How is participation related to well-being of homeless people? An explorative qualitative study in a Dutch homeless shelter facility

The majority of homeless people is socially excluded which negatively affects their well-being. Therefore, participation-based programs are needed. The current research is conducted within a Dutch homeless shelter facility that offers educational, recreational, and labor activities to clients in an environment which is designed to feel safe (an enabling niche). The main aim of these activities is to facilitate social participation. We conducted two qualitative studies consisting of 16 semi-structured interviews, to explore clients’ experiences with participation in activities in relation to their well-being. The findings showed that clients experienced that participation had led to an improvement of physical, social, and mental well-being. In general, clients reported that due to participation in activities they have strengthened their social support network, improved their (mental and physical) health, self-esteem and personal growth. We concluded that in order to facilitate long-term positive outcomes of participation in practice, it is necessary to focus on group cohesion, and on the social worker’s behavior and attitude.     

Trading sex: voluntary or coerced? The experiences of homeless youth

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 both through service agencies and through street outreach. The findings revealed that approximately 1/3 of the sample had some experience with trading sex, whether it was in the form of having traded sex, having been propositioned to trade sex but having refused, or having friends or acquaintances that had traded sex. Young people's reports indicated that they had traded sex for things they deemed necessary in order to survive (i.e., food, shelter, money, or drugs), and that they did not want to trade sex, but did so because they were desperate and lacked alternatives. Additionally, others were coerced, manipulated, or forced to do so; thus indicating that the decision to trade sex is not always voluntary. We discuss the implications of these findings in terms of cumulative effects on youths' later development. Directions for future research among this population are also discussed.     

Kevin and Peter: responses to two ‘preventable deaths’

European welfare states have substantial provision to ensure that children are brought up in conditions that meet the articles of the United Nations’ Convention of the Rights of the Child. In our analysis of two preventable deaths in Germany and England, we focus primarily on Article 18, which directs states to ensure that there is adequate provision to support parents in their responsibilities, and Article 19, which ensures children’s safety and protection. We outline the legal framework, which existed at the time of two child deaths: Kevin from Bremen and Peter in London, both young children who were subject to formal state supervision and oversight. The events – including the press response, their aftermath and the subsequent changes to social work practice through legislation and guidance will be examined. Our subsequent analysis will evaluate the extent to which events altered the balance between Articles 18 and 19 in the two countries, and the extent to which a Children’s Rights approach in this area offers new insights. The analysis will suggest that a rights-based approach offers some benefits for a comparative framework and understanding child and family social work, but also that it is not without some difficulties.     

Social and psychological resources among homeless youth: protection against risk for physical victimization?

ABSTRACT

This study examines child physical abuse, social and psychological resources, and street physical victimization among 150 homeless youth from the Midwest. Path analyses results show that males have higher self-efficacy than females, while older youth and those who experienced less child physical abuse reported higher self-esteem. Self-efficacy and self-esteem were positively associated with social support as was being younger and having experienced less child physical abuse. Younger respondents reported fewer difficulties obtaining basic necessities, and those who had less trouble finding these necessities experienced less street physical victimization. Females, younger youth, and those who experienced less child physical abuse reported lower rates of physical victimization. Agencies should be aware that many youth experiencing homelessness have trouble obtaining basic necessities, which increases risk for victimization. Moreover, the ability to obtain necessities appears to override the influential role of social support, further affirming the foundational importance of agencies helping youth meet their basic needs.     

Running out of time: A qualitative investigation of homeless men’s access to health services

Abstract

This study examined health beliefs and health care utilisation among 20 homeless men in Liverpool, through the voices of homeless men themselves. Using semi-structured interviews and framework analysis, narratives highlighted the interplay between the limiting structures of the health care system and an individual's ability to know how to seek out health care in order to improve their own health. Specifically, we found that individual agency was contingent on the availability of a set of minimum resources, to which homeless men did not have access. These findings have important implications in terms of practical policy recommendations for improving health care utilisation among the homeless.     

Are there homeless youth in my community? Differences of perception between service providers and high school youth

While teen homelessness, like all homelessness, is increasing, there have been few solid estimates of the actual number of teens effected. A twofold methodology to count homeless teens was used in the Seacoast region of New Hampshire and Maine. Social service agencies were contacted to obtain a count of homeless adolescents, and over 3000 high school age teens were surveyed in the seacoast of New Hampshire and southwestern Maine to identify how many were homeless. By using different definitions of homelessness, it was found that a minimum of 5% of all teens in high school reported that they had been homeless sometime during the past year. When using a broadened definition of homelessness, it was found that 20% of the teens regularly stayed with others. However, this experience was not identified by social service providers, who reported that teen homelessness simply was not a problem in their communities. In order to more accurately describe the phenomenon experienced by teens, it is proposed that the term homelessness should be replaced with a more inclusive word, such as housing distress.     

The lived experiences of becoming a homeless person with addiction in Tehran: how they are withdrawn from the mainstream community?

Understanding the experiences of street addicted people can help clarify the process of engaging people with this social problem. This study aims to discover the challenges of drug-dependent street people by exploring their lived experiences. This study was conducted using content analysis of qualitative interviews with 22 street recruited from within compulsory drug treatment centers in Tehran. Participants were selected through purposive sampling and their experiences of homelessness and addiction were collected through a semi-structured interview. After analyzing the data, three categories and eight sub-categories were determined. The main categories included instability, social distrust, and economic vulnerability. Instability includes experiences such as rejection from their home, street attraction, and avoiding returning home. The social distrust theme consists of experiencing the stigma related to addiction and high-risk behaviors. The economic vulnerability encompasses gradual capital loss and weakening their work status in the context of a weak economic foundation. Dependent drug use added to those isolating experiences leads to weakened family ties, and social and economic interactions and finally results in being disconnected completely from the community mainstream.     

Do laws restricting access to firearms by domestic violence offenders prevent intimate partner homicide?

Domestic violence imposes a large cost on society. The authors exploit state variation in timing to examine the impact of three types of law on intimate partner homicides. These laws restrict access to firearms by individuals who are subject to a restraining order or have been convicted of a domestic violence misdemeanor or allow law enforcement officers to confiscate firearms at a domestic violence scene. The authors find that female intimate partner homicide rates decline 7% after a state passes a restraining order law. They find no effect from the domestic violence misdemeanor or confiscation laws.     

“I don't like to live nowhere but here”: The shelter as mediator of U.S. homeless youth's identity formation

Identity formation, from a sociocultural perspective, involves people choosing from among the variety of historical and cultural resources available to them for living their values, making a commitment to a particular life course, and grounding their hope in the future. Researchers in the past have argued that homeless shelters provide few such resources for children and youth to form healthy identities. At the same time, these researchers have not examined how young people themselves make sense of the shelters in which they live in the course of their own development. This article examines how children living in two small family shelters in a large southeastern city understand the shelter as a place they call home in relation to their families, friends, and themselves. Implications for the study of identity formation of homeless children and youth are discussed.     

Predicting geographic transience in homeless young adults across three U.S. cities: Who are these frequent flyers and distance travelers?

ABSTRACT

Prior research reveals high rates of geographic mobility (i.e., transience) among homeless young adults (HYAs). Yet to date, little is known about predictors of different aspects of their transience as well as characteristics of the most highly transient HYAs. This study thus used the risk/resilience framework to identify predictors of three measures of HYAs’ transience (i.e., number of intercity moves, total distance traveled, and average distance traveled) as well as to identify the characteristics of the most highly transient HYAs: frequent flyers (i.e., HYAs with seven or more intercity moves), distance travelers (i.e., HYAs who have traveled average distances greater than 1,092 kilometers), and combined frequent flyers and distance travelers (i.e., HYAs with seven or more intercity moves and average travel distances greater than 1,092 kilometers). Purposive sampling was used to recruit 601 HYAs (ages 18–24) from Los Angeles, Austin, and Denver. Three Ordinary Least Squares regression models identified predictors of each facet of transience. Chi-square tests and independent t-tests were then used to identify profiles of frequent flyers and distance travelers by using the upper quartiles on the variables number of intercity moves and average distance traveled, respectively. Findings reveal similarities in the risk predictors and profiles. The resilience characteristic of self-reliance was a consistent predictor of all three measures of transience. Understanding that transience among HYAs serves both adaptive and maladaptive purposes can inform service providers in customizing interventions aimed at supporting adaptive travel to make it safer as well as preventing and reducing maladaptive travel.     

‘I hope one more flower will bloom in my life’: retelling the stories of being homeless in Japan through narrative inquiry

Once becoming homeless, people confront various challenges. Despite hardships in their lives, the voices of people who are homeless are often silenced in society and the multiplicity of their experiences are undermined. To recognize the impact of homelessness from their understandings of life, the study reports in-depth conversations with people who are homeless in Japan. Through the qualitative research methodology of narrative inquiry, I engaged in a close relationship with three men who are/were homeless and inquired into their experiences of being homeless. From our conversations, four narrative threads emerged; (1) living with memories of loss, (2) feeling of being without control, (3) feeling discouraged from weaving forward-looking stories, and (4) nourishing generosity amidst unexpected life circumstances. Considering these narrative threads, we highlight the diversity in the experiences of becoming/being homeless in Japan embodied by the stories of three men. We put forward recommendations for future practice and knowledge development to support people who are homeless.     

Does caloric restriction in the laboratory simply prevent overfeeding and return house mice to their natural level of food intake?

Some researchers have speculated that the senescence-retarding effect of caloric restriction on laboratory rodents is an artifact of overfeeding under captive conditions. The argument posits that mice in nature are chronically calorically restricted; therefore, the typical laboratory protocol of restricting animals to 60% of their ad lib food intake more realistically replicates life in the field: the conditions under which the animals' physiology has been designed by natural selection to thrive. The hypothesis concludes that instead of comparing control animals with restricted animals, we are in fact comparing overfed animals with adequately fed ones, and, not surprisingly, the overfed ones die younger. In this Perspective, the author discusses the merits and drawbacks of this hypothesis in light of energy consumption data for various types of mice.