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1

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

2

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

Federal Register 2010, 2011, 2012, 2013

...issue this NOFA for the Homeless Providers GPD Program...Terminally Ill (1) Help participants address...therapeutic actions that help resolve end of life issues...Chronically Mentally Ill (1) Help participants join in...occurred displacing other homeless veteran...

2013-08-08

3

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

Federal Register 2010, 2011, 2012, 2013

...stress disorder (PTSD), based on a diagnosis...documented hospitalization for this condition sometime...care, mental health treatment, alcohol and other...child care services for dependents of homeless...operating housing for homeless individuals...Historical documentation of past performance both...

2012-03-01

4

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

Federal Register 2010, 2011, 2012, 2013

...The commenter also urged VA to conduct research to determine the number of detoxification...recovery period, grantees could convert earlier thereby keeping their organizations viable...or post-traumatic stress disorder (PTSD), based on a diagnosis from a...

2013-02-25

5

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

Code of Federal Regulations, 2013 CFR

...DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.10 Selection of non-VA...community-based providers who provide temporary residential assistance for homeless persons with serious mental illness, and/or...

2013-07-01

6

Veteran Homelessness: VA and HUD Are Working to Improve Data on Supportive Housing Program.  

National Technical Information Service (NTIS)

According to a HUD and VA report, veterans are overrepresented among the homeless population. The HUD-VASH program combines rental assistance for homeless veterans in the form of section 8 Housing Choice vouchers provided by HUD with case management and c...

2012-01-01

7

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

8

7 CFR 272.9 - Approval of homeless meal providers.  

Code of Federal Regulations, 2013 CFR

... 2013-01-01 false Approval of homeless meal providers. 272.9 Section...STATE AGENCIES § 272.9 Approval of homeless meal providers. The State food...shall approve establishments serving the homeless upon sufficient evidence, as...

2013-01-01

9

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

2013-01-01

10

VA Education Benefits: VA Needs to Improve Program Management and Provide More Timely Information to Students.  

National Technical Information Service (NTIS)

VA provided nearly $10 billion in education benefits to almost 1 million veterans and beneficiaries in fiscal year 2011. The majority of these benefits were provided through the Post-9/11 GI Bill, which in 2008 established what has since grown into VA's l...

2013-01-01

11

Families Help Homeless and Disabled Relatives Providing Support is More Stressful with “Double Troubles”  

Microsoft Academic Search

People provide help and support to disabled homeless relatives as part of a system of care for homeless adults. This family support is stronger, and stress on relatives is greater, when people who are homeless experience difficulties or disorders related to a disability. Research analyzes data from a study of people with homeless relatives.1 Results show that people spend more

Michael Polgar

2011-01-01

12

The Mental Health of the Older Homeless Population: Provider-Perceived Issues Related to Service Provision  

Microsoft Academic Search

In this article I discuss providers of homeless services' perceptions of the mental health needs of individuals who are homeless and aged 50 to 64 as they relate to service provision.1 To accomplish this task, I analyzed fifty-six interviews conducted with providers of homeless services in the city of Chicago. These interviews were completed as part of a larger study

Dennis P. Watson

2010-01-01

13

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

14

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

15

An Analysis of Faith-Based Homeless Social Service Providers in Baton Rouge, Louisiana and their Role in Helping Homeless People  

Microsoft Academic Search

In recent years, there has been a strong push on the federal level to support efforts of faith-based organizations, which provide a variety of social services ranging from literacy improvement efforts to homeless prevention. This thesis sheds light on the current efforts by faith-based homeless service providers in the Baton Rouge area, and examines their role in helping the homeless.

Green Willie Jr

2006-01-01

16

76 FR 75509 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013

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

2011-12-02

17

OPTIONS FOR JOBS LEGISLATION: PROVIDING $1 BILLION TO PREVENT HOMELESSNESS  

Microsoft Academic Search

Summary As part of the economic recovery act signed into law in February, Congress approved $1.5 billion in temporary housing assistance for families that are homeless or at risk of losing their homes due to job loss or other financial hardship. These resources, which the Department of Housing and Urban Development (HUD) distributed to local agencies through the Homelessness Prevention

Douglas Rice

18

Dignity and indignation: How people experiencing homelessness view services and providers  

Microsoft Academic Search

This article examines how people experiencing homelessness view their interactions with service providers. Drawing on a database of more than 500 transcribed interviews with people experiencing homelessness we find that descriptions of interactions with staff and providers were predominantly expressed in sharply negative terms, with experiences of objectification and infantilization being commonplace. In response to these experiences, nearly all were

Lisa Hoffman; Brian Coffey

2008-01-01

19

Provision of contraceptive services to homeless women: results of a survey of health care for the homeless providers.  

PubMed

Homeless women have both a higher rate of pregnancy and a higher proportion of unintended pregnancies than other American women. The authors sought to learn about contraception services offered by providers of health care to homeless women and barriers to provision of long-acting, reversible contraception in these settings. A survey of the 31 member organizations in the national Health Care for the Homeless Practice-Based Research Network was conducted, inquiring about services provided and barriers to service provision. Among the 20 responding organizations (65% response rate), 17 directly provided contraceptive services; two referred patients elsewhere, and one provided no contraceptive services. All 17 that provided such services provided condoms; 15 provided oral contraceptives; 14 provided injectable contraception; 6 provided intrauterine devices, and 2 provided contraceptive implants. Barriers to providing the last two methods included lack of provider training, lack of resources for placement, costs, and concerns about complications. The present survey results suggested very limited access for homeless women across the country to the two most effective means of long-acting, reversible contraception. Modest investments of resources could reduce a number of barriers to providing these services. PMID:22458291

Saver, Barry G; Weinreb, Linda; Gelberg, Lillian; Zerger, Suzanne

2012-01-01

20

VA Health Care: The Quality of Care Provided by Some VA Psychiatric Hospitals is Inadequate.  

National Technical Information Service (NTIS)

In 1989, the Department of Veterans Affairs (VA) identified six primarily psychiatric hospitals in which 38 patient deaths may have occurred due to likely quality-of-care problems in the medical treatment these individuals received. Before this, in 1988, ...

1992-01-01

21

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

22

Collaborative initiative to help end chronic homelessness: introduction.  

PubMed

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

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

2009-04-01

23

The growth of “financial services” provided by Homeless International  

Microsoft Academic Search

For nearly 20 years, Homeless International has supported international partner organizations that work with slum communities to reduce poverty and improve living conditions. Its support has increasingly focused on partner organizations that are members of the Shack\\/Slum Dwellers International (SDI) network. The support has changed over time in response to the changing demands, but has increasingly been in the form

Ian Morris; Kim Mullard; Malcolm Jack

2007-01-01

24

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-21

25

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

26

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

ERIC Educational Resources Information Center

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

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

27

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

ERIC Educational Resources Information Center

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

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

28

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

29

VA Health Care: Actions Needed to Improve Administration of the Provider Performance Pay and Award Systems.  

National Technical Information Service (NTIS)

VHA administers VA's health care system and strives to provide high-quality, safe care to veterans. Concerns continue about the quality of care VHA delivers, but many physicians and dentists, referred to as providers, receive performance-based pay and awa...

2013-01-01

30

Home Street Home: A Training Tool for Helping Homeless Veterans (VHS 1/2 inch) (Video).  

National Technical Information Service (NTIS)

Contains information from the three satellite broadcasts titled 'Home Street Home'. Shows the VA's homeless programs, documentaries of homeless veterans, and VA/community cooperative efforts to help homeless veterans.

1993-01-01

31

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

Federal Register 2010, 2011, 2012, 2013

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

2013-05-06

32

77 FR 38179 - Autopsies at VA Expense  

Federal Register 2010, 2011, 2012, 2013

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

2012-06-27

33

A survey of state and VA policies on psychiatrists as primary care providers.  

PubMed

Fifty-five state and territorial commissioners of mental health and chiefs of psychiatry at 158 Department of Veterans Affairs medical centers were surveyed about current policies related to psychiatrists' roles as primary care providers in state and VA facilities. About half the respondents indicated that psychiatrists provided primary medical care or indicated interest in having psychiatrists provide such care. Less than half of this group limited such care to specific patient populations, and less than 25 percent required specific training for providers. The survey results indicate that opportunities for psychiatrists to provide primary care exist in many state and VA facilities but that no generally accepted guidelines or training standards for such practice have been developed. PMID:9219305

Silberman, E K

1997-07-01

34

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

35

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

Federal Register 2010, 2011, 2012, 2013

...simply adopts customary practice as implemented in the...The common industry practice is to utilize the services...professionals, such as nurses, for purposes of clinical...we note that VA's practice is to work with the treating...this is beyond the scope of this...

2011-12-21

36

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

37

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

38

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

39

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

40

Healthcare Inspection: Quality of Care Provided by a Nurse, John Cochran Division, St. Louis VA Medical Center, St. Louis, Missouri.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to determine the validity of allegations regarding the quality of care provided by a nurse at the John Cochran Division, St. Louis VA Medical Center, St. Louis, MO...

2012-01-01

41

Family and Child Homelessness. Revised.  

ERIC Educational Resources Information Center

|This packet contains documents that provide information about family and child homelessness and the need to address homelessness within the context of community development. The following sections are included: (1) "Family Homelessness" (Homelessness Information Exchange); (2) "A Report on the 1988 National Survey on Shelters for the Homeless"…

Homelessness Exchange, Washington, DC.

42

38 CFR 17.120 - Payment or reimbursement for emergency treatment furnished by non-VA providers to certain...  

Code of Federal Regulations, 2013 CFR

38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01...furnished by non-VA providers to certain veterans with service-connected disabilities...120 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF...

2013-07-01

43

Pressure Ulcer Development in the VA: Characteristics of Nursing Homes Providing Best Care  

Microsoft Academic Search

This study identifies structural characteristics of VA nursing homes that are associated with the best patient outcomes. We evaluated risk-adjusted rates of pressure ulcer development in VA nursing homes and related these rates to facility size, staffing patterns, teaching nursing home status, and rural versus urban locale. Higher rates of pressure ulcer development were seen among urban teaching nursing homes

Dan R. Berlowitz; Jennifer J. Anderson; Gary H. Brandeis; Laura A. Lehner; Harriet K. Brand; Arlene S. Ash; Mark A. Moskowitz

1999-01-01

44

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

Federal Register 2010, 2011, 2012, 2013

...Needs Application, VA Form 10-0361-SN. e. Compliance Reports for Per Diem and...Needs Application, VA Form 10-0361-SN--4,000 hours. e. Compliance Reports...Needs Application, VA Form 10-0361-SN--20 hours. e. Compliance Reports...

2012-09-13

45

Are there homeless youth in my community? Differences of perception between service providers and high school youth  

Microsoft Academic Search

While teen homelessness, like all homelessness, is increasing, there have been few solid estimates of the actual number of teens effected. A twofold methodology to count homeless teens was used in the Seacoast region of New Hampshire and Maine. Social service agencies were contacted to obtain a count of homeless adolescents, and over 3000 high school age teens were surveyed

Yvonne Vissing; Joseph Diament

1995-01-01

46

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

47

Homelessness: A General Information Packet.  

ERIC Educational Resources Information Center

|This packet contains documents that provide general information about homelessness and the need for both Federal and local action to help the homeless people in America. Sections 1 and 2 contain the following articles released by the Homelessness Information Exchange: (1) "The Problem of Homelessness Nationwide"; and "Alternative Family Housing…

Homelessness Exchange, Washington, DC.

48

Toward a comprehensive homelessness?prevention strategy  

Microsoft Academic Search

Because of the misery and deprivation suffered by homeless persons, the initial response to homelessness in the United States focused first on quickly addressing the dire need for emergency food and shelter, and then on providing additional assistance to already homeless persons—ideally to help them move out of homelessness. New preventive measures to help people avoid becoming homeless were largely

Eric N. Lindblom

1991-01-01

49

Evaluation of the Lower Rio Grande Valley Contracts with Non-VA providers.  

National Technical Information Service (NTIS)

Under increasing pressure to expand services and to improve access for veterans living in the Lower Rio Grande Valley (LRGV), the South Texas Veterans Health Care System contracted with non-VA hospitals. Under the contracts, veterans are referred to non-V...

J. E. Piihl

1999-01-01

50

Federal Programs to Help Homeless People.  

National Technical Information Service (NTIS)

The manual provides information on Federal programs and activities that can be used to help the homeless population. These programs are in three general categories: targeted homeless assistance programs created under the Stewart B. McKinney Homeless Assis...

1991-01-01

51

Is the Care We Provide Homeless People, Just? The Ethic of Justice Informing the Ethic of Care  

Microsoft Academic Search

Scant homeless research has articulated the homeless individual's experience from the perspective of his privileged access. Ethnographic research was conducted in a large southwest metropolitan city. Facilitated through several weeks of informal observation, it was through 15 weeks of formal interviews that privileged data were gathered by riding with the Service of Emergency Aid and Research Center for the Homeless

Marilyn Reitz-Pustejovsky

2002-01-01

52

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

Code of Federal Regulations, 2013 CFR

...DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM § 63.15 Duties of, and standards...activities such as group therapy, social skills training, self-help group meetings or peer counseling. (2) Professional...

2013-07-01

53

Civil society responses to homelessness  

Microsoft Academic Search

This article explores how faith-based organisations in South Africa respond to homelessness, using research performed in 2005 with 12 religious organisations that provide services to homeless people in Johannesburg and Pretoria. It describes the organisations' histories, funding schemes and relationships with other organisations, and considers the complexities of defining homelessness. The background to the study was broader and more in-depth

Diana Sanchez

2010-01-01

54

Managing Homeless Shelters  

Microsoft Academic Search

This is a formal analysis of how homeless shelters should operate: in particular, what quality of accommodations they should provide and how they should help their residents in securing conventional housing. I also examine timing. The results extend to cover optimal police response to street homelessness as well. I draw heavily on the unemployment insurance literature.

Brendan O’Flaherty

2009-01-01

55

The New Homelessness Revisited  

Microsoft Academic Search

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

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

2010-01-01

56

Homeless Students, Heroic Students.  

ERIC Educational Resources Information Center

Recounts two homeless teenagers' struggle to stabilize their lives and graduate from high school. To help other heroic, homeless students, high schools should adopt flexible admission criteria, attendance policies, course offerings, and class assignments and provide special education services, transportation vouchers, and emotional support when…

Vissing, Yvonne, M.; And Others

1994-01-01

57

Homelessness and hunger.  

PubMed

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

Lee, Barrett A; Greif, Meredith J

2008-03-01

58

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

59

National Center on Family Homelessness  

MedlinePLUS

... Housing and Urban Development to provide training and technical assistance to communities addressing homelessness. His experience includes technical assistance of the HOPE VI Community and Supportive ...

60

Help the Homeless.  

ERIC Educational Resources Information Center

The Workers Educational Association collaborated with a support program for homeless people in England to provide adult-education opportunities. Focus is on small groups and community learning, designed to overcome barriers these adults face. (SK)

Miskin, Jol

1999-01-01

61

Impact of adulthood trauma on homeless mothers.  

PubMed

Using the National Survey of Homeless Assistance Providers and Clients (NSHAPC), we found that among homeless mothers (n = 588), those living without their children were more likely to: be older than 35 years, unmarried, have been incarcerated, have been homeless for at least 1 year, and to have used psychiatric medication. Many homeless mothers had histories of childhood trauma, but it was the accumulation of adulthood traumas that was associated with not living with one's children. Without mental health treatment, younger homeless mothers living with their children today may become the homeless mothers living without their children in the future. PMID:17143729

Zlotnick, Cheryl; Tam, Tammy; Bradley, Kimberly

2006-12-02

62

Health Issues of Homeless Youth  

Microsoft Academic Search

The purpose of this paper is to provide an overview of what is currently known about the health issues of homeless youth, focusing on risk-taking behaviors, health status, and access to care. The paper addresses the health issues of homeless youth in the U.S. within an international context. Existing data suggest that homeless adolescents exhibit high rates of risk-taking behaviors,

Jo Ensign

1998-01-01

63

Health care of homeless veterans.  

PubMed

It is important to understand the needs of those veterans who are homeless. We describe characteristics of homeless male veterans and factors associated with needing VA benefits from a two-city, community survey of 531 homeless adults. Overall, 425 were male, of whom 127 were veterans (29.9%). Significantly more veterans had a chronic medical condition and two or more mental health conditions. Only 35.1% identified a community clinic for care compared with 66.8% of non-veterans (P <.01); 47.7% identified a shelter-based clinic and 59.1% reported needing VA benefits. Those reporting this need were less likely to report a medical comorbidity (58.7% vs 76.9%; P =.04), although 66.7% had a mental health comorbidity and 82.7% met Diagnosic Screening Manual (DSM)-IIIR criteria for substance abuse/dependence. They were also significantly more likely to access shelter clinics compared with veterans without this need. Homeless veterans continue to have substantial health issues. Active outreach is needed for those lacking access to VA services. PMID:14687279

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

2003-11-01

64

Impact of Adulthood Trauma on Homeless Mothers  

Microsoft Academic Search

Using the National Survey of Homeless Assistance Providers and Clients (NSHAPC), we found that among homeless mothers (n = 588), those living without their children were more likely to: be older than 35 years, unmarried, have been incarcerated,\\u000a have been homeless for at least 1 year, and to have used psychiatric medication. Many homeless mothers had histories of childhood\\u000a trauma, but it was the

Cheryl Zlotnick; Tammy Tam; Kimberly Bradley

2007-01-01

65

Rural Homeless Shelters: A Comparative Analysis  

Microsoft Academic Search

Although there has been some increased attention to the issue of homelessness and homeless shelter services, little effort has been made to understand the operation of rural homeless shelters. This situation persists despite decades of effort showing that the rural environment provides a very different context for the delivery of services than an urban environment. This study hypothesized that contextual

Marianne Goodfellow

1999-01-01

66

Dealing with Disability: Cognitive Impairments & Homelessness  

Microsoft Academic Search

Homeless people with cognitive impairments affecting thought, memory, speech, and\\/or psychosocial competence present some of the toughest challenges that clinicians face. Indeed, too many choose to avoid these difficult clients altogether — an option that experienced homeless assistance providers find unacceptable. The following articles describe the complex tapestry of cognitive disabilities and homelessness, and specify practical strategies to assure that

Christopher M. Filley

67

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

68

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

69

76 FR 52575 - Health Care for Homeless Veterans Program  

Federal Register 2010, 2011, 2012, 2013

...38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY...community-based treatment facilities in the Health Care for Homeless Veterans (HCHV...services or been enrolled in the VA health care system. Through the HCHV...

2011-08-23

70

Tapping into the culture of homelessness.  

PubMed

This article describes the problem of homelessness from a cultural perspective. Three health and human service agencies located in Pennsylvania were investigated to ascertain whether the needs of the homeless as a culture were being met. The findings of this qualitative investigation conclude that the strategies of survival inherent in the culture of homelessness are rarely considered by social and health agencies in providing services to the homeless. Implications for improving health and other services provided for the homeless from a cultural perspective are discussed in the concluding remarks of the report. PMID:8655854

Davis, R E

71

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

72

Committee opinion no. 576: health care for homeless women.  

PubMed

: Homelessness continues to be a significant problem in the United States. Women and families represent the fastest growing segment of the homeless population. Health care for these women is a challenge but an important issue that needs to be addressed. Homeless women are at higher risk of injury and illness and are less likely to obtain needed health care than women who are not homeless. It is essential to undertake efforts to prevent homelessness, to expand community-based services for the homeless, and to provide adequate health care for this underserved population. Health care providers can help address the needs of homeless individuals by identifying their own patients who may be homeless or at risk of becoming homeless, educating these patients about available resources in the community, treating their health problems, and offering preventive care. PMID:24084568

2013-10-01

73

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

74

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

75

Jobs, Welfare and Homelessness.  

ERIC Educational Resources Information Center

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

Einbinder, Susan; And Others

76

Connections between AIDS and homelessness.  

PubMed

Although the links between health and environment are well known, interventions that target these associations in order to improve health are rare. Health and social service agencies often function independently of one another, maintaining separate, unlinked databases. For example, relationships among homelessness, AIDS, and tuberculosis have been noted, but services have not focused on the intersecting populations these conditions affect. This Issue Brief summarizes efforts to merge databases and provide policymakers with information to guide housing, social service, and health care resources. The investigators identify risk factors associated with AIDS among the homeless, and homelessness among people with AIDS. PMID:12524708

Culhane, D P; Gollub, E L

2001-06-01

77

Comorbidity Between Psychiatric and General Medical Disorders in Homeless Veterans  

PubMed Central

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

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

2010-01-01

78

Comorbidity between psychiatric and general medical disorders in homeless veterans.  

PubMed

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

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

2009-12-01

79

Nutrition and health services needs among the homeless.  

PubMed Central

This review discusses nutrition and related health problems among homeless Americans, summarizes recent information, and identifies needs for services and future research. The nature of homelessness today provides a context for the discussion. Many homeless persons eat fewer meals per day, lack food more often, and are more likely to have inadequate diets and poorer nutritional status than housed U.S. populations. Yet many homeless people eligible for food stamps do not receive them. While public and private agencies provide nutritious food and meals for homeless persons, availability of the services to homeless persons is limited. Many homeless people lack appropriate health care, and certain nutrition-related health problems are prevalent among them. Compared with housed populations, alcoholism, anemia, and growth problems are more common among homeless persons, and pregnancy rates are higher. The risks vary among homeless persons for malnutrition, nutrition-related health problems, drug and alcohol abuse, and mental illness. For example, among homeless persons, fewer heads of families than single adults are substance abusers, and mental illness varies in prevalence among single men, single women, and parents in homeless families. Homeless persons need improved access to food, nutrition, and health services. More nutrition education needs to be available to them and to service providers. Use of representative samples and validation of self-reported nutrition and health data will help future investigators to clarify the relationships between the characteristics of the homeless and their nutritional status.

Wiecha, J L; Dwyer, J T; Dunn-Strohecker, M

1991-01-01

80

Homelessness and health in adolescents.  

PubMed

Despite an abundance of resources, many of the world's wealthiest nations have a large homeless population. People at all stages of development are affected by this problem, but adolescents who are homeless face a unique set of challenges. In this critical narrative study the authors examined the experiences of homeless adolescents with particular attention to the role of gender and public policy, health experiences and perceptions, and barriers to health care services. Six girls and 7 boys participated in semistructured dialogic interviews. Their stories revealed that living without a home had a substantial impact on their health and wellness. The findings from this study support the need for health care professionals to work in collaboration with homeless youth so that more effective care that is sensitive to their unique health needs can be provided. PMID:17968040

Haldenby, Amy M; Berman, Helene; Forchuk, Cheryl

2007-11-01

81

Federal Plan to Address Homelessness Recognizes Size, Complexity of Problem  

Microsoft Academic Search

The Clinton administration's homelessness plan represents a departure from past federal efforts in recognizing the scope, complexity, and structural causes of homelessness. Most importantly, it provides a much improved conceptual framework for the design of future efforts to reduce homelessness, particularly the recognition that mainstream programs and policies must be enlisted in this fight to avoid expanding the emergency housing

Dennis P Culhane

1995-01-01

82

Overcoming Educational Disadvantage: Shelter Initiatives for Homeless Children  

Microsoft Academic Search

This project addresses the challenges confronting children living in Massachusetts homeless shelters, with particular attention to these youths’ education as well as the services that family shelters provide to support their academic achievement. With 1.35 million homeless children living in the United States each year (“How Many People Experience Homelessness?”, 2009), it is imperative that this population receives a quality

Diana DeMont

2012-01-01

83

POLICE EXPERIENCES AND RESPONSES RELATED TO THE HOMELESS  

Microsoft Academic Search

In a national study of the nation's largest police agencies (N=521) data were gathered on police department policies, practices, and experiences in dealing with the homeless. Salient findings showed that few departments provide training or have specific organizational resources directed toward the homeless. Even fewer had formal policies or practices related to the homeless. The police acknowledged they need to

David L. Carter; Allen D. Sapp

1993-01-01

84

Education Rights of Homeless Students: A Guide for Advocates  

ERIC Educational Resources Information Center

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

Education Law Center, 2005

2005-01-01

85

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

86

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

87

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

88

Families Experiencing Homelessness  

MedlinePLUS

... all homeless mothers do not have a high school diploma. 29% of adults in homeless families are working. Have much higher rates of family separation than other low-income families. 4 Mothers Experiencing Homelessness: The impact of homelessness on mothers is profound. Many are ...

89

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

90

Homelessness in America.  

ERIC Educational Resources Information Center

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

Baumohl, Jim, Ed.

91

Homeless Housing: HUD's Shelter Programs. Updated.  

ERIC Educational Resources Information Center

This paper briefly discusses new housing programs for the homeless sponsored by the Department of Housing and Urban Development (HUD), the funding provided by the 100th Congress, and two additional HUD programs to aid the homeless. The following four programs are discussed: (1) the Emergency Shelter Program; (2) the Transitional Housing Program,…

Vanhorenbeck, Susan M.

92

Helping Homeless People: Unique Challenges and Solutions.  

ERIC Educational Resources Information Center

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

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

93

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

94

Understanding homelessness using a simulated nursing experience.  

PubMed

Students have an opportunity to understand the full experience of being homeless using simulated community nursing situations with a high-fidelity simulator. The Community Nursing Practice Model provides a context for using this innovative teaching strategy to enable students to respond holistically to the needs of the homeless. PMID:19574760

Barry, Charlotte D; Blum, Cynthia Ann; Eggenberger, Terry L; Palmer-Hickman, Candice L; Mosley, Rebecca

95

Reasons for homelessness: An empirical typology  

Microsoft Academic Search

We investigated patterns of situational characteristics and service use among youth residing at metropolitan area homeless shelters. One hundred and three youth provided ratings on a five-point scale comprised of 17 reasons for becoming homeless. Cluster analysis yielded five distinct reason typologies: destitute, threatened, pregnant, resistant, and partnered. Demographic, social, and treatment characteristics were analyzed across groups, and a concurrent

Hillary J. Heinze; Debra M. Hernandez Jozefowicz; Paul A. Toro; Logan R. Blue

2012-01-01

96

Homeless Housing: HUD's Shelter Programs. Updated.  

ERIC Educational Resources Information Center

|This paper briefly discusses new housing programs for the homeless sponsored by the Department of Housing and Urban Development (HUD), the funding provided by the 100th Congress, and two additional HUD programs to aid the homeless. The following four programs are discussed: (1) the Emergency Shelter Program; (2) the Transitional Housing Program,…

Vanhorenbeck, Susan M.

97

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

98

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

99

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

100

Measuring pain in the context of homelessness  

PubMed Central

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

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

2009-01-01

101

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

102

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.

103

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

104

Strategies for Preventing Homelessness.  

National Technical Information Service (NTIS)

This study suggests that a number of elements contribute to homelessness prevention and a number of promising prevention activities exist. The study identifies elements of community homelessness prevention strategies that seem to lead to reductions in the...

M. R. Burt C. L. Pearson A. E. Montgomery

2005-01-01

105

Infectious disease in the homeless.  

PubMed

Homelessness increases a person's exposure to infectious and communicable diseases. The barriers to treatment as described above are many for the physicians and other providers of health care to this population. Health Care for the Homeless would greatly welcome the help of medical subspecialists in the areas of infectious disease, dermatology, gastroenterology, and pulmonology for some of our particularly challenging patients. We look forward to continuing our collaborations with the medical community in Baltimore City as we serve its most vulnerable citizens. PMID:19186594

Ryan, Tara A

2008-01-01

106

Homelessness, race and law  

Microsoft Academic Search

Legal obligations were placed on local authorities to house the homeless from the inception of the Housing (Homeless Persons) Act 1977. By reason of the Race Relations Act 1976 these obligations must be met in a non?discriminatory fashion. This article highlights facets of contemporary practice relating to the interpretation of the homelessness provisions, and identifies changes which have, or are

Martin MacEwen

1990-01-01

107

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

108

HCH Clinicians Can Help Homeless People Die with Dignity  

Microsoft Academic Search

Death is ever present among homeless people and the providers who treat them. People who are homeless may die unexpectedly-often violently-or they may be seriously ill but not have access to sophisticated hospice and palliative care programs. Some innovative programs provide compassionate end-of-life care to homeless and other underserved people, however, and there are some simple things that HCH providers

2004-01-01

109

Sourcing homelessness: How journalists use sources to frame homelessness  

Microsoft Academic Search

This article describes a content and qualitative analysis of quotations from sources in Canadian newspaper items on homelessness. Experts dominate as sources on homelessness. Homeless people are not completely deprived of a voice, but are limited to the devalued voice of experience. Quotes from homeless people themselves promote a narrative of homelessness that marginalizes the people who experience it and

Barbara Schneider

2012-01-01

110

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

111

Library Cards for the Homeless.  

ERIC Educational Resources Information Center

|Describes a program developed at the San Francisco Public Library to allow homeless residents to apply for library cards, and discusses concerns that had to be addressed, including loss or damage of materials, overdue materials, residency requirements, and state and local funding requirements. Cooperation with public and private service providers

Landgraf, Mary N.

1991-01-01

112

Prepping Homeless Students for School  

ERIC Educational Resources Information Center

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

Vissing, Yvonne

2004-01-01

113

Medicalizing homelessness: the production of self-blame and self-governing within homeless shelters.  

PubMed

This article draws upon three years of ethnographic research within an emergency homeless shelter in Massachusetts to explore the subject-making effects of routine shelter helping practices. A medicalized discourse of deviancy is uncovered that provides the dominant conceptual framework within which both concerned homeless people and shelter staff remain enmeshed. As a result, helping practices focus on detecting, diagnosing, and treating understood deviancy within the bodies or selves of homeless people. The dominant discursive practices produce homeless subjects who learn to look within their selves for the "cause" of their homelessness. Treatment focuses on reforming and governing the self. Alternative discourses suggesting the need for practices challenging broader political economic processes are thus marginalized as peripheral and unreasonable. PMID:11036582

Lyon-Callo, V

2000-09-01

114

Comments of Kathi Sheffel Homeless Liaison, Fairfax County Public Schools Submitted to the U.S. Interagency Council on Homelessness Federal Strategic Plan  

Microsoft Academic Search

1. Strategies for preventing and ending youth homelessness Identifying and providing support for unaccompanied homeless youth requires a comprehensive strategy that examines and addresses: 1) how youth become homeless and on their own; 2) the unique basic and educational needs that they have; and 3) how to build a continuum of services to meet those needs so youth can sustain

Youth Workgroup

115

Education of Homeless Children and Youth under the Stewart B. McKinney Homeless Assistance Act. Annual Report. Department of Education Form 1810-0536.  

ERIC Educational Resources Information Center

|In response to the U.S. Department of Education requirement for a state status report on homeless children and youth, the Colorado Department of Education conducted a 1-day telephone survey of homeless service providers and school districts, to determine the numbers and educational needs of the state's homeless children and youth. The survey…

Colorado State Dept. of Education, Denver.

116

AIDS: overview and VA update.  

PubMed Central

Acquired immune deficiency syndrome (AIDS), a devastating disease with numerous masks (e.g., a primary neurosymptomatic disease), has now been reported in over one hundred countries of the world. Projections by the Public Health Service of the numbers of cases and fatal illnesses in the United States by 1991 stagger the imagination, and we are told that these projections may be understated. The Veterans Administration (VA) has not been immune to this disorder, over 2,000 cases of frank AIDS (as defined by the Centers for Disease Control [CDC] having been reported to VA's Central Office by 111 of the VA's 172 medical centers. These findings do not include AIDS-related complex (ARC) or other manifestations of human immunodeficiency virus (HIV) infection. Seventy-seven percent of this total have been reported from 22 of the VA's largest tertiary care centers. The VA has developed an action plan, one of whose features is the development of a direct discussion and collaboration with other federal health care agencies, including the military. Emphasis is to be placed on the exchange of information among these various executive branches and, most important, on the smooth transfer of patients with AIDS or ARC from the uniformed services into the VA's health care system. In addition to the primary goal of providing timely, compassionate care to these patients, the VA also has a commitment to the dissemination of information to our patients, their families, and our employees.

Cohn, H. D.

1987-01-01

117

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.

118

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

119

Dimensions of homelessness.  

PubMed Central

Investigations of homelessness have been hampered by the lack of operational definitions sensitive enough to achieve subgroup differentiation and simple enough to permit replication. As a consequence, programming and policy development have often proceeded based on varying assessments of the composition, size, and needs of the homeless population. This paper describes the empirical use of duration of homelessness and dwelling place as elements of an operational definition of homelessness. The approach reflects a conceptualization of homelessness as a continuous variable that can be described by coordinates of time and place. A screening instrument that quantified the homeless experience was developed and evaluated in conjunction with a federally funded demonstration project for homeless substance-abusing men and women. Eight hundred and thirty-nine men and women from six public detoxification centers were screened over a two-year period that began in August 1988. Respondents were asked eight questions to assess duration (time) and location (place) of homelessness before they entered the detoxification center. A simple index was constructed retrospectively and found to differentiate the sample into homeless and near-homeless subgroups. Between-group differences were statistically significant in demographics, presenting problems, and probability for successful intervention. These data paralleled previously reported differences between homeless subgroups and support the concurrent validity of the index. Cronbach's alpha (.72) showed the index to be moderately reliable. Differentiation of homeless persons into meaningful subgroups appears possible and programmatically recommended. Homelessness is not a unitary phenomenon, and it is unlikely to respond to therapeutic interventions that fail to consider individual differences.

Argeriou, M; McCarty, D; Mulvey, K

1995-01-01

120

Educating Homeless Youth in Texas: The McKinney-Vento Homeless Education Assistance Improvements Act of 2001.  

PubMed

This paper discusses homeless youth in the US focusing on educational issues addressed by the implementation of the McKinney-Vento Homeless Education Assistance Improvements Act of 2001. This law requires that states ensure each homeless child has equal access to public education. Moreover, the law requires states to identify and remove barriers to homeless children's education, such as requirements for previous school records and proof of residency. Following description of homelessness, educational issues, and barriers for homeless youth, the McKinney-Vento Act is described as it is applied in Texas. Finally, the paper concludes that further development, education, and commitment from service providers in schools and other community agencies will be needed to improve outcomes for these highly vulnerable youth. PMID:22553382

Windsor, Liliane Cambraia; Thompson, Sanna J

2008-07-01

121

Homelessness and health  

PubMed Central

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 pulmonary disease, musculoskeletal disorders, tuberculosis, and skin and foot problems. Homeless people also face significant barriers that impair their access to health care. More research is needed to identify better ways to deliver care to this population.

Hwang, Stephen W.

2001-01-01

122

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.

123

Systems of care for persons who are homeless in the United States.  

PubMed

SUMMARY Occupational therapists work within various systems that provide services to persons who are homeless, including housing, health care, social service, education, and work programs. This article describes the typologies of homelessness, the continuum of care, trends in service delivery, the federal organization and primary sources of funding for homeless services. It is important for therapists to understand these systems and resources in order to deliver and advocate for effective services for persons who are homeless. PMID:23926931

Livingston, Bruce W; Miller, Kathleen Swenson

2006-01-01

124

Parenting Adults Who Become Homeless: Variations in Stress and Social Support  

Microsoft Academic Search

This article focuses on the stressors of parenting an adult child who experiences homelessness. Parents whose adult children become homeless may provide support to this child, but they may also subsequently experience stress and require social support themselves. Findings from this study support the hypothesis that parents who spend more time or money helping their homeless adult offspring experience higher

Michael F. Polgar; David E. Pollio

2009-01-01

125

Help in Time: An Evaluation of Philadelphia's Community-Based Homelessness Prevention Program  

Microsoft Academic Search

This report provides an evaluation of Philadelphia's neighborhood-based homelessness prevention initiative. Results indicate that nearly all households served do not become homeless. But it is unclear if households would have become homeless had they not been served. Recommendations are made for targeting prevention interventions to families requesting shelter.

Yin-Ling I Wong; Meg Koppel; Dennis P Culhane; Stephen Metraux; David E Eldridge; Amy Hillier; Helen R Lee

1999-01-01

126

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

127

The housing aspirations of homeless young people: ;;Listening to homeless young people and using their ideas to improve services  

Microsoft Academic Search

What do homeless young people say they want? Too often services are established without finding out, and this can give rise to voids or management problems. Macedon, Nottingham's largest provider of supported accommodation for homeless people, carried out research under the direction of Nottingham University. The findings provide vital information and practical suggestions to guide service planning and management.

Christine Russell

1999-01-01

128

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

129

VA Health Care: Management and Oversight of Fee Basis Care Need Improvement.  

National Technical Information Service (NTIS)

While VA treats the majority of veterans in VA-operated facilities, in some instances it must obtain the services of non-VA providers to ensure that veterans are provided timely and accessible care. These non-VA providers are commonly reimbursed by VA usi...

2013-01-01

130

Helping the Homeless  

Microsoft Academic Search

The emergence of occupational therapy in the community has led a number of practitioners to work in homeless shelters. The purpose of this article is to examine how the profession of occupational therapy became involved in treating the homeless population and to describe how the profession offers help for this particular population. In addition, this article takes a historical look

Kathy R. Griner

2006-01-01

131

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

132

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

133

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

134

Helping the Homeless: What About the Spirit of God?  

Microsoft Academic Search

This paper argues that the Holy Spirit is missing from services for the homeless. Spirituality is reviewed as a concept, and it is argued that the transforming Spirit that Paul described is not often present in discussions. Instead, the Social Gospel and Modernism have replaced the role of the Holy Spirit, and people who are homeless are being provided with

John R. Belcher

2003-01-01

135

The Allegheny initiative for mental health integration for the homeless: integrating heterogeneous health services for homeless persons.  

PubMed

The Allegheny Initiative for Mental Health Integration for the Homeless (AIM-HIGH) was a 3-year urban initiative in Pennsylvania that sought to enhance integration and coordination of medical and behavioral services for homeless persons through system-, provider-, and client-level interventions. On a system level, AIM-HIGH established partnerships between several key medical and behavioral health agencies. On a provider level, AIM-HIGH conducted 5 county-wide conferences regarding homeless integration, attended by 637 attendees from 72 agencies. On a client level, 5 colocated medical and behavioral health care clinics provided care to 1986 homeless patients in 4084 encounters, generating 1917 referrals for care. For a modest investment, AIM-HIGH demonstrated that integration of medical and behavioral health services for homeless persons can occur in a large urban environment. PMID:17267708

Gordon, Adam J; Montlack, Melissa L; Freyder, Paul; Johnson, Diane; Bui, Thuy; Williams, Jennifer

2007-01-31

136

Homelessness and our most vulnerable patients.  

PubMed

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

Olszyk, Mark D; Goodell, Melly

2008-01-01

137

Living the Research: Stories from Homeless Youth.  

ERIC Educational Resources Information Center

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

Norum, Karen E.

138

Recognizing the Needs of the Homeless.  

ERIC Educational Resources Information Center

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

France, Joseph B.

139

Homelessness and CKD: A Cohort Study  

PubMed Central

Summary Background and objectives This study examined the associations between homelessness and clinical outcomes of CKD among adults from the urban healthcare safety net. Design, setting, participants, & measurements This retrospective cohort study examined 15,343 adults with CKD stages 3–5 who received ambulatory care during 1996–2005 from the Community Health Network of San Francisco. Main outcome measures were time to ESRD or death and frequency of emergency department visits and hospitalizations. Results Overall, 858 persons (6%) with CKD stages 3–5 were homeless. Homeless adults were younger, were disproportionately male and uninsured, and suffered from far higher rates of depression and substance abuse compared with adults with stable housing (P<0.001 for all comparisons). Over a median follow-up of 2.8 years (interquartile range=1.4–6.1), homeless adults experienced significantly higher crude risk of ESRD or death (hazard ratio=1.82, 95% confidence interval=1.49–2.22) compared with housed adults. This elevated risk was attenuated but remained significantly higher (adjusted hazard ratio=1.28, 95% confidence interval=1.04–1.58) after controlling for differences in sociodemographics, comorbid conditions, and laboratory variables. Homeless adults were also far more likely to use acute care services (median [interquartile range] number of emergency department visits was 9 [4–20] versus 1 [0–4], P<0.001) than housed counterparts. Conclusions Homeless adults with CKD suffer from increased morbidity and mortality and use costly acute care services far more frequently than peers who are stably housed. These findings warrant additional inquiry into the unmet health needs of the homeless with CKD to provide appropriate and effective care to this disadvantaged group.

Choi, Andy I.; Himmelfarb, Jonathan; Chertow, Glenn M.; Bindman, Andrew B.

2012-01-01

140

Healthcare experiences of the homeless Bonnie Nickasch, RN, MSN, FNP, APNP (Family Nurse Practitioner)1 & Suzanne K. Marnocha, PhD, RN, CCRN (Associate Professor and Director of Traditional Undergraduate Program)2  

Microsoft Academic Search

Purpose: To explore the healthcare experiences of homeless individuals and inform providers of the barriers created by the situation of homelessness. Data sources: This was a qualitative research study using a grounded theory approach. The sample included homeless individuals older than 18 years living in northeastern Wisconsin. Conclusions: This research provided rich insight into the healthcare experi- encesofthehomeless.Fivekeyconclusionsweremade:(a)thegreatmajorityof homeless people

Bonnie Nickasch

141

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

142

Homelessness Assistance and Resources  

MedlinePLUS

... Resource Library News Training & Events Ask A Question Technical Assistance About OneCPD Homelessness Assistance and Resources "Stable ... Calendar About About OneCPD Website and Privacy Policies Technical Assistance CDBG Program Assistance HMIS Technical Assistance HOME ...

143

Homeless Health Concerns  

MedlinePLUS

... women are victims of domestic or sexual abuse. Homeless children have high rates of emotional and behavioral problems, often from having witnessed abuse. Help such as shelters, health centers, and free meals ...

144

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

145

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.

146

Residential Transitions Among Homeless Families and Homeless Single Individuals  

Microsoft Academic Search

Based on a three-wave panel study, this paper compares the patterns of residential transitions between homeless and domiciled states among homeless women with children, single women and single men. It examines the extent of utilization of resources and support from work, income support programs, and informal social systems when initially homeless individuals were domiciled. Our analysis largely confirms previous research

Yin-Ling Irene Wong; Irving Piliavin; Bradley R. Entner Wright

1998-01-01

147

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

148

A health-profile comparison of delinquent and homeless youths.  

PubMed

Little is known about the health status and health care needs of homeless and delinquent youths. This study provides medical data (medical history and physical examination) on samples of delinquent (n = 245) and homeless (n = 160) youths in San Francisco, CA. Although homeless youths had somewhat more medical problems than did delinquent youths, both groups had a multiplicity of medical problems, many of which were worse than among the general adolescent population. A substantial percentage of both samples did not have adequate health care coverage. Medical services to high-risk youths should be improved by providing street outreach, public health clinics, and multiservice centers for adolescents. PMID:8260572

Forst, M L; Harry, J; Goddard, P A

1993-01-01

149

Homeless and Indigenous in Minneapolis  

Microsoft Academic Search

Indigenous peoples are overrepresented in the homeless population. This paper examines the extent to which homelessness and some of its possible antecedents and consequences differ for indigenous peoples and majority whites residing in the city of Minneapolis. We conclude that being homeless and indigenous in Minneapolis is a significantly different experience for this group than it is for majority whites.

Alex Westerfelt; Michael Yellow Bird

1999-01-01

150

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless  

Microsoft Academic Search

One hundred, thirty-four undergraduate students participated in a field experiment designed to examine the effects of extended, prosocial communication with homeless persons, upon attitudes toward the homeless problem, of behavioral intentions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in attitudes and behavioral intentions toward the homeless

John E. Hocking; Samuel G. Lawrence

2000-01-01

151

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

152

Helping the Homeless: A Resource Guide.  

National Technical Information Service (NTIS)

The purpose of this project was to produce a Resource Guide intended to provide information on effective ways to establish and operate local projects to feed, shelter, and in other ways care for homeless individuals. It is targeted to individuals or group...

1984-01-01

153

Ending child homelessness in America.  

PubMed

Approximately 1.5 million children experience homelessness in America each year. The current economic recession and staggering numbers of housing foreclosures have caused the numbers of homeless families to increase dramatically. The impact of homelessness on families and children is devastating. Without a place to call home, children are severely challenged by unpredictability, dislocation, and chaos. Homelessness and exposure to traumatic stresses place them at high risk for poor mental health outcomes. Despite the pressing needs of these children, federal policy during the last decade has focused primarily on chronically homeless adult individuals-to the exclusion of the families. In 2010, however, the U.S. Interagency Council on Homelessness issued a comprehensive plan to eradicate homelessness for all people through interagency collaboration and aligning mainstream services. A key goal is to prevent and end homelessness for families, youth, and children within 10 years. This policy-focused article describes several tools that can be used to help achieve this goal, including: general principles of care for serving homeless families and children; BSAFE-a promising practice that helps families access community-based services and supports; and the Campaign to End Child Homelessness aimed at action on behalf of homeless families and children at the national, state, and local levels. PMID:20950290

Bassuk, Ellen L

2010-10-01

154

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

155

Assault and Substance Abuse Characterize Burn Injuries in Homeless Patients  

PubMed Central

The homeless are at an increased risk for traumatic injury, but little is known about the injury etiology and outcome of homeless persons who sustain burn injuries. In this study, we analyze patient and injury characteristics of homeless persons admitted to a regional burn center. This is a retrospective cohort study of patients admitted to our burn center between 1994 and 2005. A total of 3700 adult patients were admitted during the study period and, of these, 72 (1.9%) were homeless. The cohort of homeless patients was compared with domiciled adult patients admitted during the same time period, analyzing baseline patient and injury characteristics and injury outcomes. Overall, homeless patients had more extensive burn injuries than domiciled patients (17.8% vs 11.2%TBSA, P < .001) and overall longer lengths of hospital stay (22 vs 12 days, P < .001). The homeless population also had significantly higher rates of alcohol (80.6% vs 12.8%, P < .001) and drug abuse (59.4% vs 12.8%, P < .001), history of mental illness (45.2% vs 11.0%, P < .001), and injury by assault (13.9% vs 2.0%, P < .001). Homeless patients tended to have more severe injuries; higher rates of substance abuse and mental illness; increased incidence of assault by burning; and longer lengths of hospital stay. Hospitalization of a homeless patient following injury may provide a unique opportunity to address co-occurring substance abuse and mental illness and approach injury prevention to improve patients’ outcomes and reduce injury recidivism.

Kramer, C. Bradley; Gibran, Nicole S.; Heimbach, David M.; Rivara, Frederick P.; Klein, Matthew B.

2011-01-01

156

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

157

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

PubMed Central

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

Apollonio, D; Malone, R

2005-01-01

158

The Education for Homeless Children and Youth Program: Learning To Succeed. Executive Summary. Volume I: Reducing Barriers for Homeless Children and Youth for Access and Achievement. Volume II: Educating Homeless Children and Youth: A Resource Guide for Promising Practices.  

ERIC Educational Resources Information Center

This document, which summarizes the study, "Reducing Barriers for Homeless Children and Youth for Access and Achievement," and the guide, "Educating Homeless Children and Youth: A Resource Guide for Promising Practices," provides evidence that state education agencies and local educational agencies have made significant progress in revising laws,…

Department of Education, Washington, DC. Planning and Evaluation Service.

159

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

160

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

161

Readings in Homelessness.  

ERIC Educational Resources Information Center

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

Matuszowicz, Peter F.

162

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

163

Homelessness and HIV risk behaviors among injection drug users.  

PubMed

This article uses data from an 8-year study of injection drug users to examine whether homelessness independently influenced the likelihood of engaging in human immunodeficiency virus (HIV) risk behaviors. Fixed effects regression analyses are used to estimate the associations between four different housing contexts and four different behaviors related to transmitting HIV infections. Results showed that 16% of the study group experienced homelessness at some point during the study, and that homelessness was significantly associated with a higher likelihood of frequenting shooting galleries (odds ratio = 2.05), but did not have a significant effect on sharing syringes, sharing other injection drug paraphernalia, or participating in paid sex. These results provide limited support for positing homelessness as independently associated with increased levels of HIV-related risk behavior among injection drug users and highlights the need for more research that examines the housing dynamics among this population. PMID:15466843

Metraux, Stephen; Metzger, David S; Culhane, Dennis P

2004-12-01

164

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

165

A strengths perspective: an ethnographic study of homeless women with children.  

PubMed

Homeless women with children have been one of the fastest growing homeless subpopulations during the past decade. However, research in this area has paid scant attention to the needs of these homeless families. The ethnographic study of homeless women with children described in this article captures the prevailing strengths of this population. The women's strengths were identified in seeking housing, caring for children, and remaining connected to social contacts to keep their families together. The authors suggest that ethnography provides guideposts for social workers as they search for practice models. PMID:7649511

Thrasher, S P; Mowbray, C T

1995-05-01

166

(Re)engaging marginalized groups through sport: The Homeless World Cup  

Microsoft Academic Search

Marginalized groups, such as those experiencing homelessness, are largely excluded from participation in, and the benefits provided by, sport programs and events. This study uses the case of the ‘Street Socceroos’, the Australian Homeless World Cup team, to argue that participation in sport can provide beneficial outcomes for participants, and through a process of (re)engagement, develop social capital. Drawing on

Emma Sherry

2010-01-01

167

Alternative Cartographies of Homelessness: Rendering visible British women's experiences of ‘visible’ homelessness  

Microsoft Academic Search

This article focuses on a group largely ignored by both geographers and feminist scholars of homelessness alike—the growing number of ‘visibly homeless’ women in Britain. Drawing on in-depth interviews with 19 ‘visibly homeless’ women, we delineate between four ‘alternative cartographies’ of homelessness, each articulating quite different gendered homeless identities. The article suggests that whilst it is important to recognise that

Jon May; Paul Cloke; Sarah Johnsen

2007-01-01

168

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

169

Lost in the shuffle: culture of homeless adolescents.  

PubMed

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

Oliveira, Joanne O'sullivan; Burke, Pamela J

170

Analysis of the health status of the homeless clients utilizing a free clinic.  

PubMed

The purpose of this study is to evaluate the health status of the homeless population who utilize a free clinic. The study specifically aims to compare the prevalence of asthma, diabetes, tuberculosis, mental health disorders, sexually transmitted diseases, sinus problems, and hepatitis among the homeless population. Investigators collected data from paper medical records during patient visits from 2004 to 2009. Diagnosed health conditions among the homeless population were compared to the general clinic users using logistic regression. There were several similarities between the general clinic and homeless population, however, the homeless population had statistically significant (p < 0.05) outcomes for diagnosed cases of tuberculosis, hepatitis, anxiety, and bipolar disorders. Prevalence of diabetes, sinus problems, asthma, diabetes, and depression were similar among both populations. The odds ratios among hepatitis, tuberculosis, STDs, bipolar disorder and anxiety disorder indicated the homeless had a significantly greater risk of developing hepatitis, tuberculosis, and bipolar disorder. This study adds to the literature by illustrating the characteristics of the homeless population who utilize the free health clinic and their medical conditions. Previous studies have shown the free clinic clients have a lower level of health than the general population. This study finds that the homeless clients of a free clinic have an even worse level of health than the general clinic clients. This research can contribute to the improvement of the healthcare delivery system in providing access to needed health care services for the homeless population. PMID:22828926

Notaro, Stephen J; Khan, Marium; Kim, Christina; Nasaruddin, Mohammad; Desai, Kinary

2013-02-01

171

Faces of Homelessness: A Teacher's Guide.  

ERIC Educational Resources Information Center

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

Massachusetts State Dept. of Education, Quincy.

172

Fifteen years of homelessness in the UK  

Microsoft Academic Search

Homelessness is rising rapidly in the UK. This increase is often attributed to the existence of legislation entitling homeless people to help. But the increase is most appropriately explained by changes in housing supply and demand. The homelessness legislation has granted rights to some groups of homeless people but not to others. The effect of the legislation is marginal compared

Madeline Drake

1989-01-01

173

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

174

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

175

A collaborative community approach to homeless care.  

PubMed

Homelessness is a social, economic, and public health problem of increasing magnitude in the United States. The past methods and approaches to delivering health care to those without homes have been inadequate because of the many complex problems faced by homeless persons today. To facilitate a discussion of a collaborative community approach to homeless care, it is helpful to include a definition of homelessness, describe the homeless population and the health status of homeless individuals, and explain what is meant by health care for the homeless. PMID:8900504

Plumb, J D; McManus, P; Carson, L

1996-03-01

176

Homeless Youth: A Concept Analysis  

Microsoft Academic Search

Introduction. A variety of terms have been used to describe the homeless youth population. Purpose. The purpose of this article is to analyze the conceptual meanings of the term homeless youths by examining the evolution of the concept and its related terms in the current literature. Method. Online databases from 1990–2010 were analyzed using the Rodgers evolutionary approach. Results. The

Philisie Starling Washington

2011-01-01

177

Homeless adolescents: Common clinical concerns  

Microsoft Academic Search

Homeless youth are at alarmingly high risk for a myriad of physical and psychological problems as a result of both the circumstances that prededed their homelessness, and as a direct consequence of life on the streets. Sexually transmitted infections (STIs), pregnancy, trauma, tuberculosis, uncontrolled asthma, and dermatologic infestations are a few of the health problems with which these youth commonly

Jennifer Feldmann; Amy B. Middleman

2003-01-01

178

Exploring the Hidden Nature of Gambling Problems among People Who Are Homeless  

Microsoft Academic Search

Although people with gambling problems are now recognised to be among those groups of people at increased risk of homelessness, little research has explored their experiences. This qualitative interpretive study explored the experiences of people who were homeless and had gambling problems, and the housing and gambling service providers assisting them. In-depth interviews were conducted with 17 service users and

Louise Holdsworth; Margaret Tiyce

2012-01-01

179

Writing and Retelling Multiple Ethnographic Tales of a Soup Kitchen for the Homeless.  

ERIC Educational Resources Information Center

An ethnographic study narrated three tales about a soup kitchen for the homeless and the near-homeless. To provide a cultural, ethnographic analysis, and share fieldwork experiences the study began with realist and confessional tales. These two tales emerged from the initial writing and presenting of the soup kitchen ethnography to qualitative…

Miller, Dana L.; Creswell, John W.; Olander, Lisa

180

The Trappings of Home: Young Homeless People's Transitions Towards Independent Living  

Microsoft Academic Search

This paper describes the experiences of young homeless people in Western Australia during their transitions to more permanent accommodation and independent living. For these young homeless people, permanent accommodation provided an opportunity for ‘feeling at home’ and having a sense of control and stability associated with ‘home’. Within this space, these young people wanted to be considered ‘normal’ home occupiers.

Martin Brueckner; Meredith Green; Sherry Saggers

2011-01-01

181

Improving the safety of homeless young people with mobile phones: values, form and function  

Microsoft Academic Search

By their pervasiveness and by being worn on our bodies, mobile phones seem to have become intrinsic to safety. To examine this proposition, 43 participants, from four stakeholder groups (homeless young people, service providers, police officers, and community members), were asked to consider how homeless young people could use mobile phones to keep safe. Participants were asked to express their

Jill Palzkill Woelfer; Amy Iverson; David G. Hendry; Batya Friedman; Brian T. Gill

2011-01-01

182

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

183

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

184

Rearranging the Deck Chairs or Reallocating the Lifeboats? Homelessness Assistance and Its Alternatives  

Microsoft Academic Search

Problem: At present, homelessness in the United States is primarily addressed by providing emergency and transitional shelter facilities. These programs do not directly address the causes of homelessness, and residents are exposed to victimization and trauma during stays. We need an alternative that is more humane, as well as more cost-efficient and effective at achieving outcomes.Purpose: This article uses research

Dennis P. Culhane; Stephen Metraux

2008-01-01

185

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

PubMed

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

Davis-Berman, Jennifer; Farkas, Jean

2012-01-01

186

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

Microsoft Academic Search

The purpose of this study was to explore homeless youths' perspectives on the power of drugs in their lives, the preferred type of drugs used, barriers to treatment, and strategies to prevent drug initiation and abuse. This was a descriptive, qualitative study using focus groups with a purposeful sample of 24 drug-using homeless youth. The results provided insight into the

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

2009-01-01

187

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

188

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

189

Aboriginal Youth Talk about Structural Determinants as the Causes of their Homelessness  

Microsoft Academic Search

This article explores structural determinants as possible causes of the homelessness of Aboriginal youth in Toronto, Ontario, Canada. It includes a brief literature review and provides some of the findings of a recent research project, which implemented an Aboriginal research methodology with homeless youth in To- ronto. These findings point to a strong link between Aboriginal children growing up in

Cyndy Baskina

190

Conceptualizing Social Integration among Formerly Homeless Adults with Severe Mental Illness  

ERIC Educational Resources Information Center

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

Tsai, Jack; Rosenheck, Robert A.

2012-01-01

191

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

Microsoft Academic Search

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

Darcy Varney; Willem van Vliet

2008-01-01

192

Treating homeless people with alcohol and other drug problems: Issues for practice and evaluation  

Microsoft Academic Search

The issue of alcohol and other drug abuse in the homeless population has gained increasing importance in both research and service-provider communities. Of all the serious problems that homeless people face -- extreme poverty, unemployment, education deficits, high rates of serious mental illness, severe physical health problems -- alcohol and other drug abuse and addiction are the most pervasive and

Peggy M. Murray

1993-01-01

193

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

ERIC Educational Resources Information Center

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

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

2003-01-01

194

Effective public library outreach to homeless people  

Microsoft Academic Search

Purpose – The purpose of this paper is to identify good practice in conducting outreach for homeless people, and hence to provide recommendations for future library outreach projects. Design\\/methodology\\/approach – The authors examine of four case studies taken from the library literature, and conduct six semi-structured interviews with outreach and\\/or inclusion librarians from library authorities in South and West Yorkshire.

Peter Willett; Rebecca Broadley

2011-01-01

195

Health Care for Homeless Women  

PubMed Central

OBJECTIVE Homelessness is a significant and growing problem in the United States. Women and families are the fastest growing segments of the homeless population. Homelessness increases the risk of having health problems and encountering barriers to care. This study determines how much perceived unmet need for medical care there is among homeless women, what homeless women perceive to be barriers to health care, and how barriers and other factors are associated with unmet needs. DESIGN Cross-sectional study of homeless women, utilizing structured interviews. SETTING AND PARTICIPANTS Community-based probability sample of 974 homeless women aged 15 to 44 years. MAIN OUTCOME MEASURES Perceived unmet need for medical care in the past 60 days. Relationship between unmet need and demographic variables, place of stay, source of health care, insurance, and perceived barriers to care. RESULTS Of the 974 women, 37% reported unmet need for medical care. Controlling for other factors, the odds of unmet need were lower among those with a regular source of care (odds ratio [OR] to .35, 95% confidence interval [CI], .21 to 58), while having health insurance was not significantly associated. The odds of unmet need were higher among those who experienced the barriers: not knowing where to go (OR 2.27, 95% CI, 1.40 to 3.69), long office waiting times (OR 1.89, 95% CI 1.27 to 2.83) and being too sick to seek care (OR 2.03, 95% CI, 1.14 to 3.62). CONCLUSIONS There is significant unmet need for medical care among homeless women. Having a regular source of care was more important than health insurance in lowering the odds of unmet need. Homeless women must be educated regarding sources of care, and clinics serving the homeless must decrease waiting times.

Lewis, Joy H; Andersen, Ronald M; Gelberg, Lillian

2003-01-01

196

HIV/AIDS and homelessness, Part 1: background and barriers to care.  

PubMed

Co-occurrence of homelessness and HIV/AIDS poses a complex and multidimensional challenge to the health care provider's clinical and system integration skills. Existing data support the high prevalence of HIV/AIDS among homeless persons and a high percentage of persons living with HIV/AIDS being either homeless or at imminent risk for homelessness. There are special considerations and challenges health care providers may face in caring for homeless persons with HIV/AIDS. An integrated, flexible, interdisciplinary, community-based system of care addressing the full array of medical, psychiatric/substance abuse, and housing services would optimize clinical care for this population. Areas that deserve particular attention include HIV/AIDS prevention, access to comprehensive HIV and health care, use of antiretroviral therapy, and adherence to treatment. Research is needed to better understand the multifaceted needs of this population and to develop prevention and treatment strategies applicable to daily clinical care. PMID:16265767

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

2005-10-01

197

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

198

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

199

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

PubMed Central

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

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

2013-01-01

200

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

PubMed Central

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

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

2006-01-01

201

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

2007-06-13

202

Safer Outside: A Qualitative Exploration of Homeless People's Resistance to Homeless Shelters  

Microsoft Academic Search

Unsheltered or “street” homeless are an under-researched subset of the homeless population although they account for 37% of the total number of homeless people. The current study examines the lives of homeless people who reside in camps in the woods of East Orange County, Florida. Data for this study were collected via five focus groups with a total of 39

Amy M. Donley; James D. Wright

2012-01-01

203

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

204

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

ERIC Educational Resources Information Center

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

Seifert, Elli; Stauffer, Carol

205

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

206

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.

207

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

ERIC Educational Resources Information Center

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

Seifert, Elli; Stauffer, Carol

208

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless  

Microsoft Academic Search

One hundred, thirty-four undergraduate students participated in a field experiment designed to examine the effects of extended, prosocial communication with home- less persons, upon attitudes toward the homeless problem, of behavioral inten- tions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in atti- tudes and behavioral intentions

John E. Hocking; Samuel G. Lawrence

2000-01-01

209

Comparison of Homeless Veterans with Other Homeless Men in a Large Clinical Outreach Program  

Microsoft Academic Search

This paper compares homeless veterans with homeless nonveterans from different eras in an effort to better understand the connection between military service and urban homelessness. Two research questions are addressed based on interviews with over 4,000 homeless men who enrolled in a national outreach program for persons suffering from serious mental illness: First, is there anything unique in the social

Richard Tessler; Robert Rosenheck; Gail Gamache

2002-01-01

210

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

211

Providence business uplifts the poor  

Microsoft Academic Search

Amos House is building on expertise acquired while feeding the homeless and providing school lunches. Its More Than A Meal catering division teaches food-service skills to people in need and offers clients professional, market-rate catering.

Linda Watkins

2008-01-01

212

Long-term and chronic homelessness in homeless women and women with children.  

PubMed

The Chronic Homelessness initiative has directed millions of federal dollars to services for single "unaccompanied homeless" individuals, specifically excluding women living with their children. Using a data set with a nationally representative sample of homeless adults, we calculated the prevalence rates and profiles of long-term homelessness in homeless women (n = 849). With the exception of the criterion of being a single "unaccompanied individual," many women, including women with children, met the criteria for chronic homelessness including having a disability of mental health or substance abuse problems. Our findings suggest that the federal definition of chronic homelessness needs to be revised. PMID:20818593

Zlotnick, Cheryl; Tam, Tammy; Bradley, Kimberly

2010-09-01

213

The health of homeless immigrants  

Microsoft Academic Search

Background:This study examined the association between immigrant status and current health in a representative sample of 1189 homeless people in Toronto, Canada.Methods:Multivariate regression analyses were performed to examine the relationship between immigrant status and current health status (assessed using the SF-12) among homeless recent immigrants (?10 years since immigration), non-recent immigrants (>10 years since immigration) and Canadian-born individuals recruited at

S Chiu; D A Redelmeier; G Tolomiczenko; A Kiss; S W Hwang

2009-01-01

214

Homeless Youths and HIV Infection  

Microsoft Academic Search

Risk of human immunodeficiency virus (HIV) infection exacerbates the already difficult lives of 1.5 million homeless adolescents in the United States. Homeless youths engage in sexual and substance-abuse behaviors that place them at increased risk of contracting HIV, and they demonstrate other problem behaviors that reduce their coping responses. Model HIV prevention programs and interventions for HIV-positive youths, implemented for

Mary Jane Rotheram-Borus; Cheryl Koopman; Anke A. Ehrhardt

1991-01-01

215

Correlates of Homeless Episodes among Indigenous People  

PubMed Central

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

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

2011-01-01

216

Healthcare Inspection: Alleged Questionable Surgical Treatment at a VA Health Care System .  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection in response to allegations concerning questionable surgical treatment provided by a specialty service surgeon (surgeon) at a VA Health Care System (the system). Sp...

2013-01-01

217

Healthcare Inspection: Alleged Quality of Care Issues Huntington VA Medical Center Huntington, West Virginia.  

National Technical Information Service (NTIS)

The VA Office of Inspector General (OIG), Office of Healthcare Inspections received allegations regarding quality of care issues provided by a surgeon at the Huntington VA Medical Center (medical center). The allegations concerned infection control issues...

2010-01-01

218

Homelessness and Housing: A Human Tragedy, A Moral Challenge. Hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, One Hundredth Congress, Second Session.  

ERIC Educational Resources Information Center

|Catholic charities and church groups have been actively engaged in providing basic shelter needs for homeless people long before the issue of homelessness came to the national attention. The purpose of this hearing was to allow the U.S. Catholic Conference and its Domestic Policy Committee to present its report, "Homelessness and Housing: A Human…

Congress of the U.S., Washington, DC. House Committee on Banking, Finance and Urban Affairs.

219

Oral health status of homeless people in Hong Kong.  

PubMed

The authors report on an oral health survey among Hong Kong Chinese homeless people. A total of 140 homeless men underwent clinical examination and were interviewed with a structured questionnaire. More than 90% had evidence of caries experience; most (75%) were related to untreated caries. The mean DMFT score was 9.0 (DT = 3.2, MT = 5.2, FT = 0.6). Periodontal disease was highly prevalent, with 96% having periodontal pockets. The dental problems most frequently reported by the homeless were: bleeding gums or drifting teeth (62%), dental pain (52%) and tooth trauma (38%). More than 70% of the study's participants perceived a need for dental care. The population surveyed had poorer oral health compared to the general population. High levels of dental needs, both normative and perceived, were found. There is a need to provide more accessible and affordable oral health services to this group of people. PMID:16927737

Luo, Yan; McGrath, Colman

220

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

221

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

222

Predictors of Homelessness Among Street Living Youth  

Microsoft Academic Search

While few studies have identified predictors of exiting homelessness among adults, even fewer studies have attempted to identify\\u000a these predictors among homeless youth. The current study explored predictors of change in homelessness among 180 homeless\\u000a youth between the ages of 14 and 22, recruited through an urban drop-in center. All youth were assessed at baseline, 3 and\\u000a 6 months. The sample

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

2008-01-01

223

77 FR 70893 - Authorization for Non-VA Medical Services  

Federal Register 2010, 2011, 2012, 2013

...such services due to geographical inaccessibility or are not capable of providing the services needed, ensuring the continuity of care for the patient and the maximization of healthcare resources. VA may use this authority to provide needed...

2012-11-28

224

Supportive housing for homeless people with severe mental illness.  

PubMed

Research suggests that as many as 110,000 single adults with severe mental illness (SMI) are homeless on any given day in the United States. The combination of mental illness and homelessness make this population especially hard to reach through either housing or mental health programs alone. Supportive housing programs, which provide independent housing along with health and social services, hold great promise for this population, but are costly to launch and maintain. This Issue Brief highlights a landmark study that examines the extent to which supportive housing costs are offset by reductions in the use of public services for health, corrections, and shelter. PMID:12528737

Culhane, Dennis P; Metreaux, Stephen; Hadley, Trevor

2002-02-01

225

A systematic review of occupational therapy interventions with homeless people.  

PubMed

ABSTRACT A systematic review of the occupational therapy literature 1990-2008 was undertaken with the aim to assess the quality of evidence that supports the role of occupational therapy with homeless people. Forty articles were initially identified and critically appraised, including 16 research studies. Seven quantitative articles were included in this review and demonstrated the effectiveness of occupational therapy in providing interventions that increase employment and education prospects, money management, coping skills, and leisure activities. The literature suggests that occupational therapy has an appropriate role with people experiencing homelessness. PMID:23898982

Thomas, Yvonne; Gray, Marion; McGinty, Sue

2010-11-08

226

A Transitional Living Program for Homeless Adolescents: A Case Study  

Microsoft Academic Search

Under the Runaway, Homeless, and Missing Children Protection Act in (P.L. 108-96), Congress authorized the Transitional Living\\u000a Program for Older Homeless Youth (TLP). TLP provides grants to community and faith-based non-profit and public organizations\\u000a for longer-term residential supports (up to 18 months) to youth ages 16–21 in order to promote their successful transition\\u000a to adulthood and self-sufficiency (National Network for Youth,

Elissa D. Giffords; Christina Alonso; Richard Bell

2007-01-01

227

Modeling Service Access in a Homeless Population  

Microsoft Academic Search

Previous research has shown use of greater amounts and more types of services to be robustly associated with positive outcomes. However, research has neither adequately explored nor conceptualized the complex interactions among demographics, homelessness, mental illness, and service use. Subjects (N=396) were systematically sampled. Service use was divided into four sectors: homeless amelioration, homeless maintenance, mental health, and chemical dependency

David E. Pollio; Carol S. North; Karin M. Eyrich; Douglas A. Foster; Edward Spitznagel

2003-01-01

228

Counting the homeless in Los Angeles County  

Microsoft Academic Search

Over the past two decades, a variety of methods have been used to count the homeless in large metropolitan areas. In this paper, we report on an effort to count the homeless in Los Angeles County, one that employed the sampling of census tracts. A number of complications are discussed, including\\\\^{E} the need to impute homeless counts to areas of

Richard Berk; Brian Kriegler; Donald Ylvisaker

2008-01-01

229

Education for Homeless Adults: Strategies for Implementation.  

ERIC Educational Resources Information Center

This instructional guide is intended for use by adult education teachers who deal with homeless students either on an occasional or an exclusive basis. An introduction defines homelessness, describes how education can help, and offers a mission statement. The second section focuses on what teachers of the homeless need. It defines categories of…

New York State Education Dept., Albany. Office of Workplace Preparation and Continuing Education.

230

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

231

Policing the homeless: An ethical dilemma  

Microsoft Academic Search

The homeless challenge police to reconsider their social role, the constituency they serve, the alliances they should form, and the activities they should engage in. This paper considers three conceptions of the police role — law enforcement, order maintenance, and social peacekeeping — and indicates how they impinge on treatment of the homeless. The moral challenge posed by the homeless

John Kleinig

1993-01-01

232

The Invisible Homeless: A New Urban Ecology.  

ERIC Educational Resources Information Center

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

Ropers, Richard H.

233

Service Utilization Patterns of Homeless Youth  

Microsoft Academic Search

Few studies exist on the types of characteristics associated with service utilization (e.g., shelters, food programs) among homeless youth in the U.S. Services are important, however, because without food and shelter, numerous homeless youth resort to trading sex in order to meet their daily survival needs. Access to physical and mental health services gives homeless youth more of an opportunity

Sarah L Akinyemi

2010-01-01

234

Smoking characteristics of a homeless population  

Microsoft Academic Search

When addressing tobacco control and smoking cessation measures, the homeless have been perceived as a difficult to reach population. The purpose of this study was to examine the smoking characteristics of a homeless population. Data were derived from a larger study that examined smoking among inner?city residents. Homeless smokers (n = 107) were compared to nonhomeless smokers (n = 491)

James Butler; Kolawole S. Okuyemi; Samuel Jean; Niaman Nazir; Jasjit S. Ahluwalia; Ken Resnicow

2002-01-01

235

Smoking Characteristics of a Homeless Population  

Microsoft Academic Search

When addressing tobacco control and smoking cessation measures, the homeless have been perceived as a difficult to reach population. The purpose of this study was to examine the smoking characteristics of a homeless population. Data were derived from a larger study that examined smoking among inner-city residents. Homeless smokers (n = 107) were compared to nonhomeless smokers (n = 491)

James Butler; Kolawole S. Okuyemi; Samuel Jean; Niaman Nazir; Jasjit S. Ahluwalia; Ken Resnicow

2002-01-01

236

Pushed Out: America's Homeless. Thanksgiving 1987.  

ERIC Educational Resources Information Center

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

National Coalition for the Homeless, Washington, DC.

237

Homelessness and Its Effects on Children.  

ERIC Educational Resources Information Center

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

Hart-Shegos, Ellen

238

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

239

Factors associated with incarceration history among HIV-positive persons experiencing homelessness or imminent risk of homelessness.  

PubMed

Among persons living with HIV/AIDS (PLWHA) experiencing homelessness or imminent risk of homelessness, a history of incarceration may serve as a marker for ongoing risk behavior or health disparities. We examined factors associated with a history of incarceration among HIV-positive clients of housing agencies in Baltimore, Chicago, and Los Angeles (N = 581). We used logistic regression to conduct analyses. Of the 581 participants, 68% (n = 438) reported a history of incarceration: 32% (n = 182) had spent more than 1 year incarcerated. After adjustment for covariates, incarceration history was associated with having ever injected drugs, ever engaged in sex exchange, and ever experienced physical abuse. Incarceration history was also associated with having a detectable HIV viral load, better mental health, and being a biological parent. It was not associated with current risk behavior. Service providers may explore possible increased need for medical support among homeless PLWHA with a history of incarceration. PMID:18581214

Courtenay-Quirk, Cari; Pals, Sherri L; Kidder, Daniel P; Henny, Kirk; Emshoff, James G

2008-12-01

240

Sexual Health Information Seeking Online Among Runaway and Homeless Youth.  

PubMed

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. PMID:22247795

Barman-Adhikari, Anamika; Rice, Eric

2011-06-01

241

Meeting the Educational Needs of Homeless Children and Youth: A Resource for Schools and Communities.  

National Technical Information Service (NTIS)

This publication offers information to help educators, other school personnel, shelter and social services providers, and state and local policymakers to understand better the needs of homeless children and youth and to ensure an appropriate education for...

A. M. Hightower S. P. Nathanson G. L. Wimberly

1997-01-01

242

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

ERIC Educational Resources Information Center

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

Vissing, Yvonne

2003-01-01

243

Sociocultural Factors to Consider When Addressing the Vulnerability of Social Service Users: Insights From Women Experiencing Homelessness  

Microsoft Academic Search

In a study conducted in 2008–2009, 25 employed homeless women in Calgary, Canada, were interviewed to gain a better understanding of their pathways from homelessness. The data analysis uncovered a mix of personal and societal issues to consider and provides a framework for understanding the complexity of sociocultural factors that contribute to the vulnerability of users of services. In combination,

Micheal L. Shier; Marion E. Jones; John R. Graham

2011-01-01

244

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…

Miller, Peter Michael

2011-01-01

245

Aged, Adrift and Alone: Detroit's Elderly Homeless. Final Report to the Detroit Area Agency on Aging, October 1988.  

ERIC Educational Resources Information Center

|The majority of long-term, non-transient homeless people in Detroit, Michigan are elderly. An understanding of the elderly homeless population in terms of demographic characteristics, family relationships, economic and health status, and other factors is a prerequisite to determining appropriate courses of action for those who provide services to…

Douglass, Richard L.; And Others

246

Intervention for homeless and at-risk youth: Assessing youth and staff perspectives on service provision, satisfaction and quality  

Microsoft Academic Search

This study applies a developmental framework to examining service provision within an agency servicing homeless and at-risk youth. Forty-five youth and 30 staff provided quantitative ratings and qualitative description of five core dimensions of service delivery informed by research on youth development within community agencies and studies of service utilization within homeless youth populations; namely, program rules and organization, safety,

Hillary J. Heinze; Debra M. Hernandez Jozefowicz-Simbeni

2009-01-01

247

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

248

Making Meaning of Citizenship: Mental Illness, Forensic Involvement, and Homelessness  

Microsoft Academic Search

Individuals with mental illness, substance use disorders, and criminal justice involvement who experience homelessness are often marginalized and have difficulty achieving community inclusion. A framework of citizenship provides a basis for understanding the components of integration necessary to achieve status as a member of one's community. A citizenship “map” was presented to focus groups of persons with mental illness and

Allison N. Ponce; Ashley Clayton; Jenny Noia; Michael Rowe; Maria J. OConnell

2012-01-01

249

aSister: scheduling for homeless women with special needs  

Microsoft Academic Search

Homeless women need special care and attention especially during pregnancy or while trying to overcome substance abuse. We present a solution to help counselors working with these women. The solution allows the counselor to send text messages, which can be used to remind women of their daily schedule, as well as provide them with health and nutritional information. The system

Kshitij Gupta; Adwait Joshi; Jamie Allison Mcatee; Nigel Savio Vaz

2008-01-01

250

Weathering the Storm: Palliative Care and Elderly Homeless Persons  

Microsoft Academic Search

This article explores some of the issues involved in providing hospice care in the environments of homeless persons. Patients who receive hospice care typically reside in a stable setting, such as a home, nursing facility, or hospital. However, when a terminally ill individual resides in a non-traditional location (i.e., in a shelter, on the street, or in a car), hospice

John G. Cagle

2009-01-01

251

Immigration and Schools: Supporting Success for Undocumented Unaccompanied Homeless Youth  

ERIC Educational Resources Information Center

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

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

2010-01-01

252

Small Is Beautiful: The Library Train for Homeless Children.  

ERIC Educational Resources Information Center

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

Cheunwattana, Aree; Meksawat, Pimol

253

Whose choice, hostels or homes? Policies for single homeless people  

Microsoft Academic Search

A marked increase in the prevalence of homelessness among single people has coincided with a renewed debate concerning the nature of the problem and the most appropriate policy response. The paper provides a brief discussion of these developments before presenting the key findings of a study of the closure of Alvaston Resettlement Unit, near Derby. These findings relate primarily to

Alan Deacon; Jill Vincent; Robert Walker

1995-01-01

254

Recognizing the Needs of the Homeless and the Hungry.  

ERIC Educational Resources Information Center

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

France, Joseph B.

255

Evaluation of an Intervention for Children Experiencing Homelessness  

Microsoft Academic Search

This study evaluated a two-part intervention provided during a summer program for children experiencing homelessness. First, teachers and the mental health team implemented a behavior management system to reinforce positive classroom behaviors. Second, a team of undergraduate and graduate students delivered mental health promotion services during classroom and small group activities. Mothers' and teachers' ratings indicated that the children's emotional

Laura Nabors; Irina Sumajin; Joseph Zins; Dana Rofey; David Berberich; Stephanie Brown; Mark Weist

2003-01-01

256

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

257

Community Problem Solving Around Homelessness: The Social Construction of Consensus  

Microsoft Academic Search

Consensus, a central concept in community development theory and practice, provides the frame of reference for a case study of one city's efforts to cope with homelessness. A conceptual model views consensus as a continuous–as opposed to a dichotomous–phenomenon whose status at any moment is a function of four determinants: (1) the processes employed to achieve consensus, (2) the salience

Bernie Jones

1990-01-01

258

Characteristics of homeless jail inmates: Implications for social work  

Microsoft Academic Search

This study set out to validate the hypothesis (belief) that homeless people were likely to commit minor offenses as solutions to their conditions. Jails, and maybe prisons, would provide three meals a day, a place to sleep, and minimal health care-especially during the winter months. Instead, the data did not support the hypothesis. Contrary to the reported practices of some

Everett Jordan Blakely

1992-01-01

259

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

260

Immigration and Schools: Supporting Success for Undocumented Unaccompanied Homeless Youth  

ERIC Educational Resources Information Center

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

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

2010-01-01

261

Homeless Students' Perceptions of School Counselors: Implications for Practice.  

ERIC Educational Resources Information Center

Youngsters who live in shelters face numerous challenges in school. Some of their experiences are highlighted here, along with an examination of the perceptions that these youth have of school counselors. The paper provides an overview of the impact of homelessness on school-aged youngsters and their families and discusses the results of a…

Daniels, Judy; Pier, Patricia; D'Andrea, Michael

262

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

PubMed Central

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

2012-01-01

263

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

PubMed

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

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

264

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

265

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

266

75 FR 79323 - Health Care for Homeless Veterans Program  

Federal Register 2010, 2011, 2012, 2013

...38 CFR Part 63 RIN 2900-AN73 Health Care for Homeless Veterans Program AGENCY...community-based treatment facilities in the Health Care for Homeless Veterans (HCHV...response to ``RIN 2900-AN73, Health Care for Homeless Veterans...

2010-12-20

267

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

268

Homelessness: a problem for primary care?  

PubMed Central

Homelessness is a social problem that affects all facets of contemporary society. This paper discusses the concept of homelessness in terms of its historical context and the dominance of the pervasive 'victim blaming' ideologies, which, together with the worldwide economic changes that have contributed to a fiscal crisis of the state, and the resultant policies and circumstances, have led to an increase in the number of 'new homeless' people. This paper attempts to challenge the dominant political discourse on homelessness. The widespread healthcare problems and heterogeneity of homeless people have a particular impact on health services, with many homeless people inappropriately accessing local accident and emergency (A&E) departments because of barriers inhibiting adequate access to primary care. A number of primary care schemes have been successfully implemented to enable the homeless to have better access to appropriate care. However, there is no consistency in the level of services around the United Kingdom (UK), and innovations in service are not widespread and by their nature they are ad hoc. Despite the successes of such schemes, many homeless people still access health care inappropriately. Until homeless people are fully integrated into primary care the situation will not change. The question remains, how can appropriate access be established? A start can be made by building on some of the positive work that is already being done in primary care, but in reality general practitioners (GPs) will be 'swimming against the tide' unless a more integrated policy approach is adopted to tackle homelessness.

Riley, Anthony J; Harding, Geoffrey; Underwood, Martin R; Carter, Yvonne H

2003-01-01

269

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

270

Place at the Table: Homeless Veterans and Local Homeless Assistance Planning Networks.  

National Technical Information Service (NTIS)

This guidebook is designed to help organizations serving homeless veterans to participate in homeless assistance program planning networks in their communities and access the resources that are available through these networks. This guide describes how lo...

2002-01-01

271

Adopting Best Practices: Lessons Learned in the Collaborative Initiative to Help End Chronic Homelessness (CICH)  

Microsoft Academic Search

The Collaborative Initiative to Help End Chronic Homelessness (CICH) was established to provide housing and supportive services\\u000a for individuals experiencing chronic homelessness. As part of this initiative, 11 projects across the country received funding\\u000a to apply models of best practices to support their clients in housing. This paper reports on the experiences of the CICH projects\\u000a in their use of

Sarah A. McGraw; Mary Jo Larson; Susan E. Foster; Marilyn Kresky-Wolff; Elizabeth M. Botelho; Emily A. Elstad; Ana Stefancic; Sam Tsemberis

2010-01-01

272

Living on the margins: older homeless adults in Toronto.  

PubMed

A handful of scholars have acknowledged that, along side the traditional homeless, there are now older people who become homeless for the first time in old age. Few researchers, however, have systematically compared the recent older homeless with the chronic or traditional homeless. In the research presented here, we compare recent older homeless with long-term older homeless adults in Toronto according to their health and wealth, their housing history, and their use of health and social services. Findings indicate that people who become homeless for the first time at older ages have needs that are different from the lifetime elderly homeless and require different approaches to intervention. PMID:17804358

McDonald, Lynn; Dergal, Julie; Cleghorn, Laura

2007-01-01

273

Project Employ: engineering hope and breaking down barriers to homelessness.  

PubMed

The homeless population in the US has dramatically increased in the past two decades. People who are homeless often lack skills sets such as stress management and social skills, independent living skills, and skills for vocational and leisure engagement. Best practice vocational education and training programs for individuals who are homeless recognize that success in the worker role often hinges on a person's capacity to manage day-to-day living. Life skills and pre-employment training are essential components of vocational programs but no more important than interpersonal skill development including anger management, developing self esteem and motivation, building goal setting capacity, and skills for money management, personal budgeting and self-advocacy. These areas of performance have all been traditionally included in occupational therapy's domain of practice. This article describes Project Employ, a grant funded supportive employment program that has grown out of collaboration between Duquesne University's Department of Occupational Therapy and Bethlehem Haven, an emergency shelter and residential recovery program and primary service provider for homeless people in Pittsburgh, Pennsylvania. The purpose of this article is to describe the history, structure and outcomes of Project Employ. PMID:16179773

Muñoz, Jaime Phillip; Reichenbach, Diana; Hansen, Anne Marie Witchger

2005-01-01

274

Social Communities and Homelessness: A Broader Concept Analysis of Social Relationships and Homelessness  

Microsoft Academic Search

Pathways to and from homelessness were examined from the perspective of people who were both employed and homeless in Calgary, Alberta. Based on data collected through semi-structured open-end interviews (n = 61) with employed homeless people (N estimated at 2,400), we found that respondents identified aspects of five predominant social relationships that had the greatest impact on their present homeless

Micheal L. Shier; Marion E. Jones; John R. Graham

2011-01-01

275

THE PRIMARY HEALTH CARE SERVICE EXPERIENCES AND NEEDS OF HOMELESS YOUTH: A NARRATIVE SYNTHESIS OF CURRENT EVIDENCE.  

PubMed

Abstract Homeless youth are a growing, vulnerable population with specific primary health care (PHC) requirements. There are no systematic reviews of evidence to guide the delivery of PHC interventions to best address the needs of homeless youth in Australia. We present a narrative synthesis of peer reviewed research designed to determine: 1) the PHC services homeless youth access; 2) experiences of services, reported outcomes and barriers to use; and, 3) the PHC service needs of homeless youth. Findings show that homeless youth access a variety of services and delivery approaches. Increased PHC use is associated with youth who recognise they need help. Street-based clinic linked services and therapy and case management alongside improved housing can positively impact upon mental health and substance use outcomes. Barriers to service use include knowledge; provider attitudes, financial constraints and inappropriate environments. Findings support targeted, co-ordinated networks of PHC and housing services with nurses working alongside community workers. PMID:23066689

Dawson, Angela; Jackson, Debra

2012-10-15

276

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

PubMed

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

Dawson, Angela; Jackson, Debra

2013-04-01

277

Interactional Analysis Of Chronic Male Homelessness: Respondents' Perspective On Homelessness, Substance Abuse, Criminality\\/criminal History And Efficacy Of Homeless Services  

Microsoft Academic Search

This study is an analysis of qualitative interviews of eleven homeless male respondents about homelessness, substance abuse, criminality\\/criminal history, and mental illness in addition to participant observation (ethnography) with homeless persons within the Cass corridor area and the Central Business District in Detroit, Michigan. The respondents responded to a series of questions about their gateway to homelessness, their community\\/environment, the

Anthony David Mcduffie

2010-01-01

278

Interactional analysis of chronic male homelessness: Respondents' perspective on homelessness, substance abuse, criminality\\/criminal history and efficacy of homeless services  

Microsoft Academic Search

This study is an analysis of qualitative interviews of eleven homeless male respondents about homelessness, substance abuse, criminality\\/criminal history, and mental illness in addition to participant observation (ethnography) with homeless persons within the Cass corridor area and the Central Business District in Detroit, Michigan. The respondents responded to a series of questions about their gateway to homelessness, their community\\/environment, the

Anthony D McDuffie

2010-01-01

279

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

280

Macroeconomic Causes of Family Homelessness.  

ERIC Educational Resources Information Center

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

McChesney, Kay Young

281

The Homeless. Opposing Viewpoints Series.  

ERIC Educational Resources Information Center

Books in the Opposing Viewpoints Series present debates about current issues that can be used to teach critical reading and thinking skills. The variety of opinions expressed in this collection of articles and book excerpts explore many aspects of the problem of homelessness. According to a 1994 report by the U..S. Conference of Mayors, the number…

Roleff, Tamara L., Ed.

282

Education Rights of Homeless Students.  

ERIC Educational Resources Information Center

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

Education Law Center, Inc., Newark, NJ.

283

Factors associated with trauma and posttraumatic stress disorder among homeless youth in three U.S. cities: the importance of transience.  

PubMed

Homeless youth experience disproportionately high rates of trauma and posttraumatic stress disorder (PTSD). This study examined correlates of trauma and PTSD among homeless youth with a focus on the impact of homeless culture, substance addiction, and mental health challenges. Homeless youth (N = 146) from Los Angeles, California, Denver, Colorado, and St. Louis, Missouri, were recruited from organizations providing services to homeless youth using comparable methods. Results indicate that 57% of respondents had experienced a traumatic event and 24% met criteria for PTSD. A multinomial logistic regression model revealed greater transience, alcohol addiction, mania, and lower self-efficacy predicted PTSD whereas trauma exposure was associated with alcohol addiction only. Findings have implications for screening and intervening with traumatized homeless youth across service settings. PMID:20146399

Bender, Kimberly; Ferguson, Kristin; Thompson, Sanna; Komlo, Chelsea; Pollio, David

2010-02-01

284

Teen Peer Outreach-Street Work Project: HIV prevention education for runaway and homeless youth.  

PubMed

Each year, there are approximately 2 million homeless and runaway youths in the United States. On any given night, there are 1,000 homeless youngsters living on the streets of San Diego, CA. Homeless young people are commonly involved in one or more of the following activities that place them at risk for HIV infection--unprotected sexual intercourse, needle-sharing in the use of injectable drugs, sex with someone who injects drugs. The Teen Peer Outreach-Street Work Project trains teen peer educators to work in three existing San Diego youth service programs with street outreach staff members to provide HIV prevention education and referral services to San Diego's homeless youth. Selected teens from the target population also participate in street-based case management that provides skill development to bring about behavioral and attitudinal changes. An HIV outreach program cannot stand alone and is most successful if it is integrated with services that meet the basic needs of its clients. In the three participating youth service programs of the Teen Peer Outreach-Street Work Project, food, clothes, and shelter information are provided. There are shelters in two of the three programs that become places where HIV educational messages, delivered on the street, can be reinforced. Immediate and concrete assistance can be offered to homeless youth. Low literacy among the target population presents a significant obstacle to adequate and appropriate HIV prevention education for homeless youth. Currently, education materials that specifically target homeless youth do not exit. The outreach street project is being expanded to develop materials for homeless youth with low literacy levels. Teen peers will be used to facilitate structured focus groups composed of members of the target population. Focus groups will be used in concept development, product development, and evaluation of draft products.Because the project is unique.in San Diego, it addresses an unmet need, reaching a population often missed by traditional HIV education efforts. PMID:8464971

Podschun, G D

285

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

286

38 CFR 61.40 - Special need grants-general.  

Code of Federal Regulations, 2013 CFR

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...provide, for the following special need homeless veteran populations: (1) Women...services directly to a dependent of a homeless veteran with special needs who is...

2013-07-01

287

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

288

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

Microsoft Academic Search

This study examined risk and protective outcomes by comparing homeless sexual minority youths to heterosexual homeless youths regarding family, peer behaviors, school, mental health, stigma, discrimination, substance use, and sexual risk behaviors. Structured interviews (N = 147) were conducted with individuals aged 16 to 24 years old in Toronto. Bivariate analyses indicated statistically significant differences between homeless sexual minorities (n

Maurice N. Gattis

2012-01-01

289

Counting homeless persons with surveys of users of services for the homeless  

Microsoft Academic Search

Because of their comparative economy, the most commonly used methods for counting the homeless focus on users of shelters, food lines, health clinics for the homeless, and other services for the homeless. This paper argues that surveys restricted to shelter users are of limited usefulness, but that joint surveys of food?line, shelter, and clinic users include very substantial proportions of

Franklin J. James

1991-01-01

290

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

291

Making the invisible visible: a Photovoice exploration of homeless women's health and lives in central Auckland.  

PubMed

Women and the concept of homelessness are weakly connected in the international discourses on health and housing. This PhotoVoice study gave a sample of homeless women in central Auckland a camera with which to photograph their lives in order to voice their felt health needs as advocates and agents for positive change. Interviews explored the meanings given to street lives captured in the photographs and reveal threats to the women's mental health and worsening addictions. Their tight-knit, resilient community, including dogs, was seen as 'family' who provide support and protection. The women perceived social services as helping them survive and support their health, but not ending their homelessness. Barriers to them getting and staying off the street included a shortage of affordable, secure housing, which has also tended to become overcrowded. They identified their own leaders who could link with state housing services to implement and evaluate new homelessness programmes, such as Housing First. PMID:21227559

Bukowski, Kate; Buetow, Stephen

2010-12-14

292

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

PubMed

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

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

2005-11-01

293

Distinguishing homelessness from poverty: a comparative study.  

PubMed

To separate the characteristics of the homeless from those of the housed poor, 144 adults were randomly sampled from several sites, yielding 3 groups: the currently homeless (n = 59), the previously (but not currently) homeless (n = 31), and the never-homeless poor (n = 54). The homeless were significantly less likely to be receiving public benefits, were more likely to have a DSM-III (Diagnostic and Statistical Manual of Mental Disorders [3rd ed.; American Psychiatric Association, 1980]) diagnosis of substance abuse, showed higher levels of self-rated psychological distress and were more likely to be victims of recent domestic violence and to have been physically abused as children. The homeless did not differ from the comparison groups on DSM-III diagnosis of severe mental illness (schizophrenia or major affective disorder). physical health symptoms, and social support and social networks. PMID:7751489

Toro, P A; Bellavia, C W; Daeschler, C V; Owens, B J; Wall, D D; Passero, J M; Thomas, D M

1995-04-01

294

Homeless Families with Children: Programmatic Responses of Five Communities. Volume 1. Cross-Site Comparisons and Findings.  

National Technical Information Service (NTIS)

The report describes the efforts of Atlanta, Baltimore, Minneapolis, Boston, and Oakland to provide services for homeless families with children. Site visits focusing on the coordination and comprehensiveness of services provided by these cities showed th...

L. Baughman T. Chapel C. Rutsch

1991-01-01

295

Homeless Families with Children: Programmatic Responses of Five Communities. Volume 2. Site Visit Reports and Program Profiles.  

National Technical Information Service (NTIS)

The report describes the efforts of Atlanta, Baltimore, Minneapolis, Boston, and Oakland to provide services for homeless families with children. Site visits focusing on the coordination and comprehensiveness of services provided by these cities showed th...

L. Baughman T. Chapel C. Rutsch

1991-01-01

296

How “Deserving” Are the Most Vulnerable Homeless?  

Microsoft Academic Search

These thoughts on poverty relate to the strengths and needs of shelter programs that lead people who are homeless to self-sufficiency. Demographic data from 4,000 homeless shelter guests over a 4-year period gave evidence that the shelter was an important part of a suburban social service delivery system. It met the short-term needs of many who were homeless. The irony

Anne Hicks-Coolick; Ardith Peters; Ulf Zimmermann

2007-01-01

297

Survival Strategies of Male Homeless Adolescents  

Microsoft Academic Search

Background: A total of 1.7 million youth are homeless in America and nearly half are lesbian, gay, bisexual, or transgender. The purpose of this study is to investigate survival strategies, anxiety, and self-esteem among male homeless adolescents. Objectives: This study tested two hypotheses: (a) Survival strategies of homeless adolescents differ by sexual orientation\\/gender identity. (b) There is a relationship between

Laura C. Hein

2011-01-01

298

Psychological Help-Seeking in Homeless Adolescents  

Microsoft Academic Search

Background: Homeless young people in the UK are a vulnerable group: their levels of psychological problems, physical ill health and violent victimisation exceed those of their housed counterparts.Aims: This qualitative study aimed to examine homeless young people's views about seeking psychological help for their problems.Method: Semi-structured interviews were undertaken with 16 homeless young people at an emergency hostel. A thematic

Pádraig Collins; Chris Barker

2009-01-01

299

HOMELESSNESS AND CONTAINMENT – A PSYCHOTHERAPY PROJECT WITH HOMELESS PEOPLE AND WORKERS IN THE HOMELESS FIELD  

Microsoft Academic Search

A high percentage of homeless people suffer from a severe degree of personality disorder that causes them to fall through the net of psychiatric and caring services. Their persistent inability to maintain an actual dwelling?place as a location of stability and meaning, is also reflected in an inner state of fragility, and in relationship difficulties that lead to destructive behaviours

June Campbell

2006-01-01

300

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

301

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

PubMed

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

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

2007-12-01

302

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

303

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

304

Healthcare Inspection: Review of a Patient with Pulmonary Embolism Oklahoma City VA Medical Center Oklahoma City, Oklahoma.  

National Technical Information Service (NTIS)

The VA Office of Inspector General (OIG) Office of Healthcare Inspections reviewed allegations of misdiagnosis by providers at the Oklahoma City VA Medical Center, (facility) in Oklahoma City, OK. The purpose of the inspection was to determine if the alle...

2011-01-01

305

Design and validation of the Health Professionals' Attitudes Toward the Homeless Inventory (HPATHI)  

PubMed Central

Background Recent literature has called for humanistic care of patients and for medical schools to begin incorporating humanism into medical education. To assess the attitudes of health-care professionals toward homeless patients and to demonstrate how those attitudes might impact optimal care, we developed and validated a new survey instrument, the Health Professional Attitudes Toward the Homeless Inventory (HPATHI). An instrument that measures providers' attitudes toward the homeless could offer meaningful information for the design and implementation of educational activities that foster more compassionate homeless health care. Our intention was to describe the process of designing and validating the new instrument and to discuss the usefulness of the instrument for assessing the impact of educational experiences that involve working directly with the homeless on the attitudes, interest, and confidence of medical students and other health-care professionals. Methods The study consisted of three phases: identifying items for the instrument; pilot testing the initial instrument with a group of 72 third-year medical students; and modifying and administering the instrument in its revised form to 160 health-care professionals and third-year medical students. The instrument was analyzed for reliability and validity throughout the process. Results A 19-item version of the HPATHI had good internal consistency with a Cronbach's alpha of 0.88 and a test-retest reliability coefficient of 0.69. The HPATHI showed good concurrent validity, and respondents with more than one year of experience with homeless patients scored significantly higher than did those with less experience. Factor analysis yielded three subscales: Personal Advocacy, Social Advocacy, and Cynicism. Conclusions The HPATHI demonstrated strong reliability for the total scale and satisfactory test-retest reliability. Extreme group comparisons suggested that experience with the homeless rather than medical training itself could affect health-care professionals' attitudes toward the homeless. This could have implications for the evaluation of medical school curricula.

Buck, David S; Monteiro, F Marconi; Kneuper, Suzanne; Rochon, Donna; Clark, Dana L; Melillo, Allegra; Volk, Robert J

2005-01-01

306

Assessing trauma, substance abuse, and mental health in a sample of homeless men.  

PubMed

This study examined the impact of physical and sexual trauma on a sample of 239 homeless men. Study participants completed a self-administered survey that collected data on demographics, exposure to psychological trauma, physical health and mental health problems, and substance use or misuse. Binomial logistic regression analyses were used to examine the relative significance of demographic factors and the four types of trauma exposure associated with three outcomes: mental health, substance abuse, and physical health problems. The authors found that trauma history was significantly associated with more mental health problems but was not associated with substance abuse problems for homeless men. This study reinforces service providers' perceptions that because many homeless men experience the long-term, deleterious effects of not only current stressors, but also abuse and victimization that often begin in childhood, homeless men are a subpopulation in need of proactive prevention services that emphasize long-term continuity of care rather than sporadic crisis-based services. Study findings suggest that mentally ill, homeless men need proactive services that address the sequelae of abuse with care that is specialized and distinctly different from care for homeless adults with substance abuse or physical health care issues. PMID:20218452

Kim, Mimi M; Ford, Julian D; Howard, Daniel L; Bradford, Daniel W

2010-02-01

307

Teaching about vulnerable populations: nursing students' experience in a homeless center.  

PubMed

Cultural competence is not limited to ethnicity, religion, or race but is inclusive of vulnerable groups, such as the homeless. The complex health and social issues related to homelessness requires educational instruction that supports students' ability to address and care for the multidimensional elements that surround this group. Exposure to homeless populations provides nursing students with increased awareness of the issues related to health disparities, while promoting introspective reflection on one's values and beliefs. To increase student exposure to working with homeless clients, a service-learning project using a critical social theory (CST) lens was offered at a homeless center. The students' response that clients were "just like" them, coupled with ambiguity regarding the complex social-economic-political issues surrounding the homeless, may indicate a need for further education regarding cultural understanding, sensitivity, and vulnerability. This project demonstrates the need for learning experiences that support advocacy and social responsibility for vulnerable groups. [J Nurs Educ. 2013;52(10):585-588.]. PMID:24040771

Stanley, Mary Jo

2013-09-13

308

A pilot study comparing two developmental screening tools for use with homeless children.  

PubMed

Homelessness and poverty can present serious health issues for children, including those associated with developmental delays. Early identification and intervention may decrease risk associated with delayed development. Parent-completed measures have been used to help screen for children's development, but little is known about how they may enhance early detection with homeless children. The primary aims of this pilot study were to describe growth and developmental characteristics of homeless children and to compare a parent-completed measure with professionally-conducted developmental screening results. A prospective, comparative study was conducted with 20 homeless mothers and their 21 children. Health professionals used the Denver Developmental Screening Test II, identifying nine children with possible language delay. Mothers completed the Ages and Stages Questionnaires and identified three areas of concern: fine motor (n = 9), communication/language (n = 4), and problem solving (n = 4). The percentage agreement between these two tools was strongest in gross motor (95%) and personal social development (95%) but weakest in language development (67%). While it is essential for all children, developmental screening is particularly crucial for homeless children because of increased risks related to poverty and homelessness. Nurses and nurse practitioners are in a unique position to assess applicability of such instruments and to provide critically needed interventions for these children. PMID:20189059

Chiu, Sheau-Huey; DiMarco, Marguerite A

2009-07-18

309

Homeless Lives in New Zealand: the case of central Auckland  

Microsoft Academic Search

Homelessness is a pressing and increasingly visible concern in New Zealand. Many people sleeping rough are male and of Maori or Pacific descent. This research focuses on understanding the nature of resilience through the lived experiences of homeless people. To gain insights into cultures of homelessness, a qualitative case study research design was used to engage six homeless people who

Shiloh Groot; Darrin Hodgetts; Kerry Chamberlain; Alan Radley; Linda Nikora; Ottillie Stolte; Eci Nabalarua

310

Risk Factors for Cardiovascular Disease in Homeless Adults  

Microsoft Academic Search

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

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

2010-01-01

311

No place like home: A study of two homeless shelters  

Microsoft Academic Search

Homelessness is one of the most pressing social problems today. Society has responded to the problem with the creation of homeless shelters. Yet, the nature of the operation of the shelter is not defined. This study explored the operations of two single adult homeless shelters to understand how they operate in addressing the problem of homelessness. The study identified two

Bruce D. Friedman

1994-01-01

312

Homelessness in the United States: An Ecological Perspective  

Microsoft Academic Search

This article presents an ecological perspective on homelessness that emphasizes the context in which homeless people live and the complex interactions between personal, social, economic, and service system resources that affect their well-being. The ecological perspective encourages researchers and program developers to assess the problems of homelessness at multiple levels of analysis, to view homelessness as a result of contextual

Paul A. Toro; Edison J. Trickett; David D. Wall; Deborah A. Salem

1991-01-01

313

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

314

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

ERIC Educational Resources Information Center

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

Vissing, Yvonne M.

315

Medically Uninsured and the Homeless  

Microsoft Academic Search

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

Jennifer Vanderleest

316

Part I, Patient perspective: activating patients to engage their providers in the use of evidence-based medicine: a qualitative evaluation of the VA Project to Implement Diuretics (VAPID)  

Microsoft Academic Search

BACKGROUND: This qualitative evaluation follows a randomized-control trial of a patient activation intervention in which hypertensive patients received a letter in the mail asking them to discuss thiazide diuretics with their provider. Results of the parent study indicated that the intervention was effective at facilitating discussions between patients and providers and enhancing thiazide prescribing rates. In the research presented here,

Stacey A Pilling; Monica B Williams; Rachel Horner Brackett; Ryan Gourley; Mark Weg; Alan J Christensen; Peter J Kaboli; Heather Schacht Reisinger

2010-01-01

317

Use of the Health Care for the Homeless Program Services and Other Health Care Services by Homeless Adults  

Microsoft Academic Search

This study examined factors associated with the use of the Health Care for the Homeless Program and other health care services by homeless adults. A total of 941 homeless adults were identified in 52 soup kitchens in U.S. communities. Descriptive statistics and logistic regression models were applied. Among homeless adults, having dental problems was the most robust factor associated with

Chief Barbara L. Wells; MHS Deputy Chief Amy M. Taylor

2003-01-01

318

Use Of The Health Care For The Homeless Program Services And Other Health Care Services By Homeless Adults  

Microsoft Academic Search

This study examined factors associated with the use of the Health Care for the Homeless Program and other health care services by homeless adults. A total of 941 homeless adults were identified in 52 soup kitchens in U.S. communities. Descriptive statistics and logistic regres- sion models were applied. Among homeless adults, having dental prob- lems was the most robust factor

Beth Han; Barbara L. Wells; Amy M. Taylor

2003-01-01

319

Use of the Health Care for the Homeless Program Services and Other Health Care Services by Homeless Adults  

Microsoft Academic Search

:This study examined factors associated with the use of the Health Care for the Homeless Program and other health care services by homeless adults. A total of 941 homeless adults were identified in 52 soup kitchens in U.S. communities. Descriptive statistics and logistic regression models were applied. Among homeless adults, having dental problems was the most robust factor associated with

Beth Han; Barbara L. Wells; Amy M. Taylor

2003-01-01

320

Pharmaceutical research involving the homeless.  

PubMed

Discussions of research involving vulnerable populations have left the homeless comparatively ignored. Participation by these subjects in drug studies has the potential to be upsetting, inconvenient, or unpleasant. Participation occasionally produces injury, health emergencies, and chronic health problems. Nonetheless, no ethical justification exists for the categorical exclusion of homeless persons from research. The appropriate framework for informed consent for these subjects of pharmaceutical research is not a single event of oral or written consent, but a multi-staged arrangement of disclosure, dialogue, and permission-giving. Payments and other rewards in biomedical research raise issues of whether it is ethical to offer inducements to the homeless in exchange for participation in drug studies. Such inducements can influence desperate persons who are seriously lacking in resources. The key is to strike a balance between a rate of payment high enough that it does not exploit subjects by underpayment and low enough that it does not create an irresistible inducement. This proposal does not underestimate the risks of research, which are often overestimated and need to be appraised in light of the relevant empirical literature. PMID:12461710

Beauchamp, Tom L; Jennings, Bruce; Kinney, Eleanor D; Levine, Robert J

2002-10-01

321

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.

322

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

323

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

324

Food insecurity among homeless and runaway adolescents  

Microsoft Academic Search

Objective: The purpose of this study was to investigate the prevalence of food insecurity and factors related to it among homeless and runaway adolescents. Design: Computer-assisted personal interviews were conducted with homeless and runaway adolescents directly on the streets and in shelters. Setting: Interviews were conducted in eight Midwest cities: Des Moines, Cedar Rapids, Iowa City, Kansas City, Lincoln, Omaha,

Les B. Whitbeck; Xiaojin Chen; Kurt D. Johnson

2006-01-01

325

New Strategies and Collaborations Target Homelessness  

Microsoft Academic Search

Homelessness is back in the news, and is receiving increased attention from policy makers. Some communities have experienced a surge in homelessness, attributed to the slowing of the nation's economy alongside continued strength in metropolitan housing markets. New York City, faced with a record number of families in its shelter system this summer, drew the wrath of advocates when it

Dennis P Culhane

2002-01-01

326

Neuropsychological and Cognitive Performance of Homeless Adults  

Microsoft Academic Search

Many homeless people may have been exposed to events and situations that could potentially produce neuropsychological impairments. In the current study, 80 homeless participants underwent a battery of tests designed to 1) estimate long-standing established memory and intelligence, which was assumed to indicate prehomeless function and 2) measure current memory and intelligence function. Mental health screening and substance misuse data

Graham Pluck; Rajan David; Sean A. Spence; Randolph W. Parks

2012-01-01

327

Art Messaging to Engage Homeless Young Adults  

Microsoft Academic Search

:Background: Art has been shown to be an empowering and engaging entity with numerous benefits to vulnerable populations, including the homeless persons and young adults. However, little is known how homeless young adults perceive the use of art as messages that can communicate the danger of initiating or continuing drug and alcohol use.Objectives: The purpose of this study was to

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

2011-01-01

328

Art Messaging to Engage Homeless Young Adults  

Microsoft Academic Search

Background: Art has been shown to be an empowering and engaging entity with numerous benefits to vulnerable populations, including the homeless persons and young adults. However, little is known how homeless young adults perceive the use of art as messages that can communicate the danger of initiating or continuing drug and alcohol use. Objectives: The purpose of this study was

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

2011-01-01

329

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

330

Healthcare Needs of the Transgender Homeless Population  

Microsoft Academic Search

This is the first of three articles in this issue of The Journal of Gay and Lesbian Mental Health documenting the proceedings of the workshop “The Psychiatric Needs of the Transgender Homeless Population” at the 2009 American Psychiatric Association's Institute on Psychiatric Services Conference in New York City. This article describes some of the healthcare needs of the transgender homeless

Shane S. Spicer

2010-01-01

331

Homeless patients' experience of satisfaction with care  

Microsoft Academic Search

This article explores homeless individuals' experiences of satisfaction with health care, and explores the interrelationship among experiences of being homeless, health perceptions of participants, and experiences of satisfaction with health care. It presents the findings of a phenomenological study that was conducted using participants selected from five sites in one southeastern state. Participant interviews were conducted at a nurse-managed primary

Susan McCabe; Carol L. Macnee; Mary Kay Anderson

2001-01-01

332

Chronically Homeless Women's Perceived Deterrents to Contraception  

Microsoft Academic Search

METHODS: A representative sample of 974 currently homeless women surveyed in Los Angeles County in 1997 includ- ed 229 who were chronically homeless and at risk for unintended pregnancy. The relationships between perceived de- terrents among these women and their frequency of contraceptive use were evaluated using chi-square tests. Logistic regression analyses were performed to identify independent predictors of contraceptive

Lillian Gelberg; Barbara Leake; Michael C. Lu; Ronald Andersen; Hal Morgenstern; Carole Browner

333

Covering the homeless: The Joyce Brown story  

Microsoft Academic Search

This analysis examines how network news makes sense of the homeless. We interpret three conventional news narratives and a 60 Minutes story about Joyce Brown, a homeless woman who, against her will, was institutionalized by the city of New York. We examine then how television news marks boundaries between the marginal and the mainstream, between a major socioeconomic problem demanding

Richard Campbell; Jimmie L. Reeves

1989-01-01

334

Veterans and Homelessness, February 4, 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

335

THEORETICAL MODELS IN THE HOMELESS POPULATION  

Microsoft Academic Search

Ever since the early eighties, the study of homeless people has been addressed from many theoretical viewpoints. The purpose of this work is, first, to carry out a review of the main studies that have addressed the phenomenon of homelessness from an explicit theoretical model; and second, to study in depth one of the theoretical frameworks that has received the

Manuel Muñoz; Carmelo Vázquez; Sonia Panadero; Aida de Vicente

336

Homeless and a Student at School.  

ERIC Educational Resources Information Center

Describes predicaments students may face if their families are temporarily homeless, which can seriously affect their health and education. A study of temporarily homeless Scottish families shows that teachers may be unaware of such situations and the ramifications for student health, school attendance, and school performance. Creative inservice…

Powney, Janet

2001-01-01

337

Happy Birthday! You're Homeless  

Microsoft Academic Search

Homelessness and foster care are inextricably linked. Foster care feeds into homelessness just as Phillips Exeter feeds into Harvard. There is one difference, however; preparing a youth for Harvard is less expensive and better public policy. So why can’t California pull it together? The problem is bigger and more heartbreaking than one might think. California’s policy for foster children seems

Michele Benedetto Neitz; Phil Ladew

2003-01-01

338

VA Police Response to Assaultive Situations.  

National Technical Information Service (NTIS)

The video prepares the Veterans Administration police officers to respond to assaultive, violent, or suspected criminal behavior in patients, employees, or visitors within a VA medical center. The primary audience is VA police officers.

1994-01-01

339

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

340

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

341

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

Microsoft Academic Search

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

Laura Huey; Marianne Quirouette

2010-01-01

342

Adapting a Family-Based HIV Prevention Program for Homeless Youth and Their Families: The HIV Prevention Outreach for Parents and Early Adolescents Family Program  

Microsoft Academic Search

As rates of HIV infection increase in adolescents, it is important to provide prevention programs targeting this population. Homeless adolescents living with their families in shelters are at greater risk of participating in risky sexual behavior and incurring negative health outcomes. A family-based HIV-prevention pilot study was conducted with eight homeless families in a New York City shelter to explore

Taiwanna Messam; Mary M. McKay; Kosta Kalogerogiannis; Stacey Alicea

2010-01-01

343

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

344

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

2013-01-15

345

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

346

Medical respite programs for homeless patients: a systematic review.  

PubMed

Medical respite programs provide care to homeless patients who are too sick to be on the streets or in a traditional shelter, but not sick enough to warrant inpatient hospitalization. They are designed to improve the health of homeless patients while also decreasing costly hospital use. Although there is increasing interest in implementing respite programs, there has been no prior systematic review of their effectiveness. We conducted a comprehensive search for studies of medical respite program outcomes in multiple biomedical and sociological databases, and the grey literature. Thirteen articles met inclusion criteria. The articles were heterogeneous in methods, study quality, inclusion of a comparison group, and outcomes examined. Available evidence showed that medical respite programs reduced future hospital admissions, inpatient days, and hospital readmissions. They also resulted in improved housing outcomes. Results for emergency department use and costs were mixed but promising. Future research utilizing adequate comparison groups is needed. PMID:23728025

Doran, Kelly M; Ragins, Kyle T; Gross, Cary P; Zerger, Suzanne

2013-05-01

347

Describing the homeless mentally ill: cluster analysis results.  

PubMed

Presented descriptive data on a group of homeless, mentally ill individuals (N = 108) served by a two-site demonstration project, funded by NIMH. Comparing results with those from other studies of this population produced some differences and some similarities. Cluster analysis techniques were applied to the data, producing a 4-group solution. Data validating the cluster solution are presented. It is suggested that the cluster results provide a more meaningful and useful method of understanding the descriptive data. Results suggest that while the population of individuals served as homeless and mentally ill is quite heterogeneous, many have well-developed functioning skills--only one cluster, making up 35.2% of the sample, fits the stereotype of the aggressive, psychotic individual with skill deficits in many areas. Further discussion is presented concerning the implications of the cluster analysis results for demonstrating contextual effects and thus better interpreting research results from other studies and assisting in future services planning. PMID:8213647

Mowbray, C T; Bybee, D; Cohen, E

1993-02-01

348

Forget Me Not, 2000. Help Homeless Kids Blossom: Kids' Day on Capitol Hill. Educational Materials.  

ERIC Educational Resources Information Center

This packet presents educational materials to help teachers, students, and parents understand homelessness. Section 1, "America's Homeless Children: Educational Information for Students, Teachers, and Parents," discusses what it is like to be homeless, how many children are homeless, how homelessness is harmful, how children become homeless, and…

Better Homes Fund, Newton, MA.

349

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

350

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

351

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

PubMed Central

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

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

2005-01-01

352

Information Technology: Management Improvements Are Essential to VA's Second Effort to Replace Its Outpatient Scheduling System.  

National Technical Information Service (NTIS)

The Department of Veterans Affairs (VA) provides medical care, disability compensation, and vocational rehabilitation to veterans. The Veterans Health Administration (VHA)--a component of VA--provides care to over 5 million patients in more than 1,500 fac...

2010-01-01

353

The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial  

Microsoft Academic Search

While many studies provide useful information on the risk behaviors in which homeless youth engage, few prior studies evaluate\\u000a Human Immunodeficiency Virus (HIV) risk related reduction strategies. In this study, homeless youth (n = 180) were recruited from a drop-in center and randomly assigned to one of two conditions, either an integrated individual\\u000a cognitive-behavioral treatment and HIV prevention intervention that focused on

Natasha Slesnick; Min Ju Kang

2008-01-01

354

Correlates of depressed mood among young stimulant-using homeless gay and bisexual men.  

PubMed

Homeless gay and bisexual (G/B) men are at risk for suicide attempts and have high risk of depressed mood, defined as elevated level of depressive symptoms. This study describes baseline socio-demographic, cognitive, psychosocial, and health- and drug-related correlates of depressed mood in 267 stimulant-using homeless G/B young men who entered a study designed to reduce drug use. G/B men without social support were 11 times more likely to experience depressed mood than their counterparts who had support; those who reported severe body pain were almost six times more likely to report depressed mood than those without pain. Other factors that increased risk of depressed mood included being homeless in the last four months, injecting drugs, reporting poor or fair health status, and high levels of internalized homophobia. This study is one of the first studies to draw a link between pain experienced and depressed mood in homeless young G/B men. Understanding the correlates of depressed mood among homeless G/B young men can help service providers design more targeted treatment plans and provide more appropriate referrals to ancillary care services. PMID:23017039

Nyamathi, Adeline; Branson, Catherine; Idemundia, Faith; Reback, Cathy; Shoptaw, Steven; Marfisee, Mary; Keenan, Colleen; Khalilifard, Farinaz; Liu, Yihang; Yadav, Kartik

2012-10-01

355

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

PubMed

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

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

2009-03-12

356

Health care for the homeless: a partnership between a city and a school of nursing.  

PubMed

Although there is extant research on the homeless, less is available suggesting an innovative community partnership such as Project HOPE. This partnership provided baccalaureate nursing students with greater understanding of underserved populations and health care delivery systems, and encouraged their future work with marginalized populations upon graduation. Students collected descriptive information on the homeless population. Correlations were found among site placement: age, clothing and supplies given, wound care, referrals given, assessments, and season of the year. Student evaluations revealed paradigm shifts in attitudes and inspired advocacy toward this population. Through the descriptive information and qualitative comments, we gained insight on demographics, conditions observed, and interventions offered, which provided direction for quality improvement in curriculum design for the Community Health Nursing course, direction for future student groups working in shelters and with street outreach workers, and information useful to strengthening partnerships with local organizations working with the homeless population. PMID:20954573

Pennington, Karen; Coast, Mary Jo; Kroh, Maura

2010-09-30

357

Confrontations and donations: encounters between homeless pet owners and the public.  

PubMed

This study examines the interactions between homeless pet owners and the domiciled public with a focus on how the activities of pet ownership help construct positive personal identities. Homeless people are often criticized for having pets. They counter these attacks using open and contained responses to stigmatization. More often, they redefine pet ownership to incorporate how they provide for their animals, challenging definitions that require a physical home. Homeless pet owners thus create a positive moral identity by emphasizing that they feed their animals first and give them freedom that the pets of the domiciled lack. Through what we call “enabled resistance,” donations of pet food from the supportive public provide the resources to minimize the impact of stigmatization. PMID:22329059

Irvine, Leslie; Kahl, Kristina N; Smith, Jesse M

2012-01-01

358

78 FR 42455 - Medications Prescribed by Non-VA Providers  

Federal Register 2010, 2011, 2012, 2013

...Spanish-American War, the Mexican border period, World War I, World War II, the Korean conflict, the Vietnam era, the Persian Gulf War, and the period beginning on the date of any future declaration of war by the Congress and ending on the date...

2013-07-16

359

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

PubMed Central

Background Research on interventions to positively impact health and housing status of people who are homeless has received substantially increased attention over the past 5 years. This rapid review examines recent evidence regarding interventions that have been shown to improve the health of homeless people, with particular focus on the effect of these interventions on housing status. Methods A total of 1,546 articles were identified by a structured search of five electronic databases, a hand search of grey literature and relevant journals, and contact with experts. Two reviewers independently screened the first 10% of titles and abstracts for relevance. Inter-rater reliability was high and as a result only one reviewer screened the remaining titles and abstracts. Articles were included if they were published between January 2004 and December 2009 and examined the effectiveness of an intervention to improve the health or healthcare utilization of people who were homeless, marginally housed, or at risk of homelessness. Two reviewers independently scored all relevant articles for quality. Results Eighty-four relevant studies were identified; none were of strong quality while ten were rated of moderate quality. For homeless people with mental illness, provision of housing upon hospital discharge was effective in improving sustained housing. For homeless people with substance abuse issues or concurrent disorders, provision of housing was associated with decreased substance use, relapses from periods of substance abstinence, and health services utilization, and increased housing tenure. Abstinent dependent housing was more effective in supporting housing status, substance abstinence, and improved psychiatric outcomes than non-abstinence dependent housing or no housing. Provision of housing also improved health outcomes among homeless populations with HIV. Health promotion programs can decrease risk behaviours among homeless populations. Conclusions These studies provide important new evidence regarding interventions to improve health, housing status, and access to healthcare for homeless populations. The additional studies included in this current review provide further support for earlier evidence which found that coordinated treatment programs for homeless persons with concurrent mental illness and substance misuse issues usually result in better health and access to healthcare than usual care. This review also provides a synthesis of existing evidence regarding interventions that specifically support homeless populations with HIV.

2011-01-01

360

Management of mental disorders in VA primary care practices.  

PubMed

The association between facility-level organizational features and management of mental health services was assessed based on a survey of directors from 219 VA primary care facilities. Overall, 26.4% of VA primary care facilities referred patients with depression, while 72.6% and 46.1% referred patients with serious mental illness and substance use disorders, respectively Staffing mix (i.e., physician extenders such as nurse practitioners) was associated with a lesser likelihood of mental health referral. Managed care (preauthorization requirement) was associated with a greater likelihood of referral for depression. VA primary care programs, while tending to refer for more serious mental illnesses, may also be using mental health specialists and physician extenders to provide mental health care within general medical settings. PMID:16477518

Kilbourne, Amy M; Pincus, Harold Alan; Schutte, Kathleen; Kirchner, Joann E; Haas, Gretchen L; Yano, Elizabeth M

2006-03-01

361

34 CFR 300.19 - Homeless children.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Homeless children. 300.19 Section 300.19 Education Regulations of the Offices...REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES...

2013-07-01

362

Correlates of Depressed Mood among Young Stimulant-Using Homeless Gay and Bisexual Men  

PubMed Central

Homeless gay and bisexual (G/B) men are at risk for reporting suicide attempts and have high risk of depressed mood, defined as elevated level of depressive symptoms. This study describes baseline socio-demographic, cognitive, psychosocial and health- and drug-related correlates of depressed mood in 267 stimulant-using homeless G/B young men who entered a study designed to reduce drug use. G/B men without social support were 11 times more likely to be experience depressed mood than their counterparts who had support while persons who reported severe body pain were almost 6 times more likely to report depressed mood than those without pain. Other factors that increased risk of depressed mood included being homeless in the last four months, injecting drugs, reporting poor or fair health status and high levels of internalized homophobia. This study is one of the first to draw a link between pain experienced and depressed mood in homeless young G/B men. Understanding the correlates of depressed mood among homeless G/B young men can help service providers design more targeted treatment plans and more appropriate referrals to ancillary care services.

Nyamathi, Adeline; Branson, Catherine M.; Idemundia, Faith E.; Reback, Cathy J.; Shoptaw, Steve; Marfisee, Mary; Keenan, Colleen; Khalilifard, Farinaz; Liu, Yihang; Yadav, Kartik

2013-01-01

363

Comparisons of Prevention Programs for Homeless Youth  

Microsoft Academic Search

There are six HIV prevention programs for homeless youth whose efficacy has been or is currently being evaluated: STRIVE,\\u000a the Community Reinforcement Approach, Strengths-Based Case Management, Ecologically-Based Family Therapy, Street Smart, and\\u000a AESOP (street outreach access to resources). Programs vary in their underlying framework and theoretical models for understanding\\u000a homelessness. All programs presume that the youths’ families lack the ability

Elizabeth Mayfield Arnold; Mary Jane Rotheram-Borus

2009-01-01

364

How can health services effectively meet the health needs of homeless people?  

PubMed Central

Background Homelessness affects many people in contemporary society with consequences for individuals and the wider community. Homeless people experience poorer levels of general physical and mental health than the general population and there is a substantial international evidence base which documents multiple morbidity. Despite this, they often have problems in obtaining suitable health care. Aim To critically examine the international literature pertaining to the health care of homeless people and discuss the effectiveness of treatment interventions. Design of study Review and synthesis of current evidence. Method Medline (1966–2003), EMBASE (1980–2003), PsycINFO (1985–2003), CINAHL (1982–2003), Web of Science (1981–2003) and the Cochrane Library (Evidence Based Health) databases were reviewed using key terms relating to homelessness, intervention studies, drug misuse, alcohol misuse and mental health. The review was not limited to publications in English. It included searching the internet using key terms, and grey literature was also accessed through discussion with experts. Results Internationally, there are differing models and services aimed at providing health care for homeless people. Effective interventions for drug dependence include adequate oral opiate maintenance therapy, hepatitis A, B and tetanus immunisation, safer injecting advice and access to needle exchange programmes. There is emerging evidence for the effectiveness of supervised injecting rooms for homeless injecting drug users and for the peer distribution of take home naloxone in reducing drug-related deaths. There is some evidence that assertive outreach programmes for those with mental ill health, supportive programmes to aid those with motivation to address alcohol dependence and informal programmes to promote sexual health can lead to lasting health gain. Conclusions As multiple morbidity is common among homeless people, accessible and available primary health care is a pre-requisite for effective health interventions. This requires addressing barriers to provision and multi-agency working so that homeless people can access the full range of health and social care services. There are examples of best practice in the treatment and retention of homeless people in health and social care and such models can inform future provision.

Wright, Nat MJ; Tompkins, Charlotte NE

2006-01-01

365

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

366

Employment Difficulties Experienced by Employed Homeless People: Labor Market Factors That Contribute to and Maintain Homelessness  

Microsoft Academic Search

Labor market issues and challenges are primarily understood at an individual level, entrenched socially in policies and initiatives that seek to improve the workplace skills of people having difficulty attaching to the labor market, including people experiencing homelessness. In fact, the labor market is perceived to alleviate a person's situation of homelessness. In 2008 and 2009 qualitative data was collected

Micheal L. Shier; Marion E. Jones; John R. Graham

2012-01-01

367

Homeless Women, Parents, and Children: A Triangulation Approach Analyzing Factors Influencing Homelessness and Child Separation  

Microsoft Academic Search

Many homeless women become separated from their children. The purpose of this study is to determine the predictors of entering a shelter with or without children and predictors of being separated from one or more children. Further, the authors also seek to understand the unique experience of homeless mothers separated from children. Findings suggest that women with mental illnesses and

Hilary M. Dotson

2011-01-01

368

2- Changing Homeless and Mainstream Service Systems: Essential Approaches to Ending Homelessness  

Microsoft Academic Search

Martha Burt and Brooke Spellman focus on how federal policy and state and local action have stimulated the development of homeless assistance networks and how those networks are evolving to address ending homelessness. While little formal research has been done on this subject, the authors present frameworks for assessing system change as well as describe promising practices from the field.

Martha R. Burt; Brooke E. Spellman

369

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

370

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

371

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

372

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

373

Geropsychology Training in a VA Nursing Home Setting  

Microsoft Academic Search

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 training objectives for Interns and Fellows include: increased exposure and interest in nursing home

Michele J. Karel; Jennifer Moye

2005-01-01

374

The mission of the Opportunity Center is to promote human dignity both by providing for very basic needs of persons in our community, and by offering them the opportunity to find housing and a stable life. The center serves the entire community as it responds to the problem of homelessness and poverty, which affects everyone  

Microsoft Academic Search

have supported this project because I'm concerned with the way our community treats those who are homeless and in need. I think it's an extreme- ly important project, and I hope other members of the community will offer their support also,\\

Susan Packard Orr

2003-01-01

375

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.

376

Title I and Homelessness  

ERIC Educational Resources Information Center

Title I, Part A, of the No Child Left Behind Act (NCLB) provides financial assistance through State Educational Agencies (SEAs) to Local Educational Agencies (LEAs or school districts) and public schools with high numbers or percentages of disadvantaged children to help ensure that all children meet challenging state academic content and student…

National Center for Homeless Education at SERVE, 2006

2006-01-01

377

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

378

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. 578.57 Section 578.57 Housing...Components and Eligible Costs § 578.57 Homeless Management Information System. (a) Eligible costs....

2013-04-01

379

Job Training for the Homeless: Report on Demonstration's First Year.  

National Technical Information Service (NTIS)

Job training and support services for homeless individuals served by the Job Training for the Homeless Demonstration Program exceeded planned levels of participants served, trained, and placed, according to the report. Almost 50 percent more than planned,...

L. N. Bailis M. Blasinsky S. Chesnutt M. Tecco

1991-01-01

380

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…

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

2009-01-01

381

VA Long-Term Care: Oversight of Community Nursing Homes Needs Strengthening.  

National Technical Information Service (NTIS)

In fiscal year 2000, the Department of Veterans Affairs (VA) spent about $1.9 billion--or about 10 percent of its health care budget--to provide nursing home care to veterans. VA is likely to see an increase in demand for nursing home care over the next d...

2001-01-01

382

Changes in Spending on Chronic Conditions in the VA Health Care System 2000-2008  

Microsoft Academic Search

Objective: The Veterans Affairs health care system treated 5.2 million patients in 2008, a rapid expansion from the 3.6 million patients treated in 2000. With the influx of patients, we look at how VA spending changed for major chronic conditions between 2000 and 2008. Methods: All patients receiving care from a VA provider were identified from inpatient, outpatient, and pharmacy

Jean Yoon; Jennifer Yang; Todd Wagner; Ciaran Phibbs

2010-01-01

383

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

PubMed

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

Gattis, Maurice N

2013-01-01

384

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

385

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

386

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

387

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

388

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

PubMed Central

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

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

1999-01-01

389

Local metropolitan government responses to homelessness in South Africa  

Microsoft Academic Search

This article examines metropolitan government responses to homelessness in South Africa, including the context of responses, preparedness to respond, factors influencing responses, shelter locations, and homeless persons' views. Whereas the literature emphasises the need for spatial or physical interventions, this research, using multiple case studies, found that three out of four metropolitan municipalities viewed homelessness primarily as a social dependency

Jacques Louis du Toit

2010-01-01

390

A trip to the library: homelessness and social inclusion  

Microsoft Academic Search

This article explores homeless men's visits to a public library. It shows how homeless men identified the library as a space for safety and social participation, at a time when the regional newspaper published an item questioning the appropriateness of their presence in the library. The news report promotes universal narratives that would exclude homeless people, showing the intimate relationship

Darrin Hodgetts; Ottilie Stolte; Kerry Chamberlain; Alan Radley; Linda Nikora; Eci Nabalarua; Shiloh Groot

2008-01-01

391

Images of the homeless: Public views and media messages  

Microsoft Academic Search

Despite its potential policy relevance, public opinion about homelessness has received little attention from researchers. This deficiency is addressed here by bringing together data obtained in four recent surveys. The survey results indicate that many Americans accurately perceive the characteristics of homeless people, consider homelessness a serious problem with structural roots, and support a variety of measures intended to solve

Barrett A. Lee; Bruce G. Link; Paul A. Toro

1991-01-01

392

Landscapes on the Margins: Gender and homelessness in Canada  

Microsoft Academic Search

This introductory article examines the issue of gendered homelessness and asks why so little academic feminist writing addresses this theme. The article begins with reference to a feminist novel—The Longings of Women by Marge Piercy—that does tackle this matter. The invisibility of the novel's homeless character is used as a way of introducing some distinctions between women's and men's homelessness.

FRAN KLODAWSKY

2006-01-01

393

Understanding Dignity in the Lives of Homeless Persons  

Microsoft Academic Search

The current investigation is a planned, systematic study of dignity as critical to understanding the experience of homelessness and improving services and programs for the homeless. Specifically, we conducted a thematic content analysis of interviews with 24 homeless men and women to identify their perception of specific environmental events that validate and invalidate dignity. In addition, we explored the impact

Alison B. Miller; Christopher B. Keys

2001-01-01

394

Psychosocial Problems Associated With Homelessness in Sexual Minority Youths  

Microsoft Academic Search

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

Maurice N. Gattis

2009-01-01

395

Homeless Children in America: Challenges for the 1990s.  

ERIC Educational Resources Information Center

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

Rafferty, Yvonne

396

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…

Lovell, Phillip; DeBaun, Bill

2012-01-01

397

Homeless Adolescents in the United States: An Overview for Pediatricians  

Microsoft Academic Search

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

Dilip R. Patel; Donald E. Greydanus

2002-01-01

398

Homeless Young Adults and Behavioral HealthAn Overview  

Microsoft Academic Search

Young adults (ages 18-24) are especially vulnerable to homelessness in the United States, and those experiencing homelessness exhibit high prevalence for many kinds of abuse and negative health outcomes. This article reviews common behavioral health issues facing homeless youth and assesses collective wisdom on effective treatments and services for this vulnerable population. On the whole, the research remains focused on

Suzanne Zerger; Aaron J. Strehlow; Adi V. Gundlapalli

2008-01-01

399

Survey of Needs: Single Homeless Men. Denver Metro Area, 1993.  

ERIC Educational Resources Information Center

|The Adult Learning Source Homeless Program of the Colorado Department of Education conducted an educational needs assessment of single homeless men in the Denver metropolitan area. A questionnaire was developed with the input of social services workers and administered to 74 homeless men in the summer of 1993. Forty-one percent were White, 24…

Colorado State Dept. of Education, Denver.

400

Housing, Homelessness, and Mental Health in Great Britain  

Microsoft Academic Search

This article introduces new initiatives in homelessness legislation, in funding resettlement support, and in health services for different homeless populations (i.e., single, youth, and family homeless) and discusses the different rates of mental illness among these populations in Great Britain. It reviews studies that indicate the strong role played by permanent resettlement in reducing rates of neurosis among all three

Joan Smith

2005-01-01

401

How Can Schools Help Children from Homeless Families?  

ERIC Educational Resources Information Center

School districts must address health and academic challenges homeless children bring to school by forming community-based task forces, helping homeless shelters address families' needs, increasing staff awareness, and developing strategies to encourage homeless children's academic success. The paper notes opportunities for staff involvement and…

Wiley, David C.; Ballard, Danny J.

1993-01-01

402

School Help for Homeless Children with Disabilities: Information for Parents  

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2007

2007-01-01

403

Factors limiting evaluation of health care programs for the homeless  

Microsoft Academic Search

With the current emphasis on health care cost containment, efforts to evaluate effectiveness, efficiency, and appropriateness of care have become increasingly important to the viability of programs for the homeless. A survey of 93 administrators of health care programs for the homeless has helped identify key information needed to evaluate homeless programs, along with actual and potential barriers to data

Juanita K. Hunter; Frances Crosby; Marlene R. Ventura; Lora Warkentin

1997-01-01

404

Housing Histories and Homeless Careers: A Biographical Approach  

Microsoft Academic Search

Though distinctions are commonly drawn between the long-term and more recently homeless, our understanding as to the nature and shape of what Randall refers to as 'homeless careers' is limited as are our understandings of the dynamics driving those careers. This is because studies of homelessness have seldom incorporated a longitudinal dimension or have worked with only a simplistic and

Jon May

2000-01-01

405

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

Microsoft Academic Search

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

Allison Tadros Gary Oates; MPA MSW Stephen M. Davis

2009-01-01

406

The Quality of VA Mental Health Services  

Microsoft Academic Search

This study examines whether male and female veterans differ on either subjective or objective measures of the quality of VA mental health care. The study sample were all discharged with a psychiatric diagnosis from a VA inpatient mental health program. Results indicate that women were less satisfied with inpatient care, but were mixed on their satisfaction with overall mental health

Rani A. Hoff; Robert A. Rosenheck; Mark Materko; Nancy J. Wilson

1998-01-01

407

38 CFR 21.33 - VA has a duty to assist claimants in obtaining evidence.  

Code of Federal Regulations, 2013 CFR

...providing assistance in obtaining evidence include but are not limited to...providing or requesting information or evidence necessary to substantiate the...that VA will decide the claim based on the evidence of record unless the...

2013-07-01

408

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

ERIC Educational Resources Information Center

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

Institute for Children and Poverty, New York, NY.

409

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

410

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

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2007

2007-01-01

411

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

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2007

2007-01-01

412

The Changing Structure of the Homeless Population in Cork City: Implications for Theories of Homelessness and Service Provision  

Microsoft Academic Search

The last two decades have seen extensive reform of policy on homelessness in Ireland, but these changes have not been underpinned by any extensive research which would shed light on the causes of homelessness and help in the design of settlement services. This article, which describes the results of the first detailed survey of the homeless population of Cork city,

Michelle Norris; Noreen Kearns

2000-01-01

413

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

PubMed

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

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

2012-01-01

414

Risk factors for first-time homelessness in low-income women.  

PubMed

Determinants of first-time homelessness were evaluated in Sacramento, California and Lehigh Valley, Pennsylvania. First-time homeless women had more cumulative risks for homelessness than low-income never-homeless women, even with the putative advantage of higher levels of education. Solutions to homelessness should address more than one dimension of risk. PMID:17352581

Lehmann, Erika R; Kass, Philip H; Drake, Christiana M; Nichols, Sara B

2007-01-01

415

A Qualitative Examination of Masculinity, Homelessness, and Social Class Among Men in a Transitional Shelter  

Microsoft Academic Search

This study explored the intersection and meaning of homelessness, masculinity, and social class among 15 men who are homeless. Using Consensual Qualitative Research Methodology (Hill, Thompson, & Williams, 1997), three major domains arose from the data: The Homeless Experience, Perceptions of Men and Masculinity, and Changing Social Status. Participants described (a) gaining empathy for the homeless after they became homeless;

William Ming Liu; Ren Stinson; Jovan Hernandez; Samuel Shepard; Sarah Haag

2009-01-01

416

Between Poverty and a Lifestyle: The Leisure Activities of Homeless People in Las Vegas  

Microsoft Academic Search

Housed people judge homeless people, and in particular their leisure activities, as indicators of whether that person has chosen a “homeless lifestyle” and therefore deserves homelessness. To achieve a more complex understanding of contemporary homelessness, the author conducted ethnographic fieldwork over ten months in Las Vegas, Nevada, interviewing and participant observing dozens of homeless men and women, including observations of

Kurt Borchard

2010-01-01

417

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

ERIC Educational Resources Information Center

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

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

418

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

419

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

ERIC Educational Resources Information Center

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

Toro, Paul A.

2006-01-01

420

No Place Like Home: Building a Better Collection for Homeless and Impoverished  

Microsoft Academic Search

Economic factors over the past several years have consigned an ever-increasing number of children to homelessness and poverty while changing political and social attitudes have even further marginalized this growing demographic. The library is one place where these children can seek out authentic and compassionate portrayals of people like themselves, provided their library has these titles in its collection. This

Kim Becnel; Jon C. Pope

2012-01-01

421

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

422

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

423

Health Educators' Perceptions of a Sexual Health Intervention for Homeless Adolescents  

PubMed Central

Objective The purpose of this qualitative descriptive study was to explore the perceptions and experiences of health educators in providing a brief, street-based intervention to homeless adolescents. Method Qualitative data were collected via e-mail from a purposive sample of 13 male and female health educators who provided the intervention and analyzed using manifest and latent content analysis techniques. Results Five categories with two or more subcategories were identified in the data and included how the educators' views changed, how they felt homeless youth were similar to and different from other adolescents, positive aspects and challenges of providing the intervention, and suggestions for future interventionists working with this population. Conclusions The health educators' practice was strengthened over the course of providing the intervention through their positive experiences, changes in their perceptions, some of which were biased, and ability to confront the challenges that accompany working with this vulnerable population. Practice Implications Health educators who work with this population should learn about the culture of homeless youth and characteristics of homeless youth that may influence their participation in a sexual health intervention. Moreover, they need to be non-judgmental, practice the intervention, be aware of their biases, and remain flexible.

Rew, Lynn; Rochlen, Aaron B.; Murphey, Christina

2008-01-01

424

Exploring ethos? Discourses of 'charity' in the provision of emergency services for homeless people  

Microsoft Academic Search

This paper examines the ethos of organisations providing emergency services for homeless people in Britain. Drawing on extensive surveys of nonstatutory organisations we present a discourse analysis of statements of 'mission', 'values', and 'ethics', arguing that, although care needs to be exercised in translating organisational ethos into likely practices of care, these overarching messages of ethos are significant waymarkers in

Paul Cloke; Sarah Johnsen; Jon May

2005-01-01

425

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

ERIC Educational Resources Information Center

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

Pires, Sheila A.; Silber, Judith Tolmach

426

Reaching homeless youths for Chlamydia trachomatis and Neisseria gonorrhoeae screening in Denver, Colorado  

Microsoft Academic Search

Background and rationale: The availability of urine based testing for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) provides a unique opportunity to screen for these pathogens outside traditional clinical settings. The researchers investigated the feasibility of street based CT\\/GC screen- ing in the context of an outreach programme among street\\/homeless adolescents in Denver. Objectives: To describe the integration of urine

J M Van Leeuwen; T LeRoux; R White; J Petersen

2002-01-01

427

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

428

The hunger-obesity paradox: obesity in the homeless.  

PubMed

Despite stereotypes of the homeless population as underweight, the literature lacks a rigorous analysis of weight status in homeless adults. The purpose of this study is to present the body mass index (BMI) distribution in a large adult homeless population and to compare this distribution to the non-homeless population in the United States. Demographic, BMI, and socioeconomic variables from patients seen in 2007-2008 were collected from the Boston Health Care for the Homeless Program (BHCHP). This population was compared to non-homeless adults from the National Health and Nutrition Examination Survey (NHANES). Among 5,632 homeless adults, the mean BMI was 28.4 kg/m(2) and the prevalence of obesity was 32.3 %. Only 1.6 % of homeless adults were underweight. Compared to mean BMI in NHANES (28.6 kg/m(2)), the difference was not significant in unadjusted analysis (p = 0.14). Adjusted analyses predicting BMI or likelihood of obesity also showed that the homeless had a weight distribution not statistically different from the general population. Although underweight has been traditionally associated with homelessness, this study suggests that obesity may be the new malnutrition of the homeless in the United States. PMID:22644329

Koh, Katherine A; Hoy, Jessica S; O'Connell, James J; Montgomery, Paul

2012-12-01

429

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

430

Social networks and homelessness among women heads of household.  

PubMed

To examine possible bidirectional relationships between homelessness and deficient social networks, we compared the networks of 251 mothers before, and approximately 5 years after, their families entered shelters with networks of 291 consistently housed poor mothers. At Time 1, more women on the verge of homelessness than housed women reported that they had mothers, grandmothers, friends, and relatives but fewer believed these network members were housing resources. At Time 2, after homeless women were rehoused, these network differences between consistently housed and formerly homeless women had largely disappeared. Contrary to prior research findings, formerly homeless mothers did not report smaller networks, more children or fewer partners. However, formerly homeless women did report fewer positive functions. Because of city policies, homeless mothers were frequently rehoused far from network members. PMID:15055751

Toohey, Siobhan M; Shinn, Marybeth; Weitzman, Beth C

2004-03-01

431

Homelessness, mental illness, and criminal activity: examining patterns over time.  

PubMed

This study examined whether street homelessness, sheltered homelessness, and the severity of psychological symptoms predicted non-violent and violent crime among 207 mentally ill participants who were homeless at baseline. Participants were interviewed at 9 time points over 4 years. Hierarchical linear modeling (HLM) was used to examine whether changes in homelessness status and symptom severity predicted changes in criminal activity over time. Results indicated that homelessness both on the streets and in shelters and psychological symptom severity predicted increases in non-violent crime. Sheltered homelessness and symptom severity predicted increases in violent crime, although street homelessness did not. A separate mediational analysis with 181 participants showed that the relationship between diagnosis of a psychotic disorder and both non-violent and violent criminal activity was partially mediated through the severity of psychotic symptoms. Implications for research and intervention are discussed. PMID:18956238

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

2008-12-01

432

Correlates of service utilization among homeless youth  

PubMed Central

Though few studies exist on service utilization among homeless youth in the U.S., services are important because without them, many of these young people may resort to delinquent strategies in order to meet their daily survival needs. The current study examines frequency and correlates of service utilization (i.e., shelters, food programs, street outreach, counseling, STI and HIV testing) among a sample of 249 homeless youth ages 14 to 21. Multivariate analysis revealed significant differences in service usage by sex, age, and sexual orientation. Experiencing family physical and/or sexual abuse, being kicked out of the family home, spending more nights per week sleeping on the street, and having ever stayed in a group home facility were significant correlates of homeless youths’ service usage.

Tyler, Kimberly A.; Akinyemi, Sarah L.; Kort-Butler, Lisa A.

2013-01-01

433

Discharge planning strategies for acutely homeless inpatients.  

PubMed

Medical and psychiatric inpatients who become unexpectedly homeless during the course of the hospital stay present an extremely complex and time-consuming challenge to social work staff. The sudden shift from domiciled to undomiciled status creates a crisis for both the patient and the institution. Unanticipated homelessness among inpatients is usually associated with multiple high-risk factors which contribute to the rejection of such patients by numerous community facilities and services. Social workers are under pressure to both effect a timely and safe discharge when acute care ends, and to avoid placing such persons in the shelter system where follow-up care is nonexistent or inadequate. This paper reviews characteristics of persons who become acutely homeless during a hospital admission and suggests approaches which may be used to identify and prevent this perplexing syndrome. PMID:2781442

Christ, W R; Hayden, S L

1989-01-01

434

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

435

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

2008-03-27

436

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

PubMed

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

Eyrich-Garg, Karin M

2010-05-01

437

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

Federal Register 2010, 2011, 2012, 2013

...Veterans Affairs (VA) Real Property at the VA Connecticut Healthcare System, Newington Campus AGENCY: Department of Veterans...include renovating an existing building at the VA Connecticut Healthcare System, Newington campus. The selected lessee will...

2011-10-03

438

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

439

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

440

Medicaid expansion initiative in massachusetts: enrollment among substance-abusing homeless adults.  

PubMed

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 0Episode 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. PMID:24028262

Zur, Julia; Mojtabai, Ramin

2013-09-12

441

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

PubMed Central

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

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

2010-01-01

442

VA Life Insurance: Premiums and Program Reserves Need More Timely Adjustments.  

National Technical Information Service (NTIS)

The Department of Veterans Affairs (VA) manages eight life insurance programs that provide about $400 billion in insurance coverage for military personnel and veterans. The largest of these programs, Servicemen's Group iMe Insurance (sGu), is administered...

1992-01-01

443

38 CFR 21.1032 - VA has a duty to assist claimants in obtaining evidence.  

Code of Federal Regulations, 2013 CFR

...obtaining evidence for a claim if the evidence obtained indicates that there...providing assistance in obtaining evidence include, but are not limited...that VA will decide the claim based on the evidence of record unless the...

2013-07-01

444

VA Health Care: Many Medical Facilities Have Challenges in Recruiting and Retaining Nurse Anesthetists.  

National Technical Information Service (NTIS)

Certified registered nurse anesthetists (CRNA), registered nurses who have completed a master's degree program in nurse anesthesia, provide the majority of anesthesia care veterans receive in VA medical facilities. While the demand for CRNAs is anticipate...

2007-01-01

445

Report of the Health Economics Resource Center to the VA Cooperative Studies Program.  

National Technical Information Service (NTIS)

The Health Economics Resource Center (HERC) is a national resource center for Department of Veterans Affairs (VA) health economics research, providing support for the Cooperative Studies Programs (CSP) and the Health Services Research and Development Serv...

2004-01-01

446

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

Federal Register 2010, 2011, 2012, 2013

The Department of Veterans Affairs (VA) is amending its adjudication procedures for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and Veteran-Owned Small Businesses (VOSB) status protests, to provide that VA's Director, Center for Veterans Enterprise (CVE), shall initially adjudicate SDVOSB and VOSB status protests, and to provide that protested businesses, if they are denied status,......

2013-09-30

447

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

PubMed

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

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

2009-07-01

448

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

449

Suicidal Behavior Among Homeless and Runaway Adolescents  

Microsoft Academic Search

The present study considered risk factors associated with suicidal ideation and the likelihood of a suicide attempt in a sample of 297 homeless and runaway youth from four Midwestern states. It was hypothesized that sociodemographic characteristics, family factors, suicide exposure, street factors, externalizing behavior, and internalizing behavior would be related to suicidal ideation and to the likelihood of a suicide

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

1998-01-01

450

Help for the homeless: one town's solution.  

PubMed

Family practitioner and certified addictionist William Santoro, MD, is medical director at both Albright College and the Reading Hospital Medical Center's Drug and Alcohol Detoxification Center. He also volunteers his time and medical services at the Reading Emergency Shelter, a homeless shelter in downtown Reading. PMID:8164977

Schultz, G L

1994-01-01

451

Stressors, resources, and distress among homeless persons  

Microsoft Academic Search

Relations among stressors, resources, and psychological distress were examined using two waves of data obtained from a probability sample of homeless persons (N=430) residing in a large, demographically diverse county in North California. The focus of research was to examine whether and how social resources and housing resources directly affect distress and mediate the impact of stress factors on depressive

Yin-Ling Irene Wong; Irving Piliavin

2001-01-01

452

Correlates of service utilization among homeless youth  

Microsoft Academic Search

Though few studies exist on service utilization among homeless youth in the U.S., services are important because without them, many of these young people may resort to delinquent strategies in order to meet their daily survival needs. The current study examines frequency and correlates of service utilization (i.e., shelters, food programs, street outreach, counseling, STI and HIV testing) among a

Kimberly A. Tyler; Sarah L. Akinyemi; Lisa A. Kort-Butler

2012-01-01

453

Moral Judgment and Delinquency in Homeless Youth.  

ERIC Educational Resources Information Center

Investigates the impact of an individual's life condition on the relationship between moral judgment and behavior, specifically delinquent behavior. Samples two groups: homeless youth and institutionalized youth. Concludes that delinquent behavior is caused by different factors in each of these groups, but both stem from the nature of their social…

Tavecchio, L. W. C.; Stams, G. J. J. M.; Brugman, D.; Thomeer-Bouwens, M. A. E.

1999-01-01

454

Effective Services for Homeless Substance Abusers  

Microsoft Academic Search

A heterogeneous and representative sample of 323 homeless individuals in the metropolitan-Denver area with alcohol or other substance abuse problems received a comprehensive array of substance-abuse treatment services. Following treatment, these individuals showed dramatic improvement on average in their (a) levels of alcohol and drug use, (b) housing status, (c) physical and mental health, (d) employment, and (e) quality of

G. Nicholas Braucht; Charles S Reichardt; Lisa J. Geissler; Carol A. Bormann; Carol F. Kwiatkowski; Michael W. Kirby Jr

1996-01-01

455

Foreclosed: Two Million Homeless Students and Counting  

ERIC Educational Resources Information Center

This article reports that according to First Focus, a bipartisan advocacy organization for children and families, a predicted two million children will lose their homes over the next two years because of the foreclosure crisis. From an economy deep in recession, an entirely new population of homeless students has emerged. And with job losses at…

McKibben, Sarah

2009-01-01

456

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

457

Beyond Value-at-Risk: GlueVaR Distortion Risk Measures.  

PubMed

We propose a new family of risk measures, called GlueVaR, within the class of distortion risk measures. Analytical closed-form expressions are shown for the most frequently used distribution functions in financial and insurance applications. The relationship between GlueVaR, value-at-risk, and tail value-at-risk is explained. Tail subadditivity is investigated and it is shown that some GlueVaR risk measures satisfy this property. An interpretation in terms of risk attitudes is provided and a discussion is given on the applicability in nonfinancial problems such as health, safety, environmental, or catastrophic risk management. PMID:23758120

Belles-Sampera, Jaume; Guillén, Montserrat; Santolino, Miguel

2013-06-11

458

Evaluating and Improving VA Substance Abuse Patients' Care  

Microsoft Academic Search

The VA has implemented a nationwide evaluation program to monitor process and outcome of care for substance abuse patients. This program focuses on the changing characteristics of VA substance abuse patients and treatment services and involves outcome-based evaluations of major VA substance abuse treatment modalities. Initial findings show that VA substance abuse patients, including patients with concomitant psychiatric disorders, improve

Rudolf H. Moos; Keith Humphreys; Paige Crosby Ouimette; John Finney

1999-01-01

459

The continuous improvement for veterans in care: Mood Disorders (civic-md) Study, a VA-academic partnership.  

PubMed

The Department of Veterans Affairs (VA) provides an ideal opportunity to conduct mental health services research among vulnerable populations, given its extensive data sources, disproportionate number of vulnerable patients (older, often with comorbidities), and quality improvement mission. Although VA facilities are often affiliated with universities, successful VA-academic research partnerships are sometimes elusive. The Continuous Improvement for Veterans in Care: Mood Disorders (CIVIC-MD) study was a partnership with a VA facility that had not been engaged in mood disorders research. This column describes how the partnership formed, key elements of its success, and challenges and opportunities to inform future research partnerships. PMID:18451002

Kilbourne, Amy M; Lasky, Elaine; Pincus, Harold Alan; Good, C Bernie; Cooley, Susan; Basavaraju, Anu; Greenwald, Devra; Fine, Michael J; Bauer, Mark S

2008-05-01

460

Age differences among homeless individuals: adolescence through adulthood.  

PubMed

The present study examines differences between homeless adolescents, young adults, and older adults served by homeless shelters or food programs to inform service provision. Four homeless studies using the same sampling and measurement methods were pooled to permit comparisons across age groups. Results showed that homeless adolescents demonstrated greater resilience than younger and older adults. Adolescents reported the shortest duration of homelessness, lowest number of life stressors, fewest physical symptoms, largest social networks, and fewest clinically significant mental health problems. Adolescents also received fewer alcohol and drug abuse diagnoses than younger and older adults. Younger adults reported less time homeless and fewer physical symptoms than older adults, but more life stressors. Younger adults also endorsed higher levels of hostile and paranoid psychological symptoms. Implications for service provision and policy are discussed. PMID:19363770

Tompsett, Carolyn J; Fowler, Patrick J; Toro, Paul A

2009-01-01

461

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

462

Homeless Service Delivery in the Context of Continuum of Care  

Microsoft Academic Search

Emergency shelters, transitional housing, and permanent supportive housing are distinct programmatic responses to address the housing and service needs of the homeless population under the Continuum of Care (CoC) model for homeless service delivery. Using organizational-level data collected from a multi-site survey of 300 homeless residential programs in 14 communities, this study examines the extent to which operationalization of these

Yin-Ling Irene Wong; Jung Min Park; Howard Nemon

2006-01-01

463

HOMELESS SHELTER USE AND REINCARCERATION FOLLOWING PRISON RELEASE  

Microsoft Academic Search

Abstract: In the past two decades both the homeless and the prison populations have grown substantially. These two phenomena,may be interrelated insofar as the difficulties in reintegrating into the community,may increase the risk of homelessness for released prisoners, and homelessness may in turn increase the risk for subsequent reincarceration. This study examines,the incidence of shelter use and reincarceration among,a cohort

STEPHEN METRAUX; DENNIS P. CULHANE

2004-01-01

464

Homelessness and the transition from foster care to adulthood.  

PubMed

Prior research suggests that homelessness is a significant problem among young people aging out of foster care. However, these studies have not attempted to identify potential risk or protective factors that might affect the likelihood of becoming homeless during the transition to adulthood. This paper uses data from a longitudinal study to examine both the occurrence and predictors of homelessness among a sample of young people from three Midwestern states who recently aged out of foster care. PMID:20405776

Dworsky, Amy; Courtney, Mark E

2009-01-01

465

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

ERIC Educational Resources Information Center

Context: Unplanned readmission within 30 days of discharge is an indicator of hospital quality. Purpose: We wanted to determine whether older rural veterans who were enrolled in the VA had different rates of unplanned readmission to VA or non-VA hospitals than their urban counterparts. Methods: We used the combined VA/Medicare dataset to examine…

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

2009-01-01

466

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

ERIC Educational Resources Information Center

|Context: Unplanned readmission within 30 days of discharge is an indicator of hospital quality. Purpose: We wanted to determine whether older rural veterans who were enrolled in the VA had different rates of unplanned readmission to VA or non-VA hospitals than their urban counterparts. Methods: We used the combined VA/Medicare dataset to examine…

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

2009-01-01

467

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

2013-03-20

468

Chronic pain among homeless persons: characteristics, treatment, and barriers to management  

PubMed Central

Background Little information is available on the problem of chronic pain among homeless individuals. This study aimed to describe the characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use among a representative sample of homeless single adult shelter users who experience chronic pain in Toronto, Canada. Methods Participants were randomly selected at shelters for single homeless adults between September 2007 and February 2008 and screened for chronic pain, defined as having pain in the body for ? 3 months or receiving treatment for pain that started ? 3 months ago. Cross-sectional surveys obtained information on demographic characteristics, characteristics of and treatments for chronic pain, barriers to pain management, concurrent medical conditions, and substance use. Whenever possible, participants' physicians were also interviewed. Results Among 152 homeless participants who experienced chronic pain, 11 (8%) were classified as Chronic Pain Grade I (low disability-low intensity), 47 (32%) as Grade II (low disability-high intensity), 34 (23%) as Grade III (high disability-moderately limiting), and 54 (37%) as Grade IV (high disability-severely limiting). The most common self-reported barriers to pain management were stress of shelter life, inability to afford prescription medications, and poor sleeping conditions. Participants reported using over-the-counter medications (48%), street drugs (46%), prescribed medications (43%), and alcohol (29%) to treat their pain. Of the 61 interviewed physicians, only 51% reported treating the patient's pain. The most common physician-reported difficulties with pain management were reluctance to prescribe narcotics due to the patient's history of substance abuse, psychiatric comorbidities, frequently missed appointments, and difficulty getting the patient to take medications correctly. Conclusions Clinicians who provide healthcare for homeless people should screen for chronic pain and discuss barriers to effective pain management with their patients.

2011-01-01

469

Child welfare involvement among children in homeless families.  

PubMed

An analysis of 8251 homeless children in New York City found that 18% of them received child welfare services over the five-year period following their first shelter admission, and an additional 6% had a history of having received such services before their first shelter admission. Recurrent use of public shelters, exposure to domestic violence, older age at first episode of homelessness, and larger number of children in a household were associated with an increased risk of child welfare involvement. The high rate of crossover between homelessness and the child welfare system suggests the need for service coordination for children in homeless families. PMID:15503639

Park, Jung Min; Metraux, Stephen; Brodbar, Gabriel; Culhane, Dennis P

470

Homelessness--on the health agenda in Wales?  

PubMed

Building a sustainable and inclusive future for Wales is at the heart of the constitution of the National Assembly for Wales, which means forging a crosscutting approach to social policy. Improving health is a strategic priority within this agenda, and homelessness and housing appear to be at the center of the Assembly Government's vision of developing sustainable and cohesive communities and promoting social inclusion. This article considers the links between homelessness and mental and physical ill health and the importance of combating homelessness and poor housing within the health agenda in Wales. The article cites the links between homelessness and health identified in the United Kingdom and in international research and highlights the growth in homelessness witnessed during the late 1990s and beginning of the 21st Century. The paper considers the significant increase of homelessness and assesses whether, in reality, sufficient practical measures are being taken to combat homelessness as a means of tackling ill health in Wales. The authors conclude that although Wales is making progress toward an integrated approach to health and well-being and that the need to tackle broader health determinants has gained recognition, investment in effectively tackling homelessness and exclusion is needed. Integrating the broader housing, homelessness, and health agendas could contribute to health gains in Wales. PMID:15742679

Pritchard, John W; Puzey, John W

471

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

472

Educating Homeless Children and Youth: How Are We Measuring Up? A Progress Report, School Year 1990-91.  

ERIC Educational Resources Information Center

This report measures how well Maryland educators are working together to provide a public education that meets the long- and short-term needs of homeless children and youth by providing environments that support their physical, social, and emotional growth. It outlines accomplishments for the 1990-91 school year, recommends ways of addressing…

Maryland State Dept. of Education, Baltimore. Div. of Compensatory Education and Support Services.

473

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

474

GeneX Va: VBC open source microarray data- base and analysis software  

Microsoft Academic Search

Developed by the Virginia Bioinformatics Consortium (VBC), GeneX Va is an open source, freeware database and bioinformatics analysis software for archiving and analyzing Affyme- trix GeneChip® data. It provides an integrated framework for management, documentation, and analysis of microarray experiments and data to support a range of users, from indi- vidual research laboratories to institutional microarray facilities. GeneX Va also

Jae K. Lee; Tom Laudeman; Jodi Kanter; Teela James; Mir S. Siadaty; William A. Knaus; Alyson Prorok; Yongde Bao; Brad Freeman; Daniela Puiu; Li min Wen; Gregory A. Buck; Karen Schlauch; Jennifer Weller; Jay W. Fox

475

Cultural and Ethical Considerations When Working With Military Personnel and Veterans: A Primer for VA Training Programs  

Microsoft Academic Search

An increasing number of predoctoral psychology interns are completing their internship within the Department of Veterans Affairs (VA) health care system. Individuals receiving mental health services in the VA constitute a distinct subculture with unique experiences reflected in their beliefs, norms, and language. Thus, interns need to increase their level of knowledge of military culture to effectively provide service to

Thad Q. Strom; Margaret E. Gavian; Elizabeth Possis; Jennifer Loughlin; Thao Bui; Eftihia Linardatos; Jennie Leskela; Wayne Siegel

2012-01-01

476

VA and Defense Health Care: Potential Exists for Savings Through Joint Purchasing of Medical and Surgical Supplies.  

National Technical Information Service (NTIS)

VA operates one of the world's largest health care systems, spending about $21 billion a year to provide approximately 3.8 million veterans health care through 163 VA hospitals and over 800 outpatient clinics nationwide. DOD spends about $19 billion on he...

C. A. Bascetta

2002-01-01

477

Using electronic patient records in mental health care to capture housing and homelessness information of psychiatric consumers.  

PubMed

Homelessness among people with psychiatric illness is at an all time high. Many explanations for this phenomenon exist, including the incidence of discharge from inpatient hospital directly into the streets or shelter system. With little known about this unseen social issue afflicting many mental health consumers, this manuscript provides recommendations for using electronic patient records (EPR) as a conduit to capture housing and homelessness related information. With the increased use of EPRs in the Canadian health care system, the research and clinical benefits of this technology have only recently begun to be realized in mental health care. PMID:17050339

Booth, Richard G

2006-12-01

478

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

479

The Columbia-Harlem Homeless Medical Partnership: a new model for learning in the service of those in medical need.  

PubMed

Though altruism and patient advocacy are promoted in medical education curricula, students are given few opportunities to develop these skills. Student-run clinics focusing on the health needs of the underserved can provide important health services to needy patients while providing students with career-influencing primary care experiences. The Columbia-Harlem Homeless Medical Partnership (CHHMP)-a project initiated by medical students to provide primary care to Northern Manhattan's homeless population-serves as a new model of service learning in medical education. Unlike many other student-run clinics, CHHMP has developed direct patient outreach, continuous care (stable "student-patient teams" and a weekly commitment for all volunteers), and regular internal data review. Chart review data presented demonstrate the project's success in providing care to the clinic's target population of homeless and unstably housed patients. Targeted outreach efforts among clients have increased rates of patient follow-up at each subsequent review period. Additionally, CHHMP has used review data to develop services concordant with identified patient needs (psychiatric care and social services). CHHMP has recruited a committed group of volunteers and continues to engender an interest in the health needs of the underserved among students. Not only does CHHMP provide a "medical home" for homeless patients, it also provides a space in which students can develop skills unaddressed in large teaching hospitals. This project, a "win-win" for patients and students, serves as a unique model for community health-based service learning in medical education. PMID:19585243

Batra, Priya; Chertok, Judy Sara; Fisher, Carl Erik; Manseau, Marc William; Manuelli, Victoria Nicole; Spears, James

2009-07-08

480

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

Microsoft Academic Search

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

Ellen Bassuk; Deborah Franklin

1992-01-01

481

Assuring Access to Health Care for Homeless People Under National Health Care  

Microsoft Academic Search

Health problems are found among homeless people at a higher rate than among adequately housed individuals, and these problems are both a cause and a consequence of homelessness. Proposals for national health care reform that rely on managed competition are, alone, insufficient to insure access to America's homeless because homeless people have multiple health problems, are undesirable patients for many

Michael R. Cousineau; John N. Lozier

1993-01-01

482

The experience of homeless women: An exploration of housing histories and the meaning of home  

Microsoft Academic Search

The exploratory study with homeless women presented in this paper aims to highlight two shortcomings in the current literature on homelessness, which accompany the predominant conceptualisation of ‘home’ as a place of safety and security, and homelessness as a primarily structural issue characterised by ‘residential instability’. The first is the paucity of research on homeless women in their own right

Annabel Tomas; Helga Dittmar

1995-01-01

483

Homelessness and children's use of mental health services: A population-based study  

Microsoft Academic Search

This study examined whether children who become homeless differ from other low-income children in their mental health service use before and after their first homeless episode, and to what extent homelessness is associated with an increased likelihood of mental health service use. Differences between children with and without new onset of sheltered homelessness in the use of mental health services

Jung Min Park; Stephen Metraux; Dennis P. Culhane; David S. Mandell

484

Homelessness, Social Work, Social Policy and the Print Media in Australian Cities  

Microsoft Academic Search

Homelessness is a significant social problem worldwide. This paper describes an Australian study that examined print media representations of homelessness and social work, social policy and social work responses to homelessness in three Australian cities. The research included a content analysis of seven Australian newspapers and semi-structured interviews with 39 social workers employed in the field of homelessness in Adelaide,

Carole Zufferey

485

Occupation, Agency and Quality of Life for Homeless Women Living in a Shelter  

Microsoft Academic Search

As the numbers of homeless persons in the United States continue to increase, the greatest increase is in homeless women and families. At least 14% of the homeless are single women and 40% are families, 85% of these have a single mother as head of household (National Coalition for the Homeless, 2002). This paper will discuss how the experience of

Anne Shordike

2004-01-01

486

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

487

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 Muñoz; Mónica De la Fuente

2009-01-01

488

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

489

The Epidemiology of Alcohol, Drug, and Mental Disorders Among Homeless Persons  

Microsoft Academic Search

This article describes recent research on the prevalence of alcohol, drug, and mental (ADM) disorders and the characteristics of homeless substance abusers and persons with mental illnesses. Methodological problems in homelessness research are reviewed, particularly in relation to definitions of homelessness and sampling- and case-ascertainment methods. Prevalence rates of ADM disorders are much higher in homeless groups than in the

Pamela J. Fischer; William R. Breakey

1991-01-01

490

The Homeless and Occupy El Paso: Creating Community among the 99%  

Microsoft Academic Search

Tensions between activists and the homeless were common across different Occupy locations. This article focuses on the Occupy movement in downtown El Paso, Texas. It discusses the interactions between activists and homeless people. Initially, as the Occupiers camped in the square they excluded the homeless. A pivotal point was when some Occupiers spoke out against the mistreatment of the homeless

Curtis Smith; Ernesto Castañeda; Josiah Heyman

2012-01-01

491

The Process of Restabilization for Mother-Headed Homeless Families: How Social Workers Can Help  

Microsoft Academic Search

Although homelessness among mother-headed families has been increasing steadily in recent years, little is known about how such families successfully emerge from homelessness. This study addresses this gap by exploring the process by which mother-headed homeless families become stably rehoused through interviews with ten formerly homeless mothers. The grounded theory method of qualitative research, including constant comparison data analysis techniques,

Elizabeth W. Lindsey

1997-01-01

492

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.

493

Babcock and Wilcox, Lynchburg, VA  

Microsoft Academic Search

Babcock and Wilcox (B and W) has developed the DATAVIEW system, an automated combination of data from a wide variety of sources funneling into a personal computer program. Data are obtained from on-line operation, design calculations, and plant simulation calculations. This system provides fast and efficient visualization of large quantities of data in a form that is easy to digest,

Shelburne

1986-01-01

494

Tuberculosis Skin Testing Among Homeless Adults  

Microsoft Academic Search

\\u000a OBJECTIVE:  To document the prevalence of tuberculosis (TB) skin test positivity among homeless adults in Los Angeles and determine whether\\u000a certain characteristics of homelessness were risk factors for TB.\\u000a \\u000a \\u000a \\u000a DESIGN:  Cross-sectional study.\\u000a \\u000a \\u000a \\u000a SETTING:  Shelters, soup lines, and outdoor locations in the Skid Row and Westside areas of Los Angeles.\\u000a \\u000a \\u000a \\u000a MEASUREMENTS AND MAIN RESULTS:  Tuberculosis tine test reactivity was measured. The overall prevalence of TB

Lillian Gelberg; Christopher J. Panarites; Hal Morgenstern; Barbara Leake; Ronald M. Andersen; Paul Koegel

1997-01-01

495

Volunteerism Among Homeless Persons With Developmental Disabilities  

Microsoft Academic Search

People with developmental disabilities have been historically excluded from mainstream society. Using the strength-based perspective, volunteerism was explored among homeless persons with self-reported developmental disabilities. It was hypothesized that volunteerism would be associated with indicators of healthy community integration. This would include volunteerism associated with unemployment due to disposable time and desire to gain job-related skills. Nearly half volunteered (n = 29),

Larry G. Morton II; Renee M. Cunningham-Williams; Giovanina Gardiner

2010-01-01

496

Crime, drug abuse, mental illness, and homelessness  

Microsoft Academic Search

In this project, 345 homeless persons were interviewed during the period from May, 1985 to May, 1986 in Richmond, Virginia. Data reveal that current afflictions (e.g., hallucinations) are related to major life events in the past (i.e., psychiatric hospitalizations). Further, certain experiences prior to adulthood (e.g., drug use) predict these major life events (e.g., crime). Thus, the data support a

Brent B. Benda

1987-01-01

497

Sydney medical student gives hope to homeless  

Microsoft Academic Search

A first-year Notre Dame medical student will be spending the next four nights experiencing homelessness first-hand as part of a fundraising effort for Mission Australia. Sean Heinz will be commencing his first year of Notre Dame’s graduate-entry medical degree in early February. He currently works as an orderly at St Vincents Private Hospital and will be joined in his efforts

Elizabeth Fenech

2008-01-01

498

Notre Dame community supports Homeless Persons' Week  

Microsoft Academic Search

Hundreds of toiletries, blankets and sleeping bags are heading to some of Western Australia’s neediest residents following an overwhelming response to a collection at Notre Dame’s Fremantle Campus in support of National Homeless Persons’ Week.\\u000aFirst-year Biomedical Science student Alexander Das coordinated the appeal in conjunction with Perth radio station 98.5 Sonshine FM to raise awareness about the unpredictability of

Leigh Dawson

2011-01-01

499

Homeless young people on social network sites  

Microsoft Academic Search

This paper reports on the use of social network sites (MySpace and Facebook) by homeless young people, an extraordinary user population, made so in part by its vulnerability. Twenty-three participants of diverse ethnicities, 11 women and 12 men (mean age, 21.7 years), were interviewed in same-sex discussion groups of four participants each. The interviews consisted of questions about the uses,

Jill Woelfer; David Hendry

2012-01-01

500

Enabling older homeless minority women to overcome homelessness by using a life management enhancement group intervention.  

PubMed

This paper describes the importance of a life management enhancement (LME) group intervention for older minority women in developing personal control and self-confidence in social relationships as they overcome homelessness. Women in the treatment group showed significantly greater personal control and higher levels of self-confidence following the six-week intervention than women in the control group. Increasing personal control and developing self-confidence in social relationships can help individuals achieve desired outcomes as a result of their actions, efforts, and abilities. These attributes can help women increase and sustain appropriate coping methods and overcome homelessness. PMID:19212866

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

2009-02-01