Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing – 2018

Objectives. To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. Methods. We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families

Determinants of Unmet Mental Healthcare Needs of Single Adults Who Are Homeless or Vulnerably Housed – 2018

Persons who are homeless experience higher levels of mental illness, unmet mental healthcare needs, and physical healthcare needs than the general population. This study aimed (1) to determine the reasons contributing to having unmet mental healthcare needs (UMHCN) and (2) to examine the determinants of UMHCN among a representative sample

The prevalence of autistic traits in a homeless population – 2018

Anecdotal evidence suggests that autistic people experience an elevated risk of homelessness, but systematic empirical research on this topic is lacking. As a step towards filling this gap in knowledge, we conducted a preliminary investigation of the prevalence of Diagnostic and Statistical Manual of Mental Disorders (5th ed.) autism symptoms

Perspectives of a tailored lifestyle program for people with severe mental illness receiving housing support – 2018

Abstract 1 Purpose The purpose of the present study was to describe the acceptability of the lifestyle program PHYS/CAT and to get information about the tools used for assessment of functional exercise capacity, cognitive performance, and self‐health‐related quality of life. 2 Design and Methods The findings are based on focus

Explaining excess morbidity amongst homeless shelter users: A multivariate analysis for the Danish adult population – 2018

Aims: This article analyses excess morbidity amongst homeless shelter users compared to the general Danish population. The study provides an extensive control for confounding and investigates to what extent excess morbidity is explained by homelessness or other risk factors. Methods: Data set includes administrative micro-data for 4,068,926 Danes who were

Housing versus treatment first for supportive housing participants with substance use disorders: A comparison of housing and public service use outcomes – 2018

Background: Homeless persons with substance use disorders (SUD) have high disease risk, poor access to healthcare, and are frequent users of Medicaid and other social services. Low-demand supportive housing with no prerequisites for treatment or sobriety has been shown to improve housing stability and decrease public service use for chronically

Controlling Homeless People? Power, Interventionism and Legitimacy – 2018

There is intense debate over the legitimacy of interventions which seek behavioural change on the part of street homeless people. ‘Hard’ measures, such as arresting people for begging, are particularly controversial, but ‘softer’ interventions such as motivational interviewing have also prompted objections on grounds that they are paternalistic. At the

An investigation of predictors of mental health in single men and women experiencing homelessness in three Canadian cities – 2018

Homelessness is related to poorer mental health, yet, there is limited understanding of the predictors of mental health of men and women experiencing homelessness. To support service providers in identifying individuals who might be at particular risk of poor mental health, this study investigated the predictors of mental health in

Understanding Systems Change in Early Implementation of Housing First in Canadian Communities: An Examination of Facilitators/Barriers, Training/Technical Assistance, and Points of Leverage – 2018

We present interim findings of a cross-site case study of an initiative to expand Housing First (HF) in Canada through training and technical assistance (TTA). HF is an evidence-based practice designed to end chronic homelessness for consumers of mental health services. We draw upon concepts from implementation science and systems

Sheltering risks: Implementation of harm reduction in homeless shelters during an overdose emergency – 2018

Background The current opioid overdose crisis in North America is heightening awareness of the need for and the challenges of implementing harm reduction, notably within complex and diverse settings such as homeless shelters. In this paper, we explore the implementation of harm reduction in homeless shelters during an emerging overdose

Changes in the health status of newly housed chronically homeless: the Alaska Housing First program evaluation – 2018

The Housing First (HF) model is an evidence-based supportive housing initiative that provides permanent housing for the homeless without preconditions such as sobriety or treatment compliance. This three-year longitudinal study investigated the effects of Alaska’s inaugural Housing First projects in Anchorage and Fairbanks on local service usage, costs and tenant

From long-term homelessness to stable housing: investigating ‘liminality’ – 2018-01

This paper uses the term ‘liminality’ to refer to the experience of feeling like an outsider when people are transitioning from one housing status (long-term homelessness) to another (housed). Three dimensions of liminality are identified: ‘material’, ‘relational’ and ‘psychological’. The material dimension covers how people feel about their housing and

Supported housing for adults with psychiatric disabilities: How tenants confront the problem of loneliness – 2017

The objective of this study was to examine the experience of loneliness among people with psychiatric disabilities after moving from custodial housing, including group homes, boarding homes, and family-type residences to independent, supported apartments in the community. Qualitative research methods guided by a naturalistic/constructivist framework were used. Data collection occurred

Coping and resilience among ethnoracial individuals experiencing homelessness and mental illness – 2018

Background: The multiple challenges that ethnoracial homeless individuals experiencing mental illness face are well documented. However, little is known about how this homeless subpopulation copes with the compounding stressors of racial discrimination, homelessness and mental illness. Aims: This study is an in-depth investigation of the personal perceived strengths, attitudes and