeless Veterans, Notice of Meeting The Department of Veterans Affairs (VA... Committee on Homeless Veterans will be held on February 13-15, 2013. On February 13, the Committee will meet... Department in assisting homeless Veterans. The Committee shall assemble and review information relating...

  18. 76 FR 76917 - Homeless Management Information Systems Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-09

    ...This proposed rule provides for the establishment of regulations for Homeless Management Information Systems (HMIS), which are the local information technology systems that HUD recipients and subrecipients use for homeless assistance programs authorized by the McKinney-Vento Homeless Assistance Act (the McKinney-Vento Act). The Homeless Emergency Assistance and Rapid Transition to Housing Act......

  19. Association between Women Veterans’ Experiences with VA Outpatient Healthcare and Designation as a Women’s Health Provider in Primary Care Clinics

    PubMed Central

    Bastian, Lori A.; Trentalange, Mark; Murphy, Terrence E.; Brandt, Cynthia; Bean-Mayberry, Bevanne; Maisel, Natalya C.; Wright, Steven M.; Gaetano, Vera S.; Allore, Heather; Skanderson, Melissa; Reyes-Harvey, Evelyn; Yano, Elizabeth M.; Rose, Danielle; Haskell, Sally

    2016-01-01

    Background Women Veterans comprise a small percentage of VA healthcare users. Prior research on women Veterans’ experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women’s healthcare by designated women’s health providers (DWHPs). Little is known about the quality of healthcare delivered by DWHPs and women Veterans’ experience with care from these providers. Methods Secondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity (DAWC) that discerns between DWHPs versus non-DWHPs. Findings Of the 28,994 surveys mailed to women Veterans, 24,789 were seen by primary care providers and 8,151 women responded to the survey (response rate 32%). A total of 3,147 providers were evaluated by the SHEP-CAHPS-PCMH survey (40%; n=1,267 were DWHPs). In a multivariable model, patients seen by DWHPs (RR=1.02 95% CI=1.01−1.04) reported higher overall experiences with care compared to patients seen by non-DWHPs. Conclusions The main finding is that women Veterans’ overall experiences with outpatient healthcare are slightly better for those receiving care from DWHPs compared to those receiving care from non-DWHPs. Our findings have important policy implications for how to continue to improve women Veterans’ experiences. Our work provides support to increase access to DWHPs at VA primary care clinics. PMID:25442706

  20. Psychological distress among homeless adults.

    PubMed

    Gelberg, L; Linn, L S

    1989-05-01

    Recent studies have reported a high prevalence of mental illness among the homeless. As part of a community-based survey of 529 homeless adults, we developed and tested a model to increase our understanding of the factors related to their psychological distress. Using a previously validated and reliable scale of perceived psychological distress, we found that homeless adults were more likely to report psychological distress than the general population (80% vs. 49%). Distress levels were not associated with most demographic or homeless characteristics or general appearance. However, distress was related to unemployment, greater cigarette and alcohol use, worse physical health, fewer social supports, and perceived barriers to obtaining needed medical care. Since mental, physical, and social health are strongly related among homeless adults, alleviating distress among them may be most effectively done by implementing a broad-based health services package coupled with employment programs provided in an accessible service delivery setting. PMID:2785158

  1. Federally Supported Centers Provide Needed Services for Runaways and Homeless Youths. Report to the Chairman, Subcommittee on Human Resources, Committee on Education and Labor, House of Representatives.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Div. of Human Resources.

    The Runaway and Homeless Youth Act authorizes funds under the Juvenile Justice and Delinquency Prevention Act of 1974 for community-based centers that serve the shelter needs of runaway or homeless youths. To examine the effectiveness of the programs and the characteristics of program participants, the Government Accounting Office (GAO) visited 17…

  2. 78 FR 76061 - Authorization for Non-VA Medical Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ..., Health professions, Health records, Homeless, Mental health programs, Nursing homes, Reporting and.... SUPPLEMENTARY INFORMATION: On November 28, 2012, VA proposed a rule in the Federal Register, at 77 FR 70967, to... for that disability. On the same date, VA published a companion direct final rule at 77 FR 70893...

  3. Homelessness and Dual Diagnosis.

    ERIC Educational Resources Information Center

    Drake, Robert E.; And Others

    1991-01-01

    Reviews recent research on the epidemiology, subject characteristics, and service needs of the homeless population who are dually diagnosed to suffer both severe mental illness and substance abuse disorders. Discusses evolving approaches to providing social services, various treatments, system and legal issues, and problems with current research.…

  4. Jobs, Welfare and Homelessness.

    ERIC Educational Resources Information Center

    Einbinder, Susan; And Others

    This report provides objective information about the relationship of poverty, welfare, and homelessness to California's regional economy and about the design of programs that help people in poverty build working lives. California does not have enough jobs for its workforce, and welfare caseloads are consequently determined by the economy. The…

  5. Runaway and Homeless Youth: A Three Phase Differential Response Which Provides Crisis Intervention, Assessment, and Long-Term Programs--Both Residential and Non-Residential--for Adolescent Males and Females 16-21 Years of Age.

    ERIC Educational Resources Information Center

    Faye, Michael

    A practicum at a crisis intervention center in the middle of a large Canadian city in Ontario was designed to offer crisis intervention, shelter, and non-residential support for runaway and homeless youth, ages 16 to 21, who lived on the streets or in emergency shelters. The practicum provided an opportunity for program staff to develop a…

  6. Double Jeopardy: Homeless & Illiterate.

    ERIC Educational Resources Information Center

    BCEL Newsletter for the Business Community, 1988

    1988-01-01

    For the first time, federal funding for literacy services will focus new attention on the plight of the homeless. Under the McKinney Homeless Assistance Act, each state will receive funds for literacy for the homeless. Although there are no firm estimates on how many persons are homeless, a number of indicators point to a problem of major and…

  7. Homelessness in America.

    ERIC Educational Resources Information Center

    Baumohl, Jim, Ed.

    This book about homelessness in the United States offers 16 chapters in three parts. Part 1, "History Definitions, and Causes," includes: (1) "Redefining the Cursed Word: A Historical Interpretation of American Homelessness" (Kim Hopper and Jim Baumohl); (2) "Homelessness: Definitions and Counts" (Martha R. Burt); (3) "The Causes of Homelessness"…

  8. Homelessness in Public Libraries

    ERIC Educational Resources Information Center

    Wong, Yi Ling

    2009-01-01

    This paper takes a theoretical and practical approach in defining the "problem" of homelessness in libraries. The author examines three fundamental problems on homelessness. The three fundamental questions are: (a) Who are the homeless? (b) Why are they homeless? (c) What are their information needs in libraries? These questions are important in…

  9. Youth Homelessness 2006

    ERIC Educational Resources Information Center

    MacKenzie, David; Chamberlain, Chris

    2008-01-01

    The third national census of homeless school students, conducted in 2006, found that the number of homeless students had decreased since 2001. There were 9,389 homeless students in 2006 compared with 12,227 in 2001. Three groups were over-represented in the homeless population: Indigenous students, young people from single parent and blended…

  10. Education Rights of Homeless Students: A Guide for Advocates

    ERIC Educational Resources Information Center

    Education Law Center, 2005

    2005-01-01

    There is no question that students who are homeless, like all students, are entitled to be educated. A federal law, known as the McKinney-Vento Homeless Assistance Act, requires states to provide homeless children and youth with the same access to free public education as is available to other students. The Act also requires states to eliminate…

  11. 75 FR 4453 - Advisory Committee on Homeless Veterans; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Advisory Committee on Homeless Veterans; Notice of Meeting The Department of Veterans Affairs (VA... Committee on Homeless Veterans will be held February 24-26, 2010, in the Lafayette Park Room at the...

  12. 77 FR 26069 - Advisory Committee on Homeless Veterans, Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Advisory Committee on Homeless Veterans, Notice of Meeting The Department of Veterans Affairs (VA... Committee on Homeless Veterans will be held on June 1-2, 2012, in room 900 at 1722 Eye Street...

  13. 76 FR 56881 - Advisory Committee on Homeless Veterans; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Advisory Committee on Homeless Veterans; Notice of Meeting The Department of Veterans Affairs (VA... Committee on Homeless Veterans will be held on September 20- 21, 2011. On September 20, the Committee...

  14. Imagine the Possibilities: Sourcebook for Educators Committed to the Educational Success of Students Experiencing Homelessness.

    ERIC Educational Resources Information Center

    Berliner, BethAnn

    This sourcebook assembles the results of research on educating homeless students and offers classroom strategies for people working with homeless students, providing training tools to strengthen programs and practices in schools and shelters. Chapter 1, "Increasing Awareness about Students Experiencing Homelessness," defines homelessness,…

  15. A Rural County's Response to Homelessness.

    ERIC Educational Resources Information Center

    Loughran, Elizabeth Lee; White, Priscilla

    This paper describes the response of one locality, a rural county in Western Massachusetts, to the reality of rural homelessness. Jessie's House, in Hampshire County, Massachusetts, is a short-term emergency shelter providing meals, housing, and advocacy to homeless families and individuals. The shelter has a staff of three full-time residents and…

  16. Working to End Family Homelessness. Annual Report

    ERIC Educational Resources Information Center

    National Center on Family Homelessness (NJ1), 2012

    2012-01-01

    The National Center on Family Homelessness is determined to end family homelessness. Sheltering families provides a temporary safe haven. Connecting families to permanent housing, essential services, and critical supports can change their lives forever. Through research the Center learns what families need to rebound from the housing, economic,…

  17. Helping Homeless People: Unique Challenges and Solutions.

    ERIC Educational Resources Information Center

    Solomon, Clemmie, Ed.; Jackson-Jobe, Peggy, Ed.

    This publication is designed to provide a practical guide for gaining a detailed awareness and understanding of homelessness. After a foreword by Jesse Jackson, these chapters are included: (1) Introduction: Assessing the Unique Needs of Homeless People (Clemmie Solomon), which discusses the need for helping professionals to commit to addressing…

  18. Addressing the Problems of Homeless Adolescents

    ERIC Educational Resources Information Center

    Murphy, Joseph F.; Tobin, Kerri

    2012-01-01

    Homeless adolescents, known as "unaccompanied youth," constitute a small but important portion of the overall homeless population, one that needs particular attention at school. In this article, we review existing literature to provide a background for educational leaders, researchers, and policymakers hoping to understand the phenomenon of…

  19. Health interventions for people who are homeless.

    PubMed

    Hwang, Stephen W; Burns, Tom

    2014-10-25

    Homelessness has serious implications for the health of individuals and populations. Primary health-care programmes specifically tailored to homeless individuals might be more effective than standard primary health care. Standard case management, assertive community treatment, and critical time intervention are effective models of mental health-care delivery. Housing First, with immediate provision of housing in independent units with support, improves outcomes for individuals with serious mental illnesses. Many different types of interventions, including case management, are effective in the reduction of substance misuse. Interventions that provide case management and supportive housing have the greatest effect when they target individuals who are the most intensive users of services. Medical respite programmes are an effective intervention for homeless patients leaving the hospital. Although the scientific literature provides guidance on interventions to improve the health of homeless individuals, health-care providers should also seek to address social policies and structural factors that result in homelessness. PMID:25390579

  20. Becoming homeless, being homeless, and resolving homelessness among women.

    PubMed

    Finfgeld-Connett, Deborah

    2010-07-01

    The purpose of this investigation was to more comprehensively articulate the experiences of homeless women and make evidence-based inferences regarding optimal social services. This study was conducted using qualitative meta-synthesis methods. As youth, homeless women experience challenging circumstances that leave them ill-prepared to prevent and resolve homelessness in adulthood. Resolution of homelessness occurs in iterative stages: crisis, assessment, and sustained action. To enhance forward progression through these stages, nurses are encouraged to promote empowerment in concordance with the Transtheoretical and Harm Reduction Models. Services that are highly valued include physical and mental health care and child care assistance. PMID:20521916

  1. Hurricane Sandy's impact on the predisaster homeless and homeless shelter services in New Jersey.

    PubMed

    Settembrino, Marc R

    2016-01-01

    Presently, there is little research on how people experiencing homelessness prepare for, respond to, and recover from disasters. Existing emergency management literature does not provide an understanding of how disasters affect homeless shelter services. The present study seeks to fill these gaps by examining how Hurricane Sandy impacted homeless shelters and their guests in New Jersey. Presenting findings from ethnographic research in Atlantic City and Hoboken, this study identifies several areas in which homeless shelters and their guests may be able to assist in emergency response and disaster recovery such as preparing meals for victims, sorting and processing donated items, and assisting victims in filing for emergency assistance. PMID:26963226

  2. Measuring pain in the context of homelessness

    PubMed Central

    Matter, Rebecca; Kline, Susan; Cook, Karon F.; Amtmann, Dagmar

    2009-01-01

    Purpose The primary objective of this study was to inform the development of measures of pain impact appropriate for all respondents, including homeless individuals, so that they can be used in clinical research and practice. The secondary objective was to increase understanding about the unique experience of homeless people with pain. Methods Seventeen homeless individuals with chronic health conditions (often associated with pain) participated in cognitive interviews to test the functioning of 56 pain measurement items and provided information about their experience living with and accessing treatment for pain. Results The most common problems identified with items were that they lacked clarity or were irrelevant in the context of homelessness. Items that were unclear, irrelevant and/or had other identified problems made it difficult for participants to respond. Participants also described multiple ways in which their pain was exacerbated by conditions of homelessness and identified barriers to accessing appropriate treatment. Conclusions Results suggested that the majority of items were problematic for the homeless and require substantial modifications to make the pain impact bank relevant to this population. Additional recommendations include involving homeless in future item bank development, conducting research on the topic of pain and homelessness, and using cognitive interviewing in other types of health disparities research. PMID:19582592

  3. Correlates of adult assault among homeless women.

    PubMed

    Hudson, Angela L; Wright, Kynna; Bhattacharya, Debika; Sinha, Karabi; Nyamathi, Adeline; Marfisee, Mary

    2010-11-01

    The purpose of this study was to assess predictors of sexual and physical assault among homeless women. A multivariate, correlation design was utilized to identify independent correlates of adult physical and sexual assault. The sample consisted of 202 homeless women residing in shelters or living on the street in the Skid Row area of Los Angeles. Respondents reporting a history of child sexual abuse were almost four times more likely to report being sexually assaulted as adults and were almost two and one third times more likely to report being physically assaulted as adults. A range of factors increase homeless women's risk of adult physical and sexual victimization, including child sexual abuse, substance use, lifetime sex trade activity, and previous incarceration. It is important for homeless service providers to develop an individual risk profile for homeless women and to intervene in order to decrease their risk of re-victimization. PMID:21099076

  4. Life shocks and homelessness.

    PubMed

    Curtis, Marah A; Corman, Hope; Noonan, Kelly; Reichman, Nancy E

    2013-12-01

    We exploited an exogenous health shock-namely, the birth of a child with a severe health condition-to investigate the effect of a life shock on homelessness in large cities in the United States as well as the interactive effects of the shock with housing market characteristics. We considered a traditional measure of homelessness, two measures of housing instability thought to be precursors to homelessness, and a combined measure that approximates the broadened conceptualization of homelessness under the 2009 Homeless Emergency Assistance and Rapid Transition to Housing Act (2010). We found that the shock substantially increases the likelihood of family homelessness, particularly in cities with high housing costs. The findings are consistent with the economic theory of homelessness, which posits that homelessness results from a conjunction of adverse circumstances in which housing markets and individual characteristics collide. PMID:23868747

  5. Parenting while Being Homeless

    ERIC Educational Resources Information Center

    Swick, Kevin J.; Williams, Reginald; Fields, Evelyn

    2014-01-01

    This article explores the dynamics of parenting while being in a homeless context. The mosaic of stressors involved in this homeless parenting process are explicated and discussed. In addition, resources and strategies that may support parenting are presented and discussed.

  6. Life Shocks and Homelessness

    PubMed Central

    Corman, Hope; Noonan, Kelly; Reichman, Nancy E.

    2014-01-01

    We exploited an exogenous health shock—namely, the birth of a child with a severe health condition—to investigate the effect of a life shock on homelessness in large cities in the United States as well as the interactive effects of the shock with housing market characteristics. We considered a traditional measure of homelessness, two measures of housing instability thought to be precursors to homelessness, and a combined measure that approximates the broadened conceptualization of homelessness under the 2009 Homeless Emergency Assistance and Rapid Transition to Housing Act (2010). We found that the shock substantially increases the likelihood of family homelessness, particularly in cities with high housing costs. The findings are consistent with the economic theory of homelessness, which posits that homelessness results from a conjunction of adverse circumstances in which housing markets and individual characteristics collide. PMID:23868747

  7. Pennsylvania's Rural Homeless Reality.

    ERIC Educational Resources Information Center

    Center for Rural Pennsylvania, Harrisburg.

    The Center for Rural Pennsylvania analyzed data from the Pennsylvania Department of Public Welfare concerning rural homelessness for fiscal years 1997 through 1999. Findings indicate that rural Pennsylvania has a homeless population and it is growing. In 1999, more than 21,700 clients received homeless assistance in rural areas, 44 percent of whom…

  8. Feeding the homeless.

    PubMed

    Hales, A; Magnus, M H

    1991-12-01

    Nurses have a unique role in addressing homelessness, an issue of vital national concern. The management and organizational expertise of nurses can be key elements to coordinating community resources to assist the homeless. The authors describe the design and implementation of a community meal program for the homeless. PMID:1744733

  9. Educating Homeless Students.

    ERIC Educational Resources Information Center

    Berliner, BethAnn

    2002-01-01

    Over the past decade, the number of homeless children in America has more than doubled. Educators, however, are still legally obligated to enroll and support them, because of the passage of the "No Child Left Behind" Act of 2001, which reauthorized the McKinney-Vento Homeless Assistance Act. Although schools cannot solve homelessness, they can…

  10. Homeless Health Concerns

    MedlinePlus

    ... Many homeless women are victims of domestic or sexual abuse. Homeless children have high rates of emotional and behavioral problems, often from having witnessed abuse. Help such as shelters, health centers, and free meals are available. Contact your local homelessness assistance agency.

  11. The health of homeless children revisited.

    PubMed

    Grant, Roy; Shapiro, Alan; Joseph, Sharon; Goldsmith, Sandra; Rigual-Lynch, Lourdes; Redlener, Irwin

    2007-01-01

    To the extent that representative data are available for specific health conditions (eg, under-immunization, asthma prevalence), the authors' data suggest that the gap between the health status of homeless children and housed children in minority, low-income families is narrowing. Studies of the health status of homeless children allow a window into the health status of medically underserved children whose needs may not be readily documented because of their lack of access to the health care system. Although prevalence rates of most of the health conditions discussed in this article exceeded national norms, they were generally consistent with rates characteristic of health disparities based on race-ethnicity and income. It must be emphasized that in most instances, children were seen for their first pediatric visit within weeks of entering the homeless shelter system. The health conditions identified were often present before the child and family became homeless. The high prevalence of asthma among homeless children should therefore be a matter of concern to health providers and payors, because the authors' data strongly suggest that this is not confined to children in homeless shelters as a special population. Similarly, childhood obesity predates homelessness (or at least the episode of homelessness during which health care was provided) and as such the authors' data may indicate the extent of this problem more generally among medically underserved children in the communities of origin. These conditions seem to be exacerbated by the specific conditions associated with homeless shelter life. Asthma care, assuming it was previously available, is disrupted when housing is lost, and shelter conditions may have multiple asthma triggers. Nutrition often suffers as a result of inadequate access to nutritious food and cooking facilities in shelters, as indicated by the high rate of iron-deficiency anemia among very young children. It is clear that homeless children in

  12. Health-Seeking Challenges Among Homeless Youth

    PubMed Central

    Hudson, Angela L.; Nyamathi, Adeline; Greengold, Barbara; Slagle, Alexandra; Koniak-Griffin, Deborah; Khalilifard, Farinaz; Getzoff, Daniel

    2010-01-01

    Background Approximately 1.5 to 2 million homeless young persons live on the streets in the United States. With the current economic situation, research is needed on quality of services geared toward homeless young adults. Objectives The objective of this study was to explore homeless young adults' perspectives on barriers and facilitators of health-care-seeking behavior and their perspectives on improving existing programs for homeless persons. Methods This article is a descriptive qualitative study using focus groups, with a purposeful sample of 24 homeless drug-using young adults. Results Identified themes were failing access to care based on perceived structural barriers (limited clinic sites, limited hours of operation, priority health conditions, and long wait times) and social barriers (perception of discrimination by uncaring professionals, law enforcement, and society in general). Discussion Results provide insight into programmatic and agency resources that facilitate health-seeking behaviors among homeless young adults and include implications for more research with providers of homeless health and social services. PMID:20404776

  13. Prepping Homeless Students for School

    ERIC Educational Resources Information Center

    Vissing, Yvonne

    2004-01-01

    The Yellow School Bus Project (YSBP) was created to provide homeless children with the supplies and clothes they need to succeed in school and feel good about themselves. When given these gifts, they receive the explicit message that they are smart and worthwhile, the implicit message that there are people in the community who are invested in…

  14. The homeless: help from hotels and restaurants.

    PubMed

    Hales, A; Eyster, J J; Ford, J L

    1993-07-01

    Specific examples and information are given to service providers to address the needs of homeless people. Together nurses and restaurant and hotel managers combined their expertise to assist local agencies in their community kitchens and shelters. PMID:8321464

  15. Care of the homeless: an overview.

    PubMed

    Maness, David L; Khan, Muneeza

    2014-04-15

    Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization rates, and are more likely to die at a younger age than the general population. The average life span for a homeless person is between 42 and 52 years. Homeless children are much sicker and have more academic and behavioral problems. Insufficient personal income and the lack of affordable housing are the major reasons for homelessness. Complex, advanced medical problems and psychiatric illnesses, exacerbated by drug and alcohol abuse, in combination with the economic and social issues (such as the lack of housing and proper transportation) make this subset of the population a unique challenge for the health care system, local communities, and the government. An integrated, multidisciplinary health care team with an outreach focus, along with involvement of local and state agencies, seems best suited to address the components needed to ensure quality of care, to help make these patients self-sufficient, and to help them succeed. Family physicians are well suited to manage the needs of the homeless patient, provide continuity of care, and lead these multidisciplinary teams. PMID:24784122

  16. Maternal Depression as a Risk Factor for Family Homelessness

    PubMed Central

    Corman, Hope; Noonan, Kelly; Reichman, Nancy E.

    2014-01-01

    Objectives. We estimated the effects of maternal depression during the postpartum year, which is often an unexpected event, on subsequent homelessness and risk of homelessness in a national sample of urban, mostly low-income mothers. Methods. We used logistic regression models to estimate associations between maternal depression during the postpartum year and both homelessness and risk of homelessness 2 to 3 years later, controlling for maternal and family history of depression, prenatal housing problems, and other covariates. Risk factors for homelessness included experiencing evictions or frequent moves and moving in with family or friends and not paying rent. Results. We found robust associations between maternal depression during the postpartum year and subsequent homelessness and risk of homelessness, even among mothers who had no history of mental illness, whose own mothers did not have a history of depressive symptoms, and who had no previous housing problems. Conclusions. This study provides robust evidence that maternal mental illness places families with young children at risk for homelessness, contributes to the scant literature elucidating directional and causal links between mental illness and homelessness, and contributes to a stagnant but important literature on family homelessness. PMID:25033116

  17. If You Provide the Test, They will Take It: Factors Associated with HIV/STI Testing in a Representative Sample of Homeless Youth in Los Angeles*

    PubMed Central

    Ober, Allison J.; Martino, Steven C.; Ewing, Brett; Tucker, Joan S.

    2012-01-01

    Homeless youth are at high risk for human immunodeficiency virus (HIV) and other sexually transmitted infections (STI), yet those at greatest risk may never have been tested for HIV or STI. In a probability sample of sexually active homeless youth in Los Angeles (n =305), this study identifies factors associated with HIV/STI testing status. Most youth (85%) had ever been tested and 47% had tested in the past 3 months. Recent testing was significantly more likely among youth who self-identified as gay, were Hispanic, injected drugs, and used drop-in centers, and marginally more likely among youth with more depressive symptoms. Drop-in center use mediated the association of injection drug use with HIV/STI testing. HIV/STI testing was unrelated to sexual risk behavior. Drop-in centers can play an important role in facilitating testing, including among injection drug users, but more outreach is needed to encourage testing in other at-risk subgroups. PMID:22827904

  18. The Education for Homeless Children and Youth Program: Learning To Succeed. Volume I: Reducing Barriers for Homeless Children and Youth for Access and Achievement. Final Report.

    ERIC Educational Resources Information Center

    Phillips, Clarenda M.; Wodatch, Jessica K.; Kelliher, Catherine T.

    A 1984 amendment to the Stewart B. McKinney Homeless Assistance Act instructs states to ensure that homeless students have equal access to the same free and appropriate public education as nonhomeless students. It provides local educational authorities increased flexibility to use funds, specify the rights of homeless preschoolers, give parents of…

  19. 38 CFR 17.101 - Collection or recovery by VA for medical care or services provided or furnished to a veteran for...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... physician service, procedure, test, supply, or other medical service. ICU means Intensive Care Unit... of this section, standard room and board days and ICU room and board days are mutually exclusive: VA will bill either a standard room and board per diem charge or an ICU room and board per diem charge,...

  20. Proposals Relating to Increasing Housing Opportunities for Homeless Persons. Discussion Paper 91-1.

    ERIC Educational Resources Information Center

    Rose, Laura; Matthias, Mary

    This paper provides a basis for discussion of housing proposals relating to increasing housing opportunities for homeless persons in Wisconsin. Six major topics relating to housing for homeless and potentially homeless persons are presented. Issues are listed under each topic. For each issue, background information is provided and alternatives for…

  1. Characteristics of Homeless Youth Attending Two Different Youth Drop-In Centers

    ERIC Educational Resources Information Center

    Shillington, A. M.; Bousman, C. A.; Clapp, J. D.

    2011-01-01

    Services for homeless youth traditionally provided shelter and nourishment but do little to break the cycle of homelessness. A more comprehensive approach to serve homeless youth is the drop-in center model that provides safe and easy-to-find facilities within communities to bridge the gap between the streets and transitional/permanent housing.…

  2. Homelessness Assistance and Resources

    MedlinePlus

    ... a Program Affordable Housing Community Development Consolidated Planning Economic Development Environmental Review Financial Management Homelessness Assistance Rural Systems News News Feed Email Updates Training & Events All ...

  3. Voices of the Homeless: An Emic Approach to the Experiences of Health Disparities Faced by People Who Are Homeless.

    PubMed

    Hsieh, Elaine

    2016-07-01

    People who are homeless are particularly vulnerable to health disparities. Rather than using population statistics to highlight the prevalence or severity of the suffering of people who are homeless, 28 undergraduate students each conducted an in-depth interview with an individual who relied on a local homeless shelter to cope with everyday life. The interview explored the participants' health concerns and strategies for health management. Due to equipment failure and incomplete recording, only 16 interviews are included in this study. The author adopted thematic analysis while focused on preserving the richness of the interactions between the participants who are homeless and the undergraduate students. The author's goal is to provide emic, intimate insights about the struggles and challenges faced by the people who are homeless. The author concluded the study by situating the findings in the larger literature of health disparities experienced by people who are homeless. PMID:27093127

  4. From homeless to housed: caring for people in transition.

    PubMed

    Drury, Lin J

    2008-01-01

    This ethnographic study was conducted to determine what homeless people experience during the transition from street life into community housing. Data were gathered through participant observation at a program designed to secure housing and support services for homeless people upon discharge from a psychiatric hospital. Sixty homeless, mentally ill adults were followed from hospital discharge through their first 2 years in community housing. Homeless people interact with health care providers across a cultural divide produced by vast differences in their lived experiences. This cultural distance limits access to the services that these individuals require to achieve residential stability. PMID:18449834

  5. Homeless Children and Youth in Utah. 1992 Report.

    ERIC Educational Resources Information Center

    Utah State Office of Education, Salt Lake City.

    A study was done of the numbers and educational status of homeless children in the state of Utah in 1992. A survey was conducted using data provided by 31 shelters statewide and included children and youth who were provided shelter at any time during the year. The total count included 4,424 homeless children and youth in 1992. The largest…

  6. Homeless Children and Youth in Utah. 1991 Report.

    ERIC Educational Resources Information Center

    Utah State Office of Education, Salt Lake City.

    A study was done of the numbers and educational status of homeless children in the state of Utah in 1991. A survey was conducted using data provided by 31 shelters statewide and included children and youth who were provided shelter at any time during the year. The total count of 4,894 homeless children and youth, when corrected for general…

  7. Homelessness: Recommendations for State Action.

    ERIC Educational Resources Information Center

    Maryland Governor's Advisory Board on the Shelter, Nutrition, and Service Programs for Homeless Persons, Annapolis.

    This report identifies the following objectives in the State of Maryland's efforts to prevent and substantially reduce homelessness: (1) expand resources for the prevention of homelessness, and investigate possible changes in policies contributing to homelessness; (2) establish a strong emergency response to homelessness throughout the State; (3)…

  8. Water, sanitation and hygiene for homeless people.

    PubMed

    Uddin, Sayed Mohammad Nazim; Walters, Vicky; Gaillard, J C; Hridi, Sanjida Marium; McSherry, Alice

    2016-02-01

    This short communication provides insights into water, sanitation and hygiene (WASH) for homeless people through a scoping study conducted in Dhaka, Bangladesh. It investigates homeless access to WASH through the lens of a rights-based approach. It demonstrates that homeless people's denial of their right to WASH reflects their marginal position in society and an unequal distribution of power and opportunities. The study ultimately suggests a rights-based approach to work toward dealing with the root causes of discrimination and marginalisation rather than just the symptoms. For the homeless, who not only lack substantive rights, but also the means through which to claim their rights, an integrated rights-based approach to WASH offers the possibility for social inclusion and significant improvements in their life conditions. Given the unique deprivation of homelessness it is argued that in addressing the lack of access to adequate WASH for homeless people the immediate goal should be the fulfilment and protection of the right to adequate shelter. PMID:26837829

  9. Intellectual Disability and Homelessness

    ERIC Educational Resources Information Center

    Mercier, C.; Picard, S.

    2011-01-01

    Background: The association between poverty and intellectual disability (ID) has been well documented. However, little is known about persons with ID who face circumstances of extreme poverty, such as homelessness. This paper describes the situation of persons with ID who were or are homeless in Montreal and are currently receiving services from a…

  10. Hope for the Future: The State Plan for Educating Homeless Children and Youth.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento. Office of Compensatory Education.

    This report contains the California state plan for educating homeless children and youth required by the Stewart B. McKinney Homeless Assistance Act of 1987. The plan is designed to raise the level of awareness of schools and school districts to the needs of homeless children and to provide ideas and suggestions for meeting those needs. It is…

  11. Educational Rights of Homeless Children and Youth: Legal and Community Advocacy

    ERIC Educational Resources Information Center

    de Bradley, Ann Aviles

    2008-01-01

    Many homeless children and youth have difficulty in school due to their loss of stable housing, and lack of consistent contact with family and friends. When a child becomes homeless, schools are federally mandated to identify these students and provide the same access to a free and appropriate education as their non-homeless counterparts. Within a…

  12. Out of Sight, Out of Mind: Homeless Children and Families in Small-Town America.

    ERIC Educational Resources Information Center

    Vissing, Yvonne M.

    Homelessness in small towns and rural areas is on the rise, and a substantial portion of the rural homeless consists of families with children. This book draws on interviews and case studies of over 300 homeless children and their families, primarily in New Hampshire, and on supporting statistics to provide individual and sociological perspectives…

  13. Comprehensive Substance Abuse Services for Homeless Persons with Alcohol and Other Drug Problems.

    ERIC Educational Resources Information Center

    Kirby, Michael W., Jr.; Braucht, G. Nicholas

    Homeless people with alcohol and other drug problems present the traditional substance abuse services delivery provider with special challenges. This paper discusses the optimal designs of comprehensive treatment services for homeless persons with alcohol and other drug problems. Most importantly, the homeless must have immediate access to a safe…

  14. Homelessness: A Common Vocabulary Could Help Agencies Collaborate and Collect More Consistent Data. Report to Congressional Requesters. GAO-10-702

    ERIC Educational Resources Information Center

    Cackley, Alicia Puente

    2010-01-01

    Multiple federal programs provide homelessness assistance through programs targeted to those experiencing homelessness or through mainstream programs that broadly assist low-income populations. Programs' definitions of homelessness range from including primarily people in homeless shelters or on the street to also including those living with…

  15. Lessons Learned: A "Homeless Shelter Intervention" by a Medical Student

    ERIC Educational Resources Information Center

    Owusu, Yasmin; Kunik, Mark; Coverdale, John; Shah, Asim; Primm, Annelle; Harris, Toi

    2012-01-01

    Objective: The authors explored the process of implementing a medical student-initiated program designed to provide computerized mental health screening, referral, and education in a homeless shelter. Method: An educational program was designed to teach homeless shelter staff about psychiatric disorders and culturally-informed treatment…

  16. 24 CFR 576.103 - Homelessness prevention component.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Homelessness prevention component... and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to provide... paragraph (1) of the “homeless” definition in § 576.2. This assistance, referred to as...

  17. 24 CFR 576.103 - Homelessness prevention component.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Homelessness prevention component... and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to provide... paragraph (1) of the “homeless” definition in § 576.2. This assistance, referred to as...

  18. 24 CFR 576.103 - Homelessness prevention component.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 3 2012-04-01 2012-04-01 false Homelessness prevention component... and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to provide... paragraph (1) of the “homeless” definition in § 576.2. This assistance, referred to as...

  19. Homeless Children: Meeting the Educational Challenges. ERIC Digest.

    ERIC Educational Resources Information Center

    Goins, Brad; Cesarone, Bernard

    Difficulties faced by homeless children include depression, low self-esteem, lack of sleep and nutrition, and feelings of shame and embarrassment. Challenges faced by schools in providing education to homeless children include: (1) keeping children in one school despite frequent family moves; (2) ensuring that children's health records are…

  20. Confronting Homelessness among American Families: Federal Programs and Strategies.

    ERIC Educational Resources Information Center

    DeWoody, Madelyn

    This book offers specific information on the wide range of federal prevention, emergency shelter, and family service programs available today that provide children and families who are homeless or at risk of homelessness with financial support, education, job training, nutritional services, and crisis funding. The chapters are: (1) "Coordinating a…

  1. Strengthening At-Risk and Homeless Young Mothers and Children

    ERIC Educational Resources Information Center

    Medeiros, Debra; Vaulton, Wendy

    2010-01-01

    The Strengthening At Risk and Homeless Young Mothers and Children Initiative, funded by the Conrad N. Hilton Foundation, aims to improve the housing, health, and development of homeless and at-risk young families. This article describes the services provided in four program sites (Pomona, CA; Antelope Valley, CA; Minneapolis, MN; and Chicago, IL)…

  2. Living the Research: Stories from Homeless Youth.

    ERIC Educational Resources Information Center

    Norum, Karen E.

    There is an alarming trend in homelessness: children aged 17 and younger are the most rapidly growing group of the homeless; families continue to be a growing group of the homeless; and many people who are homeless were raised or have lived in the suburbs. Homelessness is no longer an inner-city phenomenon. Three homeless youth were interviewed…

  3. The prevalence and characteristics of homelessness in the NSW substance treatment population: implications for practice.

    PubMed

    Allan, Julaine; Kemp, Michael

    2014-01-01

    This study examines the prevalence and characteristics of homelessness episodes in Australian substance misuse treatment. A dataset containing all closed substance treatment episodes in NSW, Australia from July 2006 to June 2011 was used. Statistical analysis was used to determine any relationships between demographic and treatment variables and homelessness. Of the 213, 129 treatment episodes in the dataset 12.8% have some form of homelessness. Non-government and residential services have the highest prevalence of homelessness. Sex, age, and drug type have weak relationships with homelessness. Leaving against the advice of the treatment provider is more common in episodes where homelessness is a factor. Homelessness is a problem experienced by a significant proportion of the substance treatment population and treatment providers have an opportunity and an obligation to address it in their treatment delivery. PMID:24483335

  4. Characteristics of Mothers Caring for Children During Episodes of Homelessness

    PubMed Central

    Whitbeck, Les B.; Armenta, Brian E.

    2016-01-01

    This study provides a description of the physical, psychological, and substance use problems of adult homeless women who are and are not caring for children. We also examined differences in the characteristics of these two groups of women. Interviews were conducted with 148 homeless women from three mid-sized U.S. cities, 24.3 % of whom were caring for at least one child. Our results showed that women caring for children were more likely to be sheltered and have health insurance. Homeless women caring for children and solitary homeless women were generally similar in terms of substance abuse problems. However, rates of Borderline Personality Disorder were higher among women caring for children than among solitary homeless women. Our results are somewhat consistent with previous research, with the exception of substance abuse problems and mental health problems, which were shown to be equally problematic for all women, regardless of current caregiving status. PMID:25536936

  5. Aging on the Street: Homeless Older Adults in America.

    PubMed

    Sorrell, Jeanne M

    2016-09-01

    Older adults are at greater risk for homelessness today than at any time in recent history. Approximately one half of homeless individuals in America are older than 50, which has created serious challenges for how cities, governments, and health care providers care for homeless populations. Systems established in the 1980s to help care for homeless individuals were not designed to address problems of aging. It is critical that nurses and all health professionals have a better understanding of the unique needs and concerns of homeless older adults. Nurses can be an important part of the solution, not only through direct patient care but by advocating for improvements in care for this vulnerable population. [Journal of Psychosocial Nursing and Mental Health Services, 54(9), 25-29.]. PMID:27576225

  6. National Center on Family Homelessness

    MedlinePlus

    ... efforts to understand and respond to homelessness, trauma, poverty and the need for social services and supports ... efforts to understand and respond to homelessness, trauma, poverty and the need for social services and supports ...

  7. Twenty-Five Years of Child and Family Homelessness: Where Are We Now?

    PubMed Central

    Gracy, Delaney; Goldsmith, Grifin; Shapiro, Alan; Redlener, Irwin E.

    2013-01-01

    Family homelessness emerged as a major social and public health problem in the United States during the 1980s. We reviewed the literature, including journal articles, news stories, and government reports, that described conditions associated with family homelessness, the scope of the problem, and the health and mental health of homeless children and families. Much of this literature was published during the 1980s and 1990s. This raises questions about its continued applicability for the public health community. We concluded that descriptions of the economic conditions and public policies associated with family homelessness are still relevant; however, the homeless family population has changed over time. Family homelessness has become more prevalent and pervasive among poor and low-income families. We provide public health recommendations for these homeless families. PMID:24148055

  8. Homelessness: From the Clients' Perspectives.

    ERIC Educational Resources Information Center

    Hertzberg, Edwina L.

    Although homelessness is not a new phenomenon, the number of homeless people today has fostered mobilization on their behalf by public and private sectors. Principal factors accepted as contributing to homelessness are inadequate low-cost housing, unemployment, chemical dependency, family violence, and inadequate community services for the…

  9. No Homeless Child Left behind

    ERIC Educational Resources Information Center

    Saxberg, David

    2011-01-01

    Although it is difficult to determine the precise number of homeless children, the National Coalition for the Homeless reports that there are more than 1.3 million children lacking a permanent residence on any given night. Further, 39 percent of the homeless population was comprised of children under the age of 18 in July 2009, the most recent…

  10. Health of the homeless and climate change.

    PubMed

    Ramin, Brodie; Svoboda, Tomislav

    2009-07-01

    The homeless are amongst the most vulnerable groups in developed regions, suffering from high rates of poorly controlled chronic disease, smoking, respiratory conditions, and mental illness, all of which render them vulnerable to new and resurgent disease processes associated with climate change. To date, there have been no papers reviewing the impacts of climate change on the homeless population. This paper provides a framework for understanding the nature of such an impact. We review four pathways: increased heat waves, increased air pollution, increased severity of floods and storms, and the changing distribution of West Nile Virus. We emphasize the need for further debate and research in this field. PMID:19444615

  11. A Different Kind of Smart: A Study of the Educational Obstacles Confronting Homeless Youth in New England.

    ERIC Educational Resources Information Center

    Wilson, Melanie; Houghton, Alison

    This study provides information on obstacles facing homeless youth in school. Research occurred in four diverse New England cities. Researchers collected detailed case histories on youth age 10-15 years who were currently homeless or who had recently been homeless. Data came from staff of local youth agencies, government officials, and youths…

  12. Gender Differences in Predictors of Suicidal Thoughts and Attempts Among Homeless Veterans that Abuse Substances

    ERIC Educational Resources Information Center

    Benda, Brent B.

    2005-01-01

    This study of 315 male and 310 female homeless military veterans in a V.A. inpatient program designed to treat substance abusers, many of whom also suffer psychiatric disorders, was designed to examine gender differences in factors associated with the odds of having suicidal thoughts, and of attempting suicide, in comparison to being nonsuicidal.…

  13. 78 FR 17703 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... Aeronautics & Space Administration, Code JX, Washington, DC 20546, (202)-358-1124; VA: Ms. Jessica L. Kaplan... Number: 71201310002 Status: Underutilized Directions: T1701-T1704 Comments: Secured area; public access... URBAN DEVELOPMENT Federal Property Suitable as Facilities To Assist the Homeless AGENCY: Office of...

  14. Adapting an Evidence-Based Intervention for Homeless Women: Engaging the Community in Shared Decision-making

    PubMed Central

    Cederbaum, Julie A.; Song, Ahyoung; Hsu, Hsun-Ta; Tucker, Joan S.; Wenzel, Suzanne L.

    2014-01-01

    As interest grows in the diffusion of evidence-based interventions (EBIs), there is increasing concern about how to mitigate implementation challenges; this paper concerns adapting an EBI for homeless women. Complementing earlier focus groups with homeless women, homeless service providers (n = 32) were engaged in focus groups to assess capacity, needs, and barriers with implementation of EBIs. Deductive analyses of data led to the selection of four EBIs. Six consensus groups were then undertaken; three each with homeless women (n = 24) and homeless service providers (n = 21). The selected EBI was adapted and pretested with homeless women (n = 9) and service providers (n = 6). The structured consensus group process provided great utility and affirmed the expertise of homeless women and service providers as experts in their domain. Engaging providers in the selection process reduced the structural barriers within agencies as obstacles to diffusion. PMID:25418227

  15. Comprehensive Planning To Address Homelessness. City Initiatives.

    ERIC Educational Resources Information Center

    Zawisza, Kris

    This packet contains documents that provide information about the planning and implementation of a comprehensive plan to address homelessness in cities throughout the U.S. Information on the following components of a comprehensive strategy are included: (1) "Task Forces"; (2) "Assessment Studies"; (3) "Emergency Services"; (4) "Transitional…

  16. Extreme weather-related health needs of people who are homeless.

    PubMed

    Cusack, Lynette; van Loon, Antonia; Kralik, Debbie; Arbon, Paul; Gilbert, Sandy

    2013-01-01

    To identify the extreme weather-related health needs of homeless people and the response by homeless service providers in Adelaide, South Australia, a five-phased qualitative interpretive study was undertaken. (1) Literature review, followed by semi-structured interviews with 25 homeless people to ascertain health needs during extreme weather events. (2) Identification of homeless services. (3) Semi-structured interviews with 16 homeless service providers regarding their response to the health needs of homeless people at times of extreme weather. (4) Gap analysis. (5) Suggestions for policy and planning. People experiencing homelessness describe adverse health impacts more from extreme cold, than extreme hot weather. They considered their health suffered more, because of wet bedding, clothes and shoes. They felt more depressed and less able to keep themselves well during cold, wet winters. However, homeless service providers were more focussed on planning for extra service responses during times of extreme heat rather than extreme cold. Even though a city may be considered to have a temperate climate with a history of very hot summers, primary homeless populations have health needs during winter months. The experiences and needs of homeless people should be considered in extreme weather policy and when planning responses. PMID:22950903

  17. Where There Is No Hope: A Teacher's Experience with Homelessness

    ERIC Educational Resources Information Center

    Nath, Veena; Hallett, Ronald E.

    2015-01-01

    Stereotypical notions of who experiences homelessness frame how educational institutions approach policy and program development. This life history of a teacher challenges assumptions by providing an in-depth look at a mother's struggle to find stability.

  18. Estimating the number of homeless deaths in France, 2008–2010

    PubMed Central

    2014-01-01

    Background The homeless population of France has increased by 50% over the last 10 years. Studies have shown that homelessness is associated with a high risk of premature death. The aim of this study was to estimate the number of homeless deaths in France between 2008 and 2010, using a reproducible method. Methods We used the capture-recapture method to estimate the number of homeless deaths in France using two independent sources. An associative register of homeless deaths was matched with the national exhaustive database of the medical causes of death, using several matching approaches based on various combinations of the following variables: gender, age, place of death, date of death. Results The estimated number of homeless deaths between 2008 and 2010 was 6730 (95% CI: [4381–9079]), a number greatly underestimated by the two sources considered separately (less than 20%). Conclusions In the absence of a register of the homeless deaths, the capture-recapture method provides an order of magnitude for evaluation of the resources that may be allocated by policy makers to manage the issue. Based on common and routinely produced databases, this estimate may therefore be used to monitor the mortality of the homeless population. Further studies about homeless mortality, particularly on the lead causes of deaths, are needed to manage this issue and to implement strategy to decrease the number of homeless deaths. PMID:24999114

  19. Telephone Enrollment in the VA Healthcare System. Interim final rule.

    PubMed

    2016-03-16

    This rulemaking amends VA's medical regulations to allow veterans to complete applications for health care enrollment by telephone by providing application information to a VA employee, agreeing to VA's provisions regarding copayment liability and assignment of third-party insurance benefits, and attesting to the accuracy and authenticity of the information provided over the phone. This action will make it easier for veterans to apply to enroll and will speed VA processing of applications. PMID:26987128

  20. Readings in Homelessness.

    ERIC Educational Resources Information Center

    Matuszowicz, Peter F.

    Researchers have documented links between a number of behavioral issues and homelessness, including the following: limited/no social networks; social isolation; proneness of victimization; history of emotional, physical, sexual, and substance abuse; lack of education; and anxiety resulting from inadequate physical space. The possible benefits of…

  1. Moving Away From Homelessness.

    ERIC Educational Resources Information Center

    Gael, Young Fine

    This discussion document from a symposium on shut out youth attempts to heighten awareness of the housing problems experienced by youth in Ireland. It is based on information obtained from a questionnaire sent to voluntary organizations working in local areas. It focuses on homelessness and its related issues of health, education, and the…

  2. Hope for Homeless Students.

    ERIC Educational Resources Information Center

    Woods, Cyndy Jones

    1996-01-01

    The Thomas J. Pappas Regional Education Center in Phoenix, Arizona, is a magnet school for homeless students from unorganized territories, military installations, Indian reservations, and national forest lands. This "accommodation" school, supported by federal grants, in-kind business donations, and committed volunteer mentors from the local…

  3. Barriers and aids in conducting research with older homeless individuals.

    PubMed

    Vance, D

    1995-06-01

    Field notes of a qualitative pilot study of older homeless people in Cincinnati identified several barriers and aids to the study of homeless elders. Identified research barriers were researcher's lack of contextual wisdom (street smarts), locating elders, substance abuse, attrition, victimization, credibility of informants, and xenophobia. Identified research aids were friendliness of certain elders, openness of the researcher, attractive incentives in exchange for interviews, and service providers' willingness to share experiences. PMID:7568590

  4. The Neighborhood Context of Homelessness

    PubMed Central

    Pollio, David E.; North, Carol S.

    2013-01-01

    Objectives. We examined and compared the changing neighborhood characteristics of a group of homeless adults over time. Methods. We collected the addresses of previous housing and sleep locations from a longitudinal study of 400 homeless adults in the St. Louis, Missouri, region and compared census measures of housing and economic opportunities at different points along individual pathways from housing to homelessness and at 1- and 2-year follow-up interviews. Results. Sleep locations of homeless adults were much more concentrated in the urban core at baseline than were their previous housed and follow-up locations. These core areas had higher poverty, unemployment, and rent-to-income ratios and lower median incomes. Conclusions. The spatial concentration of homeless adults in areas with fewer opportunities and more economic and housing distress may present additional barriers to regaining stable housing and employment. A big-picture spatial and time-course viewpoint is critical for both policymakers and future homelessness researchers. PMID:23409889

  5. Marketing to the marginalised: tobacco industry targeting of the homeless and mentally ill

    PubMed Central

    Apollonio, D; Malone, R

    2005-01-01

    Objectives: To describe the tobacco industry's relationships with and influence on homeless and mentally ill smokers and organisations providing services to them. Methods: Analysis of internal tobacco industry documents and journal articles. Results: The tobacco industry has marketed cigarettes to the homeless and seriously mentally ill, part of its "downscale" market, and has developed relationships with homeless shelters and advocacy groups, gaining positive media coverage and political support. Discussion: Tobacco control advocates and public health organisations should consider how to target programmes to homeless and seriously mentally ill individuals. Education of service providers about tobacco industry efforts to cultivate this market may help in reducing smoking in these populations. PMID:16319365

  6. Hearing the silent voices: narratives of health care and homelessness.

    PubMed

    Wise, Caitlin; Phillips, Kenneth

    2013-05-01

    Most homeless individuals lack adequate health care. With existing literature as a backdrop, this study sought to understand the experience of homeless persons in the health care system. Using a phenomenological approach, 11 homeless participants were interviewed and the transcripts from these interviews were analyzed for meaning. The health care experiences of the participants could be understood only when viewed within the context of homelessness. The four polar themes that emerged from the analysis--same/different, fair/unfair, freedom/barriers, and choice/no choice--highlighted the great divide between the health care experiences of those with a home and those without. Such understanding can help mental health nurses provide more appropriate care to this population. PMID:23663023

  7. Understanding the Attainment of Stable Housing: A Seven-Year Longitudinal Analysis of Homeless Adolescents

    PubMed Central

    Braciszewski, Jordan M.; Toro, Paul A.; Stout, Robert L.

    2015-01-01

    Stable housing provides a solid foundation for youth development, making it an essential topic of study among young homeless people. Although gains have been made in research with adolescents and young adults experiencing homelessness, few longitudinal studies of this population exist, clouding the long-term housing outcome picture. The current study examined the course and risk factors for homelessness in a sample of 243 homeless adolescents followed over a seven-year period. The vast majority of youth returned to stable housing quickly; however, early experiences of homelessness, even at this young age, were observed to have a substantial negative impact on future housing. Participants from poorer neighborhoods and those identifying as ethnic minorities also took longer to achieve stable housing. The data suggest that family reunification interventions may serve this population well. Preparing youth for returning home may prevent subsequent homeless episodes, while also improving their overall functioning. PMID:26997683

  8. 48 CFR 819.7109 - VA review of application.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7109 VA review of application. (a) VA OSDBU will review the information to establish the mentor and protégé eligibility and to ensure... charge to apply for the Mentor-Protégé Program. (b) After OSDBU completes its review and provides...

  9. 48 CFR 819.7109 - VA review of application.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7109 VA review of application. (a) VA OSDBU will review the information to establish the mentor and protégé eligibility and to ensure... charge to apply for the Mentor-Protégé Program. (b) After OSDBU completes its review and provides...

  10. 48 CFR 819.7109 - VA review of application.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7109 VA review of application. (a) VA OSDBU will review the information to establish the mentor and protégé eligibility and to ensure... charge to apply for the Mentor-Protégé Program. (b) After OSDBU completes its review and provides...

  11. 48 CFR 819.7109 - VA review of application.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7109 VA review of application. (a) VA OSDBU will review the information to establish the mentor and protégé eligibility and to ensure... charge to apply for the Mentor-Protégé Program. (b) After OSDBU completes its review and provides...

  12. 48 CFR 819.7109 - VA review of application.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7109 VA review of application. (a) VA OSDBU will review the information to establish the mentor and protégé eligibility and to ensure... charge to apply for the Mentor-Protégé Program. (b) After OSDBU completes its review and provides...

  13. An Inside Look at Homeless Youths’ Social Networks: Perceptions of Substance Use Norms1

    PubMed Central

    Melander, Lisa A.; Tyler, Kimberly A.; Schmitz, Rachel M.

    2016-01-01

    Substance use among homeless young people is a pervasive problem, and there have been many efforts to understand more about the dynamics of this health compromising behavior. The current study examined perceived substance use norms within homeless youths’ social networks utilizing in-depth interviews. The sample included 19 homeless individuals aged 16 to 21. Four elements of substance use within networks emerged: substance use choices, drug use safety issues, encouragement and/or discouragement, and appropriate situations in which substance use is condoned. These findings provide unique insight into the norms associated with drug and alcohol use within homeless youths’ social networks. PMID:26989340

  14. Childhood risk factors for homelessness among homeless adults.

    PubMed Central

    Koegel, P; Melamid, E; Burnam, m A

    1995-01-01

    OBJECTIVES. This effort used data from the Course of Homelessness study and comparative secondary data on the general population to identify negative childhood and family background experiences that may increase risk for adult homelessness. METHODS. Frequencies of negative childhood experiences were examined among a probability sample of 1563 homeless adults. Differences in risk for such experiences were calculated by sex, age cohort, and racial/ethnicity status. Where possible, rates of negative childhood experiences among the homeless were compared with the general population. RESULTS. Substantial numbers of this sample experienced multiple problems as children across several domains: poverty, residential instability, and family problems. Women and Whites disproportionately reported experiences suggestive of personal or family problems; non-Whites disproportionately reported experiences suggestive of personal or family problems; non-Whites disproportionately reported experiences suggestive of poverty. Homeless adults were at increased risk of childhood out-of-home placement, tenure in public housing, and homelessness, but not at greater risk for physical abuse. Women appeared to be at greater risk for sexual abuse. CONCLUSIONS. The problems that homeless individuals experience as adults have very clear analogs in their childhoods. Vulnerability to homelessness stems from factors unevenly distributed across age, sex, and race/ethnicity groups. PMID:7503338

  15. Homelessness: Too Early To Tell What Kinds of Prevention Assistance Work Best. Report to the Congress.

    ERIC Educational Resources Information Center

    Comptroller General of the U.S., Washington, DC.

    Although hundreds of state and local organizations provide homelessness prevention assistance, the Government Accounting Office (GAO) could not determine the effectiveness of this assistance because few assistance providers have the resources available to collect the client follow-up data needed for evaluation. Homelessness prevention programs,…

  16. Can Better National Policy End Family Homelessness?

    ERIC Educational Resources Information Center

    Roman, Nan

    2010-01-01

    An understanding of the close link between federal policy and family homelessness is critical for ensuring that one day no child in the United States is homeless. This article discusses the nature of family homelessness, the national policy framework that exists to help vulnerable families, the homeless assistance system that federal policy has…

  17. Predictors of Homelessness among Street Living Youth

    ERIC Educational Resources Information Center

    Slesnick, Natasha; Bartle-Haring, Suzanne; Dashora, Pushpanjali; Kang, Min Ju; Aukward, Erin

    2008-01-01

    While few studies have identified predictors of exiting homelessness among adults, even fewer studies have attempted to identify these predictors among homeless youth. The current study explored predictors of change in homelessness among 180 homeless youth between the ages of 14 and 22, recruited through an urban drop-in center. All youth were…

  18. Homelessness: An Annotated Bibliography of Australian Research.

    ERIC Educational Resources Information Center

    Loft, Jenny, Comp.; Davis, Mari, Comp.

    This bibliography, compiled for the International Year of Shelter for the Homeless, lists Australian works published since 1974 about homelessness. It includes definitions of homelessness from the literature and an introductory article looking at different perspectives on homelessness. The entries, mainly taken from FAMILY database, are each…

  19. Faces of Homelessness: A Teacher's Guide.

    ERIC Educational Resources Information Center

    Massachusetts State Dept. of Education, Quincy.

    A brief teacher's guide supplements a videotape of two 15-minute segments on homelessness. The stated objective of the video is to cover the issues of homelessness as they exist today and to dispel the stereotypes of homelessness leftover from earlier eras. A family which has found itself homeless is introduced and then aspects of the phenomenon…

  20. 34 CFR 303.17 - Homeless children.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Homeless children. 303.17 Section 303.17 Education... DISABILITIES General Definitions Used in This Part § 303.17 Homeless children. Homeless children means children who meet the definition given the term homeless children and youths in section 725 (42 U.S.C....

  1. 34 CFR 303.17 - Homeless children.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Homeless children. 303.17 Section 303.17 Education... DISABILITIES General Definitions Used in This Part § 303.17 Homeless children. Homeless children means children who meet the definition given the term homeless children and youths in section 725 (42 U.S.C....

  2. 34 CFR 303.17 - Homeless children.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Homeless children. 303.17 Section 303.17 Education... DISABILITIES General Definitions Used in This Part § 303.17 Homeless children. Homeless children means children who meet the definition given the term homeless children and youths in section 725 (42 U.S.C....

  3. Lost in the shuffle: culture of homeless adolescents.

    PubMed

    Oliveira, Joanne O'sullivan; Burke, Pamela J

    2009-01-01

    Estimates indicate that approximately 1.7 million youth are homeless in the United States. Many associated risk factors have been identified for adolescent homelessness, including family conflict, leaving foster care, running away or being thrown away, physical or sexual abuse, and coming out to parents as gay, lesbian, bisexual, transgender, or questioning one's sexual identity (GLBTQ). The purpose of this ethnographic study was to explore the culture of homelessness for adolescents. Nineteen homeless adolescents from a major urban area in the northeast U.S. were observed and interviewed over an 18-month period. The elements of the street culture of homeless adolescents were identified by study participants' stories. For many study participants, the decision to live on the streets was a logical and rational alternative to remaining in possibly dangerous and unstable home environments. It provided a means to their generating social capital. Nevertheless, it can be concluded that existing programs and policies relative to adolescents who are at risk for homelessness or already living on the streets should be re-examined and redesigned to meet the unique needs of vulnerable youth so they do not get lost in the shuffle. PMID:19681376

  4. Obesity Among Chronically Homeless Adults: Is It a Problem?

    PubMed Central

    Rosenheck, Robert A.

    2013-01-01

    Objective We examined rates of obesity and associated characteristics in the chronically homeless population to explore how a range of factors, including sociodemographics, housing, food source, physical and mental health, and health service use, were related to being overweight or obese. Methods We conducted multivariate regression analyses on a community sample of 436 chronically homeless adults across 11 U.S. cities to examine the prevalence of obesity. Results The majority (57%) of chronically homeless adults were overweight or obese. Chronically homeless adults who were female or Hispanic appeared to be at particular risk for obesity. There were few differences on physical and mental health by weight group. Although overweight and obese chronically homeless adults were more likely to discuss exercise with a health-care provider, they reported engaging in less exercise than those who were underweight or normal weight. Conclusion These findings underscore the need for greater attention to obesity in chronically homeless adults and demonstrate a food insecurity-obesity paradox or poverty-obesity link. PMID:23277657

  5. Youth Homelessness and Individualised Subjectivity

    ERIC Educational Resources Information Center

    Farrugia, David

    2011-01-01

    This article aims to contribute to understandings of youth homelessness and subjectivity by analysing identity construction in terms of young people's negotiation of the structural and institutional environment of youth homelessness. I suggest that while existing literature on this topic concentrates mainly on micro-social encounters, the…

  6. Public Policy and the Homeless.

    ERIC Educational Resources Information Center

    Gore, Albert, Jr.

    1990-01-01

    Describes regional and federal responses to the homelessness crisis, including the author-sponsored White House Conference on Homelessness Act. Supports legislative measures to accomplish the following goals: (1) increased low-income housing; (2) treatment of mentally ill and alcohol- and drug-dependent individuals; and (3) new approaches to…

  7. Homeless identities: enacted and ascribed.

    PubMed

    Parsell, Cameron

    2011-09-01

    Homelessness has been a perennial concern for sociologists. It is a confronting phenomenon that can challenge western notions of home, a discrete family unit and the ascetics and order of public space. To be without a home and to reside in public places illustrates both an intriguing way of living and some fundamental inadequacies in the functioning of society. Much homelessness research has had the consequence of isolating the 'homeless person' as distinct category or indeed type of individual. They are ascribed with homeless identities. The homeless identity is not simply presented as one dimensional and defining, but this imposed and ill-fitting identity is rarely informed by a close and long-term engagement with the individuals it is supposed to say something about. Drawing on a recent Australian ethnographic study with people literally without shelter, this article aims to contribute to understandings of people who are homeless by outlining some nuanced and diverse aspects of their identities. It argues that people can and do express agency in the way they enact elements of the self, and the experience of homelessness is simultaneously important and unimportant to understand this. Further, the article suggests that what is presumably known about the homeless identity is influenced by day-to-day lives that are on public display. PMID:21899522

  8. Youth Homelessness: Early Intervention & Prevention.

    ERIC Educational Resources Information Center

    Chamberlain, Chris; MacKenzie, David

    The issue of youth homelessness in Australia is examined in the context of relevant social and educational policies. The exploration is based on 8 years of research into the situation of homeless youth in Australia involving several studies, including a study of school students in 9 communities and field visits to 100 schools. In 1994, researchers…

  9. The Homeless in Contemporary Society.

    ERIC Educational Resources Information Center

    Bingham, Richard D.; And Others

    This book consists of 15 chapters on understanding and helping the homeless. The first seven chapters present the "new" homeless in historical context and describe this population and its situation. The remaining eight chapters discuss policy and program options of the government and other organizations in attempting to alleviate the problems of…

  10. Educating Homeless Students: Promising Practices.

    ERIC Educational Resources Information Center

    Stronge, James H., Ed.; Reed-Victor, Evelyn, Ed.

    This book is for educators who serve homeless students or students temporarily sharing houses with other families. It describes many promising strategies for working with these students. The chapters are: (1) "Educating Homeless Children and Youth: An Introduction" (James H. Stronge); (2) "Meeting the Developmental and Educational Needs of…

  11. Research on Homelessness: An Introduction.

    ERIC Educational Resources Information Center

    Shinn, Marybeth; Weitzman, Beth C.

    1990-01-01

    Introduces an issue on the causes, consequences, and social response to homelessness, with contributions by scholars in anthropology, history, medicine, sociology, economics, public administration, law, and psychology. Much attention has been given to the problems of homeless individuals; this issue attempts a comprehensive overview of the…

  12. Access to Pre-K Education under the McKinney-Vento Homeless Assistance Act. Pre-K Policy Brief Series

    ERIC Educational Resources Information Center

    Boylan, Ellen; Splansky, Deborah

    2010-01-01

    The federal McKinney-Vento Homeless Assistance Act ("McKinney-Vento") provides federal funding to states to address the problems that homeless children and youth encounter in enrolling, attending, and succeeding in the nation's public schools. McKinney-Vento requires states to develop plans that ensure homeless children and youth the same access…

  13. Age and gender differences and predictors of victimization of the older homeless.

    PubMed

    Dietz, Tracy L; Wright, James D

    2005-01-01

    Using data from the National Survey of Homeless Assistance Providers and Clients (NSHAPC) and an application of Felson's Routine Activities Theory, this paper examines gender and age differences in victimization experiences of a sample of more than 4,200 homeless and near-homeless people, mostly adults. Results suggest that there are no differences in victimization experience by homelessness status and that the negative relationship between age and victimization rates found in the general population is also found in the homeless population. However, the relationship is relatively weak and erratic, suggesting that homeless older adults who are at least 50 years old are at increased risk of becoming victims, a finding consistent with Routine Activities Theory. In addition, similar to research with other populations, younger homeless males are statistically more likely to report being victims of theft and physical assault while females of all ages are more likely to report being victims of sexual assault. However, for older homeless adults, the gender difference in likelihood of victimization disappears. Perhaps because older homeless women are labeled as easy targets, they were equally as likely as men to be victims of physical assault and theft in old age. This is also consistent with Routine Activities Theory. PMID:16611616

  14. Changing homelessness services: revanchism, 'professionalisation' and resistance.

    PubMed

    Scullion, Lisa; Somerville, Peter; Brown, Philip; Morris, Gareth

    2015-07-01

    This paper argues that the increasing international salience of homelessness can be partially explained by reference to the revanchist thesis (involving processes of coerced exclusion and abjection), but the situation on the ground is more complex. It reports on interviews with 18 representatives of 11 homelessness service providers in one city in England. As Cloke et al. found, these providers tended to be either larger, more 'professional', 'insider' services or smaller, more 'amateur', 'outsider' services. However, this does not mean that the former were necessarily more revanchist and the latter less so. Rather, the actions of both types of organisation could, in some cases, be construed as both advancing and counteracting a revanchist project. PMID:25442718

  15. Comparisons of Prevention Programs for Homeless Youth

    PubMed Central

    Rotheram-Borus, Mary Jane

    2014-01-01

    There are six HIV prevention programs for homeless youth whose efficacy has been or is currently being evaluated: STRIVE, the Community Reinforcement Approach, Strengths-Based Case Management, Ecologically-Based Family Therapy, Street Smart, and AESOP (street outreach access to resources). Programs vary in their underlying framework and theoretical models for understanding homelessness. All programs presume that the youths’ families lack the ability to support their adolescent child. Some programs deemphasize family involvement while others focus on rebuilding connections among family members. The programs either normalize current family conflicts or, alternatively, provide education about the importance of parental monitoring. All programs aim to reduce HIV-related sexual and drug use acts. A coping skills approach is common across programs: Problem-solving skills are specifically addressed in four of the six programs; alternatively, parents in other programs are encouraged to contingently reward their children. Each program also engineers ongoing social support for the families and the youth, either by providing access to needed resources or by substituting a new, supportive relationship for the existing family caretaker. All of the interventions provide access to health and mental health services as basic program resources. A comparison of HIV prevention programs for homeless youth identifies the robust components of each and suggests which programs providers may choose to replicate. PMID:19067164

  16. Self-identified health concerns of two homeless groups.

    PubMed

    Kinzel, D

    1991-04-01

    A number of conclusions can be drawn from the themes derived from the interview data. First, even though the most basic physical needs, such as food, clothing, and shelter were being met, a recurring theme from the responses of the homeless was the need for interaction with a caring person. The feeling that no one cares, a lack of self-worth, and a sense of limited control over their lives may lead to depression, hopelessness, and finally illness. The extent and effectiveness of health-seeking behaviors among this group are limited because of decreased trust, decreased motivation for self-care, and isolation from social and health care systems. Second, if health needs are to be met, services must be provided in sites where they can be accessed by the homeless. For transients, health care services may be provided most effectively through the shelters. For the SRO residents, these services could be provided through a combination of clinics in hotel lobbies and visits to rooms. Third, developing trust with the homeless includes meeting their self-perceived basic needs. What may seem like nonnursing activities, such as fixing a meal, may be important in establishing rapport with SRO residents. If a nurse assists a homeless person to meet survival needs, that person may be more willing to deal with health issues. Fourth, the population is highly heterogeneous. Each subgroup has its own identity. Most SRO residents do not want to be identified with street people, even through a portion of them move between street life and SRO life. Health care professionals need to recognize these differences, accept the life-style of each subgroup, and respect each homeless person as a unique individual. Finally, caring is the primary element necessary in providing nursing services to the homeless. Awareness and understanding of the homeless way of life will increase nurses' effectiveness in working with this ever growing population. PMID:2048311

  17. Electronic case management with homeless youth.

    PubMed

    Bender, Kimberly; Schau, Nicholas; Begun, Stephanie; Haffejee, Badiah; Barman-Adhikari, Anamika; Hathaway, Jessica

    2015-06-01

    Case management, a widely practiced form of service brokerage, is associated with a variety of positive outcomes for homeless youth, but it may be difficult to implement, as youth face logistical barriers to attending in-person meetings. As part of a larger clinical trial, the current study investigates the feasibility of providing electronic case management (ECM) to homeless youth, using cell-phones, texts, email, and Facebook. Youth were given prepaid cell-phones and a case manager who provided four ECM sessions every 2-3 weeks over a 3-month period. Contact logs were used to record how many youth engaged in ECM, how many attempts were necessary to elicit engagement, and youths' preferred technology methods for engaging. Although engagement in the number of ECM sessions varied, the majority of youth (87.5%) engaged in at least one ECM session. Youth (41%) most commonly needed one contact before they engaged in an ECM session, and the majority responded by the third attempt. While youth most commonly answered calls directly, their chosen method of returning calls was texting. The majority of youth (80%) described ECM positively, reporting themes of convenience, connection, and accountability. The use of ECM, particularly of texting, offers promising implications for providing services to homeless youth. PMID:25748603

  18. Challenges to immunization: the experiences of homeless youth

    PubMed Central

    2012-01-01

    population. Conclusions To provide effective public health interventions, it is necessary to consider the knowledge, attitudes, beliefs, and experiences of hard to reach, high risk groups. Our study shows that homeless youth are interested and capable in discussing immunization. Active targeting of homeless youth for public health immunization programs is needed. Working collaboratively with non-profit organizations that assist homeless youth provides an opportunity to increase their knowledge of infectious risks and to improve immunization strategies in this vulnerable group. PMID:22568937

  19. Characterizing Stressors and Modifiable Health Risk Factors among Homeless Smokers: An Exploratory Pilot Study

    ERIC Educational Resources Information Center

    Kendzor, Darla E.; Reitzel, Lorraine R.; Businelle, Michael S.

    2015-01-01

    This pilot study was conducted to explore the associations between stressors related to homelessness and modifiable health risk factors (poor diet, insufficient physical activity, and overweight/obesity) and to provide direction for future research. Participants (N = 57) were homeless adults enrolled in a smoking cessation program. Analyses were…

  20. Everyday Experiences of Homeless Young People in Supported Accommodation Programmes in Australia

    ERIC Educational Resources Information Center

    Danby, Susan; Farrell, Ann; Leiminer, Michele

    2006-01-01

    This paper investigates young people's accounts of governance in their everyday lives within a Supported Accommodation Assistance Program (SAAP) in regional Australia. The SAAP is a joint Commonwealth and State/Territory programme for assisting people who are homeless or at risk of homelessness by providing transitional supported accommodation and…

  1. Perchance to Sleep: Homeless Children without Shelter in New York City.

    ERIC Educational Resources Information Center

    Coalition for the Homeless, New York, NY.

    New York City's response to the demand for shelter has consistently been adequate. The city's homeless population is estimated at 35,000, including 11,000 members of homeless families, of whom almost 7,625 are children. The City's Human Resources Administration (HRA) has routinely failed to provide temporary emergency shelter for homeless…

  2. Culture Clash in San Francisco: Reconnecting Youth Who Are Homeless with Education.

    ERIC Educational Resources Information Center

    Gracenin, Damun

    1993-01-01

    This paper describes a curriculum provided to homeless high school students in San Francisco. The curriculum is delivered at a community-based organization already serving the homeless rather than in the schools and features spontaneous symposiums, scheduled symposiums, independent learning, private and small group instruction in basic academic…

  3. Conceptualizing Social Integration among Formerly Homeless Adults with Severe Mental Illness

    ERIC Educational Resources Information Center

    Tsai, Jack; Rosenheck, Robert A.

    2012-01-01

    The multiple dimensions of social integration among formerly homeless adults with severe mental illness have not been well-studied. Previous studies have focused on clinical measures or narrow components of social integration. We used a multisite study of chronically homeless adults who were provided housing to (a) identify the main factors…

  4. Cornell University's Homeless Program: The "Give and Take" Process of Service-Learning.

    ERIC Educational Resources Information Center

    Hales, Ann

    1996-01-01

    Describes a service-learning program at Cornell University's School of Hotel Administration that provides courses and community service activities related to homelessness and hunger. Reviews the program's three components: a course on housing and feeding the homeless, industry linkages, and a research and advocacy center. Presents student…

  5. School Selection for Students in Out-of-Home Care. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2009

    2009-01-01

    The Legal Center for Foster Care and Education and the National Center for Homeless Education present this brief to provide a framework for local homeless education liaisons, educators, child welfare caseworkers, and other child welfare advocates for assessing best interest when selecting a school for students in out-of-home care. While the brief…

  6. The McKinney-Vento Education for Homeless Children and Youth Program: Implications for Special Educators

    ERIC Educational Resources Information Center

    Losinski, Mickey; Katsiyannis, Antonis; Ryan, Joseph B.

    2013-01-01

    During the 2008-2009 academic school year, nearly a million (956,914) students were reported by school districts as being homeless, a 41% increase over just a 2-year period year. The purpose of this article is to provide a brief overview of national legislative efforts to address the education of children who are homeless, with a particular…

  7. Guiding the Discussion on School Selection. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2006

    2006-01-01

    The McKinney-Vento Homeless Assistance Act guarantees a child qualified as homeless the right to attend one of two schools: the school of origin or the local attendance area school. This brief explains the relevant legal provisions and provides a framework to assist in the decision-making process.

  8. YogaHome: teaching and research challenges in a yoga program with homeless adults.

    PubMed

    Davis-Berman, Jennifer; Farkas, Jean

    2012-01-01

    YogaHome is a therapeutic yoga program for homeless women. Developing and refining YogaHome provided a unique opportunity to explore the process of teaching yoga to women faced with the physical and emotional stress of living in a homeless shelter. Unique teaching and research challenges are presented and recommendations for future programs are discussed. PMID:23070681

  9. Homeless Aging Veterans in Transition: A Life-Span Perspective

    PubMed Central

    Thompson, Carla J.; Bridier, Nancy L.

    2013-01-01

    The need for counseling and career/educational services for homeless veterans has captured political and economic venues for more than 25 years. Veterans are three times more likely to become homeless than the general population if veterans live in poverty or are minority veterans. This mixed methods study emphasized a life-span perspective approach for exploring factors influencing normative aging and life-quality of 39 homeless veterans in Alabama and Florida. Seven descriptive quantitative and qualitative research questions framed the investigation. Study participants completed a quantitative survey reflecting their preferences and needs with a subset of the sample (N = 12) also participating in individual qualitative interview sessions. Thirty-two service providers and stakeholders completed quantitative surveys. Empirical and qualitative data with appropriate triangulation procedures provided interpretive information relative to a life-span development perspective. Study findings provide evidence of the need for future research efforts to address strategies that focus on the health and economic challenges of veterans before they are threatened with the possibility of homelessness. Implications of the study findings provide important information associated with the premise that human development occurs throughout life with specific characteristics influencing the individual's passage. Implications for aging/homelessness research are grounded in late-life transitioning and human development intervention considerations. PMID:24286010

  10. Toward Meeting the Needs of Homeless People with Schizophrenia: The Validity of Quality of Life Measurement

    PubMed Central

    Auquier, Pascal; Tinland, Aurelie; Fortanier, Cecile; Loundou, Anderson; Baumstarck, Karine; Lancon, Christophe; Boyer, Laurent

    2013-01-01

    Objective To provide new evidence regarding the suitability of using quality of life (QoL) measurements in homeless people with schizophrenia, we assess the acceptability and psychometric properties of a specific QoL instrument (S-QoL 18) in a population of homeless people with schizophrenia, and we compare their QoL levels with those observed in non-homeless people with schizophrenia. Methods This multi-centre prospective study was conducted in the following 4 French cities: Lille, Marseille, Paris and Toulouse. Two hundred and thirty-six homeless patients with schizophrenia were recruited over a 12 month-period. The S-QoL 18 was tested for construct validity, reliability, external validity and sensitivity to change. The QoL of the 236 homeless patients was compared with 236 French age- and sex-matched non-homeless patients with schizophrenia. Results The eight-factor structure of the S-QoL 18 was confirmed by confirmatory factor analysis (RMSEA = 0.035, CFI = 0.95, GFI = 0.99 and SRMR = 0.015). Internal consistency, reliability and sensitivity to change were satisfactory. External validity was confirmed via correlations between S-QoL 18 dimension scores and SF-36, symptomatology and recovery scores. The percentage of missing data did not exceed 5%. Finally, homeless patients had significantly lower QoL levels than non-homeless patients with schizophrenia. Conclusions These results demonstrate the satisfactory acceptability and psychometric properties of the S-QoL 18, suggesting the validity of QoL measurement among homeless patients with schizophrenia. Our study also reported that QoL levels in homeless patients with schizophrenia were dramatically low, highlighting the need for new policies to eradicate homelessness and tackle poverty. PMID:24205390

  11. IMPLICATIONS OF HOMELESSNESS FOR PARENTING YOUNG CHILDREN: A PRELIMINARY REVIEW FROM A DEVELOPMENTAL ATTACHMENT PERSPECTIVE.

    PubMed

    David, Daryn H; Gelberg, Lillian; Suchman, Nancy E

    2012-01-01

    Although it has been well-documented that parents and children who experience homelessness often have compromised health and well-being, few studies have examined the potential implications of homelessness on the process of parenting young children. In this review, we consider how parents of young children might function under the circumstances of homelessness. We begin with a brief overview of the psychological, social, and medical characteristics of homeless mothers and their young children. Using a developmental attachment perspective, we next briefly review the central tasks of parenting during the first 5 years of life, including emotion regulation and fostering of child autonomy, with an eye toward how homelessness may compromise a mother's ability to complete these tasks. Finally, we provide suggestions for further research that incorporate a developmental attachment perspective and other relevant viewpoints. Because of the paucity of research in this area, our review seeks to provide a heuristic framework for future research, intervention development, and policy. PMID:22685362

  12. Who is Supporting Homeless Youth? Predictors of Support in Personal Networks

    PubMed Central

    de la Haye, Kayla; Green, Harold D.; Kennedy, David P.; Zhou, Annie; Golinelli, Daniela; Wenzel, Suzanne L.; Tucker, Joan S.

    2012-01-01

    Homeless youth lack the traditional support networks of their housed peers, which increases their risk for poor health outcomes. Using a multilevel dyadic analytic approach, this study identified characteristics of social contacts, relationships, and social networks associated with the provision of tangible and emotional support to homeless youth (N = 419, M age = 20.09, SD = 2.80). Support providers were likely to be family members, sex-partners, or non-street based contacts. The provision of support was also associated with contacts’ employment and homelessness status, frequency of contact, shared risk behaviors, and the number of network members that were homeless and employed. The results provide insights into how homeless youth could be assisted to develop more supportive social networks. PMID:23204810

  13. IMPLICATIONS OF HOMELESSNESS FOR PARENTING YOUNG CHILDREN: A PRELIMINARY REVIEW FROM A DEVELOPMENTAL ATTACHMENT PERSPECTIVE

    PubMed Central

    DAVID, DARYN H.; GELBERG, LILLIAN; SUCHMAN, NANCY E.

    2012-01-01

    Although it has been well-documented that parents and children who experience homelessness often have compromised health and well-being, few studies have examined the potential implications of homelessness on the process of parenting young children. In this review, we consider how parents of young children might function under the circumstances of homelessness. We begin with a brief overview of the psychological, social, and medical characteristics of homeless mothers and their young children. Using a developmental attachment perspective, we next briefly review the central tasks of parenting during the first 5 years of life, including emotion regulation and fostering of child autonomy, with an eye toward how homelessness may compromise a mother's ability to complete these tasks. Finally, we provide suggestions for further research that incorporate a developmental attachment perspective and other relevant viewpoints. Because of the paucity of research in this area, our review seeks to provide a heuristic framework for future research, intervention development, and policy. PMID:22685362

  14. Problem gambling and homelessness: results from an epidemiologic study.

    PubMed

    Nower, Lia; Eyrich-Garg, Karin M; Pollio, David E; North, Carol S

    2015-06-01

    The purpose of this study was to investigate the prevalence of gambling disorder and comorbid psychiatric disorders in a homeless population and identify features related to potential subtypes. At baseline, participants were administered a structured interview including socio-demographic sections of the National Comorbidity Study (NCS) interview; seven diagnostic sections of the Diagnostic Interview Schedule (DIS); the alcohol and drug abuse sections of the Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM); and the Homeless Supplement to the DIS. At nine months post-baseline assessment, participants were administered additional NCS family history questions and the South Oaks Gambling Screen (SOGS). Participants were an epidemiologic sample of 275 predominately African-American homeless individuals, grouped as lifetime non-gamblers (n = 60), recreational gamblers (n = 152), and problem gamblers (n = 63), recruited on the street and through homeless shelters. Results indicate that lifetime rates of sub-clinical problem (46.2%) and disordered (12.0%) gambling were significantly higher than in the general population. Problem gamblers were more likely than non-problem gamblers to meet diagnostic criteria for antisocial personality disorder, post-traumatic stress disorder, bipolar disorder, and any psychiatric disorder, and more likely than non-gamblers to use illicit drugs or meet criteria for abuse/dependence for nicotine, alcohol, or any substance. This study provides evidence that problem gambling is a significant public health issue among the African-American homeless population. Homeless services should include assessment for problem gambling along with psychiatric disorders and referrals to resources and treatment programs. Future studies should explore the relationship of the onset and course of problem gambling and other psychiatric disorders with homelessness as well as racial differences in gambling patterns and problem severity

  15. Distal Stressors and Depression among Homeless Men.

    PubMed

    Coohey, Carol; Easton, Scott D

    2016-05-01

    Depression is a common problem among homeless men that may interfere with functional tasks, such as securing stable housing, obtaining employment, and accessing health services. Previous research on depression among homeless men has largely focused on current psychosocial resources, substance abuse, and past victimization. Guided by Ensel and Lin's life course stress process model, the authors examined whether distal stressors, including victimization and exposure to parent problems in childhood, contributed to men's depression above and beyond current (or proximal) stressors, such as substance abuse and health problems, and social resources. The sample consisted of 309 homeless men who had entered a federally funded emergency shelter. Using the Burns Depression Checklist, the authors found that one out of three men met the threshold for moderate to severe depression during the past week. The logistic regression showed that past exposure to parent problems was related to depression after accounting for current stressors and social resources (number of close adult relationships and whether their emotional support needs were met). Past victimization was not related to depression. To address men's depression, workers should concurrently provide services that meet men's basic needs (for example, housing) and address their relationship needs, including their need for emotional support. PMID:27263201

  16. Overdose Deaths Among Homeless Persons

    MedlinePlus

    ... of them involving opioids—are now the biggest killer among homeless people in the Boston area. Drug ... Cancer and heart disease were the next biggest killers (at around 16 percent each); HIV =accounted for ...

  17. Homeless in God's Country: Coping Strategies and Felt Experiences of the Rural Homeless

    ERIC Educational Resources Information Center

    Hilton, Timothy; DeJong, Cornell

    2010-01-01

    This study examines coping behaviors and felt experiences of homeless adults in Michigan's Upper Peninsula. Data from in-depth interviews with 55 homeless adults reveal 5 general coping pattern groups: shelter users, campers, couch hoppers, mixed users, and circumstantial homeless. Homeless adults within each group experienced similar levels of…

  18. Homeless, Not Hopeless. An Informational Guide for School Personnel: Understanding and Educating Homeless Students.

    ERIC Educational Resources Information Center

    Seifert, Elli; Stauffer, Carol

    This guide explains how to educate homeless students within the public schools, focusing on the Saint Paul, Minnesota, public schools. Section 1 defines homelessness. Section 2 presents data on the increasing numbers of homeless students in the area. Section 3 describes common problems faced by homeless students, including family mobility,…

  19. Adverse Outcomes Among Homeless Adolescents and Young Adults Who Report a History of Traumatic Brain Injury

    PubMed Central

    Harpin, Scott B.; Grubenhoff, Joseph A.; Rivara, Frederick P.

    2014-01-01

    Objectives. We examined the prevalence of self-reported traumatic brain injury (TBI) among homeless young people and explored whether sociodemographic characteristics, mental health diagnoses, substance use, exposure to violence, or difficulties with activities of daily living (ADLs) were associated with TBI. Methods. We analyzed data from the Wilder Homelessness Study, in which participants were recruited in 2006 and 2009 from streets, shelters, and locations in Minnesota that provide services to homeless individuals. Participants completed 30-minute interviews to collect information about history of TBI, homelessness, health status, exposure to violence (e.g., childhood abuse, assault), and other aspects of functioning. Results. Of the 2732 participating adolescents and young adults, 43% reported a history of TBI. Participants with TBI became homeless at a younger age and were more likely to report mental health diagnoses, substance use, suicidality, victimization, and difficulties with ADLs. The majority of participants (51%) reported sustaining their first injury prior to becoming homeless or at the same age of their first homeless episode (10%). Conclusions. TBI occurs frequently among homeless young people and is a marker of adverse outcomes such as mental health difficulties, suicidal behavior, substance use, and victimization. PMID:25122029

  20. A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

    PubMed Central

    Kennedy, Sara; Grewal, MPH Mandeep; Roberts, Elizabeth M.; Steinauer, Jody; Dehlendorf, Christine

    2014-01-01

    We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services. PMID:24858884

  1. The impact of psychosocial factors on subjective well-being among homeless young adults.

    PubMed

    Barczyk, Amanda N; Thompson, Sanna J; Rew, Lynn

    2014-08-01

    Homeless young adults are one of this country's most vulnerable populations, and information surrounding issues of subjective well-being among this particularly diverse population is scarce. The purpose of this study was to examine the impact social support, future expectations, and homeless cultural factors have on subjective well-being among homeless young adults. A purposive sample of 185 homeless young people, ages 18 to 23, and known to use alcohol or drugs, participated in the study. Multiple regression analyses showed that participants who had a higher level of subjective well-being reported significantly higher levels of social support, more optimistic expectations of the future, and a better perception of the flow of time. More fatalistic views of the future significantly predicted lower levels of subjective well-being. Findings suggest that service providers should focus on understanding the strengths of individuals and, specifically, gain a deeper understanding of homeless young adults' support networks and views of the future. PMID:25095630

  2. Recognizing work as a priority in preventing or ending homelessness.

    PubMed

    Shaheen, Gary; Rio, John

    2007-07-01

    The literature speaks to the importance of employment in the lives of homeless individuals and shows how they can be assisted in job seeking (Long & Amendolia, 2003; Marrone, 2005; Quimby, Drake, & Becker, 2001; Rio, Russell, Dudasik, & Gravino, 1999; Rog & Holupka, 1998; Shaheen, Williams, & Dennis, 2003; Trutko, Barnow, Beck, Min, & Isbell, 1998). Some reports suggest it may be effective and worthwhile to offer employment at the earliest stages of engagement to help people who are homeless develop trust, motivation, and hope (Cook et al., 2001; Min, Wong, & Rothbard, 2004). Practitioners have historically focused on providing people with access to safe and affordable housing and supportive services, usually addressing employment later in the continuum. This practice-oriented report from the field proposes that employment should be offered as early as possible and maintains that facilitating employment is an unrecognized and underutilized practice for preventing and ending homelessness. The paper provides principles, practices, and strategies programs can use to make work a priority. PMID:17564838

  3. Drug and drug-related supply promotion by pharmaceutical company representatives at VA facilities. Final rule.

    PubMed

    2012-03-01

    This final rule amends the Department of Veterans Affairs (VA) regulations regarding access to VA facilities by pharmaceutical company representatives. The purposes of the rule are to reduce or eliminate any potential for disruption in the patient care environment, manage activities and promotions at VA facilities, and provide pharmaceutical company representatives with a consistent standard of permissible business practice at VA facilities. The amendments will facilitate mutually beneficial relationships between VA and pharmaceutical company representatives. PMID:22420057

  4. Barriers and facilitators to shelter utilization among homeless young adults.

    PubMed

    Ha, Yoonsook; Narendorf, Sarah C; Santa Maria, Diane; Bezette-Flores, Noel

    2015-12-01

    Rates of shelter use among homeless youth are low compared to use of other supportive services, yet research on barriers to shelter use has been conducted in limited regions, specifically in West Coast or Midwest cities. Additionally, while studies have generally focused on barriers to shelter use, studies on what might facilitate shelter use are lacking. This study explores barriers and facilitators to shelter use among homeless young adults from a large city in the Southwest region. Focus groups were conducted with a diverse sample of 49 homeless young adults ages 18-24. Drawing on models of health service use, findings were categorized into two domains--attitudinal and access. Themes related to attitudinal barriers include stigma/shame and self-reliance/pride. Attitudinal facilitators include the desire to extricate themselves from street life and turn their lives in a new direction. Access-related themes include barriers such as a lack of shelters and services available to meet the needs of youth, adverse shelter conditions, staff attitudes that are not acceptable to youth, restrictive shelter rules, restrictive definitions of homelessness, and a desire to differentiate themselves from older homeless individuals. Certain characteristics or circumstances (e.g., being pregnant), having supportive others, and shelters' ability to connect them to other services emerged as access facilitators to shelter use. Implications for policymakers, service providers, and future research are discussed. PMID:26246453

  5. Trajectories of women's homelessness in Canada's 3 northern territories

    PubMed Central

    Schmidt, Rose; Hrenchuk, Charlotte; Bopp, Judie; Poole, Nancy

    2015-01-01

    Background Repairing the Holes in the Net was a 2-year, multilevel action research project designed to inform the development of culturally appropriate and gender-specific services for northern women who are homeless or marginally housed and who face mental health and substance use concerns. The study was designed to learn about the barriers and supports experienced by homeless women in the North when accessing mental health care, shelter, housing and other services; and to inform the work of northern service providers and policy advocates in a position to implement adjustments in their praxis. Methods This article describes the trajectories of women's service access and their ideas for service improvement from 61 qualitative, semi-structured interviews conducted with homeless women in Whitehorse, Yukon (YT), Yellowknife, Northwest Territories (NT), and Iqualit, Nunavut (NU). Results Unresolved trauma, poverty and social exclusion, inability to find and maintain housing and ineffective services emerged as interconnected and multifaceted challenges related to women's service engagement. In the face of these challenges, women displayed significant resilience and resistance, and offered important ideas for service improvement. Conclusions The 4 interconnected systemic challenges identified in the research, coupled with specific ideas for change cited by the resilient homeless women interviewed, offer points of entry to improve service policy and delivery. Implementing trauma-informed approaches emerged as a key example of how access to, and quality of, services could be improved for homeless women in the North. PMID:26700413

  6. Rural Homelessness: A Geography without a Geography.

    ERIC Educational Resources Information Center

    Lawrence, Mark

    1995-01-01

    Homelessness in rural Iowa is proportionately high but well hidden, obliging the rural homeless to discursively and materially relate their needs to a placeless condition of being defined by agencies, institutions, and academics. Positioning the homeless outside of social space places them in the space of nature, with implications for the meaning…

  7. Escaping Homelessness: Anticipated and Perceived Facilitators

    ERIC Educational Resources Information Center

    Patterson, Allisha; Tweed, Roger

    2009-01-01

    One study with two distinct sections was conducted to identify factors facilitating escape from homelessness. In Section 1, 58 homeless individuals rated possible facilitators of escape (factors they believed would help them become more independent and self-sufficient). In Section 2, 80 participants who had already exited homelessness rated the…

  8. An Annotated Publications List on Homelessness.

    ERIC Educational Resources Information Center

    Tutunjian, Beth Ann

    This annotated publications list on homelessness contains citations for 19 publications, most of which deal with problems of alcohol or drug abuse among homeless persons. Citations are listed alphabetically by author and cover the topics of homelessness and alcoholism, drug abuse, public policy, research methodologies, mental illness, alcohol- and…

  9. The Paradox of Homelessness in America.

    ERIC Educational Resources Information Center

    Levitan, Sar A.; Schillmoeller, Susan

    Homelessness is a growing problem in the midst of relative prosperity. However, as the problem persists, the public may be becoming increasingly less compassionate to the homeless and annoyed by the problem. Although it is difficult to determine how many people are homeless, the most widely circulated estimate puts their number at about 600,000.…

  10. Homelessness and Its Effects on Children.

    ERIC Educational Resources Information Center

    Hart-Shegos, Ellen

    Homelessness influences every facet of children's lives, inhibiting their physical, emotional, cognitive, social, and behavioral development. Homeless women face such obstacles to healthy pregnancies as chemical abuse, chronic health problems, and lack of prenatal care. Homeless infants are more likely to have low birth weights and are at greater…

  11. 34 CFR 300.19 - Homeless children.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Homeless children. 300.19 Section 300.19 Education... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.19 Homeless children. Homeless children has...

  12. 34 CFR 300.19 - Homeless children.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Homeless children. 300.19 Section 300.19 Education... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.19 Homeless children. Homeless children has...

  13. 34 CFR 300.19 - Homeless children.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Homeless children. 300.19 Section 300.19 Education... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.19 Homeless children. Homeless children has...

  14. 34 CFR 300.19 - Homeless children.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Homeless children. 300.19 Section 300.19 Education... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.19 Homeless children. Homeless children has...

  15. 34 CFR 300.19 - Homeless children.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Homeless children. 300.19 Section 300.19 Education... REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.19 Homeless children. Homeless children has...

  16. 78 FR 21256 - Shelter for the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... of the Secretary 32 CFR Part 226 RIN 0790-AI88 Shelter for the Homeless AGENCY: Office of the Under... Defense Shelter for the Homeless Program. This direct final rule makes nonsubstantive changes to the... the Homeless Program. DoD expects no opposition to the changes and no significant adverse...

  17. The Second Student-Run Homeless Shelter

    ERIC Educational Resources Information Center

    Seider, Scott C.

    2012-01-01

    From 1983-2011, the Harvard Square Homeless Shelter (HSHS) in Cambridge, Massachusetts, was the only student-run homeless shelter in the United States. However, college students at Villanova, Temple, Drexel, the University of Pennsylvania, and Swarthmore drew upon the HSHS model to open their own student-run homeless shelter in Philadelphia,…

  18. Negative Cultural Capital and Homeless Young People

    ERIC Educational Resources Information Center

    Barker, Justin David

    2013-01-01

    This article examines the ways in which homeless young people find a sense of self-worth and dignity within the conditions of youth homelessness. It notes that, while homeless young people seek a space where they do not feel marginalised and can attain a form of social status and cultural competence, they also engage in practices and acts of…

  19. The Invisible Homeless: A New Urban Ecology.

    ERIC Educational Resources Information Center

    Ropers, Richard H.

    Contemporary homelessness is the result of increasing social and economic inequality faced by those in American society who are most vulnerable to individual, family, and economic instability. This case study of the homeless population of Los Angeles (California), based on two surveys conducted in 1984, views the homeless as a segment of the…

  20. Innovative Efforts to Address Homelessness Among Veterans.

    PubMed

    O'Toole, Thomas P; Pape, Lisa

    2015-01-01

    Ending homelessness among veterans has been a goal of the Department of Veterans Affairs for some time, and it is now becoming a reality in many communities. Unprecedented strides have been made through the rapid implementation of evidence-based innovations, capacity building, and a comprehensive strategic focus on 4 goals: prevention, moving veterans into permanent housing, providing the population-tailored care and services needed to keep them housed, and providing the supports necessary to allow them to recover and be productive members of their communities. PMID:26946863

  1. A prospective study of childhood and adolescent antecedents of homelessness among a community population of African Americans.

    PubMed

    Fothergill, Kate E; Doherty, Elaine E; Robertson, Judith A; Ensminger, Margaret E

    2012-06-01

    Much is known about contemporaneous correlates of homelessness from studies of homeless individuals. However, few studies have prospectively examined early antecedents and prevalence of homelessness in community populations. We use data from a 35-year study of a community population of African Americans to examine relationships between homelessness and prior structural, family, school, and behavioral influences. Nearly 22% of males and 16% of females reported homelessness between ages 15 and 42, providing a rare estimate within an African American urban community population. In bivariate analyses, lower school bonds, depressed mood, violent behavior, and running away in adolescence are predictive for both males and females. Teen parenting and angry mood are unique influences for females, while for males, poor first grade classroom conduct and adolescent substance use are unique risks. In multivariate analyses, poor classroom conduct and weaker school bonds predict homelessness among males, while teen parenting does so for females. Running away before age 15 is strongly predictive of later homelessness for both males and females. These results reveal the relative influence of multiple, interrelated early risks on homelessness and confirm our hypothesis that factors linked to other poor outcomes also relate to homelessness, underscoring another benefit to early prevention efforts. PMID:22234393

  2. Pathways to Homelessness among Older Homeless Adults: Results from the HOPE HOME Study

    PubMed Central

    Brown, Rebecca T.; Goodman, Leah; Guzman, David; Tieu, Lina; Ponath, Claudia; Kushel, Margot B.

    2016-01-01

    Little is known about pathways to homelessness among older adults. We identified life course experiences associated with earlier versus later onset of homelessness in older homeless adults and examined current health and functional status by age at first homelessness. We interviewed 350 homeless adults, aged 50 and older, recruited via population-based sampling. Participants reported age at first episode of adult homelessness and their life experiences during 3 time periods: childhood (<18 years), young adulthood (ages 18–25), and middle adulthood (ages 26–49). We used a structured modeling approach to identify experiences associated with first adult homelessness before age 50 versus at age 50 or older. Participants reported current health and functional status, including recent mental health and substance use problems. Older homeless adults who first became homeless before 50 had more adverse life experiences (i.e., mental health and substance use problems, imprisonment) and lower attainment of adult milestones (i.e., marriage, full-time employment) compared to individuals with later onset. After multivariable adjustment, adverse experiences were independently associated with experiencing a first episode of homelessness before age 50. Individuals who first became homeless before age 50 had higher prevalence of recent mental health and substance use problems and more difficulty performing instrumental activities of daily living. Life course experiences and current vulnerabilities of older homeless adults with first homelessness before age 50 differed from those with later onset of homelessness. Prevention and service interventions should be adapted to meet different needs. PMID:27163478

  3. The Social Networks of Homeless Youth Experiencing Intimate Partner Violence

    PubMed Central

    Petering, Robin; Rice, Eric; Rhoades, Harmony; Winetrobe, Hailey

    2015-01-01

    While there is a growing body of research on intimate partner violence (IPV) experienced by the housed youth population, a limited amount is known about IPV experienced by homeless youth. To our knowledge, no previous studies have examined how homeless youths’ experience of IPV is related to their social network, even though the social networks of homeless youth have been shown to be significant indicators of health and mental health. The purpose of this study is to understand the relationship between IPV, gender, and social networks among a sample of 386 homeless youth in Los Angeles, California. Results revealed that one fifth of the sample experienced IPV in the past year. Stratified regression models revealed that IPV was not significantly related to any measure of male social networks; however, females who experienced IPV had more male friends (β = 2.03, SE = 0.89, p < .05) than females who did not experience IPV. Female homeless youth who witnessed family violence during childhood had more male friends (β = 2.75, SE = 1.08, p < .05), but those who experienced sexual abuse during childhood had fewer male friends (β = −2.04, SE = 0.93, p < .05). Although there was no significant difference in the rate of IPV victimization across genders, the context of this abuse appears to be drastically different. The results suggest that females with more male friendships are at greater risk for exposure to IPV. To date, there are few effective youth-targeted IPV prevention programs and none have been shown to be effective with homeless youth. These results provide insight into future program development. PMID:24421071

  4. Homelessness: Issues and Legislation in the 101st Congress. Updated.

    ERIC Educational Resources Information Center

    Wasem, Ruth Ellen

    This report discusses the nature of homelessness and the homeless in America, recent programs that have been implemented to help the homeless, and issues concerning the Federal government's role in helping these people. The following topics concerning the characteristics of the homeless and the causes of homelessness are covered: (1) "Mental…

  5. Dying on the Streets: Homeless Persons’ Concerns and Desires about End of Life Care

    PubMed Central

    Bartels, Dianne M.; Ratner, Edward R.; Alderton, Lucy; Hudson, Brenda; Ahluwalia, Jasjit S.

    2007-01-01

    Background There is little understanding about the experiences and preferences at the end of life (EOL) for people from unique cultural and socioeconomic backgrounds. Homeless individuals are extreme examples of these overlooked populations; they have the greatest risk of death, encounter barriers to health care, and lack the resources and relationships assumed necessary for appropriate EOL care. Exploring their desires and concerns will provide insight for the care of this vulnerable and disenfranchised population, as well as others who are underserved. Objective Explore the concerns and desires for EOL care among homeless persons. Design Qualitative study utilizing focus groups. Participants Fifty-three homeless persons recruited from agencies providing homeless services. Measurements In-depth interviews, which were audiotaped and transcribed. Results We present 3 domains encompassing 11 themes arising from our investigation, some of which are previously unreported. Homeless persons worried about dying and EOL care; had frequent encounters with death; voiced many unique fears, such as dying anonymously and undiscovered; favored EOL documentation, such as advance directives; and demonstrated ambivalence towards contacting family. They also spoke of barriers to EOL care and shared interventions to improve dying among the very poor and estranged. Conclusions Homeless persons have significant personal experience and feelings about death, dying, and EOL care, much of which is different from those previously described in the EOL literature about other populations. These findings have implications not only for homeless persons, but for others who are poor and disenfranchised. PMID:17372789

  6. Summary of Head Start Provisions on Homelessness and Foster Care

    ERIC Educational Resources Information Center

    National Association for the Education of Homeless Children and Youth, 2008

    2008-01-01

    On Wednesday, December 12, President Bush signed the "Improving Head Start for School Readiness Act of 2007" into law. The legislation reauthorizes the Head Start Act and contains numerous provisions on homelessness and foster care. A summary of those provisions is provided in this paper.

  7. Small Is Beautiful: The Library Train for Homeless Children.

    ERIC Educational Resources Information Center

    Cheunwattana, Aree; Meksawat, Pimol

    This paper presents the story of an effort in Thailand to reach out to children in high-risk situations by providing them with a library on old train carriages. The Library Train Project was initiated in 1999 by the Railway Police Division within the Royal Police Office. It is aimed at offering education services to homeless children as a way of…

  8. Immigration and Schools: Supporting Success for Undocumented Unaccompanied Homeless Youth

    ERIC Educational Resources Information Center

    National Association for the Education of Homeless Children and Youth, 2010

    2010-01-01

    Attending school and securing lawful status in the United States are two keys to safety and security for undocumented unaccompanied homeless youth. This brief is designed to provide young people, immigration attorneys and advocates, McKinney-Vento liaisons and educators with basic information to help them access these keys. After describing some…

  9. Recognizing the Needs of the Homeless and the Hungry.

    ERIC Educational Resources Information Center

    France, Joseph B.

    This publication describes services of selected American Red Cross chapters to the homeless and the hungry. Chapter profiles provide information on how chapters of various sizes develop, fund, and implement programs in response to their communities' needs. Program descriptions detail the chapters' fund-raising from private, public, and voluntary…

  10. Supporting the Literacy Development of Children Living in Homeless Shelters

    ERIC Educational Resources Information Center

    MacGillivray, Laurie; Ardell, Amy Lassiter; Curwen, Margaret Sauceda

    2010-01-01

    There are approximately 1.5 million children in the United States who go to sleep each night without a home of their own (National Center on Family Homelessness, 2009). In this article, we provide insights into how educators can create greater classroom support, particularly in literacy learning and development, for this population. Drawing from…

  11. General Welfare Assistance: Barriers to Mentally Disabled Homeless Adults.

    ERIC Educational Resources Information Center

    Robertson, Marjorie J.

    The present study describes specific conditions which are thought to interfere with application for general welfare assistance by homeless persons with mental disabilities. This report summarizes the observations and recommendations of direct-service providers who serve the target population in the Skid Row area of Los Angeles. In-depth structured…

  12. A Look at Child Welfare from a Homeless Education Perspective

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    Although navigating the child welfare system can be daunting for those working in the field of homeless education, local liaisons and others must determine whether children in the child welfare system are eligible for McKinney-Vento services and collaborate with child welfare staff. This document provides an overview of the U.S. child welfare…

  13. 77 FR 1971 - Supplemental Security Income and Homeless Individuals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-12

    ... some States) associated Medicaid coverage, as long as he or she meets all of the basic eligibility... ineligible for SSI \\3\\ because the institution in which they reside provides them with both housing and basic... obstacles to homeless individuals who are in need of emergency shelter? 8. Do current SSI eligibility...

  14. Materials on the Education of Homeless Children. Updated.

    ERIC Educational Resources Information Center

    Jackson, Shelley

    This document comprises resource materials on the education of homeless children. It is divided into three parts. Part 1, "Overview," collects publications of the Center for Law and Education, and articles and editorials from "Education Week" and "The New York Times." Part 2, "Relevant Statutes and Regulations," provides materials pertaining to…

  15. The Yellow School Bus Project: Helping Homeless Students Get Ready for School.

    ERIC Educational Resources Information Center

    Vissing, Yvonne

    2003-01-01

    Describes the Yellow School Bus Project, a community program jointly sponsored by religious, civic, fraternal, business, and nonprofit organizations in Durham, New Hampshire, to provide homeless children with supplies and clothes to help them succeed in school. (PKP)

  16. Adults in Transition. A Report of the Fourth Year of the Adult Education for the Homeless Program.

    ERIC Educational Resources Information Center

    Office of Vocational and Adult Education (ED), Washington, DC. Div. of Adult Education and Literacy.

    In 1991, the Adult Education for the Homeless (AEH) Program consisted of projects in 31 states; a total of $7.4 million was available to these projects. The projects provided instruction in basic and life skills, further assisted homeless adults through counseling and life planning activities, and coordinated efforts with other homeless…

  17. Runaway and Homeless Youth Grants: Improvements Needed in the Grant Award Process. Report to Congressional Committees. GAO-10-335

    ERIC Educational Resources Information Center

    Brown, Kay E.

    2010-01-01

    The Department of Health and Human Services (HHS) awards grants to provide shelter and services to runaway and homeless youth through the Basic Center, Transitional Living and Street Outreach Programs. In response to a mandate for a review of the grant award process for these programs in the Reconnecting Homeless Youth Act of 2008 (Pub. L. No.…

  18. The Most Frequently Asked Questions on the Education Rights of Children and Youth in Homeless Situations. Revised

    ERIC Educational Resources Information Center

    National Association for the Education of Homeless Children and Youth, 2009

    2009-01-01

    This document provides answers to frequently asked questions on the McKinney-Vento Homeless Assistance Act and the education rights of children and youth in homeless situations. The answers are general responses based on federal statutes, regulations, and guidance; relevant case law; and best practices from across the country. While the National…

  19. Navigating the Intersections of IDEA and McKinney-Vento: A Problem-Solving Process. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    Julianelle, Patricia

    2008-01-01

    The McKinney-Vento Homeless Assistance Act is the main federal program concerning the education of children and youth experiencing homelessness. It provides federal funding to states, which then distribute the funds to their school districts through a competitive application process; the funds are used to ensure that children and youth…

  20. An Examination of the McKinney-Vento Act and Its Influence on the Homeless Education Situation

    ERIC Educational Resources Information Center

    Miller, Peter Michael

    2011-01-01

    This article describes the central elements of the McKinney-Vento Homeless Assistance Act and, drawing from Spillane's distributed leadership perspective, examines the policy's impact on the homeless education situation. Although the initial passing and subsequent revisions to McKinney-Vento are depicted as providing numerous benefits for students…

  1. Impacts of extreme weather on the health and well-being of people who are homeless.

    PubMed

    Pendrey, Catherine G A; Carey, Marion; Stanley, Janet

    2014-01-01

    This letter responds to the article by Cusack et al., 'Extreme weather-related health needs of people who are homeless' (Australian Journal of Primary Health, 2013, 19(3), 250-255), which addressed the impacts of extreme weather on the health of the homeless population in inner city Adelaide. We compare the findings of Cusack et al. to our own original research, based on interviews with service providers to the homeless in urban and rural Victoria. We further place this issue in the broader context of climate change, which is crucial given the expected increase in extreme weather events and associated health impacts. PMID:24290233

  2. Mobile Phone and Social Media Use of Homeless Youth in Denver, Colorado.

    PubMed

    Harpin, Scott; Davis, Jillian; Low, Hana; Gilroy, Christine

    2016-01-01

    The purpose of this study was to investigate homeless youth mobile phone and social media use, to plan health promotion efforts. Nearly half (46.7%) of runaway/homeless youth in this sample (n = 181) owned a mobile phone and a majority of those devices were smart phones. Ownership did not vary significantly by shelter location, though regular use of Facebook was more prevalent among those in housing programs or camping, than those living on the streets. Over 90% of youth in the sample reported using Facebook. Such media use might facilitate parent, family, and health provider communications with homeless youth. PMID:27074405

  3. Ensuring Full Participation in Extra-Curricular Activities for Students Experiencing Homelessness. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2010

    2010-01-01

    Extra-curricular school activities, such as sports, music, theater, debate, and clubs, are often a key to engaging children and youth in school. They can provide students with a sense of belonging, stability, pride, and responsibility and strengthen a student's applications for higher education admission and scholarships. Homelessness, however,…

  4. The Impact of a Service-Learning Project on Student Awareness of Homelessness, Civic Attitudes, and Stereotypes toward the Homeless

    ERIC Educational Resources Information Center

    Buch, Kim; Harden, Susan

    2011-01-01

    In 2008, the University of North Carolina at Charlotte (UNC Charlotte) joined in a community initiative with the Urban Ministry Center to provide shelter to the homeless during the winter months. A student organization was formed to sustain university support. The author created a service-learning project as part of a Citizenship and Service…

  5. Social Networks as the Context for Understanding Employment Services Utilization among Homeless Youth

    PubMed Central

    Barman-Adhikari, Anamika; Rice, Eric

    2014-01-01

    Little is known about the factors associated with use of employment services among homeless youth. Social network characteristics have been known to be influential in motivating people's decision to seek services. Traditional theoretical frameworks applied to studies of service use emphasize individual factors over social contexts and interactions. Using key social network, social capital, and social influence theories, this paper developed an integrated theoretical framework that could capture the social network processes that act as barriers or facilitators of use of employment services by homeless youth, and understand empirically, the salience of each of these constructs in influencing the use of employment services among homeless youth. We used the “Event based-approach” strategy to recruit a sample of 136 homeless youth at one drop-in agency serving homeless youth in Los Angeles, California in 2008. The participants were queried regarding their individual and network characteristics. Data were entered into NetDraw 2.090 and the spring embedder routine was used to generate the network visualizations. Logistic regression was used to assess the influence of the network characteristics on use of employment services. The study findings suggest that social capital is more significant in understanding why homeless youth use employment services, relative to network structure and network influence. In particular, bonding and bridging social capital were found to have differential effects on use of employment services among this population. The results from this study provide specific directions for interventions aimed to increase use of employment services among homeless youth. PMID:24780279

  6. Service provision and barriers to care for homeless people with mental health problems across 14 European capital cities

    PubMed Central

    2012-01-01

    Background Mental health problems are disproportionately higher amongst homeless people. Many barriers exist for homeless people with mental health problems in accessing treatment yet little research has been done on service provision and quality of care for this group. The aim of this paper is to assess current service provision and identify barriers to care for homeless people with mental health problems in 14 European capital cities. Method Two methods of data collection were employed; (i) In two highly deprived areas in each of the 14 European capital cities, homeless-specific services providing mental health, social care or general health services were assessed. Data were obtained on service characteristics, staff and programmes provided. (ii) Semi-structured interviews were conducted in each area with experts in mental health care provision for homeless people in order to determine the barriers to care and ways to overcome them. Results Across the 14 capital cities, 111 homeless-specific services were assessed. Input from professionally qualified mental health staff was reported as low, as were levels of active outreach and case finding. Out-of-hours service provision appears inadequate and high levels of service exclusion criteria were evident. Prejudice in the services towards homeless people, a lack of co-ordination amongst services, and the difficulties homeless people face in obtaining health insurance were identified as major barriers to service provision. Conclusions While there is variability in service provision across European capital cities, the reported barriers to service accessibility are common. Homeless-specific services are more responsive to the initial needs of homeless people with mental health problems, while generic services tend to be more conducive to long term care. Further research is needed to determine the effectiveness of different service delivery models, including the most effective coordination of homeless specific and generic

  7. Psychopharmacologic Services for Homeless Veterans: Comparing Psychotropic Prescription Fills Among Homeless and Non-Homeless Veterans with Serious Mental Illness.

    PubMed

    Hermes, Eric; Rosenheck, Robert

    2016-02-01

    Using national Veterans Health Administration (VHA) administrative data, this study evaluated differences in psychotropic medication use between homeless and non-homeless adults with serious mental illness (SMI) who used VHA services in 2010. The adjusted mean number of psychotropic prescription fills associated with homeless individuals were identified using regression models adjusted for socio-demographics, diagnoses, and use of health services. Of the 876,989 individuals with SMI using VHA services, 7.2 % were homeless at some time during 2010. In bivariate analysis, homeless individuals filled more psychotropic medication prescriptions compared with non-homeless individuals. However, after adjusting for potentially confounding variables, homeless individuals were found to have filled 16.2 % fewer prescriptions than non-homeless individuals when all psychotropics were analyzed together (F = 6947.1, p < .001) and for most individual classes of psychotropics. Greater use of residential/inpatient mental health services by the homeless was the most important single factor associated with filling more psychotropic prescriptions than non-homeless individuals. PMID:26202545

  8. Elderly Homeless Veterans in Los Angeles: Chronicity and Precipitants of Homelessness

    PubMed Central

    van den Berk-Clark, Carissa; McGuire, James

    2013-01-01

    Objectives. We compared the characteristics of chronically homeless and acutely homeless elderly veterans to better understand precipitants of homelessness. Methods. We conducted interviews with 33 chronically and 26 acutely homeless veterans aged 65 years and older receiving transitional housing services in Los Angeles, California, between 2003 and 2005. We asked questions regarding their sociodemographic characteristics and other social status measures. Other precipitants of homelessness were acquired via observation and open-ended and structured questions. Results. Both veterans groups were more similar than different, with substantial levels of physical, psychiatric, and social impairment. They differed significantly in homelessness history, with chronically homeless veterans having more homelessness episodes and more total time homeless. They were also less educated and had smaller social networks. In response to open-ended questioning, elderly homeless veterans revealed how health and substance use issues interacted with loss of social support and eviction to exacerbate homelessness. Conclusions. Assessment of a range of factors is needed to address risk factors and events leading to homelessness. Further research with larger samples is needed to confirm the characteristics and needs of the elderly homeless veteran population. PMID:24148059

  9. Disaster response and people experiencing homelessness: Addressing challenges of a population with limited resources.

    PubMed

    Wexler, Bryan; Smith, Mary-Elise

    2015-01-01

    In this article the authors provide an overview of some issues that inhibit disaster planning and response for people experiencing homelessness and discuss the planning process conducted for this population in Worcester, MA. People experiencing homelessness face numerous challenges in preparing for disasters both natural and human caused. Similarly, providers attempting to aid these individuals must recognize and overcome various factors that hamper efforts to provide assistance. People experiencing homelessness lack the general resources many in the United States take for granted, including food, shelter, communication methods, and transportation. The population also has an increased prevalence of medical and psychiatric conditions. These factors amplify the typical difficulties in preparedness, communication, sheltering, and training for disasters. With these principles in mind, the authors reviewed the literature for best practices, identified potential stakeholders, and developed an annex to help address organization and delivery of care to those experiencing homelessness during a disaster. PMID:26150363

  10. An inexpensive, interdisciplinary, methodology to conduct an impact study of homeless persons on hospital based services.

    PubMed

    Parker, R David; Regier, Michael; Brown, Zachary; Davis, Stephen

    2015-02-01

    Homelessness is a primary concern for community health. Scientific literature on homelessness is wide ranging and diverse. One opportunity to add to existing literature is the development and testing of affordable, easily implemented methods for measuring the impact of homeless on the healthcare system. Such methodological approaches rely on the strengths in a multidisciplinary approach, including providers, both healthcare and homeless services and applied clinical researchers. This paper is a proof of concept for a methodology which is easily adaptable nationwide, given the mandated implementation of homeless management information systems in the United States and other countries; medical billing systems by hospitals; and research methods of researchers. Adaptation is independent of geographic region, budget restraints, specific agency skill sets, and many other factors that impact the application of a consistent methodological science based approach to assess and address homelessness. We conducted a secondary data analysis merging data from homeless utilization and hospital case based data. These data detailed care utilization among homeless persons in a small, Appalachian city in the United States. In our sample of 269 persons who received at least one hospital based service and one homeless service between July 1, 2012 and June 30, 2013, the total billed costs were $5,979,463 with 10 people costing more than one-third ($1,957,469) of the total. Those persons were primarily men, living in an emergency shelter, with pre-existing disabling conditions. We theorize that targeted services, including Housing First, would be an effective intervention. This is proposed in a future study. PMID:24894404

  11. [Prevalence of psychiatric disorders among homeless adolescents].

    PubMed

    Aichhorn, Wolfgang; Santeler, Stefan; Stelzig-Schöler, Renate; Kemmler, Georg; Steinmayr-Gensluckner, Maria; Hinterhuber, Hartmann

    2008-01-01

    Various studies show a high prevalence of mental disorders among homeless people. So far most of these studies deal solely with single men, mainly affected by homelessness. Few data exist for women, children, adolescents and whole families that are more and more affected by poverty and homelessness. This study, conducted in Innsbruck/Austria, determined the prevalence of psychiatric disorders among homeless adolescents. The adolescents were recruited in a counselling centre and homeless shelter specifically founded for homeless youth. Mental disorders were diagnosed with the Structured Clinical Interview for DSM-IV (SKID-I). 40 adolescents and young adults ranging from 14-23 years (mean 17.9 years) were included in the study. The results show that 58% of the homeless adolescents were exposed to continuous violence in their families and that violence was a major reason for them to leave home. The overall prevalence of diagnosed psychiatric disorders was 80% in the whole sample; the leading disorder was substance abuse/dependence (65%), followed by mood disorders (42.5%), anxiety disorders (17.5%) and eating disorders (17.5%). 57.5% of the adolescents had a history of self-harm and 25% reported at least one suicide attempt. Duration of homelessness had the greatest influence on the prevalence of mental disorders. Longer duration of homelessness was associated with a higher risk of psychiatric disorder or self-harm. These results demonstrate the urgent need for early psychosocial and psychiatric help for homeless adolescents. PMID:18826872

  12. Education Rights of Homeless Students.

    ERIC Educational Resources Information Center

    Education Law Center, Inc., Newark, NJ.

    This document is designed to help New Jersey parents, guardians, and caregivers understand the legal concepts and procedures involved in disputes over the enrollment of homeless students in local public schools. It also informs them of their legal rights. The requirements of the McKinney Act and of the state regulations concerning the education of…

  13. Homeless--And Doubled Up

    ERIC Educational Resources Information Center

    Dill, Vicky

    2015-01-01

    The bank foreclosed on your home because your parents divorced and don't have enough money to pay the mortgage. You're locked out of your house. Where will the family sleep? Most families turn to friends and relatives at times like these. That's why about 75 percent of the 1,258,182 homeless students in the United States live…

  14. Youth Homelessness and Social Stigma

    ERIC Educational Resources Information Center

    Kidd, Sean A.

    2007-01-01

    Building upon previous exploratory qualitative research (Kidd S.A. (2003) "Child Adol. Social Work J." 20(4):235-261), this paper examines the mental health implications of social stigma as it is experienced by homeless youth. Surveys conducted with 208 youths on the streets and in agencies in New York City and Toronto revealed significant…

  15. [Homelessness: psychological and behavioral issues].

    PubMed

    Mercuel, Alain

    2013-02-01

    Risk factors lead to social exclusion and their accumulation can lead to homelessness. This inevitably contributes to a progressive increase in psychological distress or aggravates a pre-existing mental illness. Over the years, homeless people, who are never happy, develop various survival strategies and mental defenses that can sometimes prove effective. Other individuals who are less"adapted" to living in the street may suffer from both mental and physical collapse. Proactive programs designed to facilitate access to healthcare and welfare have been created in order to offer solutions designed to enable homeless people to leave the street, through access to medical care, accommodation and civil rights. The psychiatric sector has been slow to adapt to the needs of this population, although several teams specializing in mental illness and precariousness have been created These teams explore every possible avenue to help homeless people with mental health issues to recover a psychological balance that allows them to choose a recovery pathway and thus to regain a dignified lifestyle. PMID:24919358

  16. Universal screening for homelessness and risk for homelessness in the Veterans Health Administration.

    PubMed

    Montgomery, Ann Elizabeth; Fargo, Jamison D; Byrne, Thomas H; Kane, Vincent R; Culhane, Dennis P

    2013-12-01

    We examined data for all veterans who completed the Veterans Health Administration's national homelessness screening instrument between October 1, 2012, and January 10, 2013. Among veterans who were not engaged with the US Department of Veterans Affairs homeless system and presented for primary care services, the prevalence of recent housing instability or homelessness was 0.9% and homelessness risk was 1.2%. Future research will refine outreach strategies, targeting of prevention resources, and development of novel interventions. PMID:24148032

  17. The Role of Recovery Housing: Prioritizing Choice in Homeless Services.

    PubMed

    Paquette, Kristen; Pannella Winn, Laura A

    2016-01-01

    Housing options for people exiting homelessness and seeking recovery from substance use disorders are limited. Policies tend to favor low-demand models such as housing first and permanent supportive housing that do not require abstinence, but offer immediate housing placement based on consumer choice and separate housing from clinical services. While these models have proven effective in promoting housing retention, especially among individuals with a primary diagnosis of mental illness, evidence to support positive outcomes related to people with a primary or co-occurring substance use disorder are mixed. Recovery housing models provide abstinence-focused environments and integrated peer support embedded within a recovery framework. Various models exist along a continuum from fully peer-run to clinically staffed residences. However, this continuum is typically separate from the homeless services system, and many barriers to integration persist. Recent national dialogues have begun to explore opportunities to integrate housing and substance use recovery approaches to meet the needs of people who need both types of support. This perspective paper argues that recovery housing is essential for supporting some homeless individuals and families. Within a comprehensive continuum based on choice, both recovery housing and low-demand models can support housing retention, reduce homelessness, promote recovery, and foster self-determination. PMID:27064834

  18. Unaccompanied Homeless Youth: Intersections of Homelessness, School Experiences and Educational Policy

    ERIC Educational Resources Information Center

    Aviles de Bradley, Ann M.

    2011-01-01

    School districts are faced with the challenge of how best to serve the needs of a growing homeless student population. As the numbers of homeless children and youth continue to rise, it is imperative for educators and others to understand the experiences of unaccompanied homeless youth. A qualitative research project was undertaken to obtain the…

  19. Homelessness Outcome Reporting Normative Framework: Systems-Level Evaluation of Progress in Ending Homelessness

    ERIC Educational Resources Information Center

    Austen, Tyrone; Pauly, Bernie

    2012-01-01

    Homelessness is a serious and growing issue. Evaluations of systemic-level changes are needed to determine progress in reducing or ending homelessness. The report card methodology is one means of systems-level assessment. Rather than solely establishing an enumeration, homelessness report cards can capture pertinent information about structural…

  20. Homelessness and Housing Insecurity Among Former Prisoners

    PubMed Central

    HERBERT, CLAIRE W.; MORENOFF, JEFFREY D.; HARDING, DAVID J.

    2016-01-01

    The United States has experienced dramatic increases in both incarceration rates and the population of insecurely housed or homeless persons since the 1980s. These marginalized populations have strong overlaps, with many people being poor, minority, and from an urban area. That a relationship between homelessness, housing insecurity, and incarceration exists is clear, but the extent and nature of this relationship is not yet adequately understood. We use longitudinal, administrative data on Michigan parolees released in 2003 to examine returning prisoners’ experiences with housing insecurity and homelessness. Our analysis finds relatively low rates of outright homelessness among former prisoners, but very high rates of housing insecurity, much of which is linked to features of community supervision, such as intermediate sanctions, returns to prison, and absconding. We identify risk factors for housing insecurity, including mental illness, substance use, prior incarceration, and homelessness, as well as protective “buffers” against insecurity and homelessness, including earnings and social supports. PMID:26913294

  1. 75 FR 22164 - Urban Non-Urban Homeless Female Veterans and Homeless Veterans With Families' Reintegration Into...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... Veterans and Homeless Veterans With Families' Reintegration Into Employment AGENCY: Veterans' Employment... training, and skills training) to expedite the reintegration of homeless Veterans into the labor...

  2. Is there a role for pharmacists in multidisciplinary health-care teams at community outreach events for the homeless?

    PubMed

    Chan, Vincent; Patounas, Marea; Dornbusch, Debbie; Tran, Hung; Watson, Patricia

    2015-01-01

    Homelessness is a significant public health problem. It is well-documented that people experiencing homelessness exhibit more serious illnesses and have poorer health than the general population. The provision of services and interventions by health-care professionals, including pharmacists, may make a simple yet important contribution to improved health outcomes in those experiencing homelessness, but evidence of roles and interventions is limited and variable. In Australia, the Queensland University of Technology Health Clinic connects with the homeless community by taking part in community outreach events. This paper provides details of one such event, as well as the roles, interventions and experiences of pharmacists. Participation and inclusion of pharmacists in a multidisciplinary health-care team approach at homeless outreach events should be supported and encouraged. PMID:25719905

  3. The primary health care service experiences and needs of homeless youth: a narrative synthesis of current evidence.

    PubMed

    Dawson, Angela; Jackson, Debra

    2013-04-01

    Homeless youth are a growing, vulnerable population with specific primary health care (PHC) requirements. There are no systematic reviews of evidence to guide the delivery of PHC interventions to best address the needs of homeless youth in Australia. We present a narrative synthesis of peer reviewed research designed to determine: (1) the PHC services homeless youth access; (2) experiences of services, reported outcomes and barriers to use; and, (3) the PHC service needs of homeless youth. Findings show that homeless youth access a variety of services and delivery approaches. Increased PHC use is associated with youth who recognise they need help. Street-based clinic linked services and therapy and case management alongside improved housing can positively impact upon mental health and substance use outcomes. Barriers to service use include knowledge; provider attitudes, financial constraints and inappropriate environments. Findings support targetted, co-ordinated networks of PHC and housing services with nurses working alongside community workers. PMID:23721389

  4. HIV/AIDS and homelessness, Part 2: treatment issues.

    PubMed

    Douaihy, Antoine B; Stowell, Keith R; Bui, Thuy; Daley, Dennis; Salloum, Ihsan

    2005-11-01

    Various factors interfere wtih proper access to and initiation of antiretroviral therapy in the HIV-infected homeless population, and it is important for health care providers to explore and address barriers to obtaining antiretroviral therapy and to foster a trusting relationship before offering therapy so that its success may be maximized. Patient education about the multifaceted aspects of antiretroviral therapy is a crucial component of care. Care providers should aggressively identify barriers to adherence and facilitate patient adherence by using multiple strategies, establishing solid lines of communication within the provider team, bringing program services to patients, and educating ancillary service providers about adherence. Comanagement of antiretroviral therapy requires an interdisciplinary approach that includes case managers, mental health and substance abuse counselors, shelter providers, medical specialists, and parole/probation officers. More research is needed to understand the complexities of HIV/AIDS within the homeless population and to develop treatment interventions. PMID:16329182

  5. An exploration of subjective wellbeing among people experiencing homelessness: a strengths-based approach.

    PubMed

    Thomas, Yvonne; Gray, Marion A; McGinty, Sue

    2012-01-01

    Negative perceptions of homelessness contribute to deficit models of practice, false notions of homogeneity, and marginalization. Wellbeing is a state of satisfaction with material, social, and human aspects of life and can be measured both objectively and subjectively. The study explored the meaning and experience of wellbeing in the everyday lives of 20 homeless participants through fieldwork and interviews. This study revealed that health contributed little to their overall perception of wellbeing. Keeping safe, being positive and feeling good, connecting with others, and the ability to participate in "normal" life were the key contributors of subjective wellbeing. The authors demonstrate that social exclusion experienced in homelessness has a negative effect on subjective wellbeing. Services that provide opportunities to experience social inclusion and develop community and cultural connections will improve the wellbeing of homeless persons. PMID:23078011

  6. Oh, the things you will learn: taking undergraduate research to the homeless shelter.

    PubMed

    August-Brady, Michele; Adamshick, Pamela

    2013-06-01

    Teaching research to undergraduate students has been described as a challenge. This article describes how a small group of students participated in a service-learning research project that culminated in the development of an educational intervention for volunteers who staff homeless shelters in the local community. By interacting with the homeless population and the volunteer staff who provide their care, students developed a greater understanding of the needs of the homeless, recognized some mental health disorders, and interacted with volunteer staff to assess their educational needs. Students were able to learn the research process through their participation in this collaborative project. The students' learning exceeded typical outcomes, as they displayed leadership skills and advocacy in areas of social justice and made compassionate connections with this vulnerable population. These students also forged new territory for future students who will be working with homeless populations and those who minister to them. PMID:23668249

  7. Characteristics of Natural Mentoring Relationships from the Perspectives of Homeless Youth

    PubMed Central

    Dang, Michelle T.; Miller, Elizabeth

    2013-01-01

    PROBLEM Homeless youth experience high risks for poor mental health outcomes. The purpose of this qualitative study was to explore the characteristics of natural mentoring relationships among homeless youth and to identify possible mechanisms that can enhance social support for this population. METHODS Semi-structured interviews were conducted with 23 homeless youth aged 14 to 21 who had natural mentors. The interviews focused on how youth met their natural mentors, the function of these relationships, and how natural mentoring relationships differed from other relationships in the youth’s social networks. FINDINGS Main themes that emerged from the interviews included parental absence, natural mentors as surrogate parents, and social support from mentors. CONCLUSIONS Findings suggest that social supports provided by mentors enhance youth’s adaptive functioning and may promote resilience, thus the use of natural mentors may be an important untapped asset in designing interventions to improve outcomes for homeless youth. PMID:24180604

  8. Risk Factors for Homelessness Among US Veterans

    PubMed Central

    Tsai, Jack; Rosenheck, Robert A.

    2015-01-01

    Homelessness among US veterans has been a focus of research for over 3 decades. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this is the first systematic review to summarize research on risk factors for homelessness among US veterans and to evaluate the evidence for these risk factors. Thirty-one studies published from 1987 to 2014 were divided into 3 categories: more rigorous studies, less rigorous studies, and studies comparing homeless veterans with homeless nonveterans. The strongest and most consistent risk factors were substance use disorders and mental illness, followed by low income and other income-related factors. There was some evidence that social isolation, adverse childhood experiences, and past incarceration were also important risk factors. Veterans, especially those who served since the advent of the all-volunteer force, were at greater risk for homelessness than other adults. Homeless veterans were generally older, better educated, and more likely to be male, married/have been married, and to have health insurance coverage than other homeless adults. More studies simultaneously addressing premilitary, military, and postmilitary risk factors for veteran homelessness are needed. This review identifies substance use disorders, mental illness, and low income as targets for policies and programs in efforts to end homelessness among veterans. PMID:25595171

  9. Humanistic constructs and counseling homeless men.

    PubMed

    Sumerlin, J R; Privette, G

    1994-08-01

    The present humanistic model for counseling homeless men assumed that counseling goals evolve from each client's internal frame of reference and may include a positive adaptation to his homeless experience. The model encompasses Rogers' necessary components of psychotherapy, Sullivan's interpersonal theory of psychiatry, Adler's use of wellness and encouragement, and Privette's peak-performance contribution. Factor analysis of history of homelessness, background data, ratings of subjective health and of happiness, and scores on Jones and Crandall's Short Index of Self-actualization yielded nine factors relevant to counseling. Empirical support was reported for placing a counseling services program in a multiservice facility for homeless persons. PMID:7809334

  10. Homeless drug users' awareness and risk perception of peer "Take Home Naloxone" use – a qualitative study

    PubMed Central

    Wright, Nat; Oldham, Nicola; Francis, Katharine; Jones, Lesley

    2006-01-01

    Background Peer use of take home naloxone has the potential to reduce drug related deaths. There appears to be a paucity of research amongst homeless drug users on the topic. This study explores the acceptability and potential risk of peer use of naloxone amongst homeless drug users. From the findings the most feasible model for future treatment provision is suggested. Methods In depth face-to-face interviews conducted in one primary care centre and two voluntary organisation centres providing services to homeless drug users in a large UK cosmopolitan city. Interviews recorded, transcribed and analysed thematically by framework techniques. Results Homeless people recognise signs of a heroin overdose and many are prepared to take responsibility to give naloxone, providing prior training and support is provided. Previous reports of the theoretical potential for abuse and malicious use may have been overplayed. Conclusion There is insufficient evidence to recommend providing "over the counter" take home naloxone" to UK homeless injecting drug users. However a programme of peer use of take home naloxone amongst homeless drug users could be feasible providing prior training is provided. Peer education within a health promotion framework will optimise success as current professionally led health promotion initiatives are failing to have a positive impact amongst homeless drug users. PMID:17014725

  11. 76 FR 63357 - VA National Academic Affiliations Council; Notice of Establishment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... AFFAIRS VA National Academic Affiliations Council; Notice of Establishment As required by Section 9(a)(2... establishment of the Department of Veterans Affairs (VA) National Academic Affiliations Council. The Secretary... partnerships between VA and its academic affiliates. The Council will provide a forum for discussion and...

  12. Increased 30-Day Emergency Department Revisits Among Homeless Patients with Mental Health Conditions

    PubMed Central

    Lam, Chun Nok; Arora, Sanjay; Menchine, Michael

    2016-01-01

    readmission, compared to non-homeless patients presenting with mental health conditions (25.2%, 2.6%) and NHNM (7.7%, 1.5%). Conclusion Homeless patients presenting with mental health conditions were more likely to return to the ED within 30 days and to be readmitted to the hospital. Interventions providing housing might improve their overall care management and have the potential to reduce ED revisits and hospital readmissions. PMID:27625726

  13. An Examination of Criminal Behavior among the Homeless.

    ERIC Educational Resources Information Center

    Solarz, Andrea

    Homelessness is a significant social problem in the United States, with an estimated 2.5 million homeless people in this country today. While criminal activity may become a means for the homeless to obtain resources needed for basic survival, little is known about the level of criminal activity among the homeless or about the types of crimnal…

  14. Florida's Adult Homeless Literacy Training & Basic Skills Assistance Project.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Vocational, Adult, and Community Education.

    Some facts about the homeless population in Florida are the following: (1) 40,000 persons in Florida are homeless on any given day, with 40 percent of the total being families; (2) 65 percent are new homeless (not chronic); (3) 30 percent of the homeless are addicted to drugs or alcohol and 20 percent are mentally ill; (4) causes of homelessness…

  15. Homeless Children and Youth: A New American Dilemma.

    ERIC Educational Resources Information Center

    Kryder-Coe, Julee H., Ed.; And Others

    These 11 reports focus on policy responses to the needs of very young children who are part of a homeless family, and older young people who are homeless but on their own. The following chapters are included: (1) J. M. Molnar's introduction to the relationship between chronic poverty and homelessness; (2) "Beyond the Numbers: Homeless Families…

  16. Who Is Doing Well? A Typology of Newly Homeless Adolescents

    ERIC Educational Resources Information Center

    Milburn, Norweeta; Liang, Li-Jung; Lee, Sung-Jae; Rotheram-Borus, Mary Jane; Rosenthal, Doreen; Mallett, Shelley; Lightfoot, Marguerita; Lester, Patricia

    2009-01-01

    There is growing evidence to support developing new typologies for homeless adolescents. Current typologies focus on the risks associated with being homeless, with less consideration of the positive attributes of homeless adolescents. The authors examined both risk and protective factors in a sample of newly homeless adolescents. Using cluster…

  17. Over the Edge: Homeless Families and the Welfare System.

    ERIC Educational Resources Information Center

    National Coalition for the Homeless, Washington, DC.

    Homelessness among families is quickly reaching crisis proportions across the country. Over 30 percent of America's three million homeless people are members of families, and families are the fastest growing segment of the homeless population. Perhaps more disturbing, homelessness represents only the most extreme manifestation of a more…

  18. Persisting Barriers to Employment for Recently Housed Adults with Mental Illness Who Were Homeless.

    PubMed

    Poremski, Daniel; Woodhall-Melnik, Julia; Lemieux, Ashley J; Stergiopoulos, Vicky

    2016-02-01

    Adults with mental illness who are homeless experience multiple barriers to employment, contributing to difficulties securing and maintaining housing. Housing First programs provide quick, low-barrier access to housing and support services for this population, but their success in improving employment outcomes has been limited. Supported employment interventions may augment Housing First programs and address barriers to employment for homeless adults with mental illness. The present paper presents data from qualitative interviews to shed light on the persisting barriers to employment among people formerly homeless. Once housed, barriers to employment persisted, including the following: (1) worries about disclosing sensitive information, (2) fluctuating motivation, (3) continued substance use, and (4) fears about re-experiencing homelessness-related trauma. Nevertheless, participants reported that their experiences of homelessness helped them develop interpersonal strength and resilience. Discussing barriers with an employment specialist helps participants develop strategies to overcome them, but employment specialists must be sensitive to specific homelessness-related experiences that may not be immediately evident. Supported housing was insufficient to help people return to employment. Supported employment may help people return to work by addressing persisting barriers. PMID:26666250

  19. Assessing health conditions and medication use among the homeless community in Long Beach, California

    PubMed Central

    Chong, Mok Thoong; Yamaki, Jason; Harwood, Megan; d'Assalenaux, Richard; Rosenberg, Ettie; Aruoma, Okezie; Bishayee, Anupam

    2014-01-01

    Objective: Persons experiencing homelessness are a vulnerable population and are at increased risk for morbidity and all-cause mortality compared to the general population. This study sought to evaluate medication use, regular physician visits, and identify health conditions among the homeless population of Long Beach, California. Methods: Two “brown bag” medication review events were held at homeless shelters in the Long Beach area. Demographic information, medication use, and comorbid disease states were obtained through surveys. Findings: Three-fourths of the cohort (95 participants) consisted of males, and the average age of participants was 48 years. Psychiatric disorders and cardiovascular disease were the most common disease states reported at 32% and 46%, respectively and so were medications used in treating these chronic diseases. Medication adherence was found to be a significant problem in this population, where more than 30% of patients were nonadherent to medications for chronic diseases. Furthermore, foot problems, hearing and vision difficulties constitute the most commonly overlooked health problems within the homeless population. Conclusion: Based on this and other similar finding, we must accept that the homeless represent a vulnerable population, and that because of this fact, more programs should be focused at improving availability and access to health care among the homeless. Regarding the high number of reported health problems in the study, more studies are needed and more studies should incorporate screening for foot, hearing, and vision issues, both to increase awareness and to provide an opportunity for devising possible solutions to these highly preventable conditions. PMID:25114938

  20. Intervention Strategies with the Homeless Population

    ERIC Educational Resources Information Center

    Dykeman, Bruce F.

    2011-01-01

    A literature review describing psychological and sociological factors of homelessness. Methods of estimating the frequency of homelessness are described, along with recent point-in-time and period-of-time estimates. Models of service delivery are reviewed. A biopsychosocial model of intervention is proposed that describes stages of intervention…

  1. The challenges of the homeless haemophilia patient.

    PubMed

    Lambing, A; Kuriakose, P; Kachalsky, E; Mueller, L

    2013-07-01

    The current economic hardships within the United States can increase the risk of persons becoming homeless. In 2001, it was estimated that between 0.1% and 2.1% of the population were homeless every night and that 2.3 - 3.5 million persons could become homeless every year [1]. Many issues can increase the risk of homelessness including: home foreclosure, declining work force due to declining wages, low-wage opportunities and less secure jobs, decline in public assistance, lack of affordable housing with limited housing assistance programs, poverty, lack of affordable health care, domestic violence, mental illness, and addiction disorders. Many on the streets may suffer from mental illness, developmental disabilities, and or chronic physical illness [6]. Given these issues, the Hemophilia Treatment Center (HTC) can expect to experience the issue of homelessness within their own population of persons with hemophilia. Currently, there are no studies that address the issue of the person with hemophilia who may become homeless. This presents unique challenges that this population may encounter to survive in addition to managing bleeding issues related to the diagnosis of hemophilia. This article will review the issues related to homelessness in the general population. Two case studies of persons with hemophilia who became homeless will be discussed outlining the strategies utilized to assist the patient during this crisis. PMID:23557394

  2. Predictors of Transience among Homeless Emerging Adults

    ERIC Educational Resources Information Center

    Ferguson, Kristin M.; Bender, Kimberly; Thompson, Sanna J.

    2014-01-01

    This study identified predictors of transience among homeless emerging adults in three cities. A total of 601 homeless emerging adults from Los Angeles, Austin, and Denver were recruited using purposive sampling. Ordinary least squares regression results revealed that significant predictors of greater transience include White ethnicity, high…

  3. Spirituality and Mental Health among Homeless Mothers

    ERIC Educational Resources Information Center

    Hodge, David R.; Moser, Stephanie E.; Shafer, Michael S.

    2012-01-01

    Mothers are one of the fastest growing segments of the homeless population in the United States. Although mental health problems often contribute to homelessness, little is known about the factors that affect mothers' mental health. To help identify protective factors, this longitudinal study examined the relationship between spirituality and…

  4. Homelessness, Poverty, and Children's Literacy Development

    ERIC Educational Resources Information Center

    Walker-Dalhouse, Doris; Risko, Victoria J.

    2008-01-01

    Over 100 million families worldwide lack permanent housing or income sufficient to meet their basic needs. Some homeless children are able to succeed in school despite the many challenges they face, but others are not. Seventy-five percent of U.S. homeless children perform below grade level in reading, and schools and teachers may not be prepared…

  5. Homeless Children: The Watchers and the Waiters.

    ERIC Educational Resources Information Center

    Boxill, Nancy A., Ed.

    This book takes an interdisciplinary approach in discussing the issue of homeless children and the resolution of the problem. An introduction by Nancy A. Boxill presents background on the nature of the problem and summarizes the subsequent papers. "Home and Homelessness in the Lives of Children" by Leanne G. Rivlin analyzes the impact on children…

  6. Homelessness: The Extent of the Problem.

    ERIC Educational Resources Information Center

    Breakey, William R.; Fischer, Pamela J.

    1990-01-01

    Surveys the many categories of people comprising the homeless population and describes the methods that have been used to estimate their numbers. Concludes that the vast effort required to enumerate homeless people would be better directed toward focused research on the needs of identifiable subgroups. (DM)

  7. Perceptions about Homeless Elders and Community Responsibility

    ERIC Educational Resources Information Center

    Kane, Michael N.; Green, Diane; Jacobs, Robin

    2013-01-01

    Human service students were surveyed ("N" = 207) to determine their perceptions about homeless elders and communal responsibility for their well-being. Using a backward regression analysis, a final model ("F" = 15.617, "df" = 7, "p" < 0.001) for Perceptions about Homeless Persons and Community…

  8. Young Children and Families Experiencing Homelessness

    ERIC Educational Resources Information Center

    Wilson, Allison B.; Squires, Jane

    2014-01-01

    The increasing prevalence of homelessness among young children and families in the United States is described, as is the developmental impact on young children and cost to society. Although services are mandated for this population under the McKinney­-Vento Act, Education of Homeless Children and Youth Program, and the Individuals With…

  9. Correlates of Homeless Episodes among Indigenous People

    PubMed Central

    Whitbeck, Les B.; Crawford, Devan M.; Hartshorn, Kelley J. Sittner

    2011-01-01

    This study reports the correlates of homeless episodes among 873 Indigenous adults who are part of an ongoing longitudinal study on four reservations in the Northern Midwest and four Canadian First Nation reserves. Descriptive analyses depict differences between those who have and have not experienced an episode of homelessness in their lifetimes. Multivariate analyses assess factors associated with a history of homeless episodes at the time of their first interview. Results show that individuals with a history of homeless episodes had significantly more individual and family health, mental health, and substance abuse problems. Periods of homelessness also were associated with financial problems. Among the female caretakers who experienced episodes of homelessness over the course of the study, the majority had been homeless at least once prior to the start of the study and approximately one–fifth met criteria for lifetime alcohol dependence, drug abuse, or major depression. Family adversity during childhood was also common for women experiencing homelessness during the study. PMID:21656303

  10. Parenting in homeless families: the double crisis.

    PubMed

    Hausman, B; Hammen, C

    1993-07-01

    The same factors that impede a mother's ability to maintain a stable residence are likely to impair her capacity to nurture children. This double crisis of homelessness and child rearing confronts caregivers with a special set of ethical and practical dilemmas. Psychosocial characteristics of homeless mothers and children are reviewed, and the need to support these mothers is underscored. PMID:8372903

  11. Shelterization: how the homeless adapt to shelter living.

    PubMed

    Grunberg, J; Eagle, P F

    1990-05-01

    Emergency shelters have become the backbone of the service delivery system to the homeless. Particularly in large shelters, crime is a pervasive aspect of life. But despite the dangers of shelter living, many residents do not flee; instead they develop coping strategies that provide them with a feeling of mastery unparalleled on the outside. This adaptation process, which the authors call "shelterization," is characterized by a decrease in interpersonal responsiveness, a neglect of personal hygiene, increasing passivity, and increasing dependency on others. The authors suggest that the shelterization process may be ameliorated by helping homeless persons establish positive social networks and affiliations with social service and mental health providers. They believe onsite psychosocial rehabilitation programs can foster such affiliation by offering a therapeutic alternative to the shelter subculture. PMID:2094234

  12. Capacity for Survival: Exploring Strengths of Homeless Street Youth

    PubMed Central

    Bender, Kimberly; Thompson, Sanna J.; McManus, Holly; Lantry, Janet; Flynn, Patrick M.

    2009-01-01

    The majority of research on homeless youth has focused on the multitude of problems faced by this vulnerable population. The current study, while acknowledging the hazards of life on the streets, seeks to explore the personal strengths and informal resources street youth rely on to navigate their environments. Qualitative data from seven focus groups conducted with street youth ages 18–24 were analyzed using content analysis. These data, rich with interactions among youth participants, highlight three important themes: developing “street smarts,” existence of personal strengths, and informal resources relied upon by youth to survive. Results provide valuable insights into the strengths of homeless youth that can be useful to providers in assessing street youths’ service needs and increasing the likelihood of long-term positive outcomes. PMID:19915687

  13. Changing homelessness services: revanchism, ‘professionalisation’ and resistance

    PubMed Central

    Scullion, Lisa; Somerville, Peter; Brown, Philip; Morris, Gareth

    2015-01-01

    This paper argues that the increasing international salience of homelessness can be partially explained by reference to the revanchist thesis (involving processes of coerced exclusion and abjection), but the situation on the ground is more complex. It reports on interviews with 18 representatives of 11 homelessness service providers in one city in England. As Cloke et al. found, these providers tended to be either larger, more ‘professional’, ‘insider’ services or smaller, more ‘amateur’, ‘outsider’ services. However, this does not mean that the former were necessarily more revanchist and the latter less so. Rather, the actions of both types of organisation could, in some cases, be construed as both advancing and counteracting a revanchist project. PMID:25442718

  14. A scoping study: children, policy and cultural shifts in homelessness services in South Australia: are children still falling through the gaps?

    PubMed

    Parry, Yvonne Karen; Grant, Julian; Burke, Lynette

    2016-09-01

    Homeless families are the fastest growing segment of the homelessness population. Homelessness services are often the first to know when children are at risk of disengagement with health, welfare and education services. Changes to Australian policy to explicitly attend to the needs of children are attempts to address the complexity of, and provide better outcomes for, homeless children. There are mounting levels of evidence describing some of the needs of children who are homeless. Using the scoping study methodological framework, this review of academic and grey literature identified the extent to which service providers provide for the needs of homeless children. The literature search was conducted from September 2012 to April 2013 using ProQuest, Science Direct, Sage and OVID databases. Therefore, the objectives of this scoping study were to: (i) identify the specific needs of children in homelessness; (ii) describe recent changes in policy relating to care for children in homelessness services; (iii) explore the evidence on how service providers can enact care for children in homelessness services; (iv) identify the types of practice changes that are needed to optimise outcomes for children; and (v) identify the gaps in service delivery. This article describes the Australian policy changes and explores the potential impact of subsequent sector reforms on the internal practices in front-line homelessness services, in order to overcome structural and systemic barriers, and promote opportunities for children in homeless families. This scoping study literature review contributes to the understanding of the impact of policy change on front-line staff and suggests possible practice changes and future research options. PMID:26607690

  15. 38 CFR 61.10 - Capital grants-general.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.10 Capital grants—general. (a) VA provides capital grants to public or nonprofit private entities so they can assist homeless veterans by helping...

  16. Gender differences in predictors of suicidal thoughts and attempts among homeless veterans that abuse substances.

    PubMed

    Benda, Brent B

    2005-02-01

    This study of 315 male and 310 female homeless military veterans in a V.A. inpatient program designed to treat substance abusers, many of whom also suffer psychiatric disorders, was designed to examine gender differences in factors associated with the odds of having suicidal thoughts, and of attempting suicide, in comparison to being nonsuicidal. A maximum likelihood estimation multinomial logistic regression showed childhood and current sexual and physical abuses, depression, fearfulness, relationship problems, limited social support, and low self-esteem was more strongly associated with suicidal thoughts and attempts for women than for men veterans. Extent of alcohol and other drug abuse, aggression, resilience, self-efficacy, combat exposure, combat-related PTSD, and work problems were more strongly associated with suicidal thoughts and attempts for men than for women. Implications of these findings for V.A. programs are discussed. PMID:15843327

  17. Confirming Eligibility for McKinney-Vento Services: Do's and Don'ts for Local Liaisons. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    Under the McKinney-Vento Homeless Assistance Act, schools must identify children and youth in homeless situations and provide appropriate services. One such service is immediate enrollment in school, even when students lack paperwork normally required for enrollment, such as school records, proof of guardianship, a birth certificate, immunization…

  18. Confirming Eligibility for McKinney-Vento Services: Do's and Don'ts for School Districts. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    Under the McKinney-Vento Homeless Assistance Act, schools must identify children and youth in homeless situations and provide appropriate services. One such service is immediate enrollment in school, even when students lack paperwork normally required for enrollment, such as school records, proof of guardianship, a birth certificate, immunization…

  19. Impact of chronically street homeless tenants in congregate supportive housing.

    PubMed

    Levitt, A J; Jost, J J; Mergl, K A; Hannigan, A; Degenova, J; Chung, S Y

    2012-07-01

    New initiatives to house chronically street homeless (CSH) adults have led to increasing proportions of this population living in congregate supportive housing, but little is known about the impact of this shift on supportive housing programs. The present multisite, mixed-methods study examined service utilization and lease compliance among 52 chronically street homeless and 46 long-term shelter stayer (LTSS) adults during their first 12 months in congregate supportive housing. Quantitative analysis of administrative data revealed that CSH tenants used significantly more service resources than LTSS tenants, including more advocacy, escorting, and psychiatric treatment and more assistance with financial, housing, and mental and physical health issues. The 2 groups did not differ significantly on measures of lease compliance. Qualitative focus groups with CSH tenants, service provider staff, and property management staff all indicated that existing supportive housing services are suitable for this population, although some adjustments, additional resources, or both, may be indicated. PMID:22880979

  20. Family Histories and Multiple Transitions Among Homeless Young Adults: Pathways to Homelessness

    PubMed Central

    Tyler, Kimberly A.; Schmitz, Rachel M.

    2013-01-01

    This study explored the early family histories of homeless young adults, the types and number of transitions they experienced, and their pathways to the street. Intensive qualitative interviews were audio taped and transcribed with 40 homeless young adults 19 to 21 years of age in the Midwest. Findings show that family backgrounds were generally characterized by substance use, child maltreatment, and witnessing violence, all of which provide social context for understanding why so many of these young people opted to leave home in search of an alternative living situation. The current findings also reveal that while some young adults ran away from home as adolescents, others were “pushed out” (i.e., told to leave), or removed by state agencies. Current study findings illustrate that young adults’ trajectories are marked by multiple living arrangements such as home, foster care, detention facility, and drug rehabilitation. Overall, study results show that young adults’ family histories place them on trajectories for early independence marked by multiple transitions and numerous living situations, culminating in a lack of a permanent residence to call home. PMID:24151346

  1. Interventions to Improve Access to Primary Care for People Who Are Homeless: A Systematic Review

    PubMed Central

    2016-01-01

    Background People who are homeless encounter barriers to primary care despite having greater needs for health care, on average, than people who are not homeless. We evaluated the effectiveness of interventions to improve access to primary care for people who are homeless. Methods We performed a systematic review to identify studies in English published between January 1, 1995, and July 8, 2015, comparing interventions to improve access to a primary care provider with usual care among people who are homeless. The outcome of interest was access to a primary care provider. The risk of bias in the studies was evaluated, and the quality of the evidence was assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria. Results From a total of 4,047 citations, we identified five eligible studies (one randomized controlled trial and four observational studies). With the exception of the randomized trial, the risk of bias was considered high in the remaining studies. In the randomized trial, people who were homeless, without serious mental illness, and who received either an outreach intervention plus clinic orientation or clinic orientation alone, had improved access to a primary care provider compared with those receiving usual care. An observational study that compared integration of primary care and other services for people who are homeless with usual care did not observe any difference in access to a primary care provider between the two groups. A small observational study showed improvement among participants with a primary care provider after receiving an intervention consisting of housing and supportive services compared with the period before the intervention. The quality of the evidence was considered moderate for both the outreach plus clinic orientation and clinic orientation alone, and low to very low for the other interventions. Despite limitations, the literature identified reports of

  2. Comparisons of family environment between homeless and non-homeless individuals with schizophrenia in Xiangtan, Hunan

    PubMed Central

    CHEN, Jinliang; CHEN, Jindong; LI, Shuchun; LIU, Jun; OUYANG, Guohua; LUO, Wenxuan; GUO, Xiaofeng; LI, Ting; LI, Kaijie; LI, Zhenkuo; WANG, Gan

    2015-01-01

    Background Homelessness is an increasingly important problem for individuals with serious mental illness in China. Aim Identify the characteristics of families that are associated with homelessness among individuals with schizophrenia. Methods Participants were 1856 homeless individuals with schizophrenia (defined as those who had no place of residence or involved caregivers for 7 consecutive days) and 1728 non-homeless individuals with schizophrenia from Xiangtan, Hunan. The self-completion Family Environment Scale-Chinese Version (FES-CV) was administered to these participants after their acute psychotic symptoms resolved. Results Compared to individuals in the non-homeless group, those in the homeless group were older and more likely to be non-locals (i.e., from outside of Xiangtan), be residents of rural (versus urban) communities, have temporary (versus permanent) jobs, be married, and have a low level of education. After controlling for demographic differences using multivariate logistic regression models, homelessness was independently associated higher scores in the FES-CV intellectual-cultural orientation, organization, achievement orientation, and control subscales and with lower scores in the FES-CV cohesion, moralreligious emphasis, independence, and active-recreational orientation subscales. Conclusion After controlling for sociodemographic factors, certain aspects of the family environment areassociated with being homeless among patients with schizophrenia in China. Further work is needed to identify interventions that can reduce the risk of homelessness in high-risk individuals. PMID:26300600

  3. Police use of handcuffs in the homeless population leads to long-term negative attitudes within this group.

    PubMed

    Krameddine, Yasmeen I; Silverstone, Peter H

    2016-01-01

    The police interact with homeless individuals frequently. However, there has been relatively little research on the attitudes of homeless individuals towards the police, and how police interactions may impact these. This is important since the attitudes of homeless individuals can impact how often they report crimes, and how well they support police when they are investigating crimes in this population. We interviewed 213 homeless individuals in a single city, representing approximately 10% of the total homeless population. They were interviewed at either homeless shelters, or events held specifically for the homeless population. Of these individuals, 75% were male, and 47% had interacted with a police officer within the past month. Self-reports suggested that 60% had a drug and/or alcohol issue and 78% had a mental illness. We found a highly statistically significant difference between the group that had been handcuffed and/or arrested compared to those that had not. This was across multiple domains and included how the individual regarded the police in terms of their empathy and communication skills, and how much they trusted the police. These changes were long-term, and if a homeless individual had been arrested or handcuffed (and verbal reporting suggested that being handcuffed was the by far the most important factor) then these negative attitudes lasted at least 2 years. The primary conclusion from this study is that when police handcuff a homeless individual, this can lead to long-term negative views about the police across several domains that appear to be long lasting, and were linked to feelings of not being respected by the police. It is therefore proposed that police officers should be made aware of the potential long-term negative consequences of this single action, and that police forces should consider providing specific training to minimize any unnecessary overuse of handcuffs. PMID:26314889

  4. Impact of a positive hepatitis C diagnosis on homeless injecting drug users: a qualitative study

    PubMed Central

    Tompkins, Charlotte NE; Wright, Nat MJ; Jones, Lesley

    2005-01-01

    Background Increasing numbers of injecting drug users are presenting to primary care and a growing number of general practices are specifically providing care for homeless people. Injecting drug users are at the greatest risk of hepatitis C infection and homeless drug misusers, because of their drug-taking behaviour and patterns, have been identified as being at greater risk of harm of blood-borne diseases than the general population. However, little work has been conducted with injecting drug users or homeless people who have hepatitis C and little is known about how the virus may affect them. Aim To explore the impact of a positive hepatitis C diagnosis on homeless injecting drug users. Design of study This study employed qualitative research. In-depth interviews allowed the exploration of the impact of a potentially life-threatening diagnosis within the context of a person's expressed hierarchy of needs. Setting A primary care centre for homeless people in the north of England. Method In-depth interviews about the impact of a positive hepatitis C diagnosis on their lives were conducted with 17 homeless injecting drug users who had received a positive hepatitis C diagnosis. The interviews were audiotaped, transcribed, and analysed using the framework approach. Results Receiving a positive diagnosis for hepatitis C resulted in feelings of shock, devastation, disbelief, anger, and questioning. A positive diagnosis had lasting social, emotional, psychological, behavioural, and physical effects on homeless injecting drug users, even years after the initial diagnosis. Most responders were diagnosed by a doctor in primary care or by hospital staff; however, not all had sought testing and a number were tested while inpatients and were unaware that blood had been taken for hepatitis C virus serology. Conclusions The implications for clinical policy and primary care practice are discussed, including the issues of patient choice, confidentiality, and pre- and post

  5. A strengths based method for homeless youth: Effectiveness and fidelity of Houvast

    PubMed Central

    2013-01-01

    Background While homelessness among youth is a serious problem, there is little information about evidence-based interventions for homeless youth. In cooperation with professionals and youths, Wolf (2012) developed Houvast (Dutch for ‘grip’): a strengths based method grounded in scientific and practice evidence. The main aim of Houvast is to improve the quality of life of homeless youths by focusing on their strengths, thus stimulating their capacity for autonomy and self-reliance. Method/Design The effectiveness and fidelity of Houvast will be tested in ten Dutch services for homeless youth which are randomly allocated to an intervention group (n = 5), or a control group which provides care as usual (n = 5). Measurements of both objective and subjective quality of life and secondary outcomes (mental and physical health, substance use, coping, resilience, psychological needs, care needs, working relationship with the professional and attainment of personal goals) will be conducted among homeless youths (n = 251). Youths in both groups will be interviewed by means of a structured interview at baseline, at time of ending care or after having received care for six months (T1) and at nine months after baseline (T2). Model fidelity will be tested around T1. Discussion This study is unique as it includes a large number of homeless youths who are followed for a period of nine months, and because it focuses on a strengths based approach. If the Houvast method proves to be effective in improving quality of life it will be the first evidence-based intervention for homeless youth. Trail registration Netherlands Trail Register (NTR):NTR3254 PMID:23594410

  6. An Exploratory Factor Analysis of Coping Styles and Relationship to Depression Among a Sample of Homeless Youth.

    PubMed

    Brown, Samantha M; Begun, Stephanie; Bender, Kimberly; Ferguson, Kristin M; Thompson, Sanna J

    2015-10-01

    The extent to which measures of coping adequately capture the ways that homeless youth cope with challenges, and the influence these coping styles have on mental health outcomes, is largely absent from the literature. This study tests the factor structure of the Coping Scale using Exploratory Factor Analysis (EFA) and then investigates the relationship between coping styles and depression using hierarchical logistic regression with data from 201 homeless youth. Results of the EFA indicate a 3-factor structure of coping, which includes active, avoidant, and social coping styles. Results of the hierarchical logistic regression show that homeless youth who engage in greater avoidant coping are at increased risk of meeting criteria for major depressive disorder. Findings provide insight into the utility of a preliminary tool for assessing homeless youths' coping styles. Such assessment may identify malleable risk factors that could be addressed by service providers to help prevent mental health problems. PMID:25821043

  7. Deep in the heart of Texas: A phenomenological exploration of unsheltered homelessness.

    PubMed

    Petrovich, James C; Cronley, Courtney C

    2015-07-01

    The purpose of this qualitative study was to develop an in-depth understanding of the experience of unsheltered homelessness in Fort Worth, Texas. Eighteen individuals participated in the study; 13 were full-time residents of Fort Worth and 5 were traveling through the area via freight train. All reported long-term histories of unsheltered homelessness. Interviews were conducted in naturalistic settings; for example, on the street, under bridges, and in camps. Results indicated that the participants entered homelessness through diverse paths, but all of these paths were characterized by loss and social isolation. Many described homelessness as a threatening and dangerous experience; relying on strong street-based social networks and their own personal strengths for survival. Participants viewed shelter service providers as sources of stress and stigma to be avoided but heavily utilized street outreach services and faith-based missions. The overemphasis by providers on "fixing" people, rather than addressing immediate needs, made many participants ambivalent about traditional services. This study supports the use of nontraditional housing interventions and robust community-based approaches to care for individuals experiencing unsheltered homelessness. PMID:25602352

  8. Unsheltered Homelessness Among Veterans: Correlates and Profiles.

    PubMed

    Byrne, Thomas; Montgomery, Ann Elizabeth; Fargo, Jamison D

    2016-02-01

    We identified correlates of unsheltered status among Veterans experiencing homelessness and described distinct subgroups within the unsheltered homeless Veteran population using data from a screening instrument for homelessness that is administered to all Veterans accessing outpatient care at a Veterans Health Administration (VHA) facility. Correlates of unsheltered homelessness included male gender, white race, older age, lower levels of VHA eligibility, substance use disorders, frequent use of VHA inpatient and infrequent use of VHA outpatient services, and residing in the West. We identified six distinct subgroups of unsheltered Veterans; the tri-morbid frequent users represented the highest need group, but the largest group was comprised of Veterans who made highly infrequent use of VHA healthcare services. Differences between sheltered and unsheltered Veterans and heterogeneity within the unsheltered Veteran population should be considered in targeting housing and other interventions. PMID:26289119

  9. Pets Help Homeless Youth, Study Finds

    MedlinePlus

    ... of researchers, led by scientists at the Ontario Veterinary College at the University of Guelph, found homeless ... study author Michelle Lem, a graduate of the veterinary college, explained in a University of Guelph news ...

  10. Who Are Homeless Families? A Profile of Homelessness in New York City.

    ERIC Educational Resources Information Center

    Homes for the Homeless, Inc., New York, NY.

    This document presents results of a survey involving 400 homeless families on a number of social and economic factors, including family structure, housing history, employment background, educational attainment, and various interpersonal problems. The study sought to gain a greater understanding of the demographics surrounding homelessness.…

  11. From Homelessness to Community: Psychological Integration of Women Who Have Experienced Homelessness

    ERIC Educational Resources Information Center

    Nemiroff, Rebecca; Aubry, Tim; Klodawsky, Fran

    2011-01-01

    This longitudinal study examined psychological integration of women who were homeless at the study's outset. Participants (N = 101) were recruited at homeless shelters and participated in 2 in-person interviews, approximately 2 years apart. A predictive model identifying factors associated with having a psychological sense of community within…

  12. Educational Rights of Homeless Youth: Exploring Racial Dimensions of Homeless Educational Policy

    ERIC Educational Resources Information Center

    Aviles de Bradley, Ann Marie

    2009-01-01

    Research that addresses educational rights of unaccompanied homeless youth in grades 9-12 is limited. The McKinney-Vento Act was created to address the many needs of homeless individuals, including children and youth's right to an education. McKinney-Vento was created over twenty-years ago, and this research sought to examine the implementation of…

  13. Homelessness Comes to School: How Homeless Children and Youths Can Succeed

    ERIC Educational Resources Information Center

    Murphy, Joseph F.; Tobin, Kerri J.

    2011-01-01

    Homelessness is a complex and layered phenomenon, but schools can be effective in reducing its educational consequences. Schools currently are not doing enough. The next step is to consider the services that are needed for students as they arrive on the school campus. Taking care of homeless children in school systems involves seven provisos:…

  14. Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review

    PubMed Central

    2011-01-01

    provide important new evidence regarding interventions to improve health, housing status, and access to healthcare for homeless populations. The additional studies included in this current review provide further support for earlier evidence which found that coordinated treatment programs for homeless persons with concurrent mental illness and substance misuse issues usually result in better health and access to healthcare than usual care. This review also provides a synthesis of existing evidence regarding interventions that specifically support homeless populations with HIV. PMID:21831318

  15. Perceptions, Attitudes, and Experience Regarding mHealth Among Homeless People in New York City Shelters

    PubMed Central

    Asgary, Ramin; Sckell, Blanca; Alcabes, Analena; Naderi, Ramesh; Adongo, Philip; Ogedegbe, Gbenga

    2015-01-01

    Mobile health may be an effective means of providing access and education to the millions of homeless Americans. We conducted semi-structured interviews with 50 homeless people from different shelters in New York City to evaluate their perceptions, attitudes and experiences regarding mobile health. Participants’ average age was 51.66 (SD±11.34) years; duration of homelessness was 2.0 (SD±3.10) years. The majority had a mobile phone with the ability to receive and send text messages. Most participants attempted to maintain the same phone number over time. The homeless were welcoming and supportive of text messaging regarding healthcare issues including appointment reminders, health education, or management of diseases considering their barriers and mobility, and believed it would help them access necessary healthcare. Overwhelmingly they preferred text reminders that were short, positively framed, and directive in nature compared to lengthy or motivational texts. The majority believed that free cell phone plans would improve their engagement with, help them navigate, and ultimately improve their access to care. These positive attitudes and experience could be effectively used to improve the homeless healthcare. Policies to improve access to mobile health and adapted text messaging strategies regarding healthcare needs of this mobile population should be considered. PMID:26313765

  16. Perceptions, Attitudes, and Experience Regarding mHealth Among Homeless Persons in New York City Shelters.

    PubMed

    Asgary, Ramin; Sckell, Blanca; Alcabes, Analena; Naderi, Ramesh; Adongo, Philip; Ogedegbe, Gbenga

    2015-01-01

    Mobile health may be an effective means of providing access and education to the millions of homeless Americans. We conducted semi-structured interviews with 50 homeless people from different shelters in New York City to evaluate their perceptions, attitudes, and experiences regarding mobile health. Participants' average age was 51.66 (SD = 11.34) years; duration of homelessness was 2.0 (SD = 3.10) years. The majority had a mobile phone with the ability to receive and send text messages. Most participants attempted to maintain the same phone number over time. The homeless were welcoming and supportive of text messaging regarding health care issues, including appointment reminders, health education, or management of diseases considering their barriers and mobility, and believed it would help them access necessary health care. Overwhelmingly they preferred text reminders that were short, positively framed, and directive in nature compared to lengthy or motivational texts. The majority believed that free cell phone plans would improve their engagement with, help them navigate, and ultimately improve their access to care. These positive attitudes and experience could be effectively used to improve health care for the homeless. Policies to improve access to mobile health and adapted text messaging strategies regarding the health care needs of this mobile population should be considered. PMID:26313765

  17. Homeless people's right to health: reflections on the problems and components.

    PubMed

    Paiva, Irismar Karla Sarmento de; Lira, Cindy Damaris Gomes; Justino, Jéssica Micaele Rebouças; Miranda, Moêmia Gomes de Oliveira; Saraiva, Ana Karinne de Moura

    2016-08-01

    In the present context of neoliberalism, it can be seen that employment and family links are becoming more fragile, contributing to the phenomenon of social exclusion, and making people who are homeless - the Homeless - more visible. This population, situated on the margin of the healthcare network, challenges the universality, equity and integrated quality of Brazil's Unified Health System - the SUS, and has been the subject of focalizing policies. The debate on this theme is the subject of this study, which is an integrative review of Brazilian publications in the literature databases of Lilacs (Latin America and the Caribbean Health Sciences Database) and the BDENF (Base de Dados de Enfermagem - Nursing Database), to provide a survey of the literature on characterization of the Homeless as a group, their needs and the policies that have been developed to serve them. The study reveals that discussion on the homeless has been timid in production of knowledge, principally in relation to comprehension of the social determinants of the health-disease process of this group. The social policies addressing this population are, mostly, compensatory and existentialist, so that they do not allow for materialization of the right to health as a possible outcome. In this context, it becomes necessary to build social policies that are coherent with the social needs of the homeless. PMID:27557032

  18. Social Policy and Social Science Research on Homelessness.

    ERIC Educational Resources Information Center

    Blasi, Gary L.

    1990-01-01

    Reviews prior research on homelessness and describes what remains to be done. Calls for greater attention to the socioeconomic causes of homelessness, its image in the media, and public attitudes toward the problem. (DM)

  19. Homeless in Dhaka: violence, sexual harassment, and drug-abuse.

    PubMed

    Koehlmoos, Tracey Pérez; Uddin, Md Jasim; Ashraf, Ali; Rashid, Mashida

    2009-08-01

    Bangladesh has experienced one of the highest urban population growth rates (around 7% per year) over the past three decades. Dhaka, the capital city, attracts approximately 320,000 migrants from rural areas every year. The city is unable to provide shelter, food, education, healthcare, and employment for its rapidly-expanding population. An estimated 3.4 million people live in the overcrowded slums of Dhaka, and many more live in public spaces lacking the most basic shelter. While a small but growing body of research describes the lives of people who live in urban informal settlements or slums, very little research describes the population with no housing at all. Anecdotally, the homeless population in Dhaka is known to face extortion, erratic unemployment, exposure to violence, and sexual harassment and to engage in high-risk behaviours. However, this has not been systematically documented. This cross-sectional, descriptive study was conducted to better understand the challenges in the lives of the homeless population in 11 areas of Dhaka during a 13-month period from June 2007 to June 2008. A modified cluster-sampling method was used for selecting 32 clusters of 14 female and male respondents, for a sample of 896. In addition to sociodemographic details, this paper focuses specifically on violence, drug-abuse, and sexual harassment. The findings showed that physical assaults among the homeless, particularly among women, were a regular phenomenon. Eighty-three percent of female respondents (n=372) were assaulted by their husbands, station masters, and male police officers. They were subjected to lewd gestures, unwelcome advances, and rape. Male respondents reported being physically assaulted while trying to collect food, fighting over space, or while stealing, by police officers, miscreants, or other homeless people. Sixty-nine percent of the male respondents (n=309) used locally-available drugs, such as marijuana and heroin, and two-thirds of injecting drug

  20. Homeless in Dhaka: Violence, Sexual Harassment, and Drug-abuse

    PubMed Central

    Uddin, Md. Jasim; Ashraf, Ali; Rashid, Mashida

    2009-01-01

    Bangladesh has experienced one of the highest urban population growth rates (around 7% per year) over the past three decades. Dhaka, the capital city, attracts approximately 320,000 migrants from rural areas every year. The city is unable to provide shelter, food, education, healthcare, and employment for its rapidly-expanding population. An estimated 3.4 million people live in the overcrowded slums of Dhaka, and many more live in public spaces lacking the most basic shelter. While a small but growing body of research describes the lives of people who live in urban informal settlements or slums, very little research describes the population with no housing at all. Anecdotally, the homeless population in Dhaka is known to face extortion, erratic unemployment, exposure to violence, and sexual harassment and to engage in high-risk behaviours. However, this has not been systematically documented. This cross-sectional, descriptive study was conducted to better understand the challenges in the lives of the homeless population in 11 areas of Dhaka during a 13-month period from June 2007 to June 2008. A modified cluster-sampling method was used for selecting 32 clusters of 14 female and male respondents, for a sample of 896. In addition to sociodemographic details, this paper focuses specifically on violence, drug-abuse, and sexual harassment. The findings showed that physical assaults among the homeless, particularly among women, were a regular phenomenon. Eighty-three percent of female respondents (n=372) were assaulted by their husbands, station masters, and male police officers. They were subjected to lewd gestures, unwelcome advances, and rape. Male respondents reported being physically assaulted while trying to collect food, fighting over space, or while stealing, by police officers, miscreants, or other homeless people. Sixty-nine percent of the male respondents (n=309) used locally-available drugs, such as marijuana and heroin, and two-thirds of injecting drug

  1. Housing Stability among Homeless Individuals with Serious Mental Illness Participating in Housing First Programs

    ERIC Educational Resources Information Center

    Pearson, Carol; Montgomery, Ann Elizabeth; Locke, Gretchen

    2009-01-01

    This article presents findings from an exploratory study of three programs using the Housing First approach to provide permanent supportive housing for single, homeless adults with serious mental illness and often co-occurring substance-related disorders. This approach provides direct, or nearly direct, access to housing that is intended to be…

  2. Predictors of children's involvement in parents' treatment among homeless veterans in community residential care.

    PubMed

    Murphy, Robert A; Kasprow, Wesley J; Rosenheck, Robert A

    2005-09-01

    This study identified the proportion of homeless veterans who are parents and described characteristics of homeless veterans whose children became involved in their treatment. Of the 9,444 veterans surveyed, 37.7 percent were parents of children younger than 18 years; yet children were involved in parents' treatment in only 10.6 percent of these cases. Parents whose children were involved in their treatment were more likely to have direct custody, be female, have greater social stability, and have more psychiatric and medical problems. These parents were also less likely to have been exposed to combat fire. Services to homeless parents might be improved through coordination of adult- and child-focused funding streams and programmatic efforts to provide comprehensive interventions. PMID:16148333

  3. Correlates of Risky Alcohol and Methamphetamine Use among Currently Homeless Male Parolees

    PubMed Central

    Salem, Benissa E.; Nyamathi, Adeline; Keenan, Colleen; Zhang, Sheldon; Marlow, Elizabeth; Khalilifard, Farinaz; Yadav, Kartik; Faucette, Mark; Leake, Barbara; Marfisee, Mary

    2013-01-01

    Homeless men on parole are a hard-to-reach population with significant community reintegration challenges. This cross-sectional study describes socio-demographic, cognitive, psychosocial and drug-related correlates of alcohol and methamphetamine use in 157 homeless male parolees (age range 18–60) enrolled in a substance abuse treatment center in Los Angeles. Logistic regression results revealed that being African American and older were negatively related to methamphetamine use, while being older and more hostile were related to riskier alcohol abuse. Findings from this study provide a greater understanding of correlates of methamphetamine and alcohol- two of the most detrimental forms of substances abused among currently homeless parolees. PMID:24325770

  4. Community characteristics and violence against homeless women in Los Angeles County.

    PubMed

    Heslin, Kevin C; Robinson, Paul Langham; Baker, Richard S; Gelberg, Lillian

    2007-02-01

    Research on violence against homeless women has focused mainly on individual rather than community-level risk factors. Using an ecological conceptual framework, we estimated the independent association of community characteristics with sexual and physical assault in a probability sample of 974 homeless women. Participants were interviewed at 66 assistance programs in Los Angeles County, California in 1997. Individual responses were linked to community-level data from land use files and the U.S. Census by the facility ZIP codes. Multivariate logistic regression analysis showed that women using service providers in closer proximity to Skid Row had higher odds of physical assault (OR=1.48; 95% CI=1.03, 2.14). A number of individual characteristics were also associated with violent victimization. To reduce violence against homeless women, ensuring the safety of locations for shelters and other assistance programs should be a planning priority for local housing authorities. PMID:17337808

  5. Experiences Associated with Intervening with Homeless, Substance-abusing Mothers: The Importance of Success

    PubMed Central

    Slesnick, Natasha; Glassman, Michael; Katafiasz, Heather; Collins, Jennifer C.

    2015-01-01

    This article documents the experiences of providing housing and supportive services, or ecologically based treatment, to shelter-recruited, substance-abusing homeless women with young children in their care. Among clients, observed experiences related to housing, substance abuse, and health and mental health care are discussed. Among therapists, experiences related to managing the chaotic nature of the client's lives, wanting to manage the client's lives, and frustration with client's life trajectories are reviewed. Observations related to the therapeutic process include the client's relationship to the therapist, balancing the client's independence and need for assistance, and unrealistic expectations among the clients. Recommendations for successfully approaching these clinical situations and experiences are offered. The purpose of this article is to document these therapy experiences to facilitate the work of future teams seeking to intervene in the lives of homeless families through homeless shelters or other settings. PMID:23285834

  6. Correlates of risky alcohol and methamphetamine use among currently homeless male parolees.

    PubMed

    Salem, Benissa E; Nyamathi, Adeline; Keenan, Colleen; Zhang, Sheldon; Marlow, Elizabeth; Khalilifard, Farinaz; Yadav, Kartik; Faucette, Mark; Leake, Barbara; Marfisee, Mary

    2013-01-01

    Homeless men on parole are a hard-to-reach population with significant community reintegration challenges. This cross-sectional study describes sociodemographic, cognitive, psychosocial, and drug-related correlates of alcohol and methamphetamine use in 157 homeless male parolees (age range 18-60) enrolled in a substance abuse treatment center in Los Angeles, California. Logistic regression results revealed that being African American and older were negatively related to methamphetamine use, whereas being older and more hostile were related to riskier alcohol abuse. Findings from this study provide a greater understanding of correlates of methamphetamine and alcohol--two of the most detrimental forms of substances abused among currently homeless parolees. PMID:24325770

  7. The Multi-Dimensional Lives of Children Who Are Homeless

    ERIC Educational Resources Information Center

    Grineski, Steve

    2014-01-01

    It is widely reported that children who are homeless are victimized by overwhelming challenges like poverty and ill-advised policy decisions, such as underfunding the McKinney-Vento Homeless Assistance Act. This act is the only federal legislation devoted to this marginalized group. Children who are homeless, however, should not be characterized…

  8. Homeless and Runaway Youth: Attachment Theory and Research.

    ERIC Educational Resources Information Center

    Henk, Joanne M.

    The "new homeless" of the eighties and nineties are not only more numerous; they are younger, more likely to use drugs, and they exhibit symptoms of mental illness. Homeless mentally ill individuals typically have estranged family relationships and fewer supportive relationships compared with other homeless persons. They typically have more…

  9. The Coping Strategies of Homeless Children and Adolescents.

    ERIC Educational Resources Information Center

    Horowitz, Sandra V.

    This study investigated the stresses confronting homeless adolescents and the coping strategies that enable stressed urban minority children to achieve in school. A total of 176 homeless children ranging in age from 9 to 14 years were interviewed, and 199 control subjects who were not homeless were surveyed. Academic achievement was determined…

  10. Disaffiliation to Entrenchment: A Model for Understanding Homelessness.

    ERIC Educational Resources Information Center

    Grigsby, Charles; And Others

    1990-01-01

    Survey data collected from 166 homeless persons in Austin (Texas) identified four clusters distinguished by the size of the individual's social network, the degree of dysfunction, and the length of time homeless. Recommends group-based plans for building better paths out of homelessness. (DM)

  11. Homeless Families Today: Our Challenge Tomorrow. A Regional Perspective.

    ERIC Educational Resources Information Center

    Homes for the Homeless, Inc., New York, NY.

    In order to increase the knowledge base on the public policy issues pertaining to family homelessness, Columbia University and the Institute for Children & Poverty designed and implemented an extensive survey on the demographics of homeless families. Data on more than 140 variables were collected from 743 homeless heads-of-households in the spring…

  12. From substance use to homelessness or vice versa?

    PubMed

    McVicar, Duncan; Moschion, Julie; van Ours, Jan C

    2015-07-01

    Homelessness is associated with substance use, but whether substance use precedes or follows homelessness is unclear. We investigate the nature of the relationship between homelessness and substance use using data from the unique Australian panel dataset Journeys Home collected in 4 surveys over the period from October 2011 to May 2013. Our data refer to 1325 individuals who were homeless or at risk of becoming homeless. We investigate dynamics in homelessness and substance use over the survey period. We find that the two are closely related: homeless individuals are more likely to be substance users and substance users are more likely to be homeless. These relationships, however, are predominantly driven by observed and unobserved individual characteristics which cause individuals to be both more likely to be homeless and to be substance users. Once we take these personal characteristics into account it seems that homelessness does not affect substance use, although we cannot rule out that alcohol use increases the probability that an individual becomes homeless. These overall relationships also hide some interesting heterogeneity by 'type' of homelessness. PMID:25989002

  13. Crossing the Threshhold: Successful Learning Provision for Homeless People.

    ERIC Educational Resources Information Center

    Cameron, Helen; McKaig, Wendy; Taylor, Sue

    This guide tells the story of a successful collaboration between The City Literary Institute and homelessness agencies to create an arts-based learning program for homeless people in central London. It identifies guidelines and good practice to stimulate similar work in other locations with problems of homelessness and rough sleeping. The guide is…

  14. 75 FR 79323 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

    ... AFFAIRS 38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY: Department of... contracting with community-based treatment facilities in the Health Care for Homeless Veterans (HCHV) program... ``RIN 2900-AN73, Health Care for Homeless Veterans Program.'' Copies of comments received will...

  15. Exploring the Lived Experiences of Homeless Families with Young Children

    ERIC Educational Resources Information Center

    Hinton, Stephanie; Cassel, Darlinda

    2013-01-01

    This study researched the experiences of homeless families with young children between the ages of four and eight. Many families experience homelessness every year; therefore, it is important for early childhood educators to have an understanding of how homelessness affects families with young children so that educators can effectively serve the…

  16. Transforming Teacher Constructs of Children and Families Who Are Homeless

    ERIC Educational Resources Information Center

    Powers-Costello, Beth; Swick, Kevin J.

    2011-01-01

    The focus of this article is on articulating the importance of teacher development of constructs about homeless children and families and examining factors that influence teachers' perceptions of children and families who are homeless or at high-risk of becoming homeless. The article also explores some strategies to support teachers in…

  17. The Teacher Attitudes toward Homeless Students Scale: Development and Validation

    ERIC Educational Resources Information Center

    Brown, Jessica J.

    2012-01-01

    Recent estimates suggest there are roughly 1.6 million homeless children and this number is growing (National Center on Family Homelessness, 2011). This trend is particularly worrisome given that homeless children face a number of obstacles within society and education, not the least of which is negative teacher attitudes (Swick, 2000; U.S.…

  18. Homeless High School Students in America: Who Counts?

    ERIC Educational Resources Information Center

    Cumming, John M.; Gloeckner, Gene W.

    2012-01-01

    After interviewing homeless high school students, the research team in a Colorado school district discovered that many students had not revealed their true living conditions (homelessness) to anyone in the school district. This research team developed an anonymous survey written around the homeless categories identified in the McKinney-Vento…

  19. School Help for Homeless Children with Disabilities: Information for Parents

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    It is difficult for families dealing with homelessness to enroll their children in school and ensure their daily attendance. The McKinney-Vento Homeless Assistance Act gives homeless children and youth the right to enroll in school immediately, even if they do not have documents that are usually required for enrollment. The Individuals with…

  20. Homelessness in the Elementary School Classroom: Social and Emotional Consequences

    ERIC Educational Resources Information Center

    Chow, Kirby A.; Mistry, Rashmita S.; Melchor, Vanessa L.

    2015-01-01

    This study examined elementary school teachers' experiences working with homeless students. Specifically, we focused on the psychosocial impacts of homelessness on students and their teachers. Qualitative, semi-structured interviews were conducted with 28 teachers who worked at designated public schools for family homeless shelters. A prominent…

  1. Falling through the Gaps: Homeless Children and Youth. Fact Sheet

    ERIC Educational Resources Information Center

    Lovell, Phillip; DeBaun, Bill

    2012-01-01

    In each state, between 41 percent and 91 percent of the homeless students identified by the U.S. Department of Education (ED) are not considered homeless by the U.S. Department of Housing and Urban Development (HUD). Nationwide, as many as 715,238 homeless students fall into a bureaucratic gap between HUD and ED. This is because ED, HUD, and other…

  2. Homelessness in America: Unabated and Increasing. A 10-Year Perspective.

    ERIC Educational Resources Information Center

    Duffield, Barbara; Gleason, Mary Ann

    Ten years after passage of the McKinney Homeless Assistance Act, homelessness was studied in 11 urban, rural, and suburban communities and 4 states. The first section of the report examines the findings of detailed research on homelessness in these locations. The second section draws conclusions and outlines future directions for efforts to…

  3. Advanced Battery Manufacturing (VA)

    SciTech Connect

    Stratton, Jeremy

    2012-09-30

    LiFeBATT has concentrated its recent testing and evaluation on the safety of its batteries. There appears to be a good margin of safety with respect to overheating of the cells and the cases being utilized for the batteries are specifically designed to dissipate any heat built up during charging. This aspect of LiFeBATT’s products will be even more fully investigated, and assuming ongoing positive results, it will become a major component of marketing efforts for the batteries. LiFeBATT has continued to receive prismatic 20 Amp hour cells from Taiwan. Further testing continues to indicate significant advantages over the previously available 15 Ah cells. Battery packs are being assembled with battery management systems in the Danville facility. Comprehensive tests are underway at Sandia National Laboratory to provide further documentation of the advantages of these 20 Ah cells. The company is pursuing its work with Hybrid Vehicles of Danville to critically evaluate the 20 Ah cells in a hybrid, armored vehicle being developed for military and security applications. Results have been even more encouraging than they were initially. LiFeBATT is expanding its work with several OEM customers to build a worldwide distribution network. These customers include a major automotive consulting group in the U.K., an Australian maker of luxury off-road campers, and a number of makers of E-bikes and scooters. LiFeBATT continues to explore the possibility of working with nations that are woefully short of infrastructure. Negotiations are underway with Siemens to jointly develop a system for using photovoltaic generation and battery storage to supply electricity to communities that are not currently served adequately. The IDA has continued to monitor the progress of LiFeBATT’s work to ensure that all funds are being expended wisely and that matching funds will be generated as promised. The company has also remained current on all obligations for repayment of an IDA loan and lease

  4. Prevalence and correlates of survival sex among runaway and homeless youth.

    PubMed Central

    Greene, J M; Ennett, S T; Ringwalt, C L

    1999-01-01

    OBJECTIVE: This study examined the prevalence and correlates of survival sex among runaway and homeless youths. METHODS: A nationally representative sample of shelter youths and a multicity sample of street youths were interviewed. RESULTS: Approximately 28% of street youths and 10% of shelter youths reported having participated in survival sex, which was associated with age, days away from home, victimization, criminal behaviors, substance use, suicide attempts, sexually transmitted disease, and pregnancy. CONCLUSIONS: Intensive and ongoing services are needed to provide resources and residential assistance to enable runaway and homeless youths to avoid survival sex, which is associated with many problem behaviors. PMID:10474560

  5. The Boston Health Care for the Homeless Program: A Public Health Framework

    PubMed Central

    Oppenheimer, Sarah C.; Judge, Christine M.; Taube, Robert L.; Blanchfield, Bonnie B.; Swain, Stacy E.; Koh, Howard K.

    2010-01-01

    During the past 25 years, the Boston Health Care for the Homeless Program has evolved into a service model embodying the core functions and essential services of public health. Each year the program provides integrated medical, behavioral, and oral health care, as well as preventive services, to more than 11 000 homeless people. Services are delivered in clinics located in 2 teaching hospitals, 80 shelters and soup kitchens, and an innovative 104-bed medical respite unit. We explain the program's principles of care, describe the public health framework that undergirds the program, and offer lessons for the elimination of health disparities suffered by this vulnerable population. PMID:20558804

  6. Preliminary needs assessment of mobile technology use for healthcare among homeless veterans

    PubMed Central

    Fix, Gemmae M.; Solomon, Jeffrey L.; Petrakis, Beth Ann; Sawh, Leon; Smelson, David A.

    2015-01-01

    Background. Homeless veterans have complex healthcare needs, but experience many barriers to treatment engagement. While information technologies (IT), especially mobile phones, are used to engage patients in care, little is known about homeless veterans’ IT use. This study examines homeless veterans’ access to and use of IT, attitudes toward health-related IT use, and barriers to IT in the context of homelessness. Methods. Qualitative interviews were conducted with 30 homeless veterans in different housing programs in Boston, MA, ranging from emergency shelters to supportive transitional housing that allow stays of up to 2 years. Interviews were conducted in person, audio recorded and then transcribed. Three researchers coded transcripts. Inductive thematic analysis was used. Results. Most participants (90%) had a mobile phone and were receptive to IT use for health-related communications. A common difficulty communicating with providers was the lack of a stable mailing address. Some participants were using mobile phones to stay in touch with providers. Participants felt mobile-phone calls or text messages could be used to remind patients of appointments, prescription refills, medication taking, and returning for laboratory results. Mobile phone text messaging was seen as convenient, and helped participants stay organized because necessary information was saved in text messages. Some reported concerns about the costs associated with mobile phone use (calls and texting), the potential to be annoyed by too many text messages, and not knowing how to use text messaging. Conclusion. Homeless veterans use IT and welcome its use for health-related purposes. Technology-assisted outreach among this population may lead to improved engagement in care. PMID:26246964

  7. Up the Down Staircase: A Look at Family Homelessness in New Jersey. A Report of Homes for the Homeless.

    ERIC Educational Resources Information Center

    Institute for Children and Poverty, New York, NY.

    In response to the increasing numbers of homeless families, Homes for the Homeless surveyed families in emergency shelters in Newark (New Jersey) to gain some insights into the characteristics and circumstances of urban homeless families. Newark was chosen because it is a large urban center with a high concentration of welfare recipients that is…

  8. A Comparison of Weight-Related Behaviors among High School Students Who Are Homeless and Non-Homeless

    ERIC Educational Resources Information Center

    Fournier, Mary E.; Austin, S. Bryn; Samples, Cathryn L.; Goodenow, Carol S.; Wylie, Sarah A.; Corliss, Heather L.

    2009-01-01

    Background: Previous research has shown that youth who are homeless engage in high-risk behaviors. However, there has been little information published on nutritional and physical activity behaviors in this population, and studies comparing homeless youth in school with their non-homeless peers are scarce. This study compares weight-related risk…

  9. Immediate Enrollment under McKinney-Vento: How Schools Can Keep Homeless Students Safe. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    Children and youth in homeless situations, particularly unaccompanied youth and survivors of domestic violence, are at a high risk for experiencing violence and victimization. Frequently, unaccompanied youth become homeless after leaving abusive or destructive home environments. In turn, their homelessness, which often involves "couch surfing"…

  10. Immediate Enrollment under McKinney-Vento: How Local Liaisons Can Keep Homeless Students Safe. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    Children and youth in homeless situations, particularly unaccompanied youth and survivors of domestic violence, are at a high risk for experiencing violence and victimization. Frequently, unaccompanied youth become homeless after leaving abusive or destructive home environments. In turn, their homelessness, which often involves "couch surfing" or…

  11. Risk Factors for Homelessness Among Lesbian, Gay, and Bisexual Youths: A Developmental Milestone Approach

    PubMed Central

    Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

    2011-01-01

    Lesbian, gay, and bisexual (LGB) youths are over-represented in the homeless population. To examine why some LGB youths become homeless, this report compares homeless and non-homeless LGB youths. Of the 156 LGB youths, 48% reported ever being homeless (i.e., running away or being evicted from home). Results indicate that sexual orientation awareness and the initiation of sexual behavior occurred earlier in homeless than in non-homeless LGB youths and predated the first homeless episode. Substance use was more frequent and first occurred at an earlier age in homeless as compared to non-homeless LGB youths; however, substance use occurred subsequent to first homelessness. Childhood sexual abuse was associated with homelessness; and, early sexual orientation development was related to homelessness among youths without a history of sexual abuse. Findings suggest that interventions should help youths cope with their unfolding sexual orientation and work to prevent or address the consequences of sexual abuse. PMID:22347763

  12. Homelessness in Chicago: Poverty and Pathology, Social Institutions and Social Change.

    ERIC Educational Resources Information Center

    Sosin, Michael R.; And Others

    All of the very poor have a certain potential for homelessness due to traditional economic reasons. This report on the homeless in Chicago (Illinois) presents an overview of a two-part project whose goals are to determine the following: (1) how to prevent homelessness; (2) how to relieve homelessness; and (3) how to reverse homelessness. The…

  13. VA opsin-based photoreceptors in the hypothalamus of birds.

    PubMed

    Halford, Stephanie; Pires, Susana S; Turton, Michael; Zheng, Lei; González-Menéndez, Irene; Davies, Wayne L; Peirson, Stuart N; García-Fernández, José M; Hankins, Mark W; Foster, Russell G

    2009-08-25

    Studies in the 1930s demonstrated that birds possess photoreceptors that are located within the hypothalamus and regulate photoperiodic responses to day length. Most recently, photoperiod has been shown to alter the activity of the pars tuberalis to release thyrotrophin, which ultimately drives a reproductive response. Despite these significant findings, the cellular and molecular identity of the hypothalamic photoreceptors has remained a mystery. Action spectra implicated an opsin-based photopigment system, but further identification based on rod- or cone-opsin probes failed, suggesting the utilization of a novel opsin. The vertebrate ancient (VA) opsin photopigments were isolated in 1997 but were thought to have a restricted taxonomic distribution, confined to the agnatha and teleost fish. Here, we report the isolation of VA opsin from chicken and show that the two isoforms spliced from this gene (cVAL and cVA) are capable of forming functional photopigments. Further, we show that VA opsin is expressed within a population of hypothalamic neurons with extensive projections to the median eminence. These results provide the most complete cellular and molecular description of a deep brain photoreceptor in any vertebrate and strongly implicate VA opsin in mediating the avian photoperiodic response. PMID:19664923

  14. Partnering with a Homeless Shelter to Provide Authentic Community Involvement

    ERIC Educational Resources Information Center

    Ross, Edna; Cox, Fannie M.

    2013-01-01

    Hotel Louisville is owned and operated by Wayside Christian Mission and is staffed by screened and vetted Wayside resident clients. This unique situation, along with the University of Louisville (UofL) partnership, positions both as national exemplars for authentic community involvement with higher education. The purpose of this article is to…

  15. Helping Homeless Individuals with Co-Occurring Disorders: The Four Components

    ERIC Educational Resources Information Center

    Sun, An-Pyng

    2012-01-01

    Homeless individuals with co-occurring disorders (CODs) of severe mental illness and substance use disorder are one of the most vulnerable populations. This article provides practitioners with a framework and strategies for helping this client population. Four components emerged from a literature review: (1) ensuring an effective transition for…

  16. Trials, Tribulations, and Occasional Jubilations while Conducting Research with Homeless Children, Youth, and Families

    ERIC Educational Resources Information Center

    Toro, Paul A.

    2006-01-01

    A personal account of a program of research on homelessness and poverty spanning the past 20 years is provided, with a focus on the many methodological, practical, and ethical difficulties encountered. Interesting discoveries and enjoyable aspects of the research process are also presented. Several role conflicts that arose for the researcher in…

  17. Psychosocial Predictors of Rule Following in Hostels for Women Experiencing Homelessness

    ERIC Educational Resources Information Center

    White, Katherine; Wood, Maria

    2011-01-01

    This study examined the psychosocial factors impacting upon the rule-following behaviour of residents of a hostel providing crisis accommodation to women who are homeless. After their arrival, residents of a women's hostel (N=83) completed questionnaires assessing the theory of planned behaviour constructs of attitude, subjective norm, perceived…

  18. Experiences Associated with Intervening with Homeless, Substance-Abusing Mothers: The Importance of Success

    ERIC Educational Resources Information Center

    Slesnick, Natasha; Glassman, Michael; Katafiasz, Heather; Collins, Jennifer C.

    2012-01-01

    This article documents the experiences of providing housing and supportive services, or ecologically based treatment, to shelter-recruited, substance-abusing homeless women with young children in their care. Among clients, observed experiences related to housing, substance abuse, and health and mental health care are discussed. Among therapists,…

  19. Youth with Disabilities Who Are Runaways and/or Homeless: Responding to the Need.

    ERIC Educational Resources Information Center

    Fesko, Sheila Lynch; Graham, Steven; Temelini, David

    This document reports on two studies by the Bridges to Inclusion project concerning issues surrounding runaway and/or homeless youth with disabilities. The first study surveyed emergency adolescent shelter providers funded by the Family and Youth Service Bureau. Findings addressed types of disabilities frequently identified or suspected in…

  20. Transporting Homeless Students To Increase Stability: A Case Study of Two Texas Districts.

    ERIC Educational Resources Information Center

    James, Barbara Wand; Lopez, Patrick D.

    2003-01-01

    Examines the legislative context of the new McKinney-Vento provisions, looking at the characteristics of homelessness and the resultant educational barriers that these provisions are attempting to address, and describing how two Texas school districts have responded to the challenges of providing transportation to ensure that students in homeless…

  1. A Dimensional Model of Psychopathology among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

    ERIC Educational Resources Information Center

    Yoder, Kevin A.; Longley, Susan L.; Whitbeck, Les B.; Hoyt, Dan R.

    2008-01-01

    The present study examined associations among dimensions of suicidality and psychopathology in a sample of 428 homeless adolescents (56.3% female). Confirmatory factor analysis results provided support for a three-factor model in which suicidality (measured with lifetime suicidal ideation and suicide attempts), internalizing disorders (assessed…

  2. Assessing sexual trauma histories in homeless women.

    PubMed

    Weinrich, Sally; Hardin, Sally; Glaser, Dale; Barger, Mary; Bormann, Jill; Lizarraga, Cabiria; Terry, Micheal; Criscenzo, Jeeni; Allard, Carolyn B

    2016-01-01

    Almost 1 out of every 3 homeless women (32%) in the United States, United Kingdom, and Australia has experienced childhood sexual trauma. We assessed lifetime sexual trauma histories among 29 homeless women from three Southern California community sites: one residential safe house and two safe parking areas. More than half of the women (54%) reported a history of sexual trauma. That rate was higher (86%) among women living at the safe home than among women staying at the safe parking sites (only 42%). All four of the women who had served in the military reported having experienced military sexual trauma. The high percentages of sexual trauma found in homeless women highlight the need for effective interventions for sexual trauma. PMID:26583457

  3. HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA.

    PubMed

    Surratt, H L; Inciardi, J A

    2004-07-01

    Although homelessness has frequently been associated with substance abuse, and has been established as a predictor of HIV risk among substance abusers, little is known about the impact of homelessness on HIV risk among female sex workers. This analysis investigated the contribution of homelessness to sexual risk taking among a sample of 485 female sex workers recruited into an HIV prevention programme in Miami, Florida, 41.6% of whom considered themselves to be currently homeless. Findings indicated that in comparison to non-homeless sex workers, significantly more homeless sex workers were daily users of alcohol and crack, and their past month sex work reflected significantly more frequent vaginal and oral sex acts, higher levels of unprotected vaginal sex and more numerous sexual activities while 'high' on drugs. At the same time, a significantly greater proportion of homeless sex workers encountered customers that refused to use condoms than did the non-homeless sex workers. There were no significant differences in HIV seropositivity between the homeless and non-homeless women (22.5 and 24.9%, respectively), primarily because the majority of the women in the study cycled in and out of homelessness. PMID:15223529

  4. Oversight Hearing on Jobs and Education for the Homeless. Joint Hearing before the Committee on Education and Labor and the Select Committee on Aging. House of Representatives, One Hundredth Congress, First Session (Los Angeles, California, March 20, 1987).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    This document provides witnesses' testimonies and prepared statements from the Congressional hearing held in Los Angeles, California to examine the problems of the homeless and to suggest ways to alleviate some of the problems of the homeless. Opening statements are included by Representatives Augustus Hawkins, Edward Roybal, and Matthew Martinez.…

  5. The Impact of VA and Navy Hospital Collaboration on Medical School Education

    ERIC Educational Resources Information Center

    Atre-Vaidya, Nutan; Ross, Arthur, III; Sandu, Ioana C.; Hassan, Tariq

    2009-01-01

    Objective: The U.S. Department of Veterans Affairs (VA) is the largest single provider of medical education in the United States and is often the preferred training site for medical students and residents. However, changing priorities of patients and the marketplace are forcing medical schools and the VA to consider new ways of practicing medicine…

  6. 78 FR 31840 - Safety Zone; USO Patriotic Festival Air Show, Atlantic Ocean; Virginia Beach, VA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ...-9826. SUPPLEMENTARY INFORMATION: Table of Acronyms DHS Department of Homeland Security FR Federal... Ocean; Virginia Beach, VA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast... Beach, VA. This action is necessary to provide for the safety of life on navigable waters during the...

  7. Geropsychology Training in a VA Nursing Home Setting

    ERIC Educational Resources Information Center

    Karel, Michele J.; Moye, Jennifer

    2005-01-01

    There is a growing need for professional psychology training in nursing home settings, and nursing homes provide a rich environment for teaching geropsychology competencies. We describe the nursing home training component of our Department of Veterans Affairs (VA) Predoctoral Internship and Geropsychology Postdoctoral Fellowship programs. Our…

  8. 32 CFR 105.10 - SARC and SAPR VA procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... directly to the installation commander in accordance with 32 CFR part 103, to include providing regular... CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.10 SARC and SAPR VA procedures. (a) SARC procedures. The SARC shall: (1) Serve as the single point of contact to coordinate sexual...

  9. Military and VA General Dentistry Training: A National Resource.

    ERIC Educational Resources Information Center

    Atchison, Kathryn A.; Bachand, William; Buchanan, C. Richard; Lefever, Karen H.; Lin, Sylvia; Engelhardt, Rita

    2002-01-01

    Compared the program characteristics of the postgraduate general dentistry (PGD) training programs sponsored by the military and the Veterans Health Administration (VA). Gathered information on program infrastructure and emphasis, resident preparation prior to entering the program, and patients served and types of services provided. Programs…

  10. Mobile phone technology: a new paradigm for the prevention, treatment, and research of the non-sheltered "street" homeless?

    PubMed

    Eyrich-Garg, Karin M

    2010-05-01

    Individuals experiencing homelessness have disproportionately high rates of health problems. Those who perceive themselves as having greater access to their social support networks have better physical and mental health outcomes as well as lower rates of victimization. Mobile phones offer a connection to others without the physical constraints of landlines and, therefore, may make communication (e.g., access to one's social support networks) more feasible for homeless individuals. This, in turn, could lead toward better health outcomes. This exploratory study examined mobile phone possession and use among a sample of 100 homeless men and women who do not use the shelter system in Philadelphia, PA. Interviews were comprised of the Homeless Supplement to the Diagnostic Interview Schedule, a technology module created for this investigation, and the substance use and psychiatric sections of the Addiction Severity Index. Almost half (44%) of the sample had a mobile phone. In the past 30 days, 100% of those with mobile phones placed or received a call, over half (61%) sent or received a text message, and one fifth (20%) accessed the Internet via their mobile phone. Participants possessed and used mobile phones to increase their sense of safety, responsibility (employment, stable housing, personal business, and sobriety or "clean time"), and social connectedness. Mobile phones could potentially be used by public health/health care providers to disseminate information to the street homeless, to enhance communication between the street homeless and providers, and to increase access for the street homeless to prevention, intervention, and aftercare services. Finally, this technology could also be used by researchers to collect data with this transient population. PMID:20397058

  11. 77 FR 44653 - Continuum of Care Homeless Assistance Grant Application-Technical Submission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... URBAN DEVELOPMENT Continuum of Care Homeless Assistance Grant Application-- Technical Submission AGENCY... the original Continuum of Care Homeless Assistance Grant Application. DATES: Comments Due Date: August... lists the following information: Title of Proposal: Continuum of Care Homeless Assistance...

  12. The Power of the Drug, Nature of Support, and their Impact on Homeless Youth

    PubMed Central

    Hudson, Angela L.; Nyamathi, Adeline; Slagle, Alexandra; Greengold, Barbara; Griffin, Deborah Koniak; Khalilifard, Farinaz; Gedzoff, Danny; Reid, Courtney

    2010-01-01

    The purpose of this study was to explore homeless youths’ perspectives on the power of drugs in their lives, the preferred type of drugs used, barriers to treatment, and strategies to prevent drug initiation and abuse. This was a descriptive, qualitative study using focus groups with a purposeful sample of 24 homeless drug-using youth. The results provided insight into the lives of drug-using homeless youth. Most commonly-used drugs were marijuana and alcohol. Reported reasons for drug use were parental drug use, low self-esteem, and harsh living conditions on the streets. Barriers to treatment were pleasurable enjoyment of the drug, physical dependence, and non-empathetic mental health providers. Strategies to prevent initiation and abuse of drugs were creative activities, such as art, sports, and music, and disdain for parental/family drug use and abuse. Comparative research is needed on specific personal factors that cause initiation and deterrence of drugs use/abuse among homeless youth. PMID:20155605

  13. The power of the drug, nature of support, and their impact on homeless youth.

    PubMed

    Hudson, Angela L; Nyamathi, Adeline; Slagle, Alexandra; Greengold, Barbara; Griffin, Deborah Koniak; Khalilifard, Farinaz; Gedzoff, Danny; Reid, Courtney

    2009-10-01

    The purpose of this study was to explore homeless youths' perspectives on the power of drugs in their lives, the preferred type of drugs used, barriers to treatment, and strategies to prevent drug initiation and abuse. This was a descriptive, qualitative study using focus groups with a purposeful sample of 24 drug-using homeless youth. The results provided insight into the lives of drug-using homeless youth. The most commonly used drugs were marijuana and alcohol. Reported reasons for drug use were parental drug use, low self-esteem, and harsh living conditions on the streets. Barriers to treatment were pleasurable enjoyment of the drug, physical dependence, and non-empathetic mental health providers. Strategies to prevent initiation and abuse of drugs were creative activities, such as art, sports, and music, and disdain for parental/family drug use and abuse. Comparative research is needed on specific personal factors that cause initiation and deterrence of drugs use/abuse among homeless youth. PMID:20155605

  14. Homeless People’s Perceptions of Welcomeness and Unwelcomeness in Healthcare Encounters

    PubMed Central

    Wen, Chuck K.; Hudak, Pamela L.

    2007-01-01

    Background Homeless people face many barriers to obtaining health care, and their attitudes toward seeking health care services may be shaped in part by previous encounters with health care providers. Objective To examine how homeless persons experienced “welcomeness” and “unwelcomeness” in past encounters with health care providers and to characterize their perceptions of these interactions. Design Qualitative content analysis of 17 in-depth interviews. Participants Seventeen homeless men and women, aged 29–62 years, residing at 5 shelters in Toronto, Canada. Approach Interpretive content analysis was performed using iterative stages of inductive coding. Interview transcripts were analyzed using Buber’s philosophical conceptualization of ways of relating as “I–It” (the way persons relate to objects) and “I–You” (the way persons relate to dynamic beings). Results Most participants perceived their experiences of unwelcomeness as acts of discrimination. Homelessness and low social class were most commonly cited as the perceived basis for discriminatory treatment. Many participants reported intense emotional responses to unwelcoming experiences, which negatively influenced their desire to seek health care in the future. Participants’ descriptions of unwelcoming health care encounters were consistent with “I–It” ways of relating in that they felt dehumanized, not listened to, or disempowered. Welcoming experiences were consistent with “I–You” ways of relating, in that patients felt valued as a person, truly listened to, or empowered. Conclusions Homeless people’s perceptions of welcomeness and unwelcomeness are an important aspect of their encounters with health care providers. Buber’s “I–It” and “I–You” concepts are potentially useful aids to health care providers who wish to understand how welcoming and unwelcoming interactions are fostered. PMID:17415619

  15. VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs. Final rule.

    PubMed

    2013-08-20

    The Department of Veterans Affairs (VA) is amending its VA Health Professional Scholarship Program (HPSP) regulations. VA is also establishing regulations for a new program, the Visual Impairment and Orientation and Mobility Professional Scholarship Program (VIOMPSP). These regulations comply with and implement sections 302 and 603 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act). Section 302 of the 2010 Act established the VIOMPSP, which authorizes VA to provide financial assistance to certain students seeking a degree in visual impairment or orientation or mobility, in order to increase the supply of qualified blind rehabilitation specialists for VA and the United States. Section 603 of the 2010 Act reauthorized and modified HPSP, a program that provides scholarships for education or training in certain health care occupations. PMID:23977714

  16. Deinstitutionalisation does not increase imprisonment or homelessness.

    PubMed

    Salisbury, Tatiana Taylor; Thornicroft, Graham

    2016-05-01

    Closing long-stay psychiatric beds remains contentious. The review by Winkler et al in this issue examines 23 studies of deinstitutionalisation for the outcomes of people discharged from psychiatric hospitals after an admission of 1 year or longer. The majority of these studies identified no cases of homelessness, incarceration or suicide after discharge from hospital. PMID:27143004

  17. Needs Assessment on Homeless Children and Youth.

    ERIC Educational Resources Information Center

    Social Planning Council of Winnipeg (Manitoba).

    This assessment of the needs of homeless runaway youth in Winnipeg (Manitoba, Canada) indicates the need for a cooperative intergovernmental, interdepartmental, and interagency initiative incorporating prevention, intervention and protection, and repatriation. Information was gathered from the Winnipeg Police Department, interviews with 127…

  18. Getting Involved: An Interdisciplinary Project on Homelessness.

    ERIC Educational Resources Information Center

    Marcincin, Linda W.

    1992-01-01

    At a Pennsylvania middle school, an informal, cooperative effort to apply fractions to cookie recipes resulted in an interdisciplinary project on the homelessness. Embracing home economics, mathematics, art, English, social studies, and reading, the project incorporates the essentials of middle school philosophy: cooperative learning, team…

  19. Helping the Homeless in School and Out

    ERIC Educational Resources Information Center

    Holgersson-Shorter, Helena

    2010-01-01

    However much the recession might be receding, the effects remain deep and cruel to families living in poverty. Many have fallen through their communities' social safety nets. Today, families with young children comprise 41% of the nation's homeless population. According to the Institute of Children and Poverty, more than 1.35 million kids in the…

  20. Homeless: How Residential Instability Complicates Students' Lives

    ERIC Educational Resources Information Center

    Hallett, Ronald E.

    2010-01-01

    In this article, the author examines the challenges of highly mobile students and what educators can do to retain and support them. The findings and recommendations presented here are based on two complementary research projects conducted with homeless students transitioning from high school to college. The author focuses on the residential…

  1. The New Vagabonds? Homelessness Outside the Megalopolis.

    ERIC Educational Resources Information Center

    Huff, Dan; Johnson, David

    This paper reports results of a survey of 47 homeless adults, interviewed in Ada County, Idaho. Most respondents were male, white, currently single, with no religious preference. The mean number of years of formal education was 11.6. Seventeen percent of the sample were American Indians. Ninety-three percent were unemployed. Twenty-five percent of…

  2. 77 FR 20849 - Homeless Veterans' Reintegration Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-06

    ... Veterans' Reintegration Program AGENCY: Veterans' Employment and Training Service (VETS), Department of...: Section 2021 of Title 38 of the United States Code (U.S.C.) reauthorizes the Homeless Veterans Reintegration Program (HVRP) through fiscal year (FY) 2012 and indicates: ``the Secretary of Labor shall...

  3. Survival Strategies of Older Homeless Men.

    ERIC Educational Resources Information Center

    Cohen, Carl I.; And Others

    1988-01-01

    Examined how 281 homeless men aged 50 and older living on skid row were able to procure basic necessities such as money, food, shelter, and health care. Found men had and used informal supports to survive. Inability to fulfill needs was primarily associated with physical health, depression, lack of contacts with institutions and agencies, and…

  4. Resilience and Suicidality among Homeless Youth

    ERIC Educational Resources Information Center

    Cleverley, Kristin; Kidd, Sean A.

    2011-01-01

    Homeless and street-involved youth are considered an extremely high risk group, with many studies highlighting trajectories characterized by abusive, neglectful, and unstable family histories, victimization and criminal involvement while on the streets, high rates of physical and mental illness, and extremely high rates of mortality. While there…

  5. Helping the Homeless in School and out

    ERIC Educational Resources Information Center

    Holgersson-Shorter, Helena

    2010-01-01

    Homeless children can be hard to identify and even harder to help. But teachers can do a great deal to make sure that they do not fall through the cracks. Teachers of highly mobile students must develop the skills to make these children and youth feel welcome while quickly weaving them into classroom routines. They must rapidly assess new…

  6. Education and Homeless Youth: Policy Implementations

    ERIC Educational Resources Information Center

    Center for Higher Education Policy Analysis, University of Southern California, 2007

    2007-01-01

    "The Navigator" is a free newsletter published by the Center for Higher Education Policy Analysis (CHEPA) focusing on directions and trends in higher education policy. The theme of this issue is: "Education and Homeless Youth: Policy Implementations." The lead article, authored by CHEPA director William G. Tierney, describes CHEPA's study of the…

  7. Gender Differences in Victimized Homeless Adolescents

    ERIC Educational Resources Information Center

    Johnson, Regina Jones; Rew, Lynn; Kouzekanani, Kamiar

    2006-01-01

    Most of what we know about sexual abuse comes from efforts to examine female children victimized by men. Although some researchers have identified similarities between male and female victims of sexual abuse, few studies have examined gender-specific factors associated with sexual health practices among homeless adolescents. The aim of this study…

  8. A wraparound treatment engagement intervention for homeless veterans with co-occurring disorders.

    PubMed

    Smelson, David A; Kline, Anna; Kuhn, John; Rodrigues, Stephanie; O'Connor, Kathryn; Fisher, William; Sawh, Leon; Kane, Vincent

    2013-05-01

    This article reports the results of a low-intensity wraparound intervention, Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking (MISSION), to augment Treatment as Usual (TAU) and engage and retain homeless veterans with a co-occurring disorder (COD) in care. Using a quasi-experimental design, 333 homeless veterans were enrolled, 218 who received MISSION along with TAU and 115 who received TAU alone. Group assignment was based on MISSION treatment slot availability at time of enrollment. Compared with TAU alone, individuals receiving MISSION demonstrated greater outpatient session attendance within the 30 days before the 12-month follow up assessment and a larger decline from baseline in the number of psychiatric hospitalization nights. Individuals in the MISSION and TAU-only groups both showed statistically significant improvements in substance use and related problems at 12 months, with those in MISSION less likely to drink to intoxication and experience serious tension or anxiety. Although this study confirmed that compared with TAU alone, MISSION along with TAU is effective in augmenting usual care and engaging and retaining homeless veterans in treatment, some caution is warranted as this study did not involve random assignment. These results, however, are similar to a recent study involving a briefer version of the intervention which included random assignment. Based on these findings, MISSION is being further studied in the joint Department of Housing and Urban Development (HUD) - Department of Veterans Affairs (VA) Supportive Housing (HUD-VASH) program, which offers rapid housing placement and case management to aid in housing maintenance. PMID:23244030

  9. KaVA ESTEMA project

    NASA Astrophysics Data System (ADS)

    Oyadomari, Miyako; Imai, Hiroshi; Cho, Se-Hyung; Asaki, Yoshiharu; Choi, Yoon-Kyong; Kim, Jaeheon; Yun, Youngjoo; Matsumoto, Naoko; Min, Cheul-Hong; Oyama, Tomoaki; Yoon, Sung-Chul; Yoon, Dong-Hwan; Kim, Dong-Jin; Dodson, Richard; Rioja, Maria; Burns, Ross; Orosz, Gabor; Nakagawa, Akiharu; Chibueze O, James; Nakashima, Jun-ichi; Sobolev, Andrey

    2016-07-01

    The ESTEMA (Expanded Study on Stellar Masers) project is one of three Large Programs of the KaVA (the combined array of the Korean VLBI Network and Japanese VLBI Exploration of Radio Astrometry), and conducted in 2015-2016. It aims to publish a database of the largest sample of VLBI images of circumstellar water (H2O) and silicon-monoxide (SiO) maser sources towards circumstellar envelopes (CSEs) of 80 evolved stars in late AGB to early post-AGB phase. Here we present the specifications of the ESTEMA observations and the planned scientific goals in order to share the basic information of the ESTEMA with astronomical community and encourage future collaborations with the ESTEMA and future follow-up observations for the targeted stars.

  10. The VA-Medical School Partnership: The Medical School Perspective.

    ERIC Educational Resources Information Center

    Petersdorf, Robert G.

    1987-01-01

    Issues in the relationship between the Veterans' Administration (VA) and medical schools are discussed, including VA faculty recruitment and retention, ambulatory care in VA teaching hospitals, governance and growth of research within VA medical centers, and effects of cost containment and competition on teaching and training in VA hospitals. (MSE)

  11. 76 FR 75509 - Autopsies at VA Expense

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ... that amendment, VA promulgated 38 CFR 17.38, on October 6, 1999, 64 FR 54212. Section 17.38, inter alia... procedure; Alcohol abuse; Alcoholism; Claims; Day care; Dental health; Drug abuse; Government contracts...-reference to VA regulations that authorize certain outpatient and ambulatory care. The proposed rule...

  12. 78 FR 32126 - VA Dental Insurance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... in the Federal Register (77 FR 12517) a proposed rule to amend VA regulations to establish VADIP, a... coverage capabilities as determined during the Federal contracting process. See 77 FR 12518. Although VA... 510(b). See 77 FR 12520. We will conduct the Federal contracting process anticipating this...

  13. Posttraumatic stress disorder and substance use disorder comorbidity in homeless adults: Prevalence, correlates, and sex differences.

    PubMed

    Torchalla, Iris; Strehlau, Verena; Li, Kathy; Aube Linden, Isabelle; Noel, Francois; Krausz, Michael

    2014-06-01

    Substance use disorders (SUDs) are highly prevalent in homeless populations, and rates are typically greater among males. Posttraumatic stress disorder (PTSD) is a common co-occurring condition among individuals with SUDs; however, little attention has been directed to examining this comorbidity in homeless populations. Although some studies indicate considerable sex differences among individuals with PTSD, it has also been suggested that sex differences in PTSD rates diminish in populations with severe SUDs. This cross-sectional study investigated SUD-PTSD comorbidity and its associations with indicators of psychosocial functioning in a sample of 500 homeless individuals from Canada. Sex-related patterns of SUD, PTSD, and their comorbidity were also examined. Males and females had similar SUD prevalence rates, but the rates of PTSD and PTSD-SUD comorbidity were higher in females. PTSD and sex were found to have significant main effects on suicidality, psychological distress, somatic symptoms, and incarceration among individuals with SUD. Sex also moderated the association of PTSD with suicide risk and psychological distress. Our results contradict assumptions that sex differences in PTSD rates attenuate in samples with severe SUDs. Organizations providing SUD treatment for homeless people should address PTSD as an integrated part of their services. SUD and integrated treatment programs may benefit from sex-specific components. PMID:23915373

  14. Two pathways through adversity: Predicting well-being and housing outcomes among homeless service users.

    PubMed

    Walter, Zoe C; Jetten, Jolanda; Dingle, Genevieve A; Parsell, Cameron; Johnstone, Melissa

    2016-06-01

    People who experience homelessness face many challenges and disadvantages that negatively impact health and well-being and form barriers to achieving stable housing. Further, people who are homeless often have limited social connections and support. Building on previous research that has shown the beneficial effect of group identification on health and well-being, the current study explores the relationship between two social identity processes - multiple group memberships and service identification - and well-being and positive housing outcomes. Measures were collected from 76 participants while they were residing in a homeless accommodation service (T1) and again 2-4 weeks after leaving the service (or 3 months after T1 if participants had not left the service). Mediation analyses revealed that multiple group memberships and service identification at T1 independently predicted well-being at T2 indirectly, via social support. Further, both social identity processes also indirectly predicted housing outcomes via social support. The implications of these findings are twofold. First, while belonging to multiple social groups may provide a pathway to gaining social support and well-being, group belonging may not necessarily be beneficial to achieve stable housing. Second, fostering identification with homeless services may be particularly important as a source of support that contributes to well-being. PMID:26333919

  15. Reaching out to Ray: delivering palliative care services to a homeless person in Melbourne, Australia.

    PubMed

    MacWilliams, Judy; Bramwell, Michael; Brown, Sally; O'Connor, Margaret

    2014-02-01

    Most terminally ill people express a preference for dying at home. Within established models of palliative care, achieving death at home is a particular challenge for homeless people. This paper describes a quality-improvement project undertaken by a community-based palliative care service in Melbourne, Australia, to understand homeless people's palliative care needs and the challenges that workers face. Six semi-structured interviews with workers in hospital and community-based settings were undertaken and a case study documented. The results were used to initiate discussion about how policy and protocols for the community-based palliative care service might serve this population more effectively. The findings confirmed that homeless people have complex psychosocial and medical needs. They may be periodically uncontactable or living in unsafe settings, experience isolation from social support networks, and have issues of compliance with treatment protocols exacerbated by mental health problems and/or substance abuse. Service providers had particular challenges in meeting the palliative care needs of homeless people. A flexible, compassionate, and coordinated response is required, and more work is needed to explore how the needs of this particular group can be met. PMID:24577214

  16. Psychiatric disorders and substance use in homeless youth: a preliminary comparison of san francisco and chicago.

    PubMed

    Quimby, Ernika G; Edidin, Jennifer P; Ganim, Zoe; Gustafson, Erika; Hunter, Scott J; Karnik, Niranjan S

    2012-09-01

    Youth homelessness is a growing problem in the United States. The experience of homelessness appears to have numerous adverse consequences, including psychiatric and substance use disorders. This study compared the frequencies of psychiatric disorders, including substance use, between homeless youth (18-24 years-old) in San Francisco (N = 31) and Chicago (N = 56). Subjects were administered the Mini International Neuropsychiatric Interview (M.I.N.I.) to assess DSM-IV-TR diagnoses and substance use disorders. Eighty-seven percent of the San Francisco youth, and 81% of the Chicago youth met criteria for at least one M.I.N.I. psychiatric diagnosis. Nearly two-thirds of the youth in both samples met criteria for a mood disorder. Approximately one-third met criteria for an anxiety disorder. Thirty-two percent of the San Francisco sample and 18% of the Chicago met criteria for Antisocial Personality Disorder. Approximately 84% of the San Francisco youth and 48% of the Chicago youth met criteria for a substance-related disorder, and more substances were used by San Francisco youth. In conclusion, the high rate of psychiatric disorders in homeless youth provides clear evidence that the mental health needs of this population are significant. Implications are discussed. PMID:25379220

  17. Voices From the Street: Exploring the Realities of Family Homelessness

    PubMed Central

    Gültekin, Laura; Brush, Barbara L.; Baiardi, Janet M.; Kirk, Keri; VanMaldeghem, Kelley

    2015-01-01

    Homelessness threatens the health and well-being of thousands of families in the United States, yet little is known about their specific needs and how current services address them. To fill this knowledge gap, we explored the experiences of homelessness families in Detroit, Michigan. We targeted homeless mothers and their caseworkers for study to see if the perceptions of needs and services were in alignment. Using focus groups and content analysis, we identified four overarching themes that illustrate homeless mothers' experience with homelessness. We then analyzed data from caseworkers to look specifically for similarities and differences in their perceptions. Key findings included reports of family histories of violence, poverty, social isolation, and a lack of informal support as contributing to homelessness. The differing perspectives of mothers and their caseworkers regarding how best to move forward highlight how current programs and services may not be meeting the needs of this growing and vulnerable cohort. PMID:25186947

  18. Tailoring Care to Vulnerable Populations by Incorporating Social Determinants of Health: the Veterans Health Administration’s “Homeless Patient Aligned Care Team” Program

    PubMed Central

    Johnson, Erin E.; Aiello, Riccardo; Kane, Vincent; Pape, Lisa

    2016-01-01

    Introduction Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a “homeless medical home” initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. Methods We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients. We correlated site-specific health care performance data for the 3,543 homeless veterans enrolled in the program from October 2013 through March 2014, including those receiving ambulatory or acute health care services during the 6 months prior to enrollment in our study and 6 months post-enrollment with corresponding survey data on the Homeless Patient Aligned Care Team (H-PACT) program implementation. We defined high performance as high rates of ambulatory care and reduced use of acute care services. Results More than 96% of VHA patients enrolled in these programs were concurrently receiving VHA homeless services. Of the 33 sites studied, 82% provided hygiene care (on-site showers, hygiene kits, and laundry), 76% provided transportation, and 55% had an on-site clothes pantry; 42% had a food pantry and provided on-site meals or other food assistance. Six-month patterns of acute-care use pre-enrollment and post-enrollment for 3,543 consecutively enrolled patients showed a 19.0% reduction in emergency department use and a 34.7% reduction in hospitalizations. Three features were significantly associated with high performance: 1) higher staffing ratios than other sites, 1) integration of social supports and social services into clinical care, and 3) outreach to and integration with community agencies. Conclusion Integrating social determinants of health into clinical care can be effective for high

  19. Creating a Science of Homelessness During the Reagan Era

    PubMed Central

    JONES, MARIAN MOSER

    2015-01-01

    Policy Points: A retrospective analysis of federally funded homeless research in the 1980s serves as a case study of how politics can influence social and behavioral science research agendas today in the United States. These studies of homeless populations, the first funded by the National Institute of Mental Health, demonstrated that only about a third of the homeless population was mentally ill and that a diverse group of people experienced homelessness. This groundbreaking research program set the mold for a generation of research and policy characterizing homelessness as primarily an individual-level problem rather than a problem with the social safety net. Context A decade after the nation's Skid Rows were razed, homelessness reemerged in the early 1980s as a health policy issue in the United States. While activists advocated for government-funded programs to address homelessness, officials of the Reagan administration questioned the need for a federal response to the problem. In this climate, the National Institute of Mental Health (NIMH) launched a seminal program to investigate mental illness and substance abuse among homeless individuals. This program serves as a key case study of the social and behavioral sciences’ role in the policy response to homelessness and how politics has shaped the federal research agenda. Methods Drawing on interviews with former government officials, researchers, social activists, and others, along with archival material, news reports, scientific literature, and government publications, this article examines the emergence and impact of social and behavioral science research on homelessness. Findings Research sponsored by the NIMH and other federal research bodies during the 1980s produced a rough picture of mental illness and substance abuse prevalence among the US homeless population, and private foundations supported projects that looked at this group's health care needs. The Reagan administration's opposition to funding

  20. Examining women's agency in managing intimate partner violence and the related risk of homelessness: The role of harm minimisation.

    PubMed

    Meyer, Silke

    2016-01-01

    Intimate partner violence (IPV) has a detrimental impact on women and children's emotional, physical and social well-being and has been identified as one of the most common contributors to women's experiences of housing instabilities and homelessness. Women affected by IPV often experience a great level of uncertainty around housing solutions when trying to leave an abusive partner. This study explores women's responses to IPV and the related risk of homelessness through women's narratives (n = 22) in Queensland, Australia. Of particular interest are women's decisions and actions to minimise the impact of IPV as well as homelessness on their and their children's safety and well-being. Findings reveal that women's agency in relation to harm minimisation can take various forms, including the decision to stay with, leave or return to an abusive partner. The data offer insights into women's strategic attempts to manage IPV and the related risk of homeless while trying to minimise the harm associated with one and the other. Implications for understanding women's agency in managing IPV and the related risk of homelessness and providing adequate support mechanisms to improve women and children's social, emotional and physical well-being are discussed. PMID:26110781

  1. U.S. Minority Homeless Youth's Access to and Use of Mobile Phones: Implications for mHealth Intervention Design.

    PubMed

    Jennings, Larissa; Lee, Nicole; Shore, Deborah; Strohminger, Nancy; Allison, Burgundi; Conserve, Donaldson F; Cheskin, Lawrence J

    2016-07-01

    Few interventions for homeless youth have leveraged the potential of mHealth technologies, in part because of the limited data on phone behaviors, perceptions, and intervention preferences among youth experiencing homelessness. We conducted 9 focus groups (n = 52 homeless youth) and 41 individual structured interviews also with homeless youth in underserved communities in Baltimore and Washington, DC, to ascertain how youth perceived their mobile phone, acquired and maintained mobile services over time, and thought mHealth programs for this population should be designed. We also measured phone use, functionality, source, duration of ownership, and reasons for changing phones or numbers. Results showed that mobile coverage was high, as most youth self-purchased phones or received gift payments from others. Maintaining mobile connectivity was often challenging because of financial constraints and interpersonal conflict. Youth valued phones to access social support but used several tactics to avoid perceived negative consequences of phone ownership, such as harassment, theft, or relational disputes. Youth most preferred mHealth content relating to sexual, reproductive, and mental health provided that mobile communication was confidential, empowering, and integrated with other digital media. Integrating hidden phones, financial support, and safety management may improve homeless youth's access to and engagement with mHealth strategies over time. PMID:27232544

  2. False security or greater social inclusion? Exploring perceptions of CCTV use in public and private spaces accessed by the homeless.

    PubMed

    Huey, Laura

    2010-03-01

    It has been well documented that owing to the vulnerability inherent in their situation and status, the homeless experience high rates of harassment and criminal victimization. And yet, the question of whether CCTV surveillance of public and private spaces - so frequently viewed by the middle classes as a positive source of potential security - might also be viewed by the homeless in similar ways. Within the present paper, I address this issue by considering the possibility that CCTV might be seen by some homeless men and women as offering: a) a measure of enhanced security for those living in the streets and in shelters, and; b) to the extent that security is conceived of as a social good, the receipt of which marks one as a citizen of the state, a means by which they can be reconstituted as something more than 'lesser citizens'. To test these ideas, I rely on data from interviews conducted with homeless service users, service providers for the homeless, and police personnel in three cities. What is revealed is a mixed set of beliefs as to the relative security and meaning of CCTV. PMID:20377597

  3. Development of fragility functions to estimate homelessness after an earthquake

    NASA Astrophysics Data System (ADS)

    Brink, Susan A.; Daniell, James; Khazai, Bijan; Wenzel, Friedemann

    2014-05-01

    Immediately after an earthquake, many stakeholders need to make decisions about their response. These decisions often need to be made in a data poor environment as accurate information on the impact can take months or even years to be collected and publicized. Social fragility functions have been developed and applied to provide an estimate of the impact in terms of building damage, deaths and injuries in near real time. These rough estimates can help governments and response agencies determine what aid may be required which can improve their emergency response and facilitate planning for longer term response. Due to building damage, lifeline outages, fear of aftershocks, or other causes, people may become displaced or homeless after an earthquake. Especially in cold and dangerous locations, the rapid provision of safe emergency shelter can be a lifesaving necessity. However, immediately after an event there is little information available about the number of homeless, their locations and whether they require public shelter to aid the response agencies in decision making. In this research, we analyze homelessness after historic earthquakes using the CATDAT Damaging Earthquakes Database. CATDAT includes information on the hazard as well as the physical and social impact of over 7200 damaging earthquakes from 1900-2013 (Daniell et al. 2011). We explore the relationship of both earthquake characteristics and area characteristics with homelessness after the earthquake. We consider modelled variables such as population density, HDI, year, measures of ground motion intensity developed in Daniell (2014) over the time period from 1900-2013 as well as temperature. Using a base methodology based on that used for PAGER fatality fragility curves developed by Jaiswal and Wald (2010), but using regression through time using the socioeconomic parameters developed in Daniell et al. (2012) for "socioeconomic fragility functions", we develop a set of fragility curves that can be

  4. KENO V.a Primer: A Primer for Criticality Calculations with SCALE/KENO V.a Using CSPAN for Input

    SciTech Connect

    Busch, R.D.

    2003-01-17

    The SCALE (Standardized Computer Analyses for Licensing Evaluation) computer software system developed at Oak Ridge National Laboratory (ORNL) is widely used and accepted around the world for criticality safety analyses. The well-known KENO V.a three-dimensional Monte Carlo criticality computer code is the primary criticality safety analysis tool in SCALE. The KENO V.a primer is designed to help a new user understand and use the SCALE/KENO V.a Monte Carlo code for nuclear criticality safety analyses. It assumes that the user has a college education in a technical field. There is no assumption of familiarity with Monte Carlo codes in general or with SCALE/KENO V.a in particular. The primer is designed to teach by example, with each example illustrating two or three features of SCALE/KENO V.a that are useful in criticality analyses. The primer is based on SCALE 4.4a, which includes the Criticality Safety Processor for Analysis (CSPAN) input processor for Windows personal computers (PCs). A second edition of the primer, which uses the new KENO Visual Editor, is currently under development at ORNL and is planned for publication in late 2003. Each example in this first edition of the primer uses CSPAN to provide the framework for data input. Starting with a Quickstart section, the primer gives an overview of the basic requirements for SCALE/KENO V.a input and allows the user to quickly run a simple criticality problem with SCALE/KENO V.a. The sections that follow Quickstart include a list of basic objectives at the beginning that identifies the goal of the section and the individual SCALE/KENO V.a features which are covered in detail in the example problems in that section. Upon completion of the primer, a new user should be comfortable using CSPAN to set up criticality problems in SCALE/KENO V.a.

  5. Physical and Mental Health Issues among Homeless Youth in British Columbia, Canada: Are they Different from Older Homeless Adults?

    PubMed Central

    Saddichha, Sahoo; Linden, Isabelle; Krausz, Michael Reinhardt

    2014-01-01

    Objectives: Youth homelessness is on the rise in North America, yet this vulnerable population is rarely studied and compared with adults. This paper aimed to study the homeless youth and identify specific vulnerabilities, which rendered them different from the adult homeless population. It also aimed to describe the youth homeless population and their significant co-morbidities. Methods: Data was derived from the BC Health of the Homeless Study (BCHOHS), carried out in three cities in British Columbia, Canada: the large urban centre Vancouver (n=250); the mid-sized city and capital of the province Victoria (n=150). Measures included socio-demographic information, the Maudsley Addiction Profile (MAP), the Childhood Trauma Questionnaire (CTQ) and the Mini International Neuropsychiatric Interview (MINI) Plus. Results: Youth constituted 16.5% (n=82) of the homeless population. Compared to the adult homeless, the homeless youth were more often female (55%), were Aboriginal (47.6%), had greater substance abuse of alcohol (70.7%), amphetamines (8.5%) and cannabis (75.6%). A lower prevalence of sexually transmitted diseases (0.2%) and psychotic disorders (13.4%) was also observed. The prevalence of traumatic experiences, other psychiatric disorders and physical illnesses were similar between the adult and homeless youth. Conclusion: Homeless youth have high rates of physical and psychiatric comorbidity, similar to the adult homeless, despite being 20 years younger. An urgent need for interventions that go beyond the standardized ones being offered to homeless populations as a whole, and to derive specific strategies that target this vulnerable population is required. PMID:25320613

  6. Personal Network Correlates of Alcohol, Cigarette, and Marijuana Use Among Homeless Youth

    PubMed Central

    Wenzel, Suzanne L.; Tucker, Joan S.; Golinelli, Daniela; Green, Harold D.; Zhou, Annie

    2013-01-01

    Background Youth who are homeless and on their own are among the most marginalized individuals in the United States and face multiple risks, including use of substances. This study investigates how the use of alcohol, cigarettes, and marijuana among homeless youth may be influenced by characteristics of their social networks. Methods Homeless youth aged 13–24 were randomly sampled from 41 service and street sites in Los Angeles County (N = 419). Predictors of substance use were examined using linear regression analysis (for average number of drinks and average number of cigarettes per day) and negative binomal regression analysis (for frequency of past month marijuana use). Results Youth with more substance users in their networks reported greater alcohol, cigarette, and marijuana consumption regardless of whether these network members provided tangible or emotional support. Marijuana use was more frequent for youth who met more network members through homeless settings, but less frequent among those who met more network members through treatment or AA/NA. Greater alcohol use occurred among youth who met more network members through substance use-related activities. Youth having more adults in positions of responsibility in their networks consumed less alcohol, and those with more school attendees in their networks consumed less alcohol and cigarettes. Conclusions Findings highlight the importance of social context in understanding substance use among homeless youth. Results also support the relevance of network-based interventions to change social context for substance using youth, in terms of both enhancing pro-social influences and reducing exposure to substance use. PMID:20656423

  7. Educating Homeless Children and Youth: How Are We Measuring Up? A Progress Report, School Year 1990-91.

    ERIC Educational Resources Information Center

    Maryland State Dept. of Education, Baltimore. Div. of Compensatory Education and Support Services.

    This report measures how well Maryland educators are working together to provide a public education that meets the long- and short-term needs of homeless children and youth by providing environments that support their physical, social, and emotional growth. It outlines accomplishments for the 1990-91 school year, recommends ways of addressing…

  8. Enabling Older Homeless Minority Women to Overcome Homelessness by Using a Life Management Enhancement Group Intervention

    PubMed Central

    Washington, Olivia G. M.; Moxley, David P.; Taylor, Jacquelyn Y.

    2010-01-01

    This paper describes the importance of a life management enhancement (LME) group intervention for older minority women in developing personal control and self-confidence in social relationships as they overcome homelessness. Women in the treatment group showed significantly greater personal control and higher levels of self-confidence following the six-week intervention than women in the control group. Increasing personal control and developing self-confidence in social relationships can help individuals achieve desired outcomes as a result of their actions, efforts, and abilities. These attributes can help women increase and sustain appropriate coping methods and overcome homelessness. PMID:19212866

  9. Understanding heterosexual condom use among homeless men.

    PubMed

    Tucker, Joan S; Wenzel, Suzanne L; Golinelli, Daniela; Kennedy, David P; Ewing, Brett; Wertheimer, Samuel

    2013-06-01

    This study uses an event-based approach to examine individual, relationship, and contextual correlates of heterosexual condom use among homeless men. Structured interviews were conducted with a predominantly African American sample of 305 men recruited from meal lines in the Skid Row area of Los Angeles. Men reported on their most recent heterosexual event involving vaginal or anal intercourse. Adjusting for demographic characteristics only, condom use was more likely when men had higher condom use self-efficacy, greater HIV knowledge, or talked to their partner about condoms prior to sex. Condom use was less likely when men held more negative attitudes towards condoms, the partner was considered to be a primary/serious partner, hard drug use preceded sex, or sex occurred in a public setting. Condom attitudes, self-efficacy, partner type, and communication were the strongest predictors of condom use in a multivariate model that included all of the above-mentioned factors. Associations of unprotected sex with hard drug use prior to sex and having sex in public settings could be accounted for by lower condom self-efficacy and/or less positive condom attitudes among men having sex under these conditions. Results suggest that it may be promising to adapt existing, evidence-based IMB interventions for delivery in non-traditional settings that are frequented by men experiencing homelessness to achieve HIV risk reduction and thus reduce a significant point of disparity for the largely African American population of homeless men. PMID:22392155

  10. Correlates of Frailty Among Homeless Adults

    PubMed Central

    Salem, Benissa E.; Nyamathi, Adeline M.; Brecht, Mary-Lynn; Phillips, Linda R.; Mentes, Janet C.; Sarkisian, Catherine; Leake, Barbara

    2013-01-01

    Frailty, a relatively unexplored concept among vulnerable populations, may be a significant issue for homeless adults. This cross-sectional study assessed correlates of frailty among middle age and older homeless adults (N = 150, 40–73). A Pearson (r) bivariate correlation revealed a weak relationship between frailty and being female (r = .230, p < .01). Significant moderate negative correlations were found between frailty and resilience (r = −.395, p < .01), social support (r = −.377, p < .01), and nutrition (r = −.652, p < .01). Furthermore, Spearman’s rho (rs) bivariate correlations revealed a moderate positive relationship between frailty and health care utilization (rs = .444, p < .01). A stepwise backward linear regression analysis was conducted and in the final model, age, gender, health care utilization, nutrition, and resilience were significantly related to frailty. Over the next two decades, there is an anticipated increase in the number of homeless adults which will necessitate a greater understanding of the needs of this hard-to-reach population. PMID:23676627

  11. Maltreatment among runaway and homeless youth.

    PubMed

    Powers, J L; Eckenrode, J; Jaklitsch, B

    1990-01-01

    A sample of 223 adolescents who sought services from runaway and homeless youth programs in New York State during 1986-1987 was identified as having a history of maltreatment. A demographic profile is presented and the nature of their maltreatment described. The majority of these youth were female and between 15-16 years of age. Less than 25% came from intact families and one-third were born to single mothers. Of the sample, 60% had allegedly experienced physical abuse, 42% emotional abuse, 48% neglect, and 21% sexual abuse. Over one-third were "pushed out" of their homes by their families. Biological mothers were the most frequently cited perpetrators of maltreatment (63%), followed by biological fathers (45%). The sample of maltreated runaways is compared to both statewide and national samples of runaway and homeless youth with regard to their demographic characteristics and the problems they present to staff at intake (e.g., depression, substance abuse, etc.). Youth in the maltreated sample were more likely to be female and were more likely to have engaged in suicidal behavior. Otherwise, the maltreated runaways were not readily distinguished from the runaway and homeless youth population at large. PMID:2310977

  12. The Dynamics of Families Who Are Homeless: Implications for Early Childhood Educators

    ERIC Educational Resources Information Center

    Swick, Kevin J.

    2004-01-01

    Family homelessness has emerged as a serious global problem (Stronge, 2000). Over the past 25 years in the United States, the makeup of the homeless population has changed significantly. As De Angelis (1994) reports: The landscape of homelessness has changed since the early 1980s, when nearly all homeless people were men. Today,…

  13. Learning from Families Experiencing Homelessness--How School Leaders Can Make a Difference through Transformative Leadership

    ERIC Educational Resources Information Center

    Warke, Amy L.

    2012-01-01

    Homelessness is a growing phenomenon, especially among women and children (Hulchanski, 2009). This study was conducted because of the increase in families experiencing homelessness registering in my school. In none of the current studies about homelessness have the researchers spoken to the families and children experiencing homelessness. This…

  14. Homeless Education and Social Capital: An Examination of School and Community Leaders

    ERIC Educational Resources Information Center

    Miller, Peter M.

    2011-01-01

    Background/Context: This study contributes to the literature on the schooling of homeless and highly mobile students. Although previous work has detailed the demographics of homelessness, the effects of homelessness on academic progress, and particular legal issues in homeless education, this research focused on how individual and institutional…

  15. Homelessness among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms

    ERIC Educational Resources Information Center

    Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

    2012-01-01

    Although lesbian, gay, and bisexual (LGB) youth with a history of homelessness (running away or being evicted from their homes by parents) report more psychological symptoms than homeless heterosexual peers, it is unclear whether symptoms are due to homelessness, given the absence of a non-homeless comparison group. This study longitudinally…

  16. 38 CFR 1.710 - Homeless claimants: Delivery of benefit payments and correspondence.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Homeless claimants...' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Homeless Claimants § 1.710 Homeless claimants... distribute to organizations specially serving the needs of veterans and the homeless, including but...

  17. Multilevel Considerations of Family Homelessness and Schooling in the Recession Era

    ERIC Educational Resources Information Center

    Miller, Peter; Schreiber, James

    2012-01-01

    This mixed methods investigation of homeless education in a major urban region identified a number of significant developments and dilemmas amid the larger homeless crisis in the United States. We found that the wider community demographics of homelessness have shifted in recent years, resulting in a higher number of homeless families--many of…

  18. 75 FR 29366 - ``Homeless Veterans' Reintegration Program (HVRP) National Technical Assistance Center...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-25

    ... of the Assistant Secretary for Veterans' Employment and Training ``Homeless Veterans' Reintegration... the Homeless Veterans' Reintegration Program (HVRP) to include the Homeless Female Veterans and... to expedite the reintegration of homeless Veterans into the labor force. In order to assist the...

  19. Factors Associated with Homelessness of Adolescents under Supervision of the Youth Protection System

    ERIC Educational Resources Information Center

    Robert, Marie; Pauze, R.; Fournier, L.

    2005-01-01

    There are two factors that limit our knowledge of the risk factors associated with homelessness among runaway adolescents, namely (1) the samples used are often composed of youth homeless service users and/or youths living on the streets (visible homelessness), whereas most adolescents in fact use ''private'' resources (hidden homelessness), and…

  20. The Relationship between Literacy and Depression and Anxiety in Homeless Adults

    ERIC Educational Resources Information Center

    Holland, Mark Edward

    2014-01-01

    Homelessness is a problem that has correlating social, psychological, and health problems. The pathways that lead to homelessness are plentiful and varied, as are the risk factors that are associated with chronic homelessness. Much of the research that has been completed with homeless individuals has focused on substance use or psychological…

  1. Homeless female U.S. veterans in a national supported housing program: comparison of individual characteristics and outcomes with male veterans.

    PubMed

    Tsai, Jack; Rosenheck, Robert A; Kane, Vincent

    2014-08-01

    As more women serve in the U.S. military, the proportion of females among homeless veterans is increasing. The current study compares the individual characteristics and 1-year outcomes of homeless female and male veterans in the Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program nationally. Administrative data on 43,853 veterans (10.69% females; 89.31% males) referred to HUD-VASH were analyzed for gender differences at baseline and over a 1-year period. Homeless female veterans were younger, had shorter homeless and incarceration histories, and were less likely to have substance use disorders than men. However, despite being less likely to report combat exposure, female veterans were more likely to have posttraumatic stress disorder. Homeless female veterans were also much more likely to have dependent children with them and to plan to live with family members in supported housing. Once admitted to HUD-VASH, there were no gender differences in attrition or main housing outcomes. Case managers were faster to admit female veterans to the program, reported better working alliances, and provided more services related to employment and income than male veterans. These findings suggest homeless female veterans may have certain strengths, including being younger, less involved in the criminal justice system, and more adept at relating to professional and natural supports; but special attention to noncombat trauma and family-oriented services may be needed. PMID:24730678

  2. Prevalence and Predictors of Sexual Risks Among Homeless Youth

    ERIC Educational Resources Information Center

    Halcon, Linda L.; Lifson, Alan R.

    2004-01-01

    This study examined prevalence of sexual risks among homeless adolescents and described factors associated with those risks. Community-based outreach methods were used successfully to access this difficult-to-reach population. The sample included 203 homeless youth aged 15-22 recruited from community sites. Questionnaire items addressed…

  3. Homelessness, Violence Exposure, and School Participation among Urban Adolescent Mothers

    ERIC Educational Resources Information Center

    Kennedy, Angie C.

    2007-01-01

    Using a risk and resilience framework, this exploratory study examines the relationships between homelessness, exposure to multiple types of violence, and school participation within a survey sample of poor adolescent mothers living in an urban setting. Participants who were homeless either currently or historically were compared with participants…

  4. The Relationship between Learning Disabilities and Homelessness in Adults

    ERIC Educational Resources Information Center

    Markos, Patricia A.; Strawser, Sherri

    2004-01-01

    This article describes the relationship between learning disabilities (LD) and homelessness. Research describing the connection between disabilities and homelessness has focused on individuals presenting with disabilities such as mental illness, physical disabilities, medical disabilities, or substance abuse. At this time, the presence of LD in…

  5. Longitudinal Outcomes for Youth Receiving Runaway/Homeless Shelter Services

    ERIC Educational Resources Information Center

    Pollio, David E.; Thompson, Sanna J.; Tobias, Lisa; Reid, Donna; Spitznagel, Edward

    2006-01-01

    This research examined outcomes and use of specific types of services 6 weeks, 3 and 6 months post-discharge for a large sample of runaway/homeless youth using crisis shelter services. Data were collected for 371 runaway/homeless youth using emergency shelter and crisis services at eleven agencies across a four-state midwestern region. Outcomes…

  6. Answering the Call: Facilitating Responsive Services for Students Experiencing Homelessness

    ERIC Educational Resources Information Center

    Grothaus, Tim; Lorelle, Sonya; Anderson, Kie; Knight, Jasmine

    2011-01-01

    After a review of the literature elucidating the status quo for students experiencing homelessness, this article shares the results of a mixed methods study. With a phenomenological qualitative emphasis, the mixed methods study explored the perceptions of parents and children experiencing homelessness regarding their academic needs and the…

  7. Bringing It Home: Understanding the Lives of Homeless Youth

    ERIC Educational Resources Information Center

    Tierney, William G.

    2015-01-01

    In this commentary, the author reflects on a special issue that explores how educational institutions serve homeless and highly mobile students as well as their families. The number of homeless youth continues to rise, leading the author to question why structural constraints have not been removed. In addition to reflecting on the articles, he…

  8. Spaces of Trauma: Young People, Homelessness and Violence

    ERIC Educational Resources Information Center

    Jordan, Lucinda

    2012-01-01

    Little contemporary research has examined young people's experiences of violence and homelessness in detail within the Australian context. This article draws upon qualitative research with 33 homeless youth in Melbourne and seeks to enhance understanding of the impact of violence on young people. It argues that everyday experiences of violence…

  9. Why Does Family Homelessness Occur? A Case-Control Study.

    ERIC Educational Resources Information Center

    Bassuk, Ellen L.; Rosenberg, Lynn

    1988-01-01

    Compares 49 homeless with 81 housed female-headed families in Boston. The following variables are examined: (1) general characteristics of mothers and children; (2) mother's childhood; (3) mother's relationships; and (4) mother's health/mental health status. Solutions to family homelessness include housing provision, income maintenance, and…

  10. A Critical Analysis of the Research on Student Homelessness

    ERIC Educational Resources Information Center

    Miller, Peter M.

    2011-01-01

    Since the onset of the economic recession, rates of student homelessness have increased rapidly in urban, suburban, and rural school districts throughout the United States. Despite the widespread urgency of the issue, there is a lack of general coherence in the research about how diverse conditions of homelessness affect students and how schools…

  11. Young People, Drug Use and Family Conflict: Pathways into Homelessness

    ERIC Educational Resources Information Center

    Mallett, Shelley; Rosenthal, Doreen; Keys, Deborah

    2005-01-01

    Young people who experience homelessness, in Australia and in other western contexts (US, Canada, England), are widely perceived to use and abuse alcohol and drugs. The available research indicates that homeless young people use all drug types, whether injected or otherwise, more frequently than their home-based peers. Debate exists in the…

  12. Special Schools for Homeless Students Bursting at the Seams

    ERIC Educational Resources Information Center

    Anderson, Michelle D.

    2011-01-01

    Monarch School is a San Diego-based public K-12 institution that exclusively serves homeless students. Begun by the San Diego County Office of Education as a drop-in center for homeless high school students, the 170-student school is now a public-private partnership between the San Diego school board and the nonprofit Monarch School Project. The…

  13. Heart to Heart Art: Empowering Homeless Children and Youth

    ERIC Educational Resources Information Center

    Shepard, Jerri; Booth, Deborah

    2009-01-01

    This article describes Heart to Heart Art, an after-school program developed for homeless children and youth at the YWCA in Spokane, Washington. Pre-service teacher candidates from a local university create meaningful activities that engage homeless students in visual art, music, drama, cooking, and community service. Heart to Heart Art was…

  14. The Characteristics and Needs of Families Experiencing Homelessness

    ERIC Educational Resources Information Center

    National Center on Family Homelessness (NJ1), 2011

    2011-01-01

    This fact sheet was developed to help you understand the scope, causes, and impact of homelessness on children and families. You are encouraged to use it as well as the publications cited in its footnotes as tools more about homelessness. (Contains 78 endnotes.)

  15. The State of Homeless Children in the United States

    ERIC Educational Resources Information Center

    Kabler, Brenda; Weinstein, Elana

    2009-01-01

    Across America, the numbers of homeless children and families are growing as a result of many factors including the recent economic crisis, home foreclosures, and natural disasters. Because of an increase in the number of homeless children throughout the United States, this population has unmet needs that can be targeted in school settings under…

  16. How You Can Help Students Who Are Homeless

    ERIC Educational Resources Information Center

    Curriculum Review, 2009

    2009-01-01

    Many schools are struggling with high numbers of homeless students. Some research has suggested that homeless students are often experiencing exhaustion, hunger, stress, abuse and insecurity, making socialization and learning more difficult for them than it is for their peers. This paper discusses three easy ways school professionals can help and…

  17. State Plan for the Education of Homeless Children and Youth.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    This report describes Oklahoma's response to requirements for the education of homeless children and youth of the Stewart B. McKinney Homeless Assistance Act of 1987. The report includes an introduction and an overview of Subtitle B of the McKinney Act and is divided into four sections. Section I, "Functions of the SDE Office," describes the role…

  18. Public Education Access for Children of the Homeless.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Div. of Public Schools.

    This document presents Florida's application for continued funding of its project for the education of homeless students under the Stewart B. McKinney Homeless Assistance Act. The report is divided into four sections. Section I, "Application," consists of the request and rationale for continued financial support, and a summary of actions taken…

  19. Homelessness and the Fiscal Year 1993 Federal Budget.

    ERIC Educational Resources Information Center

    National Coalition for the Homeless, Washington, DC.

    This paper analyzes the Bush Administration's budget request for homelessness programs, and argues that it promised little to alleviate the suffering of homeless people. The paper asserts that the proposal is the weakest in years, with overall spending down by 7 percent when adjusted for inflation. Programs hardest hit are new funding to increase…

  20. Homeless and Special Education Administrative Collaboration: Recommendations. Policy Forum Proceedings

    ERIC Educational Resources Information Center

    Bowman, Diana; Burdette, Paula; Julianelle, Patricia

    2008-01-01

    Project Forum at the National Association of State Directors of Special Education (NASDSE) and the National Center for Homeless Education (NCHE) worked together to collect information regarding the need for a policy forum on the topic of administrative collaboration between school personnel who support homeless education under the McKinney-Vento…

  1. Social Networks of Homeless Youth in Emerging Adulthood

    ERIC Educational Resources Information Center

    Wenzel, Suzanne; Holloway, Ian; Golinelli, Daniela; Ewing, Brett; Bowman, Richard; Tucker, Joan

    2012-01-01

    Little is known about the social networks of homeless youth in emerging adulthood despite the importance of this information for interventions to reduce health risks. This study examined the composition of social networks, and the risks and supports present within them, in a random sample of 349 homeless youth (33.4% female, 23.9% African…

  2. Predicting Overt and Covert Antisocial Behaviors: Parents, Peers, and Homelessness

    ERIC Educational Resources Information Center

    Tompsett, Carolyn J.; Toro, Paul A.

    2010-01-01

    Parental deviance, parental monitoring, and deviant peers were examined as predictors of overt and covert antisocial behaviors. Homeless (N=231) and housed (N=143) adolescents were assessed in adolescence and again in early adulthood. Homelessness predicted both types of antisocial behaviors, and effects persisted in young adulthood. Parental…

  3. Deja Vu: Family Homelessness in New York City.

    ERIC Educational Resources Information Center

    Institute for Children and Poverty, New York, NY.

    This report describes family homelessness in New York City, which has risen sharply since 1980. Currently, the City's family shelter system is at capacity. Homeless children are typically raised by single mothers who receive no child support, are 27 years old, are unemployed and receiving welfare, and have had at least one public assistance…

  4. Oral Parenteral Antimicrobial Therapy Administration in a Homeless Population.

    PubMed

    Hernandez, Whitney; Price, Connie; Knepper, Bryan; McLees, Margaret; Young, Heather

    2016-01-01

    Outpatient parenteral antimicrobial therapy (OPAT) is increasingly used to treat serious infections. Patients who identify themselves as homeless may receive OPAT less often, and little is known about their treatment outcomes. The purpose of this study was to describe challenges, treatment completion rates, and cost savings of OPAT in homeless patients discharged from a public safety-net hospital. PMID:26934162

  5. Adult Education for the Homeless: A Program in Jeopardy.

    ERIC Educational Resources Information Center

    Office of Vocational and Adult Education (ED), Washington, DC. Div. of Adult Education and Literacy.

    During its 8-year history, the federal Adult Education for the Homeless Program (AEH) pioneered new methods of service to adults in need and benefited over 320,000 homeless adults and families. Despite an evaluation that documented program success, funding was rescinded from the 1995 federal budget and never reinstated. AEH programs developed the…

  6. Experiential Therapy with Homeless, Runaway and Street Youth.

    ERIC Educational Resources Information Center

    Kallander, Karin; Levings, Laura

    This paper describes the services and activities of the Orion Center, a drop-in day-use facility for homeless and runaway youth in Seattle (Washington). Orion Center uses experiential therapy and adventure-based activities to develop trust, promote fun and relationship building, and facilitate growth and healing among this homeless population. A…

  7. Perceptions of Resiliency and Coping: Homeless Young Adults Speak Out

    ERIC Educational Resources Information Center

    Thompson, Sanna J.; Ryan, Tiffany N.; Montgomery, Katherine L.; Lippman, Angie Del Prado; Bender, Kimberly; Ferguson, Kristin

    2016-01-01

    This study explored the perceptions of resilience and coping among homeless young adults, a focus that differs from previous research by considering the unconventional resilience and coping of this high-risk population. Semistructured qualitative interviews were conducted with 45 homeless young adults. Individual interviews were audio recorded,…

  8. 76 FR 33788 - Homeless Veterans' Reintegration Into Employment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-09

    ...' Employment and Training Service Homeless Veterans' Reintegration Into Employment AGENCY: Veterans' Employment... Veterans Reintegration Program through fiscal year (FY) 2011 and indicates: ``The Secretary of Labor shall... training) to expedite the reintegration of homeless veterans into the labor force.'' HVRP grants...

  9. Visible Voices: Literacy Identity and the Invisible Homeless

    ERIC Educational Resources Information Center

    Juchniewicz, Melissa M.

    2012-01-01

    Despite calls for increased awareness of and sensitivity to diverse students and their in- and out-of-school literacies, the "invisible homeless"--those who often decline to self-identify--receive inadequate scholarly attention. They are often individuals who fear the stigma associated with homelessness as they navigate workplace, academic, and…

  10. Victimization and Posttraumatic Stress Disorder among Homeless Adolescents.

    ERIC Educational Resources Information Center

    Stewart, Angela J.; Steiman, Mandy; Cauce, Ana Mari; Cochran, Bryan N.; WhiteBeck, Les B.; Hoyt, Dan R.

    2004-01-01

    Objective: To examine street victimization and posttraumatic stress symptoms among urban homeless adolescents and to test whether emotional numbing and avoidance represent distinct posttraumatic stress disorder (PTSD) symptom clusters. Method: Structured, private interviews were conducted with homeless adolescents (N = 374) in the Seattle…

  11. The Invisible Crisis: Connecting Schools with Homeless Families

    ERIC Educational Resources Information Center

    Shields, Carolyn M.; Warke, Amy

    2010-01-01

    Children and youth represent a growing proportion of the homeless population. Using the lens of transformative leadership, this multifamily case study explores the realities of homeless children, the challenges their families face, and the role of school leaders in ensuring that they receive a quality education. It recommends that leaders (1)…

  12. Homelessness and Young Children: Early Childhood Care and Education. Minibibliography

    ERIC Educational Resources Information Center

    Goode, Susan, Comp.; Shaw, Evelyn, Comp.

    2006-01-01

    Under the Individuals with Disabilities Education Improvement Act of 2004, states must have policies and procedures in place that ensure timely assessment, appropriate services, and continuity of services for children with disabilities who are homeless. IDEA 2004 specifically requires states to comply with the McKinney-Vento Homeless Assistance…

  13. West Nile Virus Infection among the Homeless, Houston, Texas1

    PubMed Central

    Meyer, Tamra E.; Bull, Lara M.; Holmes, Kelly Cain; Pascua, Rhia F.; Travassos da Rosa, Amelia; Gutierrez, Christian R.; Corbin, Tracie; Woodward, Jennifer L.; Taylor, Jeffrey P.; Tesh, Robert B.

    2007-01-01

    Among 397 homeless participants studied, the overall West Nile virus (WNV) seroprevalence was 6.8%. Risk factors for WNV infection included being homeless >1 year, spending >6 hours outside daily, regularly taking mosquito precautions, and current marijuana use. Public health interventions need to be directed toward this high-risk population. PMID:18257995

  14. Homeless Families' Education Networks: An Examination of Access and Mobilization

    ERIC Educational Resources Information Center

    Miller, Peter M.

    2011-01-01

    Purpose: This study sought deeper understanding of how sheltered families accessed and mobilized educationally related relationships and resources during periods of homelessness. Such work is posited to be especially relevant considering that there is a growing crisis of family homelessness in the United States and school- and community-based…

  15. Substance Use and Health and Safety among Homeless Youth

    ERIC Educational Resources Information Center

    Rhule-Louie, Dana M.; Bowen, Sarah; Baer, John S.; Peterson, Peggy L.

    2008-01-01

    This study examines how substance use is associated with the health and safety of homeless youth using cross-sectional, self-report data from 285 homeless adolescents. Path models were used to examine concurrent relationships between youth's substance use and multiple aspects of their health and safety, including measures of psychological…

  16. Pregnancy and Sexual Health among Homeless Young Injection Drug Users

    ERIC Educational Resources Information Center

    Hathazi, Dodi; Lankenau, Stephen E.; Sanders, Bill; Bloom, Jennifer Jackson

    2009-01-01

    Research on pregnancy and sexual health among homeless youth is limited. In this study, qualitative interviews were conducted with 41 homeless young injection drug users (IDUs) in Los Angeles with a history of pregnancy. The relationship between recent pregnancy outcomes, contraception practices, housing status, substance use, utilization of…

  17. Mental health issues affecting homeless women: implications for intervention.

    PubMed

    Buckner, J C; Bassuk, E L; Zima, B T

    1993-07-01

    A review of the relevant literature is followed by an exploration of the complex relationship, especially for women, between homelessness and mental health. Various mental health and gender-related concerns that have implications for the design of interventions for homeless women are explored. PMID:8372905

  18. 38 CFR 61.30 - Per diem-general.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.30 Per diem-general. VA provides per diem funds to... of supportive housing or services after November 10, 1992 so they can assist homeless veterans...

  19. Death, drugs, and disaster: mortality among New Orleans' homeless.

    PubMed

    Rayburn, Rachel L; Pals, Heili; Wright, James D

    2012-01-01

    Tracking homeless individuals over time has proved to be extremely difficult; thus, only limited longitudinal data on the homeless exist. We analyze longitudinal data originally collected from the New Orleans Homeless Substance Abusers Program in 1991-1993, supplemented with mortality data for the same sample by year 2010. We use social bonding theory to examine the effect of conventional social ties on mortality among a sample of substance abusing homeless people. This is of special concern when researching the older homeless persons. We find that social bonding theory does not help to understand mortality among this population. However, alcohol abuse, as compared to crack cocaine, does increase the likelihood of early mortality. PMID:22616445

  20. A Qualitative Study of the Formation and Composition of Social Networks Among Homeless Youth

    PubMed Central

    Tyler, Kimberly A.; Melander, Lisa A.

    2011-01-01

    Although social networks are essential for explaining protective and risk factors among homeless youth, little is known about the formation and composition of these groups. In this study, we utilized 19 in-depth interviews with homeless youth to investigate their social network formation, role relationships, housing status, and network member functions. Our findings reveal that the formation of these networks occurred in different ways including meeting network members through others or in specific social situations. The majority of social network members were currently housed and provided various functions including instrumental and social support and protection. Responses from participants provide valuable insight into the formation of social networks and potentially explain their subsequent involvement in risky behaviors. PMID:22121330

  1. Client-server, distributed database strategies in a healthcare record system for a homeless population.

    PubMed

    Chueh, H C; Barnett, G O

    1993-01-01

    A computer-based healthcare record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server and distributed database technologies to enhance the delivery of healthcare to patients of this unusual population. The needs of physicians, nurses and social workers are specifically addressed in the application interface so that an integrated approach to healthcare for this population can be facilitated. These patients and their providers have unique medical information needs that are supported by both database and applications technology. To integrate the information capabilities with the actual practice of providers of care to the homeless, this computer-based record system is designed for remote and portable use over regular phone lines. An initial standalone system is being used at one major BHCHP site of care. This project describes methods for creating a secure, accessible, and scalable computer-based medical record using client-server, distributed database design. PMID:8130445

  2. Risk Factors for Long-Term Homelessness: Findings From a Longitudinal Study of First-Time Homeless Single Adults

    PubMed Central

    Caton, Carol L. M.; Dominguez, Boanerges; Schanzer, Bella; Hasin, Deborah S.; Shrout, Patrick E.; Felix, Alan; McQuistion, Hunter; Opler, Lewis A.; Hsu, Eustace

    2005-01-01

    Objectives. We examined risk factors for long-term homelessness among newly homeless men and women who were admitted to New York City shelters in 2001 and 2002. Methods. Interviews were conducted with 377 study participants upon entry into the shelter and at 6-month intervals for 18 months. Standardized assessments of psychiatric diagnosis, symptoms, and coping skills; social and family history; and service use were analyzed. Kaplan—Meier survival analysis and Cox regression were used to examine the association between baseline assessments and duration of homelessness. Results. Eighty-one percent of participants returned to community housing during the follow-up period; the median duration of homelessness was 190 days. Kaplan—Meier survival analysis showed that a shorter duration of homelessness was associated with younger age, current or recent employment, earned income, good coping skills, adequate family support, absence of a substance abuse treatment history, and absence of an arrest history. Cox regression showed that older age group P<.05) and arrest history (P<.01) were the strongest predictors of a longer duration of homelessness. Conclusions. Identification of risk factors for long-term homelessness can guide efforts to reduce lengths of stay in homeless shelters and to develop new preventive interventions. PMID:16131638

  3. For Whom the Bell Tolls. The Institutionalization of Homeless Families in America. A Report of Homes for the Homeless.

    ERIC Educational Resources Information Center

    Institute for Children and Poverty, New York, NY.

    This report addresses the failure of U.S. systems of support for homeless families, the impact of this failure on the nature of poverty across the country, and common sense options for turning failure into success. Extensive histories of participation in U.S. institutions of support are not spread evenly across the homeless population. While about…

  4. Flexural Stiffness of Myosin Va Subdomains as Measured from Tethered Particle Motion.

    PubMed

    Michalek, Arthur J; Kennedy, Guy G; Warshaw, David M; Ali, M Yusuf

    2015-01-01

    Myosin Va (MyoVa) is a processive molecular motor involved in intracellular cargo transport on the actin cytoskeleton. The motor's processivity and ability to navigate actin intersections are believed to be governed by the stiffness of various parts of the motor's structure. Specifically, changes in calcium may regulate motor processivity by altering the motor's lever arm stiffness and thus its interhead communication. In order to measure the flexural stiffness of MyoVa subdomains, we use tethered particle microscopy, which relates the Brownian motion of fluorescent quantum dots, which are attached to various single- and double-headed MyoVa constructs bound to actin in rigor, to the motor's flexural stiffness. Based on these measurements, the MyoVa lever arm and coiled-coil rod domain have comparable flexural stiffness (0.034 pN/nm). Upon addition of calcium, the lever arm stiffness is reduced 40% as a result of calmodulins potentially dissociating from the lever arm. In addition, the flexural stiffness of the full-length MyoVa construct is an order of magnitude less stiff than both a single lever arm and the coiled-coil rod. This suggests that the MyoVa lever arm-rod junction provides a flexible hinge that would allow the motor to maneuver cargo through the complex intracellular actin network. PMID:26770194

  5. Flexural Stiffness of Myosin Va Subdomains as Measured from Tethered Particle Motion

    PubMed Central

    Michalek, Arthur J.; Kennedy, Guy G.; Warshaw, David M.; Ali, M. Yusuf

    2015-01-01

    Myosin Va (MyoVa) is a processive molecular motor involved in intracellular cargo transport on the actin cytoskeleton. The motor's processivity and ability to navigate actin intersections are believed to be governed by the stiffness of various parts of the motor's structure. Specifically, changes in calcium may regulate motor processivity by altering the motor's lever arm stiffness and thus its interhead communication. In order to measure the flexural stiffness of MyoVa subdomains, we use tethered particle microscopy, which relates the Brownian motion of fluorescent quantum dots, which are attached to various single- and double-headed MyoVa constructs bound to actin in rigor, to the motor's flexural stiffness. Based on these measurements, the MyoVa lever arm and coiled-coil rod domain have comparable flexural stiffness (0.034 pN/nm). Upon addition of calcium, the lever arm stiffness is reduced 40% as a result of calmodulins potentially dissociating from the lever arm. In addition, the flexural stiffness of the full-length MyoVa construct is an order of magnitude less stiff than both a single lever arm and the coiled-coil rod. This suggests that the MyoVa lever arm-rod junction provides a flexible hinge that would allow the motor to maneuver cargo through the complex intracellular actin network. PMID:26770194

  6. Maximizing Credit Accrual and Recovery for Homeless Students. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2010

    2010-01-01

    Middle and high school students experiencing homelessness often face challenges in accruing credits. Class offerings, methods of calculating credits, and graduation requirements can vary greatly among school districts. Students who change schools late in high school can find themselves suddenly in danger of not graduating due to differing class…

  7. Personal Resources and Homelessness in Early Life: Predictors of Depression in Consumers of Homeless Multiservice Centers

    ERIC Educational Resources Information Center

    DeForge, Bruce R.; Belcher, John R.; O'Rourke, Michael; Lindsey, Michael A.

    2008-01-01

    This study explored the relationship between personal resources and previous adverse life events such as homelessness and depression. Participants were recruited from two church sponsored multisite social service centers in Anne Arundel County, Maryland. The interview included demographics and several standardized scales to assess history of…

  8. An Analysis of Homeless Veterans Participating in the Homeless Veteran Reintegration Program

    ERIC Educational Resources Information Center

    Campbell, Katrina Lanelle

    2010-01-01

    The purpose of this study was to conduct an analysis on ex post facto data of the federal grant supported Homeless Veterans Reintegration Program (HVRP) administered at Goodwill Industries of Lower South Carolina. Pre-existing data on variables such as performance goals, training activities, support services, and demographics from program years…

  9. Homelessness: Local Program Planning and Review Guides Services for Homeless Children and Youth

    ERIC Educational Resources Information Center

    Iowa Department of Education, 2004

    2004-01-01

    Three review formats are enclosed in this publication, along with two basic service checklists and a comprehensive program review guide. These formats were developed to serve as tools to be used locally by school district personnel and Boards of Education in the development of quality policies and procedures to serve homeless children and youth.…

  10. Job Training and Employment Services for Homeless Persons with Alcohol and Other Drug Problems. A Technical Assistance Paper.

    ERIC Educational Resources Information Center

    Bennett, Gerald; And Others

    This report summarizes the relevant research that connects homelessness, alcohol and other drug abuse, and employment and job training services. It draws on the National Institute on Alcohol Abuse and Alcoholism and the Department of Labor demonstration projects as well as other programs to provide examples of various innovative programs across…

  11. Monetary Incentives to Reinforce Engagement and Achievement in a Job-Skills Training Program for Homeless, Unemployed Adults

    ERIC Educational Resources Information Center

    Koffarnus, Mikhail N.; Wong, Conrad J.; Fingerhood, Michael; Svikis, Dace S.; Bigelow, George E.; Silverman, Kenneth

    2013-01-01

    The current study examined whether monetary incentives could increase engagement and achievement in a job-skills training program for unemployed, homeless, alcohol-dependent adults. Participants (n?=?124) were randomized to a no-reinforcement group (n?=?39), during which access to the training program was provided but no incentives were given; a…

  12. Clearing the Path to School Success for Students in Out-of-Home Care. Best Practices in Homeless Education

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2009

    2009-01-01

    The Legal Center for Foster Care and Education and the National Center for Homeless Education present this guide to help educators and child welfare advocates clear the path to school success for children and youth who are forced to leave their homes due to abuse, neglect, and family dysfunction. Two federal laws, among others, provide tools to…

  13. Do Older Rural and Urban Veterans Experience Different Rates of Unplanned Readmission to VA and Non-VA Hospitals?

    ERIC Educational Resources Information Center

    Weeks, William B.; Lee, Richard E.; Wallace, Amy E.; West, Alan N.; Bagian, James P.

    2009-01-01

    Context: Unplanned readmission within 30 days of discharge is an indicator of hospital quality. Purpose: We wanted to determine whether older rural veterans who were enrolled in the VA had different rates of unplanned readmission to VA or non-VA hospitals than their urban counterparts. Methods: We used the combined VA/Medicare dataset to examine…

  14. 75 FR 61859 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ....kessinger@va.gov . Please refer to ``OMB Control No. 2900-0474'' in any correspondence. During the comment... AFFAIRS Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA... (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on...

  15. 75 FR 61252 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ....kessinger@va.gov . Please refer to ``OMB Control No. 2900-0474'' in any correspondence. During the comment... AFFAIRS Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA... (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on...

  16. 78 FR 59771 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ...), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email nancy.kessinger@va.gov... AFFAIRS Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA... (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on...

  17. Agreement Between HEDIS Performance Assessments in the VA and Medicare Advantage: Is Quality in the Eye of the Beholder?

    PubMed

    Trivedi, Amal N; Wilson, Ira B; Charlton, Mary E; Kizer, Kenneth W

    2016-01-01

    Medicare Advantage (MA) plans and the Veterans Affairs (VA) health care system assess quality of care using standardized Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Little is known, however, about the relative accuracy of quality indicators for persons receiving care in more than one health care system. Among Veterans dually enrolled in an MA plan, we examined the agreement between MA and VA HEDIS assessments. Our study tested the hypothesis that private health plans underreport quality of care relative to a fully integrated delivery system utilizing a comprehensive electronic health record. Despite assessing the same individuals using identical measure specifications, reported VA performance was significantly better than reported MA performance for all 12 HEDIS measures. The VA's performance advantage ranged from 9.8% (glycosylated hemoglobin [HbA1c] < 7.0% in diabetes) to 54.7% (blood pressure < 140/90 mm Hg in diabetes). The overall agreement between VA and MA HEDIS assessments ranged from 38.5% to 62.6%. Performance rates derived from VA and MA aggregate data were 1.6% to 14.3% higher than those reported by VA alone. This analysis suggests that neither MA plans nor the VA fully capture quality of care information for dually enrolled persons. However, the VA's system-wide electronic health record may allow for more complete capture of quality information across multiple providers and settings. PMID:27033565

  18. A Randomized Control Trial of a Chronic Care Intervention for Homeless Women with Alcohol Use Problems

    PubMed Central

    Upshur, Carole; Weinreb, Linda; Bharel, Monica; Reed, George; Frisard, Christine

    2014-01-01

    A clinician-randomized trial was conducted using the chronic care model for disease management for alcohol use problems among n=82 women served in a health care for the homeless clinic. Women with problem alcohol use received either usual care or an intervention consisting of a Primary Care Provider (PCP) brief intervention, referral to addiction services, and on-going support from a Care Manager (CM) for 6 months. Both groups significantly reduced their alcohol consumption, with a small effect size favoring intervention at 3 months, but there were no significant differences between groups in reductions in drinking or in housing stability, or mental or physical health. However, intervention women had significantly more frequent participation in substance use treatment services. Baseline differences and small sample size limit generalizability, although substantial reductions in drinking for both groups suggest screening and PCP brief treatment are promising interventions for homeless women with alcohol use problems. PMID:25488504

  19. Defining the Meaning of Spirituality Through a Qualitative Case Study of Sheltered Homeless Women.

    PubMed

    Hurlbut, Jené; Ditmyer, Marcia

    2016-01-01

    The primary purpose of this case study was to assess the meaning of spirituality in a convenience sample of women located in an urban city in the southwest United States. The secondary purpose was to describe their lived experiences associated with spirituality. From these interviews five themes emerged: Belief in God or a Higher Power, Distinction Between Religion and Spirituality, Belief That There Is a Plan for Their Lives, Spirituality Providing Guidance for What Is Right/Wrong, and Belief That Their Lives Will Improve. These findings support the perceived fundamental importance of spirituality in the lives of homeless women. Nurses and other clinicians can use this information to develop interventions to help support women using spirituality practices and to help improve the outlook of homelessness for these women. PMID:26902440

  20. A randomized control trial of a chronic care intervention for homeless women with alcohol use problems.

    PubMed

    Upshur, Carole; Weinreb, Linda; Bharel, Monica; Reed, George; Frisard, Christine

    2015-04-01

    A clinician-randomized trial was conducted using the chronic care model for disease management for alcohol use problems among n = 82 women served in a health care for the homeless clinic. Women with problem alcohol use received either usual care or an intervention consisting of a primary care provider (PCP) brief intervention, referral to addiction services, and on-going support from a care manager (CM) for 6 months. Both groups significantly reduced their alcohol consumption, with a small effect size favoring intervention at 3 months, but there were no significant differences between groups in reductions in drinking or in housing stability, or mental or physical health. However, intervention women had significantly more frequent participation in substance use treatment services. Baseline differences and small sample size limit generalizability, although substantial reductions in drinking for both groups suggest that screening and PCP brief treatment are promising interventions for homeless women with alcohol use problems. PMID:25488504

  1. [Health assistance to homeless people in a health unit in São Paulo city].

    PubMed

    Canônico, Rhavana Pilz; Tanaka, Ana Cristina D'Andretta; Mazza, Márcia Maria Porto Roccetto; de Fátima e Souza, Maria; Bernat, Maria Cristina; Junqueira, Luciana Xavier

    2007-12-01

    Geraldo Honório de Paula Souza health unit is located close to the Public Health College at University de São Paulo and has largely contributed to improve education in the health field. As it registers just population who live in a specific location nearly, it has also provided help to the homeless people in the area of Pinheiros couting on the support of the Program Gente de Rua, a partnership between Social Center Nossa Senhora do Bom Parto and Health Secretary of São Paulo municipality. This program consists of three communitarian agents and a nurse who take care of this population in the health center. The agents first contact homeless people who can be later assisted by a heath team in the unit. Assistance also includes visits by the agents and the nurse from the program, taking into consideration the principle of equity of Brazilian Unified Health System. PMID:20608380

  2. Keep your sunny side: a street-level look at homelessness.

    PubMed

    Frischmuth, Stephen Giles

    2014-06-01

    This opinion piece considers my personal experiences of poverty, homelessness, loss, and physical disability in relation to recent discussions of social defeat and resistance among permanent supported housing tenants with physical and mental illnesses. By drawing attention to the onslaught of deprivation and humiliation that generally comes with the territory of poverty and homelessness in the United States, I hope to influence the ways in which clinicians, social service providers, and scholars think about specific instances of social defeat and resistance. My basic point is that any specific experience of resistance or defeat cannot be adequately understood in isolation. Rather, such experiences must be understood in relation to individual life histories of defeat and resistance, and to the symbolic and material sources of success and failure available to citizens who occupy a particular section of social space in a given society. PMID:24682833

  3. Methods for successful follow-up of elusive urban populations: an ethnographic approach with homeless men.

    PubMed Central

    Conover, S.; Berkman, A.; Gheith, A.; Jahiel, R.; Stanley, D.; Geller, P. A.; Valencia, E.; Susser, E.

    1997-01-01

    Public health is paying increasing attention to elusive urban populations such as the homeless, street drug users, and illegal immigrants. Yet, valid data on the health of these populations remain scarce; longitudinal research, in particular, has been hampered by poor follow-up rates. This paper reports on the follow-up methods used in two randomized clinical trials among one such population, namely, homeless men with mental illness. Each of the two trials achieved virtually complete follow-up over 18 months. The authors describe the ethnographic approach to follow-up used in these trials and elaborate its application to four components of the follow-up: training interviewers, tracking participants, administering the research office, and conducting assessments. The ethnographic follow-up method is adaptable to other studies and other settings, and may provide a replicable model for achieving high follow-up rates in urban epidemiologic studies. PMID:9211004

  4. [A Street Clinic in a state capital in Northeast Brazil from the perspective of homeless people].

    PubMed

    Ferreira, Cíntia Priscila da Silva; Rozendo, Célia Alves; Melo, Givânya Bezerra de

    2016-08-01

    The objective of this study was to evaluate the Street Clinic strategy in Maceió, Alagoas State, Brazil, from the perspective of its users. This was a qualitative study in coverage areas of the Street Clinic in Maceió. Research subjects were 18 homeless individuals assisted by the clinic (10 men and 8 women), ranging from 20 to 40 years of age. Data were collected from September 2014 to February 2015 using a semi-structured interview. Content analysis was applied to the data and identified two categories: the first, the Street Clinic as such, revealed the strategy's critical points, challenges, and potentialities; the second showed the Street Clinic as social support, affect, and hope for change for the homeless. The strategy was rated positively by users, providing social support on health problems and other daily issues. PMID:27509548

  5. 38 CFR 61.53 - Rating criteria for technical assistance grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.53 Rating... homeless veterans; (2) Ability to find and offer technical assistance to entities eligible for...

  6. 38 CFR 61.81 - Outreach activities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.81 Outreach activities. Recipients of capital.... Accordingly, a recipient should search for homeless veterans at places such as shelters, soup kitchens,...

  7. 38 CFR 61.12 - Threshold requirements for capital grant applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM § 61.12 Threshold... population proposed to be served is homeless veterans; (d) The activities for which assistance is...

  8. Making a home for the homeless in hate crime legislation.

    PubMed

    Al-Hakim, Mohamad

    2015-06-01

    Several jurisdictions in the United States (e.g., Florida and Washington) have recently incorporated the status of "homeless" under the protection of hate crime legislation. This was largely promoted by new data and reports by the National Coalition for the Homeless urging added protection for the homeless. The issue of whether the homeless belong under hate crime provisions raises the following question: What criteria must a group meet to be eligible for its inclusion? What similarities do the homeless have with other protected groups? Finally, what implications does the recognition of economic status have on other economic groups, particularity the top wealthy 1%? In this article, I explore some of the issues raised by including the homeless as a protected group. I survey several rationales offered for the selection of protected characteristics. I argue that the rationales currently offered suffer from descriptive inadequacy by either being under- or over-inclusive. I turn instead to the political conception of "disadvantage" for an identity marker that better explains the link between the various protected groups and identities under hate crime legislation. Moreover, the use of disadvantage allows for the inclusion of the homeless without the need for incorporating other socio-economic identities. PMID:25228595

  9. Depression Symptoms among Homeless Smokers: Effect of Motivational Interviewing

    PubMed Central

    Robinson, Cendrine; Rogers, Charles R.; Okuyemi, Kola

    2016-01-01

    Background Tobacco use is higher among homeless individuals than the general population. Homeless individuals are also more likely to have symptoms of depression. Depression symptoms may add to the burden of homelessness by increasing psychological distress and serve as a barrier to quitting smoking. Objectives The primary goal of this study was to assess the impact of depression symptoms on psychological distress in homeless smokers. The effect of depression symptoms on abstinence and the effect of Motivational Interviewing (MI) on cessation among smokers was also explored. Methods Homeless smokers (N=430) enrolled in a smoking cessation study were randomized to Motivational Interviewing (MI) or standard care (SC). Participants received nicotine replacement therapy and were followed for 26 weeks. Participants were categorized into a depression symptoms (DS) group or control group using the Patient Health Questionnaire-9. Between group differences of perceived stress, hopelessness, confidence, craving and abstinence were assessed at weeks 8 and 26. The interaction between depression symptoms (levels: DS and control) and the intervention (levels: MI and SC) was also assessed. Results Homeless smokers in the DS group reported higher levels of hopelessness, perceived stress, and craving. There was no effect of DS status on abstinence at week 8 or week 26. There was no significant interaction between depression symptoms (DS vs. Control) and the intervention (MI vs. SC). Conclusion Despite reporting greater psychological distress, homeless smokers with depression symptoms in this sample had abstinence levels similar to the control group. Future research should explore protective factors among depressed smokers. PMID:27267588

  10. The prevalence of homelessness among adolescents in the United States.

    PubMed Central

    Ringwalt, C L; Greene, J M; Robertson, M; McPheeters, M

    1998-01-01

    OBJECTIVES: Homeless adolescents represent one of the nation's most vulnerable populations. This study reports the 12-month prevalence of homeless episodes among US adolescents. METHODS: Personal, audiotaped interviews were conducted in 1992 and 1993 with a representative household sample of 6496 adolescents aged 12 to 17 as part of the Youth Risk behavior Survey sponsored by the Centers for Disease Control and Prevention. Respondents reported whether they had spent the night in any of a variety of locations other than home during the previous 12 months. RESULTS: Altogether, 7.6% of the youths questioned reported that they had spent at least 1 night in youth or adult shelter (3.3%), public place (2.2%), an abandoned building (1.0%), outside 2.2%), underground (0.4%), or with a stranger (1.1%). Boys were much more likely than girls to report having experienced a homeless episode. CONCLUSIONS: This study suggests that homelessness among adolescents is not simply an urban problem and that prevention programs targeting homeless youths should be implemented nationwide. Additional research is needed to assess the frequency and duration of homeless experiences. Future studies of homelessness in the general population should include questions pertinent to adolescents. PMID:9736871

  11. Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered “Street” Homeless?

    PubMed Central

    2010-01-01

    Individuals experiencing homelessness have disproportionately high rates of health problems. Those who perceive themselves as having greater access to their social support networks have better physical and mental health outcomes as well as lower rates of victimization. Mobile phones offer a connection to others without the physical constraints of landlines and, therefore, may make communication (e.g., access to one’s social support networks) more feasible for homeless individuals. This, in turn, could lead toward better health outcomes. This exploratory study examined mobile phone possession and use among a sample of 100 homeless men and women who do not use the shelter system in Philadelphia, PA. Interviews were comprised of the Homeless Supplement to the Diagnostic Interview Schedule, a technology module created for this investigation, and the substance use and psychiatric sections of the Addiction Severity Index. Almost half (44%) of the sample had a mobile phone. In the past 30 days, 100% of those with mobile phones placed or received a call, over half (61%) sent or received a text message, and one fifth (20%) accessed the Internet via their mobile phone. Participants possessed and used mobile phones to increase their sense of safety, responsibility (employment, stable housing, personal business, and sobriety or “clean time”), and social connectedness. Mobile phones could potentially be used by public health/health care providers to disseminate information to the street homeless, to enhance communication between the street homeless and providers, and to increase access for the street homeless to prevention, intervention, and aftercare services. Finally, this technology could also be used by researchers to collect data with this transient population. PMID:20397058

  12. Down and Out in London: Addictive Behaviors in Homelessness.

    PubMed

    Sharman, Steve; Dreyer, Jenny; Clark, Luke; Bowden-Jones, Henrietta

    2016-06-01

    Backgrounds and aims Problem gambling occurs at higher levels in the homeless than the general population. Past work has not established the extent to which problem gambling is a cause or consequence of homelessness. This study sought to replicate recent observations of elevated rates of problem gambling in a British homeless sample, and extend that finding by characterizing (a) the temporal sequencing of the effect, (b) relationships with drug and alcohol misuse, and (c) awareness and access of treatment services for gambling by the homeless. Methods We recruited 72 participants from homeless centers in Westminster, London, and used the Problem Gambling Severity Index to assess gambling involvement, as well as DSM-IV criteria for substance and alcohol use disorders. A life-events scale was administered to establish the temporal ordering of problem gambling and homelessness. Results Problem gambling was evident in 23.6% of the sample. In participants who endorsed any gambling symptomatology, the majority were categorized as problem gamblers. Within those problem gamblers, 82.4% indicated that gambling preceded their homelessness. Participants displayed high rates of substance (31.9%) and alcohol dependence (23.6%); these were not correlated with PGSI scores. Awareness of treatment for gambling was significantly lower than for substance and alcohol use disorders, and actual access of gambling support was minimal. Discussion and conclusions Problem gambling is an under-recognized health issue in the homeless. Our observation that gambling typically precedes homelessness strengthens its role as a causal factor. Despite the elevated prevalence rates, awareness and utilization of gambling support opportunities were low compared with services for substance use disorders. PMID:27348556

  13. KENO V.a certification package

    SciTech Connect

    Niemer, K.A.

    1994-04-01

    KENO V.a has been certified. KENO V.a is a multigroup Monte Carlo criticality program used to calculate the k-effective of a 3-D system. It is part of the SCALE modular code system for performing Standardized Computer Analyses for Licensing Evaluation. SCALE was developed for the Nuclear Regulatory Commission to satisfy a need for a standardized method of analysis for the evaluation of nuclear fuel facility and package designs. In its present form, the system has the capability to perform criticality, shielding, and heat transfer analyses using well established functional modules tailored to the SCALE system. KENO V.a will be used at SRS to perform critical calculations related to nuclear criticality safety.

  14. Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses.

    PubMed

    Castellow, Jennifer; Kloos, Bret; Townley, Greg

    2015-08-01

    This paper argues that the experience of homelessness is inherently traumatic and thus has the potential to affect the manifestation of mental illness. The experiences related to being homeless might act as specific and unique sources of vulnerability. This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homelessness might contribute to psychosocial vulnerability to negative mental health outcomes. Future investigations examining this concept of risk and vulnerability as a result of homelessness are in order. PMID:25566947

  15. The U.S. Homeless Student Population: Homeless Youth Education, Review of Research Classifications and Typologies, and the U.S. Federal Legislative Response

    ERIC Educational Resources Information Center

    Rahman, Mai Abdul; Turner, J. Fidel; Elbedour, Salman

    2015-01-01

    Background: The drastic surge in the number of homeless families in the United States (U.S.) has resulted in an increase in the number of homeless students attending U.S. public schools. Meanwhile, the U.S. public school system is struggling to meet the educational needs of their homeless students. Objective: This study examined the historical…

  16. Unaccompanied, Unidentified and Uncounted: Developing Strategies to Meet the Needs of America's Homeless Youth. Issue Brief on the Education of Unaccompanied Homeless Youth

    ERIC Educational Resources Information Center

    Appleseed, 2012

    2012-01-01

    Unaccompanied homeless youth appear to be one of the fastest growing and most vulnerable segments of the larger homeless population, but flawed information-gathering by government entities makes it impossible to be sure. This issue brief examines reasons why the plight of unaccompanied homeless youth is not fully captured through current models of…

  17. Prep/Tech: Volume 1, No. 1, Youth on homelessness

    SciTech Connect

    1995-12-31

    PREP/TECH is a skill development, academic enrichment program of U. of Toledo in Toledo OH and The Engineers Foundation of Ohio; it addresses the mathematics, science, language, and intellectual needs of about 100 African-American and Hispanic-American 7th, 8th, and 9th graders in Toledo. This summer, after 3 weeks of classes, the 80 students returned for a second 3 week session and were divided into two groups, one studying the growing problem of homelessness in America. This group researched and published a pamphlet on homelessness. This report is divided into: myths, causes, descriptions, and solutions. Finally, a brief account is given of the homelessness project.

  18. Semi-nonparametric VaR forecasts for hedge funds during the recent crisis

    NASA Astrophysics Data System (ADS)

    Del Brio, Esther B.; Mora-Valencia, Andrés; Perote, Javier

    2014-05-01

    The need to provide accurate value-at-risk (VaR) forecasting measures has triggered an important literature in econophysics. Although these accurate VaR models and methodologies are particularly demanded for hedge fund managers, there exist few articles specifically devoted to implement new techniques in hedge fund returns VaR forecasting. This article advances in these issues by comparing the performance of risk measures based on parametric distributions (the normal, Student’s t and skewed-t), semi-nonparametric (SNP) methodologies based on Gram-Charlier (GC) series and the extreme value theory (EVT) approach. Our results show that normal-, Student’s t- and Skewed t- based methodologies fail to forecast hedge fund VaR, whilst SNP and EVT approaches accurately success on it. We extend these results to the multivariate framework by providing an explicit formula for the GC copula and its density that encompasses the Gaussian copula and accounts for non-linear dependences. We show that the VaR obtained by the meta GC accurately captures portfolio risk and outperforms regulatory VaR estimates obtained through the meta Gaussian and Student’s t distributions.

  19. Randomised controlled trial of GP-led in-hospital management of homeless people ('Pathway').

    PubMed

    Hewett, Nigel; Buchman, Peter; Musariri, Jeflyn; Sargeant, Christopher; Johnson, Penny; Abeysekera, Kushala; Grant, Louise; Oliver, Emily A; Eleftheriades, Christopher; McCormick, Barry; Halligan, Aidan; Marlin, Nadine; Kerry, Sally; Foster, Graham R

    2016-06-01

    Homeless people have complex problems. GP enhanced care (Pathway) has shown benefits. We performed a randomised, -parallel arm trial at two large inner city hospitals. Inpatient homeless adults were randomly allocated to either standard care (all management by the hospital-based clinical team) or enhanced care with input from a homeless care team. The hospital data system provided healthcare usage information, and we used questionnaires to assess quality of life. 206 patients were allocated to enhanced care and 204 to usual care. Length of stay (up to 90 days after admission) did not differ between groups (standard care 14.0 days, enhanced care 13.3 days). Average reattendance at the emergency department within a year was 5.8 visits in the standard care group and 4.8 visits with enhanced care, but this decrease was not significant. -Quality of life scores after discharge (in 108 patients) improved with enhanced care (EQ-5D-5L score increased by 0.12 [95% CI 0.032 to 0.22] compared wtih 0.03 [-0.1 to 0.15; p=0.076] with standard care). The proportion of people sleeping on the streets after discharge was 14.6% in the standard care arm and 3.8% in the enhanced care arm (p=0.034). The quality-of-life cost per quality-adjusted life-year was £26,000. The Pathway approach doesn't alter length of stay but improves quality of life and reduces street -homelessness. PMID:27251910

  20. Safer-drinking Strategies Used by Chronically Homeless Individuals with Alcohol Dependence

    PubMed Central

    Grazioli, Véronique S.; Hicks, Jennifer; Kaese, Greta; Lenert, James; Collins, Susan E.

    2015-01-01

    Chronically homeless individuals with alcohol dependence experience severe alcohol-related consequences. It is therefore important to identify factors that might be associated with reduced alcohol-related harm, such as the use of safer-drinking strategies. Whereas effectiveness of safer-drinking strategies has been well-documented among young adults, no studies have explored this topic among more severely affected populations, such as chronically homeless individuals with alcohol dependence. The aims of this study were thus to qualitatively and quantitatively document safer-drinking strategies used in this population. Participants (N=31) were currently or formerly chronically homeless individuals with alcohol dependence participating in a pilot study of extended-release naltrexone and harm-reduction counseling. At weeks 0 and 8, research staff provided a list of safer-drinking strategies for participants to endorse. Implementation of endorsed safer-drinking strategies was recorded at the next appointment. At both time points, strategies to buffer the effects of alcohol on the body (e.g., eating prior to and during drinking) were most highly endorsed, followed by changing the manner in which one drinks (e.g., spacing drinks), and reducing alcohol consumption. Quantitative analyses indicated that all participants endorsed safer-drinking strategies, and nearly all strategies were implemented (80–90% at weeks 0 and 8, respectively). These preliminary findings indicate that chronically homeless people with alcohol dependence use strategies to reduce harm associated with their drinking. Larger randomized controlled trials are needed to test whether interventions that teach safer-drinking strategies may reduce overall alcohol-related harm in this population. PMID:25690515