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

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF VETERANS AFFAIRS Fund Availability Under VA's Homeless Providers Grant...Director, VA's Homeless Providers Grant...Department of Veterans Affairs, 10770...associated with the homeless Veteran populations...

2013-05-16

3

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

Federal Register 2010, 2011, 2012, 2013

...centers for the following homeless veteran populations: Women...NOFA for the VA's Homeless Providers Grant and...among our nation's veterans. Funding applied for...children, especially for health care and...

2011-08-08

4

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

Federal Register 2010, 2011, 2012, 2013

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

2013-08-08

5

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

Federal Register 2010, 2011, 2012, 2013

...funds is requested in the capital grant...their PDO grants in 2005, 2007, or...effort to end chronic homelessness among our Nation's...expenses of existing State and local governments...possession of the United States, may be considered...of ``State'' in the 38 CFR...

2010-01-25

6

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

Federal Register 2010, 2011, 2012, 2013

...group EIN/TIN, must be identified by the parent EIN/TIN as a member or sub-unit of the parent EIN/TIN, and provide supporting documentation...controlled by the applicant or by the applicant's parent organization or the entity is controlled...

2012-03-01

7

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

Code of Federal Regulations, 2013 CFR

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

2013-07-01

8

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

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

2014-07-01

9

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

Code of Federal Regulations, 2012 CFR

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

2012-07-01

10

Homeless women's experiences of service provider encounters.  

PubMed

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

Biederman, Donna J; Nichols, Tracy R

2014-01-01

11

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

PubMed

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

Tsai, Jack; Rosenheck, Robert A

2014-01-01

12

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

PubMed

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

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

2011-01-01

13

Challenges Facing Service Providers in Educating Homeless Students.  

E-print Network

??This study was a qualitative, phenomenological inquiry into challenges experienced by service providers in educating homeless children. This study was conducted through semi-structured interviews with… (more)

Beck, Pamela Ann

2009-01-01

14

78 FR 42455 - Medications Prescribed by Non-VA Providers  

Federal Register 2010, 2011, 2012, 2013

...AFFAIRS 38 CFR Part 17 RIN 2900-AO77 Medications Prescribed by Non-VA Providers AGENCY...current and future conflicts receive medications prescribed by non-VA physicians when...a statutory mandate that VA provide medications prescribed by non-VA providers...

2013-07-16

15

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

PubMed

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

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

2013-08-01

16

77 FR 52135 - Advisory Committee on Homeless Veterans, Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013

...providing assistance to homeless Veterans. The Committee will make recommendations...officials on services for homeless Veterans. The Committee will also receive...to VA's 5 Year Plan to End Homelessness for Veterans. On September 6, the...

2012-08-28

17

Barriers and facilitators to veterans administration collaboration with community providers: the lodge project for homeless veterans.  

PubMed

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

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

2014-09-01

18

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

Federal Register 2010, 2011, 2012, 2013

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

2012-09-13

19

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

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF VETERANS AFFAIRS [OMB...Information Collection (Homeless Providers Grant...Request AGENCY: Veterans Health Administration...programs to assist homeless veterans' transition to...Harvey-Pryor, Veterans Health...

2012-07-02

20

Value Considerations in an Information Ecology: Printed Materials, Service Providers and Homeless Young People  

E-print Network

Value Considerations in an Information Ecology: Printed Materials, Service Providers and Homeless ecology that has emerged to help homeless young people. We studied the information ecology of service agencies that assist homeless young people, age 13 to 25. We focused on printed materials used

Anderson, Richard

21

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

Microsoft Academic Search

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

Robert Rosenheck; Catherine A. Leda; Peggy Gallup

1992-01-01

22

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

23

Are VA Primary Care Providers Aware of HIV Testing Recommendations for Veterans? Findings at an Urban VA Primary Care Clinic  

PubMed Central

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

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

2014-01-01

24

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

25

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

26

Prison Pet Partnership Program The Prison Pet Partnership Program rescues and trains homeless animals to provide service dogs for  

E-print Network

homeless animals to provide service dogs for persons with disabilities and operates a boarding and grooming works with local animal shelters to select homeless dogs which are good candidates for becoming service

Borenstein, Elhanan

27

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

PubMed

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

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

2014-06-01

28

Collaborative initiative to help end chronic homelessness: introduction.  

PubMed

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

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

2010-04-01

29

www.homeless.org\\/culture: A Cross-level Analysis of the Relationship between Organizational Culture and Technology Use among Homeless Service Providers  

Microsoft Academic Search

The United States Department of Housing and Urban Development (HUD) requires federally-funded homeless service providers to participate in an homeless management information system (HMIS). While federally mandated, no one has examined how these technologies are being used. Theory and research suggest that the technology dissemination is contingent upon the organizational culture in which it is used. This study represents the

Courtney Marie M Cronley

2009-01-01

30

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

PubMed

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

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

2014-05-01

31

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

PubMed

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

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

2014-05-01

32

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

PubMed

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

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

2014-01-01

33

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

PubMed Central

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

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

2013-01-01

34

VA Can Provide More Employment Assistance to Veterans Who Complete Its Vocational Rehabilitation Program.  

ERIC Educational Resources Information Center

A review was conducted of the employment and followup services provided to veterans who complete the Veterans Administration's (VA) vocational rehabilitation program. Eight of the VA's 58 regional offices were reviewed and the case files of veterans who completed vocational rehabilitation training in April, May, and June l982 were examined. Review…

General Accounting Office, Washington, DC.

35

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

36

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

37

How Well Does It Fit? An Organizational Culture Approach to Assessing Technology Use Among Homeless Service Providers  

Microsoft Academic Search

This pilot study examines how organizational culture affects staff members' use of a homeless management information system (HMIS). Organizational culture and sociotechnical theories suggest that the goodness of fit between organizations and technology is critical to successful implementation and use. The sample included seven homeless service providers and 41 individuals. The study tested two hypotheses. First, organizational culture influences staff

Courtney Cronley; David A. Patterson

2010-01-01

38

38 CFR 3.1701 - Deceased veterans for whom VA may provide burial benefits.  

38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Deceased veterans for whom VA may provide burial benefits...Section 3.1701 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS...

2014-07-01

39

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

PubMed

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

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

2013-12-01

40

Closing a front door to homelessness among veterans.  

PubMed

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

McGuire, James

2007-07-01

41

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

Code of Federal Regulations, 2013 CFR

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

2013-07-01

42

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

Code of Federal Regulations, 2012 CFR

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

2012-07-01

43

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

PubMed

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

van den Berk-Clark, Carissa; McGuire, James

2014-08-01

44

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

45

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

Federal Register 2010, 2011, 2012, 2013

...been established and funds are still available after selection of...Frail elderly; (3) Terminally ill; (4) Chronically mentally...relevant for a chronically mentally ill population, such as vocational...been established and funds are still available after selection...

2013-02-25

46

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

Federal Register 2010, 2011, 2012, 2013

...possession of the United States, are considered...State'' in the Final Rule...entities located in the District...possession of the United States, to apply for...possession of the United States, will be considered in the third...

2010-01-25

47

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

Federal Register 2010, 2011, 2012, 2013

...is encouraging interested state and local governments...eligible entities located in the District of Columbia...territory or possession of the United States, to apply [[Page 12649...incarcerated but are involved in the criminal justice...

2012-03-01

48

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

49

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

50

Rent control and homelessness  

Microsoft Academic Search

The purposes of this paper are to produce more precise estimates of the effect of rent control on homelessness using microdata on housed and homeless households and to provide evidence concerning the mechanisms through which rent control might affect homelessness. Our results suggest that rent control does increase homelessness by decreasing the rental vacancy rate and increasing the rental price

Dirk W. Early; Edgar O. Olsen

1998-01-01

51

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

PubMed

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

2013-06-01

52

Guide to VA Mental Health Services  

E-print Network

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

Hardy, Christopher R.

53

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

54

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

ERIC Educational Resources Information Center

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

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

55

Teaching Our Homeless Children  

ERIC Educational Resources Information Center

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

Sheldon, George H.

2011-01-01

56

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

57

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.

58

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

59

The New Homelessness Revisited  

PubMed Central

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

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

2014-01-01

60

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

ERIC Educational Resources Information Center

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

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

2011-01-01

61

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

PubMed Central

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

Kasprow, Wesley J.; Rosenheck, Robert A.

2013-01-01

62

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

63

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

...OF VETERANS AFFAIRS (CONTINUED) HEALTH CARE FOR HOMELESS VETERANS (HCHV) PROGRAM...counseling, including counseling on self care skills, adaptive coping skills...other personnel to carry out the policies and procedures of the...

2014-07-01

64

Helping the Homeless in Your Community.  

ERIC Educational Resources Information Center

This guide for the public provides information on ways to address homelessness within the context of community development. The following articles issued by the Homelessness Information Exchange are included as Sections 1, 2, and 3: (1) "The Problem of Homelessness Nationwide"; (2) "Ways You Can Help the Homeless"; and (3) "Building a Coalition in…

Homelessness Exchange, Washington, DC.

65

Homeless Students: A Search for Understanding.  

ERIC Educational Resources Information Center

Describes a qualitative research project examining homelessness's effects on children's schooling, highlighting a South Carolina intervention program's success. Research disclosed an informal homelessness "caste system," the political unpopularity of providing homeless services, homeless kids' high rates of academic failure and problem behaviors,…

Robertson, Donna Friedman

1998-01-01

66

Effects of Mental Illness, Age, Gender, Personal Healthcare Provider Relationship, and Medical Insurance Status on Healthcare Access in an Underserved Homeless Shelter Population in two Midwestern Rural Communities: A Multivariate Analysis  

Microsoft Academic Search

Although attention has been directed to disparities in healthcare access among people who are poor and homeless in urban areas of the United States, relatively little research has been published about healthcare access among the poor and homeless in rural areas. The objective of the current study is to examine the impact of mental illness, age, gender, personal healthcare provider

Christopher E. Benejam; Lori Harmon; Linda Owens; Ralph S. Benejam

67

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

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2011

2011-01-01

68

Perceived relationship between military service and homelessness among homeless veterans with mental illness.  

PubMed

This study examined the perceived relationship between military service and the risk of homelessness after discharge and identified specific aspects of military service that homeless veterans experience as having increased their risk for becoming homeless. A cross-sectional survey was conducted among 631 homeless veterans enrolled in the VA Therapeutic Employment Placement and Support Program from January 2001 through September 2003. Associations of sociodemographic characteristics, clinical status, and military service characteristics (independent variables) were examined in relation to perceptions of increased risk for homelessness and time to first episode of homelessness after leaving the military (two dependent variables), using analysis of variance, logistic regression, and multiple regression statistical analyses. Fewer than one third (31%) of the homeless veterans in this study reported that military service increased their risk for homelessness--either somewhat (18%) or very much (13%). Among those veterans who perceived military service as increasing their risk for becoming homeless, the three aspects of military service most commonly identified included a) substance abuse problems that began in the military (75%), b) inadequate preparation for civilian employment (68%), and c) loss of a structured lifestyle. The relatively small proportion of homeless veterans who attributed homelessness to their military service, coupled with the long 14-year average lag time between discharge and their first episode of homelessness, is consistent with epidemiological data suggesting that military service itself does not substantially increase the risk for becoming homeless among veterans. PMID:15457118

Mares, Alvin S; Rosenheck, Robert A

2004-10-01

69

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

70

Homelessness outcome reporting normative framework: systems-level evaluation of progress in ending homelessness.  

PubMed

Homelessness is a serious and growing issue. Evaluations of systemic-level changes are needed to determine progress in reducing or ending homelessness. The report card methodology is one means of systems-level assessment. Rather than solely establishing an enumeration, homelessness report cards can capture pertinent information about structural determinants of homelessness. This information can inform the development of evidence-based strategies aimed at ending (rather than managing) homelessness. To aid in the development of homelessness report card creation, a systems-level Homelessness Outcome Reporting Normative Framework (the HORN Framework) was developed. This article provides an overview of the framework and its application. PMID:22522143

Austen, Tyrone; Pauly, Bernie

2012-02-01

71

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

2007-02-01

72

Swimming Upstream: How to Reduce Homelessness in  

E-print Network

Swimming Upstream: How to Reduce Homelessness in Tempe's Emerging Urban Setting David V. Summers of the Tempe First United Methodist Church, provides vital support services to homeless and working poor people

Zhang, Junshan

73

Receipt of disability through an outreach program for homeless veterans.  

PubMed

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

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

2007-05-01

74

Unraveling the Social Construction of Homelessness  

Microsoft Academic Search

This article provides a historical and critical analysis of homelessness in the United States. It argues that societal understanding of homelessness stems from a process of social construction in which, over time, differing groups have framed the definition and debate. The main groups influencing interpretations of homelessness are those ascribing to individual and the structural interpretations of social problems. Individual

Courtney Cronley

2010-01-01

75

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

76

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

Federal Register 2010, 2011, 2012, 2013

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

2011-10-03

77

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

78

The determinants of homelessness and the targeting of housing assistance  

Microsoft Academic Search

This study combines data from the Survey of Income and Program Participation with the National Survey of Homeless Assistance Providers and Clients to estimate a conditional probability model of homelessness. The results suggest which factors are important predictors of homelessness and argue that gender, age, and race of the household head, are important determinants of whether a household is homeless.

Dirk W. Early

2004-01-01

79

Pathways to youth homelessness  

Microsoft Academic Search

Research documents high levels of psychopathology among homeless youth. Most research, however, has not distinguished between disorders that are present prior to homelessness and those that develop following homelessness. Hence whether psychological disorders are the cause or consequence of homelessness has not been established. The aim of this study is to investigate causal pathways to homelessness amongst currently homeless youth

Claudine Martijn; Louise Sharpe

2006-01-01

80

Risk factors for ED use among homeless veterans.  

PubMed

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

Tsai, Jack; Rosenheck, Robert A

2013-05-01

81

VA Organization Department of  

E-print Network

) Veteran's Health Administration (VHA) National Cemetery Administration (NCA) Courtesy of Kevin Meldrum #12,000 veterans received telehealth services in 2011 Home Telehealth #12;18 VA Provides My HealtheVet: A Personal Health Record For Veterans #12;19 #12;20 VA Conceived of and Provides: "Blue Button" #12;21 #12;22 #12

82

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

83

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

ERIC Educational Resources Information Center

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

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

84

Outcomes of supported housing for homeless veterans with psychiatric and substance abuse problems.  

PubMed

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 on client and program characteristics, and treatment outcomes, were documented by HCHV case managers staffing these programs. Data on use of VA services, including time limited residential treatment received 6 months prior to entry into supported housing, were extracted from VA administrative files. The relationship of prior residential treatment, as well as other measures of client characteristics, service use, and program characteristics, to outcomes were assessed using both bivariate and multivariate Cox proportional hazards regression and logistic regression. After adjusting for client characteristics, service use, and program characteristics, no differences in outcomes were found between clients who had received prior residential treatment and those placed directly into permanent supported housing. Prior residential treatment appears to have little effect on treatment outcomes among formerly homeless veterans placed into permanent supported housing programs providing indirect support for the direct placement supported housing model. PMID:15588031

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

2004-12-01

85

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

86

77 FR 1971 - Supplemental Security Income and Homeless Individuals  

Federal Register 2010, 2011, 2012, 2013

...SSA-2011-0087] Supplemental Security Income and Homeless Individuals AGENCY: Social...needs of homeless Supplemental Security Income (SSI) recipients, particularly those...needs. The SSI program provides a minimum income level for aged, blind, or disabled...

2012-01-12

87

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. PMID:19597992

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

2010-01-01

88

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

89

The Duration of Sheltered Homelessness in a Small City  

Microsoft Academic Search

We analyze the factors that influence the length of a completed spell of sheltered homelessness, using administrative data on individuals who stayed in a large regional homeless shelter. We develop a model of homelessness which provides the basis for inferences made from our estimated model. Our estimates provide some support for the predictions of the model and reveal a variety

Sam Allgood; Myra L. Moore; Ronald Warren Jr.

1997-01-01

90

What Kind of School Board Member Would Help Homeless Children?  

ERIC Educational Resources Information Center

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

Harrington-Lueker, Donna

1989-01-01

91

VA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments  

PubMed Central

Providers (N = 198) from 38 Department of Veterans Affairs residential posttraumatic stress disorder treatment programs across the United States completed qualitative interviews regarding implementation of 2 evidence-based treatments: prolonged exposure and cognitive processing therapy. As part of this investigation, providers were asked how they decide which patients are appropriate for these treatments. Many indicated that they did not perceive any patient factors that dissuade their use of either evidence-based treatment. However, 3 broad categories emerged surrounding reasons that patients were perceived to be less suitable candidates for the treatments: the presence of psychiatric comorbidities, cognitive limitations, and low levels of patient motivation. Interestingly, providers’ perceived reasons for limited or nonuse of a treatment did not correspond entirely to those espoused by treatment developers. Possible solutions to address provider concerns, including educational and motivational interventions, are noted.

Cook, Joan M.; Dinnen, Stephanie; Simiola, Vanessa; Thompson, Richard; Schnurr, Paula P.

2014-01-01

92

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.

93

The Ecology of Homelessness  

Microsoft Academic Search

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

Roger M. Nooe; David A. Patterson

2010-01-01

94

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

95

The 2009 Annual Homelessness Assessment Report to Congress  

Microsoft Academic Search

The U.S. Department of Housing and Urban Development (HUD) is pleased to present the 2009 Annual Homeless Assessment Report (AHAR), the fifth in a series of reports on homelessness in the United States. The reports respond to a series of Congressional directives calling for the collection and analysis of data on homelessness. The AHAR reports provide the latest counts of

Alvaro Cortes; Jill Khadduri; Larry Buron; Dennis P Culhane

2010-01-01

96

Food Security and Homelessness in the City of Anaheim  

Microsoft Academic Search

The primary purpose of the City of Anaheim's 2007 Homeless Survey was to provide city staff with an opportunity to understand the characteristics of the City's homeless population. The purpose of this study was to determine whether food insecurity was associated with: (1) homelessness, (2) demographic characteristics such as age, gender, and ethnicity, (3) mental and physical illness, and (4)

Ann G. Ora; Michele Mouttapa; Jie Weiss; Penny Weissmuller

2008-01-01

97

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

Federal Register 2010, 2011, 2012, 2013

...Secretary for Veterans' Employment and Training Urban Non-Urban Homeless Female Veterans and Homeless Veterans...transition into gainful employment. Section 2021 of Title...appropriate to provide job training, counseling...veterans into meaningful employment within the labor force...problems facing homeless Veterans. The full......

2010-04-27

98

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

99

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

ERIC Educational Resources Information Center

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

Heflin, L. Juane; Rudy, Kathryn

100

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

101

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.

102

Meeting the Educational Needs of Homeless Children.  

ERIC Educational Resources Information Center

The Stewart B. McKinney Homeless Assistance Act (1987) provides considerable protection for homeless children's educational needs. States cannot create a separate education system for these kids, and must revise all restrictive policies, laws, and regulations. Educators should work to facilitate schooling continuity, minimize enrollment delays,…

Rafferty, Yvonne

1998-01-01

103

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

104

The New Poverty: Homeless Families in America.  

ERIC Educational Resources Information Center

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

Nunez, Ralph da Costa

105

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

106

Health interventions for people who are homeless.  

PubMed

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

Hwang, Stephen W; Burns, Tom

2014-10-25

107

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

Microsoft Academic Search

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

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

2003-01-01

108

Improving access to health care for homeless people.  

PubMed

Homeless people have the poorest health outcomes in our society and the number of people who are homeless is increasing. This article explores the effect that homelessness has on health, provides details of organisations that offer services to the homeless population of London, and highlights the role of nurses in advocating for improved services for homeless patients. The need to understand and address inequalities in access to health care is also discussed. An example of the authors' practice is provided in the form of a case study. PMID:25294486

Lamb, Venetia; Joels, Claire

2014-10-01

109

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

PubMed Central

We interviewed 33 chronically and 26 acutely homeless veterans aged 65 and over about their health and mental health, education and employment experience, social support, service needs and other precipitants of homelessness. Chronically homeless elderly veterans were more likely to have lower levels of education, had greater numbers and longer durations of prior homelessness, fewer social contacts providing instrumental support, and were more likely to report financial barriers to procuring housing. In response to open-ended questioning, elderly homeless veterans revealed how health and substance use issues interacted with loss of social support and eviction. The results suggest the importance of healthcare access and substance disorder treatment among elderly veterans and informs service delivery. Further research with larger samples is needed to confirm the characteristics and needs of the elderly homeless veteran population. PMID:24148059

van den Berk-Clark, Carissa; McGuire, James

2013-01-01

110

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.

111

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. PMID:19582592

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

2009-01-01

112

Parenting while Being Homeless  

ERIC Educational Resources Information Center

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

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

2014-01-01

113

Life Shocks and Homelessness  

PubMed Central

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

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

2014-01-01

114

Life shocks and homelessness.  

PubMed

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

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

2013-12-01

115

HOMELESS SERVICE UTILIZATION REPORT  

E-print Network

HOMELESS SERVICE UTILIZATION REPORT H A W A I ` I 2 0 11 #12;State 2007 2,136 2,201 2,204 2,069 2) Hawai`i, Kaua`i and Maui Counties 2 HOMELESS SERVICE UTILIZATION REPORT The 2011 Homeless Service of Hawai`i and the Homeless Programs Office of the Hawai`i State Department of Human Services (DHS

116

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

117

BRITISH HOMELESSNESS: THEORETICAL PERSPECTIVES  

Microsoft Academic Search

Over the years many theories about homelessness have developed in the UK. The theories have both contributed to the understanding of homelessness and fuelled the homeless industry's push for more research. The research methods used and the outcomes of that research depend, to some degree, on the theoretical framework used. This paper argues that no single theoretical framework seems to

Megan Ravenhill

118

Pennsylvania's Rural Homeless Reality.  

ERIC Educational Resources Information Center

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

Center for Rural Pennsylvania, Harrisburg.

119

Japan's “New Homeless  

Microsoft Academic Search

Since the mid-1990s, homelessness has become a major issue of public discussion in Japan, and is often viewed as a new social problem facing Japanese society. The issue of homelessness contrasts images of the absence of poverty and homelessness in postwar Japan, often explained based on the unique features of Japanese-style employment and welfare, containing poverty and unemployment. This paper

Aya Ezawa

2002-01-01

120

8- Rural Homelessness  

Microsoft Academic Search

For the 1998 Symposium on Homelessness Research, rural homelessness was not assigned as a paper topic in its own right. Due to its increasing significance, the authors prepared a paper on rural homelessness for the 2007 Symposium. Given the somewhat limited formal research available, the authors supplemented their literature review with information from government documents and technical assistance materials as

Marjorie Robertson; Nancy Fritz; Rebecca Noftsinger; Pamela Fischer

121

Homeless Families with Children  

Microsoft Academic Search

Previous studies of homelessness have not adequately addressed the relationship between deteriorating living conditions of inner-city neighborhoods and family homelessness. Interviews with 50 families with children who were residents of homeless shelters in two large cities in New York reveal that substandard housing, unscrupulous landlords, and drug-related violence and crime in neighborhoods, as well as nonpayment of rent and domestic

Namkee G. Choi; Lidia J. Snyder

1999-01-01

122

Homelessness: An Overview  

Microsoft Academic Search

The homelessness crisis in the United States has reached epidemic proportions as the diversity of the homeless population expands to the point where it resembles the general population. The deepest and most long-standing cause of homelessness is poverty, but there are other forces as well, including the severe shortage of affordable housing (particularly due to urban renewal); deep funding cuts

Jim Tull

1992-01-01

123

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

124

Homeless In America, Homeless In California  

Microsoft Academic Search

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

John M. Quigley; Steven Raphael; Eugene Smolensky

2001-01-01

125

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

Federal Register 2010, 2011, 2012, 2013

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

2011-10-28

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-21

127

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-17

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

Federal Register 2010, 2011, 2012, 2013

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

2011-09-30

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-17

130

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

131

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-17

132

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

Federal Register 2010, 2011, 2012, 2013

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

2011-01-31

133

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-17

134

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

135

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

Federal Register 2010, 2011, 2012, 2013

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

2011-11-21

136

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

Federal Register 2010, 2011, 2012, 2013

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

2011-10-03

137

National Coalition for Homeless Veterans  

MedlinePLUS

... and our national service provider community to help in the campaign to end veteran homelessness. The portal will help your business capitalize on our 23 years of experience and expertise, our vast community network, and our ... veterans. Veteran in crisis? Dial 1.877.424.3838 for 24/ ...

138

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

139

Finding home : making a place for the homeless in the urban landscape  

E-print Network

Is homelessness a problem? What if you considered homelessness to be a state, rather than a problem, and provided for it accordingly in the urban landscape? As roads and water and sewer lines are one type of infrastructure, ...

Cheng, Marissa A

2007-01-01

140

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

PubMed

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

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

2007-03-01

141

Legal Issues in Educating Homeless Children: Past Accomplishments and Future Challenges.  

ERIC Educational Resources Information Center

The 1987 Stewart B. McKinney Homeless Assistance Act and amendments provide considerable protection for the education of homeless children and youth. They also provide formula grants to state education agencies to carry out the Education for Homeless Children and Youth Program. This article reviews major program components and critiques these…

Rafferty, Yvonne

1999-01-01

142

Making a Place for Nona: Meeting the Needs of Homeless Children.  

ERIC Educational Resources Information Center

Discusses the dilemmas that homeless children face and what day-care center staff can do to help meet the needs of such children, including providing consistency in homeless children's lives; providing basic necessities such as food, sleep, and privacy and showing a willingness to develop a normal relationship with homeless children. (MDM)

Boxill, Nancy A.

1994-01-01

143

Homeless in the United States  

Microsoft Academic Search

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

Charles Hoch

1986-01-01

144

The Rights of Homeless Students.  

ERIC Educational Resources Information Center

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

Strong, Penny

145

Homelessness in California  

E-print Network

among the poor--is forcing lower-income families to "buy down" as a result of higher housing prices--California. 2. Homeless persons--Housing--California. 3. Homeless persons--Services for--California. 4. Low-income housing-- California. 5. Housing policy--California. I. Raphael, Steven, 1968­. II. Smolensky, Eugene. III

Sekhon, Jasjeet S.

146

TRANSITIONAL SETTLEMENTS Planning Homeless  

E-print Network

TRANSITIONAL SETTLEMENTS 1 Planning Homeless Settlement Communities Western Washington University- came clear that their presence among us was not the result of some aberration in the socio- economic the living conditions faced by our fellow citizens who live in Homeless camps, public resources are necessary

Zaferatos, Nicholas C.

147

Life Shocks and Homelessness  

Microsoft Academic Search

We exploit an exogenous health shock—the birth of a child with a severe health condition—to investigate the causal effect of a life shock on homelessness. Using survey data from the Fragile Families and Child Wellbeing study that have been augmented with information from hospital medical records, we find that the health shock increases the likelihood of homelessness three years later,

Marah A. Curtis; Hope Corman; Kelly Noonan; Nancy Reichman

2011-01-01

148

Homeless Families and Children  

Microsoft Academic Search

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

Eugene M. Lewit; Linda Schuurmann Baker; Linda Schuurmann

149

SPRING 2004 the Homeless  

E-print Network

TrumanScholarship,establishedbytheUnitedStatesCongressin1975asamemo- rialtoHarryS.Truman.Witha$26SPRING 2004 Hope for the Homeless U of M Alumni Making a Difference #12;Above: Spring and all its play key roles in getting homeless people back on track as Memphis and Shelby County push to end

Dasgupta, Dipankar

150

Homeless service Utilization report  

E-print Network

Utilization Report to present a data-based perspective on the state's homeless people. Since 2006, there has been a significant increase in funds and facilities for the homeless: 601 new units of transitional the state's current inventory to a total of 1,188 units and 785 beds. Moreover, 110 new beds on Maui and 24

151

Intellectual Disability and Homelessness  

ERIC Educational Resources Information Center

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

Mercier, C.; Picard, S.

2011-01-01

152

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

153

Sampling Methods and Construction of Weights 2007 Alameda County Homeless Survey  

E-print Network

Sampling Methods and Construction of Weights for the 2007 Alameda County Homeless Survey by Thomas;1 1. OVERVIEW 1.1 Background of the Study The 2007 Alameda County Homeless Survey was designed to provide an estimate of the number of unsheltered homeless persons in Alameda County and to study

Sekhon, Jasjeet S.

154

Sampling Methods and Construction of Weights 2009 Alameda County Homeless Survey  

E-print Network

Sampling Methods and Construction of Weights for the 2009 Alameda County Homeless Survey by Thomas;1 1. OVERVIEW 1.1 Background of the Study The 2009 Alameda County Homeless Survey was designed to provide an estimate of the number of unsheltered homeless persons in Alameda County and to study

Sekhon, Jasjeet S.

155

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

ERIC Educational Resources Information Center

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

de Bradley, Ann Aviles

2008-01-01

156

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

157

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

Federal Register 2010, 2011, 2012, 2013

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

2011-10-28

158

[Healthcare institutions for the homeless].  

PubMed

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

Pain, Marielle; Kusuamina, Laëticia; Kusuamina, Laëticia

2014-04-01

159

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

160

From Marginalized to Mainstreamed: The HEART Project Empowers the Homeless.  

ERIC Educational Resources Information Center

A demonstration project providing job skills training for the homeless was conducted to evaluate the potential for moving the homeless into the mainstream. Of the 30 men and women who participated in the project, 26 successfully completed the program. Intensive case management contributed to program success. (RJM)

Goetz, Kathryn W.; Schmiege, Cynthia J.

1996-01-01

161

Homeless Children: Meeting the Educational Challenges. ERIC Digest.  

ERIC Educational Resources Information Center

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

Goins, Brad; Cesarone, Bernard

162

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

163

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

ERIC Educational Resources Information Center

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

National Coalition for the Homeless, Washington, DC.

164

Homelessness: Programs and the People They Serve, Technical Report  

NSDL National Science Digital Library

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

1999-01-01

165

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

ERIC Educational Resources Information Center

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

Niedergang, Mark; McCoy, Martha, Ed.

166

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

PubMed

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

Chinman, Matthew; Hannah, Gordon; McCarthy, Sharon

2012-08-01

167

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

168

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.

169

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

Federal Register 2010, 2011, 2012, 2013

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

2010-11-15

170

Families Experiencing Homelessness  

MedlinePLUS

... 4]Culhane, JF et al. (2003). Prevalence of child welfare services involvement among homeless and low-income mothers: A five year birth cohort study. Journal of Sociology and Social Welfare, 30 (3). [5] Bassuk, EL ...

171

Alcoholism and homelessness.  

PubMed

A prospective study was carried out over a three-year period to assess the incidence of alcoholism and its effect on the homeless. Of 423 homeless people interviewed, 48.7 per cent were found to be alcoholics. Alcoholism was common in Celts and Roman Catholics but showed no correlation with educational achievement or school-leaving age. It was strongly associated with the use of casualty departments and criminal activity. PMID:2616506

Shanks, N

1989-10-22

172

Homelessness, behavioral health disorders and intimate partner violence: barriers to services for women.  

PubMed

Homeless women comprise a significant portion of the homeless population and may encounter multiple life stressors including mental illness, substance abuse, and trauma. Women who are homeless may experience difficulty gaining access to resources such as shelter and health care. In addition, the interaction of behavioral health problems with intimate partner violence (IPV) may create extraordinary barriers to their engagement in services. This paper explores the co-occurrence of homelessness, behavioral health problems, and IPV and lessons learned through a gender-specific homeless services program designed to reach women who are unengaged in traditional services. Recommendations for providing gender-responsive services are discussed. PMID:24566559

Ponce, Allison N; Lawless, Martha Staeheli; Rowe, Michael

2014-10-01

173

For Homeless Veterans  

MedlinePLUS

... Performance VA Plans, Budget, & Performance VA Center for Innovation (VACI) Performance and Accountability Report Budget Submission Recovery ... Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional Loan Centers Cemetery Locations Contact ...

174

Development and Implementation of an Academic-Community Partnership to Enhance Care among Homeless Persons.  

PubMed

An academic-community partnership between a Health Care for the Homeless (HCH) clinic and a school of pharmacy was created in 2005 to provide medication education and identify medication related problems. The urban community based HCH clinic in the Richmond, VA area provides primary health care to the homeless, uninsured and underinsured. The center also offers eye care, dental care, mental health and psychiatric care, substance abuse services, case management, laundry and shower facilities, and mail services at no charge to those in need. Pharmacist services are provided in the mental health and medical clinics. A satisfaction survey showed that the providers and staff (n = 13) in the clinic were very satisfied with the integration of pharmacist services. The quality and safety of medication use has improved as a result of the academic-community collaborative. Education and research initiatives have also resulted from the collaborative. This manuscript describes the implementation, outcomes and benefits of the partnership for both the HCH clinic and the school of pharmacy. PMID:22259752

Gatewood, Sharon B S; Moczygemba, Leticia R; Alexander, Akash J; Osborn, Robert D; Reynolds-Cane, Dianne L; Matzke, Gary R; Goode, Jean-Venable R

2011-01-01

175

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

176

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

PubMed

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

Allan, Julaine; Kemp, Michael

2014-01-01

177

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

PubMed Central

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

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

2013-01-01

178

Twenty-five years of child and family homelessness: where are we now?  

PubMed

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

Grant, Roy; Gracy, Delaney; Goldsmith, Grifin; Shapiro, Alan; Redlener, Irwin E

2013-12-01

179

Homeless Veterans Need your help!!  

E-print Network

Homeless Veterans Need your help!! "1-1-1" Event Please bring: 1 ­ Gently used item of MEN United Veterans who run a shelter for homeless veterans in Yaphank. Please go through your closets adopting-a-shelter or adopt-a-house where the homeless veterans live. For more details please go

Johnson, Peter D.

180

Community-Driven Homeless Housing  

E-print Network

that are at or below the poverty level. This portion of the population is at risk of becoming homeless becauseCommunity-Driven Homeless Housing Programs: Best Practices Report Prepared for City of Champaign Anne Householder Latonya Jones Maria Kaidas Rebecca Long Huong Phu #12;Homeless Housing Best Practices

Frank, Thomas D.

181

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

PubMed Central

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

Doran, Kelly M.; Rosenheck, Robert A.

2013-01-01

182

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

Microsoft Academic Search

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

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

2009-01-01

183

Pathways into homelessness: recently homeless adults problems and service use before and after becoming homeless in Amsterdam  

Microsoft Academic Search

BACKGROUND: To improve homelessness prevention practice, we met with recently homeless adults, to explore their pathways into homelessness, problems and service use, before and after becoming homeless. METHODS: Recently homeless adults (last housing lost up to two years ago and legally staying in the Netherlands) were sampled in the streets, day centres and overnight shelters in Amsterdam. In April and

Igor R van Laere; Matty A de Wit; Niek S Klazinga

2009-01-01

184

Pathways into homelessness: recently homeless adults - problems and service use before and after becoming homeless in Amsterdam  

Microsoft Academic Search

ABSTRACT: OBJECTIVE: To improve homelessness prevention practice, we met with recently homeless adults, to explore their pathways into homelessness, problems and service use, before and after becoming homeless. METHODS: Recently homeless adults (last housing lost up to two years ago and legally staying in the Netherlands) were sampled in the streets, day centres and overnight shelters in Amsterdam. In April

Laere van I. R; Wit de M. A; N. S. Klazinga

2009-01-01

185

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

ERIC Educational Resources Information Center

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

Wilson, Melanie; Houghton, Alison

186

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

ERIC Educational Resources Information Center

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

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

187

UCSD/VA Psychology Internship Training Program  

E-print Network

of the psychologist in a sophisticated university-affiliated teaching and research hospital, adult or child outpatient, and inpatient child and adolescent psychiatric settings. The UCSD/VA Psychology Internship provides a solidUCSD/VA Psychology Internship Training Program Department of Psychiatry University of California

Squire, Larry R.

188

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

189

Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS  

PubMed Central

During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n?=?17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals. PMID:18347991

Leung, Cheryl S.; Ho, Minnie M.; Kiss, Alex; Gundlapalli, Adi V.

2008-01-01

190

Homelessness and the response to emerging infectious disease outbreaks: lessons from SARS.  

PubMed

During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals. PMID:18347991

Leung, Cheryl S; Ho, Minnie M; Kiss, Alex; Gundlapalli, Adi V; Hwang, Stephen W

2008-05-01

191

The quality of preventive medical care for homeless veterans with mental illness.  

PubMed

The 2003 National Healthcare Disparities Report underscored the need for performance measurement of evidence-based preventive services for at-risk populations. This study compares receipt of primary care prevention services among homeless and nonhomeless veteran patients who received Veterans Affairs (VA) medical care services. The study used chart review data on a national sample of 94,932 veterans with chronic medical conditions whose care was reviewed through the VA External Peer Review Program during 1998 and 1999. Receipt of eight preventive services was examined: two measures of immunization, four of cancer screening, and two of tobacco use and counseling. In risk-adjusted models, recently homeless veterans received 9% fewer prevention services for which they were eligible. Modest differences in receiving prevention services between domiciled and recently homeless veterans suggest that targeted efforts are needed to facilitate access to needed medical services in this population. PMID:17514855

McGuire, James; Rosenheck, Robert

2005-01-01

192

Comprehensive Planning To Address Homelessness. City Initiatives.  

ERIC Educational Resources Information Center

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

Zawisza, Kris

193

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

ERIC Educational Resources Information Center

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

Benda, Brent B.

2005-01-01

194

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

PubMed Central

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

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

2014-01-01

195

38 CFR 74.27 - How will VA store information?  

Code of Federal Regulations, 2010 CFR

...Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VETERANS SMALL BUSINESS REGULATIONS Records Management § 74.27 How will VA store information? VA intends to store records provided to complete...

2010-07-01

196

75 FR 14633 - Homeless Veterans' Reintegration Into Employment  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF LABOR Veterans' Employment and Training Service Homeless Veterans' Reintegration Into Employment AGENCY: Veterans' Employment and Training...USDOL or Department), Veterans' Employment and Training...determines appropriate to provide job training, counseling,...

2010-03-26

197

76 FR 33788 - Homeless Veterans' Reintegration Into Employment  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF LABOR Veterans' Employment and Training Service Homeless Veterans' Reintegration Into Employment AGENCY: Veterans' Employment and Training...President Barack Obama signed the Veterans' Benefits Act of 2010 (Pub...determines appropriate to provide job training, counseling,...

2011-06-09

198

The responsibility to care for single homeless people.  

PubMed

This paper examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. Homelessness is a complex concept associated with problems of housing, health, social care and income. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served, and none of the generalist welfare agencies have a duty to seek out those who do not present. As a result, single homeless people fall between the housing, health and social services and amass exceptional unmet needs. The paper appraises the approaches to single homeless people's problems that have recently been introduced by the Rough Sleepers' Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSU's prime responsibility for commissioning single homeless people's services will transfer to local authorities in 2002, the paper concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group. PMID:11846823

Crane, M; Warnes, A M

2001-11-01

199

Hope as seen through the eyes of homeless children.  

PubMed

Children now constitute the largest segment of the homeless population. Multiple studies have identified the adverse effects of homelessness on children's health, development, academic success, and behaviour. Minimal literature exists that describes homeless children from the perspective of their strengths. The purpose of this study was to investigate the meaning of hope in homeless children and to identify strategies that children use in fostering and maintaining their hope. Using the technique of methodological triangulation (semi-structured interviews and drawings) the investigator collected data on a convenience sample of 60 homeless children (6 to 16 years old) currently residing in homeless shelters. Transcriptions of the audio-taped interviews were analysed following Colaizzi's method of analysis. Transcript statements were compared with the drawings. Five themes representing hope emerged from the data: connectedness, internal resources, cognitive strategies, energy, and hope objects. School age children drew story book tale characters, pre-adolescents drew real life situations, and adolescents drew future plans to represent their hopes. An understanding of hope from the perspective of homeless children could provide a basis upon which to develop interventions that engender hope and to develop programmes that build on the hopes that children had already developed. PMID:9840877

Herth, K

1998-11-01

200

Homelessness Is a Risk Factor for TB  

MedlinePLUS

... the United States, 1% of the population experiences homelessness in a given year, but 5.8% of persons ... healthcare agencies addressing the needs of persons experiencing homelessness. ... in number, the homeless population still represents an important ...

201

Assault and substance abuse characterize burn injuries in homeless patients.  

PubMed

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. PMID:18388565

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

2008-01-01

202

Community health promotion with people who are experiencing homelessness.  

PubMed

Homelessness is an experience of being displaced. Once removed from their personal places, homeless people are barred access to healthy places in which to be. Health clinics for people who are experiencing homelessness offer an opportunity to create health-promoting places. In this study, we explore how place is experienced within a community health clinic for people who are experiencing homelessness. A critical ethnographic methodology was used. Results illustrate how clients and providers contested the space of the clinic. Discourses of safety, health promotion, and privacy were enacted, altered, and resisted in a constant practice of culture-making. Physical components of the space became conceptual components of how place and power in place were understood by clients and providers. Results point to the importance of conceptualizing service users as the key stakeholders in their care, considering how places may be more or less health promoting, and rethinking how safety is conceptualized. PMID:23384065

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

2013-01-01

203

Estimating the number of homeless deaths in France, 2008-2010  

PubMed Central

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

2014-01-01

204

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

205

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

Microsoft Academic Search

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

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

2001-01-01

206

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

207

Programmatic impact of 5 years of mortality surveillance of New York City homeless populations.  

PubMed

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

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

2013-12-01

208

Homeless adolescents: a descriptive study of similarities and differences between runaways and throwaways.  

PubMed

A sample of 43 homeless adolescents was categorized as being either runaways, throwaways, or societal rejects. Comparisons of these categories of homeless youths were completed to assess the descriptive utility of internal social control, strain, and psychopathological theory in making distinctions between various homeless adolescents. Descriptive data support the view that control and psychopathology perspectives provide some promise for understanding differing types of runaway adolescents. Sex differences between runaway and throwaway youths were explored. However, few sex X type of homeless adolescent interactions were observed. Implications for secondary prevention, based upon these data, are offered. PMID:4083132

Adams, G R; Gullotta, T; Clancy, M A

1985-01-01

209

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

ERIC Educational Resources Information Center

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

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

210

(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

211

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.

212

The Homeless Mentally Ill: Myths and Realities  

Microsoft Academic Search

This literature review summarises the historical background of homelessness. It suggests that the current view of homeless people as chronic mentally ill is the latest phase in a series of the different ways in which society has perceived and labelled the homeless. We have argued that homelessness is a product of the lack of housing provision to the poorest section

Walid Abdul Hamid; Til Wykes; Stephen Stansfeld

1993-01-01

213

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

214

Supporting Homeless Youth: Perspectives and Preferences  

Microsoft Academic Search

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

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

2010-01-01

215

Obesity Among Chronically Homeless Adults: Is It a Problem?  

PubMed Central

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

Rosenheck, Robert A.

2013-01-01

216

The Homeless in Contemporary Society.  

ERIC Educational Resources Information Center

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

Bingham, Richard D.; And Others

217

Youth Homelessness and Individualised Subjectivity  

ERIC Educational Resources Information Center

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

Farrugia, David

2011-01-01

218

Homeless identities: enacted and ascribed.  

PubMed

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

Parsell, Cameron

2011-09-01

219

Homelessness: The Politics of Accommodation  

Microsoft Academic Search

This article considers the problem of poverty, with homelessness as the centerpiece. A survey of the problem and its roots and ancillary branches includes (1) a description of poverty in Boston (and America) from 1974 to 1991, its effects, its victims, and its predictable effects on the economy; (2) a description of displacement and of the homelessness that results from

Kip Tiernan

1992-01-01

220

Homeless veterans: perspectives on social services use.  

PubMed

This study analyzes the nature and scope of homelessness and issues related to social services use. Using focus group interviews, this exploratory study examined the expressed needs of homeless veterans and the obstacles encountered in obtaining health and human services. Types of problems and social services barriers were developed with exemplars from the interviews. These veterans self-reported a high incidence of health and mental health problems, limited resources, negative public perceptions and treatment, insensitive service providers, dehumanizing policies and procedures, and high levels of stress and frustration with the service delivery system. They encountered personal, situational, and bureaucratic barriers to obtaining services and were highly critical of service providers. These findings suggest a need for greater emphasis on advocacy-based case management services, affordable housing, employment opportunities, increased sensitivity in service delivery systems, and empowerment-centered practice. PMID:9009886

Applewhite, S L

1997-01-01

221

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

222

Comparisons of Prevention Programs for Homeless Youth  

PubMed Central

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

Rotheram-Borus, Mary Jane

2014-01-01

223

Hispanic Migrant Laborer Homelessness in Nebraska: Examining Agricultural Restructuring as One Path to Homelessness  

E-print Network

Research on homelessness in the U.S. has proliferated over the past decade. Although this research has great!y increased our knowledge of homelessness, few studies have explored the paths to homelessness in rural, agricultural ...

Gaber, Sharon Lord; Cantarero, Rodrigo

1997-04-01

224

Challenges to immunization: the experiences of homeless youth  

PubMed Central

Background Homelessness is a critical social issue, both a product of, and contributing to, poor mental and physical health. Over 150,000 young Canadians live on the streets. Homeless youth experience a high incidence of infectious diseases, many of which are vaccine preventable. Early departure from school and limited access to public health services makes them a particularly vulnerable high-risk group. This study explores challenges to obtaining essential vaccines experienced by homeless youth. Methods A qualitative research study to explore knowledge, attitudes, beliefs, and experiences surrounding immunization of hard-to-reach homeless youth was designed. Participants were recruited for focus groups from Phoenix House and Shelter, a non-profit, community-based organization assisting homeless youth in Halifax, Nova Scotia, Canada. An experienced facilitator guided the recorded discussions. Transcripts of audiotapes were analyzed using a constant comparative method until data revealed a set of exemplars and themes that best captured participants’ knowledge, attitudes, beliefs and experiences surrounding immunization and infectious diseases. Results Important themes emerged from our analysis. Considerable variability in knowledge about immunization and vaccine preventable diseases was found. The homeless youth in the study had limited awareness of meningitis in contrast to a greater knowledge about sexually transmitted infections and influenza, gained during the H1N1/09 public health campaign. They recognized their poverty as a risk for contracting infectious diseases, along with their inability to always employ known strategies to prevent infectious diseases, due to circumstances. They showed considerable insight into the detrimental effects of poor hygiene, sleeping locations and risk behaviour. Interviewed homeless youth regarded themselves as good compliers of health professional advice and offered valuable suggestions to improve immunization in their population. Conclusions To provide effective public health interventions, it is necessary to consider the knowledge, attitudes, beliefs, and experiences of hard to reach, high risk groups. Our study shows that homeless youth are interested and capable in discussing immunization. Active targeting of homeless youth for public health immunization programs is needed. Working collaboratively with non-profit organizations that assist homeless youth provides an opportunity to increase their knowledge of infectious risks and to improve immunization strategies in this vulnerable group. PMID:22568937

2012-01-01

225

Integrated Treatment for Homeless Clients With Dual Disorders: A Quasi-Experimental Evaluation  

Microsoft Academic Search

The purpose of this study was to compare the effectiveness of four interventions in providing services to homeless clients with dual disorders: standard care (SC), assertive community treatment only (ACTO), integrated assertive community treatment (IACT), and new integrated assertive community treatment (NIACT). Participants had to be homeless, have a substance use disorder, and have a severe mental illness to be

Gary A. Morse; Robert J. Calsyn; W. Dean Klinkenberg; Jennifer Cunningham; Matthew R. Lemming

2008-01-01

226

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

227

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

Microsoft Academic Search

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

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

1995-01-01

228

Homeless Adolescents: A Descriptive Study of Similarities and Differences between Runaways and Throwaways.  

ERIC Educational Resources Information Center

Categorized 43 homeless adolescents as being either runaways, throwaways, or societal rejects. Descriptive data support view that social control and psychopathology perspectives provide promise for understanding differing types of runaway adolescents. Sex differences between runaway and throwaway youths were observed; few sex x type of homeless

Adams, Gerald R.; And Others

1985-01-01

229

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

230

Improving the Safety of Homeless Young People with Mobile Phones: Values, Form and Function  

E-print Network

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 included value sketches, written value scenarios, and semi- structured discussion, led to specific design

Anderson, Richard

231

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

Microsoft Academic Search

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

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

2010-01-01

232

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

233

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

234

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

235

Adverse perinatal outcomes associated with homelessness and substance use in pregnancy  

Microsoft Academic Search

Background: Women who are homeless during pregnancy may be exposed to poor nutrition, violence and substance use, yet the health status of their newborn infants has not been systematically evaluated. We undertook a study to provide preliminary estimates of the risk of adverse perinatal out- comes among Canadian women who are homeless or mar- ginally housed during pregnancy, and the

Merry Little; Rajiv Shah; Marian J. Vermeulen; Alice Gorman; Darlene Dzendoletas; Joel G. Ray

2005-01-01

236

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

237

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

ERIC Educational Resources Information Center

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

James, Barbara Wand; Lopez, Patrick D.

2003-01-01

238

Improving Engagement in the Role of Father for Homeless, Noncustodial Fathers: A Program Evaluation  

Microsoft Academic Search

Homeless, noncustodial fathers who struggle to maintain housing also struggle to occupy the role of father. This article presents a review and evaluation of a program for homeless noncustodial fathers that provides housing and encourages their occupancy to the role of parent. The program posits that engagement with children in the role of father cannot be achieved without stable housing

Sarah Ferguson; Patrick Morley

2011-01-01

239

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

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2009

2009-01-01

240

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

241

Engineering VA Health Care  

E-print Network

Engineering VA Health Care The Department of Veterans Affairs is offering a unique career engineers to be effective Healthcare Technology Program Managers in the Veterans Health Administration to serve a very special class of citizens ­ our nation's Veterans. Overview Program Description Roles

Adams, Mark

242

Homeless Aging Veterans in Transition: A Life-Span Perspective  

PubMed Central

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

Thompson, Carla J.; Bridier, Nancy L.

2013-01-01

243

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

PubMed

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

Thompson, Carla J; Bridier, Nancy L

2013-01-01

244

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

PubMed

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

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

2012-12-01

245

VA Health Care Facilities Locator  

MedlinePLUS

... Performance VA Plans, Budget, & Performance VA Center for Innovation (VACI) Performance and Accountability Report Budget Submission Recovery ... Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional Loan Centers Cemetery Locations Contact ...

246

38 CFR 61.33 - Payment of per diem.  

...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...

2014-07-01

247

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

PubMed Central

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

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

2012-01-01

248

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

PubMed Central

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

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

2013-01-01

249

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

PubMed Central

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

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

2013-01-01

250

Overdose Deaths Among Homeless Persons  

MedlinePLUS

... Deaths Among Homeless Persons From Abuse to Addiction Dec 2012 NIDA in New Orleans—More Highlights from ... Bob Schuster Jan 2011 Remembering Dr. Bruce Rounsaville Dec 2010 HIV/AIDS and Drug Abuse Oct 2010 ...

251

Temporary shelter for the homeless  

E-print Network

A one-person cardboard structure was designed to temporarily shelter the homeless during harsh weather conditions. The overall form is based on the folding Yoshimura pattern. It is collapsible, wind and water resistant, ...

Lin, Christine, 1982-

2005-01-01

252

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

253

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

PubMed

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

Egen, V

1998-01-01

254

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

255

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

ERIC Educational Resources Information Center

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

Oberlander, H. Peter; Fallick, Arthur L.

256

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

257

2 Homeless service Utilization report The 2010 Homeless Service Utilization Report is the  

E-print Network

#12;2 Homeless service Utilization report The 2010 Homeless Service Utilization Report is the fifth in a series of reports prepared by the Center on the Family at the University of Hawai`i and the Homeless Programs Office of the Hawai`i State Department of Human Services (DHS). Since the first Homeless Service

Dong, Yingfei

258

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.

259

Homeless children and education: an evaluation of the Stewart B. McKinney homeless assistance act  

Microsoft Academic Search

Children are the poorest group of Americans, and among those most devastated by poverty are homeless children. Numerous problems associate with homelessness for children, including academic problems: Homeless children tend to perform more poorly in school, repeat grades more often, and drop out of school more often than do other children. Risks at each stage of a homeless child's development

Heather Biggar

2001-01-01

260

Serving the Homeless: Evaluating the Effectiveness of Homeless ShelterServices  

Microsoft Academic Search

The effects of homeless assistance services at the local level are tremendously difficult to ascertain. In this study, a four-month sample of homeless persons served by a local homeless shelter and case management program were contacted nine to eleven months after receiving services. The findings suggest that the program had some initial success in assisting the homeless clients to locate

George M. Glisson; Bruce A. Thyer; Robert L. Fischer

261

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

262

Ecosystem Services and Trade-Offs Mediated by Urban Water Bodies for Homeless Popula@ons in Phoenix Wolf, A.1,2, M.M. Palta,2 N.B. Grimm,2 J. Gwiszcz,3 O. Schwake,4  

E-print Network

Ecosystem Services and Trade-Offs Mediated by Urban Water Bodies for Homeless provide heat miLgaLon, privacy, and other services to the homeless popula-offs provided by the wetlands to the homeless populaLon in Phoenix · Monitor

Hall, Sharon J.

263

Homelessness in Cambridge: A Social Attitudes Survey  

E-print Network

`homeless'? The survey began with a simple thought exercise, but one that is highly revealing of the ways' homeless person: `a smelly man ... with a dog.' Numerous references were made to Big Issue vendors

Steiner, Ullrich

264

Homelessness: A Data-Driven Learning Guide  

NSDL National Science Digital Library

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

Icpsr

265

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

PubMed Central

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

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

2013-01-01

266

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

PubMed

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

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

2013-01-01

267

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

268

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

269

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

PubMed

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

Dietz, Tracy L

2007-01-01

270

V&A Channel  

NSDL National Science Digital Library

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

271

National Resource Center on Homelessness and Mental Illness  

NSDL National Science Digital Library

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

272

Unaccompanied Homeless Youth in Illinois: 2005  

E-print Network

Unaccompanied Homeless Youth in Illinois: 2005 Funded by the Illinois Department of Human Services (IDHS) Coordinated by the Chicago Coalition for the Homeless Timothy P. Johnson Ingrid Graf Survey Research Laboratory University of Illinois at Chicago December 2005 #12;#12;Unaccompanied Homeless Youth

Illinois at Chicago, University of

273

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

274

Homeless Young People and Technology: Ordinary  

E-print Network

consequences for the U.S. By one estimate, 3 million young people experience homelessness annu- ally; that is, about 1 percent of the U.S. population is both young and homeless at some point each year [1- munity of homeless young people in Seattle, Washington, allowing us to explore ordinary uses of digital

Anderson, Richard

275

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.

276

Critical Homelessness: Expanding Narratives of Inclusive Democracy  

Microsoft Academic Search

The experience (as opposed to the concept) of homelessness is hardly part of the academic discourse in education, cultural studies, or human development. One of the central goals of our special issue is to create a bridge between homelessness as a personal experience and homelessness as a public issue. Along with the personal experience that breaks free from the deficit-model

Susan Finley; Marcelo Diversi

2010-01-01

277

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.

278

VA-ACME SCHOLARSHIP APPLICATION CHECKLIST  

E-print Network

missing/killed in action, the Family Member will need to provide a Report of Casualty DD Form 1300. #12;VA-ACME SCHOLARSHIP APPLICATION COVER SHEET * 2011 * Please check the scholarship you are applying for: Active Duty, Drilling Reservist, or National Guard Member Family Member (to include Spouse or Child) of Active Duty

Virginia Tech

279

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

E-print Network

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

Puglisi, Joseph

280

Sexual Health Information Seeking Online Among Runaway and Homeless Youth  

PubMed Central

Research shows runaway and homeless youth are reluctant to seek help from traditional health providers. The Internet can be useful in engaging this population and meeting their needs for sexual health information, including information about HIV and other sexually transmitted infections (STIs). Using a sample of homeless youth living in Los Angeles, California in June 2009, this study assesses the frequency with which runaway and homeless youth seek sexual health information via the Internet, and assesses which youth are more likely to engage in seeking health information from online sources. Drawing from Andersen’s (1968) health behavior model and Pescosolido’s (1992) network episode model, we develop and refine a model for seeking online sexual health information among homeless youth. Rather than testing the predicative strength of a given model, our aim is to identify and explore conceptually driven correlates that may shed light on the characteristics associated with these help seeking behaviors among homeless youth. Analyses using multivariate logistic regression models reveal that among the sample of youth, females and gay males most frequently seek sexual health information online. We demonstrate the structure of social network ties (e.g., connection with parents) and the content of interactions (e.g., e-mail forwards of health information) across ties are critical correlates of online sexual health information seeking. Results show a continued connection with parents via the Internet is significantly associated with youth seeking HIV or STI information. Similarly for content of interactions, more youth who were sent health information online also reported seeking HIV information and HIV-testing information. We discuss implications for intervention and practice, focusing on how the Internet may be used for dissemination of sexual health information and as a resource for social workers to link transient, runaway, and homeless youth to care. PMID:22247795

Barman-Adhikari, Anamika; Rice, Eric

2012-01-01

281

Emotional and Behavioural Problems among Sheltered Homeless Children.  

PubMed

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

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

2013-01-01

282

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

283

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.

284

Creating a Community of Learning for Homeless Children.  

ERIC Educational Resources Information Center

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

Nunez, Ralph da Costa; Collignon, Kate

1997-01-01

285

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

ERIC Educational Resources Information Center

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

Truesdell, Delores; Sani, Amy V.

2001-01-01

286

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

287

Supporting the Literacy Development of Children Living in Homeless Shelters  

ERIC Educational Resources Information Center

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

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

2010-01-01

288

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

289

Transitioning Our Shelters: Making Homeless Shelters Safe for Transgender People  

Microsoft Academic Search

Most homeless shelters in the United States are segregated by sex, with placement based on assumptions about a person's gender. As a result, transgender youth and adults, who identify as or express a gender different from their birth sex, can experience extreme difficulties in obtaining adequate and safe shelter. Many shelters are physically unsafe for transgender people, fail to provide

Lisa Mottet; John Ohle

2006-01-01

290

Homelessness Immersion: Bridging the Gap between Experience and Analysis.  

ERIC Educational Resources Information Center

Reports on the Homelessness Immersion Project, a program developed at Molloy College to educate students about poverty that not only provides theoretical information about economic and social issues but also helps students develop personal insight into the experience of living in poverty. Describes how the program brings together community-service…

Russo, Michael S.

1998-01-01

291

A Look at Child Welfare from a Homeless Education Perspective  

ERIC Educational Resources Information Center

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

National Center for Homeless Education at SERVE, 2007

2007-01-01

292

Correlates of homeless episodes among indigenous people.  

PubMed

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 and differentiate correlates of "near homelessness" (i.e., doubling up) and "homeless episodes" (periods of actual homelessness). Results show that individuals with a history of homeless episodes had significantly more individual and family health, mental health, and substance abuse problems. Periods of homelessness also were associated with financial problems. Among the female caretakers who experienced episodes of homelessness over the course of the study, the majority had been homeless at least once prior to the start of the study and approximately one-fifth met criteria for lifetime alcohol dependence, drug abuse, or major depression. Family adversity during childhood was also common for women experiencing homelessness during the study. PMID:21656303

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

2012-03-01

293

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

ERIC Educational Resources Information Center

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

Buch, Kim; Harden, Susan

2011-01-01

294

Homeless persons and health care.  

PubMed

Health care is generally unavailable for the homeless. This heterogeneous group of men and women, including long-term street dwellers, residents of shelters, the chronically mentally ill, the economically debased, and alienated youth, are subject to a broad range of acute and chronic diseases, intensified by unsuitable living conditions, stress, and sociopathic behavior. Trauma, pulmonary tuberculosis, infestations, and peripheral vascular disease are common problems among the homeless; incomplete and fragmentary medical care permits exacerbation of chronic disorders. Outreach programs imaginatively constructed by teams of physicians, nurses, and social workers can effectively reestablish and maintain health services for these disenfranchised persons. PMID:3511826

Brickner, P W; Scanlan, B C; Conanan, B; Elvy, A; McAdam, J; Scharer, L K; Vicic, W J

1986-03-01

295

Gender Differences in the Residential Origins of the Homeless: Identification of Areas with High Risk of Homelessness  

Microsoft Academic Search

This article offers a gender perspective on homelessness concerning residential origins. Data were obtained through the 2005 homelessness survey in Miami-Dade County, Florida. The residential origins of homeless women are more widespread and less concentrated in the neighborhoods of high poverty than those of homeless men. Areas with lack of low-rent housing units are at greatest risk of generating homeless

Deden Rukmana

2010-01-01

296

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

ERIC Educational Resources Information Center

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

Brown, Kay E.

2010-01-01

297

And Miles To Go... Barriers to Academic Achievement and Innovative Strategies for the Delivery of Educational Services to Homeless Children.  

ERIC Educational Resources Information Center

Focuses on the educational needs of homeless children in New York City, obstacles to obtaining schooling and available services, and innovative strategies for the delivery of educational services. Part 1 provides an overview of the educational needs of homeless children, including a summary of the research literature on educational problems that…

Rafferty, Yvonne

298

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

ERIC Educational Resources Information Center

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

Julianelle, Patricia

2008-01-01

299

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

ERIC Educational Resources Information Center

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

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

2009-01-01

300

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

PubMed

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

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

2010-01-01

301

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. PMID:22838503

2012-01-01

302

Arthropod-borne diseases in homeless.  

PubMed

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

Brouqui, Philippe; Raoult, Didier

2006-10-01

303

Homelessness: a problem for primary care?  

PubMed

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. PMID:12939894

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

2003-06-01

304

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. PMID:12939894

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

2003-01-01

305

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

306

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.

307

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

PubMed Central

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

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

2013-01-01

308

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

PubMed

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

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

2013-12-01

309

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

PubMed

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

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

2013-01-01

310

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

311

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

ERIC Educational Resources Information Center

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

Austen, Tyrone; Pauly, Bernie

2012-01-01

312

Vulnerability to Homelessness, Use of Services and Homelessness Prevention in Black and Minority Ethnic Communities  

Microsoft Academic Search

Despite the high prominence of homelessness on the housing policy agenda and evidence that a disproportionate number of people affected by homelessness come from black and minority ethnic (BME) communities, little is known about patterns of access and use of homelessness services in these communities. This paper seeks to fill the gap, by drawing on qualitative and quantitative research recently

Gina Netto

2006-01-01

313

HOMELESS IN AMERICA, HOMELESS IN CALIFORNIA John M. Quigley, Steven Raphael, and Eugene Smolensky*  

E-print Network

avail- ability can substantially reduce the incidence of homelessness in the United States. I* Abstract--It is generally believed that the increased incidence of home- lessness in the United States hasHOMELESS IN AMERICA, HOMELESS IN CALIFORNIA John M. Quigley, Steven Raphael, and Eugene Smolensky

Sekhon, Jasjeet S.

314

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

PubMed Central

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

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

2013-01-01

315

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

316

Characteristics of Natural Mentoring Relationships from the Perspectives of Homeless Youth  

PubMed Central

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

Dang, Michelle T.; Miller, Elizabeth

2013-01-01

317

Resiliency and survival skills among newly homeless adolescents: Implications for future interventions  

PubMed Central

Recent studies on homeless adolescents suggest that the profiles of homeless adolescents are heterogeneous, and that certain clusters of homeless adolescents demonstrated resiliency and positive coping strategies. This study examined the relationship between HIV-related risk factors and resiliency (survival skills) of homeless adolescents over a 2-year period. Those who did not engage in unprotected sex reported significantly higher survival skills scores. Similarly, those who were monogamous during the study period reported significantly higher survival skills scores. However, there was a significant decline in survival skills scores after 6 months, regardless of the HIV-related risk factors. Findings from this study point to the urgent need to identify and target resilient adolescents early on to provide interventions to facilitate the transition to stable living situations before their resiliency deteriorates. PMID:22216061

Lee, Sung-Jae; Liang, Li-Jung; Rotheram-Borus, Mary Jane; Milburn, Norweeta G.

2011-01-01

318

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

PubMed

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

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

2012-01-01

319

Violence within the lives of homeless people.  

E-print Network

??Narrative Literature Review Experience of victimisation and violence is prevalent within homeless people’s lives, and frequently begins in childhood through the experience of childhood abuse… (more)

Couldrey, Charlotte

2010-01-01

320

Homeless people's trust and interactions with police and paramedics.  

PubMed

Although the health impact of patients' trust in physicians has been well documented, less is known about the possible health effects of trust in police or paramedics. Homeless people frequently interact with police officers and paramedics, and these experiences may affect their health and future willingness to seek emergency assistance. We examined homeless people's self-reported interactions with police and paramedics in Toronto, Canada, and their level of trust in these emergency service providers. In a sample of 160 shelter users, 61% had interacted with police in the last 12 months, and 37% had interacted with paramedics (P = .0001). The proportion of subjects who expressed willingness to call police in an emergency was significantly lower than those willing to call paramedics in an emergency (69% vs. 92%, P = .0001). On a Likert scale ranging from a minimum of 0 to a maximum of 5, trust levels were lower in police than in paramedics (median level 3 vs. 5, P = .0001). Among shelter users, 9% (95% confidence interval [CI], 5% to 14%) reported an assault by a police officer in the last year, and 0% (95% CI, 0% to 4%) reported an assault by a paramedic. These findings showed that homeless people have much lower levels of trust in police than paramedics. Reports of negative interactions with police are not uncommon, and homeless people's perceptions of the police may pose a barrier to seeking emergency assistance. Further research is needed for objective characterization of homeless people's interactions with police officers and the potential health implications of low levels of trust in the police. PMID:15466841

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

2004-12-01

321

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

PubMed

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

Mares, Alvin S; Rosenheck, Robert A

2007-02-01

322

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

323

Sheltered versus nonsheltered homeless women  

Microsoft Academic Search

OBJECTIVE: To contrast sociodemographic characteristics, physical and mental health status, substance use, sexual behaviors, victimization,\\u000a and utilization of health services between homeless women residing in sheltered and nonsheltered environments.\\u000a \\u000a \\u000a DESIGN: Cross-sectional survey. A structured scale was used to measure mental health status. Physical health status, substance use,\\u000a sexual behavior, history of adult victimization, and health services utilization were measured by

Adeline M. Nyamathi; Barbara Leake; Lillian Gelberg

2000-01-01

324

Retrospective assessment of the prevalence of cardiovascular risk factors among homeless individuals with schizophrenia in Shanghai  

PubMed Central

Background Cardiovascular diseases are increasingly important in China, but the prevalence of risk factors for cardiovascular diseases in the indigent mentally ill are unknown. Aim Assess the prevalence of four key risk factors for cardiovascular disease -- hypertension, hyperglycemia, hyperlipidemia and smoking – among homeless patients with schizophrenia and identify factors associated with the presence of these risk factors. Methods We reviewed medical charts of 181 homeless and 181 non-homeless patients with schizophrenia or schizophreniform disorder admitted to the Shanghai Jiading Mental Health Center between May 2007 and April 2013. Demographic characteristics and risk factors of cardiovascular events were compared between the two groups. Logistic regression models identified the factors that were associated with the presence of one or more of the four risk factors. Results The prevalence of hypertension and hyperlipidemia were 19 to 20% in both males and females in the two groups; these rates are similar to those reported in the general population. The prevalence of hyperglycemia ranged from 11 to 15% among males and females in the two groups. Smoking was highly prevalent in male patients (82% in homeless males and 78% in non-homeless males) but, like in China generally, much less prevalent in female patients (7% in homeless females and 5% in non-homeless females). The logistic regression analysis found that male gender, older age, and urban (vs. rural) residence were independently associated with the presence of one or more of the four cardiovascular risk factors. Homelessness was not associated with the presence of cardiovascular risk factors. Conclusion This study is the first known report on cardiovascular risk factors among homeless mentally ill in China. The study did not assess several important factors (such as the type, dose and duration of use of antipsychotic medication) but it was, nevertheless, able to show that, unlike in high-income countries, homelessness is not related to elevated risk of cardiovascular disease in Chinese individuals with mental illnesses. Prospective studies with the growing number of homeless individuals in China will be needed to get a clearer picture of the best ways to provide them with the health care services they need. PMID:25114489

CHEN, Qing; WAN, Min; BAN, Chunxia; GAO, Yafang

2014-01-01

325

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

326

2013 -2014 HOMELESSNESS STATUS VERIFICATION FORM STUDENT NAME: SPU ID  

E-print Network

2013 - 2014 HOMELESSNESS STATUS VERIFICATION FORM STUDENT NAME: SPU ID: On your 2013-2014 Free time on or after July 1, 2012 you were an unaccompanied youth who was homeless or self-supporting and at risk of being homeless as determined by: · Your high school or school district homeless liaison

Nelson, Tim

327

2012 -2013 HOMELESSNESS STATUS VERIFICATION FORM STUDENT NAME: SPU ID  

E-print Network

2012 - 2013 HOMELESSNESS STATUS VERIFICATION FORM STUDENT NAME: SPU ID: On your 2012-2013 Free time on or after July 1, 2011 you were an unaccompanied youth who was homeless or self-supporting and at risk of being homeless as determined by: · Your high school or school district homeless liaison

Nelson, Tim

328

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.

329

An Examination of Criminal Behavior among the Homeless.  

ERIC Educational Resources Information Center

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

Solarz, Andrea

330

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

331

Homeless Children and Youth: A New American Dilemma.  

ERIC Educational Resources Information Center

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

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

332

Relationships Between Psychosocial Risks and Stress in Homeless Children  

Microsoft Academic Search

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children's experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to

Timothy F. Page; Roger M. Nooe

1999-01-01

333

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

PubMed Central

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

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

2014-01-01

334

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

2010-01-01

335

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

336

38 CFR 61.40 - Special need grants-general.  

...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...

2014-07-01

337

38 CFR 61.50 - Technical assistance grants-general.  

...OF VETERANS AFFAIRS (CONTINUED) VA HOMELESS PROVIDERS GRANT AND PER DIEM PROGRAM...relating to the provision of assistance for homeless veterans. The recipients must use...experience in providing assistance to homeless veterans in order to help such...

2014-07-01

338

Homelessness and Substance Use in Cook County  

E-print Network

and Substance Abuse State of Illinois by Timothy P. Johnson and Mark E. Barrett Survey Research Laboratory University of Illinois September 1991 #12;#12;Homelessness & Substance Abuse in Cook County i CONTENTS Page ....................................................................................................49 #12;Homelessness & Substance Abuse in Cook County ii CONTENTS--Continued Page REFERENCES

Illinois at Chicago, University of

339

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

340

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. PMID:21656303

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

2011-01-01

341

The Impact of Homelessness on Children  

Microsoft Academic Search

This article reviews and critiques community-based research on the effects of homelessness on children. Homeless children confront serious threats to their ability to succeed and their future well-being. Of particular concern are health problems, hunger, poor nutrition, developmental delays, anxiety, depression, behavioral problems, and educational underachievement. Factors that may mediate the observed outcomes include inadequate shelter conditions, instability in residences

Yvonne Rafferty; Marybeth Shinn

1991-01-01

342

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

343

Homelessness, Poverty, and Children's Literacy Development  

ERIC Educational Resources Information Center

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

Walker-Dalhouse, Doris; Risko, Victoria J.

2008-01-01

344

Preliminary Findings on Rural Homelessness in Ohio.  

ERIC Educational Resources Information Center

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

First, Richard J.; And Others

345

The Disadvantage of Homelessness in Children's Schooling.  

ERIC Educational Resources Information Center

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

Shaver, Debra M.; Dornbusch, Sanford M.

346

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

347

Capacity for Survival: Exploring Strengths of Homeless Street Youth  

PubMed Central

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

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

2009-01-01

348

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

349

Social capital in the experience of homeless mothers  

E-print Network

Fall 2012 – Spring 2013 | 1 Social capital in the experience of homeless mothers D. Adam Nicholson Homelessness in the United States affects many different people. In 2012, of the estimated 633,782 people experiencing homelessness... in the United States (National Alliance to End Homelessness), an estimated 37.8% were homeless families. Of this group, an increasing number are women and children. These numbers may underestimate reality, as at any given moment it is nearly impossible...

Nicholson, Adam

2013-04-01

350

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

351

38 CFR 61.67 - Recovery provisions.  

...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),...

2014-07-01

352

38 CFR 61.0 - Purpose.  

...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...

2014-07-01

353

76 FR 3209 - West Los Angeles VA Medical Center Veterans Programs Enhancement Act of 1998; Draft Master Plan  

Federal Register 2010, 2011, 2012, 2013

...INFORMATION: The mission of the VA's Veterans Health Administration (VHA) is to honor America's veterans by providing exceptional health...VA Greater Los Angeles (GLA) Healthcare System, serving Veterans in Los Angeles, Ventura,...

2011-01-19

354

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

355

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

356

‘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

357

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

358

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

PubMed Central

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

Tyler, Kimberly A.; Schmitz, Rachel M.

2013-01-01

359

EMPLOYMENT SUMMARY Lexington, VA 24450  

E-print Network

EMPLOYMENT SUMMARY Lexington, VA 24450 Website : http://www.wlu.edu Phone : 540-458-8400 WASHINGTON AND LEE UNIVERSITY - 2011 Sydney Lewis Hall Total graduates 123 Unemployed - seeking 2 Employment status unknown 5 Unemployed - not seeking 0 Employed 111 97 14 Pursuing graduate degree FT 5 EMPLOYMENT STATUS

Marsh, David

360

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

PubMed

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

Benda, Brent B

2005-02-01

361

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

PubMed Central

Background Though vulnerable populations may benefit from in-home health information technologies (HIT) that promote disease self-management, there is a “digital divide” in which these groups are often unlikely to use such programs. We describe the early phases of applying and testing an existing Veterans Administration (VA) HIT care management program, Care Coordination Home Telehealth (CCHT), to recently homeless Veterans in the U.S. Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) program. Peers were used to support patient participation. Methods CCHT uses in-home messaging devices to provide health education and daily questions about clinical indicators from chronic illness care guidelines, with patient responses reviewed by VA nurses. Patients could also receive adjunctive peer support. We used medical record review, Veteran interviews, and staff surveys to “diagnose” barriers to CCHT use, assess program acceptability, explore the role of peer support, and inform future quality improvement. Subjects Fourteen eligible Veterans in HUD-VASH agreed to CCHT participation. Ten of these Veterans opted to have adjunctive peer support and the other four enrolled in CCHT usual care. Results Though barriers to enrollment/engagement must be addressed, this subset of Veterans in HUD-VASH was satisfied with CCHT. Most Veterans did not require support from peers to engage in CCHT but valued peer social assistance amidst the isolation felt in their scattered-site homes. Conclusions HIT tools hold promise for in-home care management for recently housed Veterans. Patient-level barriers to enrollment must be addressed in the next steps of quality improvement, testing and evaluating peer-driven CCHT recruitment. PMID:23407011

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

2013-01-01

362

Housing outcomes for hospitalized homeless veterans.  

PubMed

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

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

2006-05-01

363

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.

364

Storying the street: transition narratives of homeless youth.  

PubMed

Toronto Youth Street Stories is an innovative, web-based storytelling project that was conducted with homeless youths in Toronto. As a collaborative knowledge dissemination initiative, the project engaged youthful participants, authors, community mentors, youth service agencies and university-based researchers. Over 50 youths were encouraged to express their personal perspectives through author-led, creative writing workshops, resulting in youth-created stories, poems and pictures about a wide array of feelings and experiences. Across the dozens of pieces of writing, there is evidence of a chronology of street life, or an "arc of experience", that ranges from living with abuse and despair, leaving home, living on the street, experiencing a crisis or turning point, accessing services and gradually moving away from street life toward self-sustaining independence and security. This arc of experience includes the stories of youth who have transitioned away from the street as well as those still facing homelessness. This paper describes this arc of experience and illustrates it with the subjective material generated by the youths' stories about their lives on the streets of Toronto. We conclude that this project provided an important, creative outlet for the youths, and increased understanding of the challenges, stigma and resilience of homeless youth. PMID:23674628

Ottaway, N; King, K; Erickson, P G

2009-06-01

365

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

PubMed

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

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

2012-08-30

366

Expanded access to non-VA care through the Veterans Choice Program. Interim final rule.  

PubMed

The Department of Veterans Affairs (VA) amends its medical regulations concerning its authority for eligible veterans to receive care from non-VA entities and providers. The Veterans Access, Choice, and Accountability Act of 2014 directs VA to establish a program to furnish hospital care and medical services through non-VA health care providers to veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration or who qualify based on their place of residence (hereafter referred to as the Veterans Choice Program, or the ``Program''). The law also requires VA to publish an interim final rule establishing this program. This interim final rule defines the parameters of the Veterans Choice Program, and clarifies aspects affecting veterans and the non-VA providers who will furnish hospital care and medical services through the Veterans Choice Program. PMID:25376055

2014-11-01

367

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

368

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 PMID:23594410

2013-01-01

369

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

370

Stanford University Reviewing Veterans Affairs (VA) Research  

E-print Network

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

Puglisi, Joseph

371

34 CFR 300.19 - Homeless children.  

Code of Federal Regulations, 2010 CFR

...2010-07-01 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...

2010-07-01

372

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

PubMed

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

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

2009-07-01

373

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

ERIC Educational Resources Information Center

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

Aviles de Bradley, Ann Marie

2009-01-01

374

Sleep Disturbance in the Homeless Population: The Relationship between Homelessness, Sleep and Health  

Microsoft Academic Search

Little is known about how sleep disruption impacts physical health among the homeless. The association between homelessness, quality of sleep and physical health were investigated in the current study. Convenience sampling was used to select participants from a pool of people attending the programs of Ecclesia Ministries. Interviews were conducted with 32 persons from the Boston metropolitan area, of whom

Megan Elizabeth Corning

2010-01-01

375

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

376

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. PMID:23017039

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

377

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. PMID:21831318

2011-01-01

378

Use of VA and Medicare Services By Dually Eligible Veterans with Psychiatric Problems  

PubMed Central

Objective To examine how service accessibility measured by geographic distance affects service sector choices for veterans who are dually eligible for veterans affairs (VA) and Medicare services and who are diagnosed with mental health and/or substance abuse (MH/SA) disorders. Data Sources Primary VA data sources were the Patient Treatment (acute care), Extended Care (long-term care), and Outpatient Clinic files. VA cost data were obtained from (1) inpatient and outpatient cost files developed by the VA Health Economics and Resource Center and (2) outpatient VA Decision Support System files. Medicare data sources were the denominator, Medicare Provider Analysis Review (MEDPAR), Provider-of-Service, Outpatient Standard Analytic and Physician/Supplier Standard Analytic files. Additional sources included the Area Resource File and Census Bureau data. Study Design We identified dually eligible veterans who had either an inpatient or outpatient MH/SA diagnosis in the VA system during fiscal year (FY)'99. We then estimated one- and two-part regression models to explain the effects of geographic distance on both VA and Medicare total and MH/SA costs. Principal Findings Results provide evidence for substitution between the VA and Medicare, demonstrating that poorer geographic access to VA inpatient and outpatient clinics decreased VA expenditures but increased Medicare expenditures, while poorer access to Medicare-certified general and psychiatric hospitals decreased Medicare expenditures but increased VA expenditures. Conclusions As geographic distance to VA medical facility increases, Medicare plays an increasingly important role in providing mental health services to veterans. PMID:18355256

Carey, Kathleen; Montez-Rath, Maria E; Rosen, Amy K; Christiansen, Cindy L; Loveland, Susan; Ettner, Susan L

2008-01-01

379

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

380

Project WORTH. Work Opportunity Readiness for the Homeless. Final Evaluation Report 1988-89.  

ERIC Educational Resources Information Center

Project WORTH served the job training needs of and facilitated employment for homeless adults in Louisville shelters by providing instruction in basic living skills, academic skills, and employability and vocational skills. Child care, transportation, and food service were provided to make participation in the training program possible. Of the 264…

Jefferson County Public Schools, Louisville, KY.

381

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. PMID:16611519

Wright, Nat MJ; Tompkins, Charlotte NE

2006-01-01

382

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

PubMed

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

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

2005-09-01

383

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

384

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

385

Educating Homeless Children and Adolescents: Evaluating Policy and Practice.  

ERIC Educational Resources Information Center

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

Stronge, James H., Ed.

386

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

387

A Taxonomy of Medical Comorbidity for Veterans Who are Homeless  

Microsoft Academic Search

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

MPH Adam J. Gordon

2008-01-01

388

Homeless Youth: Characteristics, Contributing Factors, and Service Options  

Microsoft Academic Search

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

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

2010-01-01

389

Exploring the Lived Experiences of Homeless Families with Young Children  

ERIC Educational Resources Information Center

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

Hinton, Stephanie; Cassel, Darlinda

2013-01-01

390

Homeless Young People and Living with Personal Digital Artifacts  

E-print Network

Homeless Young People and Living with Personal Digital Artifacts Jill Palzkill Woelfer and David G}@uw.edu ABSTRACT This paper reports on an investigation of how homeless young people hold themselves in relation the ordinary and extraordinary circumstances of homelessness. The paper concludes with a discussion

Anderson, Richard

391

Shadow Count 2012: Help New York City's Homeless Be Counted!  

E-print Network

! Shadow Count 2012: Help New York City's Homeless Be Counted! Become a Shadow Count Decoy Shadow Count 2013 What: Monday Jan. 28th ­ 29th (overnight), the NYC Department of Homeless Services (DHS) will send hundreds of volunteers all across the city to count NYC's unsheltered homeless people

Qiu, Weigang

392

Shadow Count 2012: Help New York City's Homeless Be Counted!  

E-print Network

! Shadow Count 2012: Help New York City's Homeless Be Counted! Become a Shadow Count Decoy Shadow Count 2012 What: Monday Jan. 30th ­ 31st (overnight), the NYC Department of Homeless Services (DHS) will send hundreds of volunteers all across the city to count NYC's unsheltered homeless people

Qiu, Weigang

393

Designing for Homeless Young People: Precaution in Ubiquitous Computing  

E-print Network

Designing for Homeless Young People: Precaution in Ubiquitous Computing Abstract How should ubiquitous access to information through computing be shaped to improve the lives of homeless young people? Drawing on social and material considerations of homeless young people and service agencies, uncovered

Anderson, Richard

394

Reflections of a Homeless Population's Lived Experience With Substance Abuse  

Microsoft Academic Search

The aim of this study was to describe a homeless population's lived experience with substance abuse. A retrospective descriptive design was used to collect data from a sample of 75 homeless adults participating in a community-based homeless recovery residential program. Each participant was interviewed concerning gender, age, marital status, race, religion, education, employment, substance abuse, family history, psychiatric history, and

John Lowe; Sandra Gibson

2011-01-01

395

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.

396

THE ECONOMICS OF HOMELESSNESS: THE EVIDENCE FROM NOR TH AMERICA  

E-print Network

ABSTRACT It is generally believed that the increased incidence of homelessness in the US has arisen from distribution. We utilize essentially all the systematic information available on homelessness in US urban areas of the variation in homelessness among US metropolitan housing markets. Furthermore, rather modest improvements

Sekhon, Jasjeet S.

397

Office of Student Financial Aid & Scholarships Homeless Verification Form  

E-print Network

Office of Student Financial Aid & Scholarships 2013-2014 Homeless Verification Form According, did your high school or school district homeless liaison determine that you were an unaccompanied youth who was homeless? (Q55) If this is the case, you will need to submit a letter of confirmation

Li, X. Rong

398

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

ERIC Educational Resources Information Center

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

Lovell, Phillip; DeBaun, Bill

2012-01-01

399

Homelessness and Information Systems: Diverse Settings, Common Questions  

E-print Network

Homelessness and Information Systems: Diverse Settings, Common Questions David G. Hendry The Info pre- selected audience discussants will seed a participatory dialog con- cerning homelessness the welfare of homeless people and discuss the potential impacts of information systems on four dimensions

Anderson, Richard

400

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

401

The Changing Character of Homelessness in the United States.  

ERIC Educational Resources Information Center

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

Axelson, Leland J.; Dail, Paula W.

1988-01-01

402

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

403

Crossing the Threshhold: Successful Learning Provision for Homeless People.  

ERIC Educational Resources Information Center

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

Cameron, Helen; McKaig, Wendy; Taylor, Sue

404

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

ERIC Educational Resources Information Center

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

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

405

On the Edge of Homelessness: Rural Poverty and Housing Insecurity.  

ERIC Educational Resources Information Center

Uses long-term field research, interviews, questionnaires, and public records in upstate New York to link the risk of rural homelessness to poverty trends. Recommends broadened definition of rural homelessness to include those at risk. Suggests homeless programs apply themselves to rural situations. (TES)

Fitchen, Janet M.

1992-01-01

406

Homeless Young People's Experiences with Information Systems: Life and Work  

E-print Network

,12,16]. For people and communities living under conditions of relative poverty or homelessness, what is it likeHomeless Young People's Experiences with Information Systems: Life and Work in a Community Seattle, WA 98195-2840 {woelfj, dhendry}@u.washington.edu ABSTRACT This paper explores how homeless young

Anderson, Richard

407

The Urban Homeless: A Portrait of Urban Dislocation  

Microsoft Academic Search

In this decade, homelessness has been recognized as a serious and growing urban social problem. Using a new research approach to the study of undomiciled urban populations, we describe the social, economic, and demographic characteristics of the literally homeless population in Chicago. The homeless in the Chicago sample are unaffiliated persons living in extreme poverty, with high levels of physical

Peter H. Rossi; James D. Wright

1989-01-01

408

A social comparison perspective of treatment seeking by the homeless  

Microsoft Academic Search

The homeless will readily list ailments they claim to have, yet they will also claim that such ailments are not a problem and do not warrant treatment. In an attempt to understand this apparentparadox, data from a sample of homeless individuals were re-analyzed from a social comparison perspective. It was hypothesized that increased entrenchment in homelessness (increased isolation from “nonhomeless”

Randall E. Osborne; John E. Karlin; Donald Baumann; Mary Osborne; Doyle Nelms

1993-01-01

409

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. PMID:10474560

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

1999-01-01

410

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

PubMed Central

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

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

2010-01-01

411

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

412

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

PubMed Central

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

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

2013-01-01

413

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.

414

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

415

Chief, Medical Service VA Palo Alto Health Care System  

E-print Network

located at the Palo Alto Division. VAPAHCS provides a full range of patient care services with state and rehabilitation, neurology, oncology, dentistry, geriatrics, and extended care. An affiliation with the worldChief, Medical Service VA Palo Alto Health Care System An Affiliation of Stanford University School

Quake, Stephen R.

416

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

417

Geropsychology Training in a VA Nursing Home Setting  

ERIC Educational Resources Information Center

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

Karel, Michele J.; Moye, Jennifer

2005-01-01

418

Annual NASOH conference 2011 at Old Dominion University in Norfolk, VA May 12 15, 2011  

E-print Network

Annual NASOH conference 2011 at Old Dominion University in Norfolk, VA May 12 ­ 15, 2011 MARITIME Conference 2011 to be hosted by Old Dominion University in Norfolk, VA aims to provide an overview on what. of History (fax) 757.683.5644 8046 Batten Arts and Letters Building mail: iheidbri@odu.edu Old Dominion

419

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

ERIC Educational Resources Information Center

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

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

2009-01-01

420

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

421

Domestic Violence, Criminal Justice Responses and Homelessness: Finding the Connection and Addressing the Problem  

Microsoft Academic Search

As more social scientists examine the female side of social issues a host of questions are answered and further inquiries form in the wings. Two fields where much detailed and valuable information on women have been provided, and many questions still remain, are social work and criminal justice. A meeting point for these disciplines lies in the area of homelessness

Jana L. Bufkin; Judith Bray

1998-01-01

422

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

ERIC Educational Resources Information Center

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

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

423

Coordination of Care for Homeless Individuals with Comorbid Severe Mental Disorders and Substance-Related Disorders  

Microsoft Academic Search

Psychiatric symptoms and alcohol and drug use disorders are often diagnosed in individuals who frequent shelters and programs for homelessness. Services are often provided in a fragmented, uncoordinated manner. This study evaluates a care coordination program in dual-diagnosis patients by comparing data on 50 patients treated with standard methods and 50 patients enrolled in the care coordination program. Clinical outcomes

Laurence Karper; Michael Kaufmann; Gary Millspaugh; Evett Vega; Glenn Stern; Gail Stern; D. James Ezrow; Shirley Giansante; Mary Lynch

2008-01-01

424

Exploring Homeless People's Use of Outreach Services: Applying a Social Psychological Perspective  

Microsoft Academic Search

A number of critiques have been published drawing attention to the gaps in research methods applied to issues surrounding homelessness and service utilisation in Britain. This paper discusses the use of social identity, a theory drawn from the field of applied social psychology, and synthesises it with the pathways model, thereby providing a framework to further explore service utilisation. The

Julie Christian; David Clapham; Dominic Abrams

2011-01-01

425

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

Microsoft Academic Search

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

Augusto De Venanzi

2008-01-01

426

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

ERIC Educational Resources Information Center

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

da Costa Nunez, Ralph; Collignon, Kate

1999-01-01

427

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

428

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

Microsoft Academic Search

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 this community-based work are also described, and the

Paul A. Toro

2006-01-01

429

Homelessness is everyone's problem First multi-site randomized trial of housing interventions in Canada  

E-print Network

in the Faculty of Health Sciences, specializes in the treat- ment of drug addicts and is a member of SFU's Centre for Applied Research in Mental Health and Addiction (CARMHA). Somers was heading to the homeless shelter-investigators include UBC/Providence Health Care Leadership Chair in Addiction Research Michael Krausz, and UBC

430

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

ERIC Educational Resources Information Center

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

Sosin, Michael R.; And Others

431

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

432

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

433

Health of homeless children and housed, poor children.  

PubMed

Homeless children in families are increasing in numbers across the country and have been noted to have frequent health problems. The health status of homeless children was assessed on multiple dimensions through parental report in a survey conducted with 196 homeless families in 10 shelters in Los Angeles and 194 housed poor families after March 1987 through January 1988. During the month before the survey, the homeless and housed poor children experienced high rates of illness symptoms, disability, and bed days. Homeless and housed poor children were frequently rated by their parents to be in fair or poor health (17% vs 13%, P = .14). Homeless children, however, were reported to have more behavior problems and school failure [30% vs 18%, P = .06] than housed poor children. Homeless children also had high rates of other health problems such as developmental delay (9%) and overweight (13%). The diets of homeless children were frequently imbalanced, dependent on food from "fast-food" restaurants, and characterized by repeated periods of deprivation. Family problems were more common among homeless families, especially among single-parent homeless families compared with single-parent housed families (spousal abuse, 68% vs 41%, P less than .01; parental drug and alcohol abuse, 60% vs 39%, P less than .01). It is concluded that homeless children have significant child behavior and developmental problems and disorders of nutrition and growth, which are associated with multiple risk factors in their environment. PMID:1701236

Wood, D L; Valdez, R B; Hayashi, T; Shen, A

1990-12-01

434

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. PMID:24496226

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

2013-01-01

435

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

PubMed Central

Homelessness has reached epidemic proportions in Canada. Canadian children and adolescents are the most vulnerable because youth comprise the fastest growing segment of the homeless population. A systematic literature review was undertaken using MEDLINE, Web of Science and the Homeless Hub (www.homelesshub.ca) to encompass the time frame from January 1990 to June 2009. The following terms were used as key words: ‘homelessness’, ‘homeless youth’, ‘poverty’, ‘street youth’ and ‘runaway’. The present review identified an intersection among education deficits, social service insufficiencies, and poor mental and physical health in homeless youth. Health care delivery to homeless youth was often nonanticipatory, inconsistent and perceived as discriminatory. However, street youth were identified as requiring health care for pregnancy, mental health concerns, sexually transmitted illnesses, respiratory conditions, substance abuse and a myriad of other illnesses. Plenty of work is still required to reduce health inequalities and improve the daily living conditions of Canadian youth living in poverty. PMID:22654549

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

2011-01-01

436

Homelessness and risk of end-stage renal disease.  

PubMed

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

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

2014-08-01

437

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

ERIC Educational Resources Information Center

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

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

438

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

PubMed Central

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

Rice, Eric; Ray, Diana; Kurzban, Seth

2013-01-01

439

Homeless but connected: the role of heterogeneous social network ties and social networking technology in the mental health outcomes of street-living adolescents.  

PubMed

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

Rice, Eric; Kurzban, Seth; Ray, Diana

2012-12-01

440

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

PubMed

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

2013-08-20

441

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

442

Mobile Phone Technology: A New Paradigm for the Prevention, Treatment, and Research of the Non-sheltered "Street" Homeless?  

PubMed Central

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

2010-01-01

443

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

PubMed Central

Objectives We assessed whether homeless adults entering substance abuse treatment in Massachusetts were less likely than others to enroll in Medicaid after implementation of the MassHealth Medicaid expansion program in 1997. Methods We used interrupted time-series analysis in data on substance abuse treatment admissions from the Treatment Episode Data Set (1992–2009) to evaluate Medicaid coverage rates in Massachusetts and to identify whether trends differed between homeless and housed participants. We also compared Massachusetts data with data from 17 other states and the District of Columbia combined. Results The percentage of both homeless and housed people entering treatment with Medicaid increased approximately 21% after expansion (P = .01), with an average increase of 5.4% per year over 12 years (P = .01). The increase in coverage was specific to Massachusetts, providing evidence that the MassHealth policy was the cause of this increase. Conclusions Findings provide evidence in favor of state participation in the Medicaid expansion in January 2014 under the Affordable Care Act and suggest that hard-to-reach vulnerable groups such as substance-abusing homeless adults are as likely as other population groups to benefit from this policy. PMID:24028262

Zur, Julia; Mojtabai, Ramin

2013-01-01

444

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

PubMed

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

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

2009-10-01

445

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

PubMed Central

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

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

2010-01-01

446

Cell phone use among homeless youth: potential for new health interventions and research.  

PubMed

Cell phone use has become nearly ubiquitous among adolescents in the United States. Despite the potential for cell phones to facilitate intervention, research, and care for homeless youth, no data exists to date on cell phone use among this population. In 2009, a survey of cell phone use was conducted among a non-probability sample of 169 homeless youth in Los Angeles, CA. Levels of ownership and use, instrumental uses (connecting to case workers, employers) and patterns of connecting to various network types were assessed (family, home-based peers, street-based peers). Differences in socio-demographic characteristics and cell phone ownership were assessed via t test and chi-square statistics. Sixty-two percent of homeless youth own a cell phone; 40% have a working phone. Seventeen percent used their phone to call a case manager, 36% to call either a potential or current employer. Fifty-one percent of youth connected with home-based peers on the phone and 41% connected to parents. Cell phones present new opportunities for intervention research, connecting homeless youth to family and home-based peers who can be sources of social support in times of need. Moreover, cell phones provide researchers and providers with new avenues to maintain connections with these highly transient youth. PMID:22076445

Rice, Eric; Lee, Alex; Taitt, Sean

2011-12-01

447

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

... 2014-07-01 2014-07-01 false Homeless claimants: Delivery of benefit payments and...DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Homeless Claimants § 1.710 Homeless claimants: Delivery of benefit payments...

2014-07-01

448

Education for Homeless Adults: The First Year.  

ERIC Educational Resources Information Center

The Adult Education for the Homeless programs implemented by the states followed one of four approaches. The Development/Capacity-Building approach emphasized program structure and model-building. The Urban Focus approach was tailored to reach the maximum number of students. The Services to Women approach tried to meet women's special needs. A…

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

449

Homeless Women, Street Smarts, and Their Survival  

Microsoft Academic Search

This article highlights a dissertation study designed to examine how homeless women learned to survive in their daily lives. Their relationships contributed to many years of unsettling experiences and continuous transitional situations. Each woman followed a progression of sophisticated street smarts, but each eventually faced a devastating decision that served as the impetus for a learning experience that resulted in

Carole Pearce

2001-01-01

450

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

451

Self-Directed Learning Readiness and Homelessness.  

ERIC Educational Resources Information Center

Research has confirmed the link between a number of psychosocial issues (including limited/lacking social networks, learned helplessness, substance abuse, and emotional problems) and homelessness. Research has further established that those psychosocial issues are interlinked by the common denominator of depression, the recognized cognitive…

Matuszowicz, P. F.

452

Stress and Coping in Homeless Children  

Microsoft Academic Search

The possible moderating effects of social support and self-competence on the relationship between stressful life events and behavior problems were examined in 49 homeless children residing in shelters in New York City. The children's mothers were administered measures of their children's stressful life events, social support, and behavior problems; the children themselves were administered measures of their social support and

Robyn Wesler Landow; David S. Glenwick

1999-01-01

453

Evaluation of supportive services for homeless women  

E-print Network

Every evening over 20 women are bused to a basement of a schoolhouse, where they will spend the night and wake up at 5:00 a.m. to face the streets as a homeless woman. These women feel as if they are invisible and their ...

Mullins, Leslie Marie

2005-01-01

454

Homeless alcoholic women on skid row.  

PubMed

Studies of homeless alcoholic women remain rare. Women on Skid Row in New York City were sought out at the Women's Shelter for a study of homeless women alcoholics. The findings in this study of 31 homeless alcoholic women tend to confirm an earlier study by Garrett and Bahr in most respects. A major difference relates to the population's lack of homogeneity. A life-long pattern of marginality does not exist for most of the women. All judged to be alcoholic, some lived with their families, husbands, or a male partner prior to coming to the shelter. Almost a third lived alone. Sometimes the death of someone close or other crisis precipitated homelessness. In many instances there was no apparent crisis. For a substantial group of these women there did seem to be a long-standing pattern of instability and transient living in the two years preceding their move to the shelter. Public resources invested in shelter care are much needed either for individuals whose limited resources run out or where a crisis results in the loss of safe, adequate shelter. PMID:6085449

Corrigan, E M; Anderson, S C

1984-01-01

455

Resilience and Suicidality among Homeless Youth  

ERIC Educational Resources Information Center

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

Cleverley, Kristin; Kidd, Sean A.

2011-01-01

456

The impact of homelessness on children  

Microsoft Academic Search

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

Yvonne Rafferty; Marybeth Shinn

1991-01-01

457

Helping the Homeless in School and Out  

ERIC Educational Resources Information Center

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

Holgersson-Shorter, Helena

2010-01-01

458

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

PubMed

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

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

2013-05-01

459

Exploring the individual and organizational effects of formerly homeless employee inclusion within North Carolina shelters.  

E-print Network

??This exploratory study examined the individual and organizational effects of formerly homeless employee inclusion on members of the homeless shelter community, including shelter directors, formerly… (more)

Barnes, Suzanne Mallard

2012-01-01

460

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

461

A Taxonomy of medical comorbidity for veterans who are homeless.  

PubMed

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

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

2008-08-01

462

Voices from the street: exploring the realities of family homelessness.  

PubMed

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

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

2014-11-01

463

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

Microsoft Academic Search

Substance-using homeless persons frequent emergency departments and hospitals often. However, little is known about how homelessness affects when they seek care and their motivation for substance abuse treatment (SAT). We surveyed homeless (N=266) and non-homeless (N=104) substance-using adults sequentially admitted to an urban hospital medicine service, comparing demographics, readiness for change (URICA), and motivating reasons for SAT. Homeless respondents were

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

2008-01-01

464

78 FR 59771 - Proposed Information Collection (Create Payment Request for the VA Funding Fee Payment System (VA...  

Federal Register 2010, 2011, 2012, 2013

...Funding Fee Payment System (VA FFPS); a Computer Generated Funding Fee Receipt) Activity...proposed collection of information is necessary for the proper performance of VBA's...Funding Fee Payment System (VA FFPS); A Computer Generated Funding Fee Receipt, VA...

2013-09-27

465

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

Federal Register 2010, 2011, 2012, 2013

...Funding Fee Payment System (VA FFPS); A Computer Generated Funding Fee Receipt) Activity...proposed collection of information is necessary for the proper performance of VBA's...Funding Fee Payment System (VA FFPS); A Computer Generated Funding Fee Receipt, VA...

2010-10-04

466

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

Federal Register 2010, 2011, 2012, 2013

...Funding Fee Payment System (VA FFPS); A Computer Generated Funding Fee Receipt) Activity...proposed collection of information is necessary for the proper performance of VBA's...Funding Fee Payment System (VA FFPS); A Computer Generated Funding Fee Receipt, VA...

2010-10-06

467

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

468

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

469

Cross-National Variations in Behavioral Profiles Among Homeless Youth  

Microsoft Academic Search

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

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

2006-01-01

470

Perceived health status among the new urban homeless.  

PubMed

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. Department of Housing and Urban Development to have one of the largest homeless populations (34,000-50,000) in the U.S. The current study is based on 269 in-depth interviews with homeless men and women in Los Angeles County, California. The homeless were found to be younger, better educated and disproportionately non-white compared to the profiles of the skidrow homeless of the past decades. Nearly half the men were veterans of military services, including 30% who were veterans of the Vietnam War. Respiratory infections and hypertension were the most prevalent health problems. The data suggest that a large segment of the homeless persons were depressed, 15.6% reported lifetime prevalence of hospitalization for emotional or nervous problems, and 12.6% reported hospitalization for substance abuse disorders. Multiple regression was utilized to test the validity of a perceived health status index as measured among the homeless and to identify the correlates of health. The health index reflect primarily an affliction by a chronic disease, the severity of an acute condition, the duration of depressed mood, and the alcoholism symptomatology. Length of unemployment, education, gender, and number of nights spent in a shelter were the best predictors of poor health in this population. Evidence from this study, as well as others, suggests that efforts should be made to avoid using the term homeless metaphorically. The causes of homelessness are multiple and complex and the resulting subgroups among the homeless population have different problems which require a variety of strategies to meet their needs. PMID:3603089

Ropers, R H; Boyer, R

1987-01-01

471

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

PubMed Central

The homeless population is aging faster than the general population in the United States. As this vulnerable population continues to age, addressing complex care and housing needs will become increasingly important. This article reviews the often-overlooked issue of homelessness among older adults, including their poor health status and unique care needs, the factors that contribute to homelessness in this population, and the costs of homelessness to the U.S. health care system. Permanent supportive housing programs are presented as a potential solution to elder homelessness, and Hearth, an outreach and permanent supportive housing model in Boston, is described. Finally, specific policy changes are presented that could promote access to housing among the growing older homeless population. PMID:24729832

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

2014-01-01

472

How Effective Homelessness Prevention Impacts the Length of Shelter Spells  

PubMed Central

Homelessness prevention programs intervene with households apparently in imminent danger of becoming homeless, and try to keep them housed. If they are at least partially successful, how do they change the average shelter spell of households actually becoming homeless? We use data from 2003 to 2008 for Homebase, a New York City homelessness prevention program that studies have found to be effective in reducing shelter entries. Homebase made no difference in average shelter spells at the community level. This result, like many results about shelter spell length, is not easy to reconcile with the idea that shelter spell length is a reflection of the seriousness of underlying problems. PMID:24610995

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

2014-01-01

473

UCSD/VA Psychology Internship Training Program  

E-print Network

university-affiliated teaching and research hospital, adult or child outpatient, and inpatient child, psychiatric fellowships in geropsychiatry, child and adolescent psychiatry, alcohol and substance abuseUCSD/VA Psychology Internship Training Program Department of Psychiatry University of California

Squire, Larry R.

474

False security or greater social inclusion? Exploring perceptions of CCTV use in public and private spaces accessed by the homeless.  

PubMed

It has been well documented that owing to the vulnerability inherent in their situation and status, the homeless experience high rates of harassment and criminal victimization. And yet, the question of whether CCTV surveillance of public and private spaces - so frequently viewed by the middle classes as a positive source of potential security - might also be viewed by the homeless in similar ways. Within the present paper, I address this issue by considering the possibility that CCTV might be seen by some homeless men and women as offering: a) a measure of enhanced security for those living in the streets and in shelters, and; b) to the extent that security is conceived of as a social good, the receipt of which marks one as a citizen of the state, a means by which they can be reconstituted as something more than 'lesser citizens'. To test these ideas, I rely on data from interviews conducted with homeless service users, service providers for the homeless, and police personnel in three cities. What is revealed is a mixed set of beliefs as to the relative security and meaning of CCTV. PMID:20377597

Huey, Laura

2010-03-01

475

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

PubMed Central

Background Youth who are homeless and on their own are among the most marginalized individuals in the United States and face multiple risks, including use of substances. This study investigates how the use of alcohol, cigarettes, and marijuana among homeless youth may be influenced by characteristics of their social networks. Methods Homeless youth aged 13–24 were randomly sampled from 41 service and street sites in Los Angeles County (N = 419). Predictors of substance use were examined using linear regression analysis (for average number of drinks and average number of cigarettes per day) and negative binomal regression analysis (for frequency of past month marijuana use). Results Youth with more substance users in their networks reported greater alcohol, cigarette, and marijuana consumption regardless of whether these network members provided tangible or emotional support. Marijuana use was more frequent for youth who met more network members through homeless settings, but less frequent among those who met more network members through treatment or AA/NA. Greater alcohol use occurred among youth who met more network members through substance use-related activities. Youth having more adults in positions of responsibility in their networks consumed less alcohol, and those with more school attendees in their networks consumed less alcohol and cigarettes. Conclusions Findings highlight the importance of social context in understanding substance use among homeless youth. Results also support the relevance of network-based interventions to change social context for substance using youth, in terms of both enhancing pro-social influences and reducing exposure to substance use. PMID:20656423

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

2013-01-01

476

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

PubMed Central

Objectives: Youth homelessness is on the rise in North America, yet this vulnerable population is rarely studied and compared with adults. This paper aimed to study the homeless youth and identify specific vulnerabilities, which rendered them different from the adult homeless population. It also aimed to describe the youth homeless population and their significant co-morbidities. Methods: Data was derived from the BC Health of the Homeless Study (BCHOHS), carried out in three cities in British Columbia, Canada: the large urban centre Vancouver (n=250); the mid-sized city and capital of the province Victoria (n=150). Measures included socio-demographic information, the Maudsley Addiction Profile (MAP), the Childhood Trauma Questionnaire (CTQ) and the Mini International Neuropsychiatric Interview (MINI) Plus. Results: Youth constituted 16.5% (n=82) of the homeless population. Compared to the adult homeless, the homeless youth were more often female (55%), were Aboriginal (47.6%), had greater substance abuse of alcohol (70.7%), amphetamines (8.5%) and cannabis (75.6%). A lower prevalence of sexually transmitted diseases (0.2%) and psychotic disorders (13.4%) was also observed. The prevalence of traumatic experiences, other psychiatric disorders and physical illnesses were similar between the adult and homeless youth. Conclusion: Homeless youth have high rates of physical and psychiatric comorbidity, similar to the adult homeless, despite being 20 years younger. An urgent need for interventions that go beyond the standardized ones being offered to homeless populations as a whole, and to derive specific strategies that target this vulnerable population is required. PMID:25320613

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

2014-01-01

477

Log-optimal portfolio models with risk control of VaR and CVaR using genetic algorithms  

Microsoft Academic Search

Value-at-risk (VaR) and conditional value-at-risk (CVaR) have become two very popular measures of market risk during the last decade. Log-optimal portfolio problem with risk control of VaR and CVaR is put forward firstly. Then, we propose the portfolio models with VaR and CVaR and prove the existence and uniqueness of the optimal solutions of these two models. We provide a

Sen Qin

2009-01-01

478

U.S. government announces new policy to address homelessness  

NSDL National Science Digital Library

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

Grinnell, Max

2010-06-25

479

Understanding the ecology and development of children and families experiencing homelessness: implications for practice, supportive services, and policy.  

PubMed

The experience of homelessness can pervade multiple levels and facets of a child and family's world. In view of the historical risks in the lives of children who are experiencing homelessness (e.g., growing up under conditions of poverty, exposure to family violence), it is clear that interventions, services, and supports need to be equally comprehensive to have a positive influence on child functioning and development. Consequently, service systems, providers, and community supports need to address the circumstances of children and families experiencing homelessness and, more specifically, better attend to their ecologies and the diverse factors that can affect their well-being and adjustment trajectories. Such an approach is needed to better understand the range of factors and influences on the development and adaptation of these youngsters at home, at school, and with their peers as well as to guide the identification and implementation of adequate family-centered services and supports. PMID:22880977

Kilmer, Ryan P; Cook, James R; Crusto, Cindy; Strater, Katherine P; Haber, Mason G

2012-07-01

480

Utilisation by homeless people of acute hospital services in London.  

PubMed Central

OBJECTIVES--To estimate the numbers and distribution of homeless people in London; to quantify the utilisation of acute inpatient services by homeless people in two health authorities; and to predict the total numbers of admissions in homeless people in district health authorities across London. DESIGN--Data were collected from various sources on the distribution of homeless people across London boroughs. All unplanned acute inpatient admissions during November 1990 to relevant hospitals were identified. SETTING--Bloomsbury and Paddington and North Kensington, two former inner London district health authorities. SUBJECTS--Homeless people in London residing in bed and breakfast and private sector leased accommodation, residing in hostels, and of no fixed abode. MAIN OUTCOME MEASURES--Number and cost of acute unplanned admissions in homeless people in two health authorities in November 1990; predicted number of such admissions each year in district health authorities in London. RESULTS--There were at least 60,000 homeless people in London in March 1990. The majority were housed in temporary accommodation (55,412). There were at least 3295 hostel dwellers and 651 people sleeping rough. Homeless people accounted for 105 (8%) of the 1256 acute unbooked admissions in residents of Bloomsbury and Paddington and North Kensington health authorities in November 1990. Considerable variations in the pattern of acute unplanned admissions in homeless people were observed in the two districts with respect to housing status and specialty of admission. The total number of acute unplanned admissions in homeless people across London each year was estimated at 7598, ranging from 38 in Bexley to 1515 in Parkside. CONCLUSIONS--The results have fundamental implications for resource allocation across London. Allocation must take better account of the heterogeneity, uneven distribution, and extra health needs of homeless people. PMID:1954419

Black, M E; Scheuer, M A; Victor, C; Benzeval, M; Gill, M; Judge, K

1991-01-01

481

Wellbeing for homeless people: a Salutogenic approach.  

PubMed

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

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

2014-03-01

482

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

483

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

PubMed Central

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

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

2010-01-01

484

No NOT APPLICABLE VA FUNDS OTHER THAN R&D  

E-print Network

DEPARTMENT OF VETERANS AFFAIRS RESEARCH AND DEVELOPMENT INFORMATION SYSTEM INVESTIGATOR DATA 621 Mountain-Time, enter hr/wk.) 10. VA SALARY SOURCE: (Check one) 1 1. VA HOSPITAL SERVICE: (Enter code from Table 11) Code (If code= 99, enter name of VA Hospital Service) 12. VA HOSPITAL SECTION: (If applicable, enter

Karsai, Istvan

485

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

ERIC Educational Resources Information Center

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

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

2005-01-01

486

Factors associated with homelessness of adolescents under supervision of the youth protection system  

Microsoft Academic Search

There are two factors that limit our knowledge of the risk factors associated with homelessness among runaway adolescents, namely (1) the samples used are often composed of youth homeless service users and\\/or youths living on the streets (visible homelessness), whereas most adolescents in fact use “private” resources (hidden homelessness), and (2) failure to use an adequate control group to identify

Marie Robert; Robert Pauzé; Louise Fournier

2005-01-01

487

Why Has the Social Work Profession Lost Sight of How to End Homelessness?  

Microsoft Academic Search

This paper explores the subject of homeless from the perspective of researchers. The authors show that the prevailing model of social science inquiry tends to overlook the broader systemic causes of homelessness. As an alternative, the authors propose the use of participatory action research. Over time, this approach should bring together victims of homelessness with researchers of homelessness and efforts

John R. Belcher; Bruce R. Deforge; David A. Zanis

2005-01-01

488

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

Microsoft Academic Search

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

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

2009-01-01

489

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

490

There is no Word for Cousin: Understanding Ghanaian Homelessness from an American Context  

Microsoft Academic Search

This paper serves as an investigation into the Ghanaian society and culture in efforts to understand and explain notions of homelessness. Using my previous research on family homelessness in San Francisco, California as a general frame work and example of American homelessness, this paper juxtaposes the American concept of homelessness with the Ghanaian concept. Information gathered from institutions, people and

Kenneth Hutchinson

2003-01-01

491

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

ERIC Educational Resources Information Center

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

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

2005-01-01

492

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

493

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

494

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

ERIC Educational Resources Information Center

Family homelessness has emerged as a serious global problem (Stronge, 2000). Over the past 25 years in the United States, the makeup of the homeless population has changed significantly. As De Angelis (1994) reports: The landscape of homelessness has changed since the early 1980s, when nearly all homeless people were men. Today,…

Swick, Kevin J.

2004-01-01

495

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

496

Multilevel Considerations of Family Homelessness and Schooling in the Recession Era  

ERIC Educational Resources Information Center

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

Miller, Peter; Schreiber, James

2012-01-01

497

NationalCoalitionfortheHomeless 2201PStreet,NW Tel.202-462-4822  

E-print Network

. POVERTY Homelessness and poverty are inextricably linked. Poor people are frequently unable to payNationalCoalitionfortheHomeless 2201PStreet,NW Tel.202-462-4822 Washington,DC 20037-1033 Fax.202 Homeless? Published by the National Coalition for the Homeless, July 2009 Two trends are largely

Hardy, Christopher R.

498

Personal and Political?: Exploring the Feminization of the American Homeless Population  

Microsoft Academic Search

Using a feminist lens, this exploratory study discusses self-reported differences between male and female homelessness. A sample of homeless individuals (N = 105) in a mid-size southern city was collected to investigate the factors associated with the growing female homeless population. The data reveal that while some root causes of homelessness such as poverty, lack of affordable housing, cut backs

Tara N. Richards; Tammy S. Garland; Vic W. Bumphus; Roger Thompson

2010-01-01

499

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

ERIC Educational Resources Information Center

Project Forum at the National Association of State Directors of Special Education (NASDSE) and the National Center for Homeless Education (NCHE) worked together to collect information regarding the need for a policy forum on the topic of administrative collaboration between school personnel who support homeless education under the McKinney-Vento…

Bowman, Diana; Burdette, Paula; Julianelle, Patricia

2008-01-01

500

Arkansas Adult Education for the Homeless Project. An Evaluation.  

ERIC Educational Resources Information Center

An evaluation was conducted of the Arkansas adult education for homeless persons program funded through the Stewart B. McKinney Act. Evaluation activities included the following: a review of program applications; onsite inspection of the classrooms and materials for the homeless; observation of class activities; and interviews with program…

Arkansas State Univ., State University.