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JOURNAL NAME: Trials
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

There is a critical need for objective data to guide effective health promotion and care for homeless populations. However, many investigators exclude homeless populations from clinical trials due to practical concerns about conducting research with this population. This report is based on our experience and lessons learned while conducting two large NIH-funded randomized controlled trials targeting smoking cessation among persons who are...

JOURNAL NAME: Studies in health technology and informatics
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

Efforts are underway to understand recent increases in emergency department (ED) use and to offer case management to those patients identified as high utilizers. Homeless Veterans are thought to use EDs for non-emergent conditions. This study identifies the highest users of ED services in the Department of Veterans Affairs and provides descriptive analyses of these Veterans, the diagnoses for which they were seen in the ED, and differences...

JOURNAL NAME: The American Journal on Addictions
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background and Objectives

Homeless women have shown high rates of substance use disorders (SUD), but many studies are more than a decade old, limited in geographic location, or focus only on women living outdoors or in shelters. The purpose of this study was to obtain a more current and representative sample of homeless women and the prevalence and predictors of substance use disorders among women seeking primary care at Health Care for the...

ORGANIZATION: McMaster University – Niagara Campus
RESOURCE TYPE: Report
PUBLICATION DATE: 2017

The HEART project demonstrated that there are significant challenges to healthcare for the homeless in the Niagara Region, especially with regard to access and discharge from hospitals, adequate and comprehensive psychiatric and mental health services across service providers, and availability and continuity of care from family doctors. The regional health system, community health leaders, social service agencies, and other stakeholders...

ORGANIZATION: Homeward Trust Edmonton; City of Edmonton
RESOURCE TYPE: Community Plan
PUBLICATION DATE: 2017

Although Edmonton has made strong progress against the targets of the original 10 Year Plan, some areas were not resourced to the level that the Plan required. For example, the original Plan called for 1,000 new units of permanent supportive housing, but only about 200 units have been added.

Today, we have a better understanding than ever before about the scope of homelessness in our community, and what is required to end it. This is a...

JOURNAL NAME: Drug and Alcohol Dependance
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background

We evaluated cognitive function and factors associated with cognitive impairment in a cohort of older homeless adults. We hypothesized that substance use and a history of traumatic brain injury would be associated with cognitive impairment.

Methods

We recruited 350 homeless individuals aged ≥50 years using population-based sampling and conducted structured interviews and neuropsychological testing. We evaluated alcohol use...

JOURNAL NAME: Health Services Research
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Objective

To design and test the validity of a method to identify homelessness among Medicaid enrollees using mailing address data.

Data Sources/Study Setting

Enrollment and claims data on Medicaid expansion enrollees in Hennepin and Ramsey counties who also provided self-reported information on their current housing situation in a psychosocial needs assessment.

Study Design

Construction of address-based indicators and...

RESOURCE TYPE: Thesis/Dissertation
PUBLICATION DATE: 2017

Individuals from all segments of society are affected by homelessness – the old and young, men and women, single individuals and families. The majority of individuals will experience homelessness only on a short-termed basis. However, about 10-20% will experience homelessness for years. Although, the chronically homeless represent only a fraction of the total homeless population, they utilize the majority of resources available. Current...

JOURNAL NAME: European Psychiatry
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Introduction

There exists a great number of empirical studies which refer as causes of homelessness not only individual factors such as mental disorders or addictions, but also structural factors such as poverty rates or unemployment.

Objective

To describe the evolution of the prevalence of homelessness in Girona from 2006 to 2015, and compare it with the evolution of unemployment in the same region.

Methods

The absolute...

JOURNAL NAME: Social Sciences
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

This article offers a provocative look at practices of false compliance that homeless gender-based violence survivors employ to withstand the personal and structural violence they experience. The article explores how the three instrumentations of disorder, evasion, and subterfuge are used by survivors as forms of veiled resistance, as well as locations that exhibit their agency. Featuring stories from a series of in-depth interviews, the...

JOURNAL NAME: European Psychiatry
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Introduction

Homelessness is a problem which affects all the areas of those who suffer it, affecting their health seriously. These risks increase when the affected person has carried out a migratory process. Another risk factor, apart from immigration, is to be woman.

Objectives

To analyse the gender demographic differences in a total cohort of homeless people in the city of Girona in 2006 and continued until the present day.

...
RESOURCE TYPE: Report
PUBLICATION DATE: 2017

Although great strides have been made in reducing the homeless population in the United States, in January 2015 there were still over 549,000 people who were counted as homeless on one night. A variety of homeless assistance responses exist, ranging from emergency shelters to supportive permanent housing. However the response is not quick enough. In some cities, communities have taken it upon themselves to build tiny house villages as a cost-...

JOURNAL NAME: Public Health Nursing
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

The United States Department of Housing and Urban Development estimates that almost 50,000 veterans are homeless on any given night. Homeless veterans are at greater risk of health disparities than their housed counterparts due to the multifactorial nature of their health and social needs. The Department of Veterans Affairs, in collaboration with more than a dozen other federal agencies, has concentrated efforts to improve the health of this...

JOURNAL NAME: Education and Urban Society
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

This article highlights McKinney-Vento awareness and implementation as experienced and understood by unaccompanied youth facing housing instability and the adults charged with its implementation in schools. A qualitative inquiry was used to capture the perspectives of youth experiencing housing instability as they navigated a large urban school district in the Midwest. Research observations and the perspectives of six unaccompanied unstably...

JOURNAL NAME: Addiction
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background and Aims

Evidence supports the effectiveness of Housing First (HF) programs for people who are experiencing homelessness and mental illness; however, questions remain about its use in people with comorbid substance use disorders (SUD). The aim of this project was to test whether SUD modifies the effectiveness of an HF intervention.

Design

Secondary analysis of data from a randomized controlled trial of HF versus treatment-...

JOURNAL NAME: Palliative Medicine
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background

Being homeless or vulnerably housed is associated with death at a young age, frequently related to medical problems complicated by drug or alcohol dependence. Homeless people experience high symptom burden at the end of life, yet palliative care service use is limited.

Aim

To explore the views and experiences of current and formerly homeless people, frontline homelessness staff (from hostels, day centres and outreach teams...

JOURNAL NAME: Journal of Urban History
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

In the 1980s, visible homelessness became one of the most pressing problems in New York City. While most New Yorkers expressed sympathy for the homeless, many of them also resisted efforts to site shelters and service facilities in their neighborhoods. But far from being simply a case of NIMBY (not-in-my-back-yard) sentiment, protests over the placement of these facilities arose in the context of decades-long neighborhood movements against...

JOURNAL NAME: Voices: A World Forum for Music Therapy
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

While music therapists have worked with families experiencing poverty, little literature exists concerning music therapy with this population. The purpose of this study was to gain an understanding of the experiences and perspectives of board-certified music therapists who work with families experiencing poverty. Five board-certified music therapists who are currently or have previously worked in settings that primarily served families...

JOURNAL NAME: Children and Youth Services Review
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

Parental neglect is a major reason, in English-speaking countries, for the removal of children from their parents. The connection between child removal, neglect and poverty has historically always been a factor in policies on neglected children. This article is an historical analysis of the association between interventions for neglect and attitudes to poverty in English speaking countries, with reference to specific countries by way of...

JOURNAL NAME: Current Oncology
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

Cancer is among the leading causes of death for homeless adults. Compared with the general population, homeless people experience alarmingly high rates of mortality from cancer. Significant disparities are recognized to exist in cancer risk factors, screening, diagnosis, and treatment for homeless people. What is less evident—perhaps even slightly invisible to the public eye, and even to the eyes of the health care community—is what happens...

ORGANIZATION: Nelson Committee on Homelessness
RESOURCE TYPE: Report Card
PUBLICATION DATE: 2017

This Report Card focuses on mental health and substance use issues: who is affected, causes, the connections between mental health problems and substance use and their relationship to homelessness, and how the community is working to address these issues and the rising opioid crisis.

It explores the lives of people in our community living with these issues and the stigma they feel and the barriers they face – in their daily lives,  ...

JOURNAL NAME: European Journal of Homelessness
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Articles

Reconsidering Gender in Homelessness

Joanne Bretherton

Dynamics of Evictions: Results from a Swedish Database

Cecilia von Otter, Olof Backman, Sten-Ake Stenbery & Carin Qvarfordt Eisenstein

...

RESOURCE TYPE: Report
PUBLICATION DATE: 2017

A growing body of research lays bare the overrepresentation of lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth in the juvenile justice system in the United States. As shown in the infographic on the next page, LGBTQ and gender non-conforming youth are overrepresented in juvenile detention and correctional facilities in the juvenile system: the percentage of incarcerated LGBT youth is double that of LGBTQ youth in the general...

JOURNAL NAME: PloS one
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Objective

No previous experimental trials have investigated Housing First (HF) in both scattered site (SHF) and congregate (CHF) formats. We hypothesized that CHF and SHF would be associated with a greater percentage of time stably housed as well as superior health and psychosocial outcomes over 24 months compared to treatment as usual (TAU).

Methods

Inclusion criteria were homelessness, mental illness, and high need for support....

JOURNAL NAME: Journal of Applied Gerontology
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

People who become homeless for the first time in late life are a growing but understudied population. This study draws on administrative data from one shelter (N = 1,214 first-time homeless) to assess the extent to which age is related to shelter stay and, to examine psychosocial factors that may be associated with shelter departure. Our bivariate and survival analysis results suggest that older homeless men stay in the shelter 2 weeks longer...

JOURNAL NAME: The Canadian Journal of Psychiatry
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Purpose

Housing First (HF) has been shown to improve housing stability, on average, for formerly homeless adults with mental illness. However, little is known about patterns of change and characteristics that predict different outcome trajectories over time. This article reports on latent trajectories of housing stability among 2140 participants (84% followed 24 months) of a multisite randomised controlled trial of HF.

Methods

Data...

JOURNAL NAME: Administration and policy in mental health
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

Individual placement and support (IPS) has not been tested experimentally among people recently housed with a scattered-site Housing First program. Ninety recently housed people were randomized to IPS or usual services. Regression models estimated via GEE were used to compare employment outcomes. Over 8 months of follow-up with good fidelity, fifteen (34 %) people in the IPS group versus nine (22 %) in the control group found competitive...

JOURNAL NAME: PLoS ONE
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background

Little is known about homeless patients in intensive care units (ICUs).

Objectives

To compare clinical characteristics, treatments, and outcomes of homeless to non-homeless patients admitted to four ICUs in a large inner-city academic hospital.

Methods

63 randomly-selected homeless compared to 63 age-, sex-, and admitting-ICU-matched non-homeless patients.

Results

Compared to matched non-homeless, homeless...

JOURNAL NAME: Psychological and Socio-medical Aspects of AIDS/HIV
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017

While risky sexual behaviours related to illicit drug use among street youth have been explored, the impacts of alcohol use have received less attention. This longitudinal study examined hazardous alcohol use among a population of street-involved youth, with particular attention to sexual and drug-related risk behaviours. Data were derived from the At-Risk Youth Study, a prospective cohort of street-involved youth in Vancouver, Canada. The...

JOURNAL NAME: Journal of Occupational Science
RESOURCE TYPE: Journal
PUBLICATION DATE: 2017
Background

Chronic homelessness is a growing problem in many Western nations. Few studies have explored the occupations of chronically homeless persons, and most of this research has sampled from large metropolitan areas.

Purpose

This research sought to explicate the meaning and experience of occupational engagement for homeless persons in a mid-sized urban context.

Method 

Interpretive phenomenology informed qualitative...

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