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1

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under the VA Homeless Providers Grant and Per Diem Program...Diem-Only'' (PDO) component of VA's Homeless Providers Grant and Per Diem Program...copies) for assistance under the VA's Homeless Providers Grant and Per Diem...

2010-01-25

2

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under VA's Homeless Providers Grant and Per Diem Program...facilities originally funded under VA's Homeless Providers Grant and Per Diem Program...copies) for assistance under VA's Homeless Providers Grant and Per Diem...

2013-05-16

3

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under VA's Homeless Providers Grant and Per Diem Program...grantee projects funded under VA's Homeless Providers Grant and Per Diem Program...copies) for assistance under VA's Homeless Providers Grant and Per Diem...

2013-05-16

4

VA Homeless Providers Grant and Per Diem Program. Final rule.  

PubMed

This document adopts as a final rule, with changes, the proposed rule to amend the Department of Veterans Affairs (VA) regulations concerning VA's Homeless Providers Grant and Per Diem Program (Program). This rulemaking updates and improves the clarity of these regulations, and implements and authorizes new VA policies. PMID:23476986

2013-02-25

5

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under VA's Homeless Providers Grant and Per Diem Program...the Per Diem Only component of VA's Homeless Providers Grant and Per Diem Program...those applicants who will serve specific homeless veteran populations that are...

2012-03-01

6

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under VA's Homeless Providers Grant and Per Diem Program...Special Need Grant Component of VA's Homeless Providers Grant and Per Diem Program...to continue to deliver services to the homeless Special Need veteran population as...

2011-08-08

7

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

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS Fund Availability Under the VA Homeless Providers Grant and Per Diem Program...the Capital Grant component of VA's Homeless Providers Grant and Per Diem Program...construction to create new housing for homeless veterans should not respond to this...

2010-01-25

8

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

Federal Register 2010, 2011, 2012, 2013

...announces the availability of one year renewal funding for currently operational FY 2011 VA GPD Special Need Grant...Need Grant Component of VA's Homeless Providers...be the lesser of: 1. One hundred percent of the...Two times the current VA State Home Program...

2013-08-08

9

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

Federal Register 2010, 2011, 2012, 2013

This document adopts as a final rule, with changes, the proposed rule to amend the Department of Veterans Affairs (VA) regulations concerning VA's Homeless Providers Grant and Per Diem Program (Program). This rulemaking updates and improves the clarity of these regulations, and implements and authorizes new VA...

2013-02-25

10

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

11

Audit of the Homeless Providers Grant and Per Diem Program. Veterans Health Administration.  

National Technical Information Service (NTIS)

In November 2009, the VA Secretary announced a goal to end homelessness among veterans by 2015. We conducted this audit to determine whether community agencies receiving funds from the Grant and Per Diem Program (GPDP) are providing services to homeless v...

2012-01-01

12

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

13

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

14

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

Federal Register 2010, 2011, 2012, 2013

...2900-0554] Proposed Information Collection (Homeless Providers Grant and Per Diem Program...or per diem for programs to assist homeless veterans' transition to independent...of information technology. Titles a. Homeless Providers Grant and Per Diem...

2012-07-02

15

Comparison of outcomes for veterans receiving dialysis care from VA and non-VA providers  

PubMed Central

Background Demand for dialysis treatment exceeds its supply within the Veterans Health Administration (VA), requiring VA to outsource dialysis care by purchasing private sector dialysis for veterans on a fee-for-service basis. It is unclear whether outcomes are similar for veterans receiving dialysis from VA versus non-VA providers. We assessed the extent of chronic dialysis treatment utilization and differences in all-cause hospitalizations and mortality between veterans receiving dialysis from VA versus VA-outsourced providers. Methods We constructed a retrospective cohort of veterans in 2 VA regions who received chronic dialysis treatment financed by VA between January 2007 and December 2008. From VA administrative data, we identified veterans who received outpatient dialysis in (1) VA, (2) VA-outsourced settings, or (3) both (“dual”) settings. In adjusted analyses, we used two-part and logistic regression to examine associations between dialysis setting and all-cause hospitalization and mortality one-year from veterans’ baseline dialysis date. Results Of 1,388 veterans, 27% received dialysis exclusively in VA, 47% in VA-outsourced settings, and 25% in dual settings. Overall, half (48%) were hospitalized and 12% died. In adjusted analysis, veterans in VA-outsourced settings incurred fewer hospitalizations and shorter hospital stays than users of VA due to favorable selection. Dual-system dialysis patients had lower one-year mortality than veterans receiving VA dialysis. Conclusions VA expenditures for “buying” outsourced dialysis are high and increasing relative to “making” dialysis treatment within its own system. Outcomes comparisons inform future make-or-buy decisions and suggest the need for VA to consider veterans’ access to care, long-term VA savings, and optimal patient outcomes in its placement decisions for dialysis services.

2013-01-01

16

Homeless health needs: shelter and health service provider perspective.  

PubMed

The effects of homelessness on health are well documented, although less is known about the challenges of health care delivery from the perspective of service providers. Using data from a larger health needs assessment, the purpose of this study was to describe homeless health care needs and barriers to access utilizing qualitative data collected from shelter staff (n = 10) and health service staff (n = 14). Shelter staff members described many unmet health needs and barriers to health care access, and discussed needs for other supportive services in the area. Health service providers also described multiple health and service needs, and the need for a recuperative care setting for this population. Although a variety of resources are currently available for homeless health service delivery, barriers to access and gaps in care still exist. Recommendations for program planning are discussed and examined in the context of contributing factors and health care reform. PMID:24788048

Hauff, Alicia J; Secor-Turner, Molly

2014-01-01

17

Homeless Veterans Programs: Improved Communications and Follow-Up Could Further Enhance the Grant and Per Diem Program.  

National Technical Information Service (NTIS)

About one-third of the nation's adult homeless population are veterans, according to the Department of Veterans Affairs (VA). Many of these veterans have experienced substance abuse, mental illness, or both. The VA's Homeless Providers Grant and Per Diem ...

2006-01-01

18

Medications prescribed by non-VA providers. Final rule.  

PubMed

The Department of Veterans Affairs (VA) is amending its regulation concerning filling prescriptions written by non-VA providers for veterans of a period of war who are receiving increased pension because they are permanently housebound or in need of aid and attendance. This rulemaking revises the regulation to reflect the current statutory periods of war to ensure that eligible veterans engaged in current and future conflicts receive medications prescribed by non-VA physicians when appropriate for their care. PMID:23858565

2013-07-16

19

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

Federal Register 2010, 2011, 2012, 2013

...Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA Facilities to Certain Veterans With Service- Connected...SUMMARY: The Department of Veterans Affairs (VA) is proposing to amend its regulations concerning...

2010-06-11

20

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

Federal Register 2010, 2011, 2012, 2013

...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

21

Clinical and Demographic Factors Associated With Homelessness and Incarceration Among VA Patients With Bipolar Disorder  

PubMed Central

Objectives. We assessed the association between homelessness and incarceration in Veterans Affairs patients with bipolar disorder. Methods. We used logistic regression to model each participant's risk of incarceration or homelessness after we controlled for known risk factors. Results. Of 435 participants, 12% reported recent homelessness (within the past month), and 55% reported lifetime homelessness. Recent and lifetime incarceration rates were 2% and 55%, respectively. In multivariate models, current medication adherence (based on a 5-point scale) was independently associated with a lower risk of lifetime homelessness (odds ratio [OR] = 0.80 per point, range 0–4; 95% confidence interval [CI] = 0.66, 0.96), and lifetime incarceration increased the risk of lifetime homelessness (OR = 4.4; 95% CI = 2.8, 6.9). Recent homelessness was associated with recent incarceration (OR = 26.4; 95% CI = 5.2, 133.4). Lifetime incarceration was associated with current substance use (OR = 2.6; 95% CI = 2.7, 6.7) after control for lifetime homelessness (OR = 4.2; 95% CI = 2.7, 6.7). Conclusions. Recent and lifetime incarceration and homelessness were strongly associated with each other. Potentially avoidable or treatable correlates included current medication nonadherence and substance use. Programs that better coordinate psychiatric and drug treatment with housing programs may reduce the cycle of incarceration, homelessness, and treatment disruption within this vulnerable patient population.

Miller, Alexander L.; Welsh, Deborah E.; McCarthy, John F.; Zeber, John E.; Kilbourne, Amy M.

2009-01-01

22

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

Federal Register 2010, 2011, 2012, 2013

...emergency care from non-VA facilities. The remainder...are addressed below. One commenter was concerned...17.1005(d). One commenter suggested that VA should provide payment...makes sense because VA would generally have...are available at any one time without such...

2011-12-21

23

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

24

Providing Lifelines for Our Nation's Homeless Youth  

ERIC Educational Resources Information Center

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

Duffield, Barbara

2013-01-01

25

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

26

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

27

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

28

'Don't Leave Me Hanging': Homeless Mothers' Perceptions of Service Providers  

PubMed Central

Few interventions have been developed for substance-abusing homeless mothers. Among those interventions, high dropout rates (up to 85%) are consistently reported. Understanding homeless mothers’ experiences with service providers may be an important first step to understanding ways to increase treatment engagement. Therefore, the current study used qualitative methods to gain a better understanding of homeless mothers’ perceptions of service providers. A total of 28 mothers who were currently residing at a homeless shelter in a Midwestern city participated in three focus groups. Overall, mothers held negative perceptions of service providers related to understanding, support, and fear. Based upon this study’s findings, recommendations are offered to improve service delivery and guide future research.

Sznajder-Murray, Brittany; Slesnick, Natasha

2012-01-01

29

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

30

Payment for home health services and hospice care to non-VA providers. Final rule.  

PubMed

The Department of Veterans Affairs (VA) amends its regulations concerning the billing methodology for non-VA providers of home health services and hospice care. Because the newly applicable methodology cannot supersede rates for which VA has specifically contracted, this rulemaking will only affect home health and hospice care providers who do not have existing negotiated contracts with VA. This rule also rescinds internal guidance documents that could be interpreted as conflicting with this final rule. PMID:23646376

2013-05-01

31

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

32

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

33

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

34

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

35

Healthcare for the homeless. A public health agency, a business, and a Catholic provider open a clinic.  

PubMed

In some communities, hospital emergency departments are the only places that provide healthcare services to homeless persons. In Dayton, OH, homeless persons have another option--the Samaritan: A Healthcare Clinic for the Homeless. The clinic is a collaborative venture involving the area's public health department, a Fortune 500 business, and a Catholic hospital. In 1991 Dayton's public health department, the Combined Health District (CHD) of Montgomery County, received an anonymous $50,000 donation to provide primary healthcare services to homeless persons. With the goal of generating a number of stakeholders to invest in the community (which would translate into additional volunteers and donations), CHD asked Good Samaritan Hospital, Dayton, if it would become a partner in launching the clinic. Good Samaritan agreed, seeing this as an opportunity to provide a much-needed community service and to fulfill its mission of providing care to the area's needy citizens. In addition, the project was consistent with the hospital's increased focus on primary care. Sponsors of the Samaritan: A Healthcare Clinic for the Homeless anticipate three outcomes resulting from this collaborative effort. First, the cost of healthcare for Dayton's citizens should decrease. Second, providing healthcare services to the homeless enhances the possibility of breaking the cycle of homelessness. Finally, it is critical that healthcare for the homeless become a community focus. PMID:10130096

Rogers, M M; Schwartz, J

1993-12-01

36

Floating Support for Homeless People in Inverness:- Inspection Report provided by the Care Commission Report by Area Housing Manager  

Microsoft Academic Search

SUMMARY:- This report:- (a) Presents the findings of the Care Commission on an announced visit to the Homeless Day Centre, 1 Waterloo Place, Inverness on 23 February 2006 to inspect the floating support service provided from there by Inverness Housing Services for homeless people in Inverness.

E M Cochrane

37

Client-provider relationships in a community health clinic for people who are experiencing homelessness.  

PubMed

Recognizing the importance of health-promoting relationships in engaging people who are experiencing homelessness in care, most research on health clinics for homeless persons has involved some recognition of client-provider relationships. However, what has been lacking is the inclusion of a critical analysis of the policy context in which relationships are enacted. In this paper, we question how client-provider relationships are enacted within the culture of community care with people who are experiencing homelessness and how clinic-level and broader social and health policies shape relationships in this context. We explore these questions within a critical theoretical perspective utilizing a critical ethnographic methodology. Data were collected using multiple methods of document review, participant observation, in-depth interviews and focus groups. The participants include both clients at a community health clinic, and all clinic service providers. We explore how clients and providers characterized each other as 'good' or 'bad'. For providers, this served as a means by which they policed behaviours and enforced social norms. The means by which both providers' and clients' negotiated relationships are explored, but this is couched within both local and system-level policies. This study highlights the importance of healthcare providers and clients being involved in broader policy and systemic change. PMID:23033851

Oudshoorn, Abe; Ward-Griffin, Catherine; Forchuk, Cheryl; Berman, Helene; Poland, Blake

2013-12-01

38

Help for Homeless Veterans  

MedlinePLUS

... Women Veterans Incarcerated Veterans SITE SEARCH Search For Homeless Veterans If you are a homeless veteran or a veteran at risk of becoming homeless, these pages provide information that you can use ...

39

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

40

Healthcare Inspection: Emergency Department Evaluation of a Homeless Veteran VA North Texas Health Care System Dallas, Texas.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to determine the validity of an allegation related to a patient being denied inpatient mental health treatment at the VA North Texas Health Care System (facility) ...

2013-01-01

41

Families on the Edge: Homeless Young Parents and Their Welfare Experiences. A Survey of Homeless Youth and Service Providers.  

ERIC Educational Resources Information Center

This report examines the experiences of homeless young parents with the Temporary Assistance for Needy Families (TANF) program, which can be an important tool in helping them achieve long-term stability and economic self-sufficiency. The 1996 welfare reform act included special provisions that applied only to minor teen parents, requiring them to…

Reeg, Bob; Grisham, Christine; Shepard, Annie

42

The Homeless Assessment Program: A Service–Training Model for Providing Disability Evaluations for Homeless, Mentally Ill Individuals  

Microsoft Academic Search

Many of the nation's homeless people suffer from unrecognized mental illnesses and do not have access to the kind of disability benefits they would be entitled to when properly assessed. The current system of disability evaluations for Social Security income claims is frequently inadequate and leaves these individuals without any source of income, health insurance, and mental health treatment. This

Uwe Jacobs; Gilbert H. Newman; Jennifer C. Burns

2001-01-01

43

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

2014-04-16

44

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

Federal Register 2010, 2011, 2012, 2013

...including bipolar disorder) or post-traumatic stress disorder (PTSD), based on a diagnosis from a licensed mental health professional...Diem Program. Veteran means a person who served in the active military, naval, or air service, and who was discharged or...

2012-03-01

45

Veterans and Homelessness.  

National Technical Information Service (NTIS)

The current conflicts in Iraq and Afghanistan have brought renewed attention to the needs of veterans, including the needs of homeless veterans. The Department of Veterans Affairs (VA) estimates that it has served approximately 300 returning veterans in i...

L. Perl

2007-01-01

46

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

Federal Register 2010, 2011, 2012, 2013

...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

47

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

48

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.

2013-01-01

49

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.

50

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

...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

51

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

Federal Register 2010, 2011, 2012, 2013

...EUL) of Department of Veterans Affairs (VA) Real Property for the Restoration of the...SUMMARY: The Secretary of VA intends to enter into an EUL of the 1889...homeless Veterans, and set aside at least one room in the Chapel to provide...

2010-11-15

52

Teaching Our Homeless Children  

ERIC Educational Resources Information Center

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

Sheldon, George H.

2011-01-01

53

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

54

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.

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

2014-01-01

55

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

56

Interagency Council on Homelessness  

NSDL National Science Digital Library

Given the complex nature of addressing such a broad problem as that of homelessness, it is not so surprising that there exists a federal initiative in the United States to collaborate on "out of the box" approaches to alleviating this situation. In 1987, with the passage of the Stewart B. McKinney Homeless Assistance Act, Congress established the Interagency Council on Homelessness in order to provide organized leadership in the area of providing assistance to homeless families and individuals. From the homepage, visitors can read about the Council's latest activities, then continue on to learn about funding opportunities and information from states and local municipalities on their own homelessness-based initiatives. Specifically, visitors can learn about the various regional coordinators employed by the Council, and read some rather ambitious 10-year plans to end chronic homelessness adopted by cities such as Columbus, Ohio, Atlanta, San Francisco, and Chicago.

57

National Coalition for Homeless Veterans  

MedlinePLUS

1 2 3 4 NCHV will end homelessness among veterans by shaping public policy, promoting collaboration, and building the capacity of service providers. CFC #50917 You have helped reduce veteran homelessness ...

58

Providing Field Experiences for Early Childhood Preservice Teachers with Homeless Children and/or Mothers in an Urban Setting.  

ERIC Educational Resources Information Center

Based on the conviction that interaction with homeless people can erode negative stereotypes and be a contributing part of a teacher education curriculum, students enrolled in an Early Childhood Education (ECE) course at Kent State University were allowed to substitute an observation of children at a homeless shelter for other course requirements.…

Kwartler, Trish Johnson

59

Education of Homeless Children and Youth, 1989.  

ERIC Educational Resources Information Center

This report contains the Oregon state plan for educating homeless children and youth required by the Stewart B. McKinney Homeless Assistance Act of 1987. Data on the number and location of homeless children and homeless youth in the state and the barriers they face in obtaining a free public education are discussed. Section 1 provides an overview…

Oregon State Dept. of Education, Salem. Student Services Section.

60

Addressing Homelessness: Recent Happenings--Iowa, 2004  

ERIC Educational Resources Information Center

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

Iowa Department of Education, 2004

2004-01-01

61

Ambulatory health services provided to low-income and homeless adult patients in a major community health center  

Microsoft Academic Search

OBJECTIVE: The homeless are more likely than other poor and vulnerable populations to manifest serious health problems. Early research\\u000a focused on needs assessments of this population; current work has shifted to examine issues of access, use of health services,\\u000a and barriers to care. However, current research has not examined whether model clinics designed for the homeless have created\\u000a parity with

Lillian Gelberg; Bruce H. Doblin; Barbara D. Leake

1996-01-01

62

Homelessness and Dual Diagnosis  

Microsoft Academic Search

People who are dually diagnosed with severe mental illness and substance use disorders constitute 10%–20% of homeless persons. They are a heterogeneous and extremely vulnerable subgroup with complex, poorly understood needs. In this article recent research on the epidemiology, subject characteristics, and service needs of the dually diagnosed homeless population is reviewed. Also, the range of evolving approaches to providing

Robert E. Drake; Fred C. Osher; Michael A. Wallach

1991-01-01

63

A Unique Population: Women Who Are Homeless and Mentally Ill  

ERIC Educational Resources Information Center

This article describes a unique population within the homeless community--women who are homeless and mentally ill. Homelessness prevalence and etiology data are presented, followed by a general discussion of how mental illness affects people who are homeless. The article provides an overview of women who are homeless, focusing on those who are…

Markos, Patricia A.; Baron, Heather Lyn; Allen, Daniel N.

2005-01-01

64

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

65

24 CFR 576.103 - Homelessness prevention component.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Homelessness prevention component. 576.103...Eligible Activities § 576.103 Homelessness prevention component. ESG...This assistance, referred to as homelessness prevention, may be provided to...

2013-04-01

66

Homeless Children  

MedlinePLUS

... year. That's over 1.6 million children. While homeless, they experience high rates of acute and chronic ... of emotional and behavioral problems compared to non-homeless children. 3 Experiences of Violence Violence plays a ...

67

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

68

Who are the homeless?  

PubMed

To describe the demographic, social and medical morbidity and usage of health services of the population of single homeless individuals in Sheffield, a census was carried out over a 12-hour period at sites which homeless people frequent, as identified by those who work with the homeless. These sites included Salvation Army hostels, reception centres, probation day centres, voluntary organisation hostels, and cheap bed and breakfast accommodation. Data were collected by means of a self-administered questionnaire. A total of 340 single homeless individuals were studied, constituting 80-90% of the single homeless population of Sheffield, as estimated by field workers. The population was younger than those of earlier studies and contained a higher proportion of females (14%). One-fifth of the population had been homeless for less than six months, and 60% had been at their present lodging for less than six months. The population has a higher proportion of both ex-prisoners (49%) and ex-inmates of psychiatric hospitals (36%). Over a quarter admit to a history of alcoholism, and 9% to a history of drug abuse; 65% of the population are registered locally with a GP, and 53% of the population see their GP. Those who are more likely to use an Accident and Emergency Department are less socially integrated and more likely to be alcoholic. This study of the single homeless highlights a need for social change to reduce poverty, provide cheap available housing and provide support for disadvantaged groups. PMID:8202580

Shanks, N J; George, S L; Westlake, L; al-Kalai, D

1994-01-01

69

Theory of homelessness using Gibbs' paradigm.  

PubMed

An examination of homelessness is provided using Gibbs' paradigm as a guide. The author assesses national health objectives and health promotion and disease prevention for the homelessness population. PMID:8329739

Turner, G

1993-01-01

70

Homeless Students at the School Door.  

ERIC Educational Resources Information Center

The United States has about 225,000 to 500,000 homeless children. In 1987, Congress passed a comprehensive law to provide emergency and long-term assistance for homeless persons. Under the Stewart B. McKinney Act, states receive funding to investigate homeless children's needs, identify education obstacles, and develop plans to overcome them. Tips…

Pawlas, George E.

1994-01-01

71

A New Look at the Homeless.  

ERIC Educational Resources Information Center

Discusses sources of homelessness, the difficulties homeless people encounter in their daily lives, attitudes toward the homeless, and the social and psychological impact upon children and adults of losing the social identity and security that a permanent home, however poor, provides. (GC)

Rivlin, Leanne G.

1986-01-01

72

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

73

Homeless Women  

Microsoft Academic Search

This study of 190 homeless women in Portland, Oregon, found that most homeless women are young, have minor children, and are mobile. The majority have a history of physical or sexual abuse, many are in poor health, 18 percent have been in a mental hospital, and one-fourth are alcoholic. The implications of these findings for policies and practice are discussed.

Sandra C. Anderson; Tome Boe; Sharon Smith

1988-01-01

74

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

75

Homelessness Assistance and Resources  

MedlinePLUS

... Events Ask A Question Technical Assistance About Grantees Homelessness Assistance and Resources "Stable housing is the foundation ... Federal Strategic Plan to Prevent and End Homelessness Homelessness Assistance Programs HUD's homeless assistance programs are categorized ...

76

Interpersonal violence and the pregnant homeless woman.  

PubMed

Homelessness continues to increase in the United States. Families comprise the fastest growing segment of the homeless population, and estimates suggest that women head 90% of homeless families. Pregnant homeless women are exposed to more cumulative violence than are comparable low-income, housed women. Intervention strategies that may improve health care provided to pregnant homeless women include abuse and safety assessment protocols and the use of a hand-carried health record. These interventions are directed at efforts to preserve the woman's autonomy and confidentiality, reduce areas of client-provider conflict, and generally improve encounters between the client and the health care system. PMID:9836164

Robrecht, L C; Anderson, D G

1998-01-01

77

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

78

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

79

Homelessness: A Common Vocabulary Could Help Agencies Collaborate and Collect More Consistent Data.  

National Technical Information Service (NTIS)

Multiple federal programs provide homelessness assistance through programs targeted to those experiencing homelessness or through mainstream programs that broadly assist low-income populations. Programs' definitions of homelessness range from including pr...

2010-01-01

80

Veterans and Homelessness. Updated April 1, 2011.  

National Technical Information Service (NTIS)

The wars in Iraq and Afghanistan have brought renewed attention to the needs of veterans, including the needs of homeless veterans. The Department of Veterans Affairs (VA) reported that in FY2008 it assessed more than 1,500 veterans who served in the Oper...

L. Perl

2011-01-01

81

Understanding SSI: Spotlight on Homelessness  

MedlinePLUS

... Spotlights Home / Spotlight on Homelessness WHAT IF I AM HOMELESS? If you are homeless, you have the ... MY SUPPLEMENTAL SECURITY INCOME (SSI) BENEFITS IF I AM HOMELESS? If you are homeless, some of the ...

82

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

Federal Register 2010, 2011, 2012, 2013

...permanent supportive housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness; and provide a supportive services program that guides resident Veterans toward attaining long-term...

2011-10-03

83

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

84

Families Experiencing Homelessness  

MedlinePLUS

... compound the stress the family feels. Families experiencing homelessness: Are typically comprised of a mother in her ... than other low-income families. 4 Mothers Experiencing Homelessness: The impact of homelessness on mothers is profound. ...

85

Education for Homeless Children and Youth Program: Title VII, Subtitle B of the McKinney-Vento Homeless Assistance Act. Report to Congress, Fiscal Year 2000.  

ERIC Educational Resources Information Center

This report compiles data submitted by state educational agencies in accordance with the McKinney-Vento Homeless Assistance Act. States are required to provide an estimate of: total number of homeless children and youth by grade level, number of homeless children and youth enrolled in public school by grade level, number of homeless children and…

Office of Elementary and Secondary Education (ED), Washington, DC.

86

Homeless People and Health Care: An Unrelenting Challenge.  

ERIC Educational Resources Information Center

In 1985, the New York City Health Care for the Homeless Program began providing health care and social services to homeless people. The program seeks to provide care to those homeless people with the least access to services, reaching out to them in soup kitchens, shelters, and hotels. This paper summarizes what has been learned since 1985 about…

Neibacher, Susan L.

87

Educational Policy and Reform for Homeless Students. An Overview  

ERIC Educational Resources Information Center

This article provides an overview of educational reform efforts that have been targeted toward assisting homeless students. The authors first review some of the difficulties and barriers that confront homeless children in terms of school access and academic success. The authors then examine four different types of educational reforms for homeless

Mawhinney-Rhoads, Lynnette; Stahler, Gerald

2006-01-01

88

Youth Homelessness 2006  

ERIC Educational Resources Information Center

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

MacKenzie, David; Chamberlain, Chris

2008-01-01

89

Homelessness in Public Libraries  

ERIC Educational Resources Information Center

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

Wong, Yi Ling

2009-01-01

90

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

91

Special article: Infectious diseases among homeless children and adolescents: A national concern  

Microsoft Academic Search

Most Americans have the misconception that the homeless population is composed primarily of adults, many of whom are derelicts, drug abusers, and the like. In actuality, the typical homeless person in America today is a child, and the fastest growing portion of the homeless population is families with children. Homeless children and adolescents present specific challenges to individuals who provide

B. Lee Ligon

2000-01-01

92

Report to the Secretary of Housing and Urban Development on the Homeless and Emergency Shelters.  

National Technical Information Service (NTIS)

This report provides information on three basic issues concerning homelessness: (1) the extent of homelessness nationwide and by region, (2) a profile of the homeless, and (3) the extent of shelter capacity and other programs for the homeless. Data and in...

1984-01-01

93

Safety, Security, and Privacy for Female Veterans at a Chicago, IL Homeless Grant Provider Facility. Veterans Health Administration.  

National Technical Information Service (NTIS)

We are providing this memorandum to advise of serious female veteran housing safety, security, and privacy issues discovered during on-going audit work that require immediate Veterans Health Administration management attention. These issues emerged while ...

2011-01-01

94

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

95

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

96

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

97

Working to End Family Homelessness. Annual Report  

ERIC Educational Resources Information Center

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

National Center on Family Homelessness (NJ1), 2012

2012-01-01

98

Addressing the Problems of Homeless Adolescents  

ERIC Educational Resources Information Center

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

Murphy, Joseph F.; Tobin, Kerri

2012-01-01

99

Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness  

Microsoft Academic Search

Background: Supported housing, integrating clinical and housing services, is a widely advocated intervention for homeless people with mental illness. In 1992, the US De- partment of Housing and Urban Development (HUD) and the US Department of Veterans Affairs (VA) established the HUD-VA Supported Housing (HUD-VASH) program. Methods: Homeless veterans with psychiatric and\\/or sub- stance abuse disorders or both (N=460) were

Robert Rosenheck; Wesley Kasprow; Linda Frisman; Wen Liu-Mares

2003-01-01

100

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

PubMed Central

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.

van den Berk-Clark, Carissa; McGuire, James

2013-01-01

101

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

PubMed

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

Finfgeld-Connett, Deborah

2010-07-01

102

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

103

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.

104

Life shocks and homelessness.  

PubMed

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

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

2013-12-01

105

Educating Homeless Students.  

ERIC Educational Resources Information Center

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

Berliner, BethAnn

2002-01-01

106

Homelessness and health  

Microsoft Academic Search

HOMELESSNESS AFFECTS TENS OF THOUSANDS OF CANADIANS and has important health implications. Homeless people are at increased risk of dying prematurely and suffer from a wide range of health problems, including seizures, chronic obstructive pul- monary disease, musculoskeletal disorders, tuberculosis, and skin and foot prob- lems. Homeless people also face significant barriers that impair their access to health care. More

Stephen W. Hwang

107

Homelessness and theory reconsidered  

Microsoft Academic Search

Theory will not directly explain the development of policy and provision for homeless people, but it is an important consideration and one deserving of careful attention. In the UK, however, homelessness has often been explained simplistically and somewhat atheoretically as either a housing or a welfare problem, caused either by structural or by individual factors. Likewise, homeless people have been

Joanne Neale

1997-01-01

108

Veterans and Homelessness.  

National Technical Information Service (NTIS)

The wars in Iraq and Afghanistan have brought renewed attention to the needs of veterans, including the needs of homeless veterans. Homeless veterans initially came to the country's attention in the 1970s and 1980s, when homelessness generally was becomin...

L. Perl

2009-01-01

109

Health-Seeking Challenges Among Homeless Youth  

PubMed Central

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

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

2010-01-01

110

Young homeless people and service provision.  

PubMed

This paper focuses on access to services, and views of service provision amongst young homeless people aged 14-25 years. Two hundred young homeless people were interviewed in locations throughout Greater Manchester, the majority in towns surrounding the city of Manchester. A semistructured interview schedule was used with interviews being taped and transcribed to provide additional qualitative data. The operational definition of homelessness included not only those who were roofless, but also those residing in hostels, bed and breakfast accommodation, or staying temporarily with friends. Topics examined include: access to services such as housing, health, advice and information; appraisal of service provision; confidence in securing help; and the use of both formal and informal support services. Results show that the provision and use of services for young homeless people varies widely across the county, with the majority of services being concentrated in the city of Manchester. Respondents made good use of certain services such as streetwork agencies, but exhibited a lack of confidence in securing help with the most basic needs, such as food. A desire to avoid being labelled as 'homeless' appeared to make some people unwilling to make use of non-statutory agencies specifically for homeless people. Overall, respondents found particular difficulties in accessing help from statutory services, such as housing and health. Findings point to the necessity of providing adequately resourced services which reach out to young homeless people. PMID:11560618

Reid, Paul; Klee, Hilary

1999-01-01

111

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

Federal Register 2010, 2011, 2012, 2013

...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

112

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

Federal Register 2010, 2011, 2012, 2013

...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

113

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

Federal Register 2010, 2011, 2012, 2013

...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

114

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

Federal Register 2010, 2011, 2012, 2013

...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

115

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

Federal Register 2010, 2011, 2012, 2013

...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

116

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

Federal Register 2010, 2011, 2012, 2013

...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

117

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

Federal Register 2010, 2011, 2012, 2013

...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

118

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

119

Nutrition for the Homeless. Hearing on S. 728, A Bill To Improve the Nutrition of the Homeless, and for Other Purposes; and S. 812, A Bill to Amend the Food Stamp Act of 1977 to Provide Urgent Relief to Improve the Nutrition of the Homeless...(Nutrition for Homeless Individuals Act of 1987) before the Subcommittee on Nutrition and Investigations of the Committee on Agriculture, Nutrition, and Forestry. United States Senate, One Hundredth Congress, First Session.  

ERIC Educational Resources Information Center

This document contains oral testimony by state and government officials, prepared statements, and supporting materials concerning food assistance for the homeless. The bills before the Senate would increase Temporary Emergency Food Assistance Program (TEFAP) funding by $10 million in fiscal year 1987, and $20 million in 1988. According to John W.…

Congress of the U.S., Washington, DC. Senate Committee on Agriculture, Nutrition, and Forestry.

120

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

PubMed Central

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

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

2012-01-01

121

Separate and Unequal: A Report on Educational Barriers for Homeless Children & Youth.  

ERIC Educational Resources Information Center

To update previous reports about the education provided for homeless children, the National Law Center conducted a survey of providers of services for the homeless and of other advocates for the homeless. The 80 respondents represented 64 family shelter providers in 33 states. Nearly 79% of respondents reported that transportation is a barrier for…

McCarthy, Sarah

122

VA Health Care: Spending for and Provision of Prosthetic Items.  

National Technical Information Service (NTIS)

In fiscal year 2009, the Department of Veterans Affairs (VA) provided more than 59 million prosthetic items to more than 2 million veterans. After VA physicians and other clinicians prescribe prosthetic items, VA's Prosthetic and Sensory Aids Service (PSA...

2010-01-01

123

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

ERIC Educational Resources Information Center

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

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

2011-01-01

124

Authorization for non-VA medical services. Direct final rule.  

PubMed

The Department of Veterans Affairs (VA) is taking direct final action to amend its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain hospital care (inpatient care) and medical services (outpatient care) for eligible veterans when VA facilities are not capable of providing such services due to geographical inaccessibility or are not capable of providing the services needed. This amendment revises VA's existing regulation in accordance with statutory authority to remove a limitation on which veterans are eligible for medical services under this authority. PMID:23227567

2012-11-28

125

From homeless to housed: caring for people in transition.  

PubMed

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

Drury, Lin J

2008-01-01

126

Homeless Children and Youth in Utah. 1991 Report.  

ERIC Educational Resources Information Center

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

Utah State Office of Education, Salt Lake City.

127

Homeless Children and Youth in Utah. 1992 Report.  

ERIC Educational Resources Information Center

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

Utah State Office of Education, Salt Lake City.

128

77 FR 12517 - VA Dental Insurance Program  

Federal Register 2010, 2011, 2012, 2013

...Part 17 RIN 2900-AN99 VA Dental Insurance Program...responsibilities to provide VA dental benefits under 38...believe that a minimum of one year is required to assess...that has contracted with VA to offer a premium-based...There may be more than one participating...

2012-03-01

129

Linking Practice and Science in the Substance Abuse Treatment of Homeless Persons  

Microsoft Academic Search

The Homeless I Project represents the successful linking of practice and science in the development, delivery, and evaluation of innovative interventions for substance abuse and homelessness in a community-based setting. Several positive outcomes resulted from the collaboration between university investigators and providers of health care for the homeless. These included a productive research and service delivery collaboration, important project and

Joseph E. Schumacher; Jesse B. Milby; Molly Engle; James M. Raczynski; Max Michael

2000-01-01

130

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

ERIC Educational Resources Information Center

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

de Bradley, Ann Aviles

2008-01-01

131

Between Rural and Urban Slums: A Geography of Pathways Through Homelessness  

Microsoft Academic Search

In this paper we deal with the geography of pathways through homelessness, developed by households who live in holiday parks in the rural southern part of Belgium (Wallonia). The paper aims to provide insights into the motivations and objectives of the homeless themselves and to identify structural obstacles that risk reproducing homelessness. After a conceptual introduction, we present our research

Henk Meert; Marie Bourgeois

2005-01-01

132

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

ERIC Educational Resources Information Center

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

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

133

U.S. Department of Health and Human Services: Strategic Action Plan on Homelessness.  

National Technical Information Service (NTIS)

Each year, approximately one percent of the U.S. population, some 2-3 million individuals, experiences a night of homelessness that puts them in contact with a homeless assistance provider, and at least 800,000 people are homeless in the United States on ...

2007-01-01

134

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

135

Homelessness and food insecurity  

Microsoft Academic Search

Numerous assistance programs are designed to alleviate homelessness and food insecurity in the US, two of the more severe possible consequences of poverty. While we expect families with a higher probability of homelessness to also be at higher risk of food insecurity, after controlling for observed factors the relationship is not immediately apparent. To analyze this relationship, we use a

Craig Gundersen; Linda Weinreb; Cheryl Wehler; David Hosmer

2003-01-01

136

Intellectual Disability and Homelessness  

ERIC Educational Resources Information Center

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

Mercier, C.; Picard, S.

2011-01-01

137

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

ERIC Educational Resources Information Center

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

Cackley, Alicia Puente

2010-01-01

138

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

Federal Register 2010, 2011, 2012, 2013

...affordable permanent housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-11-17

139

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

...maintain a permanent housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-11-17

140

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

Federal Register 2010, 2011, 2012, 2013

...and permanent housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness; and provide a supportive services program that guides resident Veterans toward attaining long-term...

2011-01-31

141

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

Federal Register 2010, 2011, 2012, 2013

...maintain a permanent housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-10-03

142

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

Federal Register 2010, 2011, 2012, 2013

...and transitional housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-10-28

143

76 FR 71441 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...  

Federal Register 2010, 2011, 2012, 2013

...housing facilities; provide preference and priority placement for senior Veterans, homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-11-17

144

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

Federal Register 2010, 2011, 2012, 2013

...and permanent housing facility; provide preference and priority placement for homeless Veterans and Veterans at risk of homelessness and their families; and provide a supportive services program that guides resident Veterans toward attaining...

2011-09-30

145

[Healthcare institutions for the homeless].  

PubMed

Samusocial is an organisation which provides emergency and longer-term medical respite beds in Paris. They offer, for a duration ranging from a few days to a few years, shelter for homeless people requiring medical care but which no longer merits hospitalisation. The nursing role consists in supporting as part of a multi-professional team these people whose self-esteem and body image have been damaged, to help them construct their life project. PMID:24881236

Pain, Marielle; Kusuamina, Laëticia; Kusuamina, Laëticia

2014-04-01

146

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

...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

147

Hopes, Dreams & Promise: the Future of Homeless Children in America.  

ERIC Educational Resources Information Center

This book explores in six chapters the issues behind family homelessness in America and presents some solutions to this increasing problem. Chapter 1 analyzes some of the causes for homelessness with a look at the 1980s, cuts in social programs, the insufficient help provided by federal authorities, and efforts of local initiatives. In chapter 2 a…

Nunez, Ralph da Costa

148

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

149

Communicating Effectively with Parents and Families Who Are Homeless  

Microsoft Academic Search

Parents and families who are homeless need positive communication experiences with early childhood programs. This article provides several examples of ways to connect with families who are homeless and to meet their needs through continuous communication. Staff development ideas, parent and family involvement, and school-community support strategies are especially noted.

Kevin J. Swick; Lora Battle Bailey

2004-01-01

150

Nowhere to Run: HIV Prevention for Runaway and Homeless Youth.  

ERIC Educational Resources Information Center

This volume is a guide to providing effective Human Immunodeficiency Virus (HIV) and substance abuse prevention services to runaway and homeless youth. The guide is based on current research and the best programs in this field. Chapters 1 and 2 summarize what is known about runaway and homeless youth, the services these youth require if they are…

Posner, Marc

151

Strengthening At-Risk and Homeless Young Mothers and Children  

ERIC Educational Resources Information Center

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

Medeiros, Debra; Vaulton, Wendy

2010-01-01

152

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

ERIC Educational Resources Information Center

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

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

2012-01-01

153

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

154

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

PubMed

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

Allan, Julaine; Kemp, Michael

2014-01-01

155

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

156

Factors Associated with Geriatric Syndromes in Older Homeless Adults  

PubMed Central

Although older homeless adults have high rates of geriatric syndromes, risk factors for these syndromes are not known. We used multivariable regression 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 ADLs. 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.

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

2013-01-01

157

Permanent homelessness in America?  

Microsoft Academic Search

This paper seeks to determine the approximate number of homeless persons in the U.S., the rate of change in the number, and whether or not the problem is likely to be permanent or transitory. It makes particular use of a new 1985 survey of over 500 homeless people in New York City. It finds that:(1)the much-maligned 1984 study by the

Richard B. Freeman; Brian Hall

1987-01-01

158

A Comparison of Homeless and Non-Homeless Adolescents.  

ERIC Educational Resources Information Center

The goal of this study was to extend what is currently understood regarding attitudes toward the homeless population. The study focused on how homeless and nonhomeless adolescents attribute the causes of homelessness. Grounded in attribution theory, the study hypothesized that nonhomeless adolescents would ascribe causality to dispositional or…

LeClair, Mary C.; Hansen, James C.

159

Housing the Homeless, July 1983.  

National Technical Information Service (NTIS)

This paper estimates the number, location, and characteristics of the homeless in the United States and analyzes their reactions to current shelters and Government programs. Some of the homeless are elderly, physically disabled, or alcoholic, while many a...

P. Burke

1984-01-01

160

No Homeless Child Left behind  

ERIC Educational Resources Information Center

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

Saxberg, David

2011-01-01

161

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

162

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

163

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

164

Offending, Homelessness, and the Life Course.  

ERIC Educational Resources Information Center

Considers the role played by imprisonment in relation to homelessness in particular and to marginal society participation in general. Observations are offered about the concept of the "underclass," and an analysis of the impact of current British social policies on the life course is provided, with special focus on young offenders. (JPS)

Paylor, Ian

1995-01-01

165

Marginal Arrangements: Homelessness, Mental Illness, and Social Relations. Executive Summary.  

National Technical Information Service (NTIS)

A multi-method, ethnographically-centered approach was used to understand how homeless individuals whom service providers label mentally ill collude in their own management and surmount their marginality. Field observations from five nontraditional progra...

A. M. Lovell

1994-01-01

166

Part II, Provider perspectives: should patients be activated to request evidence-based medicine? a qualitative study of the VA project to implement diuretics (VAPID)  

Microsoft Academic Search

BACKGROUND: Hypertension guidelines recommend the use of thiazide diuretics as first-line therapy for uncomplicated hypertension, yet diuretics are under-prescribed, and hypertension is frequently inadequately treated. This qualitative evaluation of provider attitudes follows a randomized controlled trial of a patient activation strategy in which hypertensive patients received letters and incentives to discuss thiazides with their provider. The strategy prompted high discussion

Colin D Buzza; Monica B Williams; Mark W Vander Weg; Alan J Christensen; Peter J Kaboli; Heather Schacht Reisinger

2010-01-01

167

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

Code of Federal Regulations, 2010 CFR

...are provided to skilled nursing patients or sub-acute inpatients: ICU and CCU room and board, laboratory, radiology, cardiology, dialysis, operating room, blood and blood administration, ambulance, MRI, anesthesia, durable medical...

2010-07-01

168

24 CFR 576.405 - Homeless participation.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Homeless participation. 576.405 Section... Program Requirements § 576.405 Homeless participation. (a) Unless the...the participation of not less than one homeless individual or formerly...

2013-04-01

169

Homeless Mothers and Children: Longitudinal Study.  

National Technical Information Service (NTIS)

Homelessness is a complex and tragic social problem. Various macro- and micro-economic forces affect the prevalence of homelessness in the general population and determine individual vulnerability. Although family homelessness has grown dramatically over ...

E. L. Bassuk

1999-01-01

170

People Experiencing Chronic Homelessness  

MedlinePLUS

... already stretched to its limit. The physical and mental health needs of this population are prevalent and acute, and must ... the determinants of street homelessness by developing and... Prevalence and ... of Mental Health Services Among 10,340 Patients With Serious Mental ...

171

VA (Veterans Administration) Health Care: Allocation of Resources to Medical Facilities in the Sun Belt.  

National Technical Information Service (NTIS)

The report provides information on: Changes in the veteran population, veterans' demand for health care from Veterans Administration (VA), VA medical facility workload, and obligation of VA health care dollars from fiscal years 1981 to 1985. The authors c...

1986-01-01

172

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

173

Social Work with Homeless Mothers: A Strength-Based Solution-Focused Model  

Microsoft Academic Search

Social workers are increasingly called upon to provide services to homeless families, the vast majority of which are mother-headed. Drawing on empirical findings from the literature on homeless families and the practice literature on solution-focused and strength-based practice, this article describes and illustrates how principles and techniques of these two approaches to practice can be used to empower homeless mothers

Elizabeth W. Lindsey

2000-01-01

174

Assessing Homeless Population Size Through the Use of Emergency and Transitional Shelter Services in 1998: Results from the Analysis of Administrative Data from Nine US Jurisdictions  

Microsoft Academic Search

Objectives. This study reports findings from the first-ever systematic enumeration of homeless population size using data previously collected from administrative records of homeless services providers in nine US jurisdictions over a one year period. As such, it provides the basis for establishing an ongoing measure of the parameters of the homeless population and for tracking related trends on the use

Stephen Metraux; Dennis P Culhane; Stacy Raphael; Matthew White; Carol Pearson; Eric Hirsch; Patricia Ferrell; Steve Rice; Barbara Ritter; J. Stephen Cleghorn

2001-01-01

175

For Homeless Veterans  

MedlinePLUS

... 1000 Health Care: 1-877-222-VETS (8387) VA Inspector General: 1-800-488-8244 Veterans Crisis Line: 1-800- ... Veterans Crisis Line: 1-800-273-8255 (Press 1) Social Media Complete Directory EMAIL UPDATES Email Address Button to subscribe to email VA HOME Notices Privacy FOIA Regulations Web Policies No ...

176

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

PubMed

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

Wise, Caitlin; Phillips, Kenneth

2013-05-01

177

Helping homeless individuals with co-occurring disorders: the four components.  

PubMed

Homeless individuals with co-occurring disorders (CODs) of severe mental illness and substance use disorder are one of the most vulnerable populations. This article provides practitioners with a framework and strategies for helping this client population. Four components emerged from a literature review: (1) ensuring an effective transition for individuals with CODs from an institution (such as a hospital, foster care, prison, or residential program) into the community, a particularly important component for clients who were previously homeless, impoverished, or at risk of homelessness; (2) increasing the resources of homeless individuals with CODs by helping them apply for government entitlements or supported employment (3) linking homeless individuals to supportive housing, including housing first options as opposed to only treatment first options, and being flexible in meeting their housing needs; and (4) engaging homeless individuals in COD treatment, incorporating modified assertive community treatment, motivational interviewing, cognitive-behavioral therapy, contingency management, and COD specialized self-help groups. PMID:22768626

Sun, An-Pyng

2012-01-01

178

Differences in Risk Behaviors, Care Utilization, and Comorbidities in Homeless Persons Based on HIV Status.  

PubMed

This cross-sectional pilot project measured differences by HIV status in chronic health conditions, primary care and emergency department use, and high-risk behaviors of homeless persons through self-report. Using selective random sampling, 244 individuals were recruited from a homeless shelter. The reported HIV prevalence was 6.56% (n = 16), with the odds of HIV higher in persons reporting crack cocaine use. HIV-infected persons were more likely to report a source of regular medical care and less likely to use the emergency department than uninfected persons. Validation of findings through exploration of HIV and health care access in homeless persons is needed to confirm that HIV-infected homeless persons are more likely to have primary care. Distinctions between primary care and specialty HIV care also need to be explored in this context. If findings are consistent, providers who care for the homeless could learn more effective ways to engage homeless patients. PMID:24070642

Parker, R David; Dykema, Shana

2014-01-01

179

Factors influencing homelessness in women.  

PubMed

The specific aims of the article were to: (i) compare childhood experiences of intimacy and autonomy as they occurred in the families of origin of women who have and women who have not experienced homelessness; (ii) compare social support, reciprocity, and conflict as they occurred in the childhood support networks and in the current support networks of women who have and women who have not experienced homelessness; (iii) examine the relationships between intimacy and autonomy in families of origin and the social support networks from childhood of women who have and women who have not experienced homelessness. Descriptive correlational design: 255 women were interviewed to determine levels of intimacy, autonomy, social support, reciprocity, and conflict in childhood relationships. The ANCOVA models for each of support, reciprocity, and conflict indicated a significant group effect. The post-hoc analysis for support indicated that the homeless group was significantly lower in support and reciprocity and significantly higher in conflict than the never-homeless groups. The never-homeless, never-abused group scored significantly higher on autonomy and intimacy than the homeless or the never-homeless, abused groups. This study demonstrates the significance of families of origin and learning how to develop and utilize support systems in preventing or reducing homelessness. PMID:14692985

Anderson, Debra Gay; Rayens, Mary Kay

2004-01-01

180

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

181

38 CFR 1.920 - Referral of VA debts.  

Code of Federal Regulations, 2011 CFR

(b) VA must certify in writing that the individual owes the debt, the amount and basis of the debt, the date on which payment became due, and the date VA's right to collect the debt first accrued. (c) This certification will also state that VA provided the debtor with written notice...

2013-07-01

182

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

ERIC Educational Resources Information Center

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

Boylan, Ellen; Splansky, Deborah

2010-01-01

183

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

184

Predictors of Homelessness among Street Living Youth  

ERIC Educational Resources Information Center

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

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

2008-01-01

185

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

186

78 FR 76064 - Authorization for Non-VA Medical Services; Withdrawal  

Federal Register 2010, 2011, 2012, 2013

The Department of Veterans Affairs (VA) published a direct final rule in the Federal Register on November 28, 2012, that would have amended its regulations regarding payment by VA for medical services under VA's statutory authority to provide non-VA medical care. VA sought to remove an outdated regulatory limitation on veterans' eligibility to be referred for non-VA medical care. On the same......

2013-12-16

187

Youth Homelessness and Individualised Subjectivity  

ERIC Educational Resources Information Center

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

Farrugia, David

2011-01-01

188

National Center on Family Homelessness  

MedlinePLUS

The Real Face of Homelessness: Breaking the Cycle for New York City's Children in Shelter On April 2, Carmela DeCandia, Psy.D., Director of The ... DeCandia gave a presentation on the impact of homelessness and other traumas on children's physical health, emotional ...

189

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

190

75 FR 20541 - Homeless Emergency Assistance and Rapid Transition to Housing: Defining “Homeless  

Federal Register 2010, 2011, 2012, 2013

...FR-5333-P-01] RIN 2506-AC26 Homeless Emergency Assistance and Rapid Transition to Housing: Defining ``Homeless'' AGENCY: Office of the Assistant...HUD's regulatory implementation of the Homeless Emergency Assistance and Rapid...

2010-04-20

191

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.

Rotheram-Borus, Mary Jane

2014-01-01

192

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

ERIC Educational Resources Information Center

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

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

2013-01-01

193

Substance Misuse, Suicidal Ideation, and Suicide Attempts Among a National Sample of Homeless  

Microsoft Academic Search

This study's purpose was to identify the relationship between the annual incidence of drug and alcohol misuse among a national probability sample of 2,974 homeless individuals and self-reports of suicidal ideation and attempts while considering the predictors of both drug and alcohol misuse and suicidal ideation and attempts. By using a national dataset, the National Survey of Homeless Assistance Providers

Tracy L. Dietz

2010-01-01

194

The Florida Adult Homeless Literacy and Basic Skills Assistance Project 1992-1993. Program Evaluation Summary.  

ERIC Educational Resources Information Center

The Florida Adult Homeless Literacy and Basic Skills Assistance Project was initiated in 1992 to provide literacy and basic skills training to at least 2,700 homeless Florida adults. In 1993, a limited evaluation of the project was conducted. Evaluation data were collected from reviews of 39 state and local documents, interviews with the program…

Gardner, Dan

195

Sexual Health: The Role of Sexual Health Services Among Homeless Young Women Living in Toronto, Canada  

Microsoft Academic Search

Recent statistics indicate limited condom use, high STI (sexually transmitted infection) rates, and a general lack of knowledge about reproductive and sexual health among homeless youth. This research focuses on the experiences of homeless female and transgendered youth, providing an insider’s perspective on shaping sexual health interventions. This qualitative research is based on life history interviews and participant observation with

Vanessa Oliver; Rebecca Cheff

2012-01-01

196

Use of a mobile health van by a vulnerable population: Homeless sheltered women  

Microsoft Academic Search

Little is known about the health status of homeless women. In this study, we examined the health problems of and services provided to sheltered, homeless, Midwestern women who used a mobile health van. Our objectives were to document these women's ages, self?reported past medical histories, self?reported histories of addictions and hospitalizations, presenting concerns, diagnoses, and visit patterns. To this end,

Diane McGee; Martha Morgan; Mary J. McNamee; Jean Krajicek Bartek

1995-01-01

197

Blocks to Their Future: A Report on the Barriers to Preschool Education for Homeless Children.  

ERIC Educational Resources Information Center

Homelessness has a devastating impact on children. School provides stability and a sense of continuity during an otherwise chaotic time, as well as access to other comprehensive services, both inside and outside the school, such as meals, health care, counseling, and recreation. But despite their desperate need, homeless children face high, often…

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

198

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

199

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

200

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

201

Homeless Aging Veterans in Transition: A Life-Span Perspective  

PubMed Central

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.

Thompson, Carla J.; Bridier, Nancy L.

2013-01-01

202

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

203

38 CFR 61.33 - Payment of per diem.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...pay per diem to the recipient for those homeless veterans: (1) Who VA referred to...recipient for furnishing services to homeless veterans that the per diem...

2013-07-01

204

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

205

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.

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

2013-01-01

206

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

PubMed Central

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

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

2012-01-01

207

38 CFR 61.80 - General operation requirements for supportive housing and service centers.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...satisfactory to both parties. (d) A homeless veteran may remain in supportive housing...and participation of not less than one homeless veteran or formerly homeless...

2013-07-01

208

38 CFR 21.1031 - VA responsibilities when a claim is filed.  

Code of Federal Regulations, 2010 CFR

...the information and evidence within one year of the date of the request, VA must readjudicate the claim. If VA's...complete the application is not received by VA within one year from the date of such notice, VA cannot pay or provide any benefits...

2009-07-01

209

38 CFR 21.1031 - VA responsibilities when a claim is filed.  

Code of Federal Regulations, 2013 CFR

...the information and evidence within one year of the date of the request, VA must readjudicate the claim. If VA's...complete the application is not received by VA within one year from the date of such notice, VA cannot pay or provide any benefits...

2013-07-01

210

38 CFR 21.1031 - VA responsibilities when a claim is filed.  

Code of Federal Regulations, 2010 CFR

...the information and evidence within one year of the date of the request, VA must readjudicate the claim. If VA's...complete the application is not received by VA within one year from the date of such notice, VA cannot pay or provide any benefits...

2010-07-01

211

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

212

Neuropsychological functioning of homeless men.  

PubMed

Numerous biological and psychological factors associated with impaired neurological functioning have been identified as common among the homeless, but there has been relatively little systematic examination of the cognitive functioning of homeless people. This study explored the neuropsychological functioning of 90 homeless men. There was great variability in their test scores, but the presence of possible cognitive impairment was detected in 80% of the sample. Average general intellectual functioning and reading abilities were found to be relatively low, and the incidence of impairments in reading, new verbal learning, memory, and attention and concentration was high. These findings suggest that the homeless men in this study had considerable assessment and treatment needs that were not being met by most of the health and social services offered to them. PMID:15232317

Solliday-McRoy, Cindy; Campbell, Todd C; Melchert, Timothy P; Young, Terence J; Cisler, Ron A

2004-07-01

213

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

214

[Morbidity spectrum and drug therapy of homeless persons in Munich].  

PubMed

In Germany there are currently approx. 200,000 homeless single people, and the trend is rising. As a result of the situation in which they find themselves, many of these persons are ill and in need of medical treatment. A study was performed in Munich/Germany, focussing on a medical practice providing care for the homeless, to investigate their illnesses and pharmacological therapy. The medical practice was located in a municipal shelter. Each year about 350 different destitute homeless men--about 15 per cent of all single homeless people in Munich--were cared for. The men, whose ages ranged from about 17 to 74 years were single and the majority lived in shelters, bed and breakfast accommodations, or shared apartments. About ten per cent lived on the street. For the study, 171 randomly selected medical records were analysed for the period of July 1994 to June 1995. The homeless men suffered principally from the following illnesses: psychiatric illnesses (36%), infectious and parasitic diseases (31%), skin diseases (30%), injuries (29%), diseases of the skeleton, of the muscles and of the connective tissues (28%), diseases of the respiratory organs (27%), cardiovascular diseases (24%), and diseases of the digestive organs (17%). Seventy-five per cent of the patients received drug treatment. In the case of 37% of the patients, wounds were treated and dressed in the medical practice itself. The most frequently prescribed drugs were: analgesics (12%), antibiotics (10%), antihypertensives (10%), gastrointestinal treatments (9%), treatments for colds (9%), and dermatopharmacological preparations (6%). It was surprising that only 16% of the psychic ill patients were treated with drugs, while over 60% of the other illnesses were mostly treated pharmacologically. The interaction with alcohol was the reason for that. The study showed that the practice did not sufficiently reach women and homeless people living on the street. The homeless situation, the personal and social difficulties faced by the homeless and the frequent misuse of alcohol caused many problems in medical treatment, such as low compliance. Special medical institutions like the Munich medical practice are capable of handling these problems. Co-operation with social relief organisations helps to improve the overall situation of the patient and also improves his state of health. These medical institutions are useful and necessary for providing good health care for the social fringe population, such as the homeless are. PMID:9522563

Egen, V

1998-01-01

215

Homeless, Not Hopeless: Ensuring Educational Opportunity for America's Homeless Children and Youth.  

ERIC Educational Resources Information Center

This position document is introduced by a fact sheet that lists the numbers of homeless people and the appropriations for various programs that assist homeless people. The executive summary discusses: (1) the plight of homeless children; (2) the passage of the McKinney Homeless Assistance Amendments of 1990 by the U.S. Congress; (3) services…

Johnson, Joseph F., Jr., Ed.; Wand, Barbara, Ed.

216

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

ERIC Educational Resources Information Center

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

Hilton, Timothy; DeJong, Cornell

2010-01-01

217

Homelessness and the Homeless: Responses and Innovations. A Canadian Contribution to IYSH 1987.  

ERIC Educational Resources Information Center

This report presents descriptions of successful Canadian public and private programs to aid the homeless and alleviate homelessness as part of participation in the International Year of Shelter for the Homeless (IYSH). Part 1, "The International Year of Shelter for the Homeless," includes the following: (1) objectives; (2) global conditions of the…

Oberlander, H. Peter; Fallick, Arthur L.

218

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

219

Recognizing work as a priority in preventing or ending homelessness.  

PubMed

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

Shaheen, Gary; Rio, John

2007-07-01

220

Using Natural Language Processing on the Free Text of Clinical Documents to Screen for Evidence of Homelessness Among US Veterans  

PubMed Central

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 naďve 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.

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

221

Traumatic Brain Injury Common Among Homeless Men  

MedlinePLUS

... features on this page, please enable JavaScript. Traumatic Brain Injury Common Among Homeless Men In small Canadian ... 2014 Related MedlinePlus Pages Homeless Health Concerns Traumatic Brain Injury WEDNESDAY, April 30, 2014 (HealthDay News) -- Brain ...

222

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

223

Homelessness Is a Risk Factor for TB  

MedlinePLUS

... to... Ańadir en... Favorites Delicious Digg Google Bookmarks Homelessness is a risk factor for TB Learn how ... the United States, 1% of the population experiences homelessness in a given year, but 5.8% of ...

224

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

225

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

226

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.

227

Adult Education for the Homeless. FY 89 Project Abstracts. Twenty-Eight Programs that Can Help the Homeless.  

ERIC Educational Resources Information Center

In the first portion of this document, abstracts are given for 30 projects that were designed to provide basic skills and literacy training to homeless adults in fiscal year 1989. The following information is provided for each project: state; grant award number; grantee; project title; project director, telephone number, and address; and…

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

228

The Second Student-Run Homeless Shelter  

ERIC Educational Resources Information Center

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

Seider, Scott C.

2012-01-01

229

Alcoholism, Drug Abuse, and the Homeless  

Microsoft Academic Search

Credible estimates of the prevalence of alcohol and drug abuse suggest that alcohol abuse affects 30% to 40% and drug abuse 10% to 15% of homeless persons. A review of policies that address substance abuse among the homeless finds that interventions alternate between control and rehabilitation. However, the unique needs of a changing homeless population require an integration of alcoholism

Dennis McCarty; Milton Argeriou; Robert B. Huebner; Barbara Lubran

1991-01-01

230

An Annotated Publications List on Homelessness.  

ERIC Educational Resources Information Center

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

Tutunjian, Beth Ann

231

Negative Cultural Capital and Homeless Young People  

ERIC Educational Resources Information Center

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

Barker, Justin David

2013-01-01

232

Escaping Homelessness: Anticipated and Perceived Facilitators  

ERIC Educational Resources Information Center

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

Patterson, Allisha; Tweed, Roger

2009-01-01

233

Colorectal cancer screening among the homeless population of new york city shelter-based clinics.  

PubMed

Objectives. We determined colorectal cancer (CRC) screening rates, predictors, and barriers in 2 major New York City shelter-based clinics. Methods. We extracted screening rates, sociodemographic characteristics, and factors associated with homelessness from medical records of domiciled and homeless patients aged 50 years and older (n?=?443) with at least 3 clinic visits between 2010 and 2012. Results. The majority of patients were African American or Hispanic, 76% were male, and 60.7% were homeless (mean?=?2.4 years; SD?=?2.8 years). Domiciled patients were more likely than homeless patients to be screened (41.3% vs 19.7%; P?Homeless and domiciled patients received equal provider counseling, but more homeless patients declined screening (P?homelessness, insurance status, substance and alcohol abuse, chronic diseases, and mental health were not associated with screening, but housing, provider counseling, and older age were. Conclusions. Proposed interventions to improve CRC screening include respite shelter rooms for colonoscopy prepping, patient navigators to help navigate the health system and accompany patients to and from the procedure, counseling at all clinical encounters, and tailored patient education to address misconceptions. PMID:24832144

Asgary, Ramin; Garland, Victoria; Jakubowski, Andrea; Sckell, Blanca

2014-07-01

234

Dying on the Streets: Homeless Persons' Concerns and Desires about End of Life Care  

PubMed Central

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

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

2007-01-01

235

Sexual Health Information Seeking Online Among Runaway and Homeless Youth  

PubMed Central

Research shows runaway and homeless youth are reluctant to seek help from traditional health providers. The Internet can be useful in engaging this population and meeting their needs for sexual health information, including information about HIV and other sexually transmitted infections (STIs). Using a sample of homeless youth living in Los Angeles, California in June 2009, this study assesses the frequency with which runaway and homeless youth seek sexual health information via the Internet, and assesses which youth are more likely to engage in seeking health information from online sources. Drawing from Andersen’s (1968) health behavior model and Pescosolido’s (1992) network episode model, we develop and refine a model for seeking online sexual health information among homeless youth. Rather than testing the predicative strength of a given model, our aim is to identify and explore conceptually driven correlates that may shed light on the characteristics associated with these help seeking behaviors among homeless youth. Analyses using multivariate logistic regression models reveal that among the sample of youth, females and gay males most frequently seek sexual health information online. We demonstrate the structure of social network ties (e.g., connection with parents) and the content of interactions (e.g., e-mail forwards of health information) across ties are critical correlates of online sexual health information seeking. Results show a continued connection with parents via the Internet is significantly associated with youth seeking HIV or STI information. Similarly for content of interactions, more youth who were sent health information online also reported seeking HIV information and HIV-testing information. We discuss implications for intervention and practice, focusing on how the Internet may be used for dissemination of sexual health information and as a resource for social workers to link transient, runaway, and homeless youth to care.

Barman-Adhikari, Anamika; Rice, Eric

2012-01-01

236

Emotional and Behavioural Problems among Sheltered Homeless Children.  

PubMed

Introduction: Homelessness in children is a serious problem in the society. Factors leading to homelessness in Nepalese children are poverty, unemployment, multiple children, exposure to violence, caste based social discrimination etc. Children living out of their homes have problems in attachment, temperament, social skills, cognitive ability, and language development. Few non-governmental organizations that have started to look after these children but the mental health need is neglected. The study attempted to investigate the emotional and behavioural problems in homeless children in one of the shelters in Kathmandu. Methods: All the children (n=126) in the SAATHI Organization were included in the study. They were administered Child Behaviour Check List 6-18. Children with T-score ?65 on externalising or internalising dimension were further evaluated in the Child Guidance Clinic for the final diagnosis based on DSM IV. Results: The prevalence of emotional and behavioural problem among the participants was 36 (28.57%) [15 (26.31%) in boys and 21 (30.43%) in girls] based on CBCL/6-18 years and 29 (23.01%) [12 (21.05%) in boys and 17 (24.63%) in girls] based on final diagnosis. The conduct problems was the most common among the male children 5 (8.77%), followed by ODD 3 (5.26%), ADHD 2 (3.5%), Anxiety 2 (3.50%) whereas Anxiety is most common in female children 9 (13.04 %), followed by depression 5 (7.24%), conduct 3 (4.34%). Conclusions: The rate of emotional and behavioral disorder in homeless children in the study is similar to the school aged non homeless children in previous studies, which may be because of the protection provided by the shelters. This study highlighted the need for methodologically better studies in the field. Keywords: children; emotional and behavioural problems; homelessness; Nepal. PMID:24907950

Ojha, S P; Ma, J; Chapagain, M; Tulachan, P

2013-01-01

237

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

ERIC Educational Resources Information Center

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

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

238

Creating a Community of Learning for Homeless Children.  

ERIC Educational Resources Information Center

Over 750,000 U.S. school-age children are homeless. Schools can eliminate attendance and environmental barriers sabotaging these children's education by becoming communities of learning that provide specialized education for children, contextualized education for parents, and linkages to needed services. The Bronx's Brownstone School, Chicago's…

Nunez, Ralph da Costa; Collignon, Kate

1997-01-01

239

Successful Transitions of Runaway/Homeless Youth from Shelter Care  

ERIC Educational Resources Information Center

Previous research indicates that runaway and homeless youth often achieve positive outcomes after shelter stays however few studies have examined how these outcomes are achieved. This study employs qualitative methods to explicate this phenomenon. Twenty-five providers and 21 youth from four shelters participated in this study. Youth were…

Nebbitt, Von E.; House, Laura E.; Thompson, Sanna J.; Pollio, David E.

2007-01-01

240

Supporting the Literacy Development of Children Living in Homeless Shelters  

ERIC Educational Resources Information Center

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

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

2010-01-01

241

Nutrition Education and Food for the Homeless--University Outreach.  

ERIC Educational Resources Information Center

The Food Stamp Nutrition Education Initiative targeted homeless people in overnight shelters. College students made monthly visits to provide nutrition education and meals. Students received training in quantity food service and leadership in helping improve food security. (Contains 16 references.) (JOW)

Truesdell, Delores; Sani, Amy V.

2001-01-01

242

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

243

Summary of Head Start Provisions on Homelessness and Foster Care  

ERIC Educational Resources Information Center

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

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

2008-01-01

244

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

245

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

ERIC Educational Resources Information Center

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

Miller, Peter Michael

2011-01-01

246

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

247

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

ERIC Educational Resources Information Center

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

Brown, Kay E.

2010-01-01

248

78 FR 56271 - FY 2014-2020 Draft VA Strategic Plan  

Federal Register 2010, 2011, 2012, 2013

...provides the Department's long-term direction and places a stronger emphasis on defining success by Veterans' outcomes; enhancing...end Veteran homelessness. In addition, this plan places a stronger emphasis on defining success by Veteran outcomes;...

2013-09-12

249

Homeless mentally ill patients in the community: results of a general hospital emergency room study.  

PubMed

Previous inattention to the specific circumstances of homeless mentally ill individuals in general hospital settings is discussed. Homeless mentally ill individuals who presented for emergency psychiatric care in a public general hospital setting exhibited distinctive patterns of service utilization and showed evidence of being a uniquely disabled, rootless, and impoverished subgroup of mentally ill individuals. The characteristics of homeless users of general hospital psychiatric services may provide some important clues to system-wide deficits in community-based care for the members of this population. PMID:2257725

Bachrach, L L; Santiago, J M; Berren, M R

1990-10-01

250

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

251

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

ERIC Educational Resources Information Center

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

Buch, Kim; Harden, Susan

2011-01-01

252

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

253

24 CFR 91.205 - Housing and homeless needs assessment.  

Code of Federal Regulations, 2013 CFR

... 2013-04-01 false Housing and homeless needs assessment. 91.205 Section...Consolidated Plan § 91.205 Housing and homeless needs assessment. (a) General...with disabilities; and (K) Formerly homeless families and individuals who are...

2013-04-01

254

24 CFR 91.405 - Housing and homeless needs assessment.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Housing and homeless needs assessment. 91.405 Section 91...Consolidated Plan § 91.405 Housing and homeless needs assessment. Housing and homeless needs must be described in the...

2013-04-01

255

24 CFR 91.305 - Housing and homeless needs assessment.  

Code of Federal Regulations, 2013 CFR

... 2013-04-01 false Housing and homeless needs assessment. 91.305 Section...Consolidated Plan § 91.305 Housing and homeless needs assessment. (a) General...with disabilities; and (K) Formerly homeless families and individuals who are...

2013-04-01

256

77 FR 1971 - Supplemental Security Income and Homeless Individuals  

Federal Register 2010, 2011, 2012, 2013

...SSA-2011-0087] Supplemental Security Income and Homeless Individuals AGENCY: Social Security...public regarding the unique needs of homeless Supplemental Security Income (SSI...in public emergency shelters for the homeless, in an effort to better understand...

2012-01-12

257

Criteria and Recordkeeping Requirements for Definition of Homeless  

MedlinePLUS

... Guidance Criteria and Recordkeeping Requirements for Definition of Homelessness Date Published: January 2012 Description This two-page ... homeless definition by outlining the criteria for defining homelessness and the recordkeeping requirements based on four categories ...

258

VA Health Care: VA Has Taken Steps to Make Services Available to Women Veterans, but Needs to Revise Key Policies and Improve Oversight Processes.  

National Technical Information Service (NTIS)

In 2008, VA provided health care to over 281,000 women veterans, a fast growing subgroup of veterans. Women veterans seeking VA health care need access to an array of services and Congress has raised concerns about how well VA is prepared to meet the phys...

2010-01-01

259

Dialysis Treatment Use and Costs Reported in VA Administrative Databases.  

National Technical Information Service (NTIS)

Kidney dialysis is performed roughly 300,000 times per year at VA facilities nationwide. Dialysis is provided by VA staff and by contractors in a series of arrangements that varies by location and year. If it were used consistently across sites, the Decis...

M. W. Smith S. S. Richardson

2005-01-01

260

Arthropod-borne diseases in homeless.  

PubMed

Homeless people are particularly exposed to ectoparasite. The living conditions and the crowded shelters provide ideal conditions for the spread of lice, fleas, ticks, and mites. Body lice have long been recognized as human parasites and although typically prevalent in rural communities in upland areas of countries close to the equator, it is now increasingly encountered in developed countries especially in homeless people or inner city economically deprived population. Fleas are widespread but are not adapted to a specific host and may occasionally bite humans. Most common fleas that parasite humans are the cat, the rat, and the human fleas, Ctenocephalides felis, Xenopsylla cheopis, and Pulex irritans, respectively. Ticks belonging to the family Ixodidae, in particular, the genera Dermacentor, Rhipicephalus, and Ixodes, are frequent parasites in humans. Sarcoptes scabiei var. hominis is a mite (Arachnida class) responsible for scabies. It is an obligate parasite of human skin. The hematophagic-biting mite, Liponyssoides sanguineus, is a mite of the rat, mouse, and other domestic rodents but can also bite humans. Finally, the incidence of skin disease secondary to infestation with the human bedbug, Cimex lectularius, has increased recently. Bacteria, such as Wolbacchia spp. have been detected in bedbug. The threat posed by the ectoparasite in homeless is not the ectoparasite themselves but the associated infectious diseases that they may transmit to humans. Except for scabies all these ectoparasites are potential vectors for infectious agents. Three louse-borne diseases are known at this time. Trench fever caused by Bartonella quintana (B. quintana), epidemic typhus caused by Rickettsia prowazekii, and relapsing fever caused by the spirochete Borrelia recurrentis. Fleas transmit plague (Xenopsylla cheopis and Pulex irritans), murine typhus (Xenopsylla cheopis), flea-borne spotted rickettsiosis on account of the recently described species Rickettsia felis (C. felis), and occasionally cat scratch disease on account of Bartonella henselae (C. felis). The role of fleas as potential vector of B. quintana has recently been suggested. Among the hematophagic-biting mites, L. sanguineus, is responsible for the transmission of Rickettsia akari, the etiologic agent of rickettsialpox. Virtually, no data are available on tick-borne disease in this population. This article will deal with epidemiology, diagnosis, prevention, and treatment of these ectoparasite and the infectious diseases they transmit to the homeless people. PMID:17114713

Brouqui, Philippe; Raoult, Didier

2006-10-01

261

Characteristics and service use of homeless veterans and nonveterans residing in a low-demand emergency shelter.  

PubMed

OBJECTIVES This study examined use of U.S. Department of Veterans Affairs (VA) and non-VA services and predictors of service use among veterans and nonveterans who resided in a low-demand emergency shelter. METHODS Equal numbers (N=110) of veterans and nonveterans recruited between January and June 2008 at a low-demand emergency shelter were interviewed about demographic characteristics, histories of military service and homelessness, general medical and mental functioning, current alcohol and drug problems and substance use, and use of medical, psychiatric, and substance abuse services. The Behavioral Model for Vulnerable Populations was used to identify need-based, enabling, and predisposing variables for analysis. RESULTS Both groups reported high rates of arrest and incarceration, very low incomes, extensive histories of homelessness, and a similar need for services. However, significantly more veterans than nonveterans used psychiatric services, nonemergency medical services, and inpatient substance use services. Similar proportions of veterans and nonveterans used public non-VA health care services. Need-based variables appropriately predicted service use, but veterans and individuals with insurance were also more likely to access services. CONCLUSIONS The veterans and nonveterans residing in a low-demand shelter faced several barriers to escaping homelessness. Both groups made similar use of non-VA services, but veterans used more services overall because of their access to VA services. The predictive power of insurance indicated that veterans may experience barriers to care despite the availability of VA services. The presence of veterans in this low-demand shelter may represent evidence of barriers to veteran and other public housing services. PMID:24535542

Petrovich, James C; Pollio, David E; North, Carol S

2014-06-01

262

VA Health Care: Adequancy of Resident Supervision Is Not Assured, but Plans Could Improve Oversight.  

National Technical Information Service (NTIS)

The Department of Veterans Affairs (VA) provides graduate medical education (GME) to as many as one-third of U.S. resident physicians, but oversight responsibilities spread across VA's organizational components and multiple affiliated hospitals and medica...

2003-01-01

263

Youth Homelessness and Social Stigma  

ERIC Educational Resources Information Center

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

Kidd, Sean A.

2007-01-01

264

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

265

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

266

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

267

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

268

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

ERIC Educational Resources Information Center

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

Austen, Tyrone; Pauly, Bernie

2012-01-01

269

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

ERIC Educational Resources Information Center

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

Aviles de Bradley, Ann M.

2011-01-01

270

Open VA: Video Archive  

NSDL National Science Digital Library

The Open and Digital Learning Resources Conference is a collaborative initiative between the Office of Governor of the Commonwealth of Virginia, the State Council of Higher Education for Virginia, the Virginia Community College System, and fourteen institutions of higher education. This corner of its website brings together an archive of videos from the first annual OpenVA conference. Users can make their way through six different videos, including "A Future With Only Ten Universities" and "Staying Relevant in the Future of Education" by David Wiley. Taken as a whole, these vignettes offer a portrait of how higher education will change in the coming decades and is a resource most valuable to policymakers and education specialists.

271

Determining VA physician requirements through empirically based models.  

PubMed Central

OBJECTIVE: As part of a project to estimate physician requirements for the Department of Veterans Affairs, the Institute of Medicine (IOM) developed and tested empirically based models of physician staffing, by specialty, that could be applied to each VA facility. DATA SOURCE/STUDY SETTING. These analyses used selected data on all patient encounters and all facilities in VA's management information systems for FY 1989. STUDY DESIGN. Production functions (PFs), with patient workload dependent on physicians, other providers, and nonpersonnel factors, were estimated for each of 14 patient care areas in a VA medical center. Inverse production functions (IPFs), with physician staffing levels dependent on workload and other factors, were estimated for each of 11 specialty groupings. These models provide complementary approaches to deriving VA physician requirements for patient care and medical education. DATA COLLECTION/EXTRACTION METHODS. All data were assembled by VA and put in analyzable SAS data sets containing FY 1989 workload and staffing variables used in the PFs and IPFs. All statistical analyses reported here were conducted by the IOM. PRINCIPAL FINDINGS. Existing VA data can be used to develop statistically strong, clinically plausible, empirically based models for calculating physician requirements, by specialty. These models can (1) compare current physician staffing in a given setting with systemwide norms and (2) yield estimates of future staffing requirements conditional on future workload. CONCLUSIONS. Empirically based models can play an important role in determining VA physician staffing requirements. VA should test, evaluate, and revise these models on an ongoing basis.

Lipscomb, J; Kilpatrick, K E; Lee, K L; Pieper, K S

1995-01-01

272

Predictors of Change in Self-Reported Social Networks among Homeless Young People  

PubMed Central

This research investigates changes in social network size and composition of 351 homeless adolescents over three years. Findings show that network size decreases over time. Homeless youth with a conduct disorder begin street life with small networks that remain small over time. Caregiver abuse is associated with smaller emotional networks due to fewer home ties, especially to parents, and a more rapid loss of emotional home ties over time. Homeless youth with major depression start out with small networks, but are more likely to maintain network ties. Youth with substance abuse problems are more likely to maintain instrumental home ties. Finally, homeless adolescents tend to reconnect with their parents for instrumental aid and form romantic relationship that provide emotional support.

Falci, Christina D.; Whitbeck, Les B.; Hoyt, Dan R.; Rose, Trina

2011-01-01

273

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

PubMed

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

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

2012-01-01

274

The proportion of veterans among homeless men.  

PubMed Central

This study used data from four surveys conducted in 1986/87 to identify age-race cohorts of homeless men in which veterans are overrepresented. The overall proportion of veterans among homeless men (41%) was somewhat higher than that in the general population (34%). This overrepresentation is largely attributable to the disproportionate representation of veterans in the youngest age cohort (20 to 34 years) of homeless White men. Veterans in this group are 4.76 times more likely to be homeless than nonveterans. Other national data on this cohort reveal higher rates of unemployment, substance abuse, and antisocial personality among veterans than among nonveterans.

Rosenheck, R; Frisman, L; Chung, A M

1994-01-01

275

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.

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

2010-01-01

276

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

Federal Register 2010, 2011, 2012, 2013

...EUL development. The lessee will also be required to provide preference and priority placement for Veterans at risk for homelessness, and provide on-site supportive services. FOR FURTHER INFORMATION CONTACT: Edward Bradley, Office of Asset...

2011-11-21

277

75 FR 6098 - VA Veteran-Owned Small Business Verification Guidelines  

Federal Register 2010, 2011, 2012, 2013

...The rule provides VA the discretion to...d. Site visits. One commenter recommended...suggested language, VA has revised the interim...eligible owner have only one business in the program at one time and must work...in the business. VA has determined...

2010-02-08

278

38 CFR 61.13 - Capital grant application packages-rating criteria.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...The agency's outreach plan to serve homeless veterans living in places not ordinarily...and providing for the housing needs of homeless veterans; (5) Applicant's...

2013-07-01

279

38 CFR 61.2 - Supportive services-general.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...appropriate assistance, to address the needs of homeless veterans. The following are examples...child care services for dependents of homeless veterans; (4) Providing...

2013-07-01

280

Homeless Children and Youth: A New American Dilemma.  

ERIC Educational Resources Information Center

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

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

281

Who Is Doing Well? A Typology of Newly Homeless Adolescents  

ERIC Educational Resources Information Center

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

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

2009-01-01

282

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

283

Over the Edge: Homeless Families and the Welfare System.  

ERIC Educational Resources Information Center

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

National Coalition for the Homeless, Washington, DC.

284

VA/DoD Collaboration Guidebook for Healthcare Research.  

National Technical Information Service (NTIS)

The purpose of this Guidebook is to help facilitate collaborative human subject healthcare research between the Department of Veterans Affairs (VA) and the Department of Defense (DoD). This Guidebook provides researchers with an introduction to collaborat...

G. E. Reiber K. Barnabe L. Resnik P. Staeger R. K. Evans

2011-01-01

285

Predictors of Transience among Homeless Emerging Adults  

ERIC Educational Resources Information Center

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

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

2014-01-01

286

Perceptions about Homeless Elders and Community Responsibility  

ERIC Educational Resources Information Center

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

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

2013-01-01

287

Homelessness, Poverty, and Children's Literacy Development  

ERIC Educational Resources Information Center

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

Walker-Dalhouse, Doris; Risko, Victoria J.

2008-01-01

288

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.

289

A Neglected Special Population: The Homeless.  

ERIC Educational Resources Information Center

Research techniques that were used during the last 20 years to examine the homeless were investigated to identify the types of homeless people studied and the advantages/limitations of various research strategies. The objectives of this investigation were to: (1) review and critique the type of data collected and the research methods used by…

Milburn, Norweeta G.; Watts, Roderick J.

290

The Annual Homeless Assessment Report to Congress  

Microsoft Academic Search

This first Annual Homeless Assessment Report (AHAR) is the result of a complex, four-year project to develop, collect, and analyze standardized information on homeless persons from a nationally representative sample of communities. The work began in 2002 with the award of a contract to Abt Associates Inc. and the University of Pennsylvania Center for Mental Health Services and Research.

2007-01-01

291

Alcoholism, Drug Abuse, and the Homeless.  

ERIC Educational Resources Information Center

Reviews policies that address substance abuse among the homeless. Recommends that the changing needs of the homeless require an integration of alcoholism and drug abuse recovery services with programs for various groups, substance-free housing, and psychological knowledge incorporated into programs for those struggling with addiction and…

McCarty, Dennis; And Others

1991-01-01

292

Spirituality and Mental Health among Homeless Mothers  

ERIC Educational Resources Information Center

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

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

2012-01-01

293

San Francisco Plan to Abolish Chronic Homelessness.  

National Technical Information Service (NTIS)

The U.S. Department of Housing and Urban Development defines a 'chronically homeless person' as 'an unaccompanied disabled individual who has been sleeping in one or more places not meant for human habitation or in one or more emergency homeless shelters ...

2004-01-01

294

Transmission of Tuberculosis Among the Urban Homeless  

Microsoft Academic Search

Conclusions.\\\\p=m-\\\\Theminimum percentage of cases due to primary tuberculosis in the homeless was estimated to be 53%, compared with the traditional estimate of 10% in the general population. The results suggest that primary tuberculosis caused the majority of tuberculosis cases in this population of the urban homeless in central Los Angeles. (JAMA. 1996;275:305-307)

Peter F. Barnes; Hiyam El-Hajj; Susan Preston-Martin; M. Donald Cave; Brenda E. Jones; Michiko Otaya; Janice Pogoda; Kathleen D. Eisenach

2010-01-01

295

Intervention Strategies with the Homeless Population  

ERIC Educational Resources Information Center

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

Dykeman, Bruce F.

2011-01-01

296

Veterans and Homelessness. Updated November 29, 2013.  

National Technical Information Service (NTIS)

The wars in Iraq and Afghanistan have brought renewed attention to the needs of veterans, including the needs of homeless veterans. Researchers have found both male and female veterans to be overrepresented in the homeless population, and as the number of...

L. Perl

2013-01-01

297

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

298

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.

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

2009-01-01

299

Skin cancer screening in the homeless population.  

PubMed

The homeless population is a medically vulnerable patient population in our communities. Of particular concern to dermatologists is the risk for the development of skin cancer in the homeless, in light of their chronic sun exposure and suboptimal sun protection behaviors. Two free skin cancer screenings conducted at the Fourth Street Clinic in Salt Lake City, Utah, in 2011 and 2012, resulted in the diagnosis of 13 skin cancers in 62 patients. These events also highlighted that many homeless patients had suboptimal skin cancer prevention behaviors. We believe that education, awareness, and disease prevention can be relatively easily accomplished by local homeless clinics as a first line of defense against skin cancer in the homeless population. PMID:23374956

Wilde, Megan; Jones, Benjamin; Lewis, Bethany K; Hull, Christopher M

2013-01-01

300

Study: VA Dental Manpower Requirements.  

National Technical Information Service (NTIS)

This study, performed by the UCLA School of Dentistry and submitted to the National Academy of Sciences, was conducted to determine manpower requirements in the VA dental facilities. Although primarily concerned with dental staffing, this study also inclu...

M. Marcus L. Drabek

1976-01-01

301

38 CFR 61.0 - Purpose.  

Code of Federal Regulations, 2013 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM General Provisions § 61.0 Purpose. This part implements the VA Homeless Providers Grant and Per Diem Program which consists...

2013-07-01

302

38 CFR 61.67 - Recovery provisions.  

Code of Federal Regulations, 2013 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM Awards, Monitoring...capital grant, the grant recipient has withdrawn from the VA Homeless Providers Grant and Per Diem Program (Program),...

2013-07-01

303

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

304

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

305

Stability in the Social Support Networks of Homeless Families in Shelter: Findings from a Study of Families in a Faith-Based Shelter Program  

ERIC Educational Resources Information Center

The following article outlines a longitudinal study tracking changes of the social support networks of 28 homeless families in shelter. Weekly changes in support networks of homeless mothers were tracked including 482 dyadic ties between mothers and supportive persons. Findings suggested that informal social support and persons who provided

Cook-Craig, Patricia; Koehly, Laura

2011-01-01

306

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

307

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

308

38 CFR 63.3 - Eligible veterans.  

Code of Federal Regulations, 2013 CFR

...AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.3...community-based provider must be: (1) Homeless; (2) Enrolled in the VA health...community agencies that primarily serve the homeless population, such as shelters,...

2013-07-01

309

38 CFR 61.1 - Definitions.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...separately identifiable population of homeless veterans. Capital grant means...transferring from bed to chair, etc.). Homeless has the meaning given that term...

2013-07-01

310

A mobile surgery for single homeless people in London.  

PubMed Central

Little is known about the social and medical characteristics of people who regularly sleep rough, or whether medical care can be targeted at these people. In 1987 a mobile surgery was used to provide primary health care at two sites in central London where many single homeless people sleep outdoors. One hundred and forty six patients were seen with illnesses ranging from scabies to osteomyelitis and tuberculosis. Sociodemographic data showed the patients to be generally an isolated group with deprived and unstable backgrounds, often compounded by alcohol abuse. Over a third of the patients from one site attended a drop in surgery for homeless people in Soho within a month after seeing a doctor in the mobile surgery. This suggests that the project can be a first step in integrating this isolated group with health care facilities.

Ramsden, S. S.; Nyiri, P.; Bridgewater, J.; el-Kabir, D. J.

1989-01-01

311

Chronic disease management for recently homeless Veterans: a clinical practice improvement program to apply home telehealth technology to a vulnerable population  

PubMed Central

Background Though vulnerable populations may benefit from in-home health information technologies (HIT) that promote disease self-management, there is a “digital divide” in which these groups are often unlikely to use such programs. We describe the early phases of applying and testing an existing Veterans Administration (VA) HIT care management program, Care Coordination Home Telehealth (CCHT), to recently homeless Veterans in the U.S. Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program. Peers were used to support patient participation. Methods CCHT uses in-home messaging devices to provide health education and daily questions about clinical indicators from chronic illness care guidelines, with patient responses reviewed by VA nurses. Patients could also receive adjunctive peer support. We used medical record review, Veteran interviews, and staff surveys to “diagnose” barriers to CCHT use, assess program acceptability, explore the role of peer support, and inform future quality improvement. Subjects Fourteen eligible Veterans in HUD-VASH agreed to CCHT participation. Ten of these Veterans opted to have adjunctive peer support and the other four enrolled in CCHT usual care. Results Though barriers to enrollment/engagement must be addressed, this subset of Veterans in HUD-VASH was satisfied with CCHT. Most Veterans did not require support from peers to engage in CCHT but valued peer social assistance amidst the isolation felt in their scattered-site homes. Conclusions HIT tools hold promise for in-home care management for recently housed Veterans. Patient-level barriers to enrollment must be addressed in the next steps of quality improvement, testing and evaluating peer-driven CCHT recruitment.

Gabrielian, Sonya; Yuan, Anita; Andersen, Ronald M.; McGuire, James; Rubenstein, Lisa; Sapir, Negar; Gelberg, Lillian

2013-01-01

312

Risk factors associated with recurrent homelessness after a first homeless episode.  

PubMed

Alcohol and drug use are commonly associated with the experience of homelessness. In order to better understand this, we explored the prevalence of drug and alcohol use as it related to successful re-housing within a sample of first-time single homeless adults at municipal shelters. From within this sample, we compared the features of recurrent homelessness with those of chronic homelessness and of being stably housed. We interviewed 344 subjects upon shelter entry and followed each one every six months for 18 months using standardized social and mental health measures. We analyzed baseline assessments relative to housing experiences during follow-up using Chi square and multinomial logistic regression. Eighty-one percent (N = 278) obtained housing over 18 months, of which 23.7 % (N = 66) experienced homelessness again. Recurrent homelessness was more common among those with a high school education and if initially re-housed with family. Bivariate analysis resulted in the observation of the highest rate of alcohol and other drug use among this recurrent group and multinomial logistic regression supported this only with the coupling of arrest history and diagnosed antisocial personality disorder. With relatively high rates of recurrent homelessness, there were differences between subjects who experienced recurrent homelessness compared to those who were stably housed and with chronic homelessness. That alcohol and other substance use disorders were associated with recurrent homelessness only if they were linked to other risk factors highlights the complexity of causes for homelessness and a resultant need to organize them into constellations of causal risk factors. Consistent with this, there should be initiatives that span bureaucratic boundaries so as to flexibly meet multiple complex service needs, thus improving outcomes concerning episodes of recurrent homelessness. PMID:23744291

McQuistion, Hunter L; Gorroochurn, Prakash; Hsu, Eustace; Caton, Carol L M

2014-07-01

313

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

314

38 CFR 1.982 - Salary offsets of debts involving benefits under the laws administered by VA.  

Code of Federal Regulations, 2011 CFR

(a) VA will not collect a debt involving benefits under the laws administered by VA by salary offset unless the Secretary or appropriate designee first provides the employee with a minimum of 30 calendar days written...

2013-07-01

315

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

PubMed Central

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

2013-01-01

316

Parenting and homelessness: overview and introduction to the Special Section.  

PubMed

This overview of parenting and homelessness includes the characteristics and needs of families who are homeless, with a focus on the unique challenges faced by mothers, fathers, and children. In addition, the authors discuss how homeless families are narrowly defined based on the family members who present at shelters and other service programs. In order to fully support parents and their children as they exit homelessness, homeless service programs should consider the broader context of the nontraditional family system and support networks. The overview also includes common challenges to parenting while homeless, a summary of the articles in the Special Section, and recommendations for research, practice, and policy. PMID:19839665

Paquette, Kristen; Bassuk, Ellen L

2009-07-01

317

Daklozen en Thuislozen (Roofless and Homeless).  

National Technical Information Service (NTIS)

In this report the committee has concentrated its survey of relevant studies around four themes: views of the underlying mechanisms which cause people to become homeless (chapter 2); definitions of concepts and numbers (chapter 3); changes in the characte...

1995-01-01

318

Comparability and Representativeness of Clinical Homeless, Community Homeless, and Domiciled Clinic Samples: Physical and Mental Health, Substance Use, and Health Services Utilization  

Microsoft Academic Search

Evaluating the representativeness of homeless samples is important for generalizing research findings on the homeless and designing interventions targeting their health needs. The present study contrasts homeless and domiciled free-clinic users (216 homeless [132 men, 84 women], 212 domiciled [102 men, 110 women]) and 531 community homeless persons (388 men, 143 women) on latent variables representing substance use, mental and

Judith A. Stein; Lillian Gelberg

1997-01-01

319

Report to the President and Congress On the Implementation of the Education for Homeless Children and Youth Program Under the McKinney-Vento Homeless Assistance Act.  

National Technical Information Service (NTIS)

This report, submitted pursuant to section 724(i) of the McKinney-Vento Homeless Assistance Act as amended (McKinney-Vento), provides information on programs supported under McKinney-Vento and describes activities that the U.S. Department of Education (ED...

2009-01-01

320

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.

321

Coexistent Tk and VA polyagglutinability.  

PubMed

Serologic investigations of the red blood cells of two patients indicated polyagglutination as the cause of compatibility problems. Lectin studies to classify the variety of polyagglutination demonstrated the simultaneous exposure of two latent membrane receptors, Tk and VA. It is proposed that different bacterial enzymes were responsible. PMID:726014

Beck, M L; Myers, M A; Moulds, M J; Pierce, S R; Hardman, P J; Wingham, J; Bird, G W

1978-01-01

322

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

ERIC Educational Resources Information Center

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

Aviles de Bradley, Ann Marie

2009-01-01

323

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

ERIC Educational Resources Information Center

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

Nemiroff, Rebecca; Aubry, Tim; Klodawsky, Fran

2011-01-01

324

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

ERIC Educational Resources Information Center

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

Murphy, Joseph F.; Tobin, Kerri J.

2011-01-01

325

Utah's Ten-Year Business Plan to End Chronic Homelessness.  

National Technical Information Service (NTIS)

In 2002, Lieutenant Governor Olene Walker signed a letter requesting Utah's participation in a federally funded 'Policy Academy' training, focusing on ending chronic homelessness in ten years. In May 2003, nine individuals, representing the Homeless Coord...

2004-01-01

326

Affordable Care Act's Role in Preventing and Ending Homelessness  

MedlinePLUS

... Affordable Care Act’s Role in Preventing and Ending Homelessness Download associated files The Affordable Care Act's Role in Preventing and Ending Homelessness What is the Affordable Care Act? On March ...

327

Predictors of Retention in a Homeless Veteran Intervention Program.  

National Technical Information Service (NTIS)

This study assessed the value of a specific set of client variables in predicting treatment phase retention and overall program completion of an intervention treatment program for homeless veterans. Treatment programs can improve the lives of homeless ind...

D. J. Cote

2012-01-01

328

Home and Homelessness in the Lives of Children.  

ERIC Educational Resources Information Center

The influence of various forms of homelessness on children's development is discussed. The role of personal space in development is considered, particularly in regard to the settings in which homeless children spend much of their time. (PCB)

Rivlin, Leanne G.

1990-01-01

329

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

PubMed Central

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

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

2009-01-01

330

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

ERIC Educational Resources Information Center

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

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

2009-01-01

331

77 FR 23615 - Payment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA...  

Federal Register 2010, 2011, 2012, 2013

...affected by this change. One commenter applauded VA for ``taking steps...such treatment'' and VA has provided reimbursement...in the regulation. One such condition bars...inflation) in any one year. This final rule...C. 3507(j), VA may not conduct...

2012-04-20

332

78 FR 59861 - VA Acquisition Regulation: Service-Disabled Veteran-Owned and Veteran-Owned Small Business Status...  

Federal Register 2010, 2011, 2012, 2013

...to the Executive Director of OSDBU. VA provided a 30-day comment period...which ended on January 7, 2010. VA received one comment regarding paragraph (b) of...VOSB status protest is sustained after VA has already awarded a contract,...

2013-09-30

333

Experiences associated with intervening with homeless, substance-abusing mothers: the importance of success.  

PubMed

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

2012-10-01

334

A Status Report on Hunger and Homelessness in America's Cities 2000  

NSDL National Science Digital Library

The United States Conference of Mayors makes available its annual status report on hunger and homelessness in America's cities. "The survey, conducted in 25 cities, examined the causes of hunger and homelessness, the demographic groups that make up this population, demand for emergency food and housing-related assistance, model programs that respond to these problems, and the projected impact of the economy on hunger and homelessness in America." The 125-page report finds that emergency demands for food were at their second highest rate in 2000 since 1991 with a seventeen percent increase in demand. The average demand for emergency shelter also increased by fifteen percent -- the highest one-year increase of the decade. The data are compiled from surveys conducted by city officials who consult with and collect data from community-based providers and government agencies.

2000-01-01

335

How to open and sustain a drop-in center for homeless youth?  

PubMed Central

Drop-in centers have the potential to facilitate engagement of homeless youth into treatment and back into the mainstream. However, little guidance was found in the literature regarding how to open and sustain a drop-in center for homeless youth. This paper offers such guidance, including information that may be useful for developing a change philosophy that guides the center structure, and for identifying a building and location conducive to facilitate activities and access for the youth. Guidance for structuring the drop-in center and for hiring and training staff is also offered. Since the U.S. suffers from a dearth of services for homeless youth, the direction offered in this paper may help guide those who seek to provide services to these vulnerable and underserved youth.

Slesnick, Natasha; Glassman, Michael; Garren, Rikki; Toviessi, Paula; Bantchevska, Denitza; Dashora, Pushpanjali

2008-01-01

336

A cluster analysis of service utilization and incarceration among homeless youth  

PubMed Central

Our paper examines service usage (e.g., shelter) as well as a typology of individuals who are most likely to use groupings of services among 249 homeless youth. Our results revealed that the majority of homeless young people have used food programs (66%) and street outreach (65%) on at least one occasion within the past year. Cluster analysis of services revealed four distinct groups: (1) basic survival service use, characterized by above average shelter, food, and outreach service use, but below average on counseling, substance abuse/ mental health services, and incarceration; (2) multiple service use, which included above average use of all six services; (3) incarceration experience, characterized by above average incarceration experience, but below average use of all other five services; and (4) minimal service use, which included slightly above average use of counseling, but below average use of all other services. These findings have the potential to provide important information that may assist with targeting services to homeless youth.

Kort-Butler, Lisa A.; Tyler, Kimberly A.

2012-01-01

337

41 CFR 102-75.1200 - How may representatives of the homeless apply for the use of properties to assist the homeless?  

Code of Federal Regulations, 2010 CFR

... false How may representatives of the homeless apply for the use of properties to assist the homeless? 102-75.1200 Section 102-75...Use of Federal Real Property to Assist the Homeless Application Process §...

2010-07-01

338

41 CFR 102-75.1200 - How may representatives of the homeless apply for the use of properties to assist the homeless?  

Code of Federal Regulations, 2010 CFR

... false How may representatives of the homeless apply for the use of properties to assist the homeless? 102-75.1200 Section 102-75...Use of Federal Real Property to Assist the Homeless Application Process §...

2009-07-01

339

41 CFR 102-75.1200 - How may representatives of the homeless apply for the use of properties to assist the homeless?  

Code of Federal Regulations, 2013 CFR

... false How may representatives of the homeless apply for the use of properties to assist the homeless? 102-75.1200 Section 102-75...Use of Federal Real Property to Assist the Homeless Application Process §...

2013-07-01

340

41 CFR 102-75.1200 - How may representatives of the homeless apply for the use of properties to assist the homeless?  

Code of Federal Regulations, 2010 CFR

... false How may representatives of the homeless apply for the use of properties to assist the homeless? 102-75.1200 Section 102-75...Use of Federal Real Property to Assist the Homeless Application Process §...

2012-01-01

341

41 CFR 102-75.1200 - How may representatives of the homeless apply for the use of properties to assist the homeless?  

Code of Federal Regulations, 2010 CFR

... false How may representatives of the homeless apply for the use of properties to assist the homeless? 102-75.1200 Section 102-75...Use of Federal Real Property to Assist the Homeless Application Process §...

2011-01-01

342

Transforming Teacher Constructs of Children and Families Who Are Homeless  

ERIC Educational Resources Information Center

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

Powers-Costello, Beth; Swick, Kevin J.

2011-01-01

343

Rural Homelessness in Northwest Ohio: Reasons, Patterns, Statistics, and Trends.  

ERIC Educational Resources Information Center

Rural homelessness in America is difficult to define, to count, and to see. This article reports the findings of a 1993 county-wide study of rural homelessness. During a one year survey, 118 homeless households were interviewed. Of those surveyed, 25.8 percent were male adults, 30.9 percent were female adults, and 43.2 percent were children.…

Podlin, Georgette A.

344

Report on the Education of Homeless Children in Massachusetts.  

ERIC Educational Resources Information Center

This report on the educational needs of homeless children was prepared in compliance with Title VII-B of the Stewart B. McKinney Homeless Assistance Act. Surveys were carried out to determine the number and location of homeless students in the Commonwealth of Massachusetts and to assess their unique educational needs as the basis for formulating a…

Massachusetts State Dept. of Education, Boston.

345

24 CFR 578.57 - Homeless Management Information System.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Homeless Management Information System. 578...Components and Eligible Costs § 578.57 Homeless Management Information System. (a...authorized by Title IV of the McKinney-Vento Homeless Assistance Act; (ix) Paying...

2013-04-01

346

Crossing the Threshhold: Successful Learning Provision for Homeless People.  

ERIC Educational Resources Information Center

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

Cameron, Helen; McKaig, Wendy; Taylor, Sue

347

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

ERIC Educational Resources Information Center

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

Lovell, Phillip; DeBaun, Bill

2012-01-01

348

Homelessness: Recent Statistics, Targeted Federal Programs, and Recent Legislation.  

National Technical Information Service (NTIS)

There is no single federal definition of homelessness. However, most federal programs for the homeless define a homeless individual as a person who lacks a fixed and night-time residence or whose primary residence is a supervised public or private shelter...

M. McCarty

2005-01-01

349

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

350

Homeless Youth: Characteristics, Contributing Factors, and Service Options  

Microsoft Academic Search

Distinguishing between causes and consequences of youth homelessness is often difficult. Characteristics may have existed prior to youths' leaving home, likely contributing to their running away, or may develop once the youths become immersed in “street culture.” Owing to these complexities, characteristics and contributing factors associated with youth homelessness often intersect. Homeless youths' diverse backgrounds and experiences, including difficult family

Sanna J. Thompson; Kimberly Bender; Liliane Windsor; Mary S. Cook; Travonne Williams

2010-01-01

351

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

352

Preventing homelessness after discharge from psychiatric wards: perspectives of consumers and staff.  

PubMed

After spending time in the hospital, psychiatric clients are often discharged to homeless shelters or the streets, which can place a burden on health care systems. This study examined the effects of an intervention in which psychiatric clients from acute (n = 219) and tertiary (n = 32) sites were provided with predischarge assistance in securing housing. A program evaluation design was used to examine the effectiveness of the intervention. Qualitative data were available through interviews, focus groups, and monthly meetings. The results highlight several benefits of the intervention and show that homelessness can be reduced by connecting housing support, income support, and psychiatric care. PMID:23394964

Forchuk, Cheryl; Godin, Mike; Hoch, Jeffrey S; Kingston-Macclure, Shani; Jeng, Momodou S; Puddy, Liz; Vann, Rebecca; Jensen, Elsabeth

2013-03-01

353

76 FR 75509 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013

...autopsy is required for VA purposes for the following...medical knowledge. (2) VA may order an autopsy to...is first obtained under one of the following circumstances...is authorized to grant VA permission to perform the autopsy and, if more than one person is...

2011-12-02

354

77 FR 38179 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013

...2012. We received one comment from a member...proposals. Therefore, VA will make no changes...medical knowledge. (2) VA may order an autopsy...first obtained under one of the following circumstances...authorized to grant VA permission to perform...and, if more than one person is...

2012-06-27

355

78 FR 32126 - VA Dental Insurance Program  

Federal Register 2010, 2011, 2012, 2013

...available geographically. One commenter specifically...should be offered in all VA Integrated Service...stated above, that VA will attempt to secure...affordable for them. One commenter from the...has contracted with VA to offer a premium-based...There may be more than one participating...

2013-05-29

356

Cancer Incidence among Patients of the United States Veterans Affairs (VA) Healthcare System  

PubMed Central

Objective Approximately 40,000 incident cancer cases are reported in VA Central Cancer Registry (VACCR) annually (~3% of United States cancer cases). Our objective was to provide the first comprehensive description of cancer incidence as reported in VACCR. Methods Data were obtained from VACCR for incident cancers diagnosed in VA. Analyses focused on 2007 data. Cancer incidence among VA patients was compared to the general U.S. cancer population. Results In 2007, 97.5% of VA cancers were diagnosed among men. Approximately 78.5% of newly diagnosed patients were White, 19.0% Black, and 2.5% were another race. Median age at diagnosis was 66 years. The geographic distribution of cancer patients in VA aligns that of VA users. The most commonly diagnosed cancers were similar between VA and the U.S. male cancer population. The five most frequently diagnosed cancers among VA cancer patients were: prostate (31.8%), lung/bronchus (18.8%), colon/rectum (8.6%), urinary bladder (3.6%), and skin melanomas (3.4%). VA patients were diagnosed at an earlier stage of disease for the three most commonly diagnosed cancers – lung/bronchus, colon/rectum, and prostate – compared to the U.S. male cancer population. Conclusions Registry data indicate that incident cancers in VA in 2007 approximately mirrored those observed among U.S. men.

Zullig, Leah L.; Jackson, George L.; Dorn, Raye Anne; Provenzale, Dawn T.; McNeil, Rebecca; Thomas, Catherine M.; Kelley, Michael J.

2012-01-01

357

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

ERIC Educational Resources Information Center

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

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

2009-01-01

358

Health status and utilisation of the healthcare system by homeless and non-homeless people in Vienna.  

PubMed

This case-control study describes the health situation, internal and external resources, and utilisation of healthcare facilities by a marginalised population consisting of homeless people in Vienna, Austria, compared with a non-homeless control population. Among the homeless group, participants lived in halfway houses (70%) or permanent housing (30%) in Vienna. Personal interviews were conducted in July 2010 with 66 homeless individuals, and their data were compared with data from non-homeless subjects from the Austrian Health Interview Survey using conditional logistic regression. Compared with the control group, homeless persons suffered more often from chronic diseases (P < 0.001) and rated their health considerably lower than the comparison group (P < 0.001). Homeless people suffered significantly more often from psychiatric disorders, respiratory diseases, hypertension (P < 0.001), digestive system diseases (P = 0.002) and heart diseases (P = 0.015) in comparison with the control group. Additionally, among homeless and non-homeless individuals, the former more often consulted a general practitioner in a period of 28 days (P = 0.002). A significantly greater proportion of homeless people did not have any teeth (P = 0.024) and smoked significantly more (P = 0.002). The results demonstrate deficits in the areas of health, health behaviour, and individual and social resources of homeless people, even though homeless people seek medical care at a higher rate than controls. Continuing health promotion projects for this high-risk group and the strengthening of social resources are recommended. PMID:24354859

Wagner, Julia; Diehl, Katharina; Mutsch, Livia; Löffler, Walter; Burkert, Nathalie; Freidl, Wolfgang

2014-05-01

359

Lower Chesapeake Bay, VA, USA  

NASA Technical Reports Server (NTRS)

Norfolk and the lower Chesapeake Bay, VA (37.5N, 75.5W) at the interface of the Atlantic Ocean can be seen to be a mixture of complex currents. Outgoing tides from the bay generate considerable tubulence as they encounter coastal currents and can be observed by the sediment plumes stirred up as a result of current dynamics. Smooth flowing water has less sediment and appears darker. Turbulent water has lots of sediment and appears lighter in color.

1973-01-01

360

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

PubMed Central

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

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

2011-01-01

361

Health care utilization in homeless youth.  

PubMed

To examine common reasons for utilization of health care services at a free homeless youth clinic. This is a retrospective chart review for visits over a 1 year period. Data on age, gender, and up to 3 chief complaints per visit were collected from the electronic medical record. Of the 744 clinical encounters, the mean age of youth was 18.8 years and 53.2% involved female patients. The most common reasons for utilizing services include screening and treatment of sexually transmitted infections (STI) 14.3%, physical exam for housing 13.7%, dermatologic complaints 13.5%. Chief complaints were different for males and females (p ? 0.001). Females were more likely to receive laboratory testing for STI than males (p ? 0.001). Females were most likely to seek care for sexual and reproductive health needs and males were more likely to come for acute concerns. These differences can inform providers working with this vulnerable population. PMID:24249440

Evans, Yolanda N; Handschin, Sara M; Giesel, Ann E

2014-06-01

362

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

363

Delivering comprehensive services to homeless mentally ill offenders.  

PubMed

A consortium of social services agencies developed a comprehensive community mental health services program for homeless mentally ill offenders in Portland, Oregon. Residential services were provided in a single-room-occupancy hotel. Forty-seven clients were accepted for the program, 38 actually entered the program, and 14 graduated--that is, attained sobriety and were placed in community housing. Problems complicating program implementation included differing philosophical approaches of key agencies, staff turnover, and financial shortfalls. Many potential clients were not accepted into the program because of recent violence or potential violence; some clients were expelled or reincarcerated because of violent behavior. PMID:7712258

McFarland, B H; Blair, G

1995-02-01

364

The Association between Homelessness and Suicidal Ideation and Behaviors: Results of a Cross-Sectional Survey.  

ERIC Educational Resources Information Center

This study examines the prevalence of suicidal ideation and suicide attempts among the homeless and what aspects of homelessness predict suicidality. A sample of 330 homeless adults was interviewed, with 61% reporting suicidal ideation and 34% attempted suicide. Childhood homelessness and periods of homelessness longer than 6 months were found to…

Eynan, Rahel; Langley, John; Tolomiczenko, George; Rhodes, Anne E.; Links, Paul; Wasylenki, Donald; Goering, Paula

2002-01-01

365

Communities of Learning: A Bridge from Poverty and Homelessness to Education and Stability.  

ERIC Educational Resources Information Center

Explores communities of learning as innovative models for overcoming homeless children's immediate education obstacles while working toward long-term stability. Sheltered communities provide specialized education services for children and their parents and family support services. Profiles three model communities in New York City, Oregon, and…

da Costa Nunez, Ralph; Collignon, Kate

1999-01-01

366

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

ERIC Educational Resources Information Center

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,…

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

2012-01-01

367

Time-Limited Assertive Community Treatment for Homeless Persons With Severe Mental Illness  

Microsoft Academic Search

Background: The assertive community treatment (ACT) model for people with severe mental illness was origi- nally designed to be provided continuously without ter- mination. This study evaluated postdischarge changes in health status and service use associated with the time- limited provision of ACT to homeless people with se- vere mental illness. Methods: Clients in the fourth annual cohort of the

Robert A. Rosenheck; Deborah Dennis

2001-01-01

368

Housing, Community Support, and Homelessness: Emerging Policy in Mental Health Systems  

Microsoft Academic Search

This article summarizes the dramatic changes in public policy through which public mental health systems are attempting to meet the housing and community support needs of persons with severe and persistent mental illnesses, including those who are homeless. It traces the historical approach to meeting these needs through defining people principally as patients and providing some combination of psychotropic medications,

Paul J. Carling

1992-01-01

369

The view from the trenches: organization, power, and technology at two nonprofit homeless outreach centers  

Microsoft Academic Search

Nonprofit social service organizations provide the backbone of social support infrastructure in the U.S. and around the world. As the ecology of information exchange moves ever- more digital, nonprofit organizations with limited resources and expertise struggle to keep pace. We present a quali- tative investigation of two nonprofit outreach centers pro- viding service to the homeless in a U.S. metropolitan

Christopher A. Le Dantec; W. Keith Edwards

2008-01-01

370

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

371

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

ERIC Educational Resources Information Center

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

Sun, An-Pyng

2012-01-01

372

Internal displacement: A study of homelessness in the city of Toronto (Ontario)  

Microsoft Academic Search

The United Nations documentation on internal displacement provided the conceptual framework for this study. The study explored whether or not homeless people in Toronto face similar experiences to other internally displaced persons throughout the world, if they fit the description of internally displaced persons developed by the UN and, if so, what are the implications of these findings. The research

Danielle K. Koyama

2002-01-01

373

A Guide to Enhancing the Cultural Competence of Runaway and Homeless Youth Programs.  

ERIC Educational Resources Information Center

In June 1993, the Family and Youth Services Bureau brought together a working group to help local programs for runaway and homeless youth better meet the needs of an increasingly diverse population of young people. Strategies developed by this working group are shared in this guide. The introductory chapter provides a framework within which local…

Johnson, Bassin, and Shaw, Inc., Silver Spring, MD.

374

Homeless youth's overwhelming health burden: A review of the literature  

PubMed Central

Homelessness has reached epidemic proportions in Canada. Canadian children and adolescents are the most vulnerable because youth comprise the fastest growing segment of the homeless population. A systematic literature review was undertaken using MEDLINE, Web of Science and the Homeless Hub (www.homelesshub.ca) to encompass the time frame from January 1990 to June 2009. The following terms were used as key words: ‘homelessness’, ‘homeless youth’, ‘poverty’, ‘street youth’ and ‘runaway’. The present review identified an intersection among education deficits, social service insufficiencies, and poor mental and physical health in homeless youth. Health care delivery to homeless youth was often nonanticipatory, inconsistent and perceived as discriminatory. However, street youth were identified as requiring health care for pregnancy, mental health concerns, sexually transmitted illnesses, respiratory conditions, substance abuse and a myriad of other illnesses. Plenty of work is still required to reduce health inequalities and improve the daily living conditions of Canadian youth living in poverty.

Kulik, Dina M; Gaetz, Stephen; Crowe, Cathy; Ford-Jones, Elizabeth (Lee)

2011-01-01

375

WHO IS DOING WELL? A TYPOLOGY OF NEWLY HOMELESS ADOLESCENTS  

PubMed Central

There is growing evidence to support developing new typologies for homeless adolescents. Current typologies focus on the risks associated with being homeless, with less consideration of the positive attributes of homeless adolescents. The authors examined both risk and protective factors in a sample of newly homeless adolescents. Using cluster analysis techniques, they identified three distinct clusters of newly homeless adolescents: those who are protected and doing relatively well while out of home with more protective than risk factors, those who are at-risk, and those who are risky with more risk than protective factors. Over half (51.9%) of these newly homeless adolescents were in the protected cluster. This typology has implications for the design and implementation of services and interventions for newly homeless adolescents to reconnect them with stable housing situations.

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

2010-01-01

376

Correlates of Frailty Among Homeless Adults  

PubMed Central

Frailty, a relatively unexplored concept among vulnerable populations, may be a significant issue for homeless adults. This cross-sectional study assessed correlates of frailty among middle age and older homeless adults (N = 150, 40–73). A Pearson (r) bivariate correlation revealed a weak relationship between frailty and being female (r = .230, p < .01). Significant moderate negative correlations were found between frailty and resilience (r = ?.395, p < .01), social support (r = ?.377, p < .01), and nutrition (r = ?.652, p < .01). Furthermore, Spearman’s rho (rs) bivariate correlations revealed a moderate positive relationship between frailty and health care utilization (rs = .444, p < .01). A stepwise backward linear regression analysis was conducted and in the final model, age, gender, health care utilization, nutrition, and resilience were significantly related to frailty. Over the next two decades, there is an anticipated increase in the number of homeless adults which will necessitate a greater understanding of the needs of this hard-to-reach population.

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

2013-01-01

377

It takes a village: a community partnership model in caring for the homeless.  

PubMed

Population health management calls for hospitals and health care entities to better align their strategies in order to deliver quality care more efficiently. Although these efforts tend to be addressed with insured populations, the homeless demand a very intentional focus. The issue of homelessness has adverse effects on the health care system, resulting in the inefficient use of resources. Community-wide efforts must be mobilized to address this inefficiency and need for preventative care and self-management education for this population. Carondelet Health Network, in partnership with El Rio Community Health Center, a federally qualified health center, along with other health care and social service providers, has established the Southern Arizona Health Village for the Homeless, providing a health care delivery system to ensure the best functional and clinical outcomes. This system includes a van (the Van of Hope), licensed as a health center, and staffed with an El Rio Community Health Center nurse practitioner and a medical assistant partnering with a Carondelet Health Network behavioral health specialist and a community outreach worker. Clinical patient information is managed via an electronic health record inclusive of clinical data, number of visits, referrals, self-management education, hospitalizations, and follow-up care. A post-hospital program with shelters and an Emergency Room Navigation Program are additional components of the village that provide a comprehensive pre-acute and post-acute effort to support the homeless. Financial impact is measured by reductions in hospitalizations and average length of stay. PMID:24569766

Zazworsky, Donna; Johnson, Nancy

2014-01-01

378

Addressing tobacco use in homeless populations: recommendations of an expert panel.  

PubMed

A diverse group of panelists met for one day on October 21, 2009, in Washington, DC, for the purpose of addressing the high tobacco use prevalence rates in homeless populations; identifying appropriate policy, cessation practices and models for implementation in this population; and providing targeted recommendations for researchers, homeless service providers, tobacco control advocates, and policy makers. The panel was convened by Break Free Alliance, one of six national networks funded by the Centers for Disease Control and Prevention, Office on Smoking and Health. The panelists worked through a process of problem identification, generation of responses, analysis and prioritization, development of recommendations, and arrival of final decisions reached by consensus. The resulting recommendations for addressing tobacco use in homeless populations focused on tobacco non-use policy implementation, cessation programming, and expansion of partnerships and collaborations between tobacco control advocates and social service providers. The panel also identified unanswered research questions that can serve to develop a framework for future initiatives to reduce tobacco use among homeless persons. The expert panel model serves as one approach for engaging nontraditional partners and building consensus among leaders from a variety of sectors to address tobacco use in special populations. PMID:22068577

Porter, Janet; Houston, Lisa; Anderson, Robert H; Maryman, Kristi

2011-11-01

379

Associations between childbirth and women veterans' VA and non-VA Hospitalizations for major diagnostic categories.  

PubMed

Women Veterans enrolled in Veterans Affairs (VA) health care almost always use non-VA hospitals for childbirth, making it more likely they will use non-VA hospitals for other needs, as well. We compared VA and non-VA hospitalizations obtained by VA enrollees in seven states from 2004 through 2007 to determine whether women aged 18 to 44 were more likely to use VA or non-VA care for diagnoses in certain major categories, and how this use differed between women who did or did not have any pregnancy/childbirth admissions during the 4 years. We found that women were hospitalized much more in non-VA than in VA hospitals, though they were relatively more likely to use VA hospitals for mental illness, digestive system diseases, and neoplasms than other diagnoses. Women who gave birth during the time interval had very few VA admissions for any diagnosis, and compared to other women they were also less likely to be hospitalized for mental health or cancer, but more likely to be hospitalized for infectious and parasitic diseases. VA hospitals were used more by women who were slightly older, sicker, poorer, and living nearer to them. VA-using women tend to have different and greater medical needs than those having children. PMID:24183775

West, Alan N; Lee, Pamela W

2013-01-01

380

A case study of a Canadian homelessness intervention programme for elderly people.  

PubMed

The aims of this study were to describe: (1) how the Homelessness Intervention Programme addressed the needs of elderly people who were homeless or at risk of homelessness; and (2) the factors that influenced the ability of the programme to address client needs. The programme was offered by a multi-service non-profit agency serving low-income families and individuals in an urban neighbourhood in Ontario, Canada. Using a case study approach, we conducted 10 individual interviews and three focus groups with programme clients, programme providers, other service providers and programme funders. Programme providers completed intake forms, monthly follow-up forms and exit/housing change forms for each of the 129 clients served by the programme over a 28-month period. Approximately equal proportions of clients were between 54 years old and 65 years old (47%) and over 65 years (53%). There were equal proportions of women and men. In addition to being homeless or marginally housed, clients lived with multiple and complex issues including chronic illness, mental illness and substance abuse. Through the facilitation of continuity of care, the programme was able to meet the needs of this vulnerable group of elderly people. Three types of continuity of care were facilitated: relational, informational and management continuity. The study confirmed the value of a continuous caring relationship with an identified provider and the delivery of a seamless service through coordination, integration and information sharing between different providers. Study findings also highlighted the broader systemic factors that acted as barriers to the programme and its ability to meet the needs of elderly people. These factors included limited housing options available; limited income supports; and lack of coordinated, accessible community health and support services. The central findings stress the importance of continuity of care as a guiding concept for intervention programmes for homeless and marginally housed elderly people. PMID:18371167

Ploeg, Jenny; Hayward, Lynda; Woodward, Christel; Johnston, Riley

2008-12-01

381

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

382

VA-academic partnerships: challenges and rewards for new VA mental health investigators.  

PubMed

This study presents the perspectives of academic-VA partners who have recently completed a randomized clinical trial within a VA outpatient clinic. The authors reflect on the challenges and rewards of implementing academic-VA community clinical research partnerships with the aim of assisting new VA investigators and VA collaborators. Staff resistance, time demands, processing delays, and unforeseen barriers represent challenges. However, they are balanced by numerous rewards, including establishment of a research clinic, innovative staff training, and advancement of effectiveness knowledge in community settings. Implications and recommendations for successful VA-academic partnerships are described to help future projects minimize challenges and maximize rewards. PMID:23292305

Ayers, Catherine; Arch, Joanna

2013-12-01

383

Homeless Families in Early Childhood Programs: What to Expect and What to Do.  

ERIC Educational Resources Information Center

Describes characteristics of homeless families and their living conditions. Presents characteristics specific to homeless children, and discusses strategies for working with homeless children and supporting their families in early childhood care and education settings. (HTH)

Kling, Nancy; And Others

1996-01-01

384

76 FR 38809 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013

...Suitable as Facilities To Assist the Homeless; Notice Federal Register / Vol. 76...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:...

2011-07-01

385

34 CFR 491.1 - What is the Adult Education for the Homeless Program?  

Code of Federal Regulations, 2013 CFR

...What is the Adult Education for the Homeless Program? 491.1 Section 491...EDUCATION ADULT EDUCATION FOR THE HOMELESS PROGRAM General § 491.1 What is the Adult Education for the Homeless Program? The Adult Education...

2013-07-01

386

78 FR 26559 - Homeless Emergency Assistance and Rapid Transition to Housing: Rural Housing Stability Assistance...  

Federal Register 2010, 2011, 2012, 2013

...No. 5573-N-02] RIN 2506-AC33 Homeless Emergency Assistance and Rapid Transition...to the Definition of ``Chronically Homeless'' Extension of Public Comment Only...to the definition of ``chronically homeless.'' This document announces that...

2013-05-07

387

38 CFR 1.710 - Homeless claimants: Delivery of benefit payments and correspondence.  

Code of Federal Regulations, 2013 CFR

... 2013-07-01 2013-07-01 false Homeless claimants: Delivery of benefit payments and...DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Homeless Claimants § 1.710 Homeless claimants: Delivery of benefit payments...

2013-07-01

388

76 FR 32269 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013

...Suitable as Facilities To Assist the Homeless; Notice Federal Register / Vol. 76...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:...

2011-06-03

389

24 CFR 291.415 - Lease with option to purchase properties for use by the homeless.  

Code of Federal Regulations, 2013 CFR

...purchase properties for use by the homeless. 291.415 Section 291.415...Single Family Properties for the Homeless § 291.415 Lease with option to purchase properties for use by the homeless. (a) Certification....

2013-04-01

390

77 FR 17125 - Federal Property Suitable as Facilities To Assist the Homeless  

Federal Register 2010, 2011, 2012, 2013

...Suitable as Facilities To Assist the Homeless; Notice Federal Register / Vol. 77...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:...

2012-03-23

391

78 FR 27988 - Notice of Submission of Proposed Information Collection to OMB Continuum of Care Homeless...  

Federal Register 2010, 2011, 2012, 2013

...Proposed: Continuum of Care Homeless Assistance Grant Application-Technical...Continuum of Care Program Homeless Assistance Grant competition...as well as acquisition, rehabilitation, new construction, rental...documents, visit HUD's Homeless Resource Exchange CoC...

2013-05-13

392

76 FR 64368 - Notice of Submission of Proposed Information Collection to OMB Homelessness Prevention Study  

Federal Register 2010, 2011, 2012, 2013

...Proposed Information Collection to OMB Homelessness Prevention Study AGENCY: Office of...site visits that are part of HUD's Homelessness Prevention Study. The proposed information...for information collection for the Homelessness Prevention study that was already...

2011-10-18

393

76 FR 81959 - Notice of Proposed Information Collection: Comment Request; Homelessness Prevention Study Site...  

Federal Register 2010, 2011, 2012, 2013

...Information Collection: Comment Request; Homelessness Prevention Study Site Visits AGENCY...following information: Title of Proposal: Homelessness Prevention Study Site Visits. OMB...requirements associated with HUD's Homelessness Prevention Study Site Visits....

2011-12-29

394

Medicaid Expansion Initiative in Massachusetts: Enrollment Among Substance-Abusing Homeless Adults  

PubMed Central

Objectives We assessed whether homeless adults entering substance abuse treatment in Massachusetts were less likely than others to enroll in Medicaid after implementation of the MassHealth Medicaid expansion program in 1997. Methods We used interrupted time-series analysis in data on substance abuse treatment admissions from the Treatment Episode Data Set (1992–2009) to evaluate Medicaid coverage rates in Massachusetts and to identify whether trends differed between homeless and housed participants. We also compared Massachusetts data with data from 17 other states and the District of Columbia combined. Results The percentage of both homeless and housed people entering treatment with Medicaid increased approximately 21% after expansion (P = .01), with an average increase of 5.4% per year over 12 years (P = .01). The increase in coverage was specific to Massachusetts, providing evidence that the MassHealth policy was the cause of this increase. Conclusions Findings provide evidence in favor of state participation in the Medicaid expansion in January 2014 under the Affordable Care Act and suggest that hard-to-reach vulnerable groups such as substance-abusing homeless adults are as likely as other population groups to benefit from this policy.

Zur, Julia; Mojtabai, Ramin

2013-01-01

395

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

396

38 CFR 1.912a - Collection by offset-from VA benefit payments.  

Code of Federal Regulations, 2011 CFR

VA shall collect debts governed by § 1.911 of this part by offset against any current or future VA benefit payments to the debtor. Unless paragraphs (c) or (d) of this section apply, offset shall commence promptly after notification to the debtor as provided in paragraph (b) of this...

2013-07-01

397

38 CFR 1.912a - Collection by offset-from VA benefit payments.  

Code of Federal Regulations, 2010 CFR

VA shall collect debts governed by § 1.911 of this part by offset against any current or future VA benefit payments to the debtor. Unless paragraphs (c) or (d) of this section apply, offset shall commence promptly after notification to the debtor as provided in paragraph (b) of this...

2012-07-01

398

38 CFR 1.912a - Collection by offset-from VA benefit payments.  

Code of Federal Regulations, 2010 CFR

VA shall collect debts governed by § 1.911 of this part by offset against any current or future VA benefit payments to the debtor. Unless paragraphs (c) or (d) of this section apply, offset shall commence promptly after notification to the debtor as provided in paragraph (b) of this...

2011-07-01

399

Geropsychology Training in a VA Nursing Home Setting  

ERIC Educational Resources Information Center

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

Karel, Michele J.; Moye, Jennifer

2005-01-01

400

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

401

VA Dental Insurance Program. Final rule.  

PubMed

The Department of Veterans Affairs (VA) amends its regulations to establish rules and procedures for the VA Dental Insurance Program (VADIP), a pilot program that offers premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Under the pilot program, VA will contract with a private insurer, through the Federal contracting process, to offer dental insurance to eligible individuals. The private insurer will be responsible for the administration of the dental insurance plan. VA will form the contract and verify the eligibility of individuals who apply for the private dental insurance. PMID:23724428

2013-05-29

402

Q Fever Outbreak in Homeless Shelter  

PubMed Central

Urban outbreaks of Q fever have occurred after exposure to slaughterhouses or parturient cats. We detected an outbreak of Q fever in a homeless shelter in Marseilles. Investigations showed that the main factors exposing persons to Coxiella burnetii were an abandoned slaughterhouse, used for an annual Muslim sheep feast, and wind.

Brouqui, Philippe; Badiaga, Sekene

2004-01-01

403

Helping the Homeless in School and Out  

ERIC Educational Resources Information Center

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

Holgersson-Shorter, Helena

2010-01-01

404

A Safety Net for Homeless Students.  

ERIC Educational Resources Information Center

Of 1,700 homeless in Orange County, Florida, 40 percent are families. In 1988, a coalition of 34 agencies formed to address this challenge. A school district task force composed of community members, university student tutors, and key players from transportation services, pupil assignment, health services, Chapter 1, extended day, exceptional…

Pawlas, George; And Others

1994-01-01

405

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

406

Tuberculosis in the homeless. A prospective study.  

PubMed

We set out to determine tuberculosis incidence and risk factors in the homeless population in San Francisco. We also examined the transmission of tuberculosis by molecular methods. We followed a cohort of 2,774 of the homeless first seen between 1990 and 1994. There were 25 incident cases during the period 1992 to 1996, or 270 per 100,000 per year (350/100,000 in African Americans, 450/100,000 in other nonwhites, 60/100,000 in whites). Ten cases were persons with seropositive HIV. Independent risk factors for tuberculosis were HIV infection, African American or other nonwhite ethnicity, positive tuberculin skin test (TST) results, age, and education; 60% of the cases had clustered patterns of restriction fragment length polymorphism, thought to represent recent transmission of infection with rapid progression to disease. Seventy-seven percent of African-American cases were clustered, and 88% of HIV-seropositive cases. The high rate of tuberculosis in the homeless was due to recent transmission in those HIV-positive and nonwhite. African Americans and other nonwhites may be at high risk for infection or rapid progression. Control measures in the homeless should include directly observed therapy and incentive approaches, treatment of latent tuberculous infection in those HIV-seropositive, and screening in hotels and shelters. PMID:10934071

Moss, A R; Hahn, J A; Tulsky, J P; Daley, C L; Small, P M; Hopewell, P C

2000-08-01

407

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

408

Substance Abuse by Homeless Pregnant Mothers.  

ERIC Educational Resources Information Center

Studies characteristics of 29 pregnant homeless women (18 African Americans, 6 whites, and 5 others). In general, respondents are young, unmarried minority group members with no income other than entitlements, who have been without a home one year or less. These women have more health problems than the average population. (SLD)

Wagner, Janet Dougherty; Menke, Edna Mae

1992-01-01

409

The impact of homelessness on children  

Microsoft Academic Search

This article reviews and critiques community-based re- search on the effects of homelessness on children. Home- less children confront serious threats to their ability to succeed and their future well-being. Of particular concern are health problems, hunger, poor nutrition, developmental delays, anxiety, depression, behavioral problems, and ed- ucational underachievement. Factors that may mediate the observed outcomes include inadequate shelter condi-

Yvonne Rafferty; Marybeth Shinn

1991-01-01

410

The Victimization of the Homeless Mentally Ill.  

ERIC Educational Resources Information Center

An indication of the failure of the mental health system in this country is reflected in the increasingly visible homeless population, many of whom suffer from some form of untreated mental illness. Public policy priorities have shifted from proactive, treatment-oriented policies to reactive, punitive institutionalization. The…

French, Laurence

411

Gender Differences in Victimized Homeless Adolescents  

ERIC Educational Resources Information Center

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

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

2006-01-01

412

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

413

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

414

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

PubMed

Substance use disorders (SUDs) are highly prevalent in homeless populations, and rates are typically greater among males. Posttraumatic stress disorder (PTSD) is a common co-occurring condition among individuals with SUDs; however, little attention has been directed to examining this comorbidity in homeless populations. Although some studies indicate considerable sex differences among individuals with PTSD, it has also been suggested that sex differences in PTSD rates diminish in populations with severe SUDs. This cross-sectional study investigated SUD-PTSD comorbidity and its associations with indicators of psychosocial functioning in a sample of 500 homeless individuals from Canada. Sex-related patterns of SUD, PTSD, and their comorbidity were also examined. Males and females had similar SUD prevalence rates, but the rates of PTSD and PTSD-SUD comorbidity were higher in females. PTSD and sex were found to have significant main effects on suicidality, psychological distress, somatic symptoms, and incarceration among individuals with SUD. Sex also moderated the association of PTSD with suicide risk and psychological distress. Our results contradict assumptions that sex differences in PTSD rates attenuate in samples with severe SUDs. Organizations providing SUD treatment for homeless people should address PTSD as an integrated part of their services. SUD and integrated treatment programs may benefit from sex-specific components. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:23915373

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

2014-06-01

415

Preventing recurrent homelessness among mentally ill men: a "critical time" intervention after discharge from a shelter.  

PubMed Central

OBJECTIVES: This study examined a strategy to prevent homelessness among individuals with severe mental illness by providing a bridge between institutional and community care. METHODS: Ninety-six men with severe mental illness who were entering community housing from a shelter institution were randomized to receive 9 months of a "critical time" intervention plus usual services or usual services only. The primary analysis compared the mean number of homeless nights for the two groups during the 18-month follow-up period. To elucidate time trends, survival curves were used. RESULTS: Over the 18-month follow-up period, the average number of homeless nights was 30 for the critical time intervention group and 91 for the usual services group. Survival curves showed that after the 9-month period of active intervention, the difference between the two groups did not diminish. CONCLUSIONS: Strategies that focus on a critical time of transition may contribute to the prevention of recurrent homelessness among individuals with mental illness, even after the period of active intervention.

Susser, E; Valencia, E; Conover, S; Felix, A; Tsai, W Y; Wyatt, R J

1997-01-01

416

Promoting Children’s Mental Health in Family Supportive Housing: A Community–University Partnership for Formerly Homeless Children and Families  

Microsoft Academic Search

Emerging research indicates that significant numbers of formerly homeless families residing in permanent supportive housing\\u000a have caregivers with substance use and mental health disorders, and children with histories of exposure to violence, abuse,\\u000a and out-of-home placement. These factors place children at risk for adverse psychosocial outcomes, including later homelessness,\\u000a providing a strong rationale for embedding child-focused prevention and intervention services

Abigail H. Gewirtz

2007-01-01

417

Homeless & hungry: the evidence from Liverpool.  

PubMed

Much research has established the link between low incomes and poor nutritional standards. A research team from the Centre for Consumer Education & Research at Liverpool John Moores' University recently found that 30% of all families with children in Britain today are spending less on food than what is required to achieve a dietary which adheres, at minimum cost, to the Department of Health's Dietary Recommended Values (DRVs). But very little, if any, research has investigated the nutritional implications of a particularly extreme form of material deprivation--homelessness. This pilot study therefore sets out to study the dietaries of a number of homeless families in Liverpool--homeless as defined by living in Bed & Breakfast accommodation. Not only do such families have to contend with dependency upon welfare benefits when purchasing their foodstuffs; they also have to labour under inadequate cooking facilities. The study has involved these families keeping a dietary diary of all food and drink consumed. This information has then been analysed for its nutrient composition, using the Microdiet computer programme at Liverpool JMU. The results will show that, in every single case, the dietaries of these homeless families fall substantially short of the government's own nutritional guidelines and are, without doubt, unhealthy in the extreme. This paper is thus an examination of the nature and extent of the problem, using the science of nutrition and dietetics: not a policy prescription (although this is obvious) not a policy analysis. A study of the dietary implications of homelessness for 100 individuals (the largest ever undertaken) on Merseyside will be undertaken between September 1993 and June 1994. PMID:8065666

Stitt, S; Griffiths, G; Grant, D

1994-01-01

418

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

419

Alcohol-free living centers: hope for homeless alcoholics.  

PubMed

It is difficult for an alcoholic individual to maintain sobriety without a place to live. Alcohol-free living centers provide a low-rent, alcohol-free environment for homeless people recovering from alcoholism. In this article, the authors describe such a living center in Portland, Oregon and its effectiveness. Two general predictions guided this study: (1) clients would use fewer sobering amd detoxification services after leaving the alcohol-free living center than before entering treatment and (2) clients who left the alcohol-free living center through successful termination would use fewer sobering and detoxification services after leaving than those clients who left the center for reasons other than successful termination. Data were collected on 80 clients whose average length of stay in the living center was 89 days. The results of the study showed that clients who completed the program were admitted less often to both sobering services and short-term detoxification. These reductions occurred whether or not the clients successfully completed a treatment plan while living at the center. By the end of the program, there were also substantial client changes in employment status, income, and perceived employability. The indications of effectiveness and the low cost make the alcohol-free living center a critical component in rehabilitation for homeless people who are alcoholic. PMID:10296496

Koroloff, N M; Anderson, S C

1989-11-01

420

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

421

Medical care collection or recovery--VA. Notice.  

PubMed

In a companion document published in the "Proposed Rules" section of this issue of the Federal Register, we proposed to amend VA's medical regulations concerning collection or recovery by VA for medical care or services provided or furnished to a veteran: (i) For a non-service connected disability for which the veteran is entitled to care (or the payment of expenses of care) under a health-plan contract; (ii) For a non-service connected disability incurred incident to the veteran's employment and covered under a worker's compensation law or plan that provides reimbursement or indemnification for such care and services; or (iii) For a non-service connected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance. The proposed rule includes methodology for establishing charges for VA medical care or services. Using this methodology, information for calculating proposed charge amounts at individual VA facilities for inpatient facility charges, skilled nursing facility/sub-acute inpatient facility charges, outpatient facility charges, and physician charges is set forth below. If this methodology were adopted subsequently as a final rule, the applicable data in this document, designed for the period August 1998 through September 1999, would be used for the period from the effective date of the final rule through September 1999. Accordingly, interested parties may wish to retain this document for future reference. PMID:10185830

1998-10-13

422

The community health nursing implications of the self-reported health status of a local homeless population.  

PubMed

This study explored the personal characteristics and the health and health-related concerns reported by members of the local homeless population in order to design population-specific health programming. The study also examined whether there were significant differences between homeless who are shelter residents and those who are not. An exploratory descriptive design was used to analyze retrospective data collected by a local County Health Department in interviews of 132 homeless adults. The demographic characteristics found reflect many common patterns: marked over-representation of males, mean age in the mid-thirties, education levels comparable to similar socio-economic groups, high unemployment rates, and low health insurance rates. One third of the sample reported self-assessed health statuses of fair or poor. The most frequently identified physical health issue was joint problems, followed by cardiovascular disease. Depression was mentioned most frequently as a self-identified mental health problem. Loneliness was the number one fear identified. Chi Square analysis showed that homeless who did not stay in shelters were significantly longer term residents (p < 0.0001) of the community and reported fear of loneliness significantly more frequently (p < 0.01). This study identifies health concerns that local homeless people themselves find important and provides direction for development of sound population-specific health programming. PMID:9874921

Reichenbach, E M; McNamee, M J; Seibel, L V

1998-12-01

423

Meeting the Housing and Care Needs of Older Homeless Adults: A Permanent Supportive Housing Program Targeting Homeless Elders  

PubMed Central

The homeless population is aging faster than the general population in the United States. As this vulnerable population continues to age, addressing complex care and housing needs will become increasingly important. This article reviews the often-overlooked issue of homelessness among older adults, including their poor health status and unique care needs, the factors that contribute to homelessness in this population, and the costs of homelessness to the U.S. health care system. Permanent supportive housing programs are presented as a potential solution to elder homelessness, and Hearth, an outreach and permanent supportive housing model in Boston, is described. Finally, specific policy changes are presented that could promote access to housing among the growing older homeless population.

Brown, Rebecca T.; Thomas, M. Lori; Cutler, Deborah F.; Hinderlie, Mark

2014-01-01

424

Indications of reduced prefrontal cortical function in chronically homeless adults.  

PubMed

This study investigated why some homeless individuals seem unable to transition towards self-reliance, following traditional supportive services. It was hypothesized that this may be due to some cognitive dysfunction. Chronically homeless adults were compared to controls on three tests of prefrontal competency: the Iowa Gambling Task, Word Fluency (FAS), and the Burglar's Story; they performed significantly worse than controls on all three tests. These results indicate a relationship between chronic homelessness and possible pre-frontal deficits. This may explain why some long-term homeless fail to learn from the consequences of unproductive behavior and to develop more constructive behaviors needed to attain stability. PMID:24337470

Davidson, Dale; Chrosniak, Linda D; Wanschura, Patricia; Flinn, Jane M

2014-07-01

425

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

426

How Effective Homelessness Prevention Impacts the Length of Shelter Spells  

PubMed Central

Homelessness prevention programs intervene with households apparently in imminent danger of becoming homeless, and try to keep them housed. If they are at least partially successful, how do they change the average shelter spell of households actually becoming homeless? We use data from 2003 to 2008 for Homebase, a New York City homelessness prevention program that studies have found to be effective in reducing shelter entries. Homebase made no difference in average shelter spells at the community level. This result, like many results about shelter spell length, is not easy to reconcile with the idea that shelter spell length is a reflection of the seriousness of underlying problems.

Goodman, Sarena; Messeri, Peter; O'Flaherty, Brendan

2014-01-01

427

38 CFR 61.17 - Site control for capital grants.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM...Federal Assistance (SF424), unless one of the following apply: (1) VA gives written permission for an alternate assignment. VA will permit alternate...

2013-07-01

428

Development of fragility functions to estimate homelessness after an earthquake  

NASA Astrophysics Data System (ADS)

Immediately after an earthquake, many stakeholders need to make decisions about their response. These decisions often need to be made in a data poor environment as accurate information on the impact can take months or even years to be collected and publicized. Social fragility functions have been developed and applied to provide an estimate of the impact in terms of building damage, deaths and injuries in near real time. These rough estimates can help governments and response agencies determine what aid may be required which can improve their emergency response and facilitate planning for longer term response. Due to building damage, lifeline outages, fear of aftershocks, or other causes, people may become displaced or homeless after an earthquake. Especially in cold and dangerous locations, the rapid provision of safe emergency shelter can be a lifesaving necessity. However, immediately after an event there is little information available about the number of homeless, their locations and whether they require public shelter to aid the response agencies in decision making. In this research, we analyze homelessness after historic earthquakes using the CATDAT Damaging Earthquakes Database. CATDAT includes information on the hazard as well as the physical and social impact of over 7200 damaging earthquakes from 1900-2013 (Daniell et al. 2011). We explore the relationship of both earthquake characteristics and area characteristics with homelessness after the earthquake. We consider modelled variables such as population density, HDI, year, measures of ground motion intensity developed in Daniell (2014) over the time period from 1900-2013 as well as temperature. Using a base methodology based on that used for PAGER fatality fragility curves developed by Jaiswal and Wald (2010), but using regression through time using the socioeconomic parameters developed in Daniell et al. (2012) for "socioeconomic fragility functions", we develop a set of fragility curves that can be used to estimate homelessness as a function of information that is readily available immediately after an earthquake. These fragility functions could be used by relief agencies and governments to provide an initial assessment of the need for allocation of emergency shelter immediately after an earthquake. Daniell JE (2014) The development of socio-economic fragility functions for use in worldwide rapid earthquake loss estimation procedures, Ph.D. Thesis (in publishing), Karlsruhe, Germany. Daniell, J. E., Khazai, B., Wenzel, F., & Vervaeck, A. (2011). The CATDAT damaging earthquakes database. Natural Hazards and Earth System Science, 11(8), 2235-2251. doi:10.5194/nhess-11-2235-2011 Daniell, J.E., Wenzel, F. and Vervaeck, A. (2012). "The Normalisation of socio-economic losses from historic worldwide earthquakes from 1900 to 2012", 15th WCEE, Lisbon, Portugal, Paper No. 2027. Jaiswal, K., & Wald, D. (2010). An Empirical Model for Global Earthquake Fatality Estimation. Earthquake Spectra, 26(4), 1017-1037. doi:10.1193/1.3480331

Brink, Susan A.; Daniell, James; Khazai, Bijan; Wenzel, Friedemann

2014-05-01

429

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

430

38 CFR 21.32 - Notification by VA of necessary information or evidence when a claim is filed; time for claimant...  

Code of Federal Regulations, 2013 CFR

...provide must be received by VA within one year from the date of the...the notification within one year of the date of the notification, VA must readjudicate the claim...application is not received by VA within one year from the date of...

2013-07-01

431

38 CFR 21.32 - Notification by VA of necessary information or evidence when a claim is filed; time for claimant...  

Code of Federal Regulations, 2010 CFR

...provide must be received by VA within one year from the date of the...the notification within one year of the date of the notification, VA must readjudicate the claim...application is not received by VA within one year from the date of...

2010-07-01

432

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

433

Merging the fields of mental health and social enterprise: lessons from abroad and cumulative findings from research with homeless youths.  

PubMed

Despite the growing integration of supported employment within the mental health system in the United States as well as the widespread use of social enterprises abroad, the fields of mental health and social enterprises remain largely separate in the USA. The mental health field currently lacks a response that strengthens homeless youths' existing human and social capital, provides them with marketable job skills and employment, and impacts their mental health. To address this gap, this paper establishes a case for using social enterprises with homeless youths, drawing on both global precedents and findings from a mixed-methods study of a social enterprise intervention with homeless youths. Recommendations are offered for how to integrate social enterprises with mental health treatment as well as how to evaluate their impact on mental health outcomes. PMID:21964720

Ferguson, Kristin M

2012-08-01

434

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

435

Homeless female U.S. veterans in a national supported housing program: Comparison of individual characteristics and outcomes with male veterans.  

PubMed

As more women serve in the U.S. military, the proportion of females among homeless veterans is increasing. The current study compares the individual characteristics and 1-year outcomes of homeless female and male veterans in the Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program nationally. Administrative data on 43,853 veterans (10.69% females; 89.31% males) referred to HUD-VASH were analyzed for gender differences at baseline and over a 1-year period. Homeless female veterans were younger, had shorter homeless and incarceration histories, and were less likely to have substance use disorders than men. However, despite being less likely to report combat exposure, female veterans were more likely to have posttraumatic stress disorder. Homeless female veterans were also much more likely to have dependent children with them and to plan to live with family members in supported housing. Once admitted to HUD-VASH, there were no gender differences in attrition or main housing outcomes. Case managers were faster to admit female veterans to the program, reported better working alliances, and provided more services related to employment and income than male veterans. These findings suggest homeless female veterans may have certain strengths, including being younger, less involved in the criminal justice system, and more adept at relating to professional and natural supports; but special attention to noncombat trauma and family-oriented services may be needed. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24730678

Tsai, Jack; Rosenheck, Robert A; Kane, Vincent

2014-08-01

436

75 FR 61252 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...  

Federal Register 2010, 2011, 2012, 2013

...Create Payment Request for the VA Funding Fee Payment System (VA FFPS); A Computer Generated Funding...loans made to veterans receiving VA compensation for service-connected...minutes. Frequency of Response: One-time. Estimated Number of...

2010-10-04

437

75 FR 61859 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...  

Federal Register 2010, 2011, 2012, 2013

...Create Payment Request for the VA Funding Fee Payment System (VA FFPS); A Computer Generated Funding...loans made to veterans receiving VA compensation for service-connected...minutes. Frequency of Response: One-time. Estimated Number of...

2010-10-06

438

Treatment Outcome as a Function of Treatment Attendance with Homeless Persons Abusing Cocaine  

Microsoft Academic Search

This research examines the influence of treatment attendance at two substance abuse outpatient treatment programs of the Birmingham Substance Abuse Homeless Project on substance abuse, homelessness, and unemployment outcomes with homeless persons abusing primarily crack cocaine. Results revealed that significant reductions across a one year period in alcohol use, cocaine use, and homelessness were more likely to occur in clients

Joseph E. Schumacher; Jesse B. Milby; Ellen Caldwell; James Raczynski; Molly Engle; Max Michael; James Carr

1996-01-01

439

Impaired Immune Function in a Homeless Population with Stress-Related Disorders  

Microsoft Academic Search

Objective: Homeless people suffer high levels of psychological distress. The aim of the present work was to study the immune function in a group of homeless people with stress-related disorders and compare it with that of healthy non-homeless controls. Methods: We included in the study 40 homeless persons and 40 housed controls recruited from the population of Madrid and matched

Lorena Arranz; Aída de Vicente; Manuel Muńoz; Mónica De la Fuente

2009-01-01

440

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.

441

Homeless Education and Social Capital: An Examination of School and Community Leaders  

ERIC Educational Resources Information Center

Background/Context: This study contributes to the literature on the schooling of homeless and highly mobile students. Although previous work has detailed the demographics of homelessness, the effects of homelessness on academic progress, and particular legal issues in homeless education, this research focused on how individual and institutional…

Miller, Peter M.

2011-01-01

442

Factors Associated with Homelessness of Adolescents under Supervision of the Youth Protection System  

ERIC Educational Resources Information Center

There are two factors that limit our knowledge of the risk factors associated with homelessness among runaway adolescents, namely (1) the samples used are often composed of youth homeless service users and/or youths living on the streets (visible homelessness), whereas most adolescents in fact use ''private'' resources (hidden homelessness), and…

Robert, Marie; Pauze, R.; Fournier, L.

2005-01-01

443

Homelessness among Lesbian, Gay, and Bisexual Youth: Implications for Subsequent Internalizing and Externalizing Symptoms  

ERIC Educational Resources Information Center

Although lesbian, gay, and bisexual (LGB) youth with a history of homelessness (running away or being evicted from their homes by parents) report more psychological symptoms than homeless heterosexual peers, it is unclear whether symptoms are due to homelessness, given the absence of a non-homeless comparison group. This study longitudinally…

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

2012-01-01

444

Multilevel Considerations of Family Homelessness and Schooling in the Recession Era  

ERIC Educational Resources Information Center

This mixed methods investigation of homeless education in a major urban region identified a number of significant developments and dilemmas amid the larger homeless crisis in the United States. We found that the wider community demographics of homelessness have shifted in recent years, resulting in a higher number of homeless families--many of…

Miller, Peter; Schreiber, James

2012-01-01

445

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.

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

2010-01-01

446

Understanding Heterosexual Condom Use Among Homeless Men  

PubMed Central

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.

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

2012-01-01

447

Wellbeing for homeless people: a Salutogenic approach.  

PubMed

Homelessness affects considerable numbers in the UK and is caused by poverty and social exclusion. Much of the literature on housing and health is disease centric, where the experience of homelessness is described as traumatic, disempowering and socially isolating. Based on the Salutogenic approach, which calls for a positive orientation on health, the aim of this study was to explore the subjective lived experiences of wellbeing in the situated context of homeless people's lives. Nine in-depth qualitative interviews with temporarily housed adults (>25 years) in a socio-economically deprived region of North-west England were held. Accounts of renewed self-confidence, perceived resourcefulness and continual personal participation are said to be supporting wellbeing. A strong belief, or sense of coherence, in internal and external general resistance resources was a critical enabling factor for those living in temporary accommodation. Wellbeing was consistently linked with both social and formal activities; keeping occupied and having a strong sense of purpose were essential to wellbeing. In utilizing a Salutogenic approach we demonstrate how the 'context and meaning' of health actions can improve the understanding about the kinds of factors influencing wellbeing. PMID:22983692

Dunleavy, Andrew; Kennedy, Lynne Alexandra; Vaandrager, Lenneke

2014-03-01

448

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

449

Delivery of Gender-Sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams.  

PubMed

The Veterans Health Administration (VA) has undertaken a major initiative to transform primary care delivery through implementation of Patient Aligned Care Teams (PACTs). Based on the patient-centered medical home concept, PACTs aim to improve access, continuity, coordination, and comprehensiveness using team-based care that is patient driven and patient centered. However, how PACT principles should be applied to meet the needs of special populations, including women veterans, is not entirely clear. While historical differences in military participation meant women veterans were rarely seen in VA healthcare settings, they now represent the fastest growing segment of new VA users. They also have complex healthcare needs, adding gender-specific services and other needs to the spectrum of services that the VA must deliver. These trends are changing the VA landscape, introducing challenges to how VA care is organized, how VA providers need to be trained, and how VA considers implementation of new initiatives, such as PACT. We briefly describe the evolution of VA primary care delivery for women veterans, review VA policy for delivering gender-sensitive comprehensive primary care for women, and discuss the challenges that women veterans' needs pose in the context of PACT implementation. We conclude with recommendations for addressing some of these challenges moving forward. PMID:24715395

Yano, Elizabeth M; Haskell, Sally; Hayes, Patricia

2014-07-01

450

38 CFR 61.30 - Per diem-general.  

Code of Federal Regulations, 2013 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM Per Diem Payments ...capital grant must provide supportive housing or services to the homeless veteran population within 180 days after the date on the...

2013-07-01

451

48 CFR 852.219-71 - VA mentor-protĂ©gĂ© program.  

Code of Federal Regulations, 2011 CFR

(c) Mentor participation in the program means providing business developmental assistance to aid protégés in developing the requisite expertise to effectively compete for and successfully perform VA prime contracts and...

2013-10-01

452

48 CFR 819.602-3 - Resolving differences between VA and the Small Business Administration.  

Code of Federal Regulations, 2011 CFR

The Director, OSDBU, is the VA liaison with the SBA. Information copies of correspondence sent to the SBA seeking a certificate of competency determination must be concurrently provided to the Director,...

2013-10-01

453

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

454

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

455

From Back Wards to Back Alleys: Deinstitutionalization and the Homeless.  

ERIC Educational Resources Information Center

The current non-system for dealing with the mentally disabled is expensive and inefficient and is the primary cause of a substantial proportion of all homelessness. A comprehensive national policy and the delegation of greater administrative responsibilities to private agencies would help to address the problem of the homeless mentally ill. (GC)

Hope, Marjorie; Young, James

1984-01-01

456

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

457

Fear, romance and transience in the lives of homeless women  

Microsoft Academic Search

This paper takes up the question of what it means to be a woman who lives on the streets and in hostels as a homeless person in London. Using qualitative data from three women respondents, the analysis focuses upon their reasons for becoming and staying homeless. We address issues concerning the women's perceptions of danger and safety on the streets,

Alan Radley; Darrin Hodgetts; Andrea Cullen

2006-01-01

458

Pregnancy and Sexual Health among Homeless Young Injection Drug Users  

ERIC Educational Resources Information Center

Research on pregnancy and sexual health among homeless youth is limited. In this study, qualitative interviews were conducted with 41 homeless young injection drug users (IDUs) in Los Angeles with a history of pregnancy. The relationship between recent pregnancy outcomes, contraception practices, housing status, substance use, utilization of…

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

2009-01-01

459

How You Can Help Students Who Are Homeless  

ERIC Educational Resources Information Center

Many schools are struggling with high numbers of homeless students. Some research has suggested that homeless students are often experiencing exhaustion, hunger, stress, abuse and insecurity, making socialization and learning more difficult for them than it is for their peers. This paper discusses three easy ways school professionals can help and…

Curriculum Review, 2009

2009-01-01

460

Special Schools for Homeless Students Bursting at the Seams  

ERIC Educational Resources Information Center

Monarch School is a San Diego-based public K-12 institution that exclusively serves homeless students. Begun by the San Diego County Office of Education as a drop-in center for homeless high school students, the 170-student school is now a public-private partnership between the San Diego school board and the nonprofit Monarch School Project. The…

Anderson, Michelle D.

2011-01-01

461

Homeless Children: Are They Being Prepared for the Future?  

ERIC Educational Resources Information Center

Reviews the problems of homeless children in getting education and the solutions attempted in the Orange County (Florida) school district, which collaborates with social service agencies, has an advocate in each school, and involves preservice teachers in educating homeless children. (SK)

Pawlas, George E.

1996-01-01

462

Homeless “squeegee kids”: Food insecurity and daily survival  

Microsoft Academic Search

Current knowledge about food insecurity in North America is largely based on research with low-income households. Much less is known about the food experiences of homeless people, a group who are particularly vulnerable to food insecurity. This study explored the food experiences of street youth, one of the fastest growing segments of the homeless population in Canada. To gain an

Naomi Dachner; Valerie Tarasuk

2002-01-01

463

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

464

Pregnancy and sexual health among homeless young injection drug users  

Microsoft Academic Search

Research on pregnancy and sexual health among homeless youth is limited. In this study, qualitative interviews were conducted with 41 homeless young injection drug users (IDUs) in Los Angeles with a history of pregnancy. The relationship between recent pregnancy outcomes, contraception practices, housing status, substance use, utilization of prenatal care, and histories of sexual victimization are described. A total of

Dodi Hathazi; Stephen E. Lankenau; Bill Sanders; Jennifer Jackson Bloom

2009-01-01

465

Understanding survival sex: young women, homelessness and intimate relationships  

Microsoft Academic Search

This article seeks to explore gendered experiences of homelessness through an examination of survival sex. Survival sex is usually understood to be the exchange of sex for material support, however, this research found a greater complexity in the intimate relationships being undertaken by young women experiencing homelessness. In-depth interviews were conducted with 15 young women aged 18–25 years living in

Juliet Watson

2011-01-01

466

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

467

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

468

Social Networks of Homeless Youth in Emerging Adulthood  

ERIC Educational Resources Information Center

Little is known about the social networks of homeless youth in emerging adulthood despite the importance of this information for interventions to reduce health risks. This study examined the composition of social networks, and the risks and supports present within them, in a random sample of 349 homeless youth (33.4% female, 23.9% African…

Wenzel, Suzanne; Holloway, Ian; Golinelli, Daniela; Ewing, Brett; Bowman, Richard; Tucker, Joan

2012-01-01

469

Educating Homeless Children and Youth: A Policy Analysis.  

ERIC Educational Resources Information Center

Policies and problems of education for the homeless are discussed. The analysis is organized in four main sections. The first describes trends, dimensions, and difficulties of homelessness among children and youth. This section is based on various reports, especially those required by federal legislation. The second section reports and interprets…

Bowen, Jeffrey M.; And Others

470

Homelessness amongst drug users: a double jeopardy explored  

Microsoft Academic Search

Homelessness amongst drug users is a serious cause for concern that is increasingly generating research in the UK and elsewhere. Despite this, in-depth qualitative information about the dual jeopardy of being both homeless and a drug user is limited and strategies for dealing with the problem remain uncertain. The aim of this paper is to add to existing knowledge by

Joanne Neale

2001-01-01

471

The Crisis of Homelessness: Its Dimensions and Solutions.  

ERIC Educational Resources Information Center

The major problem in addressing urban homelessness lies in integrating the efforts to eliminate its structural causes and in drawing the lines of responsibility between government, private welfare groups and individuals for the shelter and rehabilitative needs of homeless people. (Author)

Sloss, Michael

1984-01-01

472

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

473

The Relationship between Learning Disabilities and Homelessness in Adults  

ERIC Educational Resources Information Center

This article describes the relationship between learning disabilities (LD) and homelessness. Research describing the connection between disabilities and homelessness has focused on individuals presenting with disabilities such as mental illness, physical disabilities, medical disabilities, or substance abuse. At this time, the presence of LD in…

Markos, Patricia A.; Strawser, Sherri

2004-01-01

474

A Critical Analysis of the Research on Student Homelessness  

ERIC Educational Resources Information Center

Since the onset of the economic recession, rates of student homelessness have increased rapidly in urban, suburban, and rural school districts throughout the United States. Despite the widespread urgency of the issue, there is a lack of general coherence in the research about how diverse conditions of homelessness affect students and how schools…

Miller, Peter M.

2011-01-01

475

Summer Literacy Intervention for Homeless Children Living in Transitional Housing  

ERIC Educational Resources Information Center

This study reports the findings of a six-week summer literacy program conducted at a transitional housing facility for homeless families in the Southwestern region of the U.S. This study is grounded on the body of knowledge on students' literacy and homelessness. The intervention included one-on-one instruction by tutors. This study examined…

Willard, Adrienne Lisa; Kulinna, Pamela Hodges

2012-01-01

476

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

477

The Characteristics and Needs of Families Experiencing Homelessness  

ERIC Educational Resources Information Center

This fact sheet was developed to help you understand the scope, causes, and impact of homelessness on children and families. You are encouraged to use it as well as the publications cited in its footnotes as tools more about homelessness. (Contains 78 endnotes.)

National Center on Family Homelessness (NJ1), 2011

2011-01-01

478

Homelessness, Violence Exposure, and School Participation among Urban Adolescent Mothers  

ERIC Educational Resources Information Center

Using a risk and resilience framework, this exploratory study examines the relationships between homelessness, exposure to multiple types of violence, and school participation within a survey sample of poor adolescent mothers living in an urban setting. Participants who were homeless either currently or historically were compared with participants…

Kennedy, Angie C.

2007-01-01

479

Teaching science with homeless children: Pedagogy, representation, and identity  

Microsoft Academic Search

In this article, I explore the question of what it means to create a science for all from the vantage point of urban homeless children. I draw on the work of critical and feminist scholars in science and education, as well as my own teaching and research with urban homeless children, to question how inclusive the science education community is

Angela Calabrese Barton

1998-01-01

480

Spaces of Trauma: Young People, Homelessness and Violence  

ERIC Educational Resources Information Center

Little contemporary research has examined young people's experiences of violence and homelessness in detail within the Australian context. This article draws upon qualitative research with 33 homeless youth in Melbourne and seeks to enhance understanding of the impact of violence on young people. It argues that everyday experiences of violence…

Jordan, Lucinda

2012-01-01

481

Visible Voices: Literacy Identity and the Invisible Homeless  

ERIC Educational Resources Information Center

Despite calls for increased awareness of and sensitivity to diverse students and their in- and out-of-school literacies, the "invisible homeless"--those who often decline to self-identify--receive inadequate scholarly attention. They are often individuals who fear the stigma associated with homelessness as they navigate workplace, academic, and…

Juchniewicz, Melissa M.

2012-01-01

482

Homeless Families' Education Networks: An Examination of Access and Mobilization  

ERIC Educational Resources Information Center

Purpose: This study sought deeper understanding of how sheltered families accessed and mobilized educationally related relationships and resources during periods of homelessness. Such work is posited to be especially relevant considering that there is a growing crisis of family homelessness in the United States and school- and community-based…

Miller, Peter M.

2011-01-01

483

A Critical Moment: Child & Youth Homelessness in Our Nation's Schools  

ERIC Educational Resources Information Center

The economic downturn has forced more families and youth to lose their footing, falling downward into the spiral of homelessness and jeopardizing children and youth's educational success. At the same time, a one-time increase in federal funding for school-based efforts to identify and support homeless children and youth has enabled more school…

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

2010-01-01

484

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

485

Young People, Drug Use and Family Conflict: Pathways into Homelessness  

ERIC Educational Resources Information Center

Young people who experience homelessness, in Australia and in other western contexts (US, Canada, England), are widely perceived to use and abuse alcohol and drugs. The available research indicates that homeless young people use all drug types, whether injected or otherwise, more frequently than their home-based peers. Debate exists in the…

Mallett, Shelley; Rosenthal, Doreen; Keys, Deborah

2005-01-01

486

The Invisible Crisis: Connecting Schools with Homeless Families  

ERIC Educational Resources Information Center

Children and youth represent a growing proportion of the homeless population. Using the lens of transformative leadership, this multifamily case study explores the realities of homeless children, the challenges their families face, and the role of school leaders in ensuring that they receive a quality education. It recommends that leaders (1)…

Shields, Carolyn M.; Warke, Amy

2010-01-01

487

Education of Homeless Children & Youth: Program Manual. Revised 1992.  

ERIC Educational Resources Information Center

The right of homeless children and youth to enjoy a free, appropriate public education is ensured in Oregon by ORS 339.115 (3). This law establishes that homeless children and youth cannot be denied enrollment simply because they lack a fixed place of residence or because they are not under a parent's or guardian's supervision. State Board of…

Oregon State Dept. of Education, Salem.

488

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

489

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

490

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.

491

Evalution of a social health intervention among homeless tuberculosis patients  

Microsoft Academic Search

Setting: Homeless and other fringe groups are a priority in the global strategies of tuberculosis prevention and control in big cities, as a consequence of their generally poor adherence to treatment and concurrent multiple social and health problems.Objective: To evaluate a social care and health follow-up programme targeting homeless tuberculosis patients in Ciutat Vella District, Barcelona, which covered 210 patients

E. Diez; J. Claveria; T. Serra; J. A. Caylŕ; J. M. Jansŕ; R. Pedro; J. R. Villalbi

1996-01-01

492

It takes a village: a multidisciplinary model for the acute illness aftercare of individuals experiencing homelessness.  

PubMed

Homeless individuals are often uninsured and are more likely than the housed to utilize acute health care services and experience longer hospitalizations. Currently in the United States, there are fragmented services available for the aftercare of these patients to ensure continuum of care, promote healing, and avoid re-entry into the acute care system. The Fourth Street Clinic Respite Program was created to address these issues. Patients are referred to the program from local hospitals and other service providers. Based on the acuity of illness and need for nursing care, patients are admitted to one of four programs: (1) Shelter-based Day Bed Program, (2) Temporary Emergency Housing (Motel) Program, (3) Tuberculosis Housing Program, or (4) Nursing Home Program. Aftercare patients receive medical, social, and behavioral health services and are discharged to local shelters when stable. The aftercare program provides a safe refuge for recovery from acute illnesses for those experiencing homelessness. PMID:15937390

Gundlapalli, Adi; Hanks, Monte; Stevens, Scott M; Geroso, Amy M; Viavant, Christopher R; McCall, Yvonne; Lang, Patrick; Bovos, Michael; Branscomb, Nicholas T; Ainsworth, Allan D

2005-05-01

493

Client-server, distributed database strategies in a healthcare record system for a homeless population.  

PubMed Central

A computer-based healthcare record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server and distributed database technologies to enhance the delivery of healthcare to patients of this unusual population. The needs of physicians, nurses and social workers are specifically addressed in the application interface so that an integrated approach to healthcare for this population can be facilitated. These patients and their providers have unique medical information needs that are supported by both database and applications technology. To integrate the information capabilities with the actual practice of providers of care to the homeless, this computer-based record system is designed for remote and portable use over regular phone lines. An initial standalone system is being used at one major BHCHP site of care. This project describes methods for creating a secure, accessible, and scalable computer-based medical record using client-server, distributed database design.

Chueh, H. C.; Barnett, G. O.

1993-01-01

494

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

495

Housing stability and recovery among chronically homeless persons with co-occuring disorders in Washington, DC.  

PubMed

Pathways Housing First provides access to housing, support, and treatment services to clients having the most complex needs-persons who have been homeless for at least 5 years and have both a psychiatric disability and substance dependency. In a 2-year Housing and Urban Development-funded demonstration project in Washington, DC, in 2007 and 2008, we observed promising outcomes in housing retention and reductions in psychiatric symptoms, alcohol use, and demand for intensive support services. The program is designed to be fiscally self-sustaining through extant public disability benefits for housing, treatment, and support services. This approach shows strong support for first providing a permanently supported housing solution for chronically homeless and severely disabled individuals in need of housing and treatment of co-occurring disorders. PMID:22390393

Tsemberis, Sam; Kent, Douglas; Respress, Christy

2012-01-01

496

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

Federal Register 2010, 2011, 2012, 2013

The Secretary of VA intends to enter into an EUL on an approximately 3.7-acre parcel of land at the Cheyenne VA Medical Center in Cheyenne, Wyoming. As consideration for the lease, the lessee will be required to construct, operate, and maintain a permanent housing facility; provide preference and priority placement for senior Veterans and their families; and provide a supportive services...

2011-11-21

497

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

498

Experiences and attitudes of residents and students influence voluntary service with homeless populations  

Microsoft Academic Search

OBJECTIVE: To assess the impact of two programs at the University of Pittsburgh, one that requires and one that encourages volunteer\\u000a activity. In the program that requires primary care interns to spend 15 hours in a homeless clinic, we measured volunteer\\u000a service after the requirement was fulfilled. In the program that encourages and provides the structure for first- and second-year

Thomas P. O’Toole; Barbara H. Hanusa; Jeanette L. Gibbon; Sarah Hamilton Boyles

1999-01-01

499

An Ethnographic Study of Meal Programs for Homeless and Under-Housed Individuals in Toronto  

Microsoft Academic Search

Over the past two decades, Canada has witnessed a proliferation of community-based initiatives providing charitable meals to homeless and under-housed individuals. The existing research has raised concerns about the ability of such initiatives to meet users’ nutrient needs. As part of a study of Toronto meal programs, open-ended interviews with program coordinators and observations of 16 meal programs were conducted

MSc Stephen Gaetz Blak Naomi Dachner; Valerie Tarasuk

2009-01-01

500

School Health Primary Care Programs in Community and Migrant Health Centers and Health Care for the Homeless Projects. Directory.  

ERIC Educational Resources Information Center

This directory identifies 254 Community and Migrant Health Centers (C/MHC) and Health Care for the Homeless (HCH) programs in 10 regions of the United States that, in response to local requests and with mostly local resources, developed either school-based or school-linked health programs. Each listing provides information under the following…

Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Bureau of Primary Health Care.