Sample records for va homeless providers

  1. 77 FR 12697 - VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ...organization's inherently religious activities must be voluntary...assistance from VA. (d) A religious organization that participates...including the definition, practice and expression of its religious beliefs, provided that...

  2. 78 FR 12600 - VA Homeless Providers Grant and Per Diem Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-25

    ...organization's inherently religious activities must be voluntary...assistance from VA. (d) A religious organization that participates...including the definition, practice and expression of its religious beliefs, provided that...

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

    Tsai, Jack; Rosenheck, Robert A

    2014-01-01

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

  5. Extracting Concepts Related to Homelessness from the Free Text of VA Electronic Medical Records

    PubMed Central

    Gundlapalli, Adi V.; Carter, Marjorie E.; Divita, Guy; Shen, Shuying; Palmer, Miland; South, Brett; Durgahee, B.S. Begum; Redd, Andrew; Samore, Matthew

    2014-01-01

    Mining the free text of electronic medical records (EMR) using natural language processing (NLP) is an effective method of extracting information not always captured in administrative data. We sought to determine if concepts related to homelessness, a non-medical condition, were amenable to extraction from the EMR of Veterans Affairs (VA) medical records. As there were no off-the-shelf products, a lexicon of terms related to homelessness was created. A corpus of free text documents from outpatient encounters was reviewed to create the reference standard for NLP training and testing. V3NLP Framework was used to detect instances of lexical terms and was compared to the reference standard. With a positive predictive value of 77% for extracting relevant concepts, this study demonstrates the feasibility of extracting positively asserted concepts related to homelessness from the free text of medical records. PMID:25954364

  6. 77 FR 56712 - Agency Information Collection (Homeless Providers Grant and Per Diem Program) Activities Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ...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...

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

    PubMed

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

    2014-10-01

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

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

    ERIC Educational Resources Information Center

    Bowman, Diana; Barksdale, Katina

    2004-01-01

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

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

    PubMed

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

    2014-01-01

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

  10. Collaborative Initiative to Help End Chronic Homelessness: Introduction

    Microsoft Academic Search

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

    2010-01-01

    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

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

    PubMed

    2013-06-01

    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

  12. 38 CFR 63.15 - Duties of, and standards applicable to, non-VA community-based providers.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...services must be provided by the non-VA community-based provider as described in the treatment plan. In some cases, VA may complement the non-VA community-based provider's program with added treatment services such as participation in VA...

  13. 76 FR 72046 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ...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...

  14. 76 FR 71920 - Payment for Home Health Services and Hospice Care by Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ...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...

  15. 78 FR 28947 - Fund Availability Under VA's Homeless Providers Grant and Per Diem Program (VANS)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-16

    ...letter from the United Way stating they are a member in good standing. Applicants must also submit a narrative responding to the...of van(s) (e.g., passenger van, justification for wheelchair lift, or other modifications. Include all options and...

  16. 75 FR 33216 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ...document are 64.009, Veterans Medical Care Benefits; 64.010, Veterans...Care; and 64.011, Veterans Dental Care. Signing Authority The...Health records, Homeless, Medical and dental schools, Medical devices, Medical...

  17. 76 FR 79067 - Payment or Reimbursement for Emergency Treatment Furnished by Non-VA Providers in Non-VA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ...document are 64.009, Veterans Medical Care Benefits; 64.010, Veterans...Care; and 64.011, Veterans Dental Care. Signing Authority The...Health records, Homeless, Medical and dental schools, Medical devices, Medical...

  18. 38 CFR 3.1701 - Deceased veterans for whom VA may provide burial benefits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    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...

  19. Guide to VA Mental Health Services

    E-print Network

    Hardy, Christopher R.

    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

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

    PubMed

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

    2015-01-01

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

  1. 78 FR 26250 - Payment for Home Health Services and Hospice Care to Non-VA Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ...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...

  2. Homelessness and Hunger*

    PubMed Central

    Lee, Barrett A; Greif, Meredith J

    2014-01-01

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

  3. A portrait of homelessness.

    PubMed

    Wallsten, S M

    1992-09-01

    The homeless elderly are vulnerable, silent, and fearful. Their trajectory into homelessness more often than not precludes recovery and takes them on a course toward early death or nursing home placement. Psychiatric nurses who work in community or acute care settings are in key positions to recognize elderly victims of homelessness, assess their needs, match them to services, start them on the road to recovery, and become their advocates. The definition of a homeless person as agreed on in the Report of the Federal Task Force on Homelessness and Severe Mental Illness (1992) is the one used in the Stewart B. McKinney Homeless Assistance Act (Public Law 100-77). A homeless person is someone "who lacks a fixed, regular, and adequate nighttime residence" and whose main nighttime residence is a "supervised public or private shelter designed to provide temporary living accommodations; an institution that provides a temporary residence for individuals intended to be institutionalized; or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings." This definition, then, excludes those individuals living on the "fringes" in substandard or condemned housing, a condition that warrants attention in general and particularly among the elderly. PMID:1404012

  4. From Home to Street: Understanding Young People's Transitions into Homelessness

    ERIC Educational Resources Information Center

    Hyde, Justeen

    2005-01-01

    This paper explores why young people leave home and become homeless. Drawing on life history interviews conducted with 50 homeless youth in Los Angeles, explanations provided by participants for becoming homelessness and how they understand their experiences are presented. In professional discourses, homeless young people are often portrayed as…

  5. Social Supports among the Homeless.

    ERIC Educational Resources Information Center

    Solarz, Andrea

    The homeless have long been considered a disaffiliated and socially isolated group. Research has indicated that most of the homeless are single and have no family relationships or friends to provide support. A study was conducted to gather information on both objective and subjective measures of social support from 125 individuals residing at a…

  6. 76 FR 52575 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  8. Homelessness and Dual Diagnosis.

    ERIC Educational Resources Information Center

    Drake, Robert E.; And Others

    1991-01-01

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

  9. Predictors of Homelessness Among Street Living Youth.

    PubMed

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

    2008-01-01

    While few studies have identified predictors of exiting homelessness among adults, even fewer studies have attempted to identify these predictors among homeless youth. The current study explored predictors of change in homelessness among 180 homeless youth between the ages of 14 and 22, recruited through an urban drop-in center. All youth were assessed at baseline, 3 and 6 months. The sample included 118 males and the reported ethnicity included Latino (n = 54), Anglo (n = 73), Native American (n = 24), African American (n = 6) and mixed ethnicity or "other" (n = 23). Four distinct patterns of change in homelessness were identified among youth which included those who (1) had fairly low rates of homelessness at each follow-up point, (2) started in the mid-range of homelessness, increased at 3 months and sharply declined at 6-months (MHL), (3) reported high rates of homelessness at baseline and low rates at each follow-up point (HLL), and finally, (4) remained consistently homeless across time (HMH). These patterns of change were most strongly predicted by social connections and engagement in HIV risk behaviors. The findings from this study suggest that developing trust and linkages between homeless youth and service providers may be a more powerful immediate target of intervention than targeting child abuse issues, substance use and mental health problems. PMID:18584069

  10. Materials on the Education of Homeless Children. Supplement.

    ERIC Educational Resources Information Center

    Center for Law and Education, Boston, MA.

    Information is provided about the legal developments affecting the educational rights of homeless students that were made by the McKinney Homeless Assistance Amendments Act of 1990 (P.L. 101-645). Presented in three parts, Part 1 gives an overview of some of the problems that keep homeless children from attending school or hindering their…

  11. Broken Lives: Denial of Education to Homeless Children.

    ERIC Educational Resources Information Center

    Ely, Lydia; And Others

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

  12. Working to End Family Homelessness. Annual Report

    ERIC Educational Resources Information Center

    National Center on Family Homelessness (NJ1), 2012

    2012-01-01

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

  13. Health interventions for people who are homeless.

    PubMed

    Hwang, Stephen W; Burns, Tom

    2014-10-25

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

  14. For Homeless Veterans

    MedlinePLUS

    ... the Project CHALENG web page . Back to Top Mental health services Veteran Justice Outreach provides eligible, justice-involved Veterans with timely access to VA’s mental health and substance use services when clinically indicated, and ...

  15. Measuring pain in the context of homelessness

    PubMed Central

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

    2009-01-01

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

  16. Life shocks and homelessness.

    PubMed

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

    2013-12-01

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

  17. Pennsylvania's Rural Homeless Reality.

    ERIC Educational Resources Information Center

    Center for Rural Pennsylvania, Harrisburg.

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

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

    ERIC Educational Resources Information Center

    McCarthy, Sarah

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

  19. National Center on Family Homelessness

    MedlinePLUS

    ... Strengthening At Risk and Homeless Young Mothers and Children START With Kids Healing Hearts, Promoting Health Domestic Violence and Homelessness TA America's Youngest Outcasts Veterans Veterans ...

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

    ERIC Educational Resources Information Center

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

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

  1. 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

  2. The Rights of Homeless Students.

    ERIC Educational Resources Information Center

    Strong, Penny

    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…

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

    ERIC Educational Resources Information Center

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

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

  4. Toward Differentiated Decision-Making: Family Systems Theory with the Homeless Clinical Population

    Microsoft Academic Search

    KATHERINE MILEWSKI HERTLEIN; J. MARK KILLMER

    2004-01-01

    The clinical treatment of the homeless population typically focuses on issues of mental illness and drug\\/alcohol dependency. This treatment, however, does not address the problems of the homeless who are not mentally ill or those without a dependency problem. Because of the nature of the presenting problems of the homeless, Bowen family systems theory provides an appropriate framework from which

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

    ERIC Educational Resources Information Center

    Vissing, Yvonne M.

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

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

    ERIC Educational Resources Information Center

    Coalition for the Homeless, New York, NY.

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

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

    ERIC Educational Resources Information Center

    DeWoody, Madelyn

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

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

    ERIC Educational Resources Information Center

    Posner, Marc

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

  9. Prescription Drug Misuse among Homeless Youth

    PubMed Central

    Rhoades, Harmony; Winetrobe, Hailey; Rice, Eric

    2014-01-01

    Background Prescription drug misuse (PDM) is highly prevalent among youth in the U.S., and can have serious health consequences. Homeless youth are a particularly vulnerable population with high rates of substance use. However, PDM has not been studied in a sample comprised exclusively of homeless youth. Methods A sample of 451 homeless youth recruited from drop-in centers in Los Angeles, CA provided information on substance use, mental health, service utilization, trauma, and sexual risk behavior. Multivariable logistic regression assessed correlates of past month PDM. Results Nearly 50% reported lifetime PDM and 21.6% reported PDM in the past month. The most frequently used prescriptions in the past month were: opioids only (24.5%), sedatives only (23.4%), and stimulants only (10.6%); 14.9% used some combination of these three types of prescription medications. Homeless youth reported that prescriptions were most commonly obtained for free from friends or relatives (24.5%). Foster care involvement was associated withdecreased PDM, while hard drug use, suicidal ideation, and unprotected sex were associated with increased PDM. Conclusions Homeless youth report high rates of PDM, and access these medications most frequently from friends and family. PDM among homeless youth clusters with other risk factors, including hard drug use, unprotected sex, and suicidal ideation. Surprisingly, foster care history was associated with decreased PDM. Programs aimed at preventing PDM among homeless youth should recognize the clustering of risk behaviors, assess prescription use/access when providing mental health services, and educate the general public about proper disposal of prescriptions. PMID:24613220

  10. Homelessness and public policy priorities.

    PubMed

    Kiesler, C A

    1991-11-01

    Public policy issues related to homelessness and their priorities are reviewed. It is argued that the three most important policy issues are housing, income, and health. Cutting across these priority areas are the special problems of homeless children and youth, both in families and alone. Alcohol, drug abuse, and mental health services, although needed and effective, will neither stop nor slow the rate of increase in homelessness experienced in recent years. Psychologists, in emphasizing aspects of homelessness that they are expert in, are deflected from variables determining the prevalence and incidence of homelessness. The latter variables must be regarded as the priority policy issues in homelessness. PMID:1772163

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

    Microsoft Academic Search

    James McGuire; Robert Rosenheck; Craig Burnette

    2002-01-01

    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),

  12. Factors associated with geriatric syndromes in older homeless adults.

    PubMed

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

    2013-05-01

    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

  13. Risk profile of homeless pregnant adolescents and youth.

    PubMed

    Pennbridge, J; Mackenzie, R G; Swofford, A

    1991-11-01

    Pregnant homeless young women have special service needs. This article examine those needs by comparing the risk profiles of 55 pregnant homeless youths and 85 pregnant youths who live with their families. These young women were seen in a primary health care clinic and underwent extensive lifestyle interviews during their physical examinations. Clinical social workers provided social services and follow-up. The homeless pregnant youths were younger, primarily white, and from outside Los Angeles County. They were more likely to be diagnosed as depressed, to have previously attempted suicide, to have histories of sexual and physical abuse, and to be diagnosed as drug abusing. Review of pregnancy outcomes showed the difficulty of serving homeless pregnant youth and the lack of services for them. Following this study, the clinic instituted new monitoring procedures and established a team case management approach to serving homeless pregnant teens and youths. PMID:1772891

  14. 76 FR 72045 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ...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...

  15. 76 FR 71439 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ...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...

  16. 76 FR 71443 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ...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...

  17. 76 FR 72047 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ...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...

  18. Counting the homeless in Malta

    Microsoft Academic Search

    Cyrus Vakili-Zad

    2006-01-01

    There are no visible signs of homelessness in Malta similar to what can be seen on the streets of many North American or European cities, yet there are few hundred homeless who stay in shelters and another few thousand households that are at risk of being homeless. Malta has a comparatively sizeable social housing sector (9000–10,000) and approximately 3300 households

  19. Predictors of treatment interest and treatment initiation in a VA outpatient trauma services program providing evidence-based care.

    PubMed

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

    2014-12-01

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

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

    ERIC Educational Resources Information Center

    Wilson, Melanie; Houghton, Alison

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

  1. Homeless Houston Youth Find Refuge in Schools.

    ERIC Educational Resources Information Center

    Penning, Nick

    1989-01-01

    To attack their community's homeless student problem, the Houston Board of Education last February opened a "lighted schoolhouse" as a temporary shelter. Houston's superintendent, Joan Raymond, is convinced that more school districts will need to provide residential care. The 20 children using the shelter were turned over to Children's Protective…

  2. 76 FR 76917 - Homeless Management Information Systems Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-09

    ...and Data Quality Standards and Management (Sec. 580...the HMIS system and provide...HOMELESS MANAGEMENT INFORMATION SYSTEM Subpart A...and Data Quality Standards...37 Data quality standards and management. Subpart...information system...

  3. Readings in Homelessness.

    ERIC Educational Resources Information Center

    Matuszowicz, Peter F.

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

  4. Hope for Homeless Students.

    ERIC Educational Resources Information Center

    Woods, Cyndy Jones

    1996-01-01

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

  5. BRIEF REPORT: The Aging of the Homeless Population: Fourteen-Year Trends in San Francisco

    PubMed Central

    Hahn, Judith A; Kushel, Margot B; Bangsberg, David R; Riley, Elise; Moss, Andrew R

    2006-01-01

    BACKGROUND Homelessness is associated with high rates of health and substance use problems. OBJECTIVE To examine trends in the age, housing, health status, health service utilization, and drug use of the homeless population over a 14-year period. DESIGN Serial cross-sectional. PARTICIPANTS We studied 3,534 literally homeless adults recruited at service providers in San Francisco in 4 waves: 1990–1994, 1996–1998, 1999–2000, and 2003. MEASUREMENTS Age, time homeless, self-reported chronic conditions, hospital and emergency department utilization, and drug and alcohol use. RESULTS The median age of the homeless increased from 37 to 46 over the study waves, at a rate of 0.66 years per calendar year (P < 0.01). The median total time homeless increased from 12 to 39.5 months (P < 0.01). Emergency department visits, hospital admissions, and chronic health conditions increased. CONCLUSIONS The homeless population is aging by about two thirds of a year every calendar year, consistent with trends in several other cities. It is likely that the homeless are static, aging population cohort. The aging trends suggest that chronic conditions will become increasingly prominent for homeless health services. This will present challenges to traditional approaches to screening, prevention, and treatment of chronic diseases in an aging homeless population. PMID:16808781

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

    ERIC Educational Resources Information Center

    Benda, Brent B.

    2005-01-01

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

  7. 76 FR 67022 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for a Mixed-Use...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-28

    ...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...

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

    PubMed

    Stanley, Mary Jo

    2013-10-01

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

  9. Can Better National Policy End Family Homelessness?

    ERIC Educational Resources Information Center

    Roman, Nan

    2010-01-01

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

  10. Predictors of Homelessness among Street Living Youth

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  11. Homelessness: An Annotated Bibliography of Australian Research.

    ERIC Educational Resources Information Center

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

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

  12. The Homeless in Contemporary Society.

    ERIC Educational Resources Information Center

    Bingham, Richard D.; And Others

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

  13. Homeless Youth: A Concept Analysis

    Microsoft Academic Search

    Philisie Starling Washington

    2011-01-01

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

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

    PubMed

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

    2015-07-01

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

  15. Homelessness during pregnancy: a unique, time-dependent risk factor of birth outcomes.

    PubMed

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

    2015-06-01

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

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

    PubMed

    Kinzel, D

    1991-04-01

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

  17. Challenges to immunization: the experiences of homeless youth

    PubMed Central

    2012-01-01

    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

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

    Microsoft Academic Search

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

    1999-01-01

    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

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

    Microsoft Academic Search

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

    2010-01-01

    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

  20. Educating Homeless Students in Urban Settings: An Introduction to the Issues.

    ERIC Educational Resources Information Center

    Stronge, James H.

    1993-01-01

    Introduces background issues regarding the education of homeless children in urban areas, focusing on problems of definition and identification and sociological factors related to homelessness. An overview is provided of the articles of the special issue. The challenges are how to meet the needs of an amorphous and troubled population. (SLD)

  1. The Education of Homeless Children and Youth: A Compendium of Research & Information.

    ERIC Educational Resources Information Center

    Stronge, James H., Comp.; Popp, Patricia, Comp.

    This publication provides current research and related literature on issues surrounding the education of homeless children and youth. It includes a variety of perspectives, reflecting the most recent trends in homelessness, determined by changes in policies, economics, and demographics. It also offers the latest research and scholarly opinions…

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

    Microsoft Academic Search

    Tracy L. Dietz

    2010-01-01

    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

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

    ERIC Educational Resources Information Center

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

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

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

    PubMed Central

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

    2012-01-01

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

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

    Microsoft Academic Search

    Deden Rukmana

    2006-01-01

    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

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

    PubMed Central

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

    2014-01-01

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

  7. Disparities in Health Care Utilization Among Urban Homeless in South Korea: A Cross-Sectional Study

    PubMed Central

    Yoon, Changgyo; Ju, Young-Su

    2011-01-01

    Objectives We examined health care disparities in Korean urban homeless people and individual characteristics associated with the utilization of health care. Methods We selected a sample of 203 homeless individuals at streets, shelters, and drop-in centers in Seoul and Daejeon by a quota sampling method. We surveyed demographic information, information related to using health care, and health status with a questionnaire. Logistic regression analysis was adopted to identify factors associated with using health care and to reveal health care disparities within the Korean urban homeless population. Results Among 203 respondents, 89 reported that they had visited health care providers at least once in the past 6 months. Twenty persons (22.5%) in the group that used health care (n = 89) reported feeling discriminated against. After adjustment for age, sex, marital status, educational level, monthly income, perceived health status, Beck Depression Inventory score, homeless period, and other covariates, three factors were significantly associated with medical utilization: female sex (adjusted odds ratio [aOR, 15.95; 95% CI, 3.97 to 64.04], having three or more diseases (aOR, 24.58; 95% CI, 4.23 to 142.78), and non-street residency (aOR, 11.39; 95% CI, 3.58 to 36.24). Conclusions Health care disparities in Seoul and Daejeon homeless exist in terms of the main place to stay, physical illnesses, and gender. Under the current homeless support system in South Korea, street homeless have poorer accessibility to health care versus non-street homeless. To provide equitable medical aid for homeless people, strategies to overcome barriers against health care for the street homeless are needed. PMID:22143177

  8. Predictors of Homelessness Among Street Living Youth

    Microsoft Academic Search

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

    2008-01-01

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

  9. 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.

  10. Critical Homelessness: Expanding Narratives of Inclusive Democracy

    Microsoft Academic Search

    Susan Finley; Marcelo Diversi

    2010-01-01

    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

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

    ERIC Educational Resources Information Center

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

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

  12. The health of homeless immigrants

    PubMed Central

    Chiu, Shirley; Redelmeier, Donald A.; Tolomiczenko, George; Kiss, Alex; Hwang, Stephen W.

    2009-01-01

    Background This study examined the association between immigrant status and current health in a representative sample of 1,189 homeless people in Toronto, Canada. Methods Multivariate regression analyses were performed to examine the relationship between immigrant status and current health status (assessed using the SF-12) among homeless recent immigrants (?10 years since immigration), non-recent immigrants (>10 years since immigration), and Canadian-born individuals recruited at shelters and meal programs (response rate 73%). Results After adjusting for demographic characteristics and lifetime duration of homelessness, recent immigrants were significantly less likely to have chronic conditions (RR 0.7, 95% CI 0.5 to 0.9), mental health problems (OR 0.4, 95% CI 0.2 to 0.7), alcohol problems (OR 0.2, 95% CI 0.1 to 0.5), and drug problems (OR 0.2, 95% CI 0.1 to 0.4) compared to non-recent immigrants and Canadian-born individuals. Recent immigrants were also more likely to have better mental health status (+3.4 points, SE ±1.6) and physical health status (+2.2 points, SE ±1.3) on scales with a mean of 50 and a standard deviation of 10 in the general population. Conclusion Homeless recent immigrants are a distinct group who are generally healthier and may have very different service needs compared to other homeless people. PMID:19654122

  13. Sexual Health Information Seeking Online Among Runaway and Homeless Youth

    PubMed Central

    Barman-Adhikari, Anamika; Rice, Eric

    2012-01-01

    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

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

    ERIC Educational Resources Information Center

    Wasem, Ruth Ellen

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

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

    ERIC Educational Resources Information Center

    Truesdell, Delores; Sani, Amy V.

    2001-01-01

    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)

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

    ERIC Educational Resources Information Center

    Robertson, Marjorie J.

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  18. Successful Transitions of Runaway/Homeless Youth from Shelter Care

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    France, Joseph B.

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

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

    PubMed Central

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

    2007-01-01

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

  1. Rhetorical Response to the Homeless Movement: Adopting Discursive Units in Counter-Frames 

    E-print Network

    Mathe, Kristin S.

    2010-07-14

    American cities have a combination of policies that both provide emergency services and restrict the movements and activities of homeless people. These policies are the product of active public debates that construct narratives that explain...

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

    Microsoft Academic Search

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

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Brown, Kay E.

    2010-01-01

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

  4. The Homeless Clients of a Community Psychiatric Nursing Service in Inner London: 2. Referral Process and Main Intervention

    Microsoft Academic Search

    Walid Abdul-Hamid; Stephen Stansfeld; Til Wykes

    1998-01-01

    The 'homeless' and 'home-based' clients of the Community Psychiatric Nursing service (CPNs) in Bloomsbury described in the first paper were examined further. The referral process and the CPN intervention were compared in the two groups.The homeless clients had different referral pattern, different types of care provided, and had less time spent with them even when control for the type of

  5. 75 FR 79323 - Health Care for Homeless Veterans Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-20

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

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

    PubMed

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

    2008-01-01

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

  7. Macroeconomic Causes of Family Homelessness.

    ERIC Educational Resources Information Center

    McChesney, Kay Young

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

  8. Youth Homelessness and Social Stigma

    ERIC Educational Resources Information Center

    Kidd, Sean A.

    2007-01-01

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

  9. Homeless--And Doubled Up

    ERIC Educational Resources Information Center

    Dill, Vicky

    2015-01-01

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

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

    PubMed

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

    2013-12-01

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

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

    ERIC Educational Resources Information Center

    Aviles de Bradley, Ann M.

    2011-01-01

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

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

    PubMed Central

    Dang, Michelle T.; Miller, Elizabeth

    2013-01-01

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

  13. Characteristics of sheltered homeless families.

    PubMed Central

    Bassuk, E L; Rubin, L; Lauriat, A S

    1986-01-01

    To describe the characteristics of homeless families, we interviewed 80 homeless mothers and 151 children living in 14 family shelters in Massachusetts (two-thirds of the shelters in the state). Ninety-four per cent of the families were headed by women, 91 per cent were on AFDC (aid to families with dependent children), with twice as many as the state average having been on AFDC for at least two years; most had long histories of residential instability. Although 60 per cent had completed high school, only a third had worked for longer than one month. One-third of the mothers reported having been abused during their childhood, and two-thirds had experienced a major family disruption. At the time of the interview, almost two-thirds either lacked or had minimal supportive relationships and one-fourth of these named their child as the major support. Eighteen mothers were involved with the Department of Social Services because of probable child abuse or neglect. Seventy-one per cent of the mothers had personality disorders. In contrast to many adult homeless individuals, however, deinstitutionalized persons or those suffering from psychoses were not overrepresented. About 50 percent of the homeless children were found to have developmental lags, anxiety, depression, and learning difficulties, and about half required further psychiatric evaluation. Two-thirds described housing and social welfare agencies as not helpful. Given the many serious problems of the mothers and the difficulties already manifested by their children, comprehensive psychosocial and economic interventions must be made to interrupt a cycle of extreme instability and family breakdown. PMID:3740332

  14. Gender Differences in Self-Reported Reasons for Homelessness

    Microsoft Academic Search

    Richard Tessler; Robert Rosenheck; Gail Gamache

    2001-01-01

    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,

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

    ERIC Educational Resources Information Center

    Vissing, Yvonne M.

    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…

  16. Risk Factors for Cardiovascular Disease in Homeless Adults

    Microsoft Academic Search

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

    2010-01-01

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

  17. The Impact of Homelessness on Children.

    ERIC Educational Resources Information Center

    Rafferty, Yvonne; Shinn, Marybeth

    1991-01-01

    Reviews community-based research on the effects of homelessness on children. Homeless children face threats to their future well-being resulting from health problems, hunger, poor nutrition, developmental delays, anxiety, depression, behavioral problems, and educational underachievement. Contributing factors may include inadequate shelter,…

  18. Homeless patients' experience of satisfaction with care

    Microsoft Academic Search

    Susan McCabe; Carol L. Macnee; Mary Kay Anderson

    2001-01-01

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

  19. Young Children and Families Experiencing Homelessness

    ERIC Educational Resources Information Center

    Wilson, Allison B.; Squires, Jane

    2014-01-01

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

  20. Assessing the Nutritional Needs of Homeless Adolescents

    Microsoft Academic Search

    J. L. Grover; AC Hergenroeder; SR Morrow; BL Haefner

    1998-01-01

    A survey instrument was developed to describe the nutritional habits and needs of homeless adolescents. It incorporated the Block Food Frequency (BFFQ) questionnaire with 37 questions regarding: current practices of obtaining food; nutritional education needs; and demographic information. The survey was reviewed, pilot-tested, and revised Subjects were 18-20 year old residents at a homeless shelter for less than 72 hours

  1. Spirituality and Mental Health among Homeless Mothers

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    PubMed Central

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

    2009-01-01

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

  3. Health disparities in the Native Hawaiian homeless.

    PubMed

    Yamane, David P; Oeser, Steffen G; Omori, Jill

    2010-06-01

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

  4. Global Female Homelessness: A MultiFaceted Problem

    Microsoft Academic Search

    Keri Weber Sikich

    2008-01-01

    International female homelessness is a difficult subject to address for a number of reasons. First, understanding what defines\\u000a homelessness poses a problem because female homelessness often takes on a different form than that of male homelessness. Also,\\u000a homelessness in industrialized countries looks different from that of developing nations where women are more likely to have\\u000a inadequate housing in temporary shelters

  5. The parallel universe of homeless and HIV-positive youth

    Microsoft Academic Search

    Deborah L. Ebner; Marcia M. Laviage

    2003-01-01

    The HIV\\/AIDS crisis among teens in this country is alarming, but the rates are even more staggering when these youth are homeless. They tend to live in a world typically considered by those trying to care for them—family, friends, and healthcare providers—as unreachable and hopeless. This article seeks to present “their world” to health professionals in attempts to depict it

  6. 38 CFR 17.101 - Collection or recovery by VA for medical care or services provided or furnished to a veteran for...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  7. North Carolina's Homeless Families: Issues for the 90's. Papers from an Invitational Working Conference (Raleigh, North Carolina, January 24, 1991).

    ERIC Educational Resources Information Center

    Relos, Ruth, Ed.

    The North Carolina Conference for Social Services invited North Carolina policymakers and service providers to participate in a working conference in January 1991. The conference addressed issues relating to homeless families in North Carolina. Goals of the conference were to: (1) increase the potential for collaboration on behalf of homeless

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

    PubMed Central

    2013-01-01

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

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

    PubMed Central

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

    2005-01-01

    Background Increasing numbers of injecting drug users are presenting to primary care and a growing number of general practices are specifically providing care for homeless people. Injecting drug users are at the greatest risk of hepatitis C infection and homeless drug misusers, because of their drug-taking behaviour and patterns, have been identified as being at greater risk of harm of blood-borne diseases than the general population. However, little work has been conducted with injecting drug users or homeless people who have hepatitis C and little is known about how the virus may affect them. Aim To explore the impact of a positive hepatitis C diagnosis on homeless injecting drug users. Design of study This study employed qualitative research. In-depth interviews allowed the exploration of the impact of a potentially life-threatening diagnosis within the context of a person's expressed hierarchy of needs. Setting A primary care centre for homeless people in the north of England. Method In-depth interviews about the impact of a positive hepatitis C diagnosis on their lives were conducted with 17 homeless injecting drug users who had received a positive hepatitis C diagnosis. The interviews were audiotaped, transcribed, and analysed using the framework approach. Results Receiving a positive diagnosis for hepatitis C resulted in feelings of shock, devastation, disbelief, anger, and questioning. A positive diagnosis had lasting social, emotional, psychological, behavioural, and physical effects on homeless injecting drug users, even years after the initial diagnosis. Most responders were diagnosed by a doctor in primary care or by hospital staff; however, not all had sought testing and a number were tested while inpatients and were unaware that blood had been taken for hepatitis C virus serology. Conclusions The implications for clinical policy and primary care practice are discussed, including the issues of patient choice, confidentiality, and pre- and post-test discussions. Post-test discussions should be followed up with additional social, psychological, and medical support and counselling. PMID:15826432

  10. Basic conditioning factors, self-care agency, self-care, and well-being in homeless adults

    Microsoft Academic Search

    Judith Ann Meterko Anderson

    1996-01-01

    Nursing has a role in providing direct helping services to homeless individuals that promotes self-care leading to health and well-being. This study, within Orem's self-care deficit theory of nursing, explored the dimensions of self-care agency, self-care, and well-being while controlling for selected basic conditioning factors in homeless adults. A theoretical model of the relationships between these concepts was tested. This

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  12. RN-to-MSN students' attitudes toward women experiencing homelessness: A focus group study.

    PubMed

    Chung-Park, Min; Hatton, Diane; Robinson, Linda; Kleffel, Dorothy

    2006-08-01

    When health professionals, including RNs, have negative attitudes toward women experiencing homelessness, they create barriers to services. It is incumbent on nursing faculty to develop curricula that address homelessness and associated stereotypes, as well as to prepare students to provide safe and appropriate care to the homeless population. The aim of this qualitative study was to examine the attitudes of RN-to-MSN students toward mothers living with their children in a transitional shelter. A convenience sample of 10 students enrolled in a community health nursing course at a university in southern California participated in the study. Two focus groups were conducted: one before and one after a 15-week clinical experience. Data analysis revealed that during the clinical experience, students discovered that they, or perhaps an individual like them, could become homeless. Their attitudes and views changed to include a bigger picture of homelessness, described by public health nursing researchers as "moving upstream." This article suggests strategies for integrating clinical experiences with socioeconomically vulnerable individuals into undergraduate nursing curricula. PMID:16915991

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

    PubMed Central

    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

    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

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

    PubMed Central

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

    2009-01-01

    Bangladesh has experienced one of the highest urban population growth rates (around 7% per year) over the past three decades. Dhaka, the capital city, attracts approximately 320,000 migrants from rural areas every year. The city is unable to provide shelter, food, education, healthcare, and employment for its rapidly-expanding population. An estimated 3.4 million people live in the overcrowded slums of Dhaka, and many more live in public spaces lacking the most basic shelter. While a small but growing body of research describes the lives of people who live in urban informal settlements or slums, very little research describes the population with no housing at all. Anecdotally, the homeless population in Dhaka is known to face extortion, erratic unemployment, exposure to violence, and sexual harassment and to engage in high-risk behaviours. However, this has not been systematically documented. This cross-sectional, descriptive study was conducted to better understand the challenges in the lives of the homeless population in 11 areas of Dhaka during a 13-month period from June 2007 to June 2008. A modified cluster-sampling method was used for selecting 32 clusters of 14 female and male respondents, for a sample of 896. In addition to sociodemographic details, this paper focuses specifically on violence, drug-abuse, and sexual harassment. The findings showed that physical assaults among the homeless, particularly among women, were a regular phenomenon. Eighty-three percent of female respondents (n=372) were assaulted by their husbands, station masters, and male police officers. They were subjected to lewd gestures, unwelcome advances, and rape. Male respondents reported being physically assaulted while trying to collect food, fighting over space, or while stealing, by police officers, miscreants, or other homeless people. Sixty-nine percent of the male respondents (n=309) used locally-available drugs, such as marijuana and heroin, and two-thirds of injecting drug-users shared needles. The study determined that the homeless are not highly mobile but tend to congregate in clusters night after night. Income-generating activities, targeted education, gender-friendly community police programmes, shelters and crises centres, and greater community involvement are suggested as policy and programmatic interventions to raise the quality of life of this population. In addition, there is a need to reduce high rates of urban migration, a priority for Bangladesh. PMID:19761080

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

    PubMed

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

    2009-08-01

    Bangladesh has experienced one of the highest urban population growth rates (around 7% per year) over the past three decades. Dhaka, the capital city, attracts approximately 320,000 migrants from rural areas every year. The city is unable to provide shelter, food, education, healthcare, and employment for its rapidly-expanding population. An estimated 3.4 million people live in the overcrowded slums of Dhaka, and many more live in public spaces lacking the most basic shelter. While a small but growing body of research describes the lives of people who live in urban informal settlements or slums, very little research describes the population with no housing at all. Anecdotally, the homeless population in Dhaka is known to face extortion, erratic unemployment, exposure to violence, and sexual harassment and to engage in high-risk behaviours. However, this has not been systematically documented. This cross-sectional, descriptive study was conducted to better understand the challenges in the lives of the homeless population in 11 areas of Dhaka during a 13-month period from June 2007 to June 2008. A modified cluster-sampling method was used for selecting 32 clusters of 14 female and male respondents, for a sample of 896. In addition to sociodemographic details, this paper focuses specifically on violence, drug-abuse, and sexual harassment. The findings showed that physical assaults among the homeless, particularly among women, were a regular phenomenon. Eighty-three percent of female respondents (n=372) were assaulted by their husbands, station masters, and male police officers. They were subjected to lewd gestures, unwelcome advances, and rape. Male respondents reported being physically assaulted while trying to collect food, fighting over space, or while stealing, by police officers, miscreants, or other homeless people. Sixty-nine percent of the male respondents (n=309) used locally-available drugs, such as marijuana and heroin, and two-thirds of injecting drug-users shared needles. The study determined that the homeless are not highly mobile but tend to congregate in clusters night after night. Income-generating activities, targeted education, gender-friendly community police programmes, shelters and crises centres, and greater community involvement are suggested as policy and programmatic interventions to raise the quality of life of this population. In addition, there is a need to reduce high rates of urban migration, a priority for Bangladesh. PMID:19761080

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

    PubMed Central

    Wright, Nat MJ; Tompkins, Charlotte NE

    2006-01-01

    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

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

    NSDL National Science Digital Library

    2000-01-01

    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.

  18. A Taxonomy of Medical Comorbidity for Veterans Who are Homeless

    Microsoft Academic Search

    MPH Adam J. Gordon

    2008-01-01

    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

  19. Homeless Youth: Characteristics, Contributing Factors, and Service Options

    Microsoft Academic Search

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

    2010-01-01

    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

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

    ERIC Educational Resources Information Center

    Duffield, Barbara; Gleason, Mary Ann

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

  1. Health of the homeless street women in South Africa

    Microsoft Academic Search

    Olusola Olufemi

    1999-01-01

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

  2. From substance use to homelessness or vice versa?

    PubMed

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

    2015-07-01

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

  3. Occupational therapy intervention to foster goal setting skills for homeless mothers.

    PubMed

    Schultz-Krohn, Winifred; Drnek, Skye; Powell, Kelly

    2006-01-01

    SUMMARY Occupational therapy intervention was provided to two mothers living in a homeless shelter to foster goal setting skills and the ability to develop a systematic method to meet those goals. The Model of Human Occupation (MOHO) was used as the theoretical framework to guide intervention. Both mothers were able to establish personal goals and work towards meeting those goals but the outcomes varied. The difference in outcomes between the two mothers is described using MOHO with analysis of how occupational therapy services can be used with homeless mothers. PMID:23926938

  4. Engineering VA Health Care

    E-print Network

    Adams, Mark

    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

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

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

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

  7. VA-ACME SCHOLARSHIP PROGRAM www.va-acme.org

    E-print Network

    Virginia Tech

    VA-ACME SCHOLARSHIP PROGRAM * 2011 * www.va-acme.org All Virginia Advisory Council on Military must either reside or work in Virginia. Mail complete scholarship application packages to: VA, or National Guard) who have completed Basic Military Training or Officer Candidate School. Only the winners

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

    PubMed Central

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

    2013-01-01

    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

  9. The parallel universe of homeless and HIV-positive youth.

    PubMed

    Ebner, Deborah L; Laviage, Marcia M

    2003-01-01

    The HIV/AIDS crisis among teens in this country is alarming, but the rates are even more staggering when these youth are homeless. They tend to live in a world typically considered by those trying to care for them-family, friends, and healthcare providers-as unreachable and hopeless. This article seeks to present "their world" to health professionals in attempts to depict it not as inaccessible, but as a sensitive one that takes great care and support in order for contact to be successful. Their words and those of individuals who have tried to make this connection are used to facilitate the presentation. PMID:12748920

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

    ERIC Educational Resources Information Center

    Sosin, Michael R.; And Others

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

  11. Administrative law, administrative processes, and the housing of homeless persons: A view from the sharp end

    Microsoft Academic Search

    Ian Loveland

    1991-01-01

    This paper presents data from an ethnographic study of local authorities' implemention of the homeless persons legislation. By focusing in detail on the mechanics of administrative decisionmaking, the paper suggests that analyses of the Act dwelling exclusively on statutory provisions and interpretative case law provide a misleading picture of both the conduct and outcome of the bureaucratic. Rather than structuring

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

    PubMed Central

    2010-01-01

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

  13. The Reinvention of Behavioral Health Services in the VA System

    Microsoft Academic Search

    Gail E. Wright; Jerry C. Parker

    1999-01-01

    The Veterans Health Administration under the direction of Kenneth Kizer, M.D., has faced the challenge of providing high-quality health care while controlling costs. Under Dr. Kizer's direction, VA hospitals are moving toward managed patient centered primary care. Hospital organization, funding, and clinical practices have been changed. Reorganization has meant a variety of possibilities for psychologists employed in the VA system.

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

    PubMed

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

    2009-10-01

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

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

    PubMed Central

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

    2010-01-01

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

  16. 77 FR 44653 - Continuum of Care Homeless Assistance Grant Application-Technical Submission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ...DEVELOPMENT [Docket No. FR-5603-N-50] Continuum of Care Homeless Assistance Grant Application...information not contained in the original Continuum of Care Homeless Assistance Grant Application...following information: Title of Proposal: Continuum of Care Homeless Assistance Grant...

  17. 76 FR 81520 - Notice of Proposed Information Collection for Public Comment; Continuum of Care Homeless...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ...Information Collection for Public Comment; Continuum of Care Homeless Assistance Program Registration...following information: Title of Proposal: Continuum of Care Homeless Assistance Program Registration...associated with registration requirements that Continuum of Care Homeless Assistance (CoC)...

  18. 77 FR 24214 - Notice of Proposed Information Collection for Public Comment: Continuum of Care Homeless...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ...Information Collection for Public Comment: Continuum of Care Homeless Assistance--Technical...following information: Title of Proposal: Continuum of Care Homeless Assistance--Technical...information not contained in the original Continuum of Care Homeless Assistance Grant...

  19. Gender Differences in Victimized Homeless Adolescents

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  20. Helping the Homeless in School and Out

    ERIC Educational Resources Information Center

    Holgersson-Shorter, Helena

    2010-01-01

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

  1. Suicidal Behavior Among Homeless and Runaway Adolescents

    Microsoft Academic Search

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

    1998-01-01

    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

  2. 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.

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

    PubMed

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

    2014-11-01

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

  4. Psychopathology in Young People Experiencing Homelessness: A Systematic Review

    PubMed Central

    Shelton, Katherine H.; van den Bree, Marianne B.?M.; Los, Férenc J.

    2013-01-01

    Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the prevalence of psychiatric problems among young homeless people. We examined the temporal relationship between homelessness and psychopathology. We collated 46 articles according to the PRISMA Statement. All studies that used a full psychiatric assessment consistently reported a prevalence of any psychiatric disorder from 48% to 98%. Although there was a lack of longitudinal studies of the temporal relationship between psychiatric disorders and homelessness, findings suggested a reciprocal link. Supporting young people at risk for homelessness could reduce homelessness incidence and improve mental health. PMID:23597340

  5. Predictors of substance abuse treatment participation among homeless adults.

    PubMed

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

    2014-03-01

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

  6. Perceived health status among the new urban homeless

    Microsoft Academic Search

    Richard H. Ropers; Richard Boyer

    1987-01-01

    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.

  7. Cross-National Variations in Behavioral Profiles Among Homeless Youth

    Microsoft Academic Search

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

    2006-01-01

    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

  8. Development of fragility functions to estimate homelessness after an earthquake

    NASA Astrophysics Data System (ADS)

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

    2014-05-01

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

  9. Evaluations of Continuums of Care for Homeless People

    NSDL National Science Digital Library

    2002-01-01

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

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

    PubMed

    Huey, Laura

    2010-03-01

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

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

    PubMed Central

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

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

  13. Arizona Head Start for Homeless Children and Families Project. 1994-95 Evaluation Report.

    ERIC Educational Resources Information Center

    Mulholland, Lori; Greene, Andrea

    Homeless families with children comprise the fastest growing segment of the United States homeless population. This study evaluated Year 1 of the Arizona Head Start for Homeless Children and Families Project, designed to meet educational and social needs of homeless children and families, and to assist Head Start agencies in developing effective…

  14. Arizona Head Start for Homeless Children and Families Project. 1995-96 Evaluation Report.

    ERIC Educational Resources Information Center

    Mulholland, Lori

    Homeless families with children constitute the fastest growing segment of the United States homeless population. This study evaluated Year 2 of the Arizona Head Start for Homeless Children and Families Project, designed to meet educational and social needs of homeless children and families, and to assist Head Start agencies in developing effective…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    Microsoft Academic Search

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

    2009-01-01

    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

  17. Adult Education for the Homeless: A Program in Jeopardy.

    ERIC Educational Resources Information Center

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

    During its 8-year history, the federal Adult Education for the Homeless Program (AEH) pioneered new methods of service to adults in need and benefited over 320,000 homeless adults and families. Despite an evaluation that documented program success, funding was rescinded from the 1995 federal budget and never reinstated. AEH programs developed the…

  18. Homelessness among people with severe mental illness in Switzerland

    Microsoft Academic Search

    Christoph Lauber; Barbara Lay; Wulf Rössler

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

  19. Planning Services for the Homeless in the San Francisco Peninsula

    Microsoft Academic Search

    Lars G. Osterberg; Donald A. Barr

    2007-01-01

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

  20. Homelessness and the Fiscal Year 1993 Federal Budget.

    ERIC Educational Resources Information Center

    National Coalition for the Homeless, Washington, DC.

    This paper analyzes the Bush Administration's budget request for homelessness programs, and argues that it promised little to alleviate the suffering of homeless people. The paper asserts that the proposal is the weakest in years, with overall spending down by 7 percent when adjusted for inflation. Programs hardest hit are new funding to increase…

  1. Health Status, Needs, and Health Care Barriers Among the Homeless

    Microsoft Academic Search

    Laurie Wojtusik; Mary Castle White

    1998-01-01

    :Perceived health status, health conditions, and access and barriers to care are important predictors of mortality and the use of services among the homeless. This study assesses these issues by structured interview of 128 homeless adults from San Francisco. Of these adults, 21.1 percent were women (mean age 37 compared to 42 for men). In terms of ethnicity, 38 percent

  2. Deviant Behavior and Victimization Among Homeless and Runaway Adolescents

    Microsoft Academic Search

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

    2001-01-01

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

  3. Homeless “squeegee kids”: Food insecurity and daily survival

    Microsoft Academic Search

    Naomi Dachner; Valerie Tarasuk

    2002-01-01

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

  4. Deja Vu: Family Homelessness in New York City.

    ERIC Educational Resources Information Center

    Institute for Children and Poverty, New York, NY.

    This report describes family homelessness in New York City, which has risen sharply since 1980. Currently, the City's family shelter system is at capacity. Homeless children are typically raised by single mothers who receive no child support, are 27 years old, are unemployed and receiving welfare, and have had at least one public assistance…

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

    ERIC Educational Resources Information Center

    Oregon State Dept. of Education, Salem.

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

  6. The State of Homeless Children in the United States

    ERIC Educational Resources Information Center

    Kabler, Brenda; Weinstein, Elana

    2009-01-01

    Across America, the numbers of homeless children and families are growing as a result of many factors including the recent economic crisis, home foreclosures, and natural disasters. Because of an increase in the number of homeless children throughout the United States, this population has unmet needs that can be targeted in school settings under…

  7. Toward A Concept of Homelessness among Aged Men.

    ERIC Educational Resources Information Center

    Cohen, Carl I.; Sokolovsky, Jay

    1983-01-01

    Compared homeless aged men who live on the Bowry or in hotel rooms in New York City. Results showed homelessness is not a uniform category. Sociability differentiated them from nonhomeless age peers and socioeconomic status differentiated the two groups; also found differences in each groups' social adaptation. (Author/JAC)

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

    ERIC Educational Resources Information Center

    Tompsett, Carolyn J.; Toro, Paul A.

    2010-01-01

    Parental deviance, parental monitoring, and deviant peers were examined as predictors of overt and covert antisocial behaviors. Homeless (N=231) and housed (N=143) adolescents were assessed in adolescence and again in early adulthood. Homelessness predicted both types of antisocial behaviors, and effects persisted in young adulthood. Parental…

  9. Social Networks of Homeless Youth in Emerging Adulthood

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  10. Understanding survival sex: young women, homelessness and intimate relationships

    Microsoft Academic Search

    Juliet Watson

    2011-01-01

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

  11. Trading sex: Voluntary or coerced? The experiences of homeless youth

    Microsoft Academic Search

    Kimberly A. Tyler; Katherine A. Johnson

    2006-01-01

    This study examined the circumstances surrounding a homeless youth's “decision “ to trade sex for food, money, shelter, or drugs. Forty homeless youth in 4 Midwestern states participated in individual, in?depth qualitative interviews. Interviewers recruited youth through both service agencies and street outreach. The findings revealed that approximately one third of the sample had some experience with trading sex, whether

  12. Heart to Heart Art: Empowering Homeless Children and Youth

    ERIC Educational Resources Information Center

    Shepard, Jerri; Booth, Deborah

    2009-01-01

    This article describes Heart to Heart Art, an after-school program developed for homeless children and youth at the YWCA in Spokane, Washington. Pre-service teacher candidates from a local university create meaningful activities that engage homeless students in visual art, music, drama, cooking, and community service. Heart to Heart Art was…

  13. Quality of Health Care: The Views of Homeless Youth

    PubMed Central

    Ensign, Josephine

    2004-01-01

    Objective To develop homeless-youth-identified process and outcome measures of quality of health care. Data Sources/Study Setting Primary data collection with homeless youth from both street and clinic settings in Seattle, Washington, for calendar year 2002. Study Design The research was a focused ethnography, using key informant and in-depth individual interviews as well as focus groups with a purposeful sample of 47 homeless youth aged 12–23 years. Data Collection/Extraction Methods All interviews and focus groups were tape-recorded, transcribed, and preliminarily coded, with final coding cross-checked and verified with a second researcher. Principal Findings Homeless youth most often stated that cultural and interpersonal aspects of quality of care were important to them. Physical aspects of quality of care reported by the youth were health care sites separate from those for homeless adults, andsites that offered a choice of allopathic and complementary medicine. Outcomes of health care included survival of homelessness, functional and disease-state improvement, and having increased trust and connections with adults and with the wider community. Conclusions Homeless youth identified components of quality of care as well as how quality of care should be measured. Their perspectives will be included in a larger follow-up study to develop quality of care indicators for homeless youth. PMID:15230923

  14. Prevalence and Predictors of Sexual Risks Among Homeless Youth

    ERIC Educational Resources Information Center

    Halcon, Linda L.; Lifson, Alan R.

    2004-01-01

    This study examined prevalence of sexual risks among homeless adolescents and described factors associated with those risks. Community-based outreach methods were used successfully to access this difficult-to-reach population. The sample included 203 homeless youth aged 15-22 recruited from community sites. Questionnaire items addressed…

  15. Learning in Limbo: The Educational Deprivation of Homeless Children.

    ERIC Educational Resources Information Center

    Rafferty, Yvonne; Rollins, Norma

    This document presents a report on the educational needs of homeless children in New York City. Data were analyzed from the following sources: (1) review of the current literature on the impact of homelessness on the physical and emotional well-being of children; (2) field-based interviews with 277 families in New York's shelters and hotels; and…

  16. Predictors of Social Network Composition among Homeless and Runaway Adolescents

    ERIC Educational Resources Information Center

    Johnson, K.D.; Whitbeck, L.B.; Hoyt, D.R.

    2005-01-01

    Recent research on the social support networks of homeless and runaway youth suggest the social networks of runaway youth are made up largely of transient deviant peer relationships. This paper examined social network characteristics of 428 homeless and runaway adolescents from small-to moderate-sized cities in four Midwestern states. We…

  17. Educating Homeless Children: Issues and Answers. Fastback 313.

    ERIC Educational Resources Information Center

    Stronge, James H.; Tenhouse, Cheri

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

  18. Educational Experiences of Hidden Homeless Teenagers: Living Doubled-Up

    ERIC Educational Resources Information Center

    Hallett, Ronald E.

    2011-01-01

    Homeless youth face countless barriers that limit their ability to complete a high school diploma and transition to postsecondary education. Their experiences vary widely based on family, access to social services, and where they live. More than half of the 1.5 million homeless youth in America are in fact living "doubled-up," staying with family…

  19. A Repeated Observation Approach for Estimating the Street Homeless Population

    ERIC Educational Resources Information Center

    Berry, Brent

    2007-01-01

    Risks of life on the street caused by inclement weather, harassment, and assault threaten the unsheltered homeless population. We address some challenges of enumerating the street homeless population by testing a novel capture-recapture (CR) estimation approach that models individuals' intermittent daytime visibility. We tested walking and…

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

    ERIC Educational Resources Information Center

    Ross, Edna; Cox, Fannie M.

    2013-01-01

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

  1. Deriving costs of service use among an urban homeless population.

    PubMed

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

    2014-04-01

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

  2. Homeless women with minor children in the Detroit metropolitan area.

    PubMed

    Mills, C

    1989-11-01

    Eighty-seven homeless families served by the emergency shelter of the Coalition on Temporary Shelter in Detroit during the first quarter of 1987 were studies through a review of admission data. Most of the families were black and contained an adult female with one or two minor children. Most of the mothers were young, did not have a high school diploma, and had no income. Some had histories of psychiatric disorders or substance abuse. Many had been in a dependent living situation before becoming homeless. Children accounted for more than one-fourth of admissions during the study period. Policies should address prevention of homelessness through income support programs, provision of low-income housing, basic living skill training programs, and mental health service delivery. When available resources fail in prevention, programming should address the effects of homelessness on children, because these effects perpetuate a cycle that will increase the homeless population in future generations. PMID:10296495

  3. Homeless women's gynecological symptoms and use of medical care.

    PubMed

    Wenzel, S L; Andersen, R M; Gifford, D S; Gelberg, L

    2001-08-01

    Information is lacking on homeless women's gynecological symptoms and use of medical care for symptoms. This paper documents and explains gynecological symptoms and conditions and use of medical care in a probability sample of 974 reproductive-age (15-44) homeless women. Two-thirds of women reported symptoms during the previous year; 71 percent of those received medical care for their gynecological symptoms. Pregnancy, drug dependence, more episodes of homelessness, and general physical health symptoms were positively associated with a number of gynecological symptoms. Gynecological symptoms, younger age, better perceived health, and insurance coverage were positively associated with medical care; women reporting recent drug use and rape received less care. These findings support the importance of medical care and other treatment and support services for homeless women, including expanded care during pregnancy and substance abuse treatment. Health insurance coverage and an interruption in the cycle of homelessness also appear vital to women's health. PMID:11475550

  4. A Qualitative Study of the Formation and Composition of Social Networks Among Homeless Youth

    PubMed Central

    Tyler, Kimberly A.; Melander, Lisa A.

    2011-01-01

    Although social networks are essential for explaining protective and risk factors among homeless youth, little is known about the formation and composition of these groups. In this study, we utilized 19 in-depth interviews with homeless youth to investigate their social network formation, role relationships, housing status, and network member functions. Our findings reveal that the formation of these networks occurred in different ways including meeting network members through others or in specific social situations. The majority of social network members were currently housed and provided various functions including instrumental and social support and protection. Responses from participants provide valuable insight into the formation of social networks and potentially explain their subsequent involvement in risky behaviors. PMID:22121330

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

    PubMed

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

    2005-05-01

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

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

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2010

    2010-01-01

    Middle and high school students experiencing homelessness often face challenges in accruing credits. Class offerings, methods of calculating credits, and graduation requirements can vary greatly among school districts. Students who change schools late in high school can find themselves suddenly in danger of not graduating due to differing class…

  7. A Dimensional Model of Psychopathology Among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

    Microsoft Academic Search

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

    2008-01-01

    The present study examined associations among dimensions of suicidality and psychopathology in a sample of 428 homeless adolescents\\u000a (56.3% female). Confirmatory factor analysis results provided support for a three-factor model in which suicidality (measured\\u000a with lifetime suicidal ideation and suicide attempts), internalizing disorders (assessed with lifetime diagnoses of major\\u000a depressive episode and post-traumatic stress disorder), and externalizing disorders (indicated by

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    The current study examined whether monetary incentives could increase engagement and achievement in a job-skills training program for unemployed, homeless, alcohol-dependent adults. Participants (n?=?124) were randomized to a no-reinforcement group (n?=?39), during which access to the training program was provided but no incentives were given; a…

  10. 77 FR 38179 - Autopsies at VA Expense

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ...Benefits; 64.010, Veterans Nursing Home Care; 64.014, Veterans State...Care; 64.015, Veterans State Nursing Home Care; 64.018, Sharing Specialized...Homeless; Mental health programs; Nursing homes; Philippines; Reporting and...

  11. 76 FR 75509 - Autopsies at VA Expense

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ...Benefits; 64.010, Veterans Nursing Home Care; 64.014, Veterans State...Care; 64.015, Veterans State Nursing Home Care; 64.018, Sharing Specialized...Homeless; Mental health programs; Nursing homes; Philippines, Reporting and...

  12. Methods for successful follow-up of elusive urban populations: an ethnographic approach with homeless men.

    PubMed Central

    Conover, S.; Berkman, A.; Gheith, A.; Jahiel, R.; Stanley, D.; Geller, P. A.; Valencia, E.; Susser, E.

    1997-01-01

    Public health is paying increasing attention to elusive urban populations such as the homeless, street drug users, and illegal immigrants. Yet, valid data on the health of these populations remain scarce; longitudinal research, in particular, has been hampered by poor follow-up rates. This paper reports on the follow-up methods used in two randomized clinical trials among one such population, namely, homeless men with mental illness. Each of the two trials achieved virtually complete follow-up over 18 months. The authors describe the ethnographic approach to follow-up used in these trials and elaborate its application to four components of the follow-up: training interviewers, tracking participants, administering the research office, and conducting assessments. The ethnographic follow-up method is adaptable to other studies and other settings, and may provide a replicable model for achieving high follow-up rates in urban epidemiologic studies. PMID:9211004

  13. Community psychiatric care for homeless people in inner London.

    PubMed

    Hamid, W A; McCarthy, M

    1989-08-01

    Data about 'homeless' and 'home-based' clients referred to and recorded by community psychiatric nurses (CPNs) in Bloomsbury, an inner London health district, in 1985 and 1986 were reviewed. Of the 974 people seen, 642 were home-based and 322, homeless at time of referral. The homeless were more commonly under 65-years-of-age, living alone and unemployed. Two thirds of both groups had a psychiatric history, with half also having been admitted to a mental hospital. CPNs identified mental health problems in both groups with equal frequency, but homeless people were more likely to express their main problem as related to housing, finance or unemployment. Four out of five home-based clients were referred by statutory services compared with only two out of five homeless clients. The latter were less likely to receive supportive care from the CPN service and were more often referred to other agencies; these differences remained after controlling for the presenting problems. One in three people referred to this service were homeless. The social aspects of their problems, and their lack of contact with statutory services, suggest that homeless people need a multi-disciplinary approach for mental health care. PMID:10295815

  14. Mobile Nurse Practitioner: A Pilot Program to Address Service Gaps Experienced by Homeless Individuals.

    PubMed

    Fraino, Joan Alviar

    2015-07-01

    An estimated 2.3 to 3.5 million individuals are homeless in the United States, many of whom have chronic medical and mental illnesses. Underserved individuals who are homeless experience gaps in services, resulting in poor health care outcomes and readmission to the hospital setting, often presenting in crisis through the emergency department. The financial state of hospitals is negatively impacted by the burden of patients returning to the hospital due to unresolved issues. The current article presents the role of a psychiatric-mental health nurse practitioner as part of a pilot program, Opportunity Village Mobile Health, that provides a comprehensive approach to meet the physical and mental health challenges of homeless individuals who are discharged from inpatient to outpatient services. Continuity of health care services are made available to this unique patient population to reduce hospital readmission rates and provide much needed transitional care. [Journal of Psychosocial Nursing and Mental Health Services, 53(7), 38-43.]. PMID:26182208

  15. Resilience, loneliness, and psychological distress among homeless youth.

    PubMed

    Perron, Jeff L; Cleverley, Kristin; Kidd, Sean A

    2014-08-01

    Extant quantitative research on loneliness among homeless youth has grouped loneliness with other elements of psychological distress. The current study seeks to determine if loneliness has a different relationship with resilience than does psychological distress among street youth. Using data from 47 participants, linear regression was conducted. Results indicate that homeless youth experiencing higher psychological distress reported lower resilience scores. However, levels of resilience are not significantly associated with feelings of loneliness when psychological distress was accounted for. This study has implications for how researchers and clinicians conceptualize and address feelings of loneliness among homeless youth. PMID:25017554

  16. Previous Homelessness as a Risk Factor for Recovery from Serious Mental Illnesses.

    PubMed

    Castellow, Jennifer; Kloos, Bret; Townley, Greg

    2015-08-01

    This paper argues that the experience of homelessness is inherently traumatic and thus has the potential to affect the manifestation of mental illness. The experiences related to being homeless might act as specific and unique sources of vulnerability. This study included 424 people diagnosed with serious mental illnesses living in supported housing programs in South Carolina. Three hierarchical regression analyses measuring the impact of homelessness on three types of outcomes revealed the following: (1) ever experiencing homelessness as well as the amount of time spent homeless were related to higher levels of psychiatric distress, (2) ever experiencing homelessness was related to higher levels of reported alcohol use, and (3) total amount of time spent homeless was related to lower perceived recovery from mental illness. These findings suggest that experiencing homelessness might contribute to psychosocial vulnerability to negative mental health outcomes. Future investigations examining this concept of risk and vulnerability as a result of homelessness are in order. PMID:25566947

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

    PubMed

    2014-11-01

    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

  18. A quantitative review of cognitive functioning in homeless adults.

    PubMed

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

    2015-02-01

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

  19. Health problems of sheltered homeless women and their dependent children.

    PubMed

    Burg, M A

    1994-05-01

    Increasing numbers of homeless female-headed families are entering temporary shelters. Social workers who work with sheltered families are confronted with a complex array of health care problems. This article introduces an analytic framework that classifies the types of health problems that emerge among shelter residents and serves as a guide to social work intervention with the health problems of shelter residents. The framework covers three categories of health problems: illness coincident with homelessness, those exacerbated by limited health care access, and those associated with the psychosocial burdens of homelessness. The failures of the current structure of the health care reimbursement and the deficiencies of service delivery to homeless families are discussed. The analytic framework conceptualizes the interrelationship between health and poverty. It can be used as a tool for informed social work intervention, advocacy, training, and research activities. PMID:8045446

  20. Second-degree bachelor of science in nursing students' preconceived attitudes toward the homeless and poor: a pilot study.

    PubMed

    Boylston, Mary T; O'Rourke, Rosemarie

    2013-01-01

    The current economic climate of the United States has contributed to the crisis in health care delivery services. As a result, an increasing number of individuals present as poor and vulnerable. Currently, poverty rates in the United States are climbing, with literature clearly reflecting an association between poverty and ill health. With a number of economic barriers to health care, it has been suggested that health care providers' attitudes and subtle prejudices have also contributed to access. These preconceived negative attitudes can shame and embarrass vulnerable, homeless, immigrant, and poor individuals from attempting to access care. This research attempted to identify preconceived attitudes that second-degree baccalaureate nursing students possess prior to clinical exposure to poor and homeless populations through qualitative and quantitative investigative methods. Senior-level community health students preparing to deliver health care at a suburban homeless day shelter were asked to describe their experiences and opinions relative to homeless and poor persons before and after their actual contact with this population. Collected data suggest that there are subtle stereotyping and negative attitudes regarding the plight of overtly impoverished individuals before rendering care. After an 8-hour clinical experience with the aforementioned population, attitudes toward the vulnerable slightly improved, suggesting that clinical and didactic exposure to the plight of poor populations may assist to sensitize student nurses to exude compassion through a holistic therapeutic nurse-client relationship. PMID:24075265

  1. Social Networks of Homeless Youth in Emerging Adulthood

    Microsoft Academic Search

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

    Little is known about the social networks of homeless youth in emerging adulthood despite the importance of this information\\u000a for interventions to reduce health risks. This study examined the composition of social networks, and the risks and supports\\u000a present within them, in a random sample of 349 homeless youth (33.4% female, 23.9% African American, 17.7% Hispanic) between\\u000a the ages of

  2. Pregnancy and mental health of young homeless women.

    PubMed

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

    2011-04-01

    Pregnancy rates among young women who are homeless are significantly higher than rates among housed young women in the United States (J. M. Greene & C. L. Ringwalt, 1998). Yet, little research has addressed mental health or risk and resilience among young mothers who are homeless. Based on a sample from the Midwest Longitudinal Study of Homeless Adolescents, this study explores pregnancy and motherhood in unaccompanied homeless young women over a period of 3 years. The data are supplemented by in-depth interviews with a subset of young women. Results show that almost half (46.4%) of sexually active young women who are homeless (n=222, M age = 17.2) had been pregnant at baseline. Among those who stated they had children between Waves 2 and 13 (n=90), only half reported caring for their children consistently over time, and one fifth reported never seeing their children. Of the participants with children in their care at the last interview (Wave 13), almost one third met criteria for lifetime major depressive episode, lifetime posttraumatic stress disorder, and lifetime drug abuse, and half met criteria for lifetime antisocial personality disorder. Twelve-month diagnoses are also reported. The impacts of homelessness on maternal and child outcomes are discussed. PMID:21486259

  3. A Population-Based Inquiry of Homeless Episode Characteristics and Early Educational Well-Being.

    PubMed

    Fantuzzo, John; Leboeuf, Whitney; Brumley, Benjamin; Perlman, Staci

    2013-06-01

    Child homelessness and educational well-being is an area of national research that requires more precise investigation to address mixed findings. The aim of this study was to extend the investigation of the relations between homelessness and educational well-being by determining if timing and frequency of homeless episodes are differentially associated with children's academic and classroom engagement outcomes. This investigation used a comprehensive research model to study the effects of these homeless episode characteristics within a large urban student cohort. Additionally, this study accounted for co-occurring early risk factors. Findings indicated that having a first homeless episode in early childhood was associated with non-proficiency in mathematics and academic engagement problems. Also more frequent homeless episodes were related to truancy in third grade. These results stress the importance of early intervention for homeless children and underscore the need to further understand the variation in young children's homeless experiences. PMID:24072948

  4. 77 FR 26027 - Privacy Act: Notification of a New Privacy Act System of Records, Veterans Homelessness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-02

    ...Homelessness Prevention Demonstration Evaluation Data Files System AGENCY: Office of the Chief Information Officer...Homelessness Prevention Demonstration Evaluation Data Files (VHPD Data Files) system. The VHPD Data Files system will...

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

    PubMed Central

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

    2008-01-01

    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

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

    PubMed Central

    2013-01-01

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

  7. Stanford University Reviewing Veterans Affairs (VA) Research

    E-print Network

    Puglisi, Joseph

    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

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

    Microsoft Academic Search

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

    2002-01-01

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

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

    Microsoft Academic Search

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

    2006-01-01

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

  10. Conventional and Molecular Epidemiology of Tuberculosis in Homeless Patients in Budapest, Hungary

    Microsoft Academic Search

    Judit Lukacs; Vilmos Tubak; Judit Mester; Sandor David; Zoltan Bartfai; Tanja Kubica; Stefan Niemann; Akos Somoskovi

    2004-01-01

    In Hungary the incidence of tuberculosis among the homeless population was 676 per 100,000 in 2002. Sixty-nine percent (140 patients) of all homeless tuberculosis patients were notified in Budapest (the capital). Therefore, a retrospective study that included 66 homeless tuberculosis patients notified in Budapest in 2002 was conducted to determine the rate of recent transmission of the disease and medical

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

    Microsoft Academic Search

    Cheryl Zlotnick

    2010-01-01

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

  12. The Mental and Physical Health of Homeless Youth: A Literature Review

    ERIC Educational Resources Information Center

    Edidin, Jennifer P.; Ganim, Zoe; Hunter, Scott J.; Karnik, Niranjan S.

    2012-01-01

    Youth homelessness is a growing concern in the United States. Despite difficulties studying this population due to inconsistent definitions of what it means to be a youth and homeless, the current body of research indicates that abuse, family breakdown, and disruptive family relationships are common contributing factors to youth homelessness.…

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  14. The Legal Rights and Educational Needs of Homeless Children with Disabilities.

    ERIC Educational Resources Information Center

    Rafferty, Yvonne

    This paper highlights the educational rights and needs of homeless children under both the McKinney Act and the Individuals with Disabilities Act. Section 1 explains the Stewart B. McKinney Homeless Assistance Act of 1987, which included the Education for Homeless Children and Youth Program mandating a free, appropriate public education for all…

  15. Does a Baby Help Young Women Transition out of Homelessness? Motivation, Coping, and Parenting

    ERIC Educational Resources Information Center

    Ruttan, Lia; Laboucane-Benson, Patricia; Munro, Brenda

    2012-01-01

    Homeless young women experience high levels of stress, challenges to mental health, substance use and abuse, and a lack of housing or of secure housing. This article explores one of the findings from a longitudinal qualitative study designed to follow homeless young women for a 2-year period as they make efforts to transition out of homelessness.…

  16. "I Can Draw a Happy Face for You": Coping Strategies of Homeless Children.

    ERIC Educational Resources Information Center

    Lisosky, Joanne M.

    This qualitative study examined the ways in which homeless children cope with their environment. Preliminary data were gathered by observing homeless children at a homeless shelter day care center in a medium-sized midwestern city. As many as 12 children, aged 2 to 6 years, were observed in the day care setting on three different weekday mornings.…

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

    ERIC Educational Resources Information Center

    Wood, David; And Others

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

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2006

    2006-01-01

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

  20. 78 FR 77697 - Federal Property Suitable as Facilities To Assist the Homeless

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-24

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

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

    ERIC Educational Resources Information Center

    McCall, Kathleen P.

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

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

    ERIC Educational Resources Information Center

    Gargiulo, Richard M.

    2006-01-01

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

  3. Family Risk Factors and Prevalence of Dissociative Symptoms among Homeless and Runaway Youth

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.; Cauce, Ana Mari; Whitbeck, Les

    2004-01-01

    Objective: To examine family risk factors associated with dissociative symptoms among homeless and runaway youth. Method: Three hundred and twenty-eight homeless and runaway youth were interviewed using a systematic sampling strategy in metropolitan Seattle. Homeless young people were interviewed on the streets and in shelters by outreach workers…

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

    ERIC Educational Resources Information Center

    Boley, Ellen

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

  5. Stressful Life Event Experiences of Homeless Adults: A Comparison of Single Men, Single Women, and Women with Children

    ERIC Educational Resources Information Center

    Zugazaga, Carole

    2004-01-01

    This article describes stressful life events experienced by a multi-shelter sample of 162 homeless adults in the Central Florida area. Participants included homeless single men (n = 54), homeless single women (n = 54), and homeless women with children (n = 54). Subjects were interviewed with a modified version of the List of Threatening…

  6. Advanced Battery Manufacturing (VA)

    SciTech Connect

    Stratton, Jeremy

    2012-09-30

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

  7. Management of chronic kidney disease and dialysis in homeless persons

    PubMed Central

    Podymow, Tiina; Turnbull, Jeff

    2013-01-01

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

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

    PubMed Central

    2010-01-01

    Background This qualitative evaluation follows a randomized-control trial of a patient activation intervention in which hypertensive patients received a letter in the mail asking them to discuss thiazide diuretics with their provider. Results of the parent study indicated that the intervention was effective at facilitating discussions between patients and providers and enhancing thiazide prescribing rates. In the research presented here, our objective was to interview patients to determine their receptivity to patient activation, a potential leverage point for implementing interventions. Methods Semi-structured phone interviews were conducted with 54 patients, purposefully sampled from a randomized controlled trial of a patient activation intervention. All subjects had a history of hypertension and received primary care from one of twelve Veterans Affairs primary care clinics. All interviews were transcribed verbatim and reviewed by the interviewer. Interviews were independently coded by three qualitative researchers until consensus was attained, and relevant themes and responses were identified, grouped, and compared. NVivo 8.0 was used for data management and analysis. Results Data from this qualitative study revealed that most participants held favorable opinions toward the patient activation intervention used in the clinical trial. Most (82%) stated they had a positive reaction. Patients emphasized they liked the intervention because it was straightforward and encouraged them to initiate discussions with their provider. Also, by being active participants in their healthcare, patients felt more invested. Of the few patients offering negative feedback (11%), their main concern was discomfort with possibly challenging their providers' healthcare practices. Another outcome of interest was the patients' perceptions of why they were or were not prescribed a thiazide diuretic, for which several clinically relevant reasons were provided. Conclusion Patients' perceptions of the intervention indicated it was effective via the encouragement of dialogue between themselves and their provider regarding evidence-based treatment options for hypertension. Additionally, patients' experiences with thiazide prescribing discussions shed light on the facilitators and barriers to implementing clinical practice guidelines regarding thiazides as first-line therapy for hypertension. Trial registration National Clinical Trial Registry number NCT00265538 PMID:20298563

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

    PubMed

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

    2013-10-11

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

  10. Self-perceived strengths among people who are homeless

    PubMed Central

    Tweed, Roger G.; Biswas-Diener, Robert; Lehman, Darrin R.

    2012-01-01

    This study examined self-perceived strengths among 116 people who were homeless. Those who had experienced a longer period of current homelessness tended to report fewer personal strengths (r = ?0.23). Nonetheless, in spite of their marginalized position in society, the vast majority of participants (114 out of 116) perceived personal strengths. A prior diagnosis with mental illness was not associated with the number of strengths reported, but self-perception of strengths was associated with altruistic orientation. The Values in Action (VIA) taxonomy of character strengths captured many of the responses generated by this population. The most frequently mentioned character categories included social intelligence, kindness, persistence, authenticity and humour. The most frequently mentioned other strengths included personal skills (e.g. music, sports), job skills, intelligence and education. The results have relevance for efforts to build self-perceptions that facilitate escape from homelessness. PMID:23173008

  11. A Case Study of the Life Experiences of High School Graduates/General Education Development (GED) Recipients in Texas Who Experienced Homelessness During Their Public School Education 

    E-print Network

    Reider, Ruth Ann

    2012-07-16

    ...................... 31 Blaming the Victim???????????. 31 Why Do They Run? Runaway Youth???? 34 Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ... suggest that the destitution of homelessness for American families, children and youth typically impacts individuals and then radiates outward in a ripple effect, subsequently touching public schools, health care facilities and social service providers...

  12. Assisting the Homeless: State and Local Responses in an Era of Limited Resources. Papers from a Policy Conference (Washington, D.C., March 10-11, 1988).

    ERIC Educational Resources Information Center

    McDowell, Bruce D., Ed.; Casey, Joan, Ed.

    This document comprises a collection of conference papers that provide a broad understanding of the problem of homelessness, highlight innovative local and state responses, and uncover key intergovernmental issues that must be addressed in order to improve public and private action. The conference was attended by more than 100 federal, state, and…

  13. Stewart B. McKinney Homeless Assistance Act. Conference Report To Accompany H.R. 558. House of Representatives, 100th Congress, 1st Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House.

    This document presents a conference report submitted to accompany the Stewart B. McKinney Homeless Assistance Act (H.R. 558). It contains recommendations developed by the committee of conference on the disagreeing votes of the two Houses of Congress on the amendment of the Senate to the bill (H.R. 558) to provide assistance to protect and improve…

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

    ERIC Educational Resources Information Center

    Hendricks, George

    2010-01-01

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

  15. Geropsychology Training in a VA Nursing Home Setting

    ERIC Educational Resources Information Center

    Karel, Michele J.; Moye, Jennifer

    2005-01-01

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

  16. Geropsychology Training in a VA Nursing Home Setting

    Microsoft Academic Search

    Michele J. Karel; Jennifer Moye

    2005-01-01

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

  17. Smoking policy change at a homeless shelter: attitudes and effects.

    PubMed

    Businelle, Michael S; Poonawalla, Insiya B; Kendzor, Darla E; Rios, Debra M; Cuate, Erica L; Savoy, Elaine J; Ma, Ping; Baggett, Travis P; Reingle, Jennifer; Reitzel, Lorraine R

    2015-01-01

    Homeless adults are exposed to more smokers and smoke in response to environmental tobacco cues more than other socioeconomically disadvantaged groups. Addressing the culture of smoking in homeless shelters through policy initiatives may support cessation and improve health in this vulnerable and understudied population. This study examined support for and expected/actual effects of a smoking ban at a homeless shelter. A 2-wave cross-sectional study with an embedded cohort was conducted in the summer of 2013 two weeks before (wave 1) and two months after (wave 2) a partial outdoor smoking ban was implemented. A total of 394 homeless adults were surveyed (i.e., wave 1 [n=155]; wave 2 [n=150]; and 89 additional participants completed both waves). On average, participants were 43 years old, primarily African American (63%), male (72%), and had been homeless for the previous 12 months (median). Most participants were smokers (76%) smoking 12 cigarettes per day on average. Most participants supported the creation of a large smoke-free zone on the shelter campus, but there was less support for a shelter-wide smoking ban. Average cigarettes smoked per day did not differ between study waves. However, participants who completed both study waves experienced a reduction in expired carbon monoxide at wave 2 (W1=18.2 vs. W2=15.8 parts per million, p=.02). Expected effects of the partial ban were similar to actual effects. Partial outdoor smoking bans may be well supported by homeless shelter residents and may have a positive impact on shelter resident health. PMID:25222848

  18. Swimming upstream: the strengths of women who survive homelessness.

    PubMed

    Montgomery, C

    1994-03-01

    A study of the strengths and personal resources of women who had overcome homelessness revealed that the experience of homelessness for these women was a temporary state of disruption resulting from an effort to free themselves from conditions associated with despair, such as abuse or addictions, and to search for a better life. Personal, interpersonal, and transpersonal categories of strengths were identified that enabled these women to move in a positive direction toward health and self-actualization. The synthesizing metaphor "swimming upstream" describes the stoic determination required to go against the overwhelming negative forces of their environment. PMID:7515608

  19. Utilizing technology for longitudinal communication with homeless youth.

    PubMed

    Bender, Kimberly; Begun, Stephanie; DePrince, Anne; Haffejee, Badiah; Kaufmann, Sarah

    2014-10-01

    The current study investigated forms of technology (phone calls, texts, email and Facebook) for maintaining contact with homeless youth over baseline, 1-week, 6-week, and 3-month follow-up interviews. The study combined quantitative tracking of youths' response patterns and open-ended interviews regarding youths' preferred methods of communication. Results indicate that maintaining communication with homeless youth requires persistence, including frequent contact attempts over several days. Cell phone contacts (calls or texts) were most successful in communicating with youth, with e-mail and Facebook messaging useful when phones were lost or stolen. Youth who maintained contact were strikingly similar to youth who discontinued contact. PMID:25321934

  20. Sources of psychological pain and suicidal thoughts among homeless adults.

    PubMed

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

    2015-06-01

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

  1. Is Shared Housing a Way to Reduce Homelessness? The Effect of Household Arrangements on Formerly Homeless People

    PubMed Central

    He, Yinghua; O’Flaherty, Brendan; Rosenheck, Robert A.

    2010-01-01

    Most single adults share housing with other adults, and living alone is considerably more expensive than living with someone else. Yet policies that discourage shared housing for formerly homeless people or people at risk of becoming homeless are common, and those that encourage it are rare. This would be understandable if such housing adversely affected its users in some way. We ask whether shared housing produces adverse effects. Our provisional answer is no. For the most part, whether a person lives alone or shares housing seems to make no difference to the outcomes we studied although shared housing is associated with reduced psychotic symptomology. We use data from ACCESS, a 5-year, 18-site demonstration project with over 6,000 formerly homeless individuals as participants. PMID:20440383

  2. Patient and provider-reported adherence

    Microsoft Academic Search

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

    2001-01-01

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

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

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

  4. The homeless mentally ill and community-based care: changing a mindset.

    PubMed

    Martin, M A

    1990-10-01

    The care of persons with severe, persistent and disabling mental illness has received increasing attention during the past ten years. This focus is due, to some extent, to the increased visibility of a subset of this population, the large number of individuals with psychiatric problems who have become homeless. These men and women, who are without homes or in temporary residences, present a sophisticated array of needs and a multiplicity of problems which have rendered most communities impotent to provide appropriate and adequate rehabilitative services. To date, there is no "perfect" community-based system of care for these men and women. What exists is a hodge-podge of shelter, outreach and drop-in center services. Most of these provide little more than a bed (or a chair) to sleep on, a hot meal and refuge from inclement weather. This article discusses some of the issues and assumptions that inhibit and foster the development and provision of a comprehensive system of community-based care for persons with serious and persistent mental disorders who have become homeless. A framework, useful in reconceptualizing the clients, the services and the interaction between them is presented. PMID:2257727

  5. Recruitment and Retention of Homeless Mentally Ill Participants in Research

    Microsoft Academic Search

    Richard L. Hough; Henry Tarke; Virginia Renker; Patricia Shields; Jeff Glatstein

    1996-01-01

    Are the unstable residential and personal lives of homeless mentally ill (HMI) individuals so difficult as to preclude their inclusion in rigorous, longitudinal research protocols? The continued presence of HMI individuals in U.S. society has prompted the mental health research community to reconsider the question of whether clinical trial and demonstration research protocols are feasible with this population. This article

  6. An investigation of alcoholic subgroups in the homeless population

    Microsoft Academic Search

    Alisa Debra Lamnin

    1989-01-01

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

  7. Countervailing Social Network Influences on Problem Behaviors among Homeless Youth

    ERIC Educational Resources Information Center

    Rice, Eric; Stein, Judith A.; Milburn, Norweeta

    2008-01-01

    The impact of countervailing social network influences (i.e., pro-social, anti-social or HIV risk peers) on problem behaviors (i.e., HIV drug risk, HIV sex risk or anti-social behaviors) among 696 homeless youth was assessed using structural equation modeling. Results revealed that older youth were less likely to report having pro-social peers and…

  8. The Initiation of Homeless Youth into the Street Economy

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  9. The Reading Connection: Literacy Development and Homeless Children.

    ERIC Educational Resources Information Center

    Hanning, Eileen

    Educational and developmental researchers suggest that children who have experienced homelessness suffer both in self-esteem and in literacy development, although early research is not complete. The Reading Connection (TRC), a community-based nonprofit organization in northern Virginia, focuses on the social aspect of reading, rather than…

  10. Feasibility Study of the Social Enterprise Intervention with Homeless Youth

    ERIC Educational Resources Information Center

    Ferguson, Kristin M.; Xie, Bin

    2008-01-01

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

  11. Homelessness and Money Mismanagement in Iraq and Afghanistan Veterans

    PubMed Central

    Sullivan, Connor P.; Wolfe, James; Wagner, Henry Ryan; Beckham, Jean C.

    2013-01-01

    Objectives. We examined the empirical link between money mismanagement and subsequent homelessness among veterans. Methods. We used a random sample of Iraq and Afghanistan War era veterans from the National Post-Deployment Adjustment Survey in 2009–2011. Results. Veterans were randomly selected from a roster of all US military service members in Operation Iraqi Freedom or Operation Enduring Freedom who were separated from active duty or in the Reserves/National Guard. Veterans (n?=?1090) from 50 states and all military branches completed 2 waves of data collection 1 year apart (79% retention rate). Thirty percent reported money mismanagement (e.g., bouncing or forging a check, going over one’s credit limit, falling victim to a money scam in the past year). Multivariate analysis revealed money mismanagement (odds ratio [OR]?=?4.09, 95% CI?=?1.87, 8.94) was associated with homelessness in the next year, as were arrest history (OR?=?2.65, 95% CI?=?1.33, 5.29), mental health diagnosis (OR?=?2.59, 95% CI?=?1.26, 5.33), and income (OR?=?0.30, 95% CI?=?0.13, 0.71). Conclusions. Money mismanagement, reported by a substantial number of veterans, was related to a higher rate of subsequent homelessness. The findings have implications for policymakers and clinicians, suggesting that financial education programs offered by the US Departments of Defense and Veterans Affairs may be targeted to effectively address veteran homelessness. PMID:24148067

  12. Schooling Homeless Children: A Working Model for America's Public Schools.

    ERIC Educational Resources Information Center

    Quint, Sharon

    This book describes how an urban public school assumed ownership of the problems of its homeless students and their families and assumed responsibility for correcting social ills and building a better society. The B. F. Day School in Seattle (Washington) was transformed through the efforts of the principal, Carole Williams. When she took over the…

  13. The Dynamics of Violence and Homelessness among Young Families

    ERIC Educational Resources Information Center

    Swick, Kevin James

    2008-01-01

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

  14. Religious and Affective Variables of Dually Diagnosed Homeless.

    ERIC Educational Resources Information Center

    Hayden, Joseph J.; And Others

    This study investigates the interaction of religious and quasi-religious variables through measures of psychopathology and alcohol and drug abuse in a sample of homeless subjects. Participants included 25 males and 14 females with potential dual diagnoses who lacked, or were in danger of being without, appropriate housing. Researchers administered…

  15. Helping Unaccompanied Homeless Youth Access College Financial Aid

    ERIC Educational Resources Information Center

    National Association for the Education of Homeless Children and Youth, 2007

    2007-01-01

    Unaccompanied homeless youth are young people who lack safe, stable housing and who are not in the care of a parent or guardian. They may have run away from home or been forced to leave by their parents. Unaccompanied youth live in a variety of temporary situations, including shelters, the homes of friends or relatives, cars, campgrounds, public…

  16. Estimating the Size of the Homeless Population in Budapest, Hungary

    Microsoft Academic Search

    Beáta Dávid; TOM A. B. SNIJDERS

    2002-01-01

    In this study we try to estimate the size of the homeless population in Budapest by using two - non-standard - sampling methods: snowball sampling and capture-recapture method. Using two methods and three different data sets we are able to compare the methods as well as the results, and we also suggest some further applications. Apart from the practical purpose

  17. Gang Involvement and Membership among Homeless and Runaway Youth.

    ERIC Educational Resources Information Center

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

    2003-01-01

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

  18. Higher Education Act Reauthorization: Homeless and Foster Youth

    ERIC Educational Resources Information Center

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

    2008-01-01

    Youth experiencing homelessness or in foster care face numerous barriers to higher education. Inadequate college readiness, the complexity of the financial aid process, and lack of housing and support services once enrolled in college make obtaining a college degree an often insurmountable challenge. Yet a college education offers these youth the…

  19. Working with Families Experiencing Homelessness: Understanding Trauma and Its Impact

    ERIC Educational Resources Information Center

    Guarino, Kathleen; Bassuk, Ellen

    2010-01-01

    The prevalence of traumatic stress in the lives of families who are homeless is extraordinarily high. Often these families are headed by single mothers who have experienced ongoing trauma in the form of childhood abuse and neglect, domestic violence, and community violence, as well as the trauma associated with poverty and the loss of home,…

  20. Women Speak: Healing the Wounds of Homelessness through Writing.

    ERIC Educational Resources Information Center

    Wolf, Karen Anne; And Others

    1997-01-01

    The Women Speak writing project explored the use of writing as therapy for homeless women at an urban drop-in center. By sharing experiences, a sense of empowerment began. Nursing students and faculty were challenged to rethink the traditional clinical relationship that gives highest priority to the needs of students and faculty rather than the…

  1. Homelessness in Urban America: A Review of the Literature.

    ERIC Educational Resources Information Center

    Sommer, Heidi

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

  2. Mental health correlates of victimization classes among homeless youth.

    PubMed

    Bender, Kimberly; Ferguson, Kristin; Thompson, Sanna; Langenderfer, Lisa

    2014-10-01

    Literature reports high rates of street victimization among homeless youth and recognizes psychiatric symptoms associated with such victimization. Few studies have investigated the existence of victimization classes that differ in type and frequency of victimization and how youth in such classes differ in psychiatric profiles. We used latent class analysis (LCA) to examine whether classes of homeless youth, based on both type and frequency of victimization experiences, differ in rates of meeting diagnostic criteria for major depressive episodes and posttraumatic stress disorder (PTSD) in a sample of homeless youth (N=601) from three regions of the United States. Results suggest youth who experience high levels of direct and indirect victimization (high-victimization class) share similarly high rates of depressive episodes and PTSD as youth who experience primarily indirect victimization only (witness class). Rates of meeting criteria for depressive episodes and PTSD were nearly two and three times greater, respectively, among the high victimization and witness classes compared to youth who never or rarely experienced victimization. Findings suggest the need for screening and intervention for homeless youth who report direct and indirect victimization and youth who report indirect victimization only, while prevention efforts may be more relevant for youth who report limited victimization experience. PMID:24725619

  3. Procedures at public schools may prevent enrollment of homeless children.

    E-print Network

    Lewis, Jennifer

    UI undergraduates have answered the call of their president to wage war. Their weapons are booksProcedures at public schools may prevent enrollment of homeless children. Bérubé directs new are trying to train the tutors to do some relatively simple activities." Tutors will introduce new books

  4. Stress, Coping, and Social Support among Homeless Youth.

    ERIC Educational Resources Information Center

    Unger, Jennifer B.; And Others

    1998-01-01

    Evaluated extent to which stress, coping strategies, and social support were associated with depressive symptoms, poor physical health, and substance use in homeless youth. Found that stressful life events were associated with depressive symptoms, poor physical health, and substance use. Problem-focusing coping and social support counteracted some…

  5. A Health-Profile Comparison of Delinquent and Homeless Youths.

    ERIC Educational Resources Information Center

    Forst, Martin L.; And Others

    1993-01-01

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

  6. Characteristics of Home: Perspectives of Women Who Are Homeless

    ERIC Educational Resources Information Center

    Walsh, Christine A.; Rutherford, Gayle E.; Kuzmak, Natasha

    2009-01-01

    We employed participatory, community-based research methods to explore the perceptions of home among women who are homeless. Twenty women engaged in one or more techniques including qualitative interviews, digital story telling, creative writing, photovoice, and design charrette to characterize their perceptions of home. Analysis of the data…

  7. "Sanmao, the Vagrant": Homeless Children of Yesterday and Today

    ERIC Educational Resources Information Center

    Mo, Weimin; Shen, Wenju

    2006-01-01

    The intensifying globalization has made street survival more brutal and miserable for homeless children, especially in Third World countries. "Sanmao, the Vagrant" is a wordless picture book which tells of the adventures of a boy named Sanmao in streets of Shanghai during WWII. The essay analyzes how the artist's ingenious visual narrative…

  8. OU Veterans Association (OU-VA) Student Handbook / Educational Benefits

    E-print Network

    Oklahoma, University of

    OU Veterans Association (OU-VA) Student Handbook / Educational Benefits VA Educational Benefits for a particular chapter of VA Educational Benefits. Only the VA can determine eligibility. OU-Veterans Affairs.) (405) 325-2240 ~ E-mail: va@ou.edu Veterans Administration - Regional Office PO Box 8888 Muskogee, OK

  9. Reconciling recovery, personalisation and Housing First: integrating practice and outcome in the field of multiple exclusion homelessness.

    PubMed

    Cornes, Michelle; Manthorpe, Jill; Joly, Louise; O'Halloran, Sue

    2014-03-01

    'Recovery' is a key concept in the organisation and delivery of interdisciplinary support for people experiencing multiple exclusion homelessness (MEH, that is, situations where homelessness overlaps with a range of other complex problems such as mental health issues and drug and alcohol dependencies). At the level of individual support planning, practitioners are expected to 'work together' to motivate service users to make positive changes to their lives and to secure outcomes (results) such as employment and permanent accommodation. Drawing on the accounts of 34 (n = 34) people with first-hand experience of MEH in England, we outline some of the limitations of 'recovery-orientated practices', namely the exclusion of people with unresolved needs and the implications this may have for continuity of provision. To address this issue, we argue that there is a need for a more personalised and inclusive practice model, which can accommodate 'recovery' (change outcomes) alongside those for maintenance and prevention. In proposing one such model, we show how this might also take forward the principles of 'Housing First' (a US blueprint for tackling entrenched homelessness), which has already begun to challenge the orthodox view that permanent accommodation should be provided only when recovery has been achieved. PMID:24112117

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

    PubMed Central

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

    2011-01-01

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

  11. The Jail Inreach Project: linking homeless inmates who have mental illness with community health services.

    PubMed

    Buck, David S; Brown, Carlie A; Hickey, J Scott

    2011-02-01

    The Jail Inreach Project is a health care-based intensive case management "inreach" program that engages incarcerated persons from the homeless population who have behavioral health disorders (mental illness, substance use disorder, or both) in establishing a plan for specific postrelease services. The Jail Inreach Project aims to provide continuity of care and integrate this highly marginalized subpopulation of homeless persons into primary and behavioral health care systems by establishing patient-centered health homes. The use of integrated primary and behavioral health models in conjunction with provisions for immediate access to and continuity of care upon release is emerging as a best practice in combating the rapid cycling of this vulnerable population between streets and shelters, emergency centers, and the county jail. Preliminary results indicate that more than half of the persons referred to the program remained successfully linked with services postrelease, whereas slightly less than one-third who engaged in services while incarcerated did not retain linkage on release. PMID:21285087

  12. Coming Home: Health Status and Homelessness Risk of Older Prerelease Prisoners

    Microsoft Academic Search

    Brie A. Williams; James McGuire; Rebecca G. Lindsay; Jacques Baillargeon; Irena Stijacic Cenzer; Sei J. Lee; Margot Kushel

    2010-01-01

    BACKGROUND  Older adults comprise an increasing proportion of the prison and homeless populations. While older age is associated with\\u000a adverse post-release health events and incarceration is a risk factor for homelessness, the health status and homelessness\\u000a risk of older pre-release prisoners are unknown. Moreover, most post-release services are geared towards veterans; it is unknown\\u000a whether the needs of non-veterans differ from

  13. Social Networking Technology, Social Network Composition, and Reductions in Substance Use Among Homeless Adolescents

    Microsoft Academic Search

    Eric Rice; Norweeta G. Milburn; William Monro

    2011-01-01

    Peer-based prevention programs for homeless youth are complicated by the potential for reinforcing high-risk behaviors among\\u000a participants. The goal of this study is to understand how homeless youth could be linked to positive peers in prevention programming\\u000a by understanding where in social and physical space positive peers for homeless youth are located, how these ties are associated\\u000a with substance use,

  14. Post-Hospital Medical Respite Care and Hospital Readmission of Homeless Persons

    Microsoft Academic Search

    Stefan G. Kertesz; Michael A. Posner; James J. OConnell; Stacy Swain; Ashley N. Mullins; Michael Shwartz; Arlene S. Ash

    2009-01-01

    Medical respite programs offer medical, nursing, and other care as well as accommodation for homeless persons discharged from acute hospital stays. They represent a community-based adaptation of urban health systems to the specific needs of homeless persons. This article examines whether post-hospital discharge to a homeless medical respite program was associated with a reduced chance of 90-day readmission compared to

  15. Exploring patterns in resource utilization prior to the formal identification of homelessness in recently returned veterans.

    PubMed

    Gundlapalli, Adi V; Redd, Andrew; Carter, Marjorie E; Palmer, Miland; Peterson, Rachel; Samore, Matthew H

    2014-01-01

    There are limited data on resources utilized by US Veterans prior to their identification as being homeless. We performed visual analytics on longitudinal medical encounter data prior to the official recognition of homelessness in a large cohort of OEF/OIF Veterans. A statistically significant increase in numbers of several categories of visits in the immediate 30 days prior to the recognition of homelessness was noted as compared to an earlier period. This finding has the potential to inform prediction algorithms based on structured data with a view to intervention and mitigation of homelessness among Veterans. PMID:25000067

  16. Molecular genetic dissection of mouse unconventional myosin-VA: tail region mutations.

    PubMed Central

    Huang, J D; Mermall, V; Strobel, M C; Russell, L B; Mooseker, M S; Copeland, N G; Jenkins, N A

    1998-01-01

    We used an RT-PCR-based sequencing approach to identify the mutations responsible for 17 viable dilute alleles, a mouse-coat-color locus encoding unconventional myosin-VA. Ten of the mutations mapped to the MyoVA tail and are reported here. These mutations represent the first extensive collection of tail mutations reported for any unconventional mammalian myosin. They identify sequences important for tail function and identify domains potentially involved in cargo binding and/or proper folding of the MyoVA tail. Our results also provide support for the notion that different myosin tail isoforms produced by alternative splicing encode important cell-type-specific functions. PMID:9560409

  17. Q&A: Questions and Answers Guide on the Education of Children and Youth in Homeless Situations. Opening the Doors of Public Education for Children and Youth in Texas.

    ERIC Educational Resources Information Center

    Texas Univ., Austin. Office for the Education of Homeless Children and Youth.

    This publication provides school administrators, teachers, staff, shelter personnel, social service providers, and others with information on the education of homeless children and youth in Texas. It covers a broad range of topics with information on current federal and state laws and policies, educational programs and services, and state and…

  18. Infectious Disease Exposures and Contact Tracing in Homeless Shelters

    PubMed Central

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

    2015-01-01

    An outbreak among homeless shelter users of a communicable disease with a short generation time would pose serious public health challenges. Data from Toronto were used to examine the number of shelter residents potentially exposed in the event of such an outbreak. A shelter user had contact with a mean of 97 other residents (range, 1–292) in one day and a mean of 120 (range, 2–624) in eight days. After a single week, contact tracing becomes difficult due to the challenge of locating homeless people who have left the shelter system. Over an 8-day period, individuals who used more than one shelter had contact with an average of 98 more other shelter residents than those who stayed in a single shelter had. At the onset of a serious outbreak, it may be desirable to institute policies that strongly encourage individuals to remain at their current shelter for the duration of the outbreak. PMID:19029743

  19. Outcomes of a brief sexual health intervention for homeless youth.

    PubMed

    Rew, Lynn; Fouladi, Rachel T; Land, Lee; Wong, Y Joel

    2007-09-01

    Homeless youth face various health challenges. The effectiveness of a short intervention to promote sexual health in 572 homeless 16-23-year-olds (M = 19.467+1.89) was conducted using a quasi-experimental repeated measures design. Data collected at three time points (pre-intervention, immediately post-intervention and follow-up) via laptop computers were analyzed using multivariate general linear mixed models. A significant condition by time interaction was found for self-reported AIDS/STD knowledge; intervention participants had higher scores at first post-test. Females scored significantly higher on cognitive and behavioral outcomes while males reported significantly more sexual risk-taking behaviors. Findings support gender-specific interventions. PMID:17855465

  20. Countervailing social network influences on problem behaviors among homeless youth

    Microsoft Academic Search

    Eric Rice; Judith A. Stein; Norweeta Milburn

    2008-01-01

    The impact of countervailing social network influences (i.e., pro-social, anti-social or HIV risk peers) on problem behaviors (i.e., HIV drug risk, HIV sex risk or anti-social behaviors) among 696 homeless youth was assessed using structural equation modeling. Results revealed that older youth were less likely to report having pro-social peers and were more likely to have HIV risk and anti-social

  1. Homeless "squeegee kids": food insecurity and daily survival.

    PubMed

    Dachner, Naomi; Tarasuk, Valerie

    2002-04-01

    Current knowledge about food insecurity in North America is largely based on research with low-income households. Much less is known about the food experiences of homeless people, a group who are particularly vulnerable to food insecurity. This study explored the food experiences of street youth, one of the fastest growing segments of the homeless population in Canada. To gain an in-depth understanding of food insecurity within the context of daily life, ethnographic research was undertaken with street youth at one inner-city drop-in centre in Toronto, Canada. Results of this study reveal that street youth's access to food was precarious amidst the instability and chaos of street life. The day-to-day lives of the street youth encountered in this study were characterized by a constant struggle to find safe, secure shelter, generate income, and obtain sufficient food. In this context, food was a precious commodity. Food access was inextricably linked to and contingent upon conditions of health, shelter, and income. Food access was precarious since everyday food sources purchased food and charitable food assistance were ultimately insecure. "Squeegeeing" (washing car windows), the primary source of income for youth in the study, was dependent on the weather, political and public will, and youth's physical health, and thus did not generate enough money to continuously meet basic food needs. Charitable food assistance was considered poor quality and was associated with food sickness. The often unsavoury atmosphere of charitable food programmes, their locations, capacity, and idiosyncratic rules, policies, and hours of operation also affected access. Findings from this study extend the current understanding of food insecurity to homeless youth and offer insight into current responses to hunger and homelessness. PMID:11999501

  2. Homelessness Experiences, Sexual Orientation, and Sexual Risk Taking among High School Students in Los Angeles

    PubMed Central

    Rice, Eric; Barman-Adhikari, Anamika; Rhoades, Harmony; Winetrobe, Hailey; Fulginiti, Anthony; Astor, Roee; Montoya, Jorge; Plant, Aaron; Kordic, Timothy

    2013-01-01

    Purpose Prior studies reported homeless adolescents engage in more sexual risk than their housed peers. However, these comparisons are typically made post hoc by comparing homeless adolescent community-based samples with high school probability samples. This study utilizes a random sample of high school students to examine homelessness experiences and sexual risk behaviors. Methods A supplemental survey to the Youth Risk Behavior Survey containing questions regarding homelessness and sexual health was administered to Los Angeles high school students (N=1,839). Multivariate logistic regressions assessed the associations between demographics, past year homelessness experiences (i.e., place of nighttime residence), and being sexually active and condom use at last intercourse. Results Homelessness experiences consisted of staying in a shelter (10.4%), a public place (10.1%), and with a stranger (5.6%). Lesbian, gay, bisexual, transgender, questioning (LGBTQ), younger, and male adolescents were more likely to experience homelessness. LGBTQ adolescents were also more likely to report staying with a stranger and less likely to report staying in a shelter. Compared to adolescents who stayed in shelters, adolescents who stayed with strangers and in public places were more likely to engage in unprotected sex at last intercourse. Conclusions Adolescents who report sexual activity and sexual risk taking are more likely to report homelessness experiences. With regard to sexual health, staying with strangers could be a particularly risky form of homelessness; LGBTQ and Black adolescents are more likely to experience this form of homelessness. Efforts to reduce homelessness and sexual risk-taking need to recognize the specific vulnerabilities faced by these populations. PMID:23360897

  3. Unique health care utilization patterns in a homeless population in Ghent

    PubMed Central

    2010-01-01

    Background Existing studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary care by homeless people compared to the general population. Homeless people are importantly hindered and/or steered in their health care use by barriers directly related to the organisation of care. Our goal is to describe the accessibility of primary health care services, secondary care and emergency care for homeless people living in an area with a universal primary health care system and active guidance towards this unique system. Methods Observational, cross-sectional study design. Data from the Belgian National health survey were merged with comparable data collected by means of a face-to-face interview from homeless people in Ghent. 122 homeless people who made use of homeless centres and shelters in Ghent were interviewed using a reduced version of the Belgian National Health survey over a period of 5 months. 2-dimensional crosstabs were built in order to study the bivariate relationship between health care use (primary health care, secondary and emergency care) and being homeless. To determine the independent association, a logistic model was constructed adjusting for age and sex. Results and Discussion Homeless people have a higher likelihood to consult a GP than the non-homeless people in Ghent, even after adjusting for age and sex. The same trend is demonstrated for secondary and emergency care. Conclusions Homeless people in Ghent do find the way to primary health care and make use of it. It seems that the universal primary health care system in Ghent with an active guidance by social workers contributes to easier GP access. PMID:20723222

  4. Children Having Children: Teen Pregnancy and Homelessness in New York City. A Report of the Institute for Children and Poverty.

    ERIC Educational Resources Information Center

    Institute for Children and Poverty, New York, NY.

    This study surveyed 337 mothers residing in New York City homeless shelters regarding their backgrounds and experiences, comparing those who were teen mothers to homeless mothers who had children later in life. Two groups of homeless families emerged: those with a foundation for advancement and those deprived of opportunities by the early burden…

  5. Residential Instability and the McKinney-Vento Homeless Children and Education Program: What We Know, Plus Gaps in Research

    ERIC Educational Resources Information Center

    Cunningham, Mary; Harwood, Robin; Hall, Sam

    2010-01-01

    As homelessness increased among families and children during the 1980s and 1990s, policymakers created, and strengthened, the McKinney-Vento Education for Homeless Children and Youth (EHCY) program. The McKinney-Vento EHCY program aims to mitigate the effects of residential instability through the identification of homeless children in schools and…

  6. The Stewart B. McKinney Homeless Assistance Act. Revised Summary.

    ERIC Educational Resources Information Center

    National Coalition for the Homeless, Washington, DC.

    The Stewart B. McKinney Homeless Assistance Act of 1987 was reauthorized for another two years by the Omnibus McKinney Homeless Assistance Act of 1988. This report summarizes the nine titles of the McKinney Act, including changes brought about in the 1988 reauthorization. Title I covers general provisions of the Act. Title II establishes the…

  7. Education for Homeless Adults: Strategies for Implementation. Volume II - Resources and Additional Lessons.

    ERIC Educational Resources Information Center

    Hudson River Center for Program Development, Glenmont, NY.

    This document, the second in a series of guidebooks that were developed for educators of homeless adults in New York, offers strategies and plans for sample lessons in which a holistic approach is used to help homeless adults and families improve their lives through education. The guidebook begins with lists of print and nonprint resources,…

  8. Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital

    ERIC Educational Resources Information Center

    Burra, Tara A.; Hwang, Stephen W.; Rourke, Sean B.; Stergiopoulos, Vicky

    2012-01-01

    This study examines differences in services available at the time of discharge for homeless and housed psychiatric inpatients. Participants diagnosed with schizophrenia or schizoaffective disorder were recruited from a general hospital psychiatric inpatient unit. Thirty homeless individuals and 21 housed controls (matched for diagnosis, gender,…

  9. The Role of Privilege as Identity in Adolescents' Beliefs about Homelessness, Opportunity, and Inequality

    ERIC Educational Resources Information Center

    Seider, Scott

    2011-01-01

    This mixed methods study investigated the impact of learning about homelessness on the civic development of privileged adolescents. Pre-post surveys, classroom observations, and qualitative interviews revealed that the participating adolescents developed a more complex understanding of the factors that contribute to homelessness; however, this…

  10. Meeting the Educational Needs of Homeless Children and Families. Access to Success.

    ERIC Educational Resources Information Center

    Access to Success, 1993

    1993-01-01

    The role and importance of education for homeless children and families particularly in New York City at the Homes for the Homeless organization are considered. The educational needs and role of parents are also explored. Education is a key component in the struggle against poverty, and parents need to embrace education both to move toward greater…

  11. HIV Risk Behavior and Access to Services: What Predicts HIV Testing among Heterosexually Active Homeless Men?

    ERIC Educational Resources Information Center

    Wenzel, Suzanne L.; Rhoades, Harmony; Tucker, Joan S.; Golinelli, Daniela; Kennedy, David P.; Zhou, Annie; Ewing, Brett

    2012-01-01

    HIV is a serious epidemic among homeless persons, where rates of infection are estimated to be three times higher than in the general population. HIV testing is an effective tool for reducing HIV transmission and for combating poor HIV/AIDS health outcomes that disproportionately affect homeless persons, however, little is known about the HIV…

  12. Exploring the Psychosocial and Behavioral Adjustment Outcomes of Multi-Type Abuse among Homeless Young Adults

    ERIC Educational Resources Information Center

    Ferguson, Kristin M.

    2009-01-01

    This article explores the psychosocial and behavioral adjustment outcomes associated with verbal, emotional, physical, and sexual abuse among homeless young adults as well as the associations among abuse types. Convenience sampling was used to select 28 homeless young adults (ages 18 to 24) from one drop-in center. Overall, subjects experienced…

  13. Narrative and Collaborative Practices in Work with Families that Are Homeless

    ERIC Educational Resources Information Center

    Fraenkel, Peter; Hameline, Thomas; Shannon, Michele

    2009-01-01

    This article reports on the use of narrative therapy ideas and practices in working with families that are homeless in a shelter-based, multiple-family discussion group program called Fresh Start for Families. It begins with a review of the challenges facing homeless families. It then briefly describes the collaborative methods used to develop the…

  14. Care and the Lives of Homeless Youth in Neoliberal Times in Canada

    Microsoft Academic Search

    Fran Klodawsky; Tim Aubry; Susan Farrell

    2006-01-01

    Socio-spatial insights from feminist theories of care are examined in relation to the complex, difficult lives of some homeless youth in Ottawa, and their embeddedness within multiple scales of public policy construction and implementation. As lengthy interviews with 78 female and 78 male homeless youth in Ottawa revealed, both care and self-sufficiency figure strongly in these young peoples' lives. It

  15. A Survey of American Psychiatric Residency Programs Concerning Education in Homelessness

    ERIC Educational Resources Information Center

    McQuistion, Hunter L.; Ranz, Jules M.; Gillig, Paulette Marie

    2004-01-01

    Objectives: This study aims to document how psychiatric residencies address homelessness and mental illness, to discover training barriers, and to identify educational recommendations. Methods: The authors mailed a survey to 178 American psychiatric residency programs, requesting information about didactic and clinical offerings in homelessness.…

  16. Limiting Attrition in Longitudinal Research on Homeless Adolescents: What Works Best?

    ERIC Educational Resources Information Center

    Hobden, Karen; Forney, Jason Curtis; Durham, Kathleen Wyszacki; Toro, Paul

    2011-01-01

    The effectiveness of five tracking strategies (collateral contacts, Internet databases, driver's records, letters, and community visits) used in attempting to locate homeless and housed adolescents 4.5 years after they were first contacted was examined and compared. The study sample comprised 401 adolescents (252 homeless and 149 matched housed)…

  17. An Exploration of Child Maltreatment among Homeless Families: Implications for Family Policy

    ERIC Educational Resources Information Center

    Pardeck, John T.

    2005-01-01

    This research explores the incidence of child maltreatment among homeless families. The maltreatment explored in the study includes physical, emotional and sexual abuse. The data reported a high incidence of child maltreatment in the lives of the homeless. The policy implications for these findings are discussed.

  18. Patterns, Predictors, and Situational Contexts of HIV Risk Behaviors among Homeless Men and Women.

    ERIC Educational Resources Information Center

    Somlai, Anton M.; Kelly, Jeffrey A.; Wagstaff, David A.; Whitson, Donna P.

    1998-01-01

    Investigates psychosocial, relationship, and situational factors associated with HIV risk in a sample of 152 inner-city homeless men and women. Results show gender differences in risk patterns. Concludes that HIV prevention efforts tailored to the different risk circumstances of men and women are needed in social services programs for homeless

  19. Untangling the Complex Needs of People Experiencing Gambling Problems and Homelessness

    ERIC Educational Resources Information Center

    Holdsworth, Louise; Tiyce, Margaret

    2013-01-01

    People with gambling problems are now recognised among those at increased risk of homelessness, and the link between housing and gambling problems has been identified as an area requiring further research. This paper discusses the findings of a qualitative study that explored the relationship between gambling problems and homelessness. Interviews…

  20. America's Homeless Children: New Outcasts. A Public Policy Report from the Better Homes Fund.

    ERIC Educational Resources Information Center

    Better Homes Fund, Newton, MA.

    This report presents information on homeless children in the United States to gain the attention of policymakers and the media. Information comes from years of rigorous scientific research. The report presents both findings and solutions, including concrete steps to secure food, shelter, health care, and schooling to help homeless children and…

  1. Poor Parenting and Antisocial Behavior among Homeless Young Adults: Links to Dating Violence Perpetration and Victimization

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.; Melander, Lisa A.

    2012-01-01

    Though research has examined risk factors associated with street victimization among homeless young people, little is known about dating violence experiences among this group. Given homeless youths' elevated rates of child maltreatment, it is likely that they are at high risk for dating violence. As such, the current study examined the association…

  2. Problems of Definition in Sampling Special Populations: The Case of Homeless Persons.

    ERIC Educational Resources Information Center

    Johnson, Timothy P.; And Others

    1993-01-01

    Problems of definition in estimation in evaluation research were studied through a survey of homeless persons in Cook County (Illinois) based on 481 interviews. Differences arising from the following four population definitions are presented: (1) traditional homeless; (2) marginally housed; (3) social isolates; and (4) total of these categories.…

  3. Health Services Utilization between Older and Younger Homeless Adults.(author Abstract)

    ERIC Educational Resources Information Center

    Nakonezny, Paul A.; Ojeda, Michael

    2005-01-01

    Purpose: Our purpose in the current study was to examine the relationship between health services utilization delivered by means of the Homeless Outreach Medical Services (HOMES) program and health services utilization delivered by means of the Parkland emergency room and inpatient units among a sample of older and younger homeless adults being…

  4. Exploring the Needs of Students Experiencing Homelessness from School Counselors' Perspectives

    ERIC Educational Resources Information Center

    Havlik, Stacey A.; Brady, Jennifer; Gavin, Kathleen

    2014-01-01

    An increased understanding of the needs of students experiencing homelessness will better inform educational and clinical practices to ensure student success. Through an analysis of survey data using the Knowledge and Skills with Homeless Students Survey (Gaenzle & Bryan, 2013), this exploratory study applied a mixed methods approach to assess…

  5. The Challenge of Educating Children Who Are Or Have Been Homeless.

    ERIC Educational Resources Information Center

    Rafferty, Yvonne

    Homeless children confront abject poverty and experience a constellation of risks that are having a devastating impact on their well-being. This paper reviews research linking homelessness among children to hunger and poor nutrition, health problems and lack of health and mental health care, developmental delays, psychological problems, and…

  6. Comparison of HIV Risks among Gay, Lesbian, Bisexual and Heterosexual Homeless Youth

    ERIC Educational Resources Information Center

    Gangamma, Rashmi; Slesnick, Natasha; Toviessi, Paula; Serovich, Julianne

    2008-01-01

    Youth who are homeless and gay, lesbian or bisexual (GLB) are one of the most disenfranchised and marginalized groups in our society. The purpose of this study is to examine and compare HIV in GLB homeless youth with their heterosexual counterparts. Participants for this study included 268 youth involved in treatment outcome studies with substance…

  7. Homelessness as the Unforgiving Minute of the Present: The Rhetorical Tenses of Democratic Citizenship

    ERIC Educational Resources Information Center

    Loehwing, Melanie

    2010-01-01

    Popular discourse and advocacy efforts characterize homelessness as a social problem bound by the present-centered concerns of physical affliction and material deprivation. Wayne Powers's documentary film "Reversal of Fortune" exemplifies this tendency by performing a "social experiment" to investigate how giving a homeless man $100,000 would…

  8. An end to chronic homelessness: an introduction to the 100,000 homes campaign.

    PubMed

    Kanis, Rebecca; McCannon, Joe; Craig, Catherine; Mergl, Kara A

    2012-02-01

    Across the nation communities are rapidly identifying and housing their most vulnerable people experiencing homelessness. Building on these examples, Community Solutions and the Institute for Healthcare Improvement have launched the 100,000 Homes Campaign, an historic effort to eliminate chronic homelessness by July 2014. PMID:22643479

  9. Protective Factors Associated with Fewer Multiple Problem Behaviors among Homeless/Runaway Youth

    ERIC Educational Resources Information Center

    Lightfoot, Marguerita; Stein, Judith A.; Tevendale, Heather; Preston, Kathleen

    2011-01-01

    Although homeless youth exhibit numerous problem behaviors, protective factors that can be targeted and modified by prevention programs to decrease the likelihood of involvement in risky behaviors are less apparent. The current study tested a model of protective factors for multiple problem behavior in a sample of 474 homeless youth (42% girls;…

  10. Dimensions and Correlates of Client Satisfaction: An Evaluation of a Shelter for Runaway and Homeless Youth

    ERIC Educational Resources Information Center

    Spiro, Shimon E.; Dekel, Rachel; Peled, Einat

    2009-01-01

    Client satisfaction surveys give clients a voice in the planning and management of services. While their use is quite widespread, they have hardly at all been used in the evaluation of shelters for homeless youths. In this article, the authors present findings of a client satisfaction survey conducted among residents of a shelter for homeless

  11. The Continuing Growth of Hunger, Homelessness, and Poverty in America's Cities: 1987. A 26-City Survey.

    ERIC Educational Resources Information Center

    Reyes, Lilia M.; Waxman, Laura DeKoven

    This survey assesses the status of hunger, homelessness, and poverty in cities in the United States during 1987. The findings include the following: (1) the number of the homeless and the poor had increased and was expected to continue to increase; (2) the demand for emergency food assistance and emergency shelter assistance had increased and was…

  12. How Homeless Sector Workers Deal with the Death of Service Users: A Grounded Theory Study

    Microsoft Academic Search

    Richard Lakeman

    2011-01-01

    Homeless sector workers often encounter the deaths of service users. A modified grounded theory methodology project was used to explore how workers make sense of, respond to, and cope with sudden death. In-depth interviews were undertaken with 16 paid homeless sector workers who had experienced the death of someone with whom they worked. Transcripts of interviews and field notes were

  13. 78 FR 27988 - Notice of Submission of Proposed Information Collection to OMB Continuum of Care Homeless...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-13

    ...Proposed Information Collection to OMB Continuum of Care Homeless Assistance Grant Application-Technical...following information: Title of Proposed: Continuum of Care Homeless Assistance Grant Application-Technical...the Technical Submission phase of the Continuum of Care (CoC) Program...

  14. Consumer and Homemaking Education Instruction for Homeless Families: A Teacher's Guide.

    ERIC Educational Resources Information Center

    Tsang, Chui L.; Svabek, William H.; Abma, Deanna; Scanlan, Sonia S.

    This guide contains lesson plans for teaching consumer and homemaking skills to homeless families to support their transition to more secure and traditional lifestyles. Prioritized and developed based on the needs assessment of homeless families at the Salvation Army Gateway Transitional Housing in San Francisco, the 20 lessons in the guide cover…

  15. Consumer and Homemaking Education Instruction for Homeless Families: A Study Guide.

    ERIC Educational Resources Information Center

    Tsang, Chui L.; Svabek, William H.; Abma, Deanna; Scanlan, Sonia S.

    This study guide contains lessons on consumer and homemaking skills for homeless families to aid their transition to more secure and traditional lifestyles. Prioritized and developed based on the needs assessment of homeless families at the Salvation Army Gateway Transitional Housing in San Francisco, the 20 lessons in the guide cover topics such…

  16. Follow-Up of Youth Using Runaway and Homeless Youth Centers. Final Report.

    ERIC Educational Resources Information Center

    Cohen, Barbara E.; van Houten, Therese

    There is an increasing body of literature about runaway and homeless youth, but few studies have investigated what happens to the youth after they use Runaway and Homeless Youth Centers (RHYCs). This study examines the services available and the impact these services have on the youth. Data are analyzed from a survey mailed to all RHYCs operated…

  17. Removing Barriers: The Struggle to Ensure Educational Rights for Students Experiencing Homelessness

    ERIC Educational Resources Information Center

    Nix-Hodes, Patricia; Heybach, Laurene M.

    2014-01-01

    While the intent of the federal and state homeless education laws is clear, securing the educational rights of students without housing has been a long legal and political struggle in Chicago and Illinois. Education for students experiencing homelessness is a continuation of the civil rights struggle for equality in education and educational…

  18. Social Support of Homeless and Housed Mothers: A Comparison of Temporary and Permanent Housing Arrangements.

    ERIC Educational Resources Information Center

    Letiecq, Bethany L.; Anderson, Elaine A.; Koblinsky, Sally A.

    1998-01-01

    Compares the social support of 115 low-income housed mothers and 92 homeless mothers residing in emergency shelters, transitional housing, and doubled-up arrangements. Results reveal that homeless mothers in emergency shelters and transitional housing had significantly less contact with friends and relatives. Implications for policy development…

  19. Meeting the Needs of Homeless Children Who Live in Temporary Housing.

    ERIC Educational Resources Information Center

    McClain, Deborah

    This study investigated the strengths homeless children exhibit. Homeless children living in shelters and children of the same peer group living in low income housing were interviewed about home activities, interests, abilities, talents, character strengths, autonomous behavior, and interactions with adults. All children were selected from first,…

  20. Building an empowerment policy paradigm: self-reported strengths of homeless mothers.

    PubMed

    Banyard, V L; Graham-Bermann, S A

    1995-10-01

    Self-reported strengths and goals of a sample of 64 mothers of young children residing in a temporary shelter for homeless families, were documented. The strengths most frequently reported included ability to take action, parental competence, and determination in the face of stress. Program and policy implications of these positive attributes of homeless mothers are discussed. PMID:8561182

  1. Assessment of Risk and Protective Factors for Homelessness : Preliminary Validation of the Life Needs Inventory

    Microsoft Academic Search

    Dena L. Brown-Young

    2006-01-01

    The purpose of this study was to examine the LNI (Life Needs Inventory), used by the VOADV (Volunteers of America Delaware Valley) organization to identify risk factors, as well as protective strengths, associated with the securing of stable housing among the homeless population. Homelessness is a growing concern in the United States (Rosenberg, Solarz, & Bailey, 1991) and individuals or

  2. A Descriptive Study of Single Adults in Homeless Shelters: Increasing Counselors' Knowledge and Social Action

    ERIC Educational Resources Information Center

    Baggerly, Jennifer; Zalaquett, Carlos P.

    2006-01-01

    This article is intended to help counselors increase their knowledge and social action for single adults who are homeless. Findings from a period-prevalence study of 71 single adults in a homeless shelter over 2 years reveal demographics, mental health needs, and sociopolitical issues of this population. Implications including social justice…

  3. Skin-Test Screening and Tuberculosis Transmission among the Homeless1

    Microsoft Academic Search

    Po-Marn Kong; Jan Tapy; Patricia Calixto; William J. Burman; Randall R. Reves; Zhenhua Yang; M. Donald Cave

    2002-01-01

    We describe the implementation of a mandatory tuberculosis (TB) screening program that uses symptom screening and tuberculin skin testing in homeless shelters. We used the results of DNA fingerprinting of Mycobacterium tuberculosis isolates to evaluate the effect of the program on TB incidence and transmis- sion. After the program was implemented, the proportion of cases among homeless persons detected by

  4. Stress and Traumatic Stress: How Do Past Events Influence Current Traumatic Stress among Mothers Experiencing Homelessness?

    ERIC Educational Resources Information Center

    Williams, Julie K.; Hall, James A.

    2009-01-01

    The purpose of this research was to evaluate the relationship between past traumatic events and the level of current traumatic stress among mothers experiencing homelessness. The data for this study were gathered from 75 homeless mothers between May 2006 and October 2006 using a cross-sectional survey design with purposive sampling. All mothers…

  5. Social Emotional Development in Infants and Toddlers Who are Homeless as Reported by Mothers

    Microsoft Academic Search

    Debra Rybski

    2008-01-01

    Children who are homeless are reported to have mental health problems at rates of 44% compared to 18% of homed children (1, 2.) A contributing factor to mental health problems can be poor social emotional development (3.) Mothers who experience homelessness may find facilitating social emotional development a challenge when basic necessities such as securing food, shelter and clothing are

  6. A Pilot Study Comparing Two Developmental Screening Tools for Use With Homeless Children

    Microsoft Academic Search

    Sheau-Huey Chiu; Marguerite A. DiMarco

    2010-01-01

    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

  7. Associations between youth homelessness, sexual offenses, sexual victimization, and sexual risk behaviors: a systematic literature review.

    PubMed

    Heerde, Jessica A; Scholes-Balog, Kirsty E; Hemphill, Sheryl A

    2015-01-01

    Homeless youth commonly report engaging in sexual risk behaviors. These vulnerable young people also frequently report being sexually victimized. This systematic review collates, summarizes, and appraises published studies of youth investigating relationships between homelessness, perpetration of sexual offenses, experience of sexual victimization, and engagement in sexual risk behavior. A systematic search of seventeen psychology, health, and social science electronic databases was conducted. Search terms included "homeless*," "youth," "offend*," "victimization," "crime," "rape," "victim*," and "sex crimes." Thirty-eight studies were identified that met the inclusion criteria. Findings showed homeless youth commonly report being raped and sexually assaulted, fear being sexually victimized, and engage in street prostitution and survival sex. Rates of victimization and sexual risk behavior were generally higher for females. Given the paucity of longitudinal studies and limitations of current studies, it is unclear whether homelessness is prospectively associated with sexual victimization or engagement in sexual risk behavior, and whether such associations vary cross nationally and as a function of time and place. Future prospective research examining the influence of the situational context of homelessness is necessary to develop a better understanding of how homelessness influences the perpetration of sexual offenses, experience of sexual victimization, and engagement in sexual risk behavior among homeless youth. PMID:25411128

  8. The Homeless in the Public Library: Implications for Access to Libraries

    Microsoft Academic Search

    Randall C. Simmons

    1985-01-01

    The homeless in America have been described by journalists, social scientists, and librarians. The literature on the problem patron in the public library is examined to determine the response of librarians to the presence of homeless individuals in the library who may offend staff and clientele. Matters of civility rather than criminality are the focus of the discussion. How librarians

  9. How Homeless Sector Workers Deal with the Death of Service Users: A Grounded Theory Study

    ERIC Educational Resources Information Center

    Lakeman, Richard

    2011-01-01

    Homeless sector workers often encounter the deaths of service users. A modified grounded theory methodology project was used to explore how workers make sense of, respond to, and cope with sudden death. In-depth interviews were undertaken with 16 paid homeless sector workers who had experienced the death of someone with whom they worked.…

  10. Sociodemographic Variables, Childhood Characteristics, and Family Risk Factors for Homelessness: A "Puerto Rican Paradox?"

    ERIC Educational Resources Information Center

    Torres, Aileen; Garcia-Carrasquillo, Aida; Nogueras, Juan

    2010-01-01

    This study explored sociodemographic variables, childhood characteristics, and family factors in the Puerto Rican homeless. The study is a secondary analysis in which a Puerto Rican homeless sample (N = 113) is compared with a Puerto Rican primary care patient group (N = 102). Discriminant function analysis was employed to determine if family and…

  11. Two-Year Predictors of Runaway and Homeless Episodes Following Shelter Services among Substance Abusing Adolescents

    PubMed Central

    Slesnick, Natasha; Guo, Xiamei; Brakenhoff, Brittany; Feng, Xin

    2013-01-01

    Given high levels of health and psychological costs associated with the family disruption of homelessness, identifying predictors of runaway and homeless episodes is an important goal. The current study followed 179 substance abusing, shelter-recruited adolescents who participated in a randomized clinical trial. Predictors of runaway and homeless episodes were examined over a two year period. Results from the hierarchical linear modeling analysis showed that family cohesion and substance use, but not family conflict or depressive symptoms, delinquency, or school enrollment predicted future runaway and homeless episodes. Findings suggest that increasing family support, care and connection and reducing substance use are important targets of intervention efforts in preventing future runaway and homeless episodes amongst a high risk sample of adolescents. PMID:24011094

  12. Religious participation and substance use behaviors in a Canadian sample of homeless people.

    PubMed

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

    2014-10-01

    This study examined religious behaviors in 380 homeless individuals. We hypothesized that higher frequency of religious attendance is associated with lower rates of use of all substances, lower rates of drug and alcohol dependence, and lower psychological distress. Individuals attending religious ceremonies at least weekly ("frequent attendees") were compared to infrequent attendees. Participants also provided qualitative information about their faith. In univariate analyses, frequent attendees had significantly lower rates of alcohol, cocaine, and opioid use than infrequent attendees. They also had lower rates of alcohol and drug dependence, lifetime suicide attempts, and psychological distress, but these differences were not significant. In multivariate analyses, religious attendance remained significantly associated with alcohol use and opioid use. Researchers need to examine how spiritual and religious practices can be effectively incorporated as a part of substance abuse treatment. PMID:24504535

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  14. Joint WU/VA Appointments How to enter in PDS?

    E-print Network

    Kroll, Kristen L.

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

  15. Health Characteristics and Medical Service Use Patterns of Sheltered Homeless and Low-Income Housed Mothers

    PubMed Central

    Weinreb, Linda; Goldberg, Robert; Perloff, Jennifer

    1998-01-01

    OBJECTIVE To compare the health characteristics and service utilization patterns of homeless women and low-income housed women who are heads of household. DESIGN Case-control study. SETTING Community of Worcester, Massachusetts. PARTICIPANTS A sample of 220 homeless mothers and 216 low-income housed mothers receiving welfare. MEASUREMENTS AND MAIN RESULTS Outcome measures included health status, chronic conditions, adverse lifestyle practices, outpatient and emergency department use and hospitalization rates, and use of preventive screening measures. Both homeless mothers and housed mothers demonstrated low levels of physical and role functioning and high levels of bodily pain. Prevalence rates of asthma, anemia, and ulcer disease were high in both groups. More than half of both groups were current smokers. Compared with the housed mothers, homeless mothers reported more HIV risk behaviors. Although 90% of the homeless mothers had been screened for cervical cancer, almost one third had not been screened for tuberculosis. After controlling for potential confounding factors, the homeless mothers, compared with the housed mothers, had more frequent emergency department visits in the past year (adjusted mean, homeless vs housed, 1.41 vs .95, p = .10) and were significantly more likely to be hospitalized in the past year (adjusted odds ratio 2.22; 95% confidence interval 1.13, 4.38). CONCLUSIONS Both homeless mothers and low-income housed mothers had lower health status, more chronic health problems, and higher smoking rates than the general population. High rates of hospitalization, emergency department visits, and more risk behaviors among homeless mothers suggest that they are at even greater risk of adverse health outcomes. Efforts to address gaps in access to primary care and to integrate psychosocial supports with health care delivery may improve health outcomes for homeless mothers and reduce use of costly medical care services. PMID:9669568

  16. A cross-sectional examination of the mental health of homeless mothers: does the relationship between mothering and mental health vary by duration of homelessness?

    PubMed Central

    Zabkiewicz, Denise M; Patterson, Michelle; Wright, Alexandra

    2014-01-01

    Objectives This study draws on baseline data from the At Home/Chez Soi demonstration project to examine the association between parenting status and mental health among homeless women and whether the association varies by duration of homelessness. Setting Structured interviews were conducted with participants in five cities across Canada including Moncton, Montreal, Toronto, Vancouver and Winnipeg. Participants Eligibility criteria included those with legal adult status, with a mental illness, and who lacked a regular, fixed shelter. All 713 women who participated in the larger project were selected for inclusion in this analysis. Measures The mental health conditions of interest include depression, post-traumatic stress disorder (PTSD), alcohol dependence and substance dependence. Results The relationship between parenting status and depression, as well as PTSD, varied by duration of homelessness. Among women who had been homeless for less than 2?years, no relationship was found between parenting status and depression, or PTSD. However, among women who had been homeless for 2 or more years, the odds of depression was twice as high among parenting women compared with others (aOR=2.05, p?0.05). A similar relationship was found between parenting status and PTSD (aOR=2.03, p?0.05). The odds of substance dependence was found to be 2.62 times greater among parenting women compared with others and this relationship did not vary by duration of homelessness (aOR=2.62; 95% CI 1.86 to 3.69). No relationship was found between parenting and alcohol dependence. Conclusions Overall, the findings from this study suggest that there is a relationship between long-term homelessness and mothers’ risk of poor mental health. Given the multiple demands mothers face, a failure to recognise their unique needs is likely to contribute to intergenerational legacies of homelessness and mental health problems. Trial registration number World Health Organization's International Clinical Trials Registry Platform (ISRCTN66721740 and ISRCTN57595077). PMID:25492272

  17. The KaVA and KVN pulsar project

    NASA Astrophysics Data System (ADS)

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

    2014-12-01

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

  18. Psychiatry, homeless patients and welfare reforms: historical links and chains.

    PubMed

    Abdul-Hamid, Walid Khalid; Bhui, Kamaldeep

    2014-02-01

    The birthplace of the specialty of psychiatry was in the asylum, which was created to divert patients from workhouses where the most disadvantaged and destitute people with mental illness were to be found. The current welfare reforms are endangering the welfare and livelihood of the most disadvantaged of our patients. These reforms in the authors' opinion are related more to the historical cycle of societal attitude to homeless people than to seeing them as the undeserving poor. This is particularly true since the current economic crisis was not caused by the poor, so it is very unfair that our poorest patients should suffer most as a result of the welfare reforms. PMID:23564721

  19. Risks associated with long-term homelessness among women: battery, rape, and HIV infection.

    PubMed

    Fisher, B; Hovell, M; Hofstetter, C R; Hough, R

    1995-01-01

    The purposes of this study were to determine the prevalence of battery, rape, and HIV risk practices in a sample of long-term homeless women and to explore correlates of HIV risk practices. Fifty-three women who had been homeless for at least three months in the last year were interviewed at day and night shelters. The women were demographically similar to other samples of homeless men and women and had similar rates of drug use. However, a higher proportion of homeless women were exposed to battery (91 percent), rape (56 percent), and mental distress, and they had a smaller support network (three people). Eighty-six percent had been battered prior to homelessness. A positive association was found between HIV risk practices and the use of certain drugs and having a protector. A higher level of assertiveness was associated with less HIV risk. The study demonstrated that homeless women are at very high risk of battery and rape. Being homeless may require life-styles that increase the risk of HIV infection and transmission. PMID:7622323

  20. Intellectual Disability among Dutch Homeless People: Prevalence and Related Psychosocial Problems

    PubMed Central

    Van Straaten, Barbara; Schrijvers, Carola T. M.; Van der Laan, Jorien; Boersma, Sandra N.; Rodenburg, Gerda; Wolf, Judith R. L. M.; Van de Mheen, Dike

    2014-01-01

    Background There is a higher prevalence of intellectual disability (ID) among homeless people than in the general population. However, little is known about the additional psychosocial problems faced by homeless people with ID. We describe the prevalence of ID in a cohort of homeless people in the Netherlands, and report relationships between ID and psychosocial problems in terms of psychological distress, substance (mis)use and dependence, as well as demographic characteristics in this cohort. Methods This cross-sectional study is part of a cohort study among homeless people in the four major cities of the Netherlands. Data were derived from 387 homeless people who were interviewed and screened for ID six months after the baseline measurement. Multivariate logistic regression analyses and ?2 tests were performed to analyze relationships between ID, psychosocial problems and demographic characteristics. Findings Of all cohort members, 29.5% had a suspected ID. Participants with a suspected ID had a higher mean age, were more likely to be male and to fall in the lowest category of education than participants without a suspected ID. Having a suspected ID was related to general psychological distress (OR ?=?1.56, p<0.05), somatization (OR ?=?1.84, p<0.01), depression (OR ?=?1.58, p<0.05) and substance dependence (OR ?=?1.88, p<0.05). No relationships were found between a suspected ID and anxiety, regular substance use, substance misuse and primary substance of use. Conclusion The prevalence of ID among Dutch homeless people is higher than in the general population, and is related to more psychosocial problems than among homeless people without ID. Homeless people with a suspected ID appear to be a vulnerable subgroup within the homeless population. This endorses the importance of the extra attention required for this subgroup. PMID:24465905

  1. The developmental status and adaptive behavior of homeless and low-income housed infants and toddlers.

    PubMed Central

    Garcia Coll, C; Buckner, J C; Brooks, M G; Weinreb, L F; Bassuk, E L

    1998-01-01

    OBJECTIVES: This study describes the development status of 127 homeless and 91 low-income housed infants and toddlers. METHODS: The Bayley Scales of Infant Development and the Vineland Screener were used to gather data. RESULTS: There were no differences between homeless and low-income housed children. However, younger children in both groups performed better than the older children on most summary scores. CONCLUSIONS: Homeless and low-income housed children did not differ in their cognitive and motor skills. However, older children scored lower than younger children on most measures of development status, suggesting that the cumulative effects of poverty may increase with time. PMID:9736879

  2. Moving from rhetoric to reality: adapting Housing First for homeless individuals with mental illness from ethno-racial groups

    PubMed Central

    2012-01-01

    Background The literature on interventions addressing the intersection of homelessness, mental illness and race is scant. The At Home/Chez Soi research demonstration project is a pragmatic field trial investigating a Housing First intervention for homeless individuals with mental illness in five cities across Canada. A unique focus at the Toronto site has been the development and implementation of a Housing First Ethno-Racial Intensive Case Management (HF ER-ICM) arm of the trial serving 100 homeless individuals with mental illness from ethno-racial groups. The HF ER-ICM program combines the Housing First approach with an anti-racism/anti-oppression framework of practice. This paper presents the findings of an early implementation and fidelity evaluation of the HF ER-ICM program, supplemented by participant narrative interviews to inform our understanding of the HF ER-ICM program theory. Methods Descriptive statistics are used to describe HF ER-ICM participant characteristics. Focus group interviews, key informant interviews and fidelity assessments were conducted between November 2010 and January 2011, as part of the program implementation evaluation. In-depth qualitative interviews with HF ER-ICM participants and control group members were conducted between March 2010 and June 2011. All qualitative data were analysed using grounded theory methodology. Results The target population had complex health and social service needs. The HF ER-ICM program enjoyed a high degree of fidelity to principles of both anti-racism/anti-oppression practice and Housing First and comprehensively addressed the housing, health and sociocultural needs of participants. Program providers reported congruence of these philosophies of practice, and program participants valued the program and its components. Conclusions Adapting Housing First with anti-racism/anti-oppression principles offers a promising approach to serving the diverse needs of homeless people from ethno-racial groups and strengthening the service systems developed to support them. The use of fidelity and implementation evaluations can be helpful in supporting successful adaptations of programs and services. Trial registration Current Controlled Trials ISRCTN42520374 PMID:23031406

  3. 77 FR 12517 - VA Dental Insurance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ...64.009 Veterans Medical Care Benefits and 64.011 Veterans Dental Care. Signing Authority...follows: PART 17--MEDICAL 1. The authority...Sec. 17.169 VA Dental Insurance Plan program...if no claims for dental services or benefits...prevented by serious medical condition from...

  4. VA Polytrauma System of Care: Facility Locations

    MedlinePLUS

    ... Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional Loan Centers Cemetery Locations Contact Us FAQs Ask a Question Toll Free Numbers VA » Health Care » Polytrauma/TBI System of ...

  5. Leaving Homelessness Behind: Housing Decisions among Families Exiting Shelter1

    PubMed Central

    Fisher, Benjamin W.; Mayberry, Lindsay; Shinn, Marybeth; Khadduri, Jill

    2014-01-01

    Because homelessness assistance programs are designed to help families, it is important for policymakers and practitioners to understand how families experiencing homelessness make housing decisions, particularly when they decide not to use available services. This study explores those decisions using in-depth qualitative interviews with 80 families recruited in shelters across four sites approximately six months after they were assigned to one of four conditions (permanent housing subsidies, project-based transitional housing, community-based rapid re-housing, and usual care). Familiar neighborhoods near children’s schools, transportation, family and friends, and stability were important to families across conditions. Program restrictions on eligibility constrained family choices. Subsidized housing was the most desired intervention and families leased up at higher rates than in other studies of poor families. Respondents were least comfortable in and most likely to leave transitional housing. Uncertainty associated with community-based rapid re-housing generated considerable anxiety. Across interventions, many families had to make unhappy compromises, often leading to further moves. Policy recommendations are offered. PMID:25258503

  6. Va-Room: Motorcycle Safety.

    ERIC Educational Resources Information Center

    Keller, Rosanne

    One of a series of instructional materials produced by the Literacy Council of Alaska, this booklet provides information about motorcycle safety. Using a simplified vocabulary and shorter sentences, it offers statistics concerning motorcycle accidents; information on how to choose the proper machine; basic information about the operation of the…

  7. Assessing the quality of VA Human Research Protection Programs: VA vs. affiliated University Institutional Review Board.

    PubMed

    Tsan, Min-Fu; Nguyen, Yen; Brooks, Robert

    2013-04-01

    We compared the Human Research Protection Program (HRPP) quality indicator data of the Department of Veterans Affairs (VA) facilities using their own VA institutional review boards (IRBs) with those using affiliated university IRBs. From a total of 25 performance metrics, 13 did not demonstrate statistically significant differences, while 12 reached statistically significance differences. Among the 12 with statistically significant differences, facilities using their own VA IRBs performed better on four of the metrics, while facilities using affiliate IRBs performed better on eight. However, the absolute difference was small (0.2-2.7%) in all instances, suggesting that they were of no practical significance. We conclude that it is acceptable for facilities to use their own VA IRBs or affiliated university IRBs as their IRBs of record. PMID:23651939

  8. 48 CFR 852.219-72 - Evaluation factor for participation in the VA mentor-protégé program.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... This solicitation contains an evaluation factor or sub-factor regarding participation in the VA Mentor-Protégé...order to receive credit under the evaluation factor or sub-factor, the offeror must provide with its proposal a...

  9. 38 CFR 17.56 - Payment for non-VA physician and other health care professional services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...other health care professional services. (a) Except for anesthesia services, and services provided in the State of...participating physician fee schedule or if the services constitute anesthesia services, payment for such non-VA health care...

  10. FORM VA-4 COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION

    E-print Network

    Bordenstein, Seth

    FORM VA-4 COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION PERSONAL EXEMPTION WORKSHEET (See back too many exemptions, notify the Department of Taxation, P.O. Box 1115, Richmond, Virginia 23218-1115, telephone (804) 367-8037. Signature Date VA DEPT OF TAXATION 2601064 REV 10/04 #12;FORM VA-4 INSTRUCTIONS

  11. 77 FR 33229 - Notice of Proposed Information Collection for Public Comment; Continuum of Care Homeless...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ...Application--Continuum of Care Application AGENCY: Office of...comment entitled Continuum of Care of Homeless Assistance Grant Application- Continuum of Care Application. The comment due date should be 60 days after publication in the...

  12. [The care of homeless person: reviewing the meanings of health-disease process].

    PubMed

    Rosa, Anderson da Silva; Secco, Maria Garbriela; Brêtas, Ana Cristina Passarela

    2006-01-01

    This qualitative research had the objective of knowing the significance of the health-sickness-care process to homeless person and workers of a community center to homeless people on Sio Paulo city. The dates were collected by the interview with four homeless person and four workers. The interviews were separated in three categories: (1) the apprehension of the health - sickness-care process, (2) the caring of health in the street, (3) advices to survive in the street. The results showed that even with the difference of the homeless person, the street have a specific culture relative of the health-sickness-care person that need to be comprehend by nurses. PMID:17175723

  13. 76 FR 58822 - Announcement of Funding Awards for Fiscal Year 2010 Transformation Initiative: Homeless Families...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-22

    ...R) of the Department of Housing and Urban Development (HUD) grants to support small research projects that enhance or complement the contractual study HUD is supporting called The Impact of Various Housing and Service Interventions on Homeless...

  14. 77 FR 45367 - Continuum of Care Homeless Assistance Grant Application; Continuum of Care Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-31

    ...DEVELOPMENT [Docket No. FR-5603-N-53] Continuum of Care Homeless Assistance Grant Application; Continuum of Care Application AGENCY: Office of...Pre-established communities, called Continuums of Care (CoC), will complete the...

  15. 77 FR 59543 - Homeless Emergency Assistance and Rapid Transition to Housing: Continuum of Care Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ...Assistance and Rapid Transition to Housing: Continuum of Care Program: Extension of Public...that established the regulations for the Continuum of Care program, and which solicits...the regulatory framework for the new Continuum of Care program. The Homeless...

  16. 77 FR 27243 - Notice of Propose Information Collection for Public Comment; Continuum of Care Homeless...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-09

    ...Information Collection for Public Comment; Continuum of Care Homeless Assistance Grant Application--Continuum of Care Application AGENCY: Office of...information: Title of Proposal: HEARTH Continuum of Care Program Application....

  17. Home for now: A mixed-methods evaluation of a short-term housing support program for homeless families.

    PubMed

    Meschede, Tatjana; Chaganti, Sara

    2015-10-01

    The use of short-term rental subsidy vouchers offers a new approach to addressing the housing needs of families facing homelessness. In Massachusetts, the Family Home pilot program placed homeless families in housing instead of shelter, providing two years of rental subsidy plus support services with the goal of enabling families to maintain market rate housing. This mixed-method case study complements staff and participant interview data with participant survey and administrative data to evaluate the implementation and short-term outcomes of Family Home in one region. Data point to improved family well-being in housing but also persistent barriers to achieving longer-term housing and economic stability. Of the families who had exited the program at the end of the study, one quarter were able to retain their housing at market rate, only 9% returned to shelter, and one in five moved in with families/friends. Lack of affordable housing in a high rental cost region and jobs that pay living wages were among the major reasons that families struggled to maintain housing. This research points to the need for integrating supportive services from the program's start, including targeted workforce development, to plan for the end of the short-term rental subsidy. PMID:25989204

  18. Identifying US veterans who access services from health care for the homeless clinics.

    PubMed

    Knopf-Amelung, Sarah M; Jenkins, Darlene M

    2013-12-01

    Research on veterans experiencing homelessness is predominantly focused on the US Department of Veterans Affairs setting, despite the fact that substantial numbers receive services from Health Care for the Homeless (HCH) clinics. We explored how HCH clinics identified veteran patients through a survey of administrators (49% response rate). The majority (98%) identified veterans but used varied language and approaches. Implementing a streamlined, culturally competent identification process is vital to collecting accurate data, connecting veterans with benefits, and informing treatment plans. PMID:24148058

  19. Comparing the Housing Trajectories of Different Classes Within a Diverse Homeless Population

    Microsoft Academic Search

    Tim Aubry; Fran Klodawsky; Daniel Coulombe

    The paper presents findings from a longitudinal study identifying different classes of homeless individuals in a mid-size\\u000a Canadian city based on health-related characteristics and comparing the housing trajectories of these classes 2 years later.\\u000a Using data collected through in-person interviews with a sample of 329 single persons who have experienced homelessness, the\\u000a paper presents results of a latent class analysis. Results

  20. Housing as an Intervention on Hospital Use: Access among Chronically Homeless Persons with Disabilities

    Microsoft Academic Search

    David Parker

    2010-01-01

    A study examining demographics and hospital utilization for chronically homeless persons with disabilities was conducted at\\u000a pre-housing enrollment and at 6 months post-housing. Of the 20 participants, 70% (n?=?14) were Black American and 30% (n?=?6) were White; 100% (n?=?20) were non-Hispanic; 90% (n?=?18) were men; 40% (n?=?8) were veterans; Median years since last permanent housing and total homelessness were 7 and

  1. Enhancing Empowerment and Leadership Among Homeless Youth in Agency and Community Settings: A Grounded Theory Approach

    Microsoft Academic Search

    Kristin M. FergusonMin; Min Ah Kim; Stacy McCoy

    2011-01-01

    The purpose of this qualitative study with homeless youth (ages 18–24) was to understand their involvement in decision-making\\u000a within agency and community settings. Three focus groups with eight, six and six homeless youth were conducted at an urban\\u000a drop-in center and shelter from June to August 2008. Emergent themes include youth voice and ownership in agency and community\\u000a programming, emotional

  2. Risk Behaviors of Homeless Men in India: A Potential Bridge Population for HIV Infection

    Microsoft Academic Search

    Arunansu Talukdar; Krishnendu Roy; Indrajit Saha; Jayashree Mitra; Roger Detels

    2008-01-01

    This study investigated whether homeless men are a bridge group for transmission of HIV to the general population in India.\\u000a A cross-sectional study design was used to measure subjects’ past and current sexual activities. We surveyed 493 of 606 homeless\\u000a men aged 18–49 years who live in public places in Kolkata, India, who were invited to take part in a structured

  3. Sex and Relationships on the Street: How Homeless Men Judge Partner Risk on Skid Row

    Microsoft Academic Search

    Ryan A. BrownDavid; David P. Kennedy; Joan S. Tucker; Suzanne L. Wenzel; Daniela Golinelli; Samuel R. Wertheimer; Gery W. Ryan

    Homeless men in the U.S. represent a large and growing population, and have elevated rates of HIV\\/AIDS and sexual risk behaviors,\\u000a including unprotected sex with women. We conducted qualitative interviews (n = 30) with homeless men using shelters and meal lines in downtown Los Angeles (Skid Row) to better understand how such men\\u000a view the risks of sexual encounters with female partners.

  4. Online Social Networking Technologies, HIV Knowledge, and Sexual Risk and Testing Behaviors Among Homeless Youth

    Microsoft Academic Search

    Sean D. Young; Eric Rice

    2011-01-01

    This study evaluates associations between online social networking and sexual health behaviors among homeless youth in Los\\u000a Angeles. We analyzed survey data from 201 homeless youth accessing services at a Los Angeles agency. Multivariate (regression\\u000a and logistic) models assessed whether use of (and topics discussed on) online social networking technologies affect HIV knowledge,\\u000a sexual risk behaviors, and testing for sexually

  5. Prevention of secondary stroke in VA: role of occupational therapists and physical therapists.

    PubMed

    Schmid, Arlene A; Butterbaugh, Lisa; Egolf, Courtney; Richards, Virginia; Williams, Linda

    2008-01-01

    Occupational therapists (OTs) and physical therapists (PTs) have the opportunity and obligation to advocate secondary stroke prevention via health promotion (HP) behaviors. This prospective survey of Department of Veterans Affairs (VA) OTs and PTs determined whether they know about VA stroke rehabilitation guidelines and whether they integrate secondary stroke prevention into poststroke rehabilitation care. Questions revolved around knowledge of VA guidelines, inclusion of stroke risk-factor modification, and HP education to patients. Thirty-four surveys (45%) were returned from six facilities. Participants included 12 OTs and 22 PTs. Half (53%) of the therapists were aware of the VA guidelines and nearly half (48%) provided HP activities to patients; PTs were significantly more likely to do so than OTs (p = 0.02). Half of the queried therapists were unaware of the VA guidelines; increasing therapists' education about the guidelines and the necessity of HP and secondary stroke prevention may reduce veterans' risk of a second stroke. Because many stroke risk factors are modifiable and stroke survivors spend a great deal of time with the rehabilitation therapist, OTs and PTs can and should provide such education to reduce the risk of a second stroke. PMID:19165691

  6. 78 FR 55777 - Proposed Information Collection (VA, National Veterans Sports Programs and Special Events, Event...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ...National Veterans Summer sports Clinic Event Application, VA Form 0928a, c. l. Volunteer Application, VA Form 0928h. m. Surfing Personnel Application, VA Form 0928i. n. Venue Personnel Application, VA Form 0928j. o. National Veteran Creative...

  7. 78 FR 76412 - Agency Information Collection (VA National Rehabilitation Special Events, Event Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ...National Veterans Summer sports Clinic Event Application, VA Form 0928a, c. l. Volunteer Application, VA Form 0928h. m. Surfing Personnel Application, VA Form 0928i. n. Venue Personnel Application, VA Form 0928j. o. National Veteran Creative...

  8. A Comparison of Treatment Outcomes Among Chronically Homelessness Adults Receiving Comprehensive Housing and Health Care Services Versus Usual Local Care

    Microsoft Academic Search

    Alvin S. MaresRobert; Robert A. Rosenheck

    Service use and 2-year treatment outcomes were compared between chronically homelessness clients receiving comprehensive housing\\u000a and healthcare services through the federal Collaborative Initiative on Chronic Homelessness (CICH) program (n = 281) a sample of similarly chronically homeless individuals receiving usual care (n = 104) in the same 5 communities. CICH clients were housed an average of 23 of 90 days (52%) more than comparison group

  9. Characteristics of traumatic brain injuries sustained among veterans seeking homeless services.

    PubMed

    Barnes, Sean M; Russell, Leah M; Hostetter, Trisha A; Forster, Jeri E; Devore, Maria D; Brenner, Lisa A

    2015-02-01

    This hypothesis-generating research describes the characteristics of traumatic brain injuries (TBIs) sustained among 229 Veterans seeking homeless services. Nearly all participants (83%) had sustained at least one TBI prior to their first episode of homelessness. Among participants with a TBI, assaults, transportation-related accidents, and falls were the most common causes of these injuries. Thirty percent of individuals sustained injuries with severity levels that would be expected to be associated with ongoing TBI-related deficits. Forty-three percent of the Veterans sustained at least one brain injury following their first episode of homelessness. Median lifetime number of TBIs was three. The severity of TBIs was similar among Veterans who sustained injuries before or after their first incident of homelessness. Findings suggest that future research should directly examine the potential bi-directional relationship between TBI and homelessness, as well as the impact of TBI-related deficits on Veterans' ability to benefit from homeless services and/or maintain stable housing. PMID:25702730

  10. Happiness on the street: Overall happiness among homeless people in Madrid (Spain).

    PubMed

    Panadero, Sonia; Guillén, Ana Isabel; Vázquez, José Juan

    2015-07-01

    This article tests a hypothesized model of overall happiness among homeless people in Spain. The research was conducted based on a representative sample of homeless people in Madrid (n = 235), all adults, who had spent the night before the interview in a shelter for homeless people, on the street or in other places not initially designed for sleeping, or who were in supervised accommodation for homeless people at the time of the interview. Information was gathered using a structured interview. The results obtained show that around half of the homeless people in Madrid said that they were happy. A positive meta-stereotype and a better perceived general health were associated with a higher overall happiness, while feelings of loneliness were associated with a lower overall happiness. Happiness also showed a significant effect on future expectations. Disabilities and handicaps had a significant effect on perceived general health, which was in turn associated with overall happiness among homeless people. (PsycINFO Database Record PMID:26167804

  11. A prospective trial of customized adherence enhancement plus long-acting injectable antipsychotic medication in homeless or recently homeless individuals with schizophrenia or schizoaffective disorder

    PubMed Central

    Sajatovic, Martha; Levin, Jennifer; Ramirez, Luis F.; Hahn, David Y.; Tatsuoka, Curtis; Bialko, Christopher S.; Cassidy, Kristin A.; Fuentes-Casiano, Edna; Williams, Tiffany D.

    2014-01-01

    Background Treatment non-adherence in people with schizophrenia is associated with relapse and homelessness. Building upon the usefulness of long-acting medication, and our work in psychosocial interventions to enhance adherence, we conducted a prospective uncontrolled trial of customized adherence enhancement (CAE) plus long-acting injectable antipsychotic (LAI) using haloperidol decanoate in 30 homeless or recently homeless individuals with schizophrenia and schizoaffective disorder. Methods Participants received monthly CAE and LAI (CAE-L) for 6 months. Primary outcomes were adherence as measured by the Tablets Routine Questionnaire (TRQ) and housing status. Secondary outcomes included psychiatric symptoms, functioning, side effects, and hospitalizations. Results Mean age of participants was 41.8 years (SD 8.6), mainly minorities (90% African-American) and mainly single/never married (70%). Most (97%) had past or current substance abuse, and had been incarcerated (97%). Ten individuals (33%) terminated the study prematurely. CAE-L was associated with good adherence to LAI (76% at 6 months) and dramatic improvement in oral medication adherence, which changed from missing 46% of medication at study enrollment to missing only 10% at study end (p = 0.03). There were significant improvements in psychiatric symptoms (p<.001) and functioning (p<.001). Akathisia was a major side effect with LAI. Conclusion While interpretation of findings must be tempered by the methodological limitations, CAE-L appears to be associated with improved adherence, symptoms, and functioning in homeless or recently homeless individuals with schizophrenia or schizoaffective disorder. Additional research is needed on effective and practical approaches to improving health outcomes for homeless people with serious mental illness. PMID:24434094

  12. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.

    PubMed

    Fazel, Seena; Geddes, John R; Kushel, Margot

    2014-10-25

    In the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substance misuse problems. The availability of low-cost housing is thought to be the most important structural determinant for homelessness. Homeless people have higher rates of premature mortality than the rest of the population, especially from suicide and unintentional injuries, and an increased prevalence of a range of infectious diseases, mental disorders, and substance misuse. High rates of non-communicable diseases have also been described with evidence of accelerated ageing. Although engagement with health services and adherence to treatments is often compromised, homeless people typically attend the emergency department more often than non-homeless people. We discuss several recommendations to improve the surveillance of morbidity and mortality in homeless people. Programmes focused on high-risk groups, such as individuals leaving prisons, psychiatric hospitals, and the child welfare system, and the introduction of national and state-wide plans that target homeless people are likely to improve outcomes. PMID:25390578

  13. Substance use trends among younger vs. older homeless parolees.

    PubMed

    Nyamathi, Adeline; Salem, Benissa; Marshall, Lori; Idemundia, Faith; Mata, Ray; Khalilifard, Farinaz; Farabee, David; Leake, Barbara

    2014-01-01

    This cross-sectional study of 540 homeless ex-offenders exiting prisons and jails assessed sociodemographic, childhood, and drug-related differences. Older ex-offenders from prison were more likely to have been married, come from a two-parent family, and used crack, whereas younger ex-offenders from prison were more likely to have used methamphetamine. Older ex-offenders from jail were more likely to be African American, have children, and report a history of crack and injection drug use, whereas younger ex-offenders from jail were more likely to have engaged in binge drinking and be in a gang. Our findings showcase the need to understand unique correlates of younger and older incarcerated populations. PMID:24784498

  14. Characteristics of homeless youth who use cocaine and methamphetamine.

    PubMed

    Nyamathi, Adeline; Hudson, Angela; Greengold, Barbara; Leake, Barbara

    2012-01-01

    This cross-sectional hepatitis health promotion study (N = 156) was designed to identify correlates of cocaine and methamphetamine use among young, homeless persons living in Los Angeles County. Structured questionnaires were administered at baseline to assess sociodemographic characteristics, drug history, and social support. Unadjusted analysis showed that older age, having a history of incarceration, injection drug use (IDU), 10 or more sexual partners, and sex for money were associated with both cocaine and methamphetamine use. Logistic regression results showed that injection drug users had over seven times greater odds of using each stimulant compared with nonusers of injection drugs; those reporting at least 10 sexual partners and alcohol use in the past 6 months were more likely to use cocaine than their respective counterparts. African Americans were also less likely than Whites to report cocaine use. Understanding of these relationships can guide interventions targeting the multiple challenges faced by this population. PMID:22494226

  15. Does Antimicrobial Prescription Data Improve Influenza Surveillance in VA?

    PubMed Central

    Schirmer, Patricia; Winston, Carla; Ryono, Russell; Lucero-Obusan, Cynthia; Oda, Gina; Holodniy, Mark

    2013-01-01

    Introduction Antimicrobial prescriptions are a new data source available to the Veterans Health Administration (VHA) biosurveillance program. Little is known about whether antiviral or antibacterial prescription data correlates with influenza ICD-9-CM coded encounters. We therefore evaluated the utility and timeliness of antiviral and antibacterial utilization for influenza surveillance. Methods Antiviral (oseltamivir, zanamivir) and antibacterial (azithromycin) outpatient (OP) prescriptions and OP ESSENCE coded respiratory syndrome, influenza-like-illness (ILI) or influenza-specific ICD-9-CM coded visits were analyzed covering the 2010–2011 and 2011–2012 influenza seasons (July 1, 2010–July 31, 2012) for 152 VA medical centers and 971 outpatient clinics using VA Corporate Data Warehouse and ESSENCE biosurveillance tool. Correlation analysis and peak comparisons were performed. Results For this time period, there were 2,880,415 respiratory, 1,578,421 ILI, and 5,158 influenza-specific coded visits. For both influenza seasons, respiratory and ILI visits peaked at weeks 1–2 whereas influenza-specific visits had two peaks between weeks 37–40 and weeks 6–11 (See Figure 1 and 2). The total number of prescriptions was 631,272 azithromycin; 8,362 oseltamivir; and 88 zanamivir (See Figure 2). Spearman rank correlation coefficients for daily antiviral prescriptions and influenza-coded visits were (0.70); ILI visits (0.64), and respiratory illness visits (0.62), respectively; and for azithromycin prescriptions 0.77, 0.98, and 0.97 respectively. Oseltamivir and zanamivir prescriptions only increased in 2010–2011 starting with week 51 and peaking week 6 and in 2011–2012 starting with week 8 and peaking week 14. However, azithromycin prescriptions tracked better across the entire influenza season (peaking at weeks 1–2 for both influenza seasons). Conclusions VA outpatient prescription data indicated that significantly more ILI and respiratory syndrome visits occurred compared to antiviral prescriptions dispensed with marginal temporal correlation between visits and antiviral prescriptions. Reasons for this finding require further investigation. Although we did not chart review the visit code and antimicrobial prescription in individual records, possible factors may be related to later presentation of cases, perceived lack of efficacy of antivirals, or insufficient coding of influenza. Thus, antiviral prescription data provided minimal additional information for influenza trend monitoring in VA although may still be useful a marker of more severe illness. Interestingly, azithromycin use tracked better with the onset and peaks of the influenza season. Further investigation is also needed to determine whether patients with influenza-specific coded encounters were also prescribed azithromycin and why relatively few encounters were coded with an influenza-specific code.

  16. Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders

    PubMed Central

    Abrams, Courtney

    2007-01-01

    Studies of the social lives of men and women living with co-occurring disorders (substance abuse and serious mental illness) suggest that social networks critically influence recovery. In this paper, we examine some of the reasons that the social networks of individuals with co-occurring disorders are small, and the impact of small networks for this population. Using a social capital framework with cross-case analysis, we analyze 72 in-depth qualitative interviews with 39 formerly homeless mentally ill men and women who were substance abusers. All were participants in the New York Services Study (HYSS), a federally funded study of mentally ill adults in New York City. The patterns suggest that networks shrunk because 1) social network members died prematurely, 2) study participants withdrew or pushed others away, and 3) friends and family members faced so many obstacles of their own that they could not provide resources for the study participants. We suggest that as networks diminished, some participants responded by attempting to rebuild their networks, even if the networks provided negative social capital, and others isolated themselves socially to escape the pressures and disappointments of interaction. PMID:17706330

  17. Service Utilization of Veterans Dually Eligible for VA and Medicare Fee-For-Service: 1999–2004

    PubMed Central

    Humensky, Jennifer; Carretta, Henry; de Groot, Kristin; Brown, Melissa M.; Tarlov, Elizabeth; Hynes, Denise M.

    2012-01-01

    Objective To examine care system choices for Veterans dually-eligible for VA and Medicare FFS following changes in VA eligibility policy, which expanded availability of VA health care services. Data Sources VA and Medicare FFS enrollment and outpatient utilization databases in 1999 and 2004. Study Design: Multinomial logistic regression was used to examine odds of VA-only and Medicare-only utilization, relative to dual utilization, in 1999 and 2004. Observational cohort comprising a 5% random sample of dually-eligible Veterans: 73,721 in 1999 and 125,042 in 2004. Principal Findings From 1999 to 2004, persons with the highest HCC risk scores had decreasing odds of exclusive VA reliance (OR=0.26 in 1999 and 0.17 in 2004, p<0.05), but had increasing odds of exclusive Medicare reliance (OR=0.43 in 1999 and 0.56 in 2004, p<0.05).Persons in high VA priority groups had decreasing odds of exclusive VA reliance, as well as decreasing odds of exclusive Medicare reliance, indicating increasing odds of dual use. Newly eligible Veterans with the highest HCC risk scores had higher odds of dual system use, while newly eligible Black Veterans had lower odds of dual system use. Conclusions Veterans newly eligible for VA healthcare services, particularly those with the highest risk scores, had higher odds of dual system use compared to earlier eligibles. Providers should ensure coordination of care for Veterans who may be receiving care from multiple sources. Provisions of the Patient Protection and Affordable Care Act may help to ensure care coordination for persons receiving care from multiple systems. PMID:24800148

  18. The Impact of Specific and Complex Trauma on the Mental Health of Homeless Youth.

    PubMed

    Wong, Carolyn F; Clark, Leslie F; Marlotte, Lauren

    2014-11-11

    This study investigates the relative impact of trauma experiences that occurred prior to and since becoming homeless on depressive symptoms, posttraumatic stress disorder (PTSD) symptoms, and self-injurious behaviors among a sample of homeless youth (N = 389). Youth (aged 13 to 25) who had been homeless or precariously housed in the past year completed a survey about housing history, experiences of violence and victimization, mental health, and service utilization. In addition to examining the impact associated with specific trauma types, we also considered the effect of "early-on" poly-victimization (i.e., cumulative number of reported traumas prior to homelessness) and the influence of a compound sexual trauma variable created to represent earlier complex trauma. This created-variable has values ranging from no reported trauma, single trauma, multiple non-sexual traumas, and multiple traumas that co-occurred with sexual abuse. Multivariate analyses revealed that specific traumatic experiences prior to homelessness, including sexual abuse, emotional abuse/neglect, and adverse home environment, predicted greater mental health symptoms. Poly-victimization did not add to the prediction of mental health symptoms after the inclusion of specific traumas. Results with early compound sexual trauma revealed significant differences between lower-order trauma exposures and multiple-trauma exposures. Specifically, experience of multiple traumas that co-occurred with sexual trauma was significantly more detrimental in predicting PTSD symptoms than multiple traumas of non-sexual nature. Findings support the utility of an alternate/novel conceptualization of complex trauma, and support the need to carefully evaluate complex traumatic experiences that occurred prior to homelessness, which can impact the design and implementation of mental health care and services for homeless youth. PMID:25392379

  19. Applying Cluster Analysis to Test a Typology of Homelessness by Pattern of Shelter Utilization: Results from the Analysis of Administrative Data

    Microsoft Academic Search

    Randall Kuhn; Dennis P. Culhane

    1998-01-01

    This study tests a typology of homelessness using administrative data on public shelter use in New York City (1988–1995) and Philadelphia (1991–1995). Cluster analysis is used to produce three groups (transitionally, episodically, and chronically homeless) by number of shelter days and number of shelter episodes. Results show that the transitionally homeless, who constitute approximately 80% of shelter users in both

  20. National Symposium on Transportation for Homeless Children and Youth. Proceedings of the Annual Meeting (Williamsburg, Virginia, February 20-21, 2000).

    ERIC Educational Resources Information Center

    Bowman, Diana, Comp.; Bundy, Atticia, Comp.; Peoples, Abigail, Comp.

    In February 2000, the National Center for Homeless Education convened 25 experts to examine issues pertaining to the transportation of homeless students in a move to ensure their access to education. In a variety of presentations and discussions, participants examined and analyzed the complex issues surrounding transporting homeless students. The…

  1. Impact of Hepatitis B and C Infection on Health Services Utilization in Homeless Adults: A Test of the Gelberg-Andersen Behavioral Model for Vulnerable Populations

    Microsoft Academic Search

    Judith A. Stein; Ronald M. Andersen; Marjorie Robertson; Lillian Gelberg

    2012-01-01

    Objective: Homeless people have disproportionately high rates of viral hepatitis. The Gelberg-Andersen Behavioral Model for Vulnerable Populations (predisposing, enabling, and need variables) was expanded to predict prevalence and awareness of hepatitis B (HBV) or hepatitis C (HCV) infection, as well as health services utilization (HSU) among homeless adults using structural equation modeling. Design: A population-based sample of 534 homeless adults

  2. Home Is Where the Heart Is: The Crisis of Homeless Children and Families in New York City. A Report to the Edna McConnell Clark Foundation.

    ERIC Educational Resources Information Center

    Molnar, Janice; And Others

    This report on homeless children between infancy and 5 years of age highlights issues facing the 11,000 homeless children and their families living in emergency temporary housing in New York City. The rising incidence of homelessness among families is considered in national and local contexts. There follows an overview of the transitional shelter…

  3. Comparing Two Service Delivery Models for Homeless Individuals With Complex Behavioral Health Needs: Preliminary Data From Two SAMHSA Treatment for Homeless Studies

    Microsoft Academic Search

    M. Scott Young; Colleen Clark; Kathleen Moore; Blake Barrett

    2009-01-01

    Assertive Community Treatment (ACT) and the Comprehensive, Continuous, Integrated System of Care (CCISC) are two models for delivering services to homeless persons with complex behavioral health needs. This quasi-experimental study presents preliminary data comparing these two programs. The first program was based out of a community mental health center and utilized the ACT model of care with supported housing (ACT-SH),

  4. The Education for Homeless Children and Youth Program: Learning To Succeed. Volume II. Educating Homeless Children and Youth: A Resource Guide to Promoting Practices. Final Report.

    ERIC Educational Resources Information Center

    Funkhouser, Janie E.; Riley, Derek L.; Suh, H. Jenny; Lennon, Jean M.

    This guide suggests strategies to help states, districts, and schools overcome barriers that keep homeless children and youth from getting the education to which they are entitled, presenting approaches for helping them achieve the same high standards expected of all children. The promising practices all come from states and districts that have…

  5. Episodic homelessness and health care utilization in a prospective cohort of HIV-infected persons with alcohol problems

    Microsoft Academic Search

    Theresa W Kim; Stefan G Kertesz; Nicholas J Horton; Nicole Tibbetts; Jeffrey H Samet

    2006-01-01

    BACKGROUND: Because individuals with HIV\\/AIDS often have complex medical and social needs, the impact of housing status on medical service utilization is difficult to isolate from the impact of conditions that may worsen during periods of homelessness such as depression and substance abuse. We examine whether episodes of homelessness are independently associated with suboptimal medical utilization even when accounting for

  6. Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents

    Microsoft Academic Search

    John W Noell; Linda M Ochs

    2001-01-01

    Purpose: To explore the relationship of sexual orientation and gender to four sets of factors: (a) family history, (b) incarceration, (c) substance use, and (d) depression and suicide, in a population of homeless adolescents.Methods: A sample of homeless adolescents was recruited in Portland, Oregon and assessed using semi-structured interviews at baseline, three months and six months. A total of 532

  7. Molecular clues of a microepidemy among homeless tuberculosis patients in Budapest due to a new and local Mycobacterium tuberculosis clade

    Microsoft Academic Search

    Csaba Ködmön; Stefan Niemann; M. Cristina Gutierrez; Christophe Sola; Nalin Rastogi; Judit Lukács; Ákos Somoskövi

    2007-01-01

    In Budapest, the capital of Hungary, one of the most important tuberculosis related risk factor is homelessness. The aim of this retrospective study was the genetic characterization of Mycobacterium tuberculosis strains isolated from 66 homeless tuberculosis patients by spoligotyping and mycobacterial interspersed repetitive unit (MIRU) typing. The study identified a local microepidemy in the district with the highest tuberculosis incidence

  8. Effectiveness Of Intensive Case Management For Homeless AdolescentsResults Of A 3Month Follow-Up

    Microsoft Academic Search

    Victoria Wagner; Jennifer Sy; Kim Weeden; Trish Blanchard; Ana Mari Cauce; Charles J. Morgan; Elizabeth Moore; Kathryn Wurzbacher; Sandy Tomlin

    1994-01-01

    This article describes the Seattle Homeless Adolescent Research Project (SHARP), a research demonstration program with a goal of implementing and evaluating an intensive mental health case management program for homeless adolescents. This new program, Project Passage, is based on nine primary components: (a) assessment, (b) planning, (c) linkage, (d) monitoring or tracking, (e) advocacy, (f) counseling or the therapeutic relationship,

  9. North Dakota Annual State Plan for the Education of Homeless Children and Youth. Program Year 1989-90.

    ERIC Educational Resources Information Center

    Blumhardt, Lynette K.

    This state plan is North Dakota's response to Title VII, Subtitle B of the Stewart B. McKinney Homeless Assistance Act of 1987 (the McKinney Act), which charges states with collecting information on the number and needs of homeless children and youth, identifying problems impeding their education, and developing a plan to overcome such problems.…

  10. Homelessness: Implementation of Food and Shelter Programs under the McKinney Act. Report to the Congress.

    ERIC Educational Resources Information Center

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

    The Stewart B. McKinney Homeless Assistance Act, passed in July 1987, authorized over $400 million for fiscal year 1987 in homeless assistance for several federal programs, including the Department of Housing and Urban Development (HUD) and the Federal Emergency Management Agency (FEMA). This report examines how funds appropriated to HUD and FEMA…

  11. 75 FR 61169 - Privacy Act; Notification of a New Privacy Act System of Records, Homeless Families Impact Study...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ...Records, Homeless Families Impact Study Data Files AGENCY: Office of the Chief Information...the Homeless Families Impact Study Data Files (HFISDF). The records system will be...identified as Housing Families Impact Study Data Files. Title 5 U.S.C....

  12. Out of the Shadows: Building an Agenda and Strategies for Preventing HIV Infection and AIDS among Street and Homeless Youth.

    ERIC Educational Resources Information Center

    Center for Population Options, Washington, DC.

    This report summarizes the findings of a conference that examined the problem of Human Immunodeficiency Virus (HIV) infection and Acquired Immune Deficiency Syndrome (AIDS) among street and homeless youth. Street and homeless youth, by virtue of their circumstances and the behaviors they engage in, are at great risk of becoming infected with HIV,…

  13. Agreement between Self-Report and Archival Public Service Utilization Data among Chronically Homeless Individuals with Severe Alcohol Problems

    ERIC Educational Resources Information Center

    Clifasefi, Seema L.; Collins, Susan E.; Tanzer, Kenneth; Burlingham, Bonnie; Hoang, Sara E.; Larimer, Mary E.

    2011-01-01

    Public service utilization data are often used as key outcomes in studies on homelessness. Although self-report data on these outcomes are accessible and cost-effective, various factors may affect retrospective recall in homeless populations. It is therefore necessary to establish validity of self-report to ensure the integrity of studies…

  14. Working Girls: Abuse or Choice in Street-Level Sex Work? A Study of Homeless Women in Nottingham

    Microsoft Academic Search

    Rachel Harding; Paul Hamilton

    2009-01-01

    SummaryThis paper uses fifteen indices of abuse and a definition of ‘coercion’ as ‘constraint, restraint, compulsion; the application of force to control the action of a voluntary agent’ (OED Online, 2006) to explore how homeless women understand their choice to sex work. Twenty-six homeless women were interviewed, nine of whom had sex worked. A structured, qualitative questionnaire was used in

  15. Relocation, Residence & Risk: A Study of Housing Risks and the Causes of Homelessness among the Urban Elderly.

    ERIC Educational Resources Information Center

    Keigher, Sharon M.; And Others

    Homelessness is growing among the elderly as it is among every other age cohort in America, but the elderly appear to be underrepresented. This underrepresentation is puzzling, since the elderly appear to have unique vulnerabilities to homelessness. This study explored the connection between the growing shortage of low rent housing, the unique…

  16. Attitudes Towards Employment and Employment Outcomes Among Homeless Veterans with Substance Abuse and\\/or Psychiatric Problems

    Microsoft Academic Search

    ALVIN S. MARES; ROBERT A. ROSENHECK

    2006-01-01

    This study examines the relationship between attitudes towards employment and employment outcomes among homeless veterans with psychiatric and substance abuse problems. Attitudes towards employment among over 300 homeless veterans participating in a study of vocational outcomes were characterized using factor analysis. Mixed linear regression was then used to examine the association between each of five employment attitudes and number of

  17. Setting the stage for chronic health problems: cumulative childhood adversity among homeless adults with mental illness in Vancouver, British Columbia

    PubMed Central

    2014-01-01

    Background It is well documented that childhood abuse, neglect and household dysfunction are disproportionately present in the backgrounds of homeless adults, and that these experiences adversely impact child development and a wide range of adult outcomes. However, few studies have examined the cumulative impact of adverse childhood experiences on homeless adults with mental illness. This study examines adverse events in childhood as predictors of duration of homelessness, psychiatric and substance use disorders, and physical health in a sample of homeless adults with mental illness. Methods This study was conducted using baseline data from a randomized controlled trial in Vancouver, British Columbia for participants who completed the Adverse Childhood Experiences (ACE) scale at 18 months follow-up (n?=?364). Primary outcomes included current mental disorders; substance use including type, frequency and severity; physical health; duration of homelessness; and vocational functioning. Results In multivariable regression models, ACE total score independently predicted a range of mental health, physical health, and substance use problems, and marginally predicted duration of homelessness. Conclusions Adverse childhood experiences are overrepresented among homeless adults with complex comorbidities and chronic homelessness. Our findings are consistent with a growing body of literature indicating that childhood traumas are potent risk factors for a number of adult health and psychiatric problems, particularly substance use problems. Results are discussed in the context of cumulative adversity and self-trauma theory. Trials registration This trial has been registered with the International Standard Randomized Control Trial Number Register and assigned ISRCTN42520374. PMID:24726046

  18. Homeless persons' decisions to accept or reject public health disease-detection services.

    PubMed

    Swigart, Valerie; Kolb, Randall

    2004-01-01

    The purpose of this study was to describe the factors that homeless persons report as influencing their decisions to utilize or reject a public health disease-detection program. Although there is copious literature on homelessness, few studies report the real-life perspectives of homeless persons toward health or health promotion. A convenience sample of 55 sheltered and street-dwelling homeless persons, who either resided in or were visiting seven shelters in a large northeastern U.S. city, were interviewed. The interview questions focused on the bases for decisions to accept or reject tuberculosis screening. The in-depth semistructured audio-taped interviews were transcribed, coded, and categorized using Ethnograph software. Interviews were analyzed using the constant comparative content analysis methods. The findings describe homeless persons' reasons for accepting or rejecting a tuberculosis-detection service, the prominent role of shelter personnel in recruitment for health-related interventions, and the confidentiality needs of women with children. This information can assist community health practitioners in designing and advertising health-promotion and disease-detection programming. PMID:14987216

  19. Relationship Between Adverse Childhood Experiences and Homelessness and the Impact of Axis I and II Disorders

    PubMed Central

    Roos, Leslie E.; Mota, Natalie; Afifi, Tracie O.; Katz, Laurence Y.; Distasio, Jino

    2013-01-01

    Objectives. We investigated the links between homelessness associated with serious mental and physical healthy disparities and adverse childhood experiences (ACEs) in nationally representative data, with Axis I and II disorders as potential mediators. Methods. We examined data from the National Epidemiologic Survey of Alcohol and Related Conditions in 2001–2002 and 2004–2005, and included 34?653 participants representative of the noninstitutionalized US population who were 20 years old or older. We studied the variables related to 4 classes of Axis I disorders, all 10 Axis II personality disorders, a wide range of ACEs, and a lifetime history of homelessness. Results. Analyses revealed high prevalences of each ACE in individuals experiencing lifetime homelessness (17%–60%). A mediation model with Axis I and II disorders determined that childhood adversities were significantly related to homelessness through direct effects (adjusted odd ratios?=?2.04, 4.24) and indirect effects, indicating partial mediation. Population attributable fractions were also reported. Conclusions. Although Axis I and II disorders partially mediated the relationship between ACEs and homelessness, a strong direct association remained. This novel finding has implications for interventions and policy. Additional research is needed to understand relevant causal pathways. PMID:24148049

  20. Modified therapeutic community for homeless mentally ill chemical abusers: emerging subtypes.

    PubMed

    De Leon, G; Sacks, S; Staines, G; McKendrick, K

    1999-08-01

    This paper is one of a series reporting on a clinical field trial evaluating the efficacy of the modified therapeutic community (TC) approach for the treatment of homeless mentally ill chemical abusers (MICAs). The social and psychological characteristics of the treatment sample were described in an earlier paper; the purpose of the present report was to categorize subtypes of homeless MICA clients to predict with greater accuracy their treatability in modified TCs. An index that consistently correlated with treatment-relevant variables was identified for each of three dimensions; Homelessness (residential instability), Mental Illness (current severity), and Substance Abuse (current substance abuse/dependence diagnosis). These indices yielded distributions that captured the variability in the sample with respect to a number of variables, including drug use, criminality, human immunodeficiency virus (HIV) risk (sexual behavior), psychological status, and motivation. Bivariate and multivariate analyses showed that the indices were not strongly related to demographic variables such as race/ethnicity, age, or gender, but were significantly associated with baseline drug use, criminal activity, HIV risk (sexual behavior), psychological symptoms, and motivation and readiness. These findings indicate that, even among those admitted to residential treatment for substance abuse, homeless MICA clients are not homogeneous; rather, subgroup differences emerge among the indices of homelessness, mental illness, and substance abuse. The efficacy of treatment in modified TCs for these subgroups will be assessed in subsequent papers examining the relationships among the three indices, client retention, and outcomes during and subsequent to residential treatment. PMID:10473011

  1. Discrimination and well-being amongst the homeless: the role of multiple group membership

    PubMed Central

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

    2015-01-01

    The homeless are a vulnerable population in many respects. Those experiencing homelessness not only experience personal and economic hardship they also frequently face discrimination and exclusion because of their housing status. Although past research has shown that identifying with multiple groups can buffer against the negative consequences of discrimination on well-being, it remains to be seen whether such strategies protect well-being of people who are homeless. We investigate this issue in a longitudinal study of 119 individuals who were homeless. The results showed that perceived group-based discrimination at T1 was associated with fewer group memberships, and lower subsequent well-being at T2. There was no relationship between personal discrimination at T1 on multiple group memberships at T2. The findings suggest that the experience of group-based discrimination may hinder connecting with groups in the broader social world — groups that could potentially protect the individual against the negative impact of homelessness and discrimination. PMID:26082741

  2. Discrimination and well-being amongst the homeless: the role of multiple group membership.

    PubMed

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

    2015-01-01

    The homeless are a vulnerable population in many respects. Those experiencing homelessness not only experience personal and economic hardship they also frequently face discrimination and exclusion because of their housing status. Although past research has shown that identifying with multiple groups can buffer against the negative consequences of discrimination on well-being, it remains to be seen whether such strategies protect well-being of people who are homeless. We investigate this issue in a longitudinal study of 119 individuals who were homeless. The results showed that perceived group-based discrimination at T1 was associated with fewer group memberships, and lower subsequent well-being at T2. There was no relationship between personal discrimination at T1 on multiple group memberships at T2. The findings suggest that the experience of group-based discrimination may hinder connecting with groups in the broader social world - groups that could potentially protect the individual against the negative impact of homelessness and discrimination. PMID:26082741

  3. Psychological homelessness and enculturative stress among US-deported Salvadorans: a preliminary study with a novel approach.

    PubMed

    Negy, Charles; Reig-Ferrer, Abilio; Gaborit, Mauricio; Ferguson, Christopher J

    2014-12-01

    The purpose of this study was to examine the construct psychological homelessness-feelings of not belonging in one's home country-within the context of deported Salvadorans' enculturation to El Salvador. Participants (n = 66) who had been deported from the United States completed a set of questionnaires related to their deportation experience. Results indicated that deportees, in various degrees, experienced the phenomenon of psychological homelessness and enculturative stress related to living in El Salvador. As hypothesized, enculturative stress related to re-adapting to life in El Salvador significantly correlated with psychological homelessness after controlling for time spent in the United States, acculturation, and enculturation. Additional analyses revealed that maladaptive cognitions related to the deportation experience also predicted psychological homelessness. Our findings suggest psychological homelessness appears to be a valid construct and is experienced by many undocumented immigrants. PMID:24639053

  4. New Media Use by Patients Who Are Homeless: The Potential of mHealth to Build Connectivity

    PubMed Central

    Vaca, Federico E; Doran, Kelly M; Luco, Cali; Naftilan, Matthew; Dziura, James; Brandt, Cynthia; Bernstein, Steven; Jagminas, Liudvikas; D'Onofrio, Gail

    2013-01-01

    Background Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. Objective To determine the prevalence and types of “new media” use among ED patients who experience homelessness. Methods This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios. Results 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation. Conclusions This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care. PMID:24001876

  5. I WAS HERE: young mothers who have experienced homelessness use Photovoice and participatory qualitative analysis to demonstrate strengths and assets.

    PubMed

    Fortin, Rebecca; Jackson, Suzanne F; Maher, Jessica; Moravac, Catherine

    2015-03-01

    Inspired by Photovoice, a participatory research methodology, I WAS HERE was a photoblogging workshop in Toronto, Canada, for young mothers who, when they joined, were either homeless or had past experience of homelessness. A participatory qualitative analysis process was developed to support workshop participants in collectively conducting qualitative analysis on a selection of their photoblogs exploring how they view their lives. Five mothers engaged in the participatory qualitative analysis process to categorize their photoblogs into themes. Participants selected over 70 of their personal photoblogs, discussed the meaning of their photoblogs, and categorized them into qualitative themes. One of the mothers continued work on the research by contributing to the write-up of the themes for publication. Participants, through the reflective dialogue, developed nine themes from the photoblogs that describe how they experience motherhood. The resulting nine themes were as follows: 'Family', 'Reality Check', 'Sacrifice for Positive Change', 'Support', 'Guidance', 'Growth and Transition', 'Proud of Becoming/Being a Mother', 'Passing on/Teaching Values' and 'Cherished Moments/Reward for Being a Mother'. These themes illustrate the satisfaction that comes from motherhood, strengths and goals for the future, and the desire for support and guidance. The themes developed from this participatory analysis illustrate that young mothers have a positive view of themselves and their ability to be mothers. This constructive view of young mothers provides an alternative to the negative stereotypes commonly attributed to them. This paper also discusses the strengths and challenges of using a participatory analysis approach. As a research methodology, incorporating procedures for participatory qualitative analysis into the Photovoice process provides an effective mechanism to meaningfully engage participants in qualitative analysis. From a health promotion perspective, using the participatory analysis process expanded the Photovoice methodology to facilitate self-reflection and an empowering collective dialogue among a group of women whose strengths and assets are rarely showcased. PMID:24830441

  6. Genetic analyses of the mouse deafness mutations varitint-waddler (Va) and jerker (Espnje).

    PubMed

    Kim, Hung J; Jackson, Torrance; Noben-Trauth, Konrad

    2003-03-01

    Genetic studies on spontaneous mouse mutants with hearing defects have provided important insights into the function of genes expressed in inner ear hair cells. Here we report on our genetic analyses of the deaf mutants varitint-waddler (Va) and jerker (Espnje). A high-resolution genetic map localizes VaJ to a 0.14 +/- 0.08 cM region between D3Mit85 and D3Mit259 on distal chromosome 3. By comparative mapping, the human ortholog resides at 1p22.3 between markers D1S3449 and D1S2252. To study the effect of different genetic backgrounds on the hearing phenotype, Espnje and VaJ were crossed to various inbred strains. Auditory-evoked brainstem response tests on F2 progeny demonstrate that expression, inheritance, and penetrance of the hearing phenotype are solely controlled by the mutant allele. To test for a genetic interaction between Espnje and Cdh23v, auditory function was analyzed in double heterozygotes; no significant increases of thresholds of sound pressure levels were observed. The results establish the framework for cloning the Va gene and provide valuable insights into the genetics of deafness mutations in the mouse. PMID:12209292

  7. Attitudes and intentions of homeless people towards service provision in South Wales.

    PubMed

    Christian, Julie; Armitage, Christopher J

    2002-06-01

    The theory of planned behaviour (TPB: Ajzen, 1988, 1991) was used as a framework to investigate homeless people's participation in outreach service programmes. In total, 104 homeless people from South Wales were interviewed using a schedule based on the TPB. Congruent with previous research on the TPB, attitude was the dominant predictor of behavioural intentions, and intention and perceived behavioural control were predictive of behaviour. Contrary to predictions, subjective norms also exerted a direct effect on behaviour. The discussion focuses on two issues: first, the utility of social cognition models in explaining the relationship between demographic variables and behaviour in homelessness research; second, the direct effects of norms on behaviour and the extent to which work on social groups might usefully extend research on models such as the TPB to aid understanding of behaviour amongst stigmatized populations. PMID:12133225

  8. Increasing hepatitis C knowledge among homeless adults: results of a community-based, interdisciplinary intervention.

    PubMed

    Tyler, Darlene; Nyamathi, Adeline; Stein, Judith A; Koniak-Griffin, Deborah; Hodge, Felicia; Gelberg, Lillian

    2014-01-01

    Homeless adults have high rates of hepatitis C virus infection (HCV) and low levels of HCV knowledge. This study reports results of an interdisciplinary, community-based intervention using stakeholder cooperation, case management, risk factor identification, and modification of dysfunctional psychosocial factors to increase HCV knowledge among homeless adults (N?=?747). Data are from a randomized quasi-experimental study, with the major goal of evaluating the effectiveness of a Nurse Case Managed Intervention compared to a Standard Intervention, encouraging completion of a three-series hepatitis A/hepatitis B vaccination program. Increased HCV knowledge was measured with an 18-item questionnaire discerning risk factors for HCV and common misconceptions about individuals with HCV. A significant increase in HCV knowledge resulted regardless of intervention format. Receiving the Nurse Case Managed Intervention predicted greatest gain in HCV knowledge (p?homeless people themselves proved most efficacious in increasing HCV knowledge. PMID:23616250

  9. Prevalence of gambling problems among the clients of a toronto homeless shelter.

    PubMed

    Matheson, Flora I; Devotta, Kimberly; Wendaferew, Aklilu; Pedersen, Cheryl

    2014-06-01

    Few studies have examined the prevalence of problem and pathological gambling among clients of homeless service agencies. The objective of this study was to estimate the prevalence of problem gambling among these clients. We collected primary data on gambling using the NORC diagnostic screen for disorders. Using a modified time-location recruitment approach 264 clients of a community homeless service agency were screened for lifetime gambling problems. Descriptive statistics were produced using SPSSX. The prevalence of lifetime problem gambling was 10 % and that of pathological gambling was 25 % in this sample. The prevalence of lifetime problem and pathological gambling was alarmingly high relative to the general population lifetime prevalence. Better insight into interventions for gambling that might reduce risk of homelessness will help service agencies gauge the needs of their clients and to implement change to service delivery and screening practices. PMID:24569904

  10. International note: association between perceived resilience and health risk behaviours in homeless youth.

    PubMed

    Oppong Asante, Kwaku; Meyer-Weitz, Anna

    2015-02-01

    Homeless youth are regarded as an extremely high risk group, susceptible to suicidal ideation substance abuse, and high rates of mental illness. While there exists a substantial body of knowledge regarding resilience of homeless youth, few studies has examined the relationship between perceived resilience and health risk behaviours. The present study describes the findings from a quantitative examination of street-related demographics, resilience, suicidal ideation, substance abuse, sexual risk behaviours and violent related behaviours among 227 homeless youth. The findings revealed that perceived resilience was negatively related to suicidal ideation, substance abuse and violence. Suicidal ideation was positively related to both substance abuse and violence, whilst violence and substance abuse were positively correlated. Multiple regressions showed that perceived resilience served as a protective factor for suicidal ideation and having multiple sexual lifetime partners, suggesting that youth with lower level of perceived resilience were more likely to engage in various health risks behaviours. PMID:25575268

  11. The Challenge of Pregnancy among Homeless Youth: Reclaiming a Lost Opportunity

    PubMed Central

    Smid, Marcela; Bourgois, Philippe; Auerswald, Colette L.

    2011-01-01

    Young, homeless women often become pregnant, but little is known about how street youth experience their pregnancies. We documented 26 pregnancy outcomes among 13 homeless women (ages 18–26) and eight homeless men through interviews and participant-observation. Eight pregnancies were voluntarily terminated, three were miscarried, and fifteen were carried to term. Regardless of pregnancy outcome, street youths’ narratives focused on ambivalence about parenting, traumatic childhood experiences, and current challenges. Despite significant obstacles, almost all were convinced of their personal capacity to change their lives. While most wanted to be parents, the majority lost custody of their newborns and consequently associated contact with medical and social services with punitive outcomes. Most of the youth who chose to terminate successfully sought safe medical care. We offer recommendations for changing the approach of services to take full advantage of pregnancy as a potential catalyst event for change in this highly vulnerable and underserved population. PMID:20453382

  12. Discriminant analyses of willingness to talk with a counselor and most difficult issues in the experience of unsheltered homeless men: self-actualization, loneliness, and depression.

    PubMed

    Sumerlin, J R

    1996-04-01

    Stepwise discriminant analyses of willingness to talk with a counselor (Wilks Lambda=.75, p<.001) and most difficult issues (Wilks Lambda=.81, p<.001) in 145 unsheltered homeless men's experience were examined using self-actualization constructs, loneliness, depression, and history-of-being-homeless variables. For example, homeless men with higher scores on loneliness, autonomy, courage, Jonah Complex, and self-acceptance were less willing to talk with a counselor. The variable, longer intervals of having a home after a first homeless episode, was associated with personal issues rather than with homeless issues. Selected participants' responses to the items, "what have you learned from your homeless experience that you could not have learned any other way" and "what would you like for me to know about your experience of homelessness," are posted to give perspective on a homeless person's internal frame of reference. This phenomenological approach indicated strengths as well as weaknesses of homeless men. Counseling programs should embrace all homeless persons including mentally well, nondrug-dependent homeless individuals. PMID:9148325

  13. The nature and prevalence of chronic pain in homeless persons: an observational study

    PubMed Central

    Wheeler, Daniel W

    2013-01-01

    Background: Homeless people are known to suffer disproportionately with health problems that reduce physical functioning and quality of life, and shorten life expectancy. They suffer from a wide range of diseases that are known to be painful, but little information is available about the nature and prevalence of chronic pain in this vulnerable group. This study aimed to estimate the prevalence of chronic pain among homeless people, and to examine its location, effect on activities of daily living, and relationship with alcohol and drugs. Methods: We conducted face-to-face interviews with users of homeless shelters in four major cities in the United Kingdom, in the winters of 2009-11. Participants completed the Brief Pain Inventory, Short Form McGill Pain questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs, and detailed their intake of prescribed and unprescribed medications and alcohol. We also recorded each participant’s reasons for homelessness, and whether they slept rough or in shelters. Findings: Of 168 shelter users approached, 150 (89.3%) participated: 93 participants (63%) reported experiencing pain lasting longer than three months; the mean duration of pain experienced was 82.2 months. The lower limbs were most frequently affected. Opioids appeared to afford a degree of analgesia for some, but whilst many reported symptoms suggestive of neuropathic pain, very few were taking anti-neuropathic drugs. Interpretation: The prevalence of chronic pain in the homeless appears to be substantially higher than the general population, is poorly controlled, and adversely affects general activity, walking and sleeping. It is hard to discern whether chronic pain is a cause or effect of homelessness, or both. Pain is a symptom, but in this challenging group it might not always be possible to treat the underlying cause. Exploring the diagnosis and treatment of neuropathic pain may offer a means of improving the quality of these vulnerable people’s lives. PMID:24555079

  14. A snapshot of substance abuse among homeless and runaway youth in Denver, Colorado.

    PubMed

    Van Leeuwen, James M; Hopfer, Christian; Hooks, Sabrina; White, Roxane; Petersen, Jerene; Pirkopf, John

    2004-06-01

    We report on results of a one-day survey measuring rates of substance use and HIV risk behaviors among the homeless youth population of Denver, Colorado. On March 15, 2001, staff of Urban Peak, conducted a single-day survey of homeless and runaway youth in the Denver metropolitan region, going to locations known to be frequented by this population. All youth encountered were asked to fill out a brief survey asking about past nine month use of the following substances: alcohol, marijuana, cocaine, methamphetamine, heroin, hallucinogens, ecstasy and ketamine, and HIV risk behaviors. Chi-square analyses of the association of substance used and gender, age, living situation, and ethnicity were conducted. In addition, the use of any club drug was examined. One-hundred-eighty-six homeless or runaway youth were surveyed; 74 percent were between 16 and 25. Rates of use over the last nine months were as follows: alcohol, 69 percent; marijuana, 75 percent; methamphetamine, 18 percent; cocaine, 19 percent; heroin, 12 percent; hallucinogens, 30 percent; ecstasy, 25 percent; and ketamine, 13 percent. Eleven percent reported trading sex for drugs, money, food, or shelter; and 13 percent reported sharing needles. There were significant associations between living situation and use of marijuana, cocaine and hallucinogens. Prevalence rates of club drugs show 75 percent, 77 percent and 77 percent of homeless or runaway youth ihaving used ecstasy, ketamine and hallucinogens one to three times per month over the last nine months, respectively. Prevalence rates of substance use among homeless youth in the Denver metropolitan are similar to rates reported in other larger metropolitan areas. Routine screening for every substance needs to be part of the assessment for all homeless youth. Initial data points to a need for more research exploring protective factors among this population and to better understand the prevalence of club drug use. PMID:15141897

  15. Home Health Care and Patterns of Subsequent VA and Medicare Health Care Utilization for Veterans

    ERIC Educational Resources Information Center

    Van Houtven, Courtney Harold; Jeffreys, Amy S.; Coffman, Cynthia J.

    2008-01-01

    Purpose: The Veterans Affairs or VA health care system is in the process of significantly expanding home health care (HOC) nationwide. We describe VA HHC use in 2003 for all VA HHC users from 2002; we examine whether VA utilization across a broad spectrum of services differed for a sample of VA HHC users and their propensity-score-matched…

  16. What Constitutes a Good and Bad Death?: Perspectives of Homeless Older Adults.

    PubMed

    Ko, Eunjeong; Kwak, Jung; Nelson-Becker, Holly

    2015-08-01

    This qualitative study explored perspectives toward a good or bad death among 21 older homeless adults residing in transitional housing. Using grounded theory approach, the themes for a good death were (a) dying peacefully; (b) not suffering; (c) experiencing spiritual connection; and (d) making amends with significant others. Themes for a bad death were (a) experiencing death by accident or violence; (b) prolonging life with life supports; (c) becoming dependent while entering a dying trajectory; and (d) dying alone. Healthcare professionals need to develop approaches for end-of-life care grounded in understanding unique needs of older homeless adults. PMID:25674672

  17. Interventions to modify sexual risk behaviours for preventing HIV in homeless youth

    PubMed Central

    Naranbhai, Vivek; Karim, Quarraisha Abdool; Meyer-Weitz, Anna

    2013-01-01

    Background Homeless youth are at high risk for HIV infection as a consequence of risky sexual behavior. Interventions in homeless youth are challenging. Assessment of the effectiveness of interventions to modify sexual risk behaviours for preventing HIV in homeless youth is needed. Objectives To evaluate and summarize the effectiveness of interventions for modifying sexual risk behaviours and preventing transmission of HIV among homeless youth. Search methods We searched electronic databases (CENTRAL, Medline, EMBASE, AIDSearch, Gateway, PsycInfo, LILACS), reference lists of eligible articles, international health agency publication lists, and clinical trial registries. The search was updated January 2010. We contacted authors of published reports and other key role players. Selection criteria Randomized studies of interventions to modify sexual risk behavior (biological, self-report sexual-risk behavior or health seeking behavior) in homeless youth (12–24 years). Data collection and analysis Data from eligible studies were extracted by two reviewers. We assessed risk of bias per the Cochrane Collaborations tool. None of the eligible studies reported any primary biological outcomes for this review and the reporting of self-report sexual risk behavior outcomes was highly variable across studies precluding calculation of summary measures of effect; we present the outcomes descriptively for each study. We contacted authors for missing or ambiguous data. Results We identified three eligible studies after screening a total of 255 unique records. All three were performed in the United States of America and recruited substance-abusing male and female adolescents (total N=615) through homeless shelters into randomised controlled trials of independent and non-overlapping behavioural interventions. The three trials differed in theoretical background, delivery method, dosage (number of sessions,) content and outcome assessments. Overall, the variability in delivery and outcomes precluded estimation of summary of effect measures. We assessed the risk of bias to be high for each of the studies. Whilst some effect of the interventions on outcome measures were reported, heterogeneity and lack of robustness in these studies necessitate caution in interpreting the effectiveness of these interventions. Authors’ conclusions The body of evidence does not permit conclusions on the impact of interventions to modify sexual risk behaviour in homeless youth. More research is required. While the psychosocial and contextual factors that fuel sexual risk behaviours among homeless youth challenge stringent methodologies of RCT’s, novel ways for program delivery and trial retention are in need of development. Future trials should endeavour to comply with rigorous methodology in design, delivery, outcome measurement and reporting. PMID:21249691

  18. Housing emergencies and the etiology of homelessness among the urban elderly.

    PubMed

    Keigher, S M; Greenblatt, S

    1992-08-01

    This research examined factors that lead to homelessness and shelter placement of seniors. A purposive sample of 475 aged clients was selected randomly from the files of a citywide emergency service program, 45% of whom were found to have had serious housing-related problems. A subsample of 115 housing problem cases was investigated, including persons who had needed emergency shelter or temporary housing or been living in deteriorated housing. Assessment data from the OARS instrument and open-ended housing history questions were analyzed. Homelessness was found to be significantly associated with low income, dementia, living alone, and an unstable residential history. PMID:1427247

  19. Validation of KENO V.a Comparison with Critical Experiments

    Microsoft Academic Search

    1999-01-01

    Section 1 of this report documents the validation of KENO V.a against 258 critical experiments. Experiments considered were primarily high or low enriched uranium systems. The results indicate that the KENO V.a Monte Carlo Criticality Program accurately calculates a broad range of critical experiments. A substantial number of the calculations showed a positive or negative bias in excess of 1

  20. Authorization for VA Enrollment Certification Veteran Certification Office

    E-print Network

    Authorization for VA Enrollment Certification Veteran Certification Office Michigan State University 150 Administration Bldg East Lansing MI 48824 (517) 355-5032 As a Veteran or eligible person receiving benefits from the Department of Veteran Affairs, I understand that: 1. If my VA mailing address

  1. FORM VA-4 COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION

    E-print Network

    Buehrer, R. Michael

    FORM VA-4 COMMONWEALTH OF VIRGINIA DEPARTMENT OF TAXATION PERSONAL EXEMPTION WORKSHEET (See back the employee has claimed too many exemptions, notify the Department of Taxation, P.O. Box 1115, Richmond, Virginia 23218-1115, telephone (804) 367-8037. Signature Date VA DEPT OF TAXATION 2601064 REV 11/07 (b

  2. 48 CFR 853.215-70 - VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. 853...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA,...

  3. 48 CFR 853.215-70 - VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. 853...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA,...

  4. 48 CFR 853.215-70 - VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. 853...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA,...

  5. 48 CFR 853.215-70 - VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. 853...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA,...

  6. 48 CFR 853.215-70 - VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. 853...10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA. VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA,...

  7. Contracts and provider agreements for State home nursing home care. Interim final rule.

    PubMed

    2012-12-01

    This interim final rule amends Department of Veterans Affairs (VA) regulations to allow VA to enter into contracts or provider agreements with State homes for the nursing home care of certain disabled veterans. This rulemaking is required to implement a change in law that revises how VA will pay for care provided to these veterans and authorizes VA to use provider agreements to pay for such care. The change made by this law applies to all care provided to these veterans in State homes on and after February 2, 2013. PMID:23227571

  8. 78 FR 31840 - Safety Zone; USO Patriotic Festival Air Show, Atlantic Ocean; Virginia Beach, VA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ...Patriotic Festival Air Show, Atlantic Ocean; Virginia Beach, VA AGENCY...on the navigable waters of the Atlantic Ocean in Virginia Beach, VA. This...host an air show event over the Atlantic Ocean in Virginia Beach, VA. In...

  9. 78 FR 18425 - Proposed Information Collection VA Police Officer Pre-Employment Screening Checklist); Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ...Information Collection VA Police Officer Pre-Employment Screening...qualification and suitability as a VA police officer. DATES: Written comments...other forms of information technology. Title: VA Police Officer Pre-Employment...

  10. 76 FR 64236 - Establishment of Class E Airspace; New Market, VA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ...earth. * * * * * AEA VA E5 New Market, VA [New] New Market Airport, VA (Lat. 38[deg...a 14.8-mile radius of New Market Airport. Issued in College Park, Georgia, on October 4, 2011. Mark D. Ward, Manager,...

  11. Commitment and Compassion: Boston's Comprehensive Policy for the Homeless. Winter Report, December 1989.

    ERIC Educational Resources Information Center

    Emergency Shelter Commission, Boston, MA.

    The people of Boston made a commitment that no homeless person will be denied a bed, a meal, quality health care, and transportation to shelter during the winter of 1989-90. This commitment was difficult to fulfill due to a decline in services for the mentally ill, federal housing cutbacks, and an increase in the number of families living in…

  12. Learning To Hope: A Study of the Adult Education for the Homeless Program.

    ERIC Educational Resources Information Center

    Drury, Darrel; Koloski, Judy

    A comprehensive study of the Adult Education for the Homeless Program (AEH) was conducted using data from the following sources: program files; focus groups conducted with state project administrators; site visits to 9 local programs in 3 states; surveys of 32 state projects, 230 local programs, 588 service delivery sites, and 2,943 program…

  13. Child Care for Families Who Are Homeless: A Model of Comprehensive Early Childhood Services

    ERIC Educational Resources Information Center

    Rafanello, Donna

    2004-01-01

    A family, whom out of necessity due to a lack of housing, must reside in a shelter, motel, vehicle, campground, on the street, or doubled up with relatives or friends, is considered homeless. Poverty, lack of affordable housing, domestic violence, veteran status, mental illness, and addiction disorders are among the factors that contribute to…

  14. Direct Placement Versus Multistage Models of Supported Housing in a Population of Veterans Who Are Homeless

    Microsoft Academic Search

    Maria J. O’Connell; Wesley Kasprow; Robert Rosenheck

    2009-01-01

    This study presents information about two models of supported housing when combined with ready access to rent subsidies: a direct placement approach (where individuals are placed directly into independent housing from homelessness), and a multistage continuum approach (where individuals are placed first into a residential setting prior to independent housing). Using observational data from the national Housing and Urban Development–Veterans

  15. Assessing Health Care Needs Among Street Homeless and Transitionally Housed Adults

    Microsoft Academic Search

    Blake Barrett; Sondra J. Fogel; Jack Garrett; M. Scott Young

    2011-01-01

    This study examined the health services received and needed among homeless persons in Hillsborough County, FL (N = 823). Lifetime and current need and receipt of health services were assessed with a cross-sectional survey. Participants reported extensive lifetime and current needs for physical and behavioral health care services. Nearly a third of participants reported current unaddressed health problem(s); an inability

  16. "Good for Kids": Children Who Have Been Homeless Talk about School

    ERIC Educational Resources Information Center

    Moore, Tim; McArthur, Morag

    2011-01-01

    Children who experience homelessness are at risk of poor health and well-being, and negative social outcomes. They are often exposed to stressful life events, such as domestic violence, parental mental health difficulties and family breakdown. Although many experience difficulties in remaining engaged in school, children report that schools can…

  17. Service Content as a Determinant of Homeless Adults' Perceptions of Program Efficacy

    ERIC Educational Resources Information Center

    Sosin, Michael; George, Christine; Grossman, Susan

    2012-01-01

    This work analyzes the relationship between the services clients receive in treatment programs and client ratings of program efficacy. It relies on data from a random sample of clients served by Chicago's homelessness system (N = 554). Regressions utilizing that data suggest that ratings of program efficacy are positively predicted by program…

  18. Sexual Abuse as a Precursor to Prostitution and Victimization among Adolescent and Adult Homeless Women.

    ERIC Educational Resources Information Center

    Simons, Ronald L.; Whitbeck, Les B.

    1991-01-01

    Studied 40 adolescent runaways and 95 homeless women to examine impact of early sexual abuse on prostitution and victimization. Findings suggest that early sexual abuse increases probability of involvement in prostitution irrespective of influence of running away, substance abuse, and other deviant acts; only indirectly affects chances of…

  19. The Voices behind the Numbers: Understanding the Experiences of Homeless Students

    ERIC Educational Resources Information Center

    Mohan, Erica; Shields, Carolyn M.

    2014-01-01

    In a given year, approximately 1.6 million children in the United States experience homelessness, and research shows that their living conditions generally place these children at risk for educational underperformance and failure at school (Hall, 2007; Love, 2009). Although lack of education or low levels of education on the part of a head of…

  20. Assessment, Prevention, and Intervention Activities in a School-Based Program for Children Experiencing Homelessness

    ERIC Educational Resources Information Center

    Nabors, Laura A.; Weist, Mark D.; Shugarman, Ryan; Woeste, Michael J.; Mullet, Elizabeth; Rosner, Leah

    2004-01-01

    Children who experience homelessness are at increased risk for a range of health and mental health problems. In spite of this increased risk, they are often less likely to receive appropriate services. School-based programs offer considerable potential to reduce the gap between needs and appropriate services for these youth; however, there are few…

  1. Septicemia and Aortic Valve Endocarditis due to Erysipelothrix rhusiopathiae in a Homeless Man

    PubMed Central

    2013-01-01

    We report a case of bacterial endocarditis due to Erysipelothrix rhusiopathiae in a homeless man with no animal exposure. His course was complicated by an allergic reaction to ampicillin, urinary bladder infection, respiratory failure, and acute kidney injury. He recovered completely after aortic valve replacement and a 6-week course of intravenous ceftriaxone. PMID:23662222

  2. Child Abuse, Street Victimization, and Substance Use among Homeless Young Adults

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.; Melander, Lisa A.

    2015-01-01

    Although previous research documents high rates of child abuse, street victimization, and substance use among homeless youth, few studies have investigated these three constructs simultaneously, and thus little is known about how various forms of victimization are uniquely associated with substance use among this population. The purpose of this…

  3. Practical Lessons: The 1998 National Symposium on Homelessness Research (Arlington, Virginia, October 29-30, 1998).

    ERIC Educational Resources Information Center

    Fosburg, Linda B., Ed.; Dennis, Deborah L., Ed.

    In 1998, one decade after the Stewart B. McKinney Homeless Assistance Act was implemented and research results on the impacts of funding were becoming available, an evaluation of the effectiveness of fifteen programs, which included services such as emergency shelter, primary health care, and education, was needed This report presents 13 papers…

  4. The Homeless Social Studies Teacher: How Muzak Progressivism Has Harmed Social Studies Education

    ERIC Educational Resources Information Center

    Schug, Mark C.; Western, Richard D.

    2002-01-01

    In this article, the authors contend that progressive theory, in particular Muzak Progressivism, as it has been adapted and institutionalized in schools has created a class of homeless social studies teachers. They are the social studies teachers who love their disciplines and seek to reach their students through disciplinary instruction, not…

  5. Working with Homeless People: A Guide for Staff and Volunteers. Revised.

    ERIC Educational Resources Information Center

    Haus, Amy, Ed.

    The ad hoc network of shelters and related services that has been developed in an effort to meet the most critical needs of the homeless population is staffed by a wide spectrum of professionals and volunteers. Many of these individuals lack easy access to information, training, or resource materials to help them with their social services work.…

  6. Reaching the Hard to Reach: Innovative Housing for Homeless Youth through Strategic Partnerships

    ERIC Educational Resources Information Center

    Van Leeuwen, Jamie

    2004-01-01

    This article features three housing programs designed to target the needs of youth aging out of child welfare. One program combines housing and treatment to move substance-dependent youth off the streets; one combines the resources of Urban Peak, the only licensed homeless and runaway youth shelter in Colorado, with the Denver Department of Human…

  7. Lessons Learned from Children Who Have Experienced Homelessness: What Services Need to Know

    ERIC Educational Resources Information Center

    Moore, Tim; McArthur, Morag; Noble-Carr, Debbie

    2011-01-01

    Children who accompany their parents or guardians during a period of homelessness make up 37% (more than one in three) of all people accessing the Supported Accommodation Assistance Program (SAAP) services. This paper describes an Australian qualitative study that explored the experiences of children who accompanied their families during periods…

  8. Risk Factors for Human Lice and Bartonellosis among the Homeless, San Francisco, California, USA

    PubMed Central

    Cole-Porse, Charsey; Kjemtrup, Anne; Osikowicz, Lynn; Kosoy, Michael

    2014-01-01

    Homeless persons in San Francisco, California, USA, have been shown to have head and body lice infestations and Bartonella quintana infections. We surveyed a self-selected population of homeless persons in San Francisco to assess infestations of head and body lice, risks of having body lice, and presence of B. quintana in lice. A total of 203 persons who reported itching were surveyed during 2008–2010 and 2012: 60 (30%) had body lice, 10 (4.9%) had head lice, and 6 (3.0%) had both. B. quintana was detected in 10 (15.9%) of 63 body lice pools and in 6 (37.5%) of 16 head lice pools. Variables significantly associated (p<0.05) with having body lice in this homeless population included male sex, African–American ethnicity, and sleeping outdoors. Our study findings suggest that specific segments of the homeless population would benefit from information on preventing body lice infestations and louseborne diseases. PMID:25280380

  9. Risk factors for human lice and bartonellosis among the homeless, San Francisco, California, USA.

    PubMed

    Bonilla, Denise L; Cole-Porse, Charsey; Kjemtrup, Anne; Osikowicz, Lynn; Kosoy, Michael

    2014-10-01

    Homeless persons in San Francisco, California, USA,have been shown to have head and body lice infestations and Bartonella quintana infections. We surveyed a self selected population of homeless persons in San Francisco to assess infestations of head and body lice, risks of having body lice, and presence of B. quintana in lice. A total of 203 persons who reported itching were surveyed during 2008-2010 and 2012: 60 (30%) had body lice, 10 (4.9%)had head lice, and 6 (3.0%) had both. B. quintana was detected in 10 (15.9%) of 63 body lice pools and in 6 (37.5%)of 16 head lice pools. Variables significantly associated(p<0.05) with having body lice in this homeless population included male sex, African-American ethnicity, and sleeping outdoors. Our study findings suggest that specific segments of the homeless population would benefit from information on preventing body lice infestations and louse borne diseases. PMID:25280380

  10. Persons with Mental Illness Who Are Homeless or Missing: A Guide for Families

    MedlinePLUS

    ... report to be filed, you will need the person's full name, date of birth, and social security number. L. Shelters - There are public and private homeless shelters. Call your local Salvation Army, YWCA, YMCA, ... a list of those persons who have used the shelter and will usually ...

  11. Dimensionality of Thoughts of Death and Suicide: Evidence from a Study of Homeless Adolescents

    ERIC Educational Resources Information Center

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

    2008-01-01

    This study used data from a sample of 444 homeless adolescents to determine whether thoughts of death and suicide form one construct (unidimensionality) or two distinct but correlated constructs (multi-dimensionality). Thoughts of death and suicide were common in the sample; over two-thirds of the adolescents positively endorsed at least one of…

  12. ARRESTS AMONG HOMELESS AND RUNAWAY YOUTHS: THE EFFECTS OF RACE AND GENDER

    Microsoft Academic Search

    Kevin A. Yoder; Ed A. Muñoz; Les B. Whitbeck; Dan R. Hoyt; Barbara J. McMorris

    2005-01-01

    This study examined the contributions of race and gender to the likelihood of a first post-run arrest for a more serious and less serious offense in a sample of homeless and runaway youths from four Midwestern states. Event history analysis was used to test the hypothesis that race and gender would interact so that the likelihood of a first post-run

  13. Predictors of self?reported sexually transmitted diseases among homeless and runaway adolescents

    Microsoft Academic Search

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

    2000-01-01

    Path analysis was used to investigate factors associated with self?reported sexually transmitted diseases among 569 homeless and runaway adolescents in four Midwestern states. Youth were interviewed by outreach workers directly on the streets, in shelters, and in drop?in centers. Results indicated that family abuse was positively related to substance use, affiliation with friends who sold sex, and time on own.

  14. Comparing Suicide Attempters, Suicide Ideators, and Nonsuicidal Homeless and Runaway Adolescents.

    ERIC Educational Resources Information Center

    Yoder, Kevin A.

    1999-01-01

    Study considers variables that distinguish between attempters, ideators, and nonsuicidal youth in a sample of homeless and runaway adolescents. Analyses reveal five variables that best distinguish among the three groups: self-esteem, depression, physical abuse, sexual abuse, and having a friend who attempted suicide. Suggests that accumulation of…

  15. Let's Ask the Homeless People Themselves: A Needs Assessment Based on a Probability Sample of Adults

    Microsoft Academic Search

    Olga Acosta; Paul A. Toro

    2000-01-01

    A probability sample of 301 homeless adults from Buffalo, NY, was followed over 6 months to document the utilization of a variety of community services, examine services desired, and identify factors associated with service utilization, preference, and satisfaction. The following needs were all rated as at least equally important as the need for affordable housing: safety, education, transportation, medical\\/dental treatment,

  16. Motivation to stop substance use and psychological and environmental characteristics of homeless women

    Microsoft Academic Search

    Adeline Nyamathi; Douglas Longshore; Elisha R. Galaif; Barbara Leake

    2004-01-01

    Characteristics associated with wanting to permanently quit their alcohol, cocaine or heroine use were examined in 748 homeless women. Only a third of Latinas wanted to stop using alcohol; they were also at relatively high risk for continued heroine use. Recognition that their substance use was an extremely serious problem was a consistent predictor of wanting to quit substance use.

  17. Evaluating the Effects of Self-Esteem on Substance Abuse among Homeless Men

    ERIC Educational Resources Information Center

    Malcolm, Barris P.

    2004-01-01

    Associations between self-esteem and abuse of alcohol and psychoactive substances have been documented in empirical studies involving high school and college students. No research exists that addresses whether this association generalizes to adult homeless substance users. The current study uses secondary data analysis methodology to evaluate an…

  18. Wait a minute.Africa? Working with homeless children? That doesn't sound like biology.

    E-print Network

    Young, Paul Thomas

    . Facts Roughly 100 biology and marine biology students conduct hands-on research each year. All biologyWait a minute.Africa? Working with homeless children? That doesn't sound like biology. Welcome. For Nicholas, majoring in biology has been an adventure. He started with an interest in pre-med, but over time

  19. The Relationship between Childhood Sexual Abuse and Sexual Health Practices of Homeless Adolescents

    ERIC Educational Resources Information Center

    Johnson, Regina Jones; Rew, Lynn; Sternglanz, R. Weylin

    2006-01-01

    This study explored the gender differences in sexual self-concept, personal resources for sexual health, safe sex behaviors, and risky sexual behaviors among homeless adolescents with and without histories of sexual abuse. Data for this secondary analysis were collected in 2003 to 2004 in the first phase of a larger repeated-measures sexual health…

  20. Correlates of Engaging in Survival Sex among Homeless Youth and Young Adults

    Microsoft Academic Search

    N. Eugene Walls; Stephanie Bell

    2010-01-01

    Using a sample of 1,625 homeless youth and young adults aged 10 to 25 from 28 different states in the United States, this study examines the correlates of having engaged in survival sex. Findings suggest that differences exist based on demographic variables (gender, age, race, and sexual orientation), lifetime drug use (inhalants, Valium™, crack cocaine, alcohol, Coricidin™, and morphine), recent

  1. Foster Care Placement, Poor Parenting, and Negative Outcomes among Homeless Young Adults

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.; Melander, Lisa A.

    2010-01-01

    Although homeless youth with and without foster care histories both face adverse life circumstances, little is known about how these two groups compare in terms of their early histories and whether they face similar outcomes. As such, we compared those with and without a history of foster care placement to determine if the associations between a…

  2. Survival on the Streets: Experiences of the Homeless Population and Constructive Suggestions for Assistance

    ERIC Educational Resources Information Center

    McBride, Rebecca G.

    2012-01-01

    This phenomenological study explored the experiences and needs of 11 individuals of the homeless population. Results revealed 5 themes: need for employment, perceptions of needs, perceptions of programs and shelters, coping mechanisms, and perceptions of treatment. Counseling implications for practice are discussed.

  3. Homeless African American Women's Interpretations of Child Abuse as an Antecedent of Chemical Dependence.

    ERIC Educational Resources Information Center

    Trull, Loree A.; Carroll, Jane J.

    1999-01-01

    Examined how homeless African American women who have been professionally assessed and who self-report to be dependent on alcohol and other drugs make sense of their becoming chemically dependent. Found that interviewees perceived childhood physical, sexual, and psychological abuse and neglect to be among the antecedents to their chemical…

  4. Children in Crisis: A Report on Runaway and Homeless Youth in Alaska.

    ERIC Educational Resources Information Center

    Alaska State Dept. of Health and Social Services, Juneau. Div. of Family and Youth Services.

    Participants, at a conference convened by the Division of Family and Youth Services in Alaska on November 7th and 8th, 1991, began the development of a framework for a statewide plan for runaway and homeless youth. With the assistance of Division staff and the Northwest Network of Runaway and Youth Services, over 100 professionals and citizens…

  5. Contrasting a shelter and day center for homeless mentally Ill women: four patterns of service use

    Microsoft Academic Search

    Christine Grella

    1994-01-01

    This article examines a model of service delivery for homeless mentally ill women, a combined day center and shelter program. Using data from participant observation and in-depth interviews with 21 clients, four patterns of day center and shelter use are delineated. Overall, few women from the day center make the transition to the shelter, and then to permanent housing and

  6. Empowering the Parent-Child Relationship in Homeless and Other High-Risk Parents and Families

    ERIC Educational Resources Information Center

    Swick, Kevin J.

    2008-01-01

    High quality parent-child relations are essential to healthy development and learning in children. Homeless families experience many barriers to realizing the needed bonding and nurturance for having healthy relationships. This article explores the obstacles to the development of nurturing parent-child relations and offers strategies for…

  7. "Not" Going It Alone: Public Writing, Independent Media, and the Circulation of Homeless Advocacy

    ERIC Educational Resources Information Center

    Mathieu, Paula; George, Diana

    2009-01-01

    This article argues that the teaching of public writing should not neglect issues of circulation and local need. In a series of case studies involving small press papers and homeless advocacy, the authors seek to extend recent work begun by Susan Wells, John Trimbur, and Nancy Welch, which raises crucial questions about public rhetoric in the…

  8. New Visions of Me: Finding Joy in Recovery With Women Who Are Homeless

    Microsoft Academic Search

    Martha Staeheli Lawless; Michael Rowe; Rebecca Miller

    2009-01-01

    Shifting from a problem-based system of supports for those who are experiencing co-occurring substance and mental health disorders, there has been an increased need to explore the importance of fun, play, and pleasure's role in recovery. The following article describes an innovative intervention, New Visions of Me, with women in New Haven, Connecticut, who have experienced homelessness and dual disorders

  9. Development of an Occupational Therapy Practice Perspective in a Homeless Shelter: A Fieldwork Experience.

    ERIC Educational Resources Information Center

    Heubner, Joanne; Tryssenaar, Joyce

    1996-01-01

    An occupational therapy student's journal describes a clinical experience in a homeless shelter. Key themes were residents' search for meaning in life and the student's search for meaning in the therapist role; the importance of rapport; and residents' innate drive toward purposeful activity, which the student was able to address. (SK)

  10. Necessary Relief: The Stewart B. McKinney Homeless Assistance Act.

    ERIC Educational Resources Information Center

    Akins, Julie

    Despite the positive contributions of the 1987 Stewart B. McKinney Homeless Assistance Act (the McKinney Act), Federal emergency aid has failed to keep pace with the growing need for assistance. Less than one year after the passage of the McKinney Act, progress has been made toward meeting the emergency need for food, shelter, and health care…

  11. Comparison of risk factors for ill health in a sample of homeless and nonhomeless poor.

    PubMed Central

    Winkleby, M A

    1990-01-01

    This cross-sectional survey was undertaken to examine whether the homeless poor have a higher prevalence of risk factors for ill health than the nonhomeless poor. Seventy-one adults in four age groups who attended a free-meal program in northern California were recruited during a 1-month period in 1987. The majority of the respondents lived on the streets, in vehicles, or in substandard housing located in an area undergoing rapid urban redevelopment. Regardless of employment or government assistance, the income of 100 percent of the respondents fell below the Federal poverty level. Overall, the sociodemographic profile of the study population was remarkably similar to that of the general population of California adults. Sixty-six percent had completed high school, 78 per cent had lived in the city for 5 or more years and, at most, 23 percent reported serious alcohol or emotional problems. When compared with the nonhomeless poor, the homeless poor were slightly less educated, more mobile, and more likely to report alcohol and emotional problems. Larger differences were evident for health-related variables, with the homeless poor being significantly less likely to have health insurance coverage, to receive preventive health care, and to be nonsmokers than the nonhomeless poor (P values less than .05). There were also large differences in access to heated rooms, running hot water, and cooking facilities, with approximately 90 percent of the homeless poor reporting no access to these fundamental necessities. PMID:2116644

  12. Discrepancies in Reporting of Physical and Sexual Abuse among Homeless Young Adults

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.; Melander, Lisa A.

    2009-01-01

    This study investigated risk factors for discrepant reporting of physical and sexual abuse among 172 homeless young adults. Discrepant reporting includes situations in which a respondent denies experiencing abuse in general but reports being a victim of specific forms of maltreatment. The results revealed that discrepant reporting rates tended to…

  13. Measuring Homelessness and Residential Stability: The Residential Time-Line Follow-Back Inventory

    ERIC Educational Resources Information Center

    Tsemberis, Sam; McHugo, Gregory; Williams, Valerie; Hanrahan, Patricia; Stefancic, Ana

    2007-01-01

    Reliable and valid longitudinal residential histories are needed to assess interventions to reduce homelessness and increase community tenure. This study examined the test-retest reliability, sensitivity to change, and concurrent validity of the Residential Time-Line Follow-Back (TLFB) Inventory, a method used to record residential histories in…

  14. The Educational Success of Homeless Youth in California: Challenges and Solutions

    ERIC Educational Resources Information Center

    Julianelle, Patricia F.

    2007-01-01

    The California Research Bureau (CRB), in participation with the California Council on Youth Relations (CCYR), and with support from The California Wellness Foundation, has been conducting a major research and policy initiative to bring attention to the issues facing homeless youth in California. These include lack of shelter and educational…

  15. A Status Report on Hunger and Homelessness in America's Cities: 1988. A 27-City Survey.

    ERIC Educational Resources Information Center

    Waxman, Laura DeKoven; Reyes, Lilia M.

    In 1988 officials in 27 major cities were surveyed on the following topics: (1) ability to meet demand for emergency food assistance and shelter; (2) causes and demographics of hunger and homelessness; (3) status of low-income housing; and (4) outlook for 1989. Summary findings included the following: (1) demand for emergency food assistance…

  16. A Qualitative Study of Early Family Histories and Transitions of Homeless Youth

    ERIC Educational Resources Information Center

    Tyler, Kimberly A.

    2006-01-01

    Using intensive qualitative interviews with 40 homeless youth, this study examined their early family histories for abuse, neglect, and other family problems and the number and types of transitions that youth experienced. Multiple forms of child maltreatment, family alcoholism, drug use, and criminal activity characterized early family histories…

  17. The Economic Crisis Hits Home: The Unfolding Increase in Child & Youth Homelessness

    ERIC Educational Resources Information Center

    Duffield, Barbara; Lovell, Phillip

    2008-01-01

    While the economic downturn has appropriately become the top priority of policy makers, one element of the crisis has gone largely unnoticed: its impact on children and youth. Largely due to the economic and housing crises, many school districts across the country report increases in the number of homeless students in the classroom. "The Economic…

  18. The Real Cost of Linking Homeless Young People to Employment, Education and Training

    ERIC Educational Resources Information Center

    Broadbent, Robyn

    2008-01-01

    This article explores the implementation of the Victorian Youth Employment, Education and Training Initiative (YEETI). This statewide initiative delivered brokerage funds to homeless young people through their housing advocates. One of the findings of the project was that the main barrier to young people achieving a stable continuum in their lives…

  19. The longitudinal association between homelessness, injection drug use, and injection-related risk behavior among persons with a history of injection drug use in Baltimore, MD

    PubMed Central

    Linton, Sabriya L.; Celentano, David D.; Kirk, Gregory D.; Mehta, Shruti H.

    2013-01-01

    Background Few studies have assessed the temporal association between homelessness and injection drug use, and injection-related risk behavior. Methods Among a cohort of 1,405 current and former injection drug users in follow-up from 2005–2009, we used random intercept models to assess the temporal association between homelessness and subsequent injection drug use, and to determine whether the association between homelessness and sustained injection drug use among active injectors differed from the association between homelessness and relapse among those who stopped injecting. We also assessed the association between homelessness and subsequent injection-related risk behavior among participants who injected drugs consecutively across two visits. Homelessness was categorized by duration: none, <1 month, and ?1 month. Results Homelessness was reported on at least one occasion by 532 (38%) participants. The relationship between homelessness and subsequent injection drug use was different for active injectors and those who stopped injecting. Among those who stopped injecting, homelessness was associated with relapse [<1 month: AOR=1.67, 95% CI (1.01, 2.74); ?1 month: AOR=1.34 95% CI (0.77, 2.33)]. Among active injectors, homelessness was not associated with sustained injection drug use [<1 month: AOR=1.03, 95% CI (0.71, 1.49); ?1 month: AOR=0.81 95% CI (0.56, 1.17)]. Among those injecting drugs across two consecutive visits, homelessness ?1 month was associated with subsequent injection-related risk behavior [AOR=1.61, 95% CI (1.06, 2.45)]. Conclusion Homelessness appears to be associated with relapse and injection-related risk behavior. Strengthening policies and interventions that prevent homelessness may reduce injection drug use and injection-related risk behaviors. PMID:23578590

  20. Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults.

    PubMed

    Vijayaraghavan, Maya; Pierce, John P

    2015-08-01

    Homeless adults have among the highest rates of cigarette smoking. Few studies have explored the potential of smoke-free policies as facilitators of smoking cessation or harm reduction among sheltered homeless adults. We focused on clients of a homeless shelter in San Diego, California. The facility prohibited smoking indoors and outdoors within five blocks of the building, and permitted smoking during four smoking breaks during the day in designated smoking zones away from the building. Current and former smokers who were residents of the facility were interviewed on smoking behaviors and attitudes toward these policies. Of the 170 ever smokers, 75.3 % were current smokers. The average daily cigarette consumption was 6.6 cigarettes per day (SD 4.3). More than half of the participants (57.8 %) attempted to quit smoking in the past year. Of the current smokers, three-fourths agreed that the facility policies were associated with their reduced consumption, and about half agreed that the policies were associated with either making a quit attempt or getting ready to quit completely. Sixty percent agreed that further restrictions on smoking, beyond the current policies, would be associated with increased interest in quitting smoking completely. Less than 10 % agreed that they were unhappy to stay in the facility because of the policies. Findings suggest that smoke-free policies may not influence occupancy rates in shelters serving clientele with high rates of cigarette smoking. Smoke-free policies in homeless service settings present an important and un-tapped opportunity to reduce smoking behaviors among homeless adults. PMID:25559109