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1

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

Federal Register 2010, 2011, 2012, 2013, 2014

...DEPARTMENT OF VETERANS AFFAIRS Veterans Health Administration Fund Availability Under the VA's Homeless Providers Grant and Per Diem Program AGENCY: Department of Veterans Affairs. ACTION: Notice...

2013-08-08

2

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

Code of Federal Regulations, 2013 CFR

...community-based providers. 63.10 Section 63.10 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of non-VA...

2013-07-01

3

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

Code of Federal Regulations, 2012 CFR

...community-based providers. 63.10 Section 63.10 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of non-VA...

2012-07-01

4

Homeless women's experiences of service provider encounters.  

PubMed

Service providers are gatekeepers to health-sustaining services and resources, although little is known about service encounters from the perspective of homeless women. We conducted in-depth semistructured interviews with 15 homeless women to better understand their experiences of service encounters. Using a phenomenological method, 160 significant statements were extracted from participant transcripts; more positive than negative interactions were reported. The 10 themes that emerged fall along a dehumanizing/humanizing continuum primarily separated by the power participants experienced in the interaction and the trust they felt in the service provider. Implications for nursing practice and research are offered. PMID:24528122

Biederman, Donna J; Nichols, Tracy R

2014-01-01

5

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

PubMed

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

Tsai, Jack; Rosenheck, Robert A

2014-01-01

6

Association of substance use and VA service-connected disability benefits with risk of homelessness among veterans.  

PubMed

Recent public attention on homelessness has shifted beyond emergency services and supportive housing to primary prevention. This study compares a national sample of homeless and nonhomeless Veterans Affairs (VA) mental health services users to determine risk and protective factors for homelessness. Using VA administrative data, veterans were identified as homeless (ie, used VA homeless services or received a diagnostic code for "lack of housing") or nonhomeless and compared using logistic regression. Additional analyses were conducted for two low-risk subgroups: veterans who served in current Middle East wars (Operation Enduring Freedom [OEF]/Operation Iraqi Freedom [OIF]) and veterans with ?50% service-connected disability. Among all VA mental health users, OEF/OIF (odds ratio [OR]) = 0.4) and ?50% service-connected (OR = .3) veterans were less likely to be homeless. In the overall and subgroup analyses, illicit drug use (OR = 3.3-4.7) was by far the strongest predictor of homelessness, followed by pathological gambling (PG) (OR = 2.0-2.4), alcohol use disorder (OR = 1.8-2.0), and having a personality disorder (OR = 1.6-2.2). In both low-risk groups, severe mental illness (schizophrenia or bipolar disorder), along with substance use disorders, PG, and personality disorders, increased homelessness risk. Substance use, PG, and personality disorders confer the greatest modifiable risk of homelessness among veterans using VA services, while service-connected disability conferred reduced risk. Clinical prevention efforts could focus on these factors.? PMID:21838839

Edens, Ellen L; Kasprow, Wes; Tsai, Jack; Rosenheck, Robert A

2011-01-01

7

Serving homeless veterans in the VA Desert Pacific Healthcare Network: a needs assessment to inform quality improvement endeavors.  

PubMed

This report describes a needs assessment of VA programs for homeless Veterans in Southern California and Nevada, the geographic region with the most homeless Veterans in the nation. The assessment was formulated through key informant interviews. Current service provisions are discussed, along with salient unmet needs for this vulnerable population. PMID:23974403

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

2013-08-01

8

Barriers and facilitators to Veterans Administration collaboration with community providers: the Lodge Project for homeless veterans.  

PubMed

Since 2009, the U.S. Veterans Administration has made concentrated efforts to end homelessness among veterans. As part of these efforts, the Iowa City, Iowa, VA Health Care System in collaboration with local community providers deployed a supportive housing program aimed at homeless veterans. Called the Lodge program, it is intended to serve a Mid-Western mid-size city and its surrounding rural communities. This article presents qualitative findings from a mixed-method, two-year formative evaluation of the Lodge's implementation. Primary barriers to the effectiveness of the Lodge program were regulations hindering cooperation between service programs, followed by problems regarding information sharing and client substance abuse. Facilitators included personal communication and cooperation between individuals within and among service groups. The feasibility of implementing a Lodge program in a more rural community than Iowa City was also discussed. PMID:25255336

Cretzmeyer, Margaret; Moeckli, Jane; Liu, William Ming

2014-01-01

9

77 FR 56712 - Agency Information Collection (Homeless Providers Grant and Per Diem Program) Activities Under...  

Federal Register 2010, 2011, 2012, 2013, 2014

...DEPARTMENT OF VETERANS AFFAIRS [OMB...Collection (Homeless Providers Grant...Review AGENCY: Veterans Health Administration...the Veterans Health Administration...Department of Veterans Affairs, will...Titles: a. Homeless Providers...

2012-09-13

10

Health care for homeless veterans. Final rule.  

PubMed

This final rule establishes regulations for contracting with community-based treatment facilities in the Health Care for Homeless Veterans (HCHV) program of the Department of Veterans Affairs (VA). The HCHV program assists certain homeless veterans in obtaining treatment from non-VA community-based providers. The final rule formalizes VA's policies and procedures in connection with this program and clarifies that veterans with substance use disorders may qualify for the program. PMID:21894657

2011-08-23

11

Program Design and Clinical Operation of Two National VA Initiatives for Homeless Mentally Ill Veterans  

Microsoft Academic Search

In 1987, in response to reports of large numbers of veterans among America's homeless, the Department of Veterans Affairs established two new national health care initiatives, which have seen over 40,000 homeless veterans since their inception. We present here evaluation and treatment data on a sample of 14,000 of them. Because of differences in their design, the two programs vary

Robert Rosenheck; Catherine A. Leda; Peggy Gallup

1992-01-01

12

Assessing the need for a medical respite: perceptions of service providers and homeless persons.  

PubMed

For homeless persons, posthospitalization care is increasingly provided in formal medical respite programs, and their success is now reported in the literature. However, there is a dearth of literature on posthospitalization transitional care for homeless persons in the absence of a respite program. Through this formative study, we sought to understand the process of securing posthospitalization care in the absence of a formal homeless medical respite. Results demonstrated a de facto patchwork respite process that has emerged. We describe both human and monetary costs associated with patchwork respite and demonstrate opportunities for improvement in homeless health care transitions. PMID:25051320

Biederman, Donna J; Gamble, Julia; Manson, Marigny; Taylor, Destry

2014-01-01

13

Collaborative initiative to help end chronic homelessness: introduction.  

PubMed

The Collaborative Initiative to Help End Chronic Homelessness was a coordinated effort by the US Departments of Health and Human Services (HHS), Housing and Urban Development (HUD), and Veterans Affairs (VA), and the US Interagency Council on Homelessness to house and provide comprehensive supportive services to individuals with serious psychiatric, substance use, health, and related disabilities who were experiencing long-term chronic homelessness. Eleven communities received 3-year grants from HHS and VA (2003-2006) and up to 5-year grants from HUD (2003-2008) to implement the initiative. This article provides background on chronic homelessness, describes the federal collaboration to comprehensively address chronic homelessness, and introduces the seven articles in this special issue that describe the findings and lessons learned from the participating communities in addressing chronic homelessness. Collectively, these articles offer insight into the challenges and benefits of providing housing and services to individuals experiencing chronic homelessness. PMID:19337841

Rickards, Lawrence D; McGraw, Sarah A; Araki, Lynnette; Casey, Roger J; High, Cynthia W; Hombs, Mary Ellen; Raysor, Robyn S

2010-04-01

14

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

ERIC Educational Resources Information Center

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…

Bowman, Diana; Barksdale, Katina

2004-01-01

15

CHOICES. A Resource for Literacy Providers and Homeless Families.  

ERIC Educational Resources Information Center

CHOICES, a literacy program for homeless families, piloted a program at the Women's Emergency Shelter in Champaign, Illinois and later expanded its services to A Woman's Place, a domestic violence shelter, in Urbana, Illinois. The CHOICES program offered weekly language activities for the children and gave mothers information about developing…

Koehler, Gwen; And Others

16

76 FR 75509 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013, 2014

...015, Veterans State Nursing Home Care; 64.018, Sharing Specialized Medical...022, Veterans Home Based Primary Care; and 64.024, VA Homeless Providers...Alcohol abuse; Alcoholism; Claims; Day care; Dental health; Drug abuse;...

2011-12-02

17

Are VA primary care providers aware of HIV testing recommendations for Veterans? Findings at an urban VA primary care clinic.  

PubMed

Given the prevalence of human immunodeficiency virus (HIV) in veterans and that nearly 90% of veterans have not been HIV tested, the Veterans Affairs (VA) has recommended routine HIV testing of all veterans.The objective of this study carried out at an urban VA primary care clinic was to assess provider knowledge of recent U.S. Centers for Disease Control and Prevention (CDC) and VA HIV testing recommendations and policies. Fifty-six primary care providers completed a survey. Nearly 40% of providers were unaware of the CDC recommendation to test all persons ages 13 to 64 in health care settings or the VA policy to test veterans of all ages. Over 75% of providers were unaware of the latest requirements for pre- and posttest counseling, and many were unaware of the latest consent process requirements. Educating VA providers about recent HIV testing recommendations and policies may improve the low HIV testing prevalence in the VA. PMID:23707836

Arya, Monisha; Bush, Amber L; Kallen, Michael A; Rodriguez-Barradas, Maria C; Giordano, Thomas P

2013-04-01

18

Street outreach and other forms of engagement with literally homeless veterans.  

PubMed

Street outreach is one of the most direct methods of engaging homeless individuals, but the characteristics of those most likely to be engaged this way is not well-understood. Data from the Department of Veterans Affairs (VA) Homeless Operations Management and Evaluation System showed that of the 70,778 literally homeless veterans engaged in VA homeless services in 2011-2012, 12% were through street outreach while the majority was through provider referrals (41%) and self-referrals (28%). Veterans engaged through street outreach had more extensive histories of recent homelessness, were more likely to be chronically homeless, and were more likely to be referred and admitted to the VA's supported housing program than other veterans. These findings suggest street outreach is an especially important approach to engaging chronic street homeless veterans in services and linking them to permanent supported housing. PMID:24858879

Tsai, Jack; Kasprow, Wesley J; Kane, Vincent; Rosenheck, Robert A

2014-05-01

19

Detecting earlier indicators of homelessness in the free text of medical records.  

PubMed

Early warning indicators to identify US Veterans at risk of homelessness are currently only inferred from administrative data. References to indicators of risk or instances of homelessness in the free text of medical notes written by Department of Veterans Affairs (VA) providers may precede formal identification of Veterans as being homeless. This represents a potentially untapped resource for early identification. Using natural language processing (NLP), we investigated the idea that concepts related to homelessness written in the free text of the medical record precede the identification of homelessness by administrative data. We found that homeless Veterans were much higher utilizers of VA resources producing approximately 12 times as many documents as non-homeless Veterans. NLP detected mentions of either direct or indirect evidence of homelessness in a significant portion of Veterans earlier than structured data. PMID:25000039

Redd, Andrew; Carter, Marjorie; Divita, Guy; Shen, Shuying; Palmer, Miland; Samore, Matthew; Gundlapalli, Adi V

2014-01-01

20

Comparing Homeless Persons’ Care Experiences in Tailored Versus Nontailored Primary Care Programs  

PubMed Central

Objectives. We compared homeless patients’ experiences of care in health care organizations that differed in their degree of primary care design service tailoring. Methods. We surveyed homeless-experienced patients (either recently or currently homeless) at 3 Veterans Affairs (VA) mainstream primary care settings in Pennsylvania and Alabama, a homeless-tailored VA clinic in California, and a highly tailored non-VA Health Care for the Homeless Program in Massachusetts (January 2011-March 2012). We developed a survey, the “Primary Care Quality-Homeless Survey," to reflect the concerns and aspirations of homeless patients. Results. Mean scores at the tailored non-VA site were superior to those from the 3 mainstream VA sites (P?providers (P?=?.004). There were 1.5- to 3-fold increased odds of an unfavorable experience in the domains of the patient–clinician relationship, cooperation, and access or coordination for the mainstream VA sites compared with the tailored non-VA site; the tailored VA site attained intermediate results. Conclusions. Tailored primary care service design was associated with a superior service experience for patients who experienced homelessness. PMID:24148052

Holt, Cheryl L.; Steward, Jocelyn L.; Jones, Richard N.; Roth, David L.; Stringfellow, Erin; Gordon, Adam J.; Kim, Theresa W.; Austin, Erika L.; Henry, Stephen Randal; Kay Johnson, N.; Shanette Granstaff, U.; O’Connell, James J.; Golden, Joya F.; Young, Alexander S.; Davis, Lori L.; Pollio, David E.

2013-01-01

21

A Comparison of Consumer and Provider Preferences for Research on Homeless Veterans  

Microsoft Academic Search

Despite the dramatic growth of homelessnessresearch, there have been no systematic assessments ofconsumer and provider preferences regarding the contentof this research. Therefore, 87 clients and 28 staff of a homeless veterans program wereadministered a 15-item questionnaire requestingidentification of the 5 “most” and 5“least” important research topics. Staff andclients differed significantly on 6 items considered mostimportant and 4 items considered least

Carl I. Cohen; Amelio D'Onofrio; Linda Larkin; Page Berkholder; Henrietta Fishman

1999-01-01

22

Communication enhancement and best practices for co-managing dual care rural Veteran patients by VA and non-VA providers: a survey study.  

PubMed

Many rural Veteran patients receive healthcare services from both Veterans Affairs (VA) and non-VA providers. Effective management of dual care Veteran patients to ensure the best clinical outcomes is a VA mission. The previous VA studies indicate that coordination between VA and non-VA providers has been lacking for dual care management of Veteran patients. In this study, we propose that VA proactively shares information with non-VA providers to enhance the communication process and identify the best practices to be carried out by both VA and non-VA providers for better coordination. Structured questionnaires are designed and distributed to VA and non-VA providers to obtain their evaluations on the proposed VA proactive information sharing approaches and the best practice items for dual care management. The non-VA provider respondents largely support the proposed proactive sharing items by VA, with the lowest average score being 3.96 out of a 5.0 scale on one item. In terms of the best practice items on co-managing dual care patients, three out of five items are overall rated higher than 4.0 from both sides. A pair-wise comparison between VA and non-VA perspectives further shows that the difference in average ratings of a proposed item could be significant. For such best practice items, the implementations from both sides may not be most effective. PMID:24306237

Shi, Jing; Peng, Yidong; Erdem, Ergin; Woodbridge, Peter; Fetrick, Ann

2014-06-01

23

National Coalition for Homeless Veterans  

MedlinePLUS

... President’s FY 2016 Proposed Budget Jeopardizes Services for Homeless and At-Risk Veterans Feb. 4, 2015 On ... of the federal government, including those that serve homeless and at-risk... continue VA Announces Availability of ...

24

Closing a front door to homelessness among veterans.  

PubMed

The U.S. Department of Veterans Affairs (VA) has been identified as a mainstream institution to help prevent homelessness among America's veterans. The large numbers of incarcerated veterans with serious mental illnesses and substance abuse disorders who are at risk for homelessness support the need for expanded VA outreach to this population. Since 2002, the VA has contacted almost 6,500 veterans in prison or jail. Its leadership role in affording comprehensive health, mental health, social resources, corrections outreach, and current policy and planning strategies positions the VA to provide system wide service to veterans leaving correctional institutions. As this VA outreach program proceeds, examining the links among program assumptions, veteran needs and outcomes, and existing evaluation processes can help to maintain focus on homelessness prevention strategies. PMID:17549637

McGuire, James

2007-07-01

25

Trust in health care providers: factors predicting trust among homeless veterans over time.  

PubMed

We examined whether a combination of predisposing, enabling, need, and primary care experience variables would predict trust in medical health care providers for homeless veterans over 18 months. Linear mixed model analysis indicated that, among these variables, race, social support, service-connected disability status, and satisfaction and continuity with providers predicted trust in provider over time. Trust in providers improved during the initial stages of the relationship between patient and provider and then declined to slightly below baseline levels over time. Further research is needed to determine generalizability and effects of provider trust on patient health care status over longer periods of time. PMID:25130239

van den Berk-Clark, Carissa; McGuire, James

2014-08-01

26

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

PubMed

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 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 different approaches to homeless services: the traditional or "treatment first" approach that requires abstinence, and the more recent housing first 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 harm reduction versus abstinence approaches. Themes included the following: (a) harm reduction as a welcomed alternative, (b) working with ambiguity, and (c) accommodating abstinence. Drawing on recovery principles, the authors consider the broader implications of the findings for behavioral health care with this population. PMID:23404076

Henwood, Benjamin F; Padgett, Deborah K; Tiderington, Emmy

2014-01-01

27

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

PubMed

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

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

2014-05-01

28

Diabetes in homeless persons: barriers and enablers to health as perceived by patients, medical, and social service providers.  

PubMed

The ways homelessness and diabetes affect each other is not well known. The authors sought to understand barriers and enablers to health for homeless people with diabetes as perceived by homeless persons and providers. The authors performed semistructured interviews with a sample of participants (seven homeless persons, six social service providers, and five medical providers) in an urban Midwest community. Data analysis was performed with the qualitative editing method. Participants described external factors (chaotic lifestyle, diet/food availability, access to care, and medications) and internal factors (competing demands, substance abuse, stress) that directly affect health. Social service providers were seen as peripheral to diabetes care, although all saw their primary functions as valuable. These factors and relationships are appropriately modeled in a complex adaptive chronic care model, where the framework is bottom up and stresses adaptability, self-organization, and empowerment. Adapting the care of homeless persons with diabetes to include involvement of patients and medical and social service providers must be emergent and responsive to changing needs. PMID:24802217

Elder, Nancy C; Tubb, Matthew R

2014-01-01

29

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

Federal Register 2010, 2011, 2012, 2013, 2014

...governing payment for other non-VA health care providers. Because the newly applicable...methodology for in- and outpatient health care professional services provided...FR 78901. We explained: Home Health Care and Hospice Care [T]he...

2011-11-21

30

Collaborative Initiative to Help End Chronic Homelessness: Introduction  

Microsoft Academic Search

The Collaborative Initiative to Help End Chronic Homelessness was a coordinated effort by the US Departments of Health and\\u000a Human Services (HHS), Housing and Urban Development (HUD), and Veterans Affairs (VA), and the US Interagency Council on Homelessness\\u000a to house and provide comprehensive supportive services to individuals with serious psychiatric, substance use, health, and\\u000a related disabilities who were experiencing long-term

Lawrence D. Rickards; Sarah A. McGraw; Lynnette Araki; Roger J. Casey; Cynthia W. High; Mary Ellen Hombs; Robyn S. Raysor

2010-01-01

31

Providing care for children and adolescents facing homelessness and housing insecurity.  

PubMed

Child health and housing security are closely intertwined, and children without homes are more likely to suffer from chronic disease, hunger, and malnutrition than are children with homes. Homeless children and youth often have significant psychosocial development issues, and their education is frequently interrupted. Given the overall effects that homelessness can have on a child's health and potential, it is important for pediatricians to recognize the factors that lead to homelessness, understand the ways that homelessness and its causes can lead to poor health outcomes, and when possible, help children and families mitigate some of the effects of homelessness. Through practice change, partnership with community resources, awareness, and advocacy, pediatricians can help optimize the health and well-being of children affected by homelessness. PMID:23713108

2013-06-01

32

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

Code of Federal Regulations, 2012 CFR

...community-based providers. 63.15 Section 63.15 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of, and standards applicable...

2012-07-01

33

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

Code of Federal Regulations, 2014 CFR

...community-based providers. 63.15 Section 63.15 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of, and standards applicable...

2014-07-01

34

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

Code of Federal Regulations, 2013 CFR

...community-based providers. 63.15 Section 63.15 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of, and standards applicable...

2013-07-01

35

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

Federal Register 2010, 2011, 2012, 2013, 2014

...Claims, Day care, Dental health, Drug abuse, Foreign relations...contracts, Grant programs--health, Grant programs--Veterans, Health care, Health facilities...professions, Health records, Homeless, Medical and dental...

2011-12-21

36

75 FR 33216 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Claims, Day care, Dental health, Drug abuse, Foreign relations...contracts, Grant programs--health, Grant programs--Veterans, Health care, Health facilities...professions, Health records, Homeless, Medical and dental...

2010-06-11

37

77 FR 38179 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013, 2014

...while receiving fee-basis care under Sec. 17.52 and...170. We provided a 60 day comment period, which ended...Veterans Home Based Primary Care; and 64.024, VA Homeless...Alcoholism; Claims; Day care; Dental health; Drug...

2012-06-27

38

76 FR 72046 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION...priority placement for homeless and at-risk Veterans, and provide on-site...Under Secretary for Health for applying the...

2011-11-21

39

Homeless and Unemployed Veterans. Hearing before the Subcommittee on Education, Training and Employment of the Committee on Veterans' Affairs. House of Representatives, Ninety-Ninth Congress, Second Session.  

ERIC Educational Resources Information Center

This congressional report contains the testimony that was presented at a hearing to examine the needs of homeless and unemployed veterans. Testimony was provided by representatives of the following agencies and organizations: the Vietnam Veterans Ensemble; the National Coalition for the Homeless; the various Veterans' Administration (VA)…

Congress of the U.S., Washington, DC. House Committee on Veterans' Affairs.

40

Health care of homeless veterans  

Microsoft Academic Search

It is important to understand the needs of those veterans who are homeless. We describe characteristics of homeless male veterans\\u000a and factors associated with needing VA benefits from a two-city, community survey of 531 homeless adults. Overall, 425 were\\u000a male, of whom 127 were veterans (29.9%). Significantly more veterans had a chronic medical condition and two or more mental\\u000a health

Thomas P. O’Toole; Alicia Conde-Martel; Jeanette L. Gibbon; Barbara H. Hanusa; Michael J. Fine

2003-01-01

41

Guide to VA Mental Health Services  

E-print Network

Guide to VA Mental Health Services for Veterans and Families Keitha R Beamer, MSN: PMHCNS, BC; CARN Justice System · Older Veterans · Homeless veterans: ­ National Call Center for Homeless Veterans 1 to know the VA Department of Veterans Affairs VA Healthcare 152 Medical Centers 817 Community Based

Hardy, Christopher R.

42

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

Federal Register 2010, 2011, 2012, 2013, 2014

...governing payments for certain non-VA health care, 38 CFR 17.56, applicable to...rule, we estimate that each home health care and hospice provider that does...negotiated contracts offer home health care or hospice care to veterans...

2013-05-06

43

The New Homelessness Revisited  

PubMed Central

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

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

2014-01-01

44

Experience of primary care among homeless individuals with mental health conditions.  

PubMed

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

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

45

Experience of Primary Care among Homeless Individuals with Mental Health Conditions  

PubMed Central

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

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

46

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

...relate to separate administration of hospice care and home health services by the Veterans Health Administration's Office of Geriatrics and Extended Care, which uses separate methods for forming agreements with non-VA providers for the provision of...

2013-11-14

47

Latent Homeless Risk Profiles of a National Sample of Homeless Veterans and Their Relation to Program Referral and Admission Patterns  

PubMed Central

Objectives. We identified risk and need profiles of homeless veterans and examined the relation between profiles and referrals and admissions to Department of Veterans Affairs (VA) homeless service programs. Methods. We examined data from the VA’s new Homeless Operations Management and Evaluation System on 120?852 veterans from 142 sites nationally in 2011 and 2012 using latent class analyses based on 9 homeless risk factors. The final 4-class solution compared both referral and admission to VA homeless services. Results. We identified 4 latent classes: relatively few problems, dual diagnosis, poverty–substance abuse–incarceration, and disabling medical problems. Homeless veterans in the first group were more likely to be admitted to the VA’s permanent supportive housing program, whereas those in the second group were more likely to be admitted to more restrictive VA residential treatment. Homeless veterans in the third group were more likely to be admitted to the VA’s prisoner re-entry program, and those in the fourth group were more likely to be directed to VA medical services. Conclusions. The heterogeneous risk and need profiles of homeless veterans supported the diversity of VA homeless services and encouraged the development of specialized services to meet their diverse needs. PMID:24148048

Kasprow, Wesley J.; Rosenheck, Robert A.

2013-01-01

48

Homelessness and Hunger*  

PubMed Central

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

Lee, Barrett A; Greif, Meredith J

2014-01-01

49

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

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2011

2011-01-01

50

The role of a student-run clinic in providing primary care for Calgary’s homeless populations: a qualitative study  

PubMed Central

Background Despite the increasing popularity of Student-Run Clinics (SRCs) in Canada, there is little existing literature exploring their role within the Canadian healthcare system. Generalizing American literature to Canadian SRCs is inappropriate, given significant differences in healthcare delivery between the two countries. Medical students at the University of Calgary started a SRC serving Calgary’s homeless population at the Calgary Drop-In and Rehabilitation Centre (CDIRC). This study explored stakeholders’ desired role for a SRC within Calgary’s primary healthcare system and potential barriers it may face. Methods Individual and group semi-structured interviews were undertaken with key stakeholders in the SRC project: clients (potential patients), CDIRC staff, staff from other stakeholder organizations, medical students, and faculty members. Convenience sampling was used in the recruitment of client participants. Interview transcripts were analyzed using a coding template which was derived from the literature. Results Participants identified factors related to the clinic and to medical students that suggest there is an important role for a SRC in Calgary. The clinic was cited as improving access to primary healthcare for individuals experiencing homelessness. It was suggested that students may be ideally suited to provide empathetic healthcare to this population. Barriers to success were identified, including continuity of care and the exclusion of some subsets of the homeless population due to location. Conclusions SRCs possess several unique features that may make them a potentially important primary healthcare resource for the homeless. Participants identified numerous benefits of the SRC to providing primary care for homeless individuals, as well as several important limitations that need to be accounted for when designing and implementing such a program. PMID:23866968

2013-01-01

51

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

ERIC Educational Resources Information Center

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…

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

2011-01-01

52

Closing a Front Door to Homelessness among Veterans  

Microsoft Academic Search

The U.S. Department of Veterans Affairs (VA) has been identified as a mainstream institution to help prevent homelessness\\u000a among America’s veterans. The large numbers of incarcerated veterans with serious mental illnesses and substance abuse disorders\\u000a who are at risk for homelessness support the need for expanded VA outreach to this population. Since 2002, the VA has contacted\\u000a almost 6,500 veterans

James McGuire

2007-01-01

53

Homelessness Assistance and Resources  

MedlinePLUS

... are also available. Find local housing, food, and health care assistance agencies Resources for the chronically homeless Resources for homeless veterans Resources for homeless youth Resources for homeless veteran ...

54

Barriers to Psychosocial Services Among Homeless Women Veterans  

Microsoft Academic Search

Veterans make up a disproportionate fraction of the nation's homeless population, with women veterans up to 4 times more likely to be homeless than nonveteran women. This article provides a grounded description of barriers to psychosocial services among homeless women veterans. Three focus groups were held in Los Angeles, California, with a total of 29 homeless women veterans. These women

Alison B. Hamilton; Ines Poza; Vivian Hines; Donna L. Washington

2012-01-01

55

Use of psychiatric services by homeless veterans  

Microsoft Academic Search

Patients treated in a Department of Veterans Affairs (VA) emergency room were evaluated to delineate the differences in use\\u000a of services between homeless and domiciled veterans who have mental disorders. Data were obtained and compared on DSM-III-R\\u000a diagnoses, number of hospitalizations, lengths of stay, and outpatient visits in the preceding year. Homeless veterans with\\u000a mental disorders were significantly more likely

Jeffrey Stovall; Joseph A. Flaherty; Blake Bowden; Michael Schoeny

1997-01-01

56

Receipt of disability through an outreach program for homeless veterans.  

PubMed

Receipt of public support payments is associated with beneficial outcomes for homeless people with mental illness. The purpose of this study was to identify factors associated with receipt of Department of Veterans Affairs (VA) pension and compensation benefits among homeless veterans after their initial contact with the VA national homeless outreach program. We examined data for 5731 veterans who were contacted by the program during the first 3 months of fiscal year 2003 and who were not receiving VA benefits, and we documented their benefit status over a minimum of 18 months. A limited number of veterans (15%) were subsequently awarded benefits; they were more likely to have reported recent use of VA services and a greater number of medical and psychiatric problems at the time of outreach. Findings suggest that VA benefit outreach efforts may gain from increased focus on those most vulnerable and most on the outskirts of the VA system. PMID:17521090

Chen, Joyce H; Rosenheck, Robert A; Kasprow, Wesley J; Greenberg, Greg

2007-05-01

57

Homelessness and Trauma Go Hand-in-Hand”: Pathways to Homelessness among Women Veterans  

Microsoft Academic Search

BackgroundVeterans comprise a disproportionate fraction of the nation’s homeless population, with women veterans up to four times more likely to be homeless than non-veteran women. This paper provides a grounded description of women veterans’ pathways into homelessness.

Alison B. Hamilton; Ines Poza; Donna L. Washington

2011-01-01

58

Risk factors for ED use among homeless veterans.  

PubMed

Despite national concern about homeless veterans, there has been little examination of their use of emergency department (ED) services. This study examines factors related to the use of ED services in the Veterans Affairs (VA) healthcare system, where insurance is not a barrier to ambulatory healthcare. National VA administrative data from fiscal year 2010 are used to describe the proportions of ED users among homeless and domiciled VA patients. A case-control design is then used to compare homeless ED and non-ED users on sociodemographic and clinical correlates, as well as use of ambulatory care and psychotropic medications. Sixteen percent of domiciled VA patients used EDs at least once during the year and 1% were frequent ED users (>4 ED visits) compared to 45% of homeless VA patients, 10% who were frequent ED users. Among homeless VA patients, those who used EDs were more likely to have a range of psychiatric and medical conditions, and had more service visits and psychotropic medication prescriptions than non-ED users. Multivariate analyses suggest their risk for psychiatric and medical conditions increase their likelihood of using ED services. The high rate of ED use among homeless veterans is associated with significant morbidity, but also greater use of ambulatory care and psychotropics suggesting their ED use may reflect unmet psychosocial needs. PMID:23566404

Tsai, Jack; Rosenheck, Robert A

2013-05-01

59

Jobs, Welfare and Homelessness.  

ERIC Educational Resources Information Center

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…

Einbinder, Susan; And Others

60

Rights and Responsibilities of VA Patients and Residents of Community Living Centers  

MedlinePLUS

... Vet Centers) War Related Illness & Injury Study Center Homeless Veterans Returning Service Members Rural Veterans Seniors & Aging Veterans Volunteers Women Veterans Careers, Job Help & Training Find a Job with VA Health Care Jobs (VA Careers) Travel Nurses Get Job ...

61

Making the Grade: Challenges and Successes in Providing Educational Opportunities for Children and Youth in Homeless Situations. Bridging the Gap between Home and School. A Position Document.  

ERIC Educational Resources Information Center

Profiles of the 1995-96 implementation of the Stewart B. McKinney Act's Education for Homeless Children and Youth (EHCY) Programs in 37 states are presented in this document. In these 37 states, at least 173,082 homeless children and youth were served through programs funded by the McKinney Act, and at least 465 local education agencies received…

National Association of State Coordinators for the Education of Homeless Children and Youth.

62

76 FR 61150 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property at the VA...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-10-03

63

What Kind of School Board Member Would Help Homeless Children?  

ERIC Educational Resources Information Center

Homelessness is a growing problem in every part of the United States. Federal legislation requires state plans for educating homeless children, but will provide less than $23 per child. Summarizes some of the state plans and suggests steps school boards can take to provide homeless children with public education. (MLF)

Harrington-Lueker, Donna

1989-01-01

64

Patient and Program Predictors of 12Month Outcomes for Homeless Veterans Following Discharge from Time-Limited Residential Treatment  

Microsoft Academic Search

The U.S. Department of Veterans Affairs provides transitional residential treatment to homeless veterans through three types\\u000a of programs: VA-staffed Domiciliary care, and two types of community-based treatment (one funded through locally managed contracts\\u000a and the other through national grants). This study compared treatment process and outcomes in these three programs and also\\u000a sought to identify differences in outcome between dually

James McGuireRobert; Robert A. Rosenheck; Wesley J. Kasprow

2011-01-01

65

Homelessness in America.  

ERIC Educational Resources Information Center

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"…

Baumohl, Jim, Ed.

66

The Ecology of Homelessness  

Microsoft Academic Search

This article proposes an ecological model of homelessness drawn from a broad review of the research and practice literature. The spectrum of biopsychosocial risks associated with pathways into homelessness is reviewed, followed by examination of social and individual consequences resulting from periods of homelessness. The temporal dimensions of homelessness, including “first-time,” “episodic,” and “chronic,” are defined and discussed along with

Roger M. Nooe; David A. Patterson

2010-01-01

67

Comorbidity between psychiatric and general medical disorders in homeless veterans.  

PubMed

Homeless veterans have numerous co-occurring medical and behavioral health problems. Identification of common patterns of comorbid conditions may help providers to determine severity of medical conditions and triage health care more effectively. In this study we identify such patterns of comorbid medical and psychiatric disorders using cluster analysis and we evaluate relationships between these patterns and sociodemographic factors. We used data from a survey of 3,595 veterans in a regional VA network who were presently or recently homeless assessing nine major medical disorder and six psychiatric disorder categories. Diagnostic ratings of presence or absence of these disorders were placed into the same cluster analysis to determine whether separable clusters emerged reflecting differing diagnostic profiles. There are recognizable patterns of comorbidity involving several psychiatric and general medical disorders, as well as disorders of both types that exist independently. Cluster membership was associated with various sociodemographic indices. Mental and general medical health problems in homeless veterans often occur in association with each other and form identifiable patterns that vary on sociodemographic factors. PMID:19597992

Goldstein, Gerald; Luther, James F; Haas, Gretchen L; Gordon, Adam J; Appelt, Cathleen

2009-12-01

68

Adult Education for the Homeless: 1989 Report, 1990 Report.  

ERIC Educational Resources Information Center

Homeless individuals are eligible for adult education services, such as literacy training and basic skills remediation, under the Stewart B. McKinney Homeless Assistance Act. In California, 7 agencies in 1989 and 13 in 1990 were selected as service providers to serve 100 homeless adults each per project year. Each funded agency assessed…

Comprehensive Adult Student Assessment System, San Diego, CA.

69

Broken Lives: Denial of Education to Homeless Children.  

ERIC Educational Resources Information Center

According to recent studies, families with children are now the fastest-growing segment of the homeless population: 40 percent of the homeless population consists of members of families. Forty-three percent of homeless children do not attend school, which provides children with a much-needed sense of place and continuity that they otherwise lack…

Ely, Lydia; And Others

70

The New Poverty: Homeless Families in America.  

ERIC Educational Resources Information Center

This book discusses homeless families in the United States and advocates the efforts of residential educational and employment training centers--American Family Inns--which provide comprehensive services education, job training, and parenting and life skills to address the poverty-related conditions that contribute to homelessness. Chapters of the…

Nunez, Ralph da Costa

71

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

ERIC Educational Resources Information Center

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,…

Berliner, BethAnn

72

Mercer Veterinary Clinic for Pets of the Homeless All About Mercer Clinic  

E-print Network

Mercer Veterinary Clinic for Pets of the Homeless All About Mercer Clinic Mercer Veterinary Clinic for the Pets of the Homeless Mercer Veterinary Clinic for the Homeless is a 501(C)3 non-profit, student-operated organization providing free medical care for the animal companions of the homeless. The clinic meets the second

Schladow, S. Geoffrey

73

Homeless and in Need of Special Education. Exceptional Children at Risk: CEC Mini-Library.  

ERIC Educational Resources Information Center

This booklet examines the plight of homeless families who have children who need special educational services. It explores the magnitude of homelessness among families, provides empirical descriptions of homeless populations, and identifies factors contributing to the rising incidence of homelessness in the United States. Specific effects of…

Heflin, L. Juane; Rudy, Kathryn

74

Elderly Homeless Veterans in Los Angeles: Chronicity and precipitants of homelessness.  

PubMed

We interviewed 33 chronically and 26 acutely homeless veterans aged 65 and over about their health and mental health, education and employment experience, social support, service needs and other precipitants of homelessness. Chronically homeless elderly veterans were more likely to have lower levels of education, had greater numbers and longer durations of prior homelessness, fewer social contacts providing instrumental support, and were more likely to report financial barriers to procuring housing. In response to open-ended questioning, elderly homeless veterans revealed how health and substance use issues interacted with loss of social support and eviction. The results suggest the importance of healthcare access and substance disorder treatment among elderly veterans and informs service delivery. Further research with larger samples is needed to confirm the characteristics and needs of the elderly homeless veteran population. PMID:24277974

van den Berk-Clark, Carissa; McGuire, James

2013-12-01

75

Factors Associated with Receipt of Pension and Compensation Benefits for Homeless Veterans in the VBA\\/VHA Homeless Outreach Initiative  

Microsoft Academic Search

Public support payments may facilitate exit from homelessness for persons with mental illness. We examined data from 10,641\\u000a homeless veterans contacted from October 1, 1995 to September 30, 2002 in a collaborative outreach program designed to facilitate\\u000a access to Department of Veterans Affairs (VA) disability benefits. Those who were awarded benefits (22% of contacted veterans)\\u000a were more likely to report

Joyce H. Chen; Robert A. Rosenheck; Greg A. Greenberg; Catherine Seibyl

2007-01-01

76

Lessons Learned from a Quality Improvement Intervention with Homeless Veteran Services  

Microsoft Academic Search

Homeless veterans are a vulnerable population, with high mortality and morbidity rates. Evidence-based practices for homelessness have been challenging to implement. This study engaged staff members from three VA homeless programs to improve their quality using Getting-To-Outcomes (GTO), a model and intervention of trainings and technical assistance that builds practitioner capacity to plan, implement, and self-evaluate evidence-based practices. Primarily used

Matthew Chinman; Gordon Hannah; Sharon McCarthy

2012-01-01

77

Michigan's Campaign to End Homelessness  

NSDL National Science Digital Library

The Michigan State Homeless Management Information System (MSHMIS) is a single database platform that provides an unduplicated count of homeless persons living in each region of Michigan. The system also measures patterns of service use and the effectiveness of the services delivered, providing the ability to assess progress across programs and regions. It was developed to improve consistency of reporting among Michigan’s Continuum of Care (CoC) network and includes information from all the service organizations in each region, a total of 524 organizations statewide.

Homelessness, Michiganâs C.

78

Drug and Alcohol Use Among Homeless Older AdultsPredictors of Reported Current and Lifetime Substance Misuse Problems in a National Sample  

Microsoft Academic Search

Using data from the National Survey of Homeless Assistance Providers and Clients (NSHAPC), predictors of current alcohol and drug misuse problems among homeless, previously homeless, and marginally housed older adults are identified. Childhood sexual assault, victimization, and neglect, being male, being younger, being homeless or previously homeless, being a minority, and having income below US$499 per month increased the odds

Tracy L. Dietz

2009-01-01

79

Outcomes of Supported Housing for Homeless Veterans with Psychiatric and Substance Abuse Problems  

Microsoft Academic Search

This study examines the effect of previous participation in time limited residential treatment and other factors on treatment outcomes among homeless veterans with serious mental illness placed into permanent supported housing. The sample consisted of 655 veterans placed into supported housing at 18 sites through the VA's Healthcare for Homeless Veterans (HCHV) Supported Housing Program during the period 1993–2000. Data

Alvin S. Mares; Wesley J. Kasprow; Robert A. Rosenheck

2004-01-01

80

Correlates of adult assault among homeless women.  

PubMed

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

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

2010-11-01

81

Substance Abuse and Homelessness  

Microsoft Academic Search

PURPOSE: To investigate whether substance abuse is a direct factor in the explanation of homelessness or one that operates indirectly through disaffiliation and human capital processes to place individuals at greater risk of the condition.METHODS: Analyses were conducted using data on substance abuse and homeless experiences from a random probability sample of 481 homeless persons and those at risk of

Jonathan B Vangeest; Timothy P Johnson

2002-01-01

82

Homeless In America, Homeless In California  

Microsoft Academic Search

It is generally believed that the increased incidence of homelessness in the United States has arisen from broad societal factors, such as changes in the institutionalization of the mentally ill, increases in drug addiction and alcohol usage, and so forth. This paper presents a comprehensive test of the alternate hypothesis that variations in homelessness arise from changed circumstances in the

John M. Quigley; Steven Raphael; Eugene Smolensky

2001-01-01

83

Perspectives on effective advocacy for homeless mentally ill persons.  

PubMed

To make appropriate treatment and public policy recommendations to address the problems of homeless mentally ill persons, it is important to differentiate the homeless mentally ill population from the homeless population in general. Effective advocacy for homeless mentally ill persons should have realistic goals that address the specific needs of that population rather than attempt to change the basic problems of society. The effective advocacy that has secured services for developmentally disabled persons can serve as a model. Mental health professionals' limited response to the problems of homeless mentally ill persons has further stigmatized mentally ill persons in general; one of the most powerful actions mental health professionals could take to fight stigma would be to help provide treatment and residential alternatives for homeless mentally ill persons. The recommendations of both the first and the second American Psychiatric Association task forces on the homeless mentally ill are discussed. PMID:1459542

Lamb, H R

1992-12-01

84

Care of the homeless: an overview.  

PubMed

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

Maness, David L; Khan, Muneeza

2014-04-15

85

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

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…

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

86

Predictors of Treatment Interest and Treatment Initiation in a VA Outpatient Trauma Services Program Providing Evidence-Based Care.  

PubMed

The present study explored interest in treatment and treatment initiation patterns among veterans presenting at a VA posttraumatic stress disorder (PTSD) clinic. U.S. veterans who were referred for treatment of posttraumatic stress symptoms (N = 476) attended a 2-session psychoeducation and orientation class where they completed measures of demographic variables, PTSD and depression symptom severity, and interest in treatment. Consistent with previous literature and our hypotheses, Vietnam (OR = 1.78) and Persian Gulf veterans (OR = 2.05) were more likely than Iraq and Afghanistan veterans to initiate treatment. Veterans reporting more severe PTSD and depression symptoms were more likely to initiate treatment than not (OR for PTSD = 1.02, OR for depression = 1.02). Interest in treatment emerged as a strong predictor of treatment initiation. Specifically, interest in trauma-focused treatment showed a significant independent predictive effect on initiation such that veterans who expressed interest in trauma-focused treatment were significantly more likely to initiate treatment than those who did not express interest (OR = 2.13). Building interest in trauma-focused treatment may be a vital component for engaging veterans in evidence-based trauma-focused therapy. PMID:25418632

Lamp, Kristen; Maieritch, Kelly P; Winer, E Samuel; Hessinger, Jonathan D; Klenk, Megan

2014-12-01

87

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

ERIC Educational Resources Information Center

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…

Rose, Laura; Matthias, Mary

88

'Anyone can be homeless'.  

PubMed

Being homeless often makes it difficult for people to access the health care they need. Award-winning nurse consultant in substance abuse Louise Poley is bringing services to homeless clients instead of expecting them to fit into a system designed for people with conventional lifestyles. PMID:23540061

Moore, Alison

89

Homeless Families and Children  

Microsoft Academic Search

ublic concern about homelessness in the United States has increased in recent years. A late 1995 Gallup poll found that 86% of Americans feel sympathy for the homeless, and 33% report that they feel more sympathy now than they did five years ago. According to the same poll, one reason for this apparent increase in sympathy is that 17% of

Eugene M. Lewit; Linda Schuurmann Baker; Linda Schuurmann

90

Homeless in the United States  

Microsoft Academic Search

The way public authorities presently define the homeless in the United States carries forward a complex historical legacy. The causal and moral assessments of the homeless, grounded in the work ethic of our capitalist society, have left behind four interpretations of the homeless as vagrant, deviant, sick or victim. Analysis of recent studies of the homeless, while uncovering the presence

Charles Hoch

1986-01-01

91

The Rights of Homeless Students.  

ERIC Educational Resources Information Center

This booklet presents information concerning homelessness and the education of homeless children nationwide and in Illinois. Estimates of the number of homeless children vary widely. Reasons for homeless children's failure to attend school include school residency requirements, delays in transfer of documents, and lack of transportation. The…

Strong, Penny

92

Special Populations of Homeless Americans Special Populations of Homeless Americans by  

E-print Network

Surveys conducted over the past two decades have demonstrated that homeless Americans are exceptionally diverse and include representatives from all segments of society—the old and the young; men and women; single people and families; city dwellers and rural residents; whites and people of color; and able-bodied workers and people with serious health problems. Veterans, who are among the most honored citizens in our society, appear in substantial numbers among the homeless, as do former criminal offenders and illegal immigrants. Each of these groups experiences distinctive forms of adversity resulting from both societal structures and personal vulnerabilities, and has unique service delivery needs. All, however, experience extreme poverty, lack of housing, and a mixture of internally impaired or externally inhibited functional capabilities. Attention to the distinctive characteristics of subgroups of the homeless is important in facilitating service delivery and program planning, but may also diffuse attention away from shared fundamental needs, and generate unproductive policy debate about deserving vs. undeserving homeless people. Lessons for Practitioners, Policy Makers, and Researchers People who are homeless reflect the nation’s diversity, and their special characteristics and needs must be identified, respected, and addressed. In addition to responding to basic needs for shelter, food, clothing and medical care, the unique needs of each subgroup of homeless person should be sensitively addressed. Systematic assessment is frequently required to identify the specific needs of each subgroup among the homeless population. Despite their diversity, almost all homeless people are extremely poor and lack decent affordable housing and an adequate income. Regardless of their other difficulties, practitioners must address their basic tangible needs for material resources. Although it is essential that providers help facilitate homeless people’s access to basic resources, they also should advocate for increasing the overall pool of resources. Providers are often in a position to be powerful advocates.

Robert Rosenheck M. D; Ellen Bassuk M. D; Amy Salomon Ph. D

93

Factors associated with receipt of pension and compensation benefits for homeless veterans in the VBA/VHA Homeless Outreach Initiative.  

PubMed

Public support payments may facilitate exit from homelessness for persons with mental illness. We examined data from 10,641 homeless veterans contacted from October 1, 1995 to September 30, 2002 in a collaborative outreach program designed to facilitate access to Department of Veterans Affairs (VA) disability benefits. Those who were awarded benefits (22% of contacted veterans) were more likely to report disability, poor to fair self-rated health, and were more likely to have used VA services in the past. Thus, this program achieved only modest success and was most successful with veterans who were already receiving VA services and who might have received benefits even without the outreach effort. PMID:17102933

Chen, Joyce H; Rosenheck, Robert A; Greenberg, Greg A; Seibyl, Catherine

2007-03-01

94

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

ERIC Educational Resources Information Center

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…

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

95

Education and Community Support for Homeless Children and Youth: Profiles of 15 Innovative and Promising Approaches.  

ERIC Educational Resources Information Center

This report profiles 15 programs that are providing education and support services to homeless students. These programs have been selected from over 40 nominations from state homeless coordinators and from national organizations concerned with services to the homeless. The profiled programs were selected on the basis of innovative educational…

Zeldin, Shepherd; Bogart, Joanne

96

Predicting Staying in or Leaving Permanent Supportive Housing That Serves Homeless People with Serious Mental Illness  

Microsoft Academic Search

The Permanent Housing component of the Supportive Housing Program, the Department’s principal program to meet the needs of homeless people with disabilities, was established to offer homeless people with disabilities, including mental illness, an assurance of permanent housing and appropriate supportive services. The program is designed to provide a structure that counteracts the disruptions of both homelessness and disability. However,

CMHPSR Yin-Ling Irene Wong; CMHPSR Trevor R. Hadley; CMHPSR Dennis P. Culhane; CMHPSR Steve R. Poulin; MDAC Morris R. Davis; MDAC Brian A. Cirksey; MDAC James L. Brown

2006-01-01

97

Confronting Homelessness among American Families: Federal Programs and Strategies.  

ERIC Educational Resources Information Center

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…

DeWoody, Madelyn

98

Homelessness: Programs and the People They Serve, Technical Report  

NSDL National Science Digital Library

In December 1999, the department of Housing and Urban development released their "most comprehensive study ever of homelessness in America." The survey of the homeless and the social programs supporting them is offered online in three separate chunks. The Technical Report provides the "full, detailed technical report consisting of 17 chapters with appendices and complete sets of data tables (over 500 pages)."

1999-01-01

99

Homelessness in America: What Should We Do? Public Talk Series.  

ERIC Educational Resources Information Center

This program guide provides a forum for discussing the different beliefs that influence public policy about homelessness as well as policy goals. The central question is addressed in two parts: (1) what society ought to do for homeless people; and (2) laying out a range of possible answers for part 1. Four possible answers are discussed: help only…

Niedergang, Mark; McCoy, Martha, Ed.

100

American Nightmare: A Decade of Homelessness in the United States.  

ERIC Educational Resources Information Center

A 1989 national survey of the dimensions of homelessness found that at least three million Americans are homeless and that the shortage of affordable housing was cited as the chief cause. Information was gathered from a telephone survey of emergency shelter providers, housing advocacy organizations, and local governments in 26 communities, ranging…

National Coalition for the Homeless, Washington, DC.

101

Homelessness and our most vulnerable patients.  

PubMed

The scope of homelessness among children is broad and growing, and its affect on physical and mental health is extensive. It may seem daunting for individual providers to make an impact on the challenges faced by these most vulnerable of patients. However, healthcare providers who care for homeless children can improve more than just their physical health by understanding barriers specific to this population, and addressing them through minor changes in standard practice; education of self, staff, and colleagues; and advocacy. By collaborating with parents and local agencies, clinicians can make tangible progress in improving the health of their homeless patients and can provide parents with the information and support they need to prioritize a child's health needs appropriately. Ultimately, providers should strive to make their practices a true medical home, as it may be the only home a child knows. PMID:19186593

Olszyk, Mark D; Goodell, Melly

2008-01-01

102

76 FR 72045 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...of Department of Veterans Affairs (VA) Real...Department of Veterans Affairs. ACTION...priority placement for homeless, at-risk, disabled, and senior Veterans and their families...Under Secretary for Health for applying...

2011-11-21

103

76 FR 71440 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AGENCY: Department of Veterans Affairs. ACTION: Notice...at the Minneapolis VA Health Care System in Minnesota...priority placement for homeless Veterans and their families...the Under Secretary for Health for applying the...

2011-11-17

104

76 FR 71439 - Amendment to an Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-11-17

105

76 FR 5432 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property at the Charlie...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-01-31

106

76 FR 60965 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-09-30

107

76 FR 61151 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AGENCY: Department of Veterans Affairs. ACTION: Notice...at the VA New Jersey Health Care System--Lyons...priority placement for homeless Veterans and Veterans at risk...the Under Secretary for Health for applying the...

2011-10-03

108

76 FR 71439 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION...priority placement for homeless and/or at-risk Veterans and their families...Under Secretary for Health for applying the...

2011-11-17

109

75 FR 72871 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2010-11-26

110

76 FR 71442 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AGENCY: Department of Veterans Affairs. ACTION: Notice...at the VA St. Cloud Health Care System in Minnesota...priority placement for homeless Veterans. FOR FURTHER INFORMATION...the Under Secretary for Health for applying the...

2011-11-17

111

76 FR 71443 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...AGENCY: Department of Veterans Affairs. ACTION...at the VA Palo Alto Health Care System (Menlo...priority placement for homeless and/or at-risk Veterans and their families...Under Secretary for Health for applying the...

2011-11-17

112

76 FR 72047 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION...senior, disabled, homeless and/or at-risk Veterans and their families...Under Secretary for Health for applying the...

2011-11-21

113

76 FR 67023 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-10-28

114

76 FR 71439 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013, 2014

...EUL) of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION: Notice...priority placement for homeless Veterans and Veterans at risk...Under Secretary for Health for applying the...

2011-11-17

115

Recognizing the Needs of the Homeless.  

ERIC Educational Resources Information Center

This paper summarizes reports and research on the homeless in the United States, presents findings of a survey of Red Cross chapters on services to the homeless, and describes programs for the homeless of selected Red Cross chapters. Section 1 discusses definitions of homelessness and methodologies used to count homeless people. The homeless are…

France, Joseph B.

116

Expanding Service Delivery: Does It Improve Relationships Among Agencies Serving Homeless People with Mental Illness?  

Microsoft Academic Search

Enhancing interagency services integration for homeless people has been advocated as an approach for improving service delivery to this population. In contrast to system-level “top-down” interventions, this study examines the association of expanded funding of client-level homeless services, a “bottom-up” approach, with strengthening of interorganizational relationships. We compared Veterans Affairs\\/non-Veterans Affairs interagency relationships at VA facilities supporting community-oriented programs (N=72),

James McGuire; Robert Rosenheck; Craig Burnette

2002-01-01

117

Homeless Health Concerns  

MedlinePLUS

... why the health of homeless people in the United States is worse than that of the general population. Common health problems include Mental health problems Substance abuse problems Bronchitis and pneumonia ...

118

People Experiencing Chronic Homelessness  

MedlinePLUS

... a Community Strategic Plan Steps 1-3: Organizing Leadership Developing a Community Strategic Plan Steps 4-7: ... for Coordinated Assessment Wichita Police Department: Making a Difference for People Experiencing Homelessness Houston Partners Dedicated to ...

119

Lessons learned from a quality improvement intervention with homeless veteran services.  

PubMed

Homeless veterans are a vulnerable population, with high mortality and morbidity rates. Evidence-based practices for homelessness have been challenging to implement. This study engaged staff members from three VA homeless programs to improve their quality using Getting-To-Outcomes (GTO), a model and intervention of trainings and technical assistance that builds practitioner capacity to plan, implement, and self-evaluate evidence-based practices. Primarily used in community-based, non-VA settings, this study piloted GTO in VA by creating a GTO project within each homeless program and one across all three. The feasibility and acceptability of GTO in VA is examined using the results of the projects, time spent on GTO, and data from focus groups and interviews. With staff members averaging 33 minutes per week on GTO, each team made significant programmatic changes. Homeless staff stated GTO was helpful, and that high levels of communication, staff member commitment to the program, and technical assistance were critical. PMID:22864498

Chinman, Matthew; Hannah, Gordon; McCarthy, Sharon

2012-08-01

120

Factors associated with geriatric syndromes in older homeless adults.  

PubMed

Although older homeless adults have high rates of geriatric syndromes, risk factors for these syndromes are not known. We used multivariable regression models to estimate the association of subject characteristics with the total number of geriatric syndromes in 250 homeless adults aged 50 years and older. Geriatric syndromes included falls, cognitive impairment, frailty, major depression, sensory impairment, and urinary incontinence. A higher total number of geriatric syndromes was associated with having less than a high school education, medical comorbidities (diabetes and arthritis), alcohol and drug use problems, and difficulty performing one or more activities of daily living. Clinicians who care for older homeless patients with these characteristics should consider screening them for geriatric syndromes. Moreover, this study identifies potentially modifiable risk factors associated with the total number of geriatric syndromes in older homeless adults. This knowledge may provide targets for clinical interventions to improve the health of older homeless patients. PMID:23728022

Brown, Rebecca T; Kiely, Dan K; Bharel, Monica; Mitchell, Susan L

2013-05-01

121

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

PubMed Central

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

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

2013-01-01

122

Transitional Living Programs for Homeless Adolescents.  

ERIC Educational Resources Information Center

This report presents a conceptual framework for developing, reviewing, and evaluating transitional living programs (TLPs) for homeless adolescents. It is designed to be used by those in the field who are or will be developing such programs. All TLPs share basic elements and each of these is described so that TLP providers can understand what their…

Jarvis, Sara V.; Robertson, Robert M., Jr.

123

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

ERIC Educational Resources Information Center

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…

Wilson, Melanie; Houghton, Alison

124

Adapting an evidence-based intervention for homeless women: engaging the community in shared decision-making.  

PubMed

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

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

2014-11-01

125

76 FR 67022 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for a Mixed-Use...  

Federal Register 2010, 2011, 2012, 2013, 2014

...of Department of Veterans Affairs (VA) Real...AGENCY: Department of Veterans Affairs. ACTION...housing facility for homeless and at-risk Veterans and their families...Under Secretary for Health for applying the...

2011-10-28

126

When Health Insurance Is Not a Factor: National Comparison of Homeless and Nonhomeless US Veterans Who Use Veterans Affairs Emergency Departments  

PubMed Central

Objectives. We examined the proportion of homeless veterans among users of Veterans Affairs (VA) emergency departments (EDs) and compared sociodemographic and clinical characteristics of homeless and nonhomeless VA emergency department users nationally. Methods. We used national VA administrative data from fiscal year 2010 for a cross-sectional study comparing homeless (n?=?64?091) and nonhomeless (n?=?866?621) ED users on sociodemographics, medical and psychiatric diagnoses, and other clinical characteristics. Results. Homeless veterans had 4 times the odds of using EDs than nonhomeless veterans. Multivariate analyses found few differences between homeless and nonhomeless ED users on the medical conditions examined, but homeless ED users were more likely to have been diagnosed with a drug use disorder (odds ratio [OR]?=?4.12; 95% confidence interval [CI]?=?3.97, 4.27), alcohol use disorder (OR?=?3.67; 95% CI?=?3.55, 3.79), or schizophrenia (OR?=?3.44; 95% CI?=?3.25, 3.64) in the past year. Conclusions. In a national integrated health care system with no specific requirements for health insurance, the major differences found between homeless and nonhomeless ED users were high rates of psychiatric and substance abuse diagnoses. EDs may be an important location for specialized homeless outreach (or “in” reach) services to address mental health and addictive disorders. PMID:24148061

Doran, Kelly M.; Rosenheck, Robert A.

2013-01-01

127

75 FR 69742 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Restoration...  

Federal Register 2010, 2011, 2012, 2013, 2014

...referral counseling services for homeless Veterans, and set aside at least one...counseling and outreach services for homeless Veterans. Lessee will provide priority...proposed by the Under Secretary for Health for applying the...

2010-11-15

128

Counting the Homeless.  

ERIC Educational Resources Information Center

These seven articles focus on Shelter and Street Night, a recent Census Bureau effort to include components of the nation's homeless population in the 1990 census count. The success of investigators in Chicago (Illinois), New York City, Los Angeles (California), Phoenix (Arizona), and New Orleans (Louisiana) is analyzed. (SLD)

Wright, James D., Ed.

1992-01-01

129

77 FR 20849 - Homeless Veterans' Reintegration Program  

Federal Register 2010, 2011, 2012, 2013, 2014

...DEPARTMENT OF LABOR Homeless Veterans' Reintegration Program AGENCY: Veterans' Employment...reauthorizes the Homeless Veterans Reintegration Program (HVRP) through fiscal year...and skills training) to expedite the reintegration of homeless veterans into the...

2012-04-06

130

Access to Primary Care for Homeless Veterans with Serious Mental Illness or Substance Abuse: A Follow-up Evaluation of Co-Located Primary Care and Homeless Social Services  

Microsoft Academic Search

To examine the hypothesis that a demonstration clinic integrating homeless, primary care, and mental health services for homeless\\u000a veterans with serious mental illness or substance abuse would improve medical health care access and physical health status.\\u000a A quasi-experimental design comparing a ‘usual VA care’ group before the demonstration clinic opened (N = 130) and the ‘integrated care’ group (N = 130). Regression models indicated

James McGuire; Lillian Gelberg; Jessica Blue-Howells; Robert A. Rosenheck

2009-01-01

131

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

ERIC Educational Resources Information Center

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.…

Benda, Brent B.

2005-01-01

132

Stand Down 95. Nutrition Intervention for Homeless Veterans  

Microsoft Academic Search

LEARNING OUTCOME: The participant will be able to plan and implement a nutrition intervention\\/assessment for home-less veterans at a Stand Down event after attending this presentation.In September 1995, the first nutrition intervention was provided at The Houston Stand Down for Homeless Veterans. This was the second year for the event in Houston and gave dietitians and students an opportunity to

J. B. Martin

1996-01-01

133

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

PubMed Central

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

Apollonio, D; Malone, R

2005-01-01

134

Pastoral care and counseling with the "un-homeless homeless": understanding cultures of homelessness.  

PubMed

This article presents a subset of findings from a larger study exploring the lived experiences of 16 former residents of a 90-day emergency family shelter program in Los Angeles County. Interpretative phenomenological analysis serves as a qualitative method for understanding the cultural uniqueness of the "un-homeless homeless." The findings offer implications for culturally competent pastoral care and counseling in the context of family homelessness and attend to both the process and content of caregiving. PMID:25241491

Snodgrass, Jill

2014-01-01

135

Programmatic Impact of 5 Years of Mortality Surveillance of New York City Homeless Populations  

PubMed Central

A homeless mortality surveillance system identifies emerging trends in the health of the homeless population and provides this information to key stakeholders in a timely and ongoing manner to effect evidence-based, programmatic change. We describe the first 5 years of the New York City homeless mortality surveillance system and, for the first time in peer-reviewed literature, illustrate the impact of key elements of sustained surveillance (i.e., timely dissemination of aggregate mortality data and real-time sharing of information on individual homeless decedents) on the programs of New York City’s Department of Homeless Services. These key elements had a positive impact on the department’s programs that target sleep-related infant deaths and hypothermia, drug overdose, and alcohol-related deaths among homeless persons. PMID:24148068

Marder, Dova; Begier, Elizabeth; Gutkovich, Alexander; Mos, Robert; Griffin, Angela; Zimmerman, Regina; Madsen, Ann

2013-01-01

136

The Homeless in Contemporary Society.  

ERIC Educational Resources Information Center

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…

Bingham, Richard D.; And Others

137

Public Policy and the Homeless.  

ERIC Educational Resources Information Center

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…

Gore, Albert, Jr.

1990-01-01

138

Can Better National Policy End Family Homelessness?  

ERIC Educational Resources Information Center

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…

Roman, Nan

2010-01-01

139

Supporting Homeless Youth: Perspectives and Preferences  

Microsoft Academic Search

Homelessness among adolescents and young adults is a growing concern in Canada and other countries, yet little is known about their support needs and support intervention preferences from the perspectives of homeless youth or youth at risk of homelessness. The authors assessed these needs and preferences through individual and group interviews with homeless adolescents and young adults (n = 35)

Miriam Stewart; Linda Reutter; Nicole Letourneau; Edward Makwarimba; Krista Hungler

2010-01-01

140

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

PubMed

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

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

2014-12-01

141

Comparisons of Prevention Programs for Homeless Youth  

PubMed Central

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

Rotheram-Borus, Mary Jane

2014-01-01

142

Homelessness During Pregnancy: A Unique, Time-Dependent Risk Factor of Birth Outcomes.  

PubMed

Evaluate homelessness during pregnancy as a unique, time-dependent risk factor for adverse birth outcomes. 9,995 mothers of children <48 months old surveyed at emergency departments and primary care clinics in five US cities. Mothers were classified as either homeless during pregnancy with the index child, homeless only after the index child's birth, or consistently housed. Outcomes included birth weight as a continuous variable, as well as categorical outcomes of low birth weight (LBW; <2,500 g) and preterm delivery (<37 weeks). Multiple logistic regression and adjusted linear regression analyses were performed, comparing prenatal and postnatal homelessness with the referent group of consistently housed mothers, controlling for maternal demographic characteristics, smoking, and child age at interview. Prenatal homelessness was associated with higher adjusted odds of LBW (AOR 1.43, 95 % CI 1.14, 1.80, p < 0.01) and preterm delivery (AOR 1.24, 95 % CI 0.98, 1.56, p = 0.08), and a 53 g lower adjusted mean birth weight (p = 0.08). Postnatal homelessness was not associated with these outcomes. Prenatal homelessness is an independent risk factor for LBW, rather than merely a marker of adverse maternal and social characteristics associated with homelessness. Targeted interventions to provide housing and health care to homeless women during pregnancy may result in improved birth outcomes. PMID:25404405

Cutts, Diana B; Coleman, Sharon; Black, Maureen M; Chilton, Mariana M; Cook, John T; de Cuba, Stephanie Ettinger; Heeren, Timothy C; Meyers, Alan; Sandel, Megan; Casey, Patrick H; Frank, Deborah A

2014-11-18

143

Utilization of community-based transitional housing by homeless veteran populations diagnosed with a mental illness: The association between predisposing, enabling, and need factors with program outcomes  

Microsoft Academic Search

Mental illness among homeless populations is a significant public health issue. Community-based programs that assist the homeless are most often developed to meet local housing needs, not the needs of mental health populations. Transitional housing, a model frequently utilized to address homelessness in communities, provides program-based housing with supportive services. The purpose of this study was to examine the associations

Roger Casey

2007-01-01

144

Homelessness. Appropriate Controls Implemented for 1990 McKinney Amendments' PATH Program. Report to Congressional Committees.  

ERIC Educational Resources Information Center

The Projects for Assistance in Transition from Homelessness (PATH) program provides the states and territories with funds to serve homeless individuals who are seriously mentally ill or dually diagnosed with serious mental illness and substance abuse disorders. As part of the mandate of the authorizing legislation, the General Accounting Office…

General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

145

Case Management Models for Persons Who Are Homeless and Mentally Ill: The ACCESS Demonstration Project  

Microsoft Academic Search

Persons who are homeless and mentally illpresent unique challenges to service providers and humanservice systems. In vivo case management approaches suchas assertive community treatment (ACT) have shown promise in engaging this population. This paperexplores case management models employed within theACCESS program, a five year, 18-site demonstrationprogram enriching services for homeless persons with serious mental illness. We describe theimplementation of case

Matthew Johnsen; Laura Samberg; Robert Calsyn; Margaret Blasinsky; Wendy Landow; Howard Goldman

1999-01-01

146

Homeless Veterans of the Mil-Volunteer Force: A Social Selection Perspective  

Microsoft Academic Search

Recent research has shown that men who served in the military during the early years of the all-volunteer force (AVF) have a higher risk of homelessness than do veterans of other eras and nonveterans of comparable ages. The current article draws on data from the 1996 National Survey of Homeless Assistance Providers and Clients in order to examine differences between

Richard Tessler; Robert Rosenheck; Gail Gamache

2003-01-01

147

Perceptions of Students about Younger and Older Men and Women who May Be Homeless  

Microsoft Academic Search

Future human service providers will interact with homeless persons in health, mental health, and social service practice contexts. This study investigated the perceptions of students enrolled in social work courses who are pursuing degrees in human service programs toward older and younger female and male homeless individuals. Respondents (N = 207) were given one of four vignettes in which a

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

2010-01-01

148

Homelessness, Children, and Youth: Research in the United States and Canada  

Microsoft Academic Search

This issue of American Behavioral Scientist makes available some of the most recent research on the growing social, economic, and human development impacts of homelessness on families—specifically, on the lives of children and youth. The seven studies from the United States and Canada compiled here provide important evidence-based insights to inform efforts aimed at combating homelessness among children and youth.

Darcy Varney; Willem van Vliet

2008-01-01

149

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

ERIC Educational Resources Information Center

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.

National Center for Homeless Education at SERVE, 2006

2006-01-01

150

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

ERIC Educational Resources Information Center

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

James, Barbara Wand; Lopez, Patrick D.

2003-01-01

151

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

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2009

2009-01-01

152

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

ERIC Educational Resources Information Center

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…

Danby, Susan; Farrell, Ann; Leiminer, Michele

2006-01-01

153

Homeless Students in Special Education: Beyond the Myth of Socioeconomic Dissonance.  

ERIC Educational Resources Information Center

Discusses the needs of homeless students, especially those with disabilities, suggesting some simple strategies for school personnel to help homeless students maximize their fullest potential (e.g., locating the students and bringing them to school for enrollment, providing transportation to school, offering nutritious meals and clean clothing,…

Wilder, Lynn K.; Obiakor, Festus E.; Algozzine, Bob

2003-01-01

154

Homeless aging veterans in transition: a life-span perspective.  

PubMed

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

Thompson, Carla J; Bridier, Nancy L

2013-01-01

155

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

PubMed Central

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

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

2013-01-01

156

Problem Gambling and Homelessness: Results from an Epidemiologic Study.  

PubMed

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 over time. PMID:24395010

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

2014-01-01

157

Murine typhus in the homeless  

Microsoft Academic Search

Homeless populations are particularly exposed to many vector-borne diseases because of their poor living conditions. We tested sera from 299 homeless people recruited in 2010 and 2011 in Marseilles, France for antibodies to Rickettsia typhi by microimmunofluorescence using a titer of 1:25 as a cut-off titer, and we confirmed the results by Western blot and cross-adsorption studies. Sixty-three persons (22%)

Sékéné Badiaga; Samir Benkouiten; Hind Hajji; Didier Raoult; Philippe Brouqui

158

Homeless Female-Headed Families  

Microsoft Academic Search

Homeless female-headed families are affected by national and local policies which impact adversely on the parent-child relationship. The first section of this article examines the ways in which national and state family welfare laws affect the parenting capacities of the single mother. Our legal system?s response to do- mestic violence, the precipitating factor for roughly one-half of homeless women seeking

Marcia R. Steinbock

1994-01-01

159

Art Messaging as a Medium to Engage Homeless Young Adults Art Messaging as a Medium to Engage Homeless Youth  

PubMed Central

Background Art has been shown to be an empowering and engaging entity with numerous benefits to vulnerable populations, including the homeless persons and young adults. Yet, little is known how homeless young adults perceive the use of art as messages that can communicate the danger of initiating or continuing drug and alcohol use. Objectives The purpose of this study was to solicit perspectives of homeless drug-using young adults as to how art can be used to design messages for their peers about the danger of initiating or continuing drug and alcohol use. Methods Qualitative methodology via focus group discussions was utilized to engage 24 homeless young adults enrolled from a drop-in site in Santa Monica. Results The findings revealed support for a myriad of delivery styles, including in person communication, flyers, music, documentary film and creative writing. The young adults also provided insight into the importance of the thematic framework of messages. Such themes ranged from empowering and hopeful messages to those designed to scare young homeless adults into not experimenting with drugs. Conclusions The findings indicate that in addition to messages communicating the need to prevent or reduce drug and alcohol use, homeless young adults respond to messages that remind them of goals and dreams they once had for their future, and to content that is personal, real and truthful. . Our research indicates that messages that reinforce protective factors such as hope for the future and self-esteem may be as important to homeless young adults as information about the risks and consequences of drug use. PMID:21441664

Nyamathi, Adeline; Slagle, Alexandra; Thomas, Alexandra; Hudson, Angela; Khalilifard, Farinaz; Avila, Glenna; Orser, Julie; Cuchilla, Manuel

2013-01-01

160

Comparison of outcomes of homeless female and male veterans in transitional housing.  

PubMed

Homelessness among female veterans is of national concern, but there have been few studies of how they differ from male veterans or whether they have different outcomes. This study compared 59 female and 1,181 male participants in a multi-site study of three VA-funded transitional housing programs over a 1-year period following completion of an episode of treatment. At baseline, female participants were younger, reported more psychiatric symptoms, had shorter histories of homelessness,were less likely to have substance use disorders, and were less likely to be working than males. After controlling for these baseline differences, there were no overall gender differences in outcomes measures of housing, employment,substance use, physical and mental health, or quality of life. These results suggest homeless female veterans have different characteristics than male veterans, but benefit equally from transitional housing. PMID:22294507

Tsai, Jack; Rosenheck, Robert A; McGuire, James F

2012-12-01

161

The Spatial Origins of the Homeless: How the Homeless Vary in Their Geographic Distribution  

Microsoft Academic Search

There has been no such study to date to investigate the residential origin of the varying categories of homeless. This study investigates the spatial distribution of residential origins of the varying categories of homeless and the factors that contribute to the vulnerability of individuals to become homeless. The study categorizes homeless people based on gender, family status, the occurrence of

Deden Rukmana

2006-01-01

162

Homeless and Freezing HowYou Can Help the Homeless Community this Winter  

E-print Network

Homeless and Freezing HowYou Can Help the Homeless Community this Winter Each winter't phase us. For someone who is homeless and sleeps on the streets or in an abandoned building, those dips in temperatures can mean the difference ­ literally ­ between life and death. About 10 years ago, a homeless

Subramanian, Venkat

163

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

PubMed

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

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

2014-08-01

164

A qualitative study of pregnancy intention and the use of contraception among homeless women with children.  

PubMed

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

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

2014-05-01

165

Homelessness: A Data-Driven Learning Guide  

NSDL National Science Digital Library

This is a learning guide that uses data to investigate the characteristics of the Washington DC, metropolitan area homeless population, and the relationship between homelessness and several measures of health.

ICPSR

166

Risk Factors for Homelessness among Women Veterans  

Microsoft Academic Search

:Background. Women veterans are three to four times more likely than non-veteran women to become homeless. However, their risk factors for homelessness have not been defined. Methods. Case-control study of non-institutionalized homeless women veterans (n533) and age-matched housed women veterans (n=165). Health, health care, and factors associated with homelessness were assessed using multiple logistic regression with a Monte Carlo algorithm

Donna L. Washington; Elizabeth M. Yano; James McGuire; Vivian Hines; Martin Lee; Lillian Gelberg

2010-01-01

167

Risk Factors for Homelessness among Women Veterans  

Microsoft Academic Search

Background. Women veterans are three to four times more likely than non-veteran women to become homeless. However, their risk factors for homelessness have not been defined. Methods. Case-control study of non-institutionalized homeless women veterans (n533) and age-matched housed women veterans (n=165). Health, health care, and factors associated with homelessness were assessed using multiple logistic regression with a Monte Carlo algorithm

MPH Elizabeth M. Yano MSPH Donna L. Washington; MSPH Lillian Gelberg

2010-01-01

168

Evaluating the Impact of Dental Care on Housing Intervention Program Outcomes Among Homeless Veterans  

PubMed Central

Objectives. In this retrospective longitudinal cohort study, we examined the impact of dental care on outcomes among homeless veterans discharged from a Department of Veterans Affairs (VA) transitional housing intervention program. Methods. Our sample consisted of 9870 veterans who were admitted into a VA homeless intervention program during 2008 and 2009, 4482 of whom received dental care during treatment and 5388 of whom did not. Primary outcomes of interest were program completion, employment or stable financial status on discharge, and transition to permanent housing. We calculated descriptive statistics and compared the 2 study groups with respect to demographic characteristics, medical and psychiatric history (including alcohol and substance use), work and financial support, and treatment outcomes. Results. Veterans who received dental care were 30% more likely than those who did not to complete the program, 14% more likely to be employed or financially stable, and 15% more likely to have obtained residential housing. Conclusions. Provision of dental care has a substantial positive impact on outcomes among homeless veterans participating in housing intervention programs. This suggests that homeless programs need to weigh the benefits and cost of dental care in program planning and implementation. PMID:23678921

Nunez, Elizabeth; Gibson, Gretchen; Jones, Judith A.; Schinka, John A.

2013-01-01

169

Homelessness and Its Effects on Children.  

ERIC Educational Resources Information Center

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…

Hart-Shegos, Ellen

170

Pushed Out: America's Homeless. Thanksgiving 1987.  

ERIC Educational Resources Information Center

By winter 1987, up to three million men, women, and children will be homeless; the number of homeless persons will continue to increase at a rate of 25 percent. This report surveys the changes in the homeless population in the following 23 cities over the past year: Albuquerque (New Mexico), Atlanta (Georgia), Boston (Massachusetts), Chicago…

National Coalition for the Homeless, Washington, DC.

171

National Resource Center on Homelessness and Mental Illness  

NSDL National Science Digital Library

Operated by a private research firm under contract to the Center for Mental Health Services (CMHS) of the U.S. Department of Health and Human Services, the National Resource Center on Homelessness and Mental Illness serves as a clearinghouse for technical assistance and research information. Included here are comprehensive, well-annotated national listings of organizations concerned with mental health, housing and homelessness, as well as housing-related technical assistance resources. The site also provides an "extensive bibliographic database on homelessness and mental illness" broken down by subject; a listing of research monographs and papers commissioned by the center, some of which may be accessed online; an annotated directory of online resources; information about technical assistance given by the Center to professionals in the field; and selected posted articles from issues of Access, a periodic information letter to the field.

172

Predictors of reported current and lifetime substance abuse problems among a national sample of U.S. homeless.  

PubMed

Using the National Survey of Homeless Assistance Providers and Clients (NSHAPC), this study examined predictors of alcohol and drug problems among a national probability sample of homeless and previously homeless adults in the United States. Consistent with research, about one third and one quarter of the respondents reported a current alcohol and drug problem, respectively. A larger proportion reported lifetime substance abuse problems. As hypothesized, males, younger respondents, veterans, and those with mental and physical health problems were at greater risk. Results reveal that substance abuse treatment and prevention programs for the homeless should take into consideration these characteristics to maximize effectiveness. PMID:17934993

Dietz, Tracy L

2007-01-01

173

Disability Benefits and Clinical Outcomes among Homeless Veterans with Psychiatric and Substance Abuse Problems  

Microsoft Academic Search

This study examined the relationship between disability payment status and clinical outcomes among 305 homeless veterans entering\\u000a VA treatment. Disability status and clinical outcomes were characterized using self-report data at program entry, and quarterly\\u000a for 2 years thereafter. Seeking or already receiving disability benefits at program entry was not associated with any of the\\u000a 8 clinical outcomes examined. Those seeking or

Alvin S. Mares; Robert A. Rosenheck

2007-01-01

174

Geographic proximity of HRSA, VA, and DOD clinics: opportunities for interagency collaboration to improve quality.  

PubMed

Clinics funded by the Department of Veterans Affairs (VA), Department of Defense's Military Health System (MHS), and Department of Health and Human Services' Health Resources and Services Administration (HRSA) all play a role in serving the military, veterans, and their families. Publicly available location data on federal health care clinics was merged, analyzed, and geographically overlaid using GIS. Results showed that 20% of U.S. counties contain both HRSA and VA sites, and 5% contain HRSA and MHS facilities. Additionally, 80% of VA and 76% of MHS clinics are within 10 miles of a HRSA clinic. Specific clinic types of interest also overlay; for instance, 90% of HRSA homeless clinics are in the same county as a VA facility. This demonstrated geographic proximity of health care sites may indicate prime opportunities for collaboration between HRSA, VA, and MHS systems to improve quality of care for the military, veterans, and their families. PMID:22864493

Brownell, Julia; Xierali, Imam; Herrera, Angelica P; Calvo, Ahmed

2012-08-01

175

The Social Networks of Homeless Youth Experiencing Intimate Partner Violence.  

PubMed

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 (? = 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 (? = 2.75, SE = 1.08, p < .05), but those who experienced sexual abuse during childhood had fewer male friends (? = -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

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

2014-01-12

176

Using natural language processing on the free text of clinical documents to screen for evidence of homelessness among US veterans.  

PubMed

Information retrieval algorithms based on natural language processing (NLP) of the free text of medical records have been used to find documents of interest from databases. Homelessness is a high priority non-medical diagnosis that is noted in electronic medical records of Veterans in Veterans Affairs (VA) facilities. Using a human-reviewed reference standard corpus of clinical documents of Veterans with evidence of homelessness and those without, an open-source NLP tool (Automated Retrieval Console v2.0, ARC) was trained to classify documents. The best performing model based on document level work-flow performed well on a test set (Precision 94%, Recall 97%, F-Measure 96). Processing of a naïve set of 10,000 randomly selected documents from the VA using this best performing model yielded 463 documents flagged as positive, indicating a 4.7% prevalence of homelessness. Human review noted a precision of 70% for these flags resulting in an adjusted prevalence of homelessness of 3.3% which matches current VA estimates. Further refinements are underway to improve the performance. We demonstrate an effective and rapid lifecycle of using an off-the-shelf NLP tool for screening targets of interest from medical records. PMID:24551356

Gundlapalli, Adi V; Carter, Marjorie E; Palmer, Miland; Ginter, Thomas; Redd, Andrew; Pickard, Steven; Shen, Shuying; South, Brett; Divita, Guy; Duvall, Scott; Nguyen, Thien M; D'Avolio, Leonard W; Samore, Matthew

2013-01-01

177

Recognizing the Needs of the Homeless and the Hungry.  

ERIC Educational Resources Information Center

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…

France, Joseph B.

178

Materials on the Education of Homeless Children. Updated.  

ERIC Educational Resources Information Center

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…

Jackson, Shelley

179

The Impact of Homelessness and Shelter Life on Family Relationships.  

ERIC Educational Resources Information Center

Explores mothers' perceptions of how homelessness and shelter life affect their family relationships. Participants report increased closeness and interaction with their children, but disruption in disciplinary and provider/caretaker roles. Shelter conditions, mother's emotional state, child's emotional state, temperament, and behavior affect…

Lindsey, Elizabeth W.

1998-01-01

180

Immigration and Schools: Supporting Success for Undocumented Unaccompanied Homeless Youth  

ERIC Educational Resources Information Center

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…

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

2010-01-01

181

A Look at Child Welfare from a Homeless Education Perspective  

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2007

2007-01-01

182

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

ERIC Educational Resources Information Center

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,…

National Center for Homeless Education at SERVE, 2010

2010-01-01

183

Moving Here Saved My Life: The Experience of Formerly Chronically Homeless Women and Men in Quincy's Housing First Projects  

Microsoft Academic Search

For the past ten years, Father Bill’s Place (FBP) in Quincy, Massachusetts, has moved steadily towards providing permanent housing with supportive services rather than emergency shelter as a solution to ending homelessness. According to John Yazwinski, executive director of FBP, the vision for the future is to be able to independently house every homeless person entering FBP within a short

Tatjana Meschede

2006-01-01

184

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

ERIC Educational Resources Information Center

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…

Julianelle, Patricia

2008-01-01

185

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

ERIC Educational Resources Information Center

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…

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

2009-01-01

186

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

PubMed Central

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

van den Berk-Clark, Carissa; McGuire, James

2013-01-01

187

Social networks as the context for understanding employment services utilization among homeless youth.  

PubMed

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 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

Barman-Adhikari, Anamika; Rice, Eric

2014-08-01

188

Factors associated with reported need for dental care among people who are homeless using assistance programs.  

PubMed

A retrospective secondary data analysis of the National Survey of Homeless Assistance Providers and Clients database was conducted to identify the demographic characteristics and correlates associated with reported need for dental care among people who are homeless in the United States. Overall, 10% of people who were homeless reported that dental care was their most needed service. Of these, 17% had a dental visit within the previous 12 months, 52% were racial/ethnic minorities, 76% lived in a central city, and 26% were veterans. The unadjusted odds for reporting a need for dental care was highest among veterans who were homeless and those whose last dental visit occurred more than 12 months ago. Compared to nonveterans who were homeless, veterans had twice the adjusted odds for reporting a need for dental care. The adjusted odds for reporting a need for dental care were lowest for those with dental insurance. Evaluation of the data suggests that dental insurance was associated with reporting lower need for dental care. Veterans who were homeless reported higher odds for dental care. Strengthening existing oral health-care programs sensitive to the needs of people who are homeless may improve their oral health and reduce their dental-disease-related morbidity. PMID:20618780

Okunseri, Christopher; Girgis, Dina; Self, Karl; Jackson, Scott; McGinley, Emily L; Tarima, Sergey S

2010-01-01

189

Decision-making about cervical cancer screening methods by homeless women.  

PubMed

To evaluate the perspectives and preferences of homeless women for traditional provider- and a novel low cost self-collected cytology screening technique, 17 interviews were conducted with women who participated in both phases of a comparative trial. Subjects were recruited from a comprehensive homeless service center and a residential program serving homeless women. Constructivist grounded theory guided data collection and analysis. Results showed self-collection was favored over provider-collected cytology, but that the women perceived that test accuracy trumped comfort. Although many women expressed inaccurate perceptions and beliefs about cervical cancer and screening, the women participated in and valued screening. Misconceptions about cervical malignancy and prevention strategies contributed to their complex appraisal of the two screening methods. Homeless women may partner with providers to develop and test effective interventions with high promise for improving their health and these insights may aid in developing effective interventions for diverse underserved communities. PMID:24218868

Pieters, Huibrie C; Wiley, Dorothy J

2013-07-01

190

Developing Programs for Homeless Veterans  

Microsoft Academic Search

Between 1992 and 2003, services for homeless veterans at the Veterans Affairs Greater Los Angeles Healthcare System went from inappropriate utilization of hospital medical and psychiatric beds, to a continuum of residential treatment, transitional housing, and employment programs through arrangements with private agencies. The authors use elements of Hasenfeld and Brock's Political Economy Model (1991) to explain this transformation in

John Nakashima; Jim McGuire; Stephen Berman; William Daniels

2005-01-01

191

Macroeconomic Causes of Family Homelessness.  

ERIC Educational Resources Information Center

The welfare of American families improved steadily for over 20 years after World War II. After the War on Poverty of the 1960s, the number of people living in poverty fell, reaching its lowest point in 1973. During the 1980s, homeless families, including those living in the streets, in cars, and in shelters seemingly appeared out of nowhere. As…

McChesney, Kay Young

192

76 FR 33788 - Homeless Veterans' Reintegration Into Employment  

Federal Register 2010, 2011, 2012, 2013, 2014

...Training Service Homeless Veterans' Reintegration Into Employment AGENCY: Veterans...reauthorizes the Homeless Veterans Reintegration Program through fiscal year (FY...and skills training) to expedite the reintegration of homeless veterans into the...

2011-06-09

193

Unmet need among homeless and non-homeless patients served at health care for the homeless programs.  

PubMed

This study compared the level of unmet need for medical, dental, mental health (MH), and substance use disorder (SUD) treatment between homeless and non-homeless patients served at Health Care for the Homeless programs. Using the 2009 Health Center Patient Survey, logistic regression models were used to assess the relationship between homelessness and unmet need for care. Descriptive statistics were then used to examine reasons for unmet need. Homeless patients were just as likely as non-homeless patients to have medical and dental treatment needs met. However, they were significantly more likely to report an unmet need for MH counseling and less likely to report an unmet need for SUD treatment. The primary reasons underlying unmet need were an inability to afford care and a lack of knowledge about where to obtain it. Results highlight the benefits of allotting additional funding to HCH programs so that they have the capacity to expand their overall scope of services. PMID:25418259

Zur, Julia; Jones, Emily

2014-11-01

194

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

PubMed

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

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

2015-02-01

195

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2010-04-27

196

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

PubMed

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

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

2013-12-01

197

Universal Screening for Homelessness and Risk for Homelessness in the Veterans Health Administration  

PubMed Central

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

Fargo, Jamison D.; Byrne, Thomas H.; Kane, Vincent R.; Culhane, Dennis P.

2013-01-01

198

Homelessness among female veterans: a systematic review of the literature.  

PubMed

The authors conducted a systematic, critical review of the literature to assess and summarize existing research on homelessness among female veterans. They searched seven electronic databases (ERIC, Proquest Dissertations and Theses, PsycINFO, PubMed, Social Services Abstracts, Social Science Citation Index, and Sociological Abstracts), websites of several government and research organizations, and reference lists of prior studies. They abstracted data on study design, funding source, and topic from studies meeting inclusion criteria and classified each study into one of the following categories: epidemiology, health and other services utilization, and interventions. The authors included both experimental and observational studies of interventions in the review and performed a narrative synthesis for each of the 26 studies identified. No studies were experimental, 20 were observational, and the remainder were either qualitative or descriptive. Of the 26 identified studies, 14 were epidemiologic, 7 focused on the health and additional service utilization, and 5 were intervention studies. Findings provided important baseline epidemiologic information about homelessness among female veterans and indicated that female veterans were at an increased risk of homelessness relative to their male veteran and female non-veteran counterparts. Additional research is needed to develop and implement effective, evidence-based programs to prevent and end homelessness among women veterans. PMID:23937730

Byrne, Thomas; Montgomery, Ann Elizabeth; Dichter, Melissa E

2013-01-01

199

Finding Homeless Youth. Patterns Based on Geographical Area and Number of Homeless Episodes  

ERIC Educational Resources Information Center

A census of homeless youth was conducted in locations across Los Angeles County, California. Building on previous research that has focused on homeless youth in cruise areas, the authors examined demographic and behavioral differences between homeless youth in cruise and noncruise areas. Youth in cruise areas were more likely than youth in…

Witkin, Andrea L.; Milburn, Norweeta G.; Rotheram-Borus, Mary Jane; Batterham, Philip; May, Susanne; Brooks, Ronald

2005-01-01

200

Head Injury and Mortality in the Homeless.  

PubMed

Abstract Risk factors for head injury are also risk factors for becoming homeless but there is little research on this vulnerable group, who can be neglected by health services that specialize in acquired brain injury. This study investigates the prevalence of admissions to hospital with a head injury in the homeless and associations with later mortality. It compares homeless people with and without a record of hospitalized head injury (HHI) and the Glasgow population. Data were obtained from a U.K. National Health Service strategy to enhance care of the homeless. This included development and production of local registers of homeless people. In Glasgow, the initiative took place over a seven-year period (2004-2010) and comprised 40 general practitioner (family practice) services in the locality of 55 homeless hostels. The register was linked to hospital admissions with head injury recorded in Scottish Medical Records and to the General Register of Scotland, which records deaths. A total of 1590 homeless people was registered in general practitioner (family doctor) returns. The prevalence of admission to hospital with head injury in the homeless over a 30-year period (13.5%) was 5.4 times higher than in the Glasgow population. In the homeless with HHI, 33.6% died in the seven-year census period, compared with 13.9% in the homeless with no hospitalized HI (NHHI). The standardized mortality ratio for HHI (4.51) was more than twice that for NHHI (2.08). The standardized mortality ratio for HHI aged 15-34 (17.54) was particularly high. These findings suggest that HHI is common in the homeless relative to the general population and is a risk factor for late mortality in the homeless population. PMID:25010750

McMillan, Thomas M; Laurie, Marie; Oddy, Michael; Menzies, Mark; Stewart, Elaine; Wainman-Lefley, Jessica

2014-10-01

201

Risk Factors for Homelessness Among US Veterans.  

PubMed

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

Tsai, Jack; Rosenheck, Robert A

2015-01-01

202

Smoking cessation among sheltered homeless: a pilot  

PubMed Central

Objective To test the feasibility and effect of a smoking cessation intervention among sheltered homeless. Methods Homeless smokers were enrolled in a 12-week group counseling program plus pharmacotherapy (n=58). Results The mean number of sessions attended was 7.2, most participants used at least one type of medication (67%) and 75% completed 12-week end of treatment surveys. Carbon monoxide verified abstinence rates at 12 and 24 weeks were 15.5% and 13.6% respectively. Conclusion Results support the feasibility of enrolling and retaining sheltered homeless in a smoking cessation program. Counseling plus pharmacotherapy options may be effective in helping sheltered homeless smokers quit. PMID:20524884

Shelley, Donna; Cantrell, Jennifer; Warn, Doug; Wong, Selena

2010-01-01

203

New to Care: Demands on a Health System When Homeless Veterans Are Enrolled in a Medical Home Model  

PubMed Central

Objectives. We compared service use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use among homeless veterans associated with reductions in emergency department (ED) use. Methods. We used case–control matching with a nested cohort analysis to measure 6-month health services use, new diagnoses, and care use patterns in veterans at the Providence, Rhode Island, Veterans Affairs Medical Center from 2008 to 2011. Results. We followed 127 homeless and 106 nonhomeless veterans. Both groups had similar rates of chronic medical and mental health diagnoses; 25.4% of the homeless and 18.1% of the nonhomeless group reported active substance abuse. Homeless veterans used significantly more primary, mental health, substance abuse, and ED care during the first 6 months. Homeless veterans who accessed primary care at higher rates (relative risk ratio [RRR]?=?1.46; 95% confidence interval [CI]?=?1.11, 1.92) or who used specialty and primary care (RRR?=?10.95; 95% CI?=?1.58, 75.78) had reduced ED usage. Homeless veterans in transitional housing or doubled-up at baseline (RRR?=?3.41; 95% CI?=?1.24, 9.42) had similar reductions in ED usage. Conclusions. Homeless adults had substantial health needs when presenting for care. High-intensity primary care and access to specialty care services could reduce ED use. PMID:24148042

Bourgault, Claire; Johnson, Erin E.; Redihan, Stephen G.; Borgia, Matthew; Aiello, Riccardo; Kane, Vincent

2013-01-01

204

The impact of current alcohol and drug use on outcomes among homeless veterans entering supported housing.  

PubMed

Permanent supported housing has increasingly been identified as a central approach to helping homeless individuals with disabilities exit from homelessness. Given that one third or more of homeless individuals actively use substances, it is important to determine the extent to which individuals who report using alcohol and/or drugs at the time of housing benefit from such programs. The current study examines data from the evaluation of the United States Department of Housing and Urban Development-Veterans Affairs (HUD-VA) Supported Housing (HUD-VASH) program to determine differences in housing and clinical outcomes among participants with two different levels of active alcohol or drug use at time of housing entry. Whereas veterans with 1-15 days of active use and 15-30 days of active use had significantly more days homeless than abstainers, albeit with small effect sizes (.06 and .19, respectively), there were no significant differences in days housed or days in institutions. Interaction analysis suggests that the highest frequency substance users who spent time in residential treatment prior to housing had the poorest housing outcomes, while those who were not in residential treatment had outcomes comparable to abstainers. Although active substance users clearly benefit from supportive housing with small differences in outcomes from abstainers, high frequency substance users who were admitted to residential treatment before housing placement, may be an especially vulnerable population. PMID:23730966

O'Connell, Maria J; Kasprow, Wesley J; Rosenheck, Robert A

2013-05-01

205

Medically Uninsured and the Homeless  

Microsoft Academic Search

\\u000a \\u000a Alice Crowley is a 34 year old who lives out of her car. She lost her house 2 years ago when her boyfriend left her and she\\u000a could no longer afford their apartment. She lives by herself; her 4 year old daughter child was taken by Child Protective\\u000a Services. She gets an occasional meal at one of the homeless centers,

Jennifer Vanderleest

206

Adult Education for the Homeless. Report.  

ERIC Educational Resources Information Center

Testing of skills in reading, mathematics, and English as a second language (ESL) was conducted at 12 programs for homeless people in California in 1992; 2,111 homeless persons were evaluated. Analysis of the data revealed that approximately 63 percent of the participants were male and 37 percent were female; 35 percent were between 20-29, 39…

Comprehensive Adult Student Assessment System, San Diego, CA.

207

Housing Outcomes for Hospitalized Homeless Veterans  

Microsoft Academic Search

This study examines housing status at the time of hospital discharge in a national sample of 3,502 veterans who were homeless at admission to a Veterans Health Adminis- tration (VHA) medical center. A supplemental survey on homelessness was added to the annual VHA inpatient census over a 4-year period (1995 through 1998). Data from this survey were used to identify

Greg A. Greenberg; Jennifer Hoblyn; Catherine Seibyl; Robert A. Rosenheck

2006-01-01

208

Homeless Children: The Watchers and the Waiters.  

ERIC Educational Resources Information Center

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…

Boxill, Nancy A., Ed.

209

Preliminary Findings on Rural Homelessness in Ohio.  

ERIC Educational Resources Information Center

This report is designed to present preliminary findings from the first comprehensive study of rural homelessness in the United States. The study was conducted during the first 6 months of 1990, and data were collected from interviews with 921 homeless adults in 21 randomly selected rural counties in Ohio. The sample counties represent 26% of the…

First, Richard J.; And Others

210

The Disadvantage of Homelessness in Children's Schooling.  

ERIC Educational Resources Information Center

This paper presents findings of a study that investigated the extent to which homeless children in the United States receive the "free and appropriate education" to which they are entitled. Data were collected through several surveys conducted in two San Francisco Bay Area counties: (1) surveys of parents in homeless shelters with 313 school-age…

Shaver, Debra M.; Dornbusch, Sanford M.

211

Gender Differences in Self-Reported Reasons for Homelessness  

Microsoft Academic Search

The purpose of this paper is to illustrate some of the ways in which the perceived pathways into homelessness are socially structured. We do this by examining the relative frequency of 11 different reasons homeless males and females cite for being homeless. Males were more likely to cite the following as their main reasons for homelessness: loss of a job,

Richard Tessler; Robert Rosenheck; Gail Gamache

2001-01-01

212

Risk Factors for Cardiovascular Disease in Homeless Adults  

Microsoft Academic Search

Background—Homeless people represent an extremely disadvantaged group in North America. Among older homeless men, cardiovascular disease (CVD) is the leading cause of death. The objective of this study was to examine cardiovascular risk factors in a representative sample of homeless adults and identify opportunities for improved risk factor modification. Methods and Results—Homeless persons were randomly selected at shelters for single

Tony C. Lee; John G. Hanlon; Jessica Ben-David; Gillian L. Booth; Warren J. Cantor; Philip W. Connelly; Stephen W. Hwang

2010-01-01

213

An Examination of Criminal Behavior among the Homeless.  

ERIC Educational Resources Information Center

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…

Solarz, Andrea

214

Homeless Children: Addressing the Challenge in Rural Schools. ERIC Digest.  

ERIC Educational Resources Information Center

Despite stereotypes to the contrary, homelessness is as prevalent in rural as urban areas. This digest examines the implications of homelessness for rural children and youth and discusses possible actions by rural educators. An estimated half of the rural homeless are families with children. Compared to urban counterparts, rural homeless families…

Vissing, Yvonne M.

215

Disability benefits and clinical outcomes among homeless veterans with psychiatric and substance abuse problems.  

PubMed

This study examined the relationship between disability payment status and clinical outcomes among 305 homeless veterans entering VA treatment. Disability status and clinical outcomes were characterized using self-report data at program entry, and quarterly for 2 years thereafter. Seeking or already receiving disability benefits at program entry was not associated with any of the 8 clinical outcomes examined. Those seeking or receiving disability benefits during the 2 years that followed showed more serious mental health problems and lower levels of mental health functioning, but no greater risk of substance use or not being employed nor worse housing outcomes than those who remained uninterested in applying for disability benefits. This study does not, therefore, support the notion that disability orientation results in poorer clinical outcomes, at least not among homeless veterans. PMID:16944296

Mares, Alvin S; Rosenheck, Robert A

2007-02-01

216

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

PubMed Central

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

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

2014-01-01

217

School-based service delivery for homeless students: Relevant laws and overcoming access barriers.  

PubMed

Schools in the United States are facing a record number of homeless students. These students are highly at-risk for experiencing negative life outcomes, and they face considerable academic and social-emotional functional impairments. To help address the complex needs of homeless students, this article reviews the intersection of laws and practices that impact homeless students, as well as contemporary school-based service delivery efforts to support the academic and social-emotional needs of these students. In addition, this article also reviews several barriers to school-based service delivery for homeless students and ways to overcome these barriers. These barriers include confusion regarding consent and record-sharing procedures, ineffectively utilizing homeless liaisons, and misapplying tenants of Multitiered Systems of Support (MTSS), which is a school-based service-delivery framework that has been adopted by and implemented in many U.S. schools. Ultimately, this article aims to provide members of school communities with practical information that they can use to support the homeless youth they encounter and serve. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:25545437

Sulkowski, Michael L; Joyce-Beaulieu, Diana K

2014-11-01

218

Capacity for Survival: Exploring Strengths of Homeless Street Youth  

PubMed Central

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

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

2009-01-01

219

Health Disparities in the Native Hawaiian Homeless  

PubMed Central

While it is well accepted that Native Hawaiians have poor health statistics compared to other ethnic groups in Hawaii, it is not well documented if these disparities persist when comparing Native Hawaiian homeless individuals to the general homeless population. This paper examines the Native Hawaiian homeless population living in three shelters on the island of Oahu, to determine if there are significant differences in the frequency of diseases between the Native Hawaiian and non-Native Hawaiian homeless. A retrospective data collection was performed using records from the Hawai‘i Homeless Outreach and Medical Education (H.O.M.E.) project. Data from 1182 patients was collected as of 12/05/09. Information collected included patient demographics, frequency of self reported diseases, family history of diseases, risk factors, prevalence of chronic diseases, and most common complaints. The data from Native Hawaiians and non-Native Hawaiians were examined for differences and a 1-tail Fisher exact analysis was done to confirm significance. The data reveals that the Native Hawaiian homeless population is afflicted more frequently with asthma and hypertension compared to other ethnic groups. While diabetes constituted more visits to the clinics for Native Hawaiians compared to the non-Native Hawaiians, there was no significant difference in patient reported prevalence of diabetes. The Native Hawaiian homeless also had increased rates of risky behaviors demonstrated by higher past use of marijuana and methamphetamines. Interestingly, there was a lower use of alcohol in the Native Hawaiian homeless and no significant difference between Native Hawaiians and non-native Hawaiians in current use of illicit drugs, which may represent a hopeful change in behaviors. These troubling statistics show that some of the health disparities seen in the general Native Hawaiian population persist despite the global impoverished state of all homeless. Hopefully, these results will aid organizations like the H.O.M.E. project to better address the health needs of the Native Hawaiian homeless population. PMID:20540000

Oeser, Steffen G; Omori, Jill

2010-01-01

220

Comorbidity Between Psychiatric and General Medical Disorders in Homeless Veterans  

Microsoft Academic Search

Homeless veterans have numerous co-occurring medical and behavioral health problems. Identification of common patterns of\\u000a comorbid conditions may help providers to determine severity of medical conditions and triage health care more effectively.\\u000a In this study we identify such patterns of comorbid medical and psychiatric disorders using cluster analysis and we evaluate\\u000a relationships between these patterns and sociodemographic factors. We used

Gerald Goldstein; James F. Luther; Gretchen L. Haas; Adam J. Gordon; Cathleen Appelt

2009-01-01

221

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

PubMed Central

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

Tyler, Kimberly A.; Schmitz, Rachel M.

2013-01-01

222

Exiting Homelessness: Perceived Changes, Barriers, and Facilitators Among Formerly Homeless Adults With Mental Disorders.  

PubMed

Objective: This study examines key themes from narrative interviews conducted with 43 homeless adults with mental disorders 18 months after random assignment to Housing First with intensive supports or to treatment as usual (no housing or supports through the study). Method: Coding and thematic analysis of semistructured interviews was based on 2 research questions from participants' perspectives: (a) What changes were perceived over time? (b) What factors facilitated or hindered change? Results: The majority of participants assigned to Housing First reported positive change across multiple domains as a result of stable housing; whereas the majority of treatment as usual participants reported negative or neutral change. Key themes included feelings of security and pride; adjusting to living alone; housing as a learning process; and developing meaningful activity. The sense of security associated with stable housing was the most influential factor that supported change. Factors that helped or hindered change clustered into 4 key themes: the type and quality of services; the cumulative effects of trauma; social ties; and concurrent substance use. Conclusions and Implications for Practice: Our findings provide important context to the emerging body of quantitative research on Housing First and recovery from homelessness. Participants' experiences of recovery, particularly as it relates to housing and supports, shifts in identity, and meaningful activity must be acknowledged and incorporated into the design and evaluation of public services, and policy and service reforms. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:25402612

Patterson, Michelle L; Currie, Lauren; Rezansoff, Stefanie; Somers, Julian M

2014-11-17

223

Housing outcomes for hospitalized homeless veterans.  

PubMed

This study examines housing status at the time of hospital discharge in a national sample of 3,502 veterans who were homeless at admission to a Veterans Health Administration (VHA) medical center. A supplemental survey on homelessness was added to the annual VHA inpatient census over a 4-year period (1995 through 1998). Data from this survey were used to identify homeless veterans hospitalized on the final day of the fiscal year and to document their housing status at discharge. A signal detection technique, Receiver Operating Characteristic analysis, was used to identify predictors of housing status at discharge. At discharge, only 13% of the veterans in our analytic sample were literally homeless, 40% were doubled up, and 33% were transferred to another an institution; only 13% were living independently. Housing status at admission (specifically, staying with friends or family temporarily rather than literally homeless), treatment in a psychiatric or substance abuse program rather than a medical program, and a greater income level or access to VHA benefits were found to be associated with better housing outcomes. As one might expect, homelessness was infrequently resolved during an acute inpatient hospitalization, but few veterans returned to literal homelessness at the time of discharge. PMID:16702725

Greenberg, Greg A; Hoblyn, Jennifer; Seibyl, Catherine; Rosenheck, Robert A

2006-05-01

224

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

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2007

2007-01-01

225

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

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2007

2007-01-01

226

‘Folks Should Have Access?…?How You Do it is the Difficult Thing’: exploring the importance of leadership to maintaining community policing programmes for the homeless  

Microsoft Academic Search

In the present paper we examine the operation of a community policing programme that facilitates reporting of victimisation by homeless victims of crime through the assistance of local community service providers. Using data from two sources – our original study of Homeless Remote Reporting in 2003 and a follow-up evaluation conducted in 2008 – we examine the extent to which

Laura Huey; Marianne Quirouette

2010-01-01

227

Sex trade behavior among heterosexually active homeless men.  

PubMed

Sex trade behavior is fairly common among homeless adults and may contribute to higher rates of HIV/AIDS in this population. This study provides a detailed examination of the sex trade-related attitudes and behaviors of homeless men by: (1) determining the prevalence of sex trade-related behaviors, including sex with female sex workers (FSWs); (2) identifying risk factors for having sex with FSWs; and (3) comparing men's relationships with FSWs and non-FSWs in terms of relationship qualities and HIV-related risk behaviors, such as condom use. Structured interviews were conducted with a probability sample of 305 heterosexually active homeless men recruited from meal lines in Los Angeles. Recent sex with a FSW was reported by 26 % of men, and more likely among those who were older, used crack cocaine, had more sex partners, believed that sometimes men just need to have sex no matter what, and were embedded in networks that were denser and where risky sex was more normative. Compared to non-FSW partners, men with FSW partners felt less emotionally close to them, were more likely to believe the partner had never been tested for HIV, and were more likely to have sex with them under the influence of drugs or alcohol; however, they were not more likely to talk about using condoms or to use condoms with FSWs. Whether the relationship was considered "serious" was a stronger correlate of condom use than whether the partner was a FSW. Implications of these findings for HIV prevention efforts among homeless adults are discussed. PMID:23720137

Tucker, Joan S; Wenzel, Suzanne L; Kennedy, David P; Golinelli, Daniela; Ewing, Brett

2013-11-01

228

Oral health needs of the homeless  

Microsoft Academic Search

AimThe aim was to assess the oral health needs of a homeless population residing in North and West Belfast Health and Social Services Trust area, in order to determine levels of unmet need and allow recommendations for service delivery to be made.MethodA sample of single homeless people was gathered using a snowballing sampling technique. Fourteen hostels located in North and

S. Williams

2007-01-01

229

V&A Channel  

NSDL National Science Digital Library

The Victoria & Albert (V&A) Museum has an online media channel which will fascinate those who are curious about the fascinating world we live in. From interviews with playground architects to conversations with abstract artists, this site has something for just about everyone. First-time users should go ahead and click on the "Most Recent" videos to view short videos on costume exhibits at the museum, the renaissance of rural architecture, and architects like Rintala Eggertsson. On the right hand side of the site, visitors can view brief descriptions of some recent programs, and they can also search the contents of the site.

230

STANFORD/VASTANFORD/VASTANFORD/VA ALZHEIMER'ALZHEIMER'ALZHEIMER'SSS  

E-print Network

STANFORD/VASTANFORD/VASTANFORD/VA ALZHEIMER'ALZHEIMER'ALZHEIMER'SSS RESEARCHRESEARCHRESEARCH CENTERCENTERCENTER For Information call: 650-858-3915 Web Site: http://svalz.stanford.edu Alzheimer's disease of their symptoms and provide appropriate referrals for possible treatment and care. STANFORD/VA ALZHEIMER

Puglisi, Joseph

231

Experiences of Being Homeless or at Risk of Being Homeless among Canadian Youths  

ERIC Educational Resources Information Center

A qualitative study was undertaken with four groups -- immigrants, youths, Aboriginal people, and landlords -- in order to explore, compare, and contrast diversity issues among the homeless population and those at risk of homelessness in a larger Canadian city (Calgary, Alberta) with a smaller city (Lethbridge, Alberta), to better understand their…

Miller, Pamela; Donahue, Peter; Este, Dave; Hofer, Marvin

2004-01-01

232

Medical, psychiatric and demographic factors associated with suicidal behavior in homeless veterans.  

PubMed

This study assessed potential for suicidal behaviors associated with sociodemographic, predisposing physical and mental health factors and self-reported psychological problems among homeless veterans in a large northeastern region. Data were obtained from a demographic and clinical history interview conducted with 3595 homeless veterans. Odds-ratio (OR) statistics were used to assess potential for suicidal behavior. Statistically significant ratios were similar for ideation and attempts. The highest ratios were for self-report of depression and difficulty controlling violence, but statistically significant ratios were found for reporting sleeping in a treatment facility the night before the interview, receiving VA support for a psychiatric condition, and the diagnoses of Alcoholism, Mood Disorder and Post Traumatic Stress Disorder (PTSD). Low but statistically significant odds-ratios were obtained for most of the physical health items. A negative odds-ratio was obtained for African-American ethnicity. Logistic regression results indicated that for ideation and attempts items entered first involved subjective report of trouble controlling violent behavior and experiencing depression. High odds ratios for the interview items concerning experiencing serious depression and having difficulties controlling violence may have strong implications for treatment and management of homeless veterans. There may be up to 14-1 odds that an individual who reports being seriously depressed or having difficulty inhibiting aggression may have a serious potential for suicidal behaviors. PMID:22521899

Goldstein, Gerald; Luther, James Francis; Haas, Gretchen Louise

2012-08-30

233

An Ecological Systems Comparison Between Homeless Sexual Minority Youths and Homeless Heterosexual Youths  

PubMed Central

This study examined risk and protective outcomes by comparing homeless sexual minority youths to heterosexual homeless youths regarding family, peer behaviors, school, mental health (suicide risk and depression), stigma, discrimination, substance use, and sexual risk behaviors. Structured interviews (N = 147) were conducted with individuals ages 16-24 at three drop-in programs serving homeless youths in Toronto. Bivariate analyses indicated statistically significant differences between homeless sexual minorities (n=66) and their heterosexual counterparts (n=81) regarding all variables: family, peer behaviors, stigma, discrimination, mental health, substance use and sexual risk behaviors with the exception of school belonging. Specifically, homeless sexual minority youths fared more poorly (e.g. lower satisfaction with family communication, experienced more stigma, used more drugs and alcohol) than their heterosexual counterparts. Improving family communication may be a worthwhile intervention if the youths are still in contact with their families. Future research should focus on victimization in the context of multiple systems. PMID:23687399

Gattis, Maurice N.

2012-01-01

234

75 FR 14633 - Homeless Veterans' Reintegration Into Employment  

Federal Register 2010, 2011, 2012, 2013, 2014

...Veterans' Employment and Training Service Homeless Veterans' Reintegration Into Employment AGENCY: Veterans' Employment and Training...readiness and literacy and skills training) to expedite the reintegration of homeless Veterans into the labor force.'' HVRP...

2010-03-26

235

24 CFR 576.103 - Homelessness prevention component.  

Code of Federal Regulations, 2013 CFR

... false Homelessness prevention component. 576.103 Section 576.103...SOLUTIONS GRANTS PROGRAM Program Components and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to...

2013-04-01

236

24 CFR 576.103 - Homelessness prevention component.  

Code of Federal Regulations, 2012 CFR

... false Homelessness prevention component. 576.103 Section 576.103...SOLUTIONS GRANTS PROGRAM Program Components and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to...

2012-04-01

237

24 CFR 576.103 - Homelessness prevention component.  

Code of Federal Regulations, 2014 CFR

...2013-04-01 true Homelessness prevention component. 576.103 Section 576.103...SOLUTIONS GRANTS PROGRAM Program Components and Eligible Activities § 576.103 Homelessness prevention component. ESG funds may be used to...

2014-04-01

238

Mental Health Woes Common Among Homeless Kids, Study Finds  

MedlinePLUS

... please enable JavaScript. Mental Health Woes Common Among Homeless Kids, Study Finds Exposure to poverty, violence and ... 19, 2015 Related MedlinePlus Pages Child Mental Health Homeless Health Concerns THURSDAY, Feb. 19, 2015 (HealthDay News) -- ...

239

77 FR 16895 - Announcement of Competition Under the America COMPETES Reauthorization Act of 2011: Project REACH...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Veterans because homeless Veterans do not and should...who help homeless Veterans. While emphasizing Veterans, however, VA believes...providing care to the homeless would benefit from...including shelters, health clinics, and...

2012-03-22

240

Homelessness, Mental Illness, and Criminal Activity: Examining Patterns Over Time  

Microsoft Academic Search

This study examined whether street homelessness, sheltered homelessness, and the severity of psychological symptoms predicted\\u000a non-violent and violent crime among 207 mentally ill participants who were homeless at baseline. Participants were interviewed\\u000a at 9 time points over 4 years. Hierarchical linear modeling (HLM) was used to examine whether changes in homelessness status\\u000a and symptom severity predicted changes in criminal activity over

Sean N. Fischer; Marybeth Shinn; Patrick Shrout; Sam Tsemberis

2008-01-01

241

The Cycle of Family Homelessness: A Social Policy Reader.  

ERIC Educational Resources Information Center

Research on homeless children and families carried out by the Institute for Children and Poverty over the last 6 years is compiled in this document. The contents range from programmatic solutions and policy recommendations to simple "snapshots" of homeless families. Much of the research is based on the experiences of Homes for the Homeless, which…

Institute for Children and Poverty, New York, NY.

242

A Taxonomy of Medical Comorbidity for Veterans Who are Homeless  

Microsoft Academic Search

Homeless veterans have numerous medical and behavioral health problems. Grouping homeless people based on comorbidity patterns may assist in determining severity of illness and triaging health care more effectively. We sought to determine if a finite number of profiles could be identified related to demographic characteristics, living situation, length of homelessness, and referral areas using interview data from 2,733 veterans

MPH Adam J. Gordon

2008-01-01

243

The Coping Strategies of Homeless Children and Adolescents.  

ERIC Educational Resources Information Center

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…

Horowitz, Sandra V.

244

Psychosocial Problems Associated With Homelessness in Sexual Minority Youths  

Microsoft Academic Search

Sexual minorities are overrepresented among homeless youths, and this is often related to reactions to their status as sexual minorities. While on the streets, they are at increased risk for victimization, substance and alcohol use, sexual risk behaviors, and mental health issues compared to homeless heterosexual youths. This article uses ecological systems theory to examine psychosocial problems associated with homelessness

Maurice N. Gattis

2009-01-01

245

Educating Homeless Children and Adolescents: Evaluating Policy and Practice.  

ERIC Educational Resources Information Center

One of the more enigmatic issues of contemporary homelessness is that of schooling. This collection highlights issues related to the provision of an education to homeless children and youths. Background information is offered, with an analysis of educational policy relating to homeless children. Practical strategies and a review of successful…

Stronge, James H., Ed.

246

Health of the homeless street women in South Africa  

Microsoft Academic Search

This paper reports on a qualitative survey conducted among 88 homeless street women in Johannesburg inner city about their health profile. The survey analysis is a descriptive one that elicits information about the types and causes of diseases prevalent among the street homeless women as well as their access to health care services based on the experiences of the homeless

Olusola Olufemi

1999-01-01

247

Homeless Adolescents in the United States: An Overview for Pediatricians  

Microsoft Academic Search

An estimated 100 million children and adolescents are homeless in the world; about half of these are in the Western hemisphere. In the United States most homeless youth are adolescents who run away from home. Current estimates suggest that there are be- tween 1.3 and 1.5 million runaway and homeless adolescents at any given time in the United States. Families

Dilip R. Patel; Donald E. Greydanus

2002-01-01

248

The Changing Character of Homelessness in the United States.  

ERIC Educational Resources Information Center

Describes new form of homeless persons, a growing population of homeless individuals and families who are not mentally ill, not wanderers, and may be employed. Examines changing character of homelessness and makes recommendations for a public policy response to the problem. (Author/NB)

Axelson, Leland J.; Dail, Paula W.

1988-01-01

249

Homeless Children in America: Challenges for the 1990s.  

ERIC Educational Resources Information Center

The 1980s brought an unprecedented rise in the number of homeless families with children. That there may be as many as three million homeless persons in the United States, with families representing one-third of this population, indicates that homelessness is a social problem of catastrophic proportions. This paper finds that while Federal…

Rafferty, Yvonne

250

School Help for Homeless Children with Disabilities: Information for Parents  

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2007

2007-01-01

251

Street homelessness in Johannesburg inner-city: a preliminary survey  

Microsoft Academic Search

This paper describes the scale and nature of homelessness, and the spatial location of the homeless in central Johannesburg based on a survey of street shelters, public places and buildings used by the homeless. It also considers the broader context wherein the legacy of apartheid combines with inadequate housing policies to leave much of the low-income population with little possibility

Olusola Olufemi

1998-01-01

252

Correlates of Self-Reported Incarceration Among Homeless Gay and Bisexual Stimulant-Using Young Adults.  

PubMed

Gay and bisexual (G/B) homeless adults face multiple challenges in life which may place them at high risk for incarceration. Yet, little is known about this understudied population in terms of risk for incarceration. Baseline data collected from a longitudinal study between October 2009 and March 2012 in Hollywood, California, explored correlates of self-reported incarceration among G/B homeless stimulant-using adults (N = 353). Findings revealed older age, less education, having children, as well as a history of injection drug use and being born in the United States were positively associated with incarceration. Moreover, having poor social support and having received hepatitis information were also correlated with a history of incarceration. Our findings help us gain a greater awareness of homeless G/B adults who may be at greater risk for incarceration, which may be used by health care providers to design targeted interventions for this underserved population. PMID:24733231

Nyamathi, Adeline; Reback, Cathy J; Salem, Benissa E; Zhang, Sheldon; Shoptaw, Steven; Branson, Catherine M; Leake, Barbara

2014-04-14

253

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

PubMed Central

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

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

2015-01-01

254

A Comparison of National Emergency Department Use by Homeless versus Non-Homeless People in the United States  

Microsoft Academic Search

Background. A single-site study described differences between homeless and non-homeless patient utilization of the emergency department (ED). No prior study has examined ED use by the homeless on a national level. Objective.To analyze national ED utilization by homeless patients. Methods. Data were extracted from the 2005 National Hospital Ambulatory Medical Care Survey. SAS callable SUDAAN was used to produce national

Allison Tadros Gary Oates; MPA MSW Stephen M. Davis

2009-01-01

255

Access to primary care for homeless veterans with serious mental illness or substance abuse: a follow-up evaluation of co-located primary care and homeless social services.  

PubMed

To examine the hypothesis that a demonstration clinic integrating homeless, primary care, and mental health services for homeless veterans with serious mental illness or substance abuse would improve medical health care access and physical health status. A quasi-experimental design comparing a 'usual VA care' group before the demonstration clinic opened (N = 130) and the 'integrated care' group (N = 130). Regression models indicated that the integrated care group was more rapidly enrolled in primary care, received more prevention services and primary care visits, and fewer emergency department visits, and was not different in inpatient utilization or in physical health status over 18 months. The demonstration clinic improved access to primary care services and reduced emergency services but did not improve perceived physical health status over 18 months. Further research is needed to determine generalizability and longer term effects. PMID:19280333

McGuire, James; Gelberg, Lillian; Blue-Howells, Jessica; Rosenheck, Robert A

2009-07-01

256

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

PubMed Central

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

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

2010-01-01

257

VA Work-Study (Information/Application)  

E-print Network

PENNSTATE VA Work-Study (Information/Application) Preparedby: Office of Veterans Programs ThePennsylvaniaStateUniversity 325BouckeBuilding UniversityPark,PA16802-5901 Phone:(814)863-0465 What is VA work-study? As a recipient of VA educational benefits, you may be eligible to apply for VA work-study. As a VA work- study

Maroncelli, Mark

258

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

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2007

2007-01-01

259

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

ERIC Educational Resources Information Center

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"…

National Center for Homeless Education at SERVE, 2007

2007-01-01

260

Navigating the Boundaries of Emergency Department Care: Addressing the Medical and Social Needs of Patients Who Are Homeless  

PubMed Central

Objectives. We sought to understand interpersonal and systems-level factors relevant to delivering health care to emergency department (ED) patients who are homeless. Methods. We conducted semistructured interviews with emergency medicine residents from 2 residency programs, 1 in New York City and 1 in a medium-sized northeastern city, from February to September 2012. A team of researchers reviewed transcripts independently and coded text segments using a grounded theory approach. They reconciled differences in code interpretations and generated themes inductively. Data collection and analysis occurred iteratively, and interviews continued until theoretical saturation was achieved. Results. From 23 interviews, 3 key themes emerged: (1) use of pattern recognition in identifying and treating patients who are homeless, (2) variations from standard ED care for patients who are homeless, and (3) tensions in navigating the boundaries of ED social care. Conclusions. Our study revealed practical and philosophical tensions in providing social care to patients in the ED who are homeless. Screening for homelessness in the ED and admission practices for patients who are homeless are important areas for future research and intervention with implications for health care costs and patient outcomes. PMID:24148054

Vashi, Anita A.; Platis, Stephanie; Curry, Leslie A.; Rowe, Michael; Gang, Maureen; Vaca, Federico E.

2013-01-01

261

Homelessness: Programs and the People They Serve, Highlights Report  

NSDL National Science Digital Library

In December 1999, the department of Housing and Urban development released their "most comprehensive study ever of homelessness in America." The survey of the homeless and the social programs supporting them is offered online in three separate chunks. The Highlights Report offers a substantial review of both the data and analytic conclusions. One significant finding that seems to fly in the face of certain myths about homelessness: "when homeless people get housing assistance and needed services - such as health care, substance abuse treatment, mental health services, education and job training - 76% of those living in families and 60% of those living alone end their homeless status."

1999-01-01

262

On Their Own: Runaway and Homeless Youth and Programs that Serve Them.  

ERIC Educational Resources Information Center

This monograph discusses runaway and homeless youth and the programs that serve them in seven large and medium-sized cities throughout the United States. The monograph focuses on the characteristics and service needs of these youths and the demands they pose for service providers. It examines how the population and the service environment have…

Pires, Sheila A.; Silber, Judith Tolmach

263

Psychosocial Predictors of Rule Following in Hostels for Women Experiencing Homelessness  

ERIC Educational Resources Information Center

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…

White, Katherine; Wood, Maria

2011-01-01

264

The institutional dynamics of homelessness : The United States of America and Japan compared  

Microsoft Academic Search

Purpose – Previous research has made it clear that homelessness is a social condition that finds its origins in structural causes such as poverty, lack of affordable housing, chronic unemployment, and reductions in welfare support. However, in the author's view, the exclusive focus upon these structural variables fails to provide a comprehensive account of the social forces that contribute to

Augusto De Venanzi

2008-01-01

265

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

ERIC Educational Resources Information Center

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…

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

2008-01-01

266

Homelessness and risk of end-stage renal disease.  

PubMed

To identify homeless people with chronic kidney disease (CKD) who were at highest risk for end-stage renal disease (ESRD), we studied 982 homeless and 15,674 domiciled people with CKD receiving public health care. We developed four risk prediction models for the primary outcome of ESRD. Overall, 71 homeless and 888 domiciled people progressed to ESRD during follow-up (median: 6.6 years). Homeless people with CKD experienced significantly higher incidence rates of ESRD than poor but domiciled peers. Most homeless people who developed progressive CKD were readily identifiable well before ESRD using a prediction model with five common variables. We estimated that program following homeless people in the highest decile of ESRD risk would have captured 64-85% of those who eventually progressed to ESRD within five years. Thus, an approach targeting homeless people at high risk for ESRD appears feasible and could reduce substantial morbidity and costs incurred by this highly vulnerable group. PMID:25130236

Maziarz, Marlena; Chertow, Glenn M; Himmelfarb, Jonathan; Hall, Yoshio N

2014-08-01

267

Homelessness and Risk of End- stage Renal Disease  

PubMed Central

To identify homeless people with chronic kidney disease (CKD) who were at highest risk for end-stage renal disease (ESRD), we studied 982 homeless and 15,674 domiciled people with CKD receiving public health care. We developed four risk prediction models for the primary outcome of ESRD. Overall, 71 homeless and 888 domiciled people progressed to ESRD during follow- up (median: 6.6 years). Homeless people with CKD experienced significantly higher incidence rates of ESRD than poor but domiciled peers. Most homeless people who developed progressive CKD were readily identifiable well before ESRD using a prediction model with five common variables. We estimated that program following homeless people in the highest decile of ESRD risk would have captured 64–85% of those who eventually progressed to ESRD within five years. Thus, an approach targeting homeless people at high risk for ESRD appears feasible and could reduce substantial morbidity and costs incurred by this highly vulnerable group. PMID:25130236

Maziarz, Marlena; Chertow, Glenn M.; Himmelfarb, Jonathan; Hall, Yoshio N.

2014-01-01

268

eVA Acceptable Use Acknowledgement  

E-print Network

approval for your eVA user account from your COVA Entity's eVA Security Officer, and be in good standing as a permanent, temporary, or contract employee of a COVA Entity. B. As an authorized COVA Entity eVA user, you and for all activity performed on eVA under your eVA user account. C. As an authorized COVA Entity eVA user

269

Problems of Runaway Youth. Hearing before the Subcommittee on Juvenile Justice of the Committee on the Judiciary. United States Senate, Ninety-Seventh Congress, Second Session on Problems of and Services Provided for Runaway and Homeless Youth, Focusing on Support to State and Local Governments and Nonprofit Agencies for the Development of Community-Based Programs.  

ERIC Educational Resources Information Center

These hearings, focusing on financial support for community-based programs dealing with problems of runaway and homeless youths, explore the scope of the problem, types of activities which are being undertaken, and paths for future action. Testimony and prepared statements are presented by several witnesses including a commissioner of the…

Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

270

VA-INPC: Linking Department of Veterans Affairs (VA) and Indiana Network for Patient Care (INPC) data to assess surveillance testing among veterans with colorectal cancer.  

PubMed

The goal of this project was to provide empiric evidence about the benefit to US veterans and the VA of capturing data from a citywide clinical informatics network (INPC) to assess care received outside the VA. We identified 468 veterans diagnosed with colorectal cancer from 2000-2007 in the Indianapolis VA cancer registry. Electronic VA healthcare data were linked with electronic health records from the regional health information organization (RHIO) INPC; 341 matches were found. Both the VA and INPC systems were queried regarding receipt of surveillance tests. The proportion with additional data from INPC varied by test: colonoscopy (3%), CT scan/abdomen (13%), CT scan/chest (79%), carcinoembryonic antigen test (8%), and other laboratory tests (25%-53%). An incremental benefit of linking VA and INPC data was present and may increase when expanded beyond patients with a single condition. New, important information about care outside the VA is obtained through RHIO data linkage. PMID:21346982

Haggstrom, David A; Rosenman, Marc; Myers, Laura J; Teal, Evgenia; Doebbeling, Bradley N

2010-01-01

271

VA-INPC: Linking Department of Veterans Affairs (VA) and Indiana Network for Patient Care (INPC) data to assess surveillance testing among veterans with colorectal cancer  

PubMed Central

The goal of this project was to provide empiric evidence about the benefit to US veterans and the VA of capturing data from a citywide clinical informatics network (INPC) to assess care received outside the VA. We identified 468 veterans diagnosed with colorectal cancer from 2000–2007 in the Indianapolis VA cancer registry. Electronic VA healthcare data were linked with electronic health records from the regional health information organization (RHIO) INPC; 341 matches were found. Both the VA and INPC systems were queried regarding receipt of surveillance tests. The proportion with additional data from INPC varied by test: colonoscopy (3%), CT scan/abdomen (13%), CT scan/chest (79%), carcinoembryonic antigen test (8%), and other laboratory tests (25%–53%). An incremental benefit of linking VA and INPC data was present and may increase when expanded beyond patients with a single condition. New, important information about care outside the VA is obtained through RHIO data linkage. PMID:21346982

Haggstrom, David A.; Rosenman, Marc; Myers, Laura J.; Teal, Evgenia; Doebbeling, Bradley N.

2010-01-01

272

Homeless but Connected: The Role of Heterogeneous Social Network Ties and Social Networking Technology in the Mental Health Outcomes of Street-Living Youth  

PubMed Central

Although social integration tends to have positive effects on the mental health of housed adolescents, the role of homeless adolescents’ social networks is more ambiguous. Social network data were collected from 136 homeless adolescents in Hollywood, California to examine how network ties are associated with symptoms of anxiety and depression. Face-to-face relationships with street-based peers were a risk factor for both anxiety and depression, while contacting home-based friends through social networking technology was found to be protective for depression. Community-based and public agencies serving homeless adolescents should consider facilitating the maintenance of these protective relationships by providing internet access. PMID:22075769

Rice, Eric; Ray, Diana; Kurzban, Seth

2013-01-01

273

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

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.…

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

274

VA Health Care Facilities Locator  

MedlinePLUS

... well as by viewing through an interactive map of the United States. Links to various VA services and policies are also available. return to ... FEAR Act Whistleblower Rights & Protections Site Index USA.gov White House Inspector ...

275

Modelling Service Requirements Variability: The DiVA Way  

NASA Astrophysics Data System (ADS)

This chapter tackles the challenges of variability identification, modelling and implementation for service-based systems. The DiVA methodology is applied to the Mobile Phone Service Portability case-study to demonstrate its solutions to these challenges. The DiVA methodology utilises concepts of Aspect-Oriented Software Development to encapsulate service variants in distinct modules and uses Model-Driven Development techniques to analyse and transform conceptual designs into executable services. The DiVA approach provides a tool-supported methodology for managing dynamic variability in adaptive systems and taming system complexity.

Greenwood, Phil; Chitchyan, Ruzanna; Ayed, Dhouha; Girard-Reydet, Vincent; Fleurey, Franck; Dehlen, Vegard; Solberg, Arnor

276

Reinstitutionalization following psychiatric discharge among VA patients with serious mental illness: a national longitudinal study.  

PubMed

Patterns of reinstitutionalization following psychiatric hospitalization for individuals with serious mental illnesses (SMI) vary by medical and psychiatric health care settings. This report presents rates of reinstitutionalization across care settings for 35,527 patients following psychiatric discharge in the Department of Veterans Affairs (VA) health system, a national health care system. Over a 7-year follow-up period, 30,417 patients (86%) were reinstitutionalized. Among these patients, 73% were initially reinstitutionalized to inpatient psychiatric settings. Homelessness, medical morbidity, and substance use were associated with increased risks for reinstitutionalization. Despite the VA's increased emphasis on outpatient services delivery, the vast majority of patients experienced reinstitutionalization in the follow-up period. Study findings may inform efforts to refine psychiatric and medical assessment for service delivery for this vulnerable population. PMID:17763982

Irmiter, Cheryl; McCarthy, John F; Barry, Kristen L; Soliman, Soheil; Blow, Frederic C

2007-12-01

277

Education and Homeless Youth: Policy Implementations  

ERIC Educational Resources Information Center

"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…

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

2007-01-01

278

Resilience and Suicidality among Homeless Youth  

ERIC Educational Resources Information Center

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…

Cleverley, Kristin; Kidd, Sean A.

2011-01-01

279

Homelessness and Substance Abuse: Which Comes First?  

Microsoft Academic Search

The present paper uses a social selection and social adaptation framework to investigate whether problematic substance use normally precedes or follows homelessness. Clarifying temporal order is important for policy and program design. The paper uses information from a large dataset (n=4,291) gathered at two services in Melbourne, supplemented by 65 indepth interviews. We found that 43% of the sample had

Guy Johnson; Chris Chamberlain

2008-01-01

280

Helping the Homeless in School and out  

ERIC Educational Resources Information Center

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…

Holgersson-Shorter, Helena

2010-01-01

281

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

PubMed

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

Eyrich-Garg, Karin M

2010-05-01

282

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

PubMed Central

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

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

2010-01-01

283

75 FR 29366 - ``Homeless Veterans' Reintegration Program (HVRP) National Technical Assistance Center...  

Federal Register 2010, 2011, 2012, 2013, 2014

...and Training ``Homeless Veterans' Reintegration Program (HVRP) National Technical...authorizes programs to expedite the reintegration of homeless Veterans into the labor...NTAC) for the Homeless Veterans' Reintegration Program (HVRP) to include the...

2010-05-25

284

77 FR 24214 - Notice of Proposed Information Collection for Public Comment: Continuum of Care Homeless...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Collection for Public Comment: Continuum of Care Homeless Assistance--Technical Submission...of Care Homeless Assistance Grant Application...Members of affected public: Applicants that...of Care Homeless Assistance Grant...

2012-04-23

285

Effects of social support and conflict on parenting among homeless mothers.  

PubMed

Research has shown that having a supportive social network is generally beneficial for individuals, particularly those who are homeless or at risk of homelessness. However, conflict within these networks may diminish the positive effects of social support on well-being, and these effects may be felt acutely within a vulnerable population with multiple needs. This study examined the impact of conflict and social support on parenting behaviors in a sample of mothers who are homeless and were involved in a study of case management interventions of varying intensity. We found that women who reported high emotional and instrumental social support self-reported greater improvements in parenting consistency over time than those who reported lower levels of support. However, three-way interactions showed that conflict in support networks was a risk factor for harsh parenting practices among participants who reported lower levels of instrumental social support. Results suggest that social support may enhance homeless mothers' ability to provide consistent parenting, but that these benefits may be undermined if conflict occurs in combination with limited levels of instrumental social support. PMID:19839672

Marra, Jaime V; McCarthy, Elissa; Lin, Hsiu-Ju; Ford, Julian; Rodis, Eleni; Frisman, Linda K

2009-07-01

286

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

PubMed

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

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

2014-02-01

287

Predictors of substance abuse treatment participation among homeless adults.  

PubMed

The current study focuses on the relationships among a trauma history, a substance use history, chronic homelessness, and the mediating role of recent emotional distress in predicting drug treatment participation among adult homeless people. We explored the predictors of participation in substance abuse treatment because enrolling and retaining clients in substance abuse treatment programs is always a challenge particularly among homeless people. Participants were 853 homeless adults from Los Angeles, California. Using structural equation models, findings indicated that trauma history, substance use history and chronicity of homelessness were associated, and were significant predictors of greater recent emotional distress. The most notable result was that recent emotional distress predicted less participation in current substance abuse treatment (both formal and self-help) whereas a substance use history alone predicted significantly more participation in treatment. Implications concerning treatment engagement and difficulties in obtaining appropriate dual-diagnosis services for homeless mentally distressed individuals are discussed. PMID:24238716

Ibabe, Izaskun; Stein, Judith A; Nyamathi, Adeline; Bentler, Peter M

2014-03-01

288

A Taxonomy of medical comorbidity for veterans who are homeless.  

PubMed

Homeless veterans have numerous medical and behavioral health problems. Grouping homeless people based on comorbidity patterns may assist in determining severity of illness and triaging health care more effectively. We sought to determine if a finite number of profiles could be identified related to demographic characteristics, living situation, length of homelessness, and referral areas using interview data from 2,733 veterans who were presently or recently homeless. We considered 12 disorders: eye problems, hypertension, cardiovascular problems, COPD/emphysema, tuberculosis, gastrointestinal problems, hepatic disease, neurologic disorders, orthopedic problems, skin problems, and trauma. Ratings were evaluated using cluster analysis. Comparison statistics were used to compare intercluster differences in demographics, homeless situation, and referral recommendations. A four-cluster solution is proposed: generalized illness, hepatic disease, lung disease, and neurologic disorder. Medical health problems are common and heterogeneous in homeless individuals. Classifications of these problems may be useful in planning treatment and predicting outcome. PMID:18677085

Goldstein, Gerald; Luther, James F; Jacoby, Aaron M; Haas, Gretchen L; Gordon, Adam J

2008-08-01

289

Mental health correlates of past homelessness in Latinos and Asians.  

PubMed

Mental illness and addiction are strongly associated with homelessness, yet few studies have shown how these relationships vary across ethnic categories that are underrepresented in the homeless population. This study draws from the National Latino and Asian American Survey to examine mental health and substance abuse correlates of homelessness amongst Latinos and Asians living in the United States. Clinical and institutional factors associated with homelessness varied by ethnicity. Among Latinos, alcohol abuse or dependence, conduct disorder and intermittent explosive disorder were risk factors for homelessness, while attending a religious service more than once a week was a protective factor. Among Asians, mood disorder was a risk factor as were health problems and receiving welfare in the past. Understanding ethnicity-specific correlates of homelessness may guide culturally nuanced mental health prevention and intervention efforts. PMID:24659183

Oh, Hans Y; DeVylder, Jordan E

2014-11-01

290

Partnering with a Homeless Shelter to Provide Authentic Community Involvement  

ERIC Educational Resources Information Center

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…

Ross, Edna; Cox, Fannie M.

2013-01-01

291

Perceived health status among the new urban homeless  

Microsoft Academic Search

Homelessness may be the leading social problem in the United States in the mid 1980s. While there may be anywhere from 250,000 to three million homeless persons, few empirically based published studies are available concerning the correlates of mental and physical health status among the homeless. Los Angeles, where the present study was conducted, has been designated by the U.S.

Richard H. Ropers; Richard Boyer

1987-01-01

292

The Urban Homeless: Super-users of the Emergency Department.  

PubMed

Abstract In the United States, patient usage of costly emergency departments (EDs) has been portrayed as a major factor contributing to health care expenditures. The homeless are associated with ED frequent users, a population often blamed for inappropriate ED use. This study examined the characteristics and costs associated with homeless ED frequent users. A retrospective cross-sectional review of hospital records for ED visits in 2006 at an urban academic medical center was performed. Frequent users were defined as having greater than 4 ED visits in one year. Homeless status was determined by self-report and review by an interdisciplinary team. A total of 5440 (8.9%) ED visits were made by 542 frequent users, 74 (13.7%) of whom were homeless and made 845 ED visits. Homeless frequent users had a median age of 47 years (39-56 interquartile range), were predominantly male (85.1%), and insured by Medicaid (59.5%). Most (44.2%) visits by homeless frequent users occurred between 1500-2259 hours and had an Emergency Severity Index of Level 3 (55.5%). Sixty-four percent of visits resulted in homeless patients being discharged back to the street; only 4.0% had a specific discharge plan addressing homelessness. Total charges and payments for all homeless frequent users were $4,812,615 and $802,600, respectively. The single top frequent user accrued charges of $482,928. ED frequent users are disproportionately homeless and their costs are significant. ED discharge planning should address the additional risks faced by homeless individuals. ED-based interventions that specifically target the most expensive homeless frequent users may prove to be cost-effective. (Population Health Management 2014;17:366-371). PMID:24865472

Ku, Bon S; Fields, J Matthew; Santana, Abbie; Wasserman, Daniel; Borman, Laura; Scott, Kevin C

2014-12-01

293

Cross-National Variations in Behavioral Profiles Among Homeless Youth  

Microsoft Academic Search

Cross-national comparisons of homeless youth in Melbourne, Australia, and Los Angeles, CA, United States were conducted. Newly\\u000a (n = 427) and experienced (n = 864) homeless youth were recruited from each site. Compared to Australia, homeless youth in the United States were younger,\\u000a more likely to be in school or jail, demonstrated fewer sexual and substance use risk acts, fewer

Norweeta G. Milburn; Mary Jane Rotheram-Borus; Eric Rice; Shelley Mallet; Doreen Rosenthal

2006-01-01

294

Substance abuse and homelessness: social selection or social adaptation?  

PubMed

Although substance abuse has for many years been documented as a serious problem among homeless populations, there is as yet no clear understanding of the nature of the relationship between substance abuse and homelessness. We evaluate alternative social selection and social adaptation models of this process. Using data from a random probability sample, the substance abuse and homeless experiences of 303 homeless people and people at risk of homelessness in Cook County, Illinois, were investigated. Proportional hazards regression models were employed to assess both social selection and social adaptation models. Drug but not alcohol abuse was associated with first homeless episode. Prior homeless experiences were found to be predictive of first symptoms of both alcohol and drug abuse. Other variables, including the availability of social and economic resources, were also associated with each of these outcomes. Models of both selection and adaptation processes are necessary to account for the association between homelessness and substance abuse, indicating that a multi-directional model is more appropriate. In addition findings suggest that, in recent years, drugs may have displaced alcohol as an important precursor of homelessness for many individuals. PMID:9177065

Johnson, T P; Freels, S A; Parsons, J A; Vangeest, J B

1997-04-01

295

Posttraumatic stress disorder among homeless adults in Sydney.  

E-print Network

??Doctor of Clinical Psychology/ Master of Science (DCP/ MSc)%%%A number of international studies reveal high prevalence rates of posttraumatic stress disorder (PTSD) within homeless populations.… (more)

Taylor, Kathryn

2006-01-01

296

[Health status and medical care accessibility of single, homeless persons].  

PubMed

The homeless population in Germany is continually increasing. Featuring prominently among those on the increase are women, young persons and homeless people from East Germany. Studies of the health of homeless individuals in recent years show that indices of illness are far higher for many disorders than for comparable groups who are housed. One result from a recent study by the University of Mainz (1994) was that more than 90% of homeless people urgently need medical treatment. According this research, the main health problems of the homeless are: cardiac disease (hypertension, CAD) (52.5%), skin disease (scabies, lice, leg ulcers, abscesses, pyodermias) and acute infections (50%), lower respiratory tract (COAD) (47.5%) and trauma victims (50%), followed by liver (30%), kidney (25%) and gastrointestinal diseases (GU) (20%). The problems of alcoholism and mental disorders of various sorts are added to this picture. Violence to homeless people is increasing. A lot of homeless people are multi-morbid. The relationship between the time of homelessness and the state of illness was not linear. It was found that in the beginning of homelessness most of the homeless people were in a poor physical condition. The poor physical condition of homeless people does not stem from only one cause, but results from a combination of different factors: individual social conditions (social class; social relations; sedentary lifestyle), personal or family life crisis (life events and coping behaviour), the individual risk behaviour (for instance the bizarre sleeping accommodations, alcohol and cigarette consumption unemployment in a depressed economy, structure of the society (cutbacks in government welfare and social service programmes). As a result of bad experiences with existing medical institutions, homeless persons do not consult the doctor or too late. Many are afraid of large institutions; most are not members of a health insurance scheme (uninsured); and many are perceived in some sense to be "undesirable" as patients. Medical care offers for homeless people must be re-examined and changed appropriately in accordance with the requirements of the patients and the acceptability of the measures. Health care for the homeless is sorely needed. It is an urgent necessity to create special low-level acceptance medical care institutions. This health care service should be made available to homeless persons at the places where they gather (to set up a mobile medical service, medical streetwork, medical care ambulances). The interdisciplinary theme approach, which integrates the skills of physicians, nurses and social workers, is an invaluable strategy for establishing though and continuous care. Without good health, homeless people cannot resolve their other basic problems; and people simply cannot be healthy if they do not have a stable place to live. PMID:9333372

Trabert, G

1997-06-01

297

Evaluations of Continuums of Care for Homeless People  

NSDL National Science Digital Library

Prepared by the US Department of Housing and Urban Development, "Evaluations of Continuums of Care for Homeless People" is a comprehensive study that examines the continuums of care for homeless people throughout the United States. Critiquing the agenda of the Continuum of Care (CoC), a system designed to help homeless people as well as those at imminent risk of becoming homeless, this 216-page report examines their development, current structure, and possible future. Users should note that this report defaults to small font and may be more easily readable if printed.

2002-01-01

298

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

PubMed

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

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

2013-05-01

299

Physical and Mental Health Issues among Homeless Youth in British Columbia, Canada: Are they Different from Older Homeless Adults?  

PubMed Central

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

Saddichha, Sahoo; Linden, Isabelle; Krausz, Michael Reinhardt

2014-01-01

300

Association between prescription drug misuse and injection among runaway and homeless youth  

PubMed Central

Background The nonmedical use of prescription drugs is the fastest growing drug problem in the United States, disproportionately impacting youth. Furthermore, the population prevalence of injection drug use among youth is also on the rise. This short communication examines the association between current prescription drug misuse (PDM) and injection among runaway and homeless youth. Methods Homeless youth were surveyed between October, 2011 and February, 2012 at two drop-in service agencies in Los Angeles, CA. Prevalence ratios (PR) and 95% confidence intervals (CI) for the association between current PDM and injection behavior were estimated. The outcome of interest was use of a needle to inject any illegal drug into the body during the past 30 days. Results Of 380 homeless youth (median age, 21; IQR, 17-25; 72% male), 84 (22%) reported current PDM and 48 (13%) reported currently injecting. PDM during the past 30 days was associated with a 7.7 (95% CI: 4.4, 13.5) fold increase in the risk of injecting during that same time. Among those reporting current PDM with concurrent heroin, cocaine, and methamphetamine use, the PR with injection was 15.1 (95% CI: 8.5, 26.8). Conclusions Runaway and homeless youth are at increased risk for a myriad of negative outcomes. Our preliminary findings are among the first to show the strong association between current PDM and injection in this population. Our findings provide the basis for additional research to delineate specific patterns of PDM and factors that enable or inhibit transition to injection among homeless and runaway youth. PMID:24300900

Al-Tayyib, Alia A; Rice, Eric; Rhoades, Harmony; Riggs, Paula

2013-01-01

301

Personal Network Correlates of Alcohol, Cigarette, and Marijuana Use Among Homeless Youth  

PubMed Central

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

Wenzel, Suzanne L.; Tucker, Joan S.; Golinelli, Daniela; Green, Harold D.; Zhou, Annie

2013-01-01

302

Homelessness in a national sample of incarcerated veterans in state and federal prisons.  

PubMed

The Veterans Health Administration (VHA) has been increasing efforts to reach out to assist incarcerated veterans. While previous studies have shown strong associations between incarceration and homelessness, few studies have examined distinctive characteristics of incarcerated homeless and non-homeless veterans. National administrative data on 30,348 incarcerated veterans served by the Health Care for Re-entry Veterans (HCRV) program were analyzed. Incarcerated veterans were classified into four groups based on their history of past homelessness: not homeless, transiently homeless, episodically homeless, and chronically homeless. Multinomial logistic regression was used to compare groups on sociodemographic characteristics, criminal justice status, clinical status, and their interest in using VHA services. Of the sample, 70 % were classified as not homeless, 8 % as transiently homeless, 11 % as episodically homeless, and 11 % as chronically homeless. Thus, 30 % of the sample had a homeless history, which is five times the 6 % rate of past homelessness among adult men in the general population. Compared to non-homeless incarcerated veterans, all three homeless groups reported significantly more mental health problems, more substance abuse, more times arrested in their lifetime, more likely to be incarcerated for a non-violent offense, and were more interested in receiving VHA services after release from prison. Together, these findings suggest re-entry programs, like HCRV, can address relevant mental health-related service needs, especially among formerly homeless veterans and veterans in need of services are receptive to the offer of assistance. PMID:23512110

Tsai, Jack; Rosenheck, Robert A; Kasprow, Wesley J; McGuire, James F

2014-05-01

303

U.S. government announces new policy to address homelessness  

NSDL National Science Digital Library

Integrating Services a Key to Homelessness Planhttp://abcnews.go.com/Business/wireStory?id=10985475Shelter residents, operators react to U.S. Homeless planhttp://www.joplinglobe.com/local/x383282834/Shelter-residents-operators-react-to-U-S-homeless-planObama builds on Bush success to help the homelesshttp://www.csmonitor.com/Commentary/the-monitors-view/2010/0622/Obama-builds-on-Bush-success-to-help-the-homelessA 1% fix for homelessnesshttp://www.sltrib.com/sltrib/home/49752645-73/percent-homeless-housing-homelessness.html.cspUnited States Interagency Council on Homelessness http://www.usich.gov/U.S. Department of Housing and Urban Development: Homelessness Resource Exchangehttp://www.hudhre.info/Addressing the problems of the homeless population is a multi-faceted undertaking, and many different governmental agencies have tried novel approaches recently. For example, a coalition of groups in Seattle opened a residential facility several years ago where homeless persons who were dependent on alcohol could drink openly while living in the facility. This Tuesday, the White House made an announcement that a new effort called "Opening Doors" would be utilized to offer a new approach on the federal level to dealing with homelessness. The basic premise behind this approach is that better coordination among the "many agencies that try to help homeless people find employment and health care as well as stable places to live" is a crucial step to ending homelessness entirely. One of the key components of this plan is to also add housing vouchers for low-income families and affordable rental units in the short-term. The hope is that chronic homelessness (where people tend to cycle through shelters and hospitals) can be effectively alleviated with the implementation of this policy. The first link will take visitors to a story from ABC News about the recent announcement from the White House about this new plan. The second link will lead users to an article from the Joplin Globe which takes a look at reactions from residents and operators of homeless shelters in Joplin, MO. The third link will take users to an editorial from this Tuesday's Christian Science Monitor which discusses the work of the Bush administration on a similar plan to end chronic homelessness. Moving on, the fourth link leads to a thoughtful article from the Salt Lake Tribune which talks about the movement to encourage Utahns to pledge 1 percent of one year's income to generate an endowment to solve homelessness in the state. The fifth link will whisk users to the homepage of the United States Interagency Council on Homelessness. Here visitors can learn about the details of this plan and consider statistics on homelessness. The last and final link leads to the Department of Housing and Urban Development's Homelessness Resource Exchange website. The site contains information for those people "assisting persons who are homeless or at risk of becoming homeless."

Grinnell, Max

2010-06-25

304

Correlates of frailty among homeless adults.  

PubMed

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 (r s) bivariate correlations revealed a moderate positive relationship between frailty and health care utilization (r(s) = .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

Salem, Benissa E; Nyamathi, Adeline M; Brecht, Mary-Lynn; Phillips, Linda R; Mentes, Janet C; Sarkisian, Catherine; Leake, Barbara

2013-10-01

305

Understanding heterosexual condom use among homeless men.  

PubMed

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

Tucker, Joan S; Wenzel, Suzanne L; Golinelli, Daniela; Kennedy, David P; Ewing, Brett; Wertheimer, Samuel

2013-06-01

306

Enabling Older Homeless Minority Women to Overcome Homelessness by Using a Life Management Enhancement Group Intervention  

PubMed Central

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

Washington, Olivia G. M.; Moxley, David P.; Taylor, Jacquelyn Y.

2010-01-01

307

Idealized Visions from Outside: Homeless Perspectives on School Change  

ERIC Educational Resources Information Center

This article presents findings from a qualitative exploration of homeless individuals' experiences and their perspectives on ideal designs of schools. The article is part of a larger research project titled "Unheard Voices," which explores marginalized individuals' (homeless, prisoners, working poor, and migrant workers)…

Magolis, David; Carr-Chellman, Alison A.

2013-01-01

308

Educating Homeless Children: Issues and Answers. Fastback 313.  

ERIC Educational Resources Information Center

This publication summarizes issues relating to the education of homeless children and youth and reviews programs that are effective in the delivery of educational services to this population. The report is comprised of five sections. The first section, "Introduction," surveys factors contributing to homelessness and indicates the special needs of…

Stronge, James H.; Tenhouse, Cheri

309

Deviant Behavior and Victimization Among Homeless and Runaway Adolescents  

Microsoft Academic Search

This study used a high-risk population of runaway and homeless adolescents to investigate the effects of a history of caretaker abuse and deviant subsistence strategies on victimization among adolescents. Based on a multisite sample of 974 homeless and runaway adolescents, logistic regression models were used first to examine factors predicting involvement in sexual and nonsexual deviant subsistence strategies and then

LES B. WHITBECK; DAN R. HOYT; KEVIN A. YODER; ANA MARI CAUCE; MATT PARADISE

2001-01-01

310

In from the Cold: Art Therapy with Homeless Men.  

ERIC Educational Resources Information Center

Describes experiences in using art with the homeless in an open studio approach. Discusses how offering open studio time with a range of materials showed that the homeless, each with a unique style and personal interests, were eager to create art objects and present them to the public. (RJM)

Braun, Lisa Nelson

1997-01-01

311

Homelessness and the Fiscal Year 1993 Federal Budget.  

ERIC Educational Resources Information Center

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…

National Coalition for the Homeless, Washington, DC.

312

Homelessness among people with severe mental illness in Switzerland  

Microsoft Academic Search

Questions under study: This study addresses socio-demographic and clinical characteristics among homeless people in Switzerland admitted to inpatient care, the use of and pathways to inpa- tient care by this group and, the extent to which psychiatric disorders contribute to the risk of homelessness. Methods: Based on data of a psychiatric case register we analysed 16 247 people consecutively referred

Christoph Lauber; Barbara Lay; Wulf Rössler

313

Planning Services for the Homeless in the San Francisco Peninsula  

Microsoft Academic Search

Summary: A survey of clients seeking homeless services at agencies in the SF Peninsula, indicates that a disproportionate percentage are minority group members (African American and Hispanic) and veterans, and points to the need for integrated housing, social services, and health care for this vulnerable population. Significant efforts have been made to change public attitudes towards the homeless and to

Lars G. Osterberg; Donald A. Barr

2007-01-01

314

Experiential Therapy with Homeless, Runaway and Street Youth.  

ERIC Educational Resources Information Center

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…

Kallander, Karin; Levings, Laura

315

Substance Use and Health and Safety among Homeless Youth  

ERIC Educational Resources Information Center

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…

Rhule-Louie, Dana M.; Bowen, Sarah; Baer, John S.; Peterson, Peggy L.

2008-01-01

316

Homeless People's Trust and Interactions With Police and Paramedics  

Microsoft Academic Search

Although the health impact of patients' trust in physicians has been well documented, less is known about the possible health effects of trust in police or para- medics. Homeless people frequently interact with police officers and paramedics, and these experiences may affect their health and future willingness to seek emergency assistance. We examined homeless people's self-reported interactions with police and

Tanya L. Zakrison; Paul A. Hamel; Stephen W. Hwang

317

Homelessness: Programs and the People They Serve, Summary Report  

NSDL National Science Digital Library

In December 1999, the department of Housing and Urban development released their "most comprehensive study ever of homelessness in America." The survey of the homeless and the social programs supporting them is offered online in three separate chunks. The Summary Report gives complete analysis of the extensive findings of the survey, including five chapters summarizing the methodology and data.

1999-01-01

318

Predicting Overt and Covert Antisocial Behaviors: Parents, Peers, and Homelessness  

ERIC Educational Resources Information Center

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…

Tompsett, Carolyn J.; Toro, Paul A.

2010-01-01

319

Attitudes toward the Homeless: A U.S.-Japan Comparison.  

ERIC Educational Resources Information Center

Compares attitudes toward the homeless in Japan and the United States through a survey of 268 Japanese and 254 U.S. adults and adolescents interviewed in public places. In Japan, homelessness is seldom discussed, and poverty, which may be as widespread as in the United States, is often not recognized. (SLD)

Guzewicz, Tony D.; Takooshian, Harold

1993-01-01

320

The Costs of Homelessness : A Perspective from the United States  

Microsoft Academic Search

This paper discusses how researchers and others have analyzed the services histories of persons who have experienced homelessness, as well as their imputed costs. This research has been used both to make visible the ways in which the clients of mainstream social welfare systems (health, correc- tions, income maintenance and child welfare) become homeless and, comple- mentarily, the impact of

Dennis P. Culhane

321

Homeless in America: A Children's Story. Part One.  

ERIC Educational Resources Information Center

In the early part of 1999, the Institute for Children and Poverty surveyed almost 2,000 families with more than 4,000 children in 24 locations to assess the state of homeless children across the United States. This report tells their story. Families account for almost 40% of U.S. homeless people, and in some cities that percentage is even higher.…

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

322

The Health Circumstances of Homeless Women in the United States  

Microsoft Academic Search

Women have become the fastest growing segment of the homeless population in the United States, yet very little is known about their sociodemographic profile, health status, use of health services, or the relation between their homeless condition to these social and health factors. This study draws on descriptive statistics and the multivariate results from nine major papers produced using data

Lisa Arangua; Ronald Andersen; Lillian Gelberg

2005-01-01

323

Shut Out: Denial of Education to Homeless Children.  

ERIC Educational Resources Information Center

The Stewart B. McKinney Act of 1987 was intended to remove barriers and ensure access to education for homeless children. But despite a 1988 consent decree, the United States Department of Education (DOE) has failed to comply with its statutory duties to implement the Act, the states have also failed to implement the Act adequately, and homeless

Friedman, Lorraine; Christiansen, Guy

324

Homelessness and Young Children: Early Childhood Care and Education. Minibibliography  

ERIC Educational Resources Information Center

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…

Goode, Susan, Comp.; Shaw, Evelyn, Comp.

2006-01-01

325

Homeless and Special Education Administrative Collaboration: Recommendations. Policy Forum Proceedings  

ERIC Educational Resources Information Center

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…

Bowman, Diana; Burdette, Paula; Julianelle, Patricia

2008-01-01

326

Prevalence and Predictors of Sexual Risks Among Homeless Youth  

ERIC Educational Resources Information Center

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…

Halcon, Linda L.; Lifson, Alan R.

2004-01-01

327

Answering the Call: Facilitating Responsive Services for Students Experiencing Homelessness  

ERIC Educational Resources Information Center

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…

Grothaus, Tim; Lorelle, Sonya; Anderson, Kie; Knight, Jasmine

2011-01-01

328

Deja Vu: Family Homelessness in New York City.  

ERIC Educational Resources Information Center

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…

Institute for Children and Poverty, New York, NY.

329

Policy Implications from the Study of the Homeless  

Microsoft Academic Search

The article presents contemporary research results, reviews the case histories of selected homeless, discusses inferences deduced from participant observation, and delineates conclusions drawn from an analysis of intake data in facilities for the homeless. Although the problems described by individuals served by the three agencies have different manifestations, the root causes are similar. The data supports the conclusion that although

David W. Hartman

2000-01-01

330

What about America's Homeless Children? Hide and Seek. Sage Sourcebooks for the Human Services Series.  

ERIC Educational Resources Information Center

This book aims to present what is known about homeless children and to let the stories of some homeless families make their situations clear. The first part of the book covers the background and social, educational, and health issues of homeless children, with a discussion of causes. Part 2 presents some stories of homeless youth and families,…

Shane, Paul G.

331

The faces of dignity: Rethinking the politics of homelessness and poverty in America  

Microsoft Academic Search

The conditions of homelessness and poverty in America are being criminalized and pathologized such that people who are poor or homeless are marginalized and paternalized to the point of corrupting the possibility of human dignity. In a radical revision of accepted charity models for dealing with homelessness, a group of homeless people have established their own tent community based in

Susan Finley

2003-01-01

332

Homelessness Past and Present: The Case of the United States, 1890-1925  

Microsoft Academic Search

An examination of the professional, political, and popular literature on the nature and extent of homelessness from 1890 to 1925 affords a comparison of the economic and social characteristics of the homeless population at the turn of the century with that of today. The discussion covers the ensuing debates over the causes of homelessness, the various subgroups among the homeless

Ellen Bassuk; Deborah Franklin

1992-01-01

333

The Dynamics of Families Who Are Homeless: Implications for Early Childhood Educators  

ERIC Educational Resources Information Center

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,…

Swick, Kevin J.

2004-01-01

334

Identifying the Precipitants of Homeless Protest across 17 U.S. Cities, 1980 to 1990  

ERIC Educational Resources Information Center

During the 1980s, homeless people formed social movement organizations and mobilized collective action events in cities across the US. From the vantage point of social movement theories and scholarship on homelessness, it is surprising that homeless protest was so prevalent in the 1980s. Yet we find evidence of homeless protest events across no…

Snow, David A.; Soule, Sarah A.; Cress, Daniel M.

2005-01-01

335

Building Adult Parenting Skills in a Homeless Population Through a Problem Solving Approach.  

ERIC Educational Resources Information Center

The experience of homelessness places great stress on families. Homeless parents in a shelter deal with various stressors in addition to homelessness, causing difficulties in dealing with their children and in developing parenting skills. This report describes a program designed for homeless parents of preschool children temporarily living in a…

Price, Jonaphine P.

336

Deriving costs of service use among an urban homeless population.  

PubMed

The purpose of this study was to describe a novel approach to calculating service use costs across multiple domains of service for homeless populations. A randomly-selected sample of homeless persons was interviewed in St. Louis, MO and followed for 2 years. Service- and cost-related data were collected from homeless individuals and from the agencies serving them. Detailed interviews of study participants and of agency personnel in specific domains of service (medical, psychiatric, substance abuse, homeless maintenance, and homeless amelioration services) were conducted using a standardized approach. Service utilization data were obtained from agency records. Standardized service-related costs were derived and aggregated across multiple domains from agency-reported data. Housing status was not found to be significantly associated with costs. Although labor intensive, this approach to cost estimation allows costs to be accurately compared across domains. These methods could potentially be applied to other populations. PMID:24462220

Fuehrlein, Brian S; Cowell, Alexander J; Pollio, David E; Cupps, Lori Y; Balfour, Margaret E; North, Carol S

2014-04-01

337

Adherence to HIV treatment and care among previously homeless jail detainees.  

PubMed

HIV-infected persons entering the criminal justice system (CJS) often experience suboptimal healthcare system engagement and social instability, including homelessness. We evaluated surveys from a multisite study of 743 HIV-infected jail detainees prescribed or eligible for antiretroviral therapy (ART) to understand correlates of healthcare engagement prior to incarceration, focusing on differences by housing status. Dependent variables of healthcare engagement were: (1) having an HIV provider, (2) taking ART, and (3) being adherent (?95% of prescribed doses) to ART during the week before incarceration. Homeless subjects, compared to their housed counterparts, were significantly less likely to be engaged in healthcare using any measure. Despite Ryan White funding availability, insurance coverage remains insufficient among those entering jails, and having health insurance was the most significant factor correlated with having an HIV provider and taking ART. Individuals interfacing with the CJS, especially those unstably housed, need innovative interventions to facilitate healthcare access and retention. PMID:22065234

Chen, Nadine E; Meyer, Jaimie P; Avery, Ann K; Draine, Jeffrey; Flanigan, Timothy P; Lincoln, Thomas; Spaulding, Anne C; Springer, Sandra A; Altice, Frederick L

2013-10-01

338

Adherence to HIV treatment and care among previously homeless jail detainees  

PubMed Central

HIV-infected persons entering the criminal justice system (CJS) often experience suboptimal healthcare system engagement and social instability, including homelessness. We evaluated surveys from a multisite study of 743 HIV-infected jail detainees prescribed or eligible for antiretroviral therapy (ART) to understand correlates of healthcare engagement prior to incarceration, focusing on differences by housing status. Dependent variables of healthcare engagement were: 1) having an HIV provider, 2) taking ART, and 3) being adherent (>95% of prescribed doses) to ART during the week before incarceration. Homeless subjects, compared to their housed counterparts, were significantly less likely to be engaged in healthcare using any measure. Despite Ryan White funding availability, insurance coverage remains insufficient among those entering jails, and having health insurance was the most significant factor correlated with having an HIV provider and taking ART. Individuals interfacing with the CJS, especially those unstably housed, need innovative interventions to facilitate healthcare access and retention. PMID:22065234

Chen, Nadine E.; Meyer, Jaimie P.; Avery, Ann K.; Draine, Jeffrey; Flanigan, Timothy P.; Lincoln, Thomas; Spaulding, Anne C.; Springer, Sandra A.; Altice, Frederick L.

2011-01-01

339

An Analysis of Homeless Veterans Participating in the Homeless Veteran Reintegration Program  

ERIC Educational Resources Information Center

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…

Campbell, Katrina Lanelle

2010-01-01

340

Maximizing Credit Accrual and Recovery for Homeless Students. Best Practices in Homeless Education  

ERIC Educational Resources Information Center

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…

National Center for Homeless Education at SERVE, 2010

2010-01-01

341

Homelessness: Local Program Planning and Review Guides Services for Homeless Children and Youth  

ERIC Educational Resources Information Center

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.…

Iowa Department of Education, 2004

2004-01-01

342

Stanford University Reviewing Veterans Affairs (VA) Research  

E-print Network

Health Care System Consent Financial Considerations ­ Costs · Veteran participants in VA research cannotStanford University HRPP Reviewing Veterans Affairs (VA) Research [for IRB staff and members] AID applicable to research supported by, or otherwise subject to, the Department of Veterans Affairs (VA

Puglisi, Joseph

343

Advanced Battery Manufacturing (VA)  

SciTech Connect

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 payments for space to the IDA. A commercial venture is being formed to utilize the LiFeBATT product for consumer use in enabling photovoltaic powered boat lifts. Field tests of the system have proven to be very effective and commercially promising. This venture is expected to result in significant sales within the next six months.

Stratton, Jeremy

2012-09-30

344

Monetary Incentives to Reinforce Engagement and Achievement in a Job-Skills Training Program for Homeless, Unemployed Adults  

ERIC Educational Resources Information Center

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…

Koffarnus, Mikhail N.; Wong, Conrad J.; Fingerhood, Michael; Svikis, Dace S.; Bigelow, George E.; Silverman, Kenneth

2013-01-01

345

A Randomized Control Trial of a Chronic Care Intervention for Homeless Women With Alcohol Use Problems.  

PubMed

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 6months. Both groups significantly reduced their alcohol consumption, with a small effect size favoring intervention at 3months, 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

Upshur, Carole; Weinreb, Linda; Bharel, Monica; Reed, George; Frisard, Christine

2014-11-21

346

Responding to the needs of the homeless mentally ill.  

PubMed Central

The homeless mentally ill represent a pivotal and urgent challenge to the mental health field in the 1980s. Those homeless who have extended histories of psychiatric hospitalization stand as harsh reminders of the failures of deinstitutionalization, while young mentally ill homeless adults who never have been treated as inpatients testify to the gaps and unrealized promises of community-based care under deinstitutionalization. Homelessness and mental illness are social and clinical problems, respectively, distinct in some ways but intertwined in others. Some of the factors that contribute to homelessness--such as economic deprivations, a dearth of low-cost housing, discontinuities in social service systems, and radical changes in the composition of American families--are felt particularly keenly by many persons who are mentally ill. And symptoms of mental disorders, in turn, frequently impede an individual's capacities to cope with those, as well as other, stressors. Developing appropriate and effective responses to the needs of homeless people who are mentally ill requires precise definition and identification of the target population, innovations in the mental health service system, encouragement of those who staff it to work with homeless mentally ill patients, and public education. Ultimately, however, fundamental answers will be found in an improved understanding of severe mental illness, enhanced treatment capacities, and greater attention to the rehabilitative needs of mentally ill persons. PMID:3931159

Frazier, S H

1985-01-01

347

Prep/Tech: Volume 1, No. 1, Youth on homelessness  

SciTech Connect

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.

NONE

1995-12-31

348

Mercer Veterinary Clinic for the Pets of the Homeless How to Obtain Eligibility for Mercer Veterinary Clinic for the Pets of the Homeless  

E-print Network

Mercer Veterinary Clinic for the Pets of the Homeless How to Obtain Eligibility for Mercer Veterinary Clinic for the Pets of the Homeless: Utilize Loaves and Fishes services without spending the night a. Fill out this form in full to serve as verification of living homeless b. Ensure the signature

Schladow, S. Geoffrey

349

45 CFR 1351.16 - What costs are not allowable under a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

...What costs are not allowable under a Runaway and Homeless Youth Program grant? 1351.16 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.16 What...

2014-10-01

350

45 CFR 1351.11 - Who is eligible to apply for a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

... Who is eligible to apply for a Runaway and Homeless Youth Program grant? 1351.11 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.11 Who...

2014-10-01

351

45 CFR 1351.10 - What is the purpose of the Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

...false What is the purpose of the Runaway and Homeless Youth Program grant? 1351.10 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.10 What...

2014-10-01

352

45 CFR 1351.20 - What are the additional requirements under a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

...additional requirements under a Runaway and Homeless Youth Program grant? 1351.20 Section...AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Additional Requirements...additional requirements under a Runaway and Homeless Youth Program grant? (a) To...

2014-10-01

353

45 CFR 1351.15 - What costs are supportable under a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

...What costs are supportable under a Runaway and Homeless Youth Program grant? 1351.15 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.15 What...

2014-10-01

354

45 CFR 1351.19 - What additional information should an applicant or grantee have about a Runaway and Homeless...  

Code of Federal Regulations, 2014 CFR

...applicant or grantee have about a Runaway and Homeless Youth Program grant? 1351.19 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.19...

2014-10-01

355

45 CFR 1351.12 - Who gets priority for the award of a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

...gets priority for the award of a Runaway and Homeless Youth Program grant? 1351.12 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.12 Who...

2014-10-01

356

45 CFR 1351.17 - How is application made for a Runaway and Homeless Youth Program grant?  

Code of Federal Regulations, 2014 CFR

... How is application made for a Runaway and Homeless Youth Program grant? 1351.17 Section...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.17 How...

2014-10-01

357

45 CFR 1351.18 - What criteria has HHS established for deciding which Runaway and Homeless Youth Program grant...  

Code of Federal Regulations, 2014 CFR

...HHS established for deciding which Runaway and Homeless Youth Program grant applications to fund...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.18 What...

2014-10-01

358

What the VA can teach us about geriatric care.  

PubMed

The innovation now being demanded by Medicare is creating new opportunities for health care organizations to redesign how they deliver care for elderly people. For many years, the VA Health System has experimented with ways to deliver care more effectively and efficiently. Hospital-based postacute and palliative care and home-based primary care are two examples of successful approaches that non-VA providers should be looking at as they move away from fee-for-service reimbursement and invent new care-delivery models. PMID:23437583

Ratner, Edward R; West, Melissa; Hartwig, Kristopher N; Meyer, Bruce C

2013-01-01

359

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

ERIC Educational Resources Information Center

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…

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

2009-01-01

360

The Relationship Between Gambling and Homelessness: A Commentary on Sharman et al. (2014).  

PubMed

The relationship between problem gambling and homelessness is a little studied area in the gambling studies field. A recent study by Sharman et al. (J Gambl Stud, doi: 10.1007/s10899-014-9444-7, 2014) is the first quantitative study in Great Britain on this interesting and important topic. In this context, the study is to be commended and provides an empirical benchmark on which other studies can build. The study reported a problem gambling prevalence rate of 11.6 % and is significantly higher than the problem gambling rate of the general population in Great Britain (which is <1 %). However, given the political sensitivity surrounding the expansion of bookmakers in the UK, the study needs further contextualization otherwise the findings of such studies may be used by anti-gambling lobby groups to serve their own political agendas. While it is good that such an area has been empirically investigated in Great Britain, this paper briefly (1) places the issue of problem gambling among the homeless into the wider context of problems among the homeless more generally (particularly in relation to mental health problems and other addictive behaviors), (2) highlights some of the methodological problems and weaknesses of the study, and (3) notes a number of factual errors made in the paper. PMID:25112218

Griffiths, Mark D

2014-08-12

361

More Than Just a Cargo Adapter, Melanophilin Prolongs and Slows Processive Runs of Myosin Va*  

PubMed Central

Myosin Va (myoVa) is a molecular motor that processively transports cargo along actin tracks. One well studied cargo in vivo is the melanosome, a pigment organelle that is moved first by kinesin on microtubules and then handed off to myoVa for transport in the actin-rich dendritic periphery of melanocytes. Melanophilin (Mlph) is the adapter protein that links Rab27a-melanosomes to myoVa. Using total internal reflection fluorescence microscopy and quantum dot-labeled full-length myoVa, we show at the single-molecule level that Mlph increases the number of processively moving myoVa motors by 17-fold. Surprisingly, myoVa-Mlph moves ?4-fold slower than myoVa alone and with twice the run length. These two changes greatly increase the time spent on actin, a property likely to enhance the transfer of melanosomes to the adjacent keratinocyte. In contrast to the variable stepping pattern of full-length myoVa, the myoVa-Mlph complex shows a normal gating pattern between the heads typical of a fully active motor and consistent with a cargo-dependent activation mechanism. The Mlph-dependent changes in myoVa depend on a positively charged cluster of amino acids in the actin binding domain of Mlph, suggesting that Mlph acts as a “tether” that links the motor to the track. Our results provide a molecular explanation for the uncharacteristically slow speed of melanosome movement by myoVa in vivo. More generally, these data show that proteins that link motors to cargo can modify motor properties to enhance their biological role. PMID:23979131

Sckolnick, Maria; Krementsova, Elena B.; Warshaw, David M.; Trybus, Kathleen M.

2013-01-01

362

More than just a cargo adapter, melanophilin prolongs and slows processive runs of myosin Va.  

PubMed

Myosin Va (myoVa) is a molecular motor that processively transports cargo along actin tracks. One well studied cargo in vivo is the melanosome, a pigment organelle that is moved first by kinesin on microtubules and then handed off to myoVa for transport in the actin-rich dendritic periphery of melanocytes. Melanophilin (Mlph) is the adapter protein that links Rab27a-melanosomes to myoVa. Using total internal reflection fluorescence microscopy and quantum dot-labeled full-length myoVa, we show at the single-molecule level that Mlph increases the number of processively moving myoVa motors by 17-fold. Surprisingly, myoVa-Mlph moves ~4-fold slower than myoVa alone and with twice the run length. These two changes greatly increase the time spent on actin, a property likely to enhance the transfer of melanosomes to the adjacent keratinocyte. In contrast to the variable stepping pattern of full-length myoVa, the myoVa-Mlph complex shows a normal gating pattern between the heads typical of a fully active motor and consistent with a cargo-dependent activation mechanism. The Mlph-dependent changes in myoVa depend on a positively charged cluster of amino acids in the actin binding domain of Mlph, suggesting that Mlph acts as a "tether" that links the motor to the track. Our results provide a molecular explanation for the uncharacteristically slow speed of melanosome movement by myoVa in vivo. More generally, these data show that proteins that link motors to cargo can modify motor properties to enhance their biological role. PMID:23979131

Sckolnick, Maria; Krementsova, Elena B; Warshaw, David M; Trybus, Kathleen M

2013-10-11

363

Military and VA General Dentistry Training: A National Resource.  

ERIC Educational Resources Information Center

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…

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

2002-01-01

364

A quantitative review of cognitive functioning in homeless adults.  

PubMed

Homeless people experience elevated rates of risk factors for cognitive impairment. We reviewed available peer-reviewed studies reporting data from objective measures of cognition in samples identified as homeless. Pooled sample-weighted estimates of global cognitive screening measures, full-scale intelligence quotient (IQ), and premorbid IQ were calculated, in addition to pooled sample characteristics, to understand the representativeness of available studies. A total of 24 unique studies were identified, with 2969 subjects. The pooled estimate for the frequency of cognitive impairment was 25%, and the mean full-scale IQ score was 85, 1 standard deviation below the mean of the normal population. Cognitive impairment was found to be common among homeless adults and may be a transdiagnostic problem that impedes rehabilitative efforts in this population. Comparatively little data are available about cognition in homeless women and unsheltered persons. PMID:25594792

Depp, Colin A; Vella, Lea; Orff, Henry J; Twamley, Elizabeth W

2015-02-01

365

For Cultural Interpretation: A Study of the Culture of Homelessness.  

ERIC Educational Resources Information Center

Attempts to demonstrate the value of conjunctural interpretive analysis (which is multilevel, multimodal, and explicitly theoretical and political) through an interpretation of the culture of homelessness in the United States. Addresses differences between positivist epistemologies. (SR)

Fiske, John

1991-01-01

366

78 FR 42455 - Medications Prescribed by Non-VA Providers  

Federal Register 2010, 2011, 2012, 2013, 2014

...their care. DATES: Effective Date: This final rule is effective July 16, 2013. FOR FURTHER INFORMATION CONTACT: Kristin Cunningham, Director, Business Policy, Chief Business Office (10NB), Veterans Health Administration, Department of Veterans...

2013-07-16

367

Impact of Nursing Intervention on Decreasing Substances among Homeless Youth  

PubMed Central

Background Alcohol use, and in particular, binge drinking, and methamphetamine use is pervasive among homeless youth and remains a social pressure among this vulnerable population. However, there is no compelling evidence that specific interventions for reducing drug and alcohol use are effective for homeless youth. Objectives This community-based participatory action pilot study assessed the impact of an intervention study focused on decreasing use of drugs and alcohol among a sample of homeless young adults (N=154) visiting a drop-in site in Santa Monica, California. The two programs consisted of a HIV/AIDS and Hepatitis Health Promotion (HHP) program led by nurses and an Art Messaging (AM) program led by artists. Six-month follow-up data were obtained from 100 of these individuals. Results Findings revealed significant reductions in alcohol and marijuana use and binge drinking in both the HHP and AM programs. However, homeless youth in the HHP program reported additional reductions in methamphetamine, cocaine and hallucinogen use at six-month follow-up. Conclusions Reductions in drugs and alcohol are important as these substances are linked to HIV/AIDS, hepatitis and other health risks in homeless youth. Scientific Significance The successful outcomes of the study intervention validate the utility of nurse-led and artistic health promotion strategies to decrease drug and alcohol use and other risky behaviors in homeless youth populations. PMID:23082836

Nyamathi, Adeline; Branson, Catherine; Kennedy, Barbara; Salem, Benissa; Khalilifard, Farinaz; Marfisee, Mary; Getzoff, Daniel; Leake, Barbara

2013-01-01

368

National Association for the Education of Homeless Children and Youth  

NSDL National Science Digital Library

Homeless children and youth are arguably the most forgotten population when it comes to education. Since 1989, the National Association for the Education of Homeless Children and Youth (NAEHCY) has been an advocate for equitable services from public schools for homeless youth. Additionally, their website states that it has encouraged "strategies for effective instruction, pupil services, and research." Visitors unfamiliar with the main piece of legislation in place for educating homeless children and youth can read the full-text of the McKinney-Vento Homeless Assistance Act under the "Legislation and Policy" tab. Users may also find the "Higher Education" link, also under the Legislation and Policy tab, to be informative about how the Higher Education Act has "the potential to assist these youth to graduate from high school, apply for and access postsecondary education, and complete their degrees." A link to the related resource "NAEHCY PowerPoint Library - Unaccompanied Youth" can be found in the right corner of the page. Valuable information about how unaccompanied homeless youth can successfully fill out the Free Student Application for Financial Aid (FAFSA) is also available in the "Higher Education" area.

369

Homelessness in Birmingham, AL : an analysis using the local homeless management information system and surveys of local supportive housing programs.  

E-print Network

??A homeless management information system (HMIS) records and stores a client’s demographic information and his/her service utilization history while allowing for case management opportunities between… (more)

Smith, Adrian Kendall

2011-01-01

370

Alcoholism in homeless men in the mid-nineties: results from the Bavarian Public Health Study on homelessness  

Microsoft Academic Search

Summary   Parallel to structural economic changes homelessness has become publicly more visible and has received increased media attention\\u000a in Western industrialized countries. Most studies on mental illness and homelessness in recent years were carried out in North\\u000a America but only few studies in Europe have dealt with these issues. The goals of the present study were (1) to assess alcohol

M. Fichter; N. Quadflieg

1999-01-01

371

76 FR 81520 - Notice of Proposed Information Collection for Public Comment; Continuum of Care Homeless...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Information Collection for Public Comment; Continuum of Care Homeless Assistance Program Registration...Department is soliciting public comments on the...of Care Homeless Assistance (CoC) program...of the affected public: CoC Lead...

2011-12-28

372

Vancouver At Home: pragmatic randomized trials investigating Housing First for homeless and mentally ill adults  

PubMed Central

Background Individuals with mental illnesses are overrepresented among the homeless. Housing First (HF) has been shown to promote positive outcomes in this population. However, key questions remain unresolved, including: how to match support services to client needs, the benefits of housing in scattered sites versus single congregate building, and the effectiveness of HF with individuals actively using substances. The present study aimed to recruit two samples of homeless mentally ill participants who differed in the complexity of their needs. Study details, including recruitment, randomization, and follow-up, are presented. Methods Eligibility was based on homeless status and current mental disorder. Participants were classified as either moderate needs (MN) or high needs (HN). Those with MN were randomized to HF with Intensive Case Management (HF-ICM) or usual care. Those with HN were randomized to HF with Assertive Community Treatment (HF-ACT), congregate housing with support, or usual care. Participants were interviewed every 3 months for 2 years. Separate consent was sought to access administrative data. Results Participants met eligibility for either MN (n?=?200) or HN (n?=?297) and were randomized accordingly. Both samples were primarily male and white. Compared to participants designated MN, HN participants had higher rates of hospitalization for psychiatric reasons prior to randomization, were younger at the time of recruitment, younger when first homeless, more likely to meet criteria for substance dependence, and less likely to have completed high school. Across all study arms, between 92% and 100% of participants were followed over 24 months post-randomization. Minimal significant differences were found between study arms following randomization. 438 participants (88%) provided consent to access administrative data. Conclusion The study successfully recruited participants meeting criteria for homelessness and current mental disorder. Both MN and HN groups had high rates of substance dependence, suicidality, and physical illness. Randomization resulted in no meaningful detectable differences between study arms. Trial registration Current Controlled Trials: ISRCTN57595077 (Vancouver at Home study: Housing First plus Assertive Community Treatment versus congregate housing plus supports versus treatment as usual) and ISRCTN66721740 (Vancouver At Home study: Housing First plus Intensive Case Management versus treatment as usual). PMID:24176253

2013-01-01

373

Life skill interventions with homeless youth, domestic violence victims and adults with mental illness.  

PubMed

SUMMARY This paper presents three exploratory studies of life skills interventions (employment, money management or food/nutrition) with 73 homeless individuals from four shelters and supportive housing programs located in the urban Midwest for youth, victims of domestic violence and adults with mental illness. The Ansell Casey Life Skills Assessment was administered prior to the eight group and individual sessions. Quizzes and posttests indicated clinical change in all groups, with statistical significance in the domestic violence group. The intervention implementation, challenges encountered, and strategies developed for implementing shelter-based interventions are discussed. Recommendations for successfully providing collaborative university-shelter clinical interventions are provided. PMID:23926940

Helfrich, Christine A; Aviles, Ann M; Badiani, Chaula; Walens, Deborah; Sabol, Peggy

2006-01-01

374

No Room for the Inn. A Report on Local Opposition to Housing and Social Services Facilities for Homeless People in 36 United States Cities.  

ERIC Educational Resources Information Center

In December 1994 the National Law Center on Homelessness and Poverty published an analysis of antihomeless laws and policies in 42 American cities. This report draws on those findings to focus on attempts to shut down or exclude service providers. Searches of the media, telephone interviews with service providers and public interest groups and…

National Law Center on Homelessness and Poverty, Washington, DC.

375

77 FR 73312 - Technical Revisions-State Veterans Homes  

Federal Register 2010, 2011, 2012, 2013, 2014

...64.024, VA Homeless Providers Grant...and 64.026, Veterans State Adult Day Health Care. Signing...Grant programs--health, Grant programs--veterans, Health care, Health...Health records, Homeless, Medical...

2012-12-10

376

Temporary Housing for the Homeless: A Pre-Engineering Design Project  

ERIC Educational Resources Information Center

It has been reported by the National Law Center on Homelessness and Poverty that in 2004, over 3.5 million Americans were homeless. While many homeless live in temperate climates, many others live in locations where it can get very cold in the winter. Without adequate shelter, this can become very hazardous to the health and well-being of these…

Schreuders, Paul D.; Salmon, Scott D.; Stewardson, Gary A.

2008-01-01

377

78 FR 7442 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-02-01

378

78 FR 27417 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-05-10

379

Homeless Families, Children, and Youth in Stanislaus County--Problems and Solutions.  

ERIC Educational Resources Information Center

The homeless crisis in America is a complex issue with no "quick fixes." In Stanislaus County, California, it seems that there are many programs operating in isolation of one another. Approximately 5% of the county's population is homeless. Homeless persons have survival needs for food and clothing, hygiene, health care, affordable housing,…

Boley, Ellen

380

Educating Homeless Children and Youth: A Sample of Programs, Policies and Procedures.  

ERIC Educational Resources Information Center

This report reviews a variety of approaches for working with homeless students. Information was gathered from state Coordinators of Education for Homeless Children and Youth, regional coordinators of homeless programs, and national and local organizations. The programs described are organized into five categories. The first concerns educating…

McCall, Kathleen P.

381

78 FR 57874 - Federal Property Suitable as Facilities to Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-09-20

382

77 FR 44262 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2012-07-27

383

Over the Brink: Homeless Families in Los Angeles. California Children, California Families.  

ERIC Educational Resources Information Center

This report examines homeless families, isolates similarities and differences between homeless and poor but stably-housed families, identifies paths along which families slide into homelessness, and recommends policy changes. The report uses a body of data collected in 1987-1988 on two groups of poor families in Los Angeles (California) half of…

Wood, David; And Others

384

78 FR 16521 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-03-15

385

76 FR 2702 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...suitability for possible use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2011-01-14

386

78 FR 73554 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-12-06

387

77 FR 58565 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2012-09-21

388

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

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2013-03-22

389

77 FR 801 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2012-01-06

390

77 FR 75642 - Federal Property Suitable as Facilities to Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities to Assist the Homeless AGENCY: Office of the Assistant Secretary...for suitability for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2012-12-21

391

76 FR 13425 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013, 2014

...Suitable as Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary...suitability for possible use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita...section 501 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C....

2011-03-11

392

Chronic Homelessness Among Working-Age Adults: Personal Problems and Public Assistance  

Microsoft Academic Search

As rapid changes have occurred in the economic and cultural structures of society, some have found themselves more disadvantaged than others. The mismatch between income and the cost of housing means that some of the poor will inevitably become homeless. Given the economics of the situation, prevention of homelessness is a non-issue; more germane is the question of chronic homelessness.

Joan M. Morris

1997-01-01

393

Mother–Child Separations Among Homeless and Housed Families Receiving Public Assistance in New York City  

Microsoft Academic Search

We examined the incidence, characteristics, and predictors of separations of children from mothers in 543 poor families receiving public assistance, 251 of whom had experienced homelessness during the previous 5 years. Forty-four percent of the homeless mothers and 8% of housed mothers were separated from one or more children. A total of 249 children were separated from 110 homeless families

Kirsten Cowal; Marybeth Shinn; Beth C. Weitzman; Daniela Stojanovic; Larissa Labay

2002-01-01

394

What Research Tells Us About the Intersecting Streams of Homelessness and Foster Care  

Microsoft Academic Search

This paper reviews mounting evidence linking foster care and homelessness and considers new ap- proaches for intervention. Although there is no causal evidence that family homelessness leads to foster care or vice versa, the association no longer originates solely from samples of homeless people, but also from samples of people with childhood histories of foster care. Many programs work with

Cheryl Zlotnick

2010-01-01

395

The Mental Health of Children Exposed to Maternal Mental Illness and Homelessness  

Microsoft Academic Search

In recent years a number of reports have documented an increase in the number of homeless families in the US. Using a sample of 195 mothers who were veterans of the US armed forces we assessed the association of maternal homelessness and clinical status, with measures of children’s mental health, school enrolment and attendance. Although maternal homelessness had no significant

Ilan Harpaz-Rotem; Robert A. Rosenheck; Rani Desai

2006-01-01

396

Characteristics of Telephone Applicants to a Residential Rehabilitation Program for Homeless Veterans.  

ERIC Educational Resources Information Center

Gathered descriptive data on 163 telephone applicants to residential rehabilitation program for homeless veterans and compared data with general veteran and homeless populations. Found subjects to be young, educated group of homeless men with histories of relatively high, stable functioning and high rates of medical, substance abuse, psychiatric,…

Seidner, Andrea L.; And Others

1990-01-01

397

A Survey of the Nutritional Status of Homeless Adults in Rural Northern California  

Microsoft Academic Search

Homelessness is a growing problem in the United States. The health and nutritional status of the homeless population is effected by limited access to regular, nutritious meals. There are few published studies evaluating the nutritional status of homeless populations and all data collected have been from urban areas. The purpose of this survey was to assess the nutritional status of

K. Silliman; M. M. Yamanoha; A. E. Momssey

1995-01-01

398

Feminisation of poverty among the street homeless women in South Africa  

Microsoft Academic Search

This article gives an overview of poverty, deprivation and homelessness as a social ill that is eating deep into the society's fabric. It affirms that these concepts are inextricably linked, illustrating this with the case of the street homeless women. Furthermore, it describes the characteristics of street homeless women in Johannesburg inner city and their perception of poverty. It also

Olusola Olufemi

2000-01-01

399

Homeless and Disabled: Rights, Responsibilities, and Recommendations for Serving Young Children with Special Needs  

ERIC Educational Resources Information Center

Homelessness is a growing social problem in the United States. Especially vulnerable to this phenomenon are young children because homelessness is viewed as a breeding ground for disabilities. Despite federal legislation ensuring educational opportunities, the educational needs of children who are homeless are frequently unfulfilled. This article…

Gargiulo, Richard M.

2006-01-01

400

Partners in Prevention: Community-Wide Homelessness Prevention in Massachusetts and the United States  

Microsoft Academic Search

A central objective of the Homelessness Prevention Initiative (HPI) is to generate information for state policymakers on viable statewide approaches for investing in homelessness prevention. Therefore, to contextualize the policy relevance of HPI evaluation findings and to add to the strength of recommendations, the evaluation team has systematically explored examples of community-wide homelessness prevention efforts already underway in Massachusetts and

Donna H. Friedman; John McGah; Julia Tripp; Michelle Kahan; Nicole Witherbee; Amy Carlin

2005-01-01

401

Ten Cities, 1997-1998: A Snapshot of Family Homelessness across America.  

ERIC Educational Resources Information Center

In 1997, the Institute for Children and Poverty of Homes for the Homeless joined with more than 58 organizations from 10 cities across the country to develop a national snapshot of family homelessness in the United States. Nearly 800 families were surveyed. This report presents the results of this research. The typical homeless family in the…

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

402

Income and employment among homeless people: the role of mental health, health and substance abuse  

Microsoft Academic Search

Background: The homeless population is among the poorest of the poor in the United States. Employment and government programs are potential sources of income, but many homeless people face potential barriers to work: many have serious mental and physical disabilities, and many more have alcohol and drug disorders. As a result, most homeless who work do so either for a

Samuel H. Zuvekas; Steven C. Hill

2000-01-01

403

A Status Report on Homeless Families in America's Cities. A 29-City Survey.  

ERIC Educational Resources Information Center

This survey assesses the status of homelessness among families in cities. The data were collected from city officials during April 1987. The findings include the following: (1) the number of homeless families increased by 31 percent during the last two years; (2) families represented one-third of the homeless and a single parent headed two-thirds…

Waxman, Laura DeKoven; Reyes, Lilia M.

404

Prompt and Proper Placement: Enrolling Students without Records. Best Practices in Homeless Education  

ERIC Educational Resources Information Center

The McKinney-Vento Homeless Assistance Act, reauthorized as Title X, Part C, of the No Child Left Behind Act, requires schools to enroll homeless students immediately, even if they do not have the documents normally required for enrollment such as school records, medical records, proof of residency, or others. Unfortunately for many homeless

National Center for Homeless Education at SERVE, 2006

2006-01-01

405

Gender Differences in Traumatic Events and Rates of Post-Traumatic Stress Disorder among Homeless Youth  

ERIC Educational Resources Information Center

In the present report we describe patterns of traumatic events and Post-traumatic Stress Disorder (PTSD), both partial and full, among homeless youth and those at risk for homelessness, with an emphasis on gender differences. Participants were 85 homeless and at-risk youth (49% female) recruited from a drop-in center in New York City in 2000.…

Gwadz, Marya Viorst; Nish, David; Leonard, Noelle R.; Strauss, Shiela M.

2007-01-01

406

Meeting the Educational Needs of Missouri's Homeless Children. State Plan & Survey Report.  

ERIC Educational Resources Information Center

A two-part survey prepared in compliance with the Stewart B. McKinney Homeless Assistance Act assessed the extent of homelessness among Missouri children and the types of educational barriers that they confront. The survey formed the basis for the federally required State Plan for educating homeless children. In this document, an explanation of…

Missouri State Dept. of Elementary and Secondary Education, Jefferson City.

407

Racial Differences in the Use of Antidepressants and Counseling for Depression Among Homeless Women  

Microsoft Academic Search

The purpose of the current study was to examine how African American race was related to the use of antidepressants and counseling among homeless depressed women. Women were recruited in 18 homeless shelters in four counties in central North Carolina. Head of household homeless mothers with psychiatric and\\/or substance abuse disorders who had dependent children were eligible to participate. One

Betsy L. Sleath; Elizabeth Jackson; Kathleen C. Thomas; James Galloway; Lisa Dumain; Joshua Thorpe; Angela Rollins; Joseph Morrissey

2006-01-01

408

The health encounter as a treatable moment for homeless substance-using adults: the role of homelessness, health seeking behavior, readiness for behavior change and motivation for treatment.  

PubMed

Substance-using homeless persons frequent emergency departments and hospitals often. However, little is known about how homelessness affects when they seek care and their motivation for substance abuse treatment (SAT). We surveyed homeless (N=266) and non-homeless (N=104) substance-using adults sequentially admitted to an urban hospital medicine service, comparing demographics, readiness for change (URICA), and motivating reasons for SAT. Homeless respondents were more likely to be younger, uninsured, have hepatitis B/C, and <12th grade education. The majority in both groups were in either a precontemplative or contemplative stage of change, although more homeless respondents were in an action stage. They also had similar motivating reasons for wanting SAT, although being homeless was an additional motivator for the majority of homeless respondents. Almost half reported that being homeless caused them to delay seeking health care; paradoxically those citing physical health as a SAT motivator were 3.4 times more likely to have delayed care. While acutely ill homeless persons were at least as motivated for SAT, these data suggest the challenge is getting them to care in a timely manner and tailoring interventions during the care episode to avail of this motivation. PMID:18562126

O'Toole, Thomas P; Pollini, Robin A; Ford, Daniel E; Bigelow, George

2008-09-01

409

Patient and provider-reported adherence  

Microsoft Academic Search

We seek to develop a clinically useful measure of antiretroviral medication adherence. Because there is no gold standard for adherence, we will assess the clinical validity of patient- and provider-reported adherence by the strength of their expected associations with current viral load, depressive symptoms, alcohol and illicit drug use, and homelessness. The Veterans Aging Cohort 3 Site Study (VACS 3)

J. H Wagner; A. C Justice; M Chesney; G Sinclair; S Weissman; M Rodriguez-Barradas

2001-01-01

410

INSTRUCTIONS FOR STARTING YOUR CLAIM FOR VA EDUCATIONAL BENEFITS CLAIM 1. Visit www.gibill.va.gov to determine which educational benefit will be best for you. You may have more than one option.  

E-print Network

and provide copy of online application VA Form 22-1990 and Member 4 of DD-214. You may also need to fill out areas of the form must be filled out. Grad students will also need a signature from their advisor. Complete and provide copy of online application VA Form 22-1990 and Member 4 of DD-214 Must be used within

Caughman, John

411

Management of chronic kidney disease and dialysis in homeless persons  

PubMed Central

End-stage renal disease and dialysis are complicated illnesses to manage in homeless persons, who often suffer medical comorbidities, psychiatric disease, cognitive impairment and addictions; descriptions of this population and management strategies are lacking. A retrospective review of dialysis patients who were homeless or unstably housed was undertaken at an urban academic Canadian center from 2001 to 2011. Electronic hospital records were analyzed for demographic, housing, medical, and psychiatric history, dialysis history, adherence to treatment, and outcomes. Two detailed cases of homeless patients with chronic kidney disease are presented. Eleven homeless dialysis patients with a mean age of 52.7±12.3 years, mostly men and mostly from minority groups were dialyzed for 41.1±29.2 months. Most resided permanently in shelters, eventually obtained fistula access, and were adherent to dialysis schedules. Patients were often nonadherent to pre-dialysis management, resulting in emergency starts. Many barriers to care for homeless persons with end-stage kidney disease and on dialysis are identified, and management strategies are highlighted. Adherence is optimized with shelter-based health care and intensive team-oriented case management. PMID:25018988

Podymow, Tiina; Turnbull, Jeff

2013-01-01

412

Personality disorders and treatment drop out in the homeless  

PubMed Central

The homeless drop out of treatment relatively frequently. Also, prevalence rates of personality disorders are much higher in the homeless group than in the general population. We hypothesize that when both variables coexist — homelessness and personality disorders — the possibility of treatment drop out grows. The aim of this study was to analyze the hypotheses, that is, to study how the existence of personality disorders affects the evolution of and permanence in treatment. One sample of homeless people in a therapeutic community (N = 89) was studied. The structured clinical interview for the diagnostic and statistical manual of mental disorders (DSM-IV-TR) was administered and participants were asked to complete the Millon Clinical Multiaxial Inventory-II (MCMI-II). Cluster B personality disorders (antisocial, borderline, and narcissistic) avoided permanence in the treatment process while cluster C disorders, as dependent, favored adhesion to the treatment and improved the prognosis. Knowledge of these personality characteristics should be used to advocate for better services to support homeless people and prevent their dropping out before completing treatment. PMID:23569378

Salavera, Carlos; Tricás, José M; Lucha, Orosia

2013-01-01

413

The Other America: Homeless Families in the Shadow of the New Economy. Family Homelessness in Kentucky, Tennessee and the Carolinas. A Report of Homes for the Homeless.  

ERIC Educational Resources Information Center

This report describes a survey of homeless families from shelters in Kentucky, Tennessee, and the Carolinas. The typical family included a 32-year-old single woman with two young children who was more likely to be African American, had a high school education, and had a 50-50 chance of being employed. Most children attended preschool, most were…

Institute for Children and Poverty, New York, NY.

414

Patient and program predictors of 12-month outcomes for homeless veterans following discharge from time-limited residential treatment.  

PubMed

The U.S. Department of Veterans Affairs provides transitional residential treatment to homeless veterans through three types of programs: VA-staffed Domiciliary care, and two types of community-based treatment (one funded through locally managed contracts and the other through national grants). This study compared treatment process and outcomes in these three programs and also sought to identify differences in outcome between dually diagnosed veterans, veterans with substance abuse problems or psychiatric problems alone, and those with no psychiatric diagnoses. Altogether, 1,338 veterans admitted to the 3 types of program were recruited to participate in a prospective naturalistic study which evaluated housing, clinical and community adjustment outcomes during the year following discharge. Data on 1,003 veterans for whom psychiatric diagnostic, social climate and length of stay data were available were used to compare participants in the three program types at baseline. Regression models were used to compare outcomes across program and diagnostic types net of baseline differences between study participants, and of differences in social climate and length of stay. The overall follow-up rate across all time points was 72%. Significant differences across programs were observed on only 2 baseline measures as well as on several baseline values of the outcome measures, length of stay and a measure of social climate. Adjusting for veteran baseline differences alone there were no differences in outcomes by program after correction for multiple comparisons. Dually diagnosed veterans had poorer mental health and overall quality of life outcomes. Longer length of stay and more positive social climate were associated with superior outcomes on several measures. The adjusted mean estimate of the proportion of veterans housed at 12 months follow-up was 78%, similar to published outcomes for supported housing. Length of stay, rather than program funding configuration or diagnostic group, was the strongest predictor of outcomes in time-limited residential treatment programs in which 1-year housing was similar to those in direct-placement supported housing programs. PMID:20814735

McGuire, James; Rosenheck, Robert A; Kasprow, Wesley J

2011-05-01

415

The relationship between spiritual resources and life attitudes of African American homeless women.  

PubMed

Little is known about the relationships between spiritual resources and life attitudes of homeless African American women. Spiritual resources may serve as protective factors for women leaving homelessness. This descriptive study examines spiritual resources, life attitudes, and selected demographics of 160 African American women who were homeless in the Midwestern United States. Participants ranged in age from 30-62 years of age and reported being homeless 1-9 times, with a mean of 1.94 (SD = 1.53) times. The authors draw inferences for how spiritual resources and life attitudes can influence women's efforts to leave homelessness and identify implications for nursing practice. PMID:24702208

Gash, Jean; Washington, Olivia G M; Moxley, David P; Feen-Calligan, Holly

2014-04-01

416

Permanent supportive housing: addressing homelessness and health disparities?  

PubMed

Permanent supportive housing (PSH) is an intervention to address long-term homelessness. Evidence has resulted in a shift in US policy toward using PSH rather than shelters and transitional housing. Despite recognizing that individuals transitioning from homelessness to PSH experience a high burden of disease and health disparities, public health research has not considered whether and how PSH improves physical health outcomes. Based on diverse areas of research, we argue that in addition to improved access to quality health care, social determinants of health (including housing itself, neighborhood characteristics, and built environment) affect health outcomes. We identify implications for practice and research, and conclude that federal and local efforts to end long-term homelessness can interact with concurrent efforts to build healthy communities. PMID:24148031

Henwood, Benjamin F; Cabassa, Leopoldo J; Craig, Catherine M; Padgett, Deborah K

2013-12-01

417

The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: study protocol of two randomised controlled trials  

PubMed Central

Background One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for abused women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for abused women and homeless people. Methods In two multi-centre randomised controlled trials we investigate whether CTI, a time-limited (nine month) outreach intervention, is more effective than care-as-usual for abused women and homeless people making the transition from shelter facilities to supported or independent housing. Participants were recruited in 19 women’s shelter facilities and 22 homeless shelter facilities across The Netherlands and randomly allocated to the intervention group (CTI) or the control group (care-as-usual). They were interviewed four times in nine months: once before leaving the shelter, and then at three, six and nine months after leaving the shelter. Quality of life (primary outcome for abused women) and recurrent loss of housing (primary outcome for homeless people) as well as secondary outcomes (e.g. care needs, self-esteem, loneliness, social support, substance use, psychological distress and service use) were assessed during the interviews. In addition, the model integrity of CTI was investigated during the data collection period. Discussion Based on international research CTI is expected to be an appropriate intervention for clients making the transition from institutional to community living. If CTI proves to be effective for abused women and homeless people, shelter services could include this case management model in their professional standards and improve the (quality of) services for clients. Trial registration NTR3463 and NTR3425

2013-01-01

418

The HIV Risk Reduction Needs of Homeless Women in Los Angeles  

PubMed Central

Background Substance use, housing instability, and transactional sex all contribute to HIV risk engagement among homeless women. Because of the increased risk of HIV among homeless women, this study sought to understand the context of sexual behaviors and condom use among homeless women and elucidate modifiable factors that can be targeted by interventions. Methods Homeless women (n = 45) participated in focus groups (n = 6) at shelters throughout Los Angeles County. Thematic analyses revealed that similar to other high-risk women, homeless women engage in sex with multiple types of partners (steady, casual, and transactional). Findings Our findings indicate that, similar to use among other high-risk women, condom use by homeless women varied by type of partner. Substance use also contributed to condom non-use. In a departure from previous research, homeless women reported overarching feelings of hopelessness. Participants spoke of hopelessness contributing to risk engagement, specifically the number of ongoing stressors experienced because of homelessness contributing to despair. Without acknowledgement of this unique quality of homelessness, women felt their risk reduction needs would never truly be understood. Conclusions Interventions involving homeless women should include self-esteem building, acknowledgment and use of inherent resilience qualities gained during homelessness, respect for current knowledge and skills, and an exploration of when women choose to trust their partners and how they make safer sex choices. PMID:23541392

Cederbaum, Julie A.; Wenzel, Suzanne L.; Gilbert, Mary Lou; Chereji, Elizabeth

2013-01-01

419

The Impact of the McKinney-Vento Program on the End-of-Grade Test Scores of Homeless Grade 6 Students  

ERIC Educational Resources Information Center

Congressional concern about homeless students resulted in the McKinney-Vento Act (MCKV) in 2001, which provides funds to local educational agencies (LEAs). MCKV is almost a decade old, yet no evaluations of its academic effectiveness have been reported. Using a systems theory framework, this study answered research questions (RQs) involving…

Hendricks, George

2010-01-01

420

Hepatitis B among homeless and other impoverished US military veterans in residential care in Los Angeles.  

PubMed

Findings are presented for a cross-sectional study of serological markers of hepatitis B virus (HBV) infection in an underserved population-impoverished veterans of the US armed forces in a Veterans Administration (VA) residential program in the US. We examine the demographic, background, and risk factors associated with HBV infection in this high-risk population. This paper presents a secondary analysis of cross-sectional survey and clinical data for 370 male veterans who were residents of a domiciliary care program for homeless veterans in Los Angeles, using chi(2), Fisher's Exact, and logistic regression analysis. About one-third (30.8%) of the sample tested positive for current or past HBV infection (ie, seropositive for either the HBV core antibody or surface antigen). After multivariate analysis, rates of HBV were significantly higher among veterans who were older, non-white, or who had a history of regular heroin use (a proxy measure for injection drug use), drug overdose, or drug detoxification treatment. The rate of current or past HBV infection among veterans in this sample (30.8%) was high compared to an estimated 5% to 8% of the general US population. Also, 3% of the sample were currently infected with HBV. Strategies for intervention include broader screening, immunization, and treatment interventions with this high-risk group. PMID:11464302

Gelberg, L; Robertson, M J; Leake, B; Wenzel, S L; Bakhtiar, L; Hardie, E A; Sadler, N; Getzug, T

2001-07-01

421

Does context matter? Examining the mental health among homeless people.  

PubMed

While much research has focused on the impact community has on health and wellbeing of domiciled populations, limited research has explored the same for homeless people. Using multivariate models, this research explores what factors are related to depressive symptomatology among homeless people living in two distinctly different communities. Results suggest that context matters, but not for every circumstance examined in these models. While some variables exhibit a consistent relationship with depressive symptoms, the role of social capital is noted as particularly important to lowering symptomatology, yet its impact differs significantly by location. PMID:24952424

Fitzpatrick, Kevin; Myrstol, Brad A; Miller, Elizabeth

2015-02-01

422

Sources of Psychological Pain and Suicidal Thoughts Among Homeless Adults.  

PubMed

Homeless adults experience problems in multiple areas of their lives. It was hypothesized that adults who were troubled by problems in more areas of their lives would be more likely to report suicidal thoughts. The sample included 457 homeless men and women who resided in three emergency shelters. The number of sources of psychological pain, past suicide attempts, and being a man predicted current suicidal thoughts, but being diagnosed with a depressive disorder did not. Shelter workers should ask adults whether they have attempted suicide in the past and how troubled they are by each area of their lives. PMID:25255999

Coohey, Carol; Easton, Scott D; Kong, Jooyoung; Bockenstedt, Julie K W

2014-09-25

423

Risk of death among homeless women: a cohort study and review of the literature  

PubMed Central

Background Homeless people are at high risk for illness and have higher death rates than the general population. Patterns of mortality among homeless men have been investigated, but less attention has been given to mortality rates among homeless women. We report mortality rates and causes of death in a cohort of women who used homeless shelters in Toronto. We also compare our results with those of other published studies of homeless women and with data for women in the general population. Methods A cohort of 1981 women not accompanied by dependent children who used homeless shelters in Toronto in 1995 was observed for death over a mean of 2.6 years. In addition, we analyzed data from published studies of mortality rates among homeless women in 6 other cities (Montreal, Copenhagen, Boston, New York, Philadelphia and Brighton, UK). Results In Toronto, mortality rates were 515 per 100 000 person-years among homeless women 18–44 years of age and 438 per 100 000 person-years among those 45–64 years of age. Homeless women 18–44 years of age were 10 times more likely to die than women in the general population of Toronto. In studies from a total of 7 cities, the risk of death among homeless women was greater than that among women in the general population by a factor of 4.6 to 31.2 in the younger age group and 1.0 to 2.0 in the older age group. In 6 of the 7 cities, the mortality rates among younger homeless women and younger homeless men were not significantly different. In contrast, in 4 of the 6 cities, the mortality rates were significantly lower among older homeless women than among older homeless men. Interpretation Excess mortality is far greater among homeless women under age 45 years than among older homeless women. Mortality rates among younger homeless women often approach or equal those of younger homeless men. Efforts to reduce deaths of homeless women should focus on those under age 45. PMID:15078846

Cheung, Angela M.; Hwang, Stephen W.

2004-01-01

424

Inactivation of Factor Va by Activated Protein C on Selected Human Tumor Cell Lines  

Microsoft Academic Search

Previous studies have demonstrated that platelets or aortic endothelial cells provide an appropriate surface that augments the proteolytic inactivation of factor Va by activated protein C (APC). We have examined the ability of three human tumor cell lines (HepG2, CAPAN-2 and J82) to support the inactivation of human factor Va by human APC in the presence and absence of human

Tomohiro Nakagaki; Tatsuya Sueyoshi; Walter Kisiel

1992-01-01

425

A Health-Profile Comparison of Delinquent and Homeless Youths.  

ERIC Educational Resources Information Center

Uses medical data (medical history and physical examination) on samples of 245 delinquent and 160 homeless youths in San Francisco (California) to discuss health needs of this population. The article reveals that a substantial number of these youth did not have adequate health care coverage despite considerable medical problems compared to the…

Forst, Martin L.; And Others

1993-01-01

426

Transitions to Adulthood for Homeless Adolescents: Education and Public Policy  

ERIC Educational Resources Information Center

Education plays a critical role in how adolescents mature into adults. A vulnerable, and often forgotten, sub-population of the poor is homeless youth, for whom lack of a stable or adequate residence creates a unique set of educational barriers. The Center for Higher Education Policy Analysis (CHEPA) spent 18 months documenting the experiences of…

Tierney, William G.; Gupton, Jarrett T.; Hallett, Ronald E.

2008-01-01

427

Literacy Training for the Homeless: Guidelines for Effective Programs.  

ERIC Educational Resources Information Center

This guidebook is based on telephone interviews, conducted in April and May 1989, with the staff of 19 homeless shelters in California, Delaware, Massachusetts, Minnesota, Missouri, New Jersey, New York, Oklahoma, Texas, and Tennessee, site visits at eight New York State shelter programs, and a review of the research on literacy training for…

New York State Education Dept., Albany. Bureau of Adult and Continuing Education Program Development.

428

Responding to the Needs of the Homeless and Hungry.  

ERIC Educational Resources Information Center

This report describes the Hotels-Motels in Partnership Program, a human services resource sponsored by the Red Cross and other organizations to respond to housing needs of the homeless, disaster victims, and others in need of emergency assistance. The partnership program involves several hundred businesses in more than 240 communities. Since its…

American National Red Cross, Washington, DC.

429

Homeless Education Project 1996-97. Scope of Program.  

ERIC Educational Resources Information Center

The documents in this collection relate to the Homeless Education Project conducted in the elementary and secondary schools of the West Contra Costa Unified School District (California). The first document is a chart describing the project and its main goals: (1) an accelerated curriculum in reading and mathematics; (2) effective procedures for…

West Contra Costa Unified School District, CA.

430

Association of Childhood Abuse with Homeless Women's Social Networks  

ERIC Educational Resources Information Center

Objective: Childhood abuse has been linked to negative sequelae for women later in life including drug and alcohol use and violence as victim or perpetrator and may also affect the development of women's social networks. Childhood abuse is prevalent among at-risk populations of women (such as the homeless) and thus may have a stronger impact on…

Green, Harold D., Jr.; Tucker, Joan S.; Wenzel, Suzanne L.; Golinelli, Daniela; Kennedy, David P.; Ryan, Gery W.; Zhou, Annie J.

2012-01-01

431

Multidimensional Networking: A Response to the Needs of Homeless Families.  

ERIC Educational Resources Information Center

Draws on models of social networking to present findings from a six-year study of homeless families who received treatment at the Salvation Army Lodge in St. Louis, Missouri. Presents a four-stage model of treatment: the crisis, stabilization, relocation, and follow-up stages. (Author/ABB)

Hutchison, William J.; And Others

1986-01-01

432

A Preliminary Classification System for Homeless Veterans With Mental Illness  

Microsoft Academic Search

The purpose of this study was that of defining psychiatric profiles among veterans based on a structured interview of 3,595 individuals administered by outreach mental health clinicians to individuals who were presently or recently homeless. The interview included ratings of presence or absence of current psychiatric disorders; alcoholism, drug abuse, psychosis, mood disorders, personality disorders, PTSD, and adjustment disorders. We

Gerald Goldstein; James F. Luther; Aaron M. Jacoby; Gretchen L. Haas; Adam J. Gordon

2008-01-01

433

Planning services for the homeless in the San Francisco peninsula.  

PubMed

A survey of clients seeking homeless services at agencies in the SF Peninsula, indicates that a disproportionate percentage are minority group members (African American and Hispanic) and veterans, and points to the need for integrated housing, social services, and health care for this vulnerable population. PMID:17982204

Osterberg, Lars G; Barr, Donald A

2007-11-01

434

Feasibility Study of the Social Enterprise Intervention with Homeless Youth  

ERIC Educational Resources Information Center

Objective: To reduce mental health symptoms and high-risk behaviors and increase social support and service utilization among street-living youth, the authors conducted a pilot study to assess the feasibility of the social enterprise intervention (SEI) at a homeless youth agency. Method: Convenience sampling was used to recruit 16 street-living…

Ferguson, Kristin M.; Xie, Bin

2008-01-01

435

The Dynamics of Violence and Homelessness among Young Families  

ERIC Educational Resources Information Center

Violence is one of the most prevalent elements in the lives of homeless families with young children. This violence may come in various forms: domestic violence, street violence, violence in one's childhood, witnessing violence, and other avenues and modes. Violence disrupts the normal bonding between parent and child. It isolates and degrades…

Swick, Kevin James

2008-01-01

436

The Door's Open: Educating Students Who Are Homeless  

ERIC Educational Resources Information Center

Most often, homeless students are members of minority groups who have attended several schools during their school career, are from single-parent households, and have histories of irregular school attendance. These students also frequently suffer from physical and mental challenges that are rooted in poverty, lack access to medical care, and have…

Delmore, Patrick

2004-01-01

437

Homelessness in Urban America: A Review of the Literature.  

ERIC Educational Resources Information Center

In the 1980s, homelessness attracted considerable attention from the media, advocates, politicians, and the public. Virtually every sector of society and the government responded. Interest in the issue has waned considerably since then, but the problem continues growing, particularly in large urban areas. While public policies address the problem,…

Sommer, Heidi

438

The Initiation of Homeless Youth into the Street Economy  

ERIC Educational Resources Information Center

Homeless youth (HY) who lack employment in the formal economy typically turn to the street economy (e.g., prostitution, drug selling) for survival. Guided by the theory of social control, the present paper explores factors influencing HY's initiation into the street economy. Eighty HY (ages 15-23) were recruited from four community-based…

Gwadz, Marya Viorst; Gostnell, Karla; Smolenski, Carol; Willis, Brian; Nish, David; Nolan, Theresa C.; Tharaken, Maya; Ritchie, Amanda S.

2009-01-01

439

Serving the Homeless through Recreation Programs. Research Update.  

ERIC Educational Resources Information Center

Literature review examines problems faced by homeless adults and children and discusses how recreation programs can serve them. The recreation and leisure profession can offer to the healthy child development through play and recreation, physical fitness, stress management, socialization, opportunities to learn goal-setting, self-esteem building,…

Kunstler, Robin

1993-01-01

440

Targeted Interventions for Homeless Children at a Therapeutic Nursery  

ERIC Educational Resources Information Center

PACT: Helping Children with Special Needs, an affiliate of the Kennedy Krieger Institute in Baltimore, Maryland, operates a therapeutic nursery that serves families who have at least one child from birth to 3 years of age, and who are living in a Baltimore City homeless shelter. In partnership with the Martin Luther King Early Head Start Program…

Norris-Shortle, Carole; Melley, Alison H.; Kiser, Laurel J.; Levey, Eric; Cosgrove, Kim; Leviton, Audrey

2006-01-01

441

Mean Streets: Youth Crime and Homelessness. Cambridge Criminology Series.  

ERIC Educational Resources Information Center

This study explores the social worlds of homeless children in two Canadian cities, Toronto and Vancouver, comparing them with the environments of in-home and in-school children from the perspective of the children. Samples of 390 and 482 children were interviewed. The following chapters are included: (1) "Street and School Criminologies"; (2)…

Hagan, John; McCarthy, Bill

442

Homeless, Street-Involved Emerging Adults: Attitudes toward Substance Use  

ERIC Educational Resources Information Center

Research has indicated that a high proportion of homeless emerging adults use substances. This article aims to understand the attitudes of these young adults concerning their substance use and its effect on their lives. A mixed methods study using semistructured interviews and self-report instruments was conducted with 87 emerging adults who…

Thompson, Sanna J.; Barczyk, Amanda N.; Gomez, Rebecca; Dreyer, Lauren; Popham, Amelia

2010-01-01

443

The Jailing of America's Homeless: Evaluating the Rabble Management Thesis  

ERIC Educational Resources Information Center

The authors of this article test hypotheses derived from Irwin's rabble management thesis. The analysis uses data from 47,592 interviews conducted with jailed adults in 30 U.S. cities as part of the Arrestee Drug Abuse Monitoring program. Clearly, homeless persons are overrepresented among those arrested and booked into local jails. Bivariate…

Fitzpatrick, Kevin M.; Myrstol, Brad

2011-01-01

444

Employment and Training for America's Homeless: Best Practices Guide.  

ERIC Educational Resources Information Center

This document is a how-to guide to help employment and training agencies tailor their delivery systems to be more effective in training, placing, and retaining homeless individuals in gainful employment. The guide is written from the perspective of an employment and training agency and based largely on the experiences of 63 organizations from…

Beck, Susan Kessler; Trutko, John W.; Isbell, Kellie; Rothstein, Frances; Barnow, Burt S.

445

Homelessness "Here"? A District Administrator Encounters an Unexpected Challenge  

ERIC Educational Resources Information Center

This case was developed for use in a variety of leadership courses from contemporary issues to policy analysis or school-community relations. A narrative is presented about a superintendent, Kenny, who is faced with two new cases of student homelessness in his affluent suburban community. Students must consider the federal policy context (the…

Miller, Peter; Pavlakis, Alexandra; Bourgeois, Alexis

2013-01-01

446

Gang Involvement and Membership among Homeless and Runaway Youth.  

ERIC Educational Resources Information Center

Assessed the extent of gang involvement among homeless and runaway youth, comparing gang members, gang-involved youth (not members), and non-gang youth on several dimensions. Interview data indicated that 15.4 percent of the youth were gang members and 32.2 percent were involved in gangs. These youth reported more family problems and school…

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

2003-01-01

447

Implementing an Art Program for Children in a Homeless Shelter  

ERIC Educational Resources Information Center

This article describes a qualitative research study designed to analyze the implementation of an art program for children in a homeless shelter. Using a socio-cultural lens and the framework of resilience theory, teacher researchers implemented community-art programs for children residing in a family emergency shelter. Data collection included…

Heise, Donalyn; MacGillivray, Laurie

2011-01-01

448

An investigation of alcoholic subgroups in the homeless population  

Microsoft Academic Search

A cluster analysis was performed on the Millon Clinical Multiaxial Inventory-II (MCMI-II) profiles of homeless alcoholics. Five groups emerged, four of which had been found in previous work. Two groups of sociopaths emerged which differed in the degree to which internal discomfort was experienced. A \\

Alisa Debra Lamnin

1989-01-01

449

Do Older Rural and Urban Veterans Experience Different Rates of Unplanned Readmission to VA and Non-VA Hospitals?  

ERIC Educational Resources Information Center

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…

Weeks, William B.; Lee, Richard E.; Wallace, Amy E.; West, Alan N.; Bagian, James P.

2009-01-01

450

Joint WU/VA Appointments How to enter in PDS?  

E-print Network

Joint WU/VA Appointments How to enter in PDS? 1 Scenario: · Dr. X has a WU appt. of .30 and a VA at WU #12;Joint WU/VA Appointments (Cont.) 1) Calculate Full Fringes: Appt Type 1 with WU/VA Salary 2 Effort @ WU Appt Type = 1 Full WU+VA Salary Total Fringes to be requested in the application #12;3 Joint

Kroll, Kristen L.

451

Social networks, time homeless, and social support: A study of men on Skid Row.  

PubMed

Homeless men are frequently unsheltered and isolated, disconnected from supportive organizations and individuals. However, little research has investigated these men's social networks. We investigate the structure and composition of homeless men's social networks, vis-a-vis short- and long-term homelessness with a sample of men drawn randomly from meal lines on Skid Row in Los Angeles. Men continuously homeless for the past six months display networks composed of riskier members when compared to men intermittently homeless during that time. Men who report chronic, long-term homelessness display greater social network fragmentation when compared to non-chronically homeless men. While intermittent homelessness affects network composition in ways that may be addressable with existing interventions, chronic homelessness fragments networks, which may be more difficult to address with those interventions. These findings have implications for access to social support from network members which, in turn, impacts the resources homeless men require from other sources such as the government or NGOs. PMID:24466427

Green, Harold D; Tucker, Joan S; Golinelli, Daniela; Wenzel, Suzanne L

2013-12-18

452

Community-Level Characteristics Associated With Variation in Rates of Homelessness Among Families and Single Adults  

PubMed Central

Objectives. We modeled rates of family and single-adult homelessness in the United States in metropolitan and nonmetropolitan regions and as a function of community-level demographic, behavioral, health, economic, and safety net characteristics. Methods. We entered community-level characteristics and US Department of Housing and Urban Development point-in-time counts for a single night in January 2009 into separate mixed-effects statistical analyses that modeled homelessness rates for 4 subpopulations: families and single adults in metropolitan and nonmetropolitan regions. Results. Community-level factors accounted for 25% to 50% of the variance in homelessness rates across models. In metropolitan regions, alcohol consumption, social support, and several economic indicators were uniquely associated with family homelessness, and drug use and homicide were uniquely associated with single-adult homelessness. In nonmetropolitan regions, life expectancy, religious adherence, unemployment, and rent burden were uniquely associated with family homelessness, and health care access, crime, several economic indicators, and receipt of Supplemental Security Income were uniquely associated with single-adult homelessness. Conclusions. Considering homeless families and single adults separately enabled more precise modeling of associations between homelessness rates and community-level characteristics, indicating targets for interventions to reduce homelessness among these subpopulations. PMID:24148057

Fargo, Jamison D.; Munley, Ellen A.; Byrne, Thomas H.; Montgomery, Ann Elizabeth; Culhane, Dennis P.

2013-01-01

453

45 CFR 1351.13 - What are the Federal and non-Federal match requirements under a Runaway and Homeless Youth grant?  

Code of Federal Regulations, 2014 CFR

...non-Federal match requirements under a Runaway and Homeless Youth grant? 1351.13 Section 1351...FAMILY AND YOUTH SERVICES BUREAU RUNAWAY AND HOMELESS YOUTH PROGRAM Runaway and Homeless Youth Program Grant § 1351.13 What...

2014-10-01

454

78 FR 76061 - Authorization for Non-VA Medical Services  

Federal Register 2010, 2011, 2012, 2013, 2014

...contracts, Grant programs--health, Government programs--veterans, Health care, Health facilities...professions, Health records, Homeless, Mental health programs, Nursing homes...recordkeeping requirements, Veterans. Dated: December...

2013-12-16

455

77 FR 70893 - Authorization for Non-VA Medical Services  

Federal Register 2010, 2011, 2012, 2013, 2014

...contracts, Grant programs--health, Government programs--veterans, Health care, Health facilities...professions, Health records, Homeless, Mental health programs, Nursing homes...recordkeeping requirements, Veterans. Dated: November...

2012-11-28

456

77 FR 70967 - Authorization for Non-VA Medical Services  

Federal Register 2010, 2011, 2012, 2013, 2014

...contracts, Grant programs--health, Government programs--veterans, Health care, Health facilities...professions, Health records, Homeless, Mental health programs, Nursing homes...recordkeeping requirements, Veterans. Dated: November...

2012-11-28

457

A Snapshot of Homelessness in Massachusetts Public High Schools: 2005 Massachusetts Youth Risk Behavior Survey and Massachusetts Annual Homeless Enrollment Data  

ERIC Educational Resources Information Center

Data collected by the Massachusetts Department of Education (Department) during the 2005 Youth Risk Behavior Survey (YRBS) suggest that, despite significant efforts to identify homeless students, many are going undetected by their schools. Since the reauthorization of the McKinney Vento Homeless Assistance Education Improvement Act under the No…

Massachusetts Department of Education, 2007

2007-01-01

458

The KaVA and KVN pulsar project  

NASA Astrophysics Data System (ADS)

We present our work towards using the Korean VLBI (Very Long Baseline Interferometer) Network (KVN) and VLBI Exploration of Radio Astronomy (VERA) arrays combined into the KVN and VERA Array (KaVA) for observations of radio pulsars at high frequencies (? 22 GHz). Pulsar astronomy is generally focused at frequencies approximately 0.3 to several GHz and pulsars are usually discovered and monitored with large, single-dish, radio telescopes. For most pulsars, reduced radio flux is expected at high frequencies due to their steep spectrum, but there are exceptions where high frequency observations can be useful. Moreover, some pulsars are observable at high frequencies only, such as those close to the Galactic Center. The discoveries of a radio-bright magnetar and a few dozen extended Chandra sources within 15' of the Galactic Center provide strong motivations to make use of the KaVA frequency band to search for pulsars in this region. Here, we describe the science targets and report progress made from the KVN test observations for known pulsars. We then discuss why KaVA pulsar observations are compelling.

Dodson, Richard; Kim, Chunglee; Sohn, Bongwon; Rioja, María J.; Jung, Taehyun; Seymour, Andrew; Raja, Wasim

2014-12-01

459

A TYPOLOGY OF DRUG-RELATED OFFENDING AMONG YOUNG HOMELESS INJECTION DRUG USERS  

PubMed Central

Research indicates a link between drug use and offending, particularly amongst high-risk individuals, such as homeless youth. The extent to which such youth interpret their offending as being related to their drug use, though, is understudied. This manuscript investigates the interpretations of drug-related offenses offered by 151 primarily white, male, homeless IDUs aged 16–29 years. Youth were asked specific questions about their drug-related offenses during in-depth interviews as part of a larger study investigating health risks surrounding drug injection between 2004 and 2006. The first section of the manuscript outlines offenses youth revealed committing either in pursuit of or after using a variety of substances. The second part of the manuscript examines the overall context (motivation, environment), and provides a seven-tiered typology of drug-related offending based on youth's interpretations, linking certain drugs to specific offenses within particular contexts. From here, some theoretical and practical implications of the findings are discussed. PMID:21423855

Sanders, Bill; Lankenau, Stephen E.; Jackson Bloom, Jennifer; Hathaz, Dodi S.

2011-01-01

460

Risk Factors for Becoming Homeless Among a Cohort of Veterans Who Served in the Era of the Iraq and Afghanistan Conflicts  

PubMed Central

Objectives. In this population-based cohort study, we assessed baseline risk factors for homelessness, including the role of service in the Iraq or Afghanistan conflicts, among a large cohort of recent veterans. Methods. Data for this study came from administrative records for 310?685 veterans who separated from active military duty from July 1, 2005, to September 30, 2006. We used survival analysis methods to determine incidence rates and risk factors for homelessness, based on baseline data for military factors, demographic characteristics, and diagnoses of behavioral health disorders and traumatic brain injury. Results. Service in Iraq or Afghanistan and, more specifically, posttraumatic stress disorder among veterans deployed there, were significant risk factors of modest magnitude for homelessness, and socioeconomic and behavioral health factors provided stronger indicators of risk. Gender was not a significant indicator of differential risk. Conclusions. Although service in Iraq and Afghanistan was significant, socioeconomic and behavioral health indicators show more promise in efforts to use administrative data to inform prevention efforts by identifying veterans who are at elevated risk for becoming homeless upon their return to civilian life. PMID:24148066

Clegg, Limin X.; Daigh, John D.; Culhane, Dennis P.; Kane, Vincent

2013-01-01

461

Exploring the experiences of violence among individuals who are homeless using a consumer-led approach.  

PubMed

Homelessness increases vulnerability to violence victimization; however, the precise factors associated with victimization and injury are not clearly understood. Thus, this study explores the prevalence of and characteristics associated with violence victimization among homeless individuals by surveying approximately 500 individuals experiencing homelessness in 5 cities across the United States. Our findings reveal that nearly one-half of our sample reported experiencing violence and that prolonged duration of homelessness (greater than 2 years) and being older increased the risk of experiencing a violent attack. In addition, increased length of homelessness and female gender predicted experiencing rape. Women were also significantly more likely to know one's perpetrator and experience continued suffering after a violent attack. We conclude that certain subpopulations within the homeless population are at an increased risk for victimization and, subsequently, require added protective services; implications for health care and policy recommendations are also discussed. PMID:24672998

Meinbresse, Molly; Brinkley-Rubinstein, Lauren; Grassette, Amy; Benson, Joseph; Hamilton, Reginald; Malott, Marianne; Jenkins, Darlene

2014-01-01

462

Pet Ownership Among Homeless Youth: Associations with Mental Health, Service Utilization and Housing Status.  

PubMed

As many as 25 % of homeless persons have pets. To our knowledge, pet ownership has not been studied quantitatively with homeless youth. This study examined pet ownership among 398 homeless youth utilizing two Los Angeles drop-in centers. Twenty-three percent of homeless youth had a pet. The majority of pet owners reported that their pets kept them company and made them feel loved; nearly half reported that their pets made it more difficult to stay in a shelter. Pet owners reported fewer symptoms of depression and loneliness than their non-pet owning peers. Pet ownership was associated with decreased utilization of housing and job-finding services, and decreased likelihood of currently staying in a shelter. These findings elucidate many of the positive benefits of pet ownership for homeless youth, but importantly highlight that pet ownership may negatively impact housing options. Housing and other services must be sensitive to the needs of homeless youth with pets. PMID:24728815

Rhoades, Harmony; Winetrobe, Hailey; Rice, Eric

2014-04-12

463

Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada.  

PubMed

Within the areas of literature on both population aging and health and homelessness, little attention has been given to the opportunities and barriers to healthy aging among older persons with a history of homelessness. Set in the context of inner-city Toronto, Canada, this article reports on the findings from qualitative interviews with 29 formerly homeless older persons. The findings illustrate participants' experiences of positive health change since moving into a stable housing environment and the aspects of housing they perceive to have improved their health and wellbeing. The qualitative findings also draw attention to the ongoing barriers to healthy aging that can be experienced among older persons with a history of homelessness. Overall, this study draws on the lived experiences of formerly homeless older persons to offer a better understanding of the long-term effects of homelessness on health, wellbeing, and aging. PMID:25616194

Waldbrook, Natalie

2015-03-01

464

Drug-Abusing Homeless Clients in California's Substance Abuse Treatment System  

Microsoft Academic Search

As many as one-half to three-fourths of homeless persons have diagnoses of alcohol or other drug dependence. Rates of alcohol and other drug use disorders, and the social costs associated with untreated substance disorder, are higher among homeless than nonhomeless persons. Despite the high level of need for treatment, relatively few substance-abusing homeless individuals receive treatment for their drug problems,

Suzanne L. Wenzel; Patricia A. Ebener; Paul Koegel; Lillian Gelberg

1996-01-01

465

Characteristics of emergency department visits by older versus younger homeless adults in the United States  

PubMed Central

Objectives Homeless adults age 50 and older experience premature onset of chronic illnesses and geriatric conditions, and use the emergency department (ED) at high rates. Although the proportion of the homeless population age 50 and older is increasing, little is known about ED use among older homeless adults. Methods To identify characteristics of ED visits among older compared to younger homeless adults, we analyzed data from the National Hospital Ambulatory Medical Care Survey for 2005-2009, a nationally representative survey of visits to hospitals and EDs. We used sampling weights, strata, and clustering variables to obtain nationally representative estimates. Results Homeless adults age 50 and older had 200,999 ED visits each year, accounting for 36% of visits by homeless patients. While demographic characteristics of ED visits (sex, race/ethnicity and geographic distribution) were similar in older compared to younger homeless adults, clinical and health services characteristics differed. Compared to their younger counterparts, older homeless adults had fewer discharge diagnoses related to psychiatric conditions (10% vs 20%, p=.002) and drug abuse (7% vs 15%, p=.003), but more diagnoses related to alcohol abuse (31% vs 23%, p=.03). Older homeless adults were also more likely to arrive by ambulance (48% vs 36%, p=.02) and to be admitted to the hospital (20% vs 11%, p=.003). Conclusions Older homeless adults have unique patterns of ED care compared to younger homeless adults. Health care systems need to account for these differences in use of the ED in order to meet the needs of the aging homeless population. PMID:23597348

Brown, Rebecca T.; Steinman, Michael A.

2014-01-01

466

Coming Home: Health Status and Homelessness Risk of Older Prerelease Prisoners  

Microsoft Academic Search

BACKGROUND  Older adults comprise an increasing proportion of the prison and homeless populations. While older age is associated with\\u000a adverse post-release health events and incarceration is a risk factor for homelessness, the health status and homelessness\\u000a risk of older pre-release prisoners are unknown. Moreover, most post-release services are geared towards veterans; it is unknown\\u000a whether the needs of non-veterans differ from

Brie A. Williams; James McGuire; Rebecca G. Lindsay; Jacques Baillargeon; Irena Stijacic Cenzer; Sei J. Lee; Margot Kushel

2010-01-01

467

Homelessness in the United States: Assessing Changes in Prevalence and Public Opinion, 1993–2001  

Microsoft Academic Search

A national survey was administered in 1993–1994 (N = 360) and repeated in 2001 (N = 435) to assess the prevalence of homelessness as well as attitudes, opinions and knowledge regarding homelessness. No significant\\u000a changes in prevalence were found, despite a strong US economy during most of the 7–8 year period. Respondents in 2001 had\\u000a less stereotyped views of homeless

Carolyn J. Tompsett; Paul A. Toro; Melissa Guzicki; Manuel Manrique; Jigna Zatakia

2006-01-01

468

Exploring patterns in resource utilization prior to the formal identification of homelessness in recently returned veterans.  

PubMed

There are limited data on resources utilized by US Veterans prior to their identification as being homeless. We performed visual analytics on longitudinal medical encounter data prior to the official recognition of homelessness in a large cohort of OEF/OIF Veterans. A statistically significant increase in numbers of several categories of visits in the immediate 30 days prior to the recognition of homelessness was noted as compared to an earlier period. This finding has the potential to inform prediction algorithms based on structured data with a view to intervention and mitigation of homelessness among Veterans. PMID:25000067

Gundlapalli, Adi V; Redd, Andrew; Carter, Marjorie E; Palmer, Miland; Peterson, Rachel; Samore, Matthew H

2014-01-01

469

Use of outpatient mental health services by homeless veterans after hurricanes.  

PubMed

Little is known about the impact of hurricanes on people who are homeless at the time a disaster occurs. Although researchers have extensively studied the psychosocial consequences of disaster produced homelessness on the general population, efforts focused on understanding how homeless people fare have been limited to a few media reports and the gray literature. In the event of a hurricane, homeless veterans may be at increased risk for negative outcomes because of their cumulative vulnerabilities. Health care statistics consistently document that homeless veterans experience higher rates of medical, emotional, substance abuse, legal, and financial problems compared with the general population. This study used the 2004 to 2006 Veterans Health Administration (VHA) Outpatient Medical Dataset to examine the effects of hurricanes on use of outpatient mental health services by homeless veterans. Homeless veterans residing in hurricane-affected counties were significantly more likely to participate in group psychotherapy (32.4% vs. 13.4%, p < .002), but less likely to participate in individual 30-40-min sessions with medical evaluations (3.5% vs. 17.3%, p < .001). The study findings have implications for homeless programs and the provision of VHA mental health services to homeless veterans postdisaster. PMID:23398090

Brown, Lisa M; Barnett, Scott; Hickling, Edward; Frahm, Kathryn; Campbell, Robert R; Olney, Ronald; Schinka, John A; Casey, Roger

2013-05-01

470

Homeless patients' use of urban emergency departments in the United States.  

PubMed

Data from the 2009-2010 National Hospital Ambulatory Care Survey-Emergency Department were used to compare homeless patients' utilization of the urban emergency department (ED) in the United States with nonhomeless patients and to examine the relationship between homelessness and demographics and ED utilization measures. The weighted sample size was 200 645 347. A total of 1 302 256 patients (0.65%) were homeless. Homeless patients were significantly more likely to be older, male, have self-pay, have no charge/charity or other as payment type, arrive via ambulance, have a longer ED visit, and a past visit to the same ED in the last year. PMID:25469578

Coe, Antoinette B; Moczygemba, Leticia R; Harpe, Spencer E; Gatewood, Sharon B S

2015-01-01

471

UCSD/VA Psychology Internship Training Program  

E-print Network

UCSD/VA Psychology Internship Training Program 2015-2016 Applicant Manual Department of Psychiatry: Internship Policies and Procedures........................................pg 25 2014-2015 Proposed Internship-approved pre-doctoral internship in clinical psychology. The program begins each year on July 1. For 2015

Squire, Larry R.

472

U.S. Dept. Veterans Affairs (VA) SMEC-bio Reporting for Leadership Decision Support  

PubMed Central

Objective To assess Reports sent from the United States VA Subject Matter Expertise Center for Biological Events (SMEC-bio) – a proof-of-concept decision support initiative – to the VA Integrated Operations Center (VA IOC). Introduction VA is the U.S. federal agency responsible for providing services to America’s Veterans. Within VA, VHA is the organization responsible for administration of health care services. VHA, with 152 Medical Centers and over 900 outpatient clinics located throughout the U.S. and territories, provided care to over 5 million patients in 2011. After the 2009 H1N1 influenza pandemic, OSP, which oversees VA senior level briefing of preparedness issues, conceptualized and initiated SMEC-bio as a protocol-based mechanism to incorporate timely VHA subject matter expertise into leadership decision making via the VA IOC. Previous work has examined collection and integration of data from VA and interagency sources for trend and predictive analyses (1). This current work is an initial assessment of SMEC-bio reporting, which has been in development for the past year and functions on an ad hoc basis for decision support; needs and gaps can be assessed toward a formalized communication plan with the VA IOC. Methods In May, 2011, SMEC-bio designed a Report template. All SMEC-bio Reports submitted to the VA IOC using the template were assessed based on reason for the Report, timing, data sources used, and outcome. A gap analysis was conducted to identify areas for further improvement. Results Eight SMEC-bio Reports were produced since the template was initiated in May, 2011. The reasons for reporting fell into the following categories: 1) briefings of interagency protocol activations [e.g. National Biosurveillance Integration System (NBIS) protocol]; 2) Requests for Information (RFIs) from the VA IOC regarding specific biological events (e.g. 2012 H3N2v influenza associated with swine at fairs); 3) RFIs from the VA IOC on general infectious diseases issues (e.g. 2011 dust storm in Arizona); and 4) SMEC-bio-initiated Reports to provide situational awareness to the VA IOC on a biological event (e.g. the measles outbreak at the time of the 2012 Super Bowl in Indiana). Reports in response to RFIs were all submitted within the day, often within hours including those that required data collection and interpretation, indicating that SMEC-bio can be a viable source for timely decision support to senior leadership. Some Reports, such as the one on possible infectious diseases issues after hurricane Irene in August, 2011, were subsequently shared by VA IOC with VHA Operations and with field facilities, thus highlighting the potential for facilitating provision of timely subject matter expertise for local response. The primary information source for Reports was the Centers for Disease Control and Prevention website, press releases, and interagency briefings. Data sources used were the VHA centrally-administered electronic health records system and syndromic surveillance via VA-adapted ESSENCE. Gap analysis results included common themes for biopreparedness: uncertainty in data quality and interpretation, communication of results and confidence levels to leadership, and coordination among stakeholders. Furthermore, the development of a decision tool to guide selection of events for reporting will be a critical initial requirement of a formal communications plan. Conclusions As SMEC-bio progresses from proof-of-concept phase to development status, knowledge gained from ad hoc reporting, as described in this work, will be critical for developing a routine and effective communications plan. Other ongoing work that will support communications include staffing assessments, development of analysis tools, and incorporating automated report capabilities.

Gamage, Shantini D.; Simbartl, Loretta A.; Kralovic, Stephen M.; Wallace, Katherine S.; Roselle, Gary A.

2013-01-01

473

Hearing handicap among adult residents of an urban homeless shelter.  

PubMed

This retrospective study was undertaken to identify the prevalence of hearing loss in the homeless population and its implications for vocational rehabilitation. Audiometric threshold data for adult residents of an urban homeless shelter were collected and reported. Subjects with hearing loss were identified and defined by their binaural high-frequency pure tone average (B-HFPTA). Those subjects were assigned a predicted Hearing Handicap Inventory for Adults-Screener (HHIA-S) score. Their HHIA-S scores, in turn, were used to predict hearing handicap and hearing aid candidacy. Significant hearing handicap was predicted for 35.6% of subjects; 10.6% were identified as hearing aid candidates. These findings have implications for vocational rehabilitation that have not been previously addressed. PMID:17337805

Saccone, Patricia A; Steiger, James R

2007-02-01

474

Towards Cost Effective Initial Care for Substance Abusing Homeless  

PubMed Central

In a randomized controlled trial, behavioral day treatment, including contingency management (CM+), was compared to contingency management components alone (CM). All 206 cocaine dependent, homeless participants received a furnished apartment with food and work training/employment contingent on drug-negative urine tests. CM+ also received cognitive behavioral therapy, therapeutic goal management, and other intervention components. Results revealed that CM+ treatment attendance and abstinence were not significantly different from CM during 24 weeks of treatment. After treatment and contingencies ended, however, CM+ showed more abstinence than CM, indicating a delayed effect of treatment from 6 to 18 months. CM+ had more consecutive weeks abstinent across 52 weeks, but not during active treatment. We conclude that CM alone may be viable as initial care for cocaine dependent homeless persons. That CM+ yields more durable abstinence indicates it may be appropriate as stepped up care for clients not responding to CM. Clinical Trials.gov #NCT00368524 PMID:17512156

Milby, Jesse B.; Schumacher, Joseph E.; Vuchinich, Rudy E.; Freedman, Michelle J.; Kertesz, Stefan; Wallace, Dennis

2009-01-01

475

Sequential validation of cluster analytic subtypes of homeless veterans  

Microsoft Academic Search

To identify subgroups within the homeless population, a number of researchers have employed cluster analytic statistical procedures.\\u000a Although this is an appropriate application of cluster analysis, many studies have not employed important statistical safeguards\\u000a against arbitrary results. This study demonstrates a cluster analytic procedure—sequential validation—that enhances the replicability,\\u000a external validity, and cross-validity of cluster solutions. The procedure is applied to

Keith Humphreys; Robert Rosenheck

1995-01-01

476

Service-learning and art therapy in a homeless shelter  

Microsoft Academic Search

This article describes a brief service-learning assignment in which graduate art therapy students at an urban university in the United States worked with children residing in a homeless shelter. The term service-learning refers to the integration of community service into a college course to help students achieve specific learning objectives. In this case, service-learning was intended to supplement an art

Holly Feen-Calligan

2008-01-01

477

Nursing careers for the homeless: a curriculum for success.  

PubMed

The Nursing Careers for Homeless People Project (NCHPP) is a comprehensive multi-dimensional academic and social strategy designed to assist homeless individuals who have an interest and aptitude for nursing to achieve career mobility in nursing. NCHPP is a 2-phase project: (1) a Pre-Admission Readiness Program (PRP) and (2) the Collegiate Phase. The 3-month PRP focuses on socialization to nursing, building self-concept, academic enhancement, and career exploration. The Collegiate Phase includes academic, social, and financial support, as well as assistance with job placement and follow-up. NCHPP has enrolled 96 students to the PRP since 1994 and graduated 70 students or 73%. Fifty-three percent of the PRP graduates were admitted to a Bachelor of Science (BS) or Associate of Science (AS) program in nursing, and 54% of the PRP graduates are employed in health oriented positions. Two students from the first group of PRP graduates are scheduled to receive the degree of Bachelor of Science in Nursing in May 1999. There have not been any graduates from associate degree programs due to part-time attendance, long waiting lists for entry into the nursing program, and transfer of students from the AS program to the BS program. Although there are many challenges and obstacles faced by homeless people, the NCHPP has succeeded in decreasing welfare rolls, unemployment, and poverty. PMID:10188433

Powell, D L; Lee, N T; Nichols, S A; Kamara, P; Sawyer, E M

1999-01-01

478

Physical, addictive, and psychiatric disorders among homeless veterans and nonveterans.  

PubMed Central

A cross-sectional survey of 1,431 homeless adults was conducted during the winter of 1989-90 at three shelters in Santa Clara County, CA, with a 98 percent response rate. Of the 1,008 U.S.-born men, 423, or 42 percent, were veterans, including 173 combat-exposed veterans and 250 noncombat-exposed veterans. There were 585 nonveterans. Both combat and noncombat-exposed veterans were significantly more likely to report excessive alcohol consumption before their initial loss of shelter than were nonveterans. Combat-exposed veterans had the highest prevalences of psychiatric hospitalizations and physical injuries before homelessness, 1.5 to 2 times higher than nonveterans and noncombat-exposed veterans. The length of time between military discharge and initial loss of shelter was longer than a decade for 76 percent of combat-exposed veterans and 50 percent of noncombat-exposed veterans. The extended time from discharge to homelessness suggests that higher prevalences of alcohol consumption, psychiatric hospitalization, and physical injury among veterans, especially those exposed to combat, may not have arisen from military service. It is possible, however, that such disorders may be considerably delayed before becoming serious enough to impact one's family, work, and the availability of shelter. PMID:8434094

Winkleby, M A; Fleshin, D

1993-01-01

479

Efficient Targeting of Homelessness Prevention Services for Families  

PubMed Central

Objectives. We developed and evaluated a model to target homelessness prevention services to families more efficiently. Methods. We followed 11?105 families who applied for community-based services to prevent homelessness in New York City from October 1, 2004, to June 30, 2008, through administrative records, using Cox regression to predict shelter entry. Results. Over 3 years, 12.8% of applicants entered shelter. Both the complete Cox regression and a short screening model based on 15 risk factors derived from it were superior to worker judgments, with substantially higher hit rates at the same level of false alarms. We found no evidence that some families were too risky to be helped or that specific risk factors were particularly amenable to amelioration. Conclusions. Despite some limitations, an empirical risk model can increase the efficiency of homelessness prevention services. Serving the same proportion of applicants but selecting those at highest risk according to the model would have increased correct targeting of families entering shelter by 26% and reduced misses by almost two thirds. Parallel models could be developed elsewhere. PMID:24148041

Shinn, Marybeth; Greer, Andrew L.; Bainbridge, Jay; Kwon, Jonathan; Zuiderveen, Sara

2013-01-01

480

Homelessness Experiences, Sexual Orientation, and Sexual Risk Taking among High School Students in Los Angeles  

PubMed Central

Purpose Prior studies reported homeless adolescents engage in more sexual risk than their housed peers. However, these comparisons are typically made post hoc by comparing homeless adolescent community-based samples with high school probability samples. This study utilizes a random sample of high school students to examine homelessness experiences and sexual risk behaviors. Methods A supplemental survey to the Youth Risk Behavior Survey containing questions regarding homelessness and sexual health was administered to Los Angeles high school students (N=1,839). Multivariate logistic regressions assessed the associations between demographics, past year homelessness experiences (i.e., place of nighttime residence), and being sexually active and condom use at last intercourse. Results Homelessness experiences consisted of staying in a shelter (10.4%), a public place (10.1%), and with a stranger (5.6%). Lesbian, gay, bisexual, transgender, questioning (LGBTQ), younger, and male adolescents were more likely to experience homelessness. LGBTQ adolescents were also more likely to report staying with a stranger and less likely to report staying in a shelter. Compared to adolescents who stayed in shelters, adolescents who stayed with strangers and in public places were more likely to engage in unprotected sex at last intercourse. Conclusions Adolescents who report sexual activity and sexual risk taking are more likely to report homelessness experiences. With regard to sexual health, staying with strangers could be a particularly risky form of homelessness; LGBTQ and Black adolescents are more likely to experience this form of homelessness. Efforts to reduce homelessness and sexual risk-taking need to recognize the specific vulnerabilities faced by these populations. PMID:23360897

Rice, Eric; Barman-Adhikari, Anamika; Rhoades, Harmony; Winetrobe, Hailey; Fulginiti, Anthony; Astor, Roee; Montoya, Jorge; Plant, Aaron; Kordic, Timothy

2013-01-01

481

New Ways of Addressing the Psychological Traumas of War: Supplementing Traditional Social Supports to Prevent Homelessness Among Mentally Ill Veterans  

Microsoft Academic Search

Both nationally and in Rhode Island, there is a high prevalence of veterans in the homeless population. Many homeless veterans suffer from serious mental health issues and military specific traumas, adding to the social stigma they face. To avoid homelessness, veterans need to treat their mental illness with the assistance of their social support networks. Despite incredible advances in technology

LeeAnn Byrne

2009-01-01

482

Implementing Peer-Assisted Case Management to Help Homeless Veterans with Mental Illness Transition to Independent Housing  

Microsoft Academic Search

Formerly homeless mentally ill veterans are at an important crossroads when they move from living in an institutional setting such as a shelter or supportive residential facility to independent living. We hypothesized that peer advisors, veterans with severe mental illness who had been homeless previously, graduated from a Healthcare for Homeless Veterans program, and subsequently maintained independent, stable housing could

Ellen M. Weissman; Nancy H. Covell; Mara Kushner; Julie Irwin; Susan M. Essock

2005-01-01

483

Increased Substance Use and Risky Sexual Behavior among Migratory Homeless Youth: Exploring the Role of Social Network Composition  

ERIC Educational Resources Information Center

Travelers are a migratory subgroup of homeless youth who may be especially prone to engaging in risky behavior. This study compared the substance use and sexual behavior of young homeless travelers and non-travelers to evaluate the extent and possible sources of travelers' increased risk. Data came from face-to-face interviews with 419 homeless

Martino, Steven C.; Tucker, Joan S.; Ryan, Gery; Wenzel, Suzanne L.; Golinelli, Daniela; Munjas, Brett

2011-01-01

484

The Continued Illegalization of Compassion: United States v. Millis and its Effects on Humanitarian Work with the Homeless  

Microsoft Academic Search

Every year, more cities enact food sharing restrictions that punish individuals who try to feed the homeless. These laws are often part of a general scheme to solve a city’s homelessness problem by making life so unbearable for homeless men and women that they will be forced to move elsewhere. Humanitarian aid like food sharing, however, is a form of

Matthew M. Cummings

2011-01-01

485

Determining Eligibility for Rights and Services under the McKinney-Vento Act. Best Practices in Homeless Education  

ERIC Educational Resources Information Center

The McKinney-Vento Homeless Assistance Act defines "homeless children and youths" as "individuals who lack a fixed, regular, and adequate nighttime residence." However, because the circumstances of homelessness vary with each family's or unaccompanied youth's situation, determining the extent to which the family or youth fits the definition must…

National Center for Homeless Education at SERVE, 2006

2006-01-01

486

Responding to the School Mobility of Children and Youth Experiencing Homelessness: The McKinney-Vento Act and Beyond.  

ERIC Educational Resources Information Center

Explores the school mobility of children and youth experiencing homelessness and the success of the McKinney-Vento Act (designed to limit the negative effects of school mobility on homeless students) in addressing this mobility. Proposes that affordable housing is the key to eliminating the mobility associated with homelessness and consequently…

Julianelle, Patricia F.; Foscarinis, Maria

2003-01-01

487

Residential Instability and the McKinney-Vento Homeless Children and Education Program: What We Know, Plus Gaps in Research  

ERIC Educational Resources Information Center

As homelessness increased among families and children during the 1980s and 1990s, policymakers created, and strengthened, the McKinney-Vento Education for Homeless Children and Youth (EHCY) program. The McKinney-Vento EHCY program aims to mitigate the effects of residential instability through the identification of homeless children in schools and…

Cunningham, Mary; Harwood, Robin; Hall, Sam

2010-01-01

488

76 FR 3209 - West Los Angeles VA Medical Center Veterans Programs Enhancement Act of 1998; Draft Master Plan  

Federal Register 2010, 2011, 2012, 2013, 2014

...well-being. VHA implements VA's medical care, research, and education programs. The...campus provides a variety of medical services including inpatient...it serves as a center for medical research and education. The WLA...

2011-01-19

489

NoVaS Transformations: Flexible Inference for Volatility Forecasting  

E-print Network

NoVaS Transformations: Flexible Inference for Volatility Forecasting Dimitris N. Politis Dimitrios D. Thomakos January 28, 2012 Abstract In this paper we present several new findings on the NoVaS present a new method for accurate volatility forecasting using NoVaS ; (b) we introduce a "time- varying

Politis, Dimitris N.

490

Propensity for Violence among Homeless and Runaway Adolescents: An Event History Analysis  

ERIC Educational Resources Information Center

Little is known about the prevalence of violent behaviors among homeless and runaway adolescents or the specific behavioral factors that influence violent behaviors across time. In this longitudinal study of 300 homeless and runaway adolescents aged 16 to 19 at baseline, the authors use event history analysis to assess the factors associated with…

Crawford, Devan M.; Whitbeck, Les B.; Hoyt, Dan R.

2011-01-01

491

Removing Barriers: The Struggle to Ensure Educational Rights for Students Experiencing Homelessness  

ERIC Educational Resources Information Center

While the intent of the federal and state homeless education laws is clear, securing the educational rights of students without housing has been a long legal and political struggle in Chicago and Illinois. Education for students experiencing homelessness is a continuation of the civil rights struggle for equality in education and educational…

Nix-Hodes, Patricia; Heybach, Laurene M.

2014-01-01

492

America's Homeless Children: New Outcasts. A Public Policy Report from the Better Homes Fund.  

ERIC Educational Resources Information Center

This report presents information on homeless children in the United States to gain the attention of policymakers and the media. Information comes from years of rigorous scientific research. The report presents both findings and solutions, including concrete steps to secure food, shelter, health care, and schooling to help homeless children and…

Better Homes Fund, Newton, MA.

493

78 FR 27988 - Notice of Submission of Proposed Information Collection to OMB Continuum of Care Homeless...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Proposed Information Collection to OMB Continuum of Care Homeless Assistance Grant Application-Technical...following information: Title of Proposed: Continuum of Care Homeless Assistance Grant Application-Technical...the Technical Submission phase of the Continuum of Care (CoC) Program...

2013-05-13

494

Smoking Cessation Delivered by Medical Students Is Helpful to Homeless Population  

ERIC Educational Resources Information Center

Objective: The authors pilot a smoking-cessation outreach for the homeless that extends medical students' tobacco cessation education. Method: In this prospective study, second-year medical students administered cognitive behavior therapy or unstructured support to homeless subjects to help them quit smoking. Self-report and biological measures…

Spector, Andrew; Alpert, Hilary; Karam-Hage, Maher

2007-01-01

495

Against the Unchallenged Discourse of Homelessness: Examining the Views of Early Childhood Preservice Teachers  

ERIC Educational Resources Information Center

This study investigated views about children experiencing homelessness held by preservice teachers in an early childhood education program. Thirteen early childhood preservice teachers were actively involved in class discussion, reading, doing class assignments, and visiting homeless shelters as community-based field experience. They were asked to…

Kim, Jinhee

2013-01-01

496

Follow-Up of Youth Using Runaway and Homeless Youth Centers. Final Report.  

ERIC Educational Resources Information Center

There is an increasing body of literature about runaway and homeless youth, but few studies have investigated what happens to the youth after they use Runaway and Homeless Youth Centers (RHYCs). This study examines the services available and the impact these services have on the youth. Data are analyzed from a survey mailed to all RHYCs operated…

Cohen, Barbara E.; van Houten, Therese

497

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

ERIC Educational Resources Information Center

This publication details components of California's statewide plan for educating homeless children and youth. Revisions of the original plan were based on data derived from statewide surveys of school districts and shelters conducted in 1988, 1989, and 1990. The 1990 amendments to the Stewart B. McKinney Homeless Assistance Act of 1987 focus more…

California State Dept. of Education, Sacramento.

498

Libraries, Churches, and Schools: The Literate Lives of Mothers and Children in a Homeless Shelter  

ERIC Educational Resources Information Center

This article addresses the question, "How do mothers and children in a homeless shelter interact with literacy?" We drew on the theoretical framework of social literacy practices in which cultural context is foregrounded. Data for this qualitative study included participant observation in one homeless shelter and interviews with one shelter's…

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

2010-01-01

499

A State Plan To Educate California's Homeless Children and Youth. Draft.  

ERIC Educational Resources Information Center

California's state plan for homeless education is submitted in compliance with the Stewart B. McKinney Homeless Assistance Act of 1987. The plan includes a preface, an introduction, five sections, and six appendices. The introduction presents the following information: (1) the mandate of Title VII, Subtitle B of the McKinney Act; (2) definitions…

California State Dept. of Education, Sacramento.

500

The Homeless Mentally Ill: No Longer Out of Sight and Out of Mind. Human Resources Series.  

ERIC Educational Resources Information Center

The increasing presence of the mentally ill among the nation's homeless is the topic of this report. The problems presented by deinstitutionalization are discussed, including: (1) the homeless mentally ill as a disruptive element of society; (2) mentally ill persons who shuttle between the hospital and the community; (3) young chronic patients who…

Paterson, Andrea; Craig, Rebecca T.

1985-01-01