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

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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

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Changing the method of working with homeless people: a photovoice project in Italy – 2018

In Italy, many organizations are experimenting with the Housing First (HF) model to promote a change in how they work with homeless people. This change creates some difficulties, especially in promoting freedom of choice in people involved in the HF programs. This study explored the definition of “home” in homeless

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Content Analysis of Advantages and Disadvantages of Drinking Among Individuals With the Lived Experience of Homelessness and Alcohol Use Disorders – 2018

Background: Alcohol use disorders (AUDs) are more prevalent among people who are homeless than in the general population. Thus, homeless individuals experience disproportionately high levels of alcohol-related problems and associated publicly funded criminal justice and healthcare system utilization. Available treatment services, however, are not effective at engaging and treating this

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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

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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

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Coping and resilience among ethnoracial individuals experiencing homelessness and mental illness – 2018-01-01

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

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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

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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

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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

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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

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Health-care system failed Ottawa man, judge says – CBC – 2018-02-16

An Ottawa judge released a mentally ill man from custody Friday, saying he had languished in jail for five months because the healthcare system failed to find him a secure home. Justice Peter Doody of the Ontario Court of Justice made the comments during Kevin Coleman’s sentencing. “The health system

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Homelessness as a predictor of mortality: an 11-year register-based cohort study – 2018

Purpose The purpose of this study was to examine the association between homelessness and psychiatric disorders, including substance use disorders, on one hand, and cause-specific and all-cause mortality on the other in a high-income country. Methods A historical nationwide register-based cohort study of the Danish population from 15 years of

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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

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Landlord Engagement Toolkit: A Guide to Working with Landlords in Housing First Programs (Print and Video) – 2018-01-17

Landlord Engagement Toolkit: A Guide to Working with Landlords in Housing First Programs (Print and Video) https://workspaceonhomelessness.ca/hps/resources/hps__spli/hps_english/landlord_toolkit_eng_webpdf The Community Workspace on Homelessness 2018-01-17

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Launching the first comprehensive mental health and addictions resource for homeless youth service providers – 2018-01-18

It was in lower Manhattan nearly 15 years ago that a young woman experiencing “houselessness,” as she described it, gave me a copy of the piece of art that is below. She used it to tell me about her experience and wanted me to share it with others. It describes

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Mental Health & Addictions Interventions for Youth Experiencing Homelessness: Practical Strategies for Front-line Providers – 2018-01

Young people experiencing homelessness face many forms of extreme adversity including high rates of mental health and addiction challenges. These challenges lead to high mortality rates and increase the risk of chronic homelessness. In turn, the health service systems and providers in most settings are poorly equipped and resourced to

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On the Frontlines: Perspectives of Providers Working With Homeless Women – 2018

Homeless service providers (HSPs) are on the frontlines of caring for the most vulnerable populations to help them navigate out of homelessness and access health and social services. The purpose of this qualitative study was to understand, from the perspectives of HSPs (N = 19; age range, 27-58 years; SD

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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

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Preventing Homelessness for System-Involved Youth – 2018

Too many youth and young adults find themselves on the streets, couch-surfing with friends, in emergency shelters or worse, after exiting the child welfare and juvenile justice systems. In some circumstances, youth have had court hearings until their exit from the legal system, but those hearings have not focused on

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Remote care communities: healthcare housing for the chronically homeless – 2018

The connection between housing and health is well documented; nowhere, this link clearer than with the chronically homeless. To improve population health and reduce costs, healthcare systems have a great incentive to house their chronically homeless patients. However, current healthcare payment models coupled with the high cost of building and

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Seeking Supportive Housing: Characteristics, Needs and Outcomes of Applicants to The Access Point – 2018

Supportive housing is the key to ending chronic homelessness, and provides a stable foundation for people living with mental illness or addictions. In Toronto, people apply for this housing through The Access Point, a community agency that works with housing providers. More than 14,000 people are on this waiting list.

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Serious Mental Illness and Homelessness: Background Paper – 2016-09

People with untreated serious mental illness comprise an estimated one-third of the total homeless population in the United States and an even higher percentage of women and individuals who are chronically homeless. In major cities from New York to San Diego, homeless people with severe mental illness are now an

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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

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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

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