An Exploration of Violence Among Homeless Women with Emotional Disabilities

Abstract

This research found a high incidence of violence among homeless women with emotional disabilities. The study reports that 82 percent of the homeless women with emotional disabilities had a history of violence in their lives. The most common form of violence was physical; the least common was sexual abuse. The practice and policy implications for these findings are discussed. It is suggested that the Olmstead v. L. C. (1998) ruling under the Americans With Disabilities Act might force states to provide better services to homeless women with a history of violence and emotional disabilities.     

Violence Against Homeless Women: Safety and Social Policy

Abstract

Over the past 20 years there has been increasing understanding of the gendered nature of homelessness in Australia. Most significantly, this gendering has occurred through the acknowledgement of the links between domestic violence and homelessness and this has played out in Australian social policy through the funding of specialist domestic violence services. However, not all women are assisted by these specialist services—either because they are not homeless due to domestic violence, or because they fall through the gaps in the service system. Homelessness exposes these women to heightened vulnerability to violence. This article considers homeless women's experiences of violence and their implications for homelessness policy. Framed by Australian and Victorian social policy and drawing on a qualitative study of 29 women, all of whom had experienced violence during homelessness, the article argues that greater policy attention needs to be paid to ensuring homeless women's safety.     

Substance abuse by men in partner abuse intervention programs: current issues and promising trends

This article discusses key studies linking intervention for co-occurring substance abuse and partner abuse. Findings are grouped into three areas: (a) the effect of addictions treatment on partner violence; (b) application of transtheoretical, motivational, and culturally focused approaches to improve engagement and prevent attrition; and (c) assessment-based matching of services. Finally, the relative value of serial, coordinated, and integrated substance abuse programs and partner abuse intervention programs are considered. We reached three primary conclusions: (a) Addiction treatment alone reduces the risk for future domestic violence in a subset of men who batter, (b) screening and assessment for substance abuse by all men in partner abuse intervention programs is a standard of practice but needs to extend beyond "intake" and occur periodically, and (c) coordinated and integrated substance abuse and domestic violence programs probably offer more safety than traditional serial substance abuse treatment followed by partner abuse intervention.     

Prevalence and correlates of diabetes mellitus among homeless veterans nationally in the Veterans Health Administration

Abstract

Background: Homeless people are at high risk for many chronic medical conditions although their risk of diabetes has not been well studied. Current epidemiological studies of diabetes prevalence among homeless adults have been based mostly on self-report data not supported by clinical assessments.

Objectives: To determine the prevalence and risk factors for diabetes mellitus (DM) among homeless veterans in the Veteran Health Administration (VHA).

Methods: The sample included 3?464?364 veterans with documented body mass indexes (BMI), 137?720 (4%) of whom had been homeless. Logistic regression models were used to determine the odds of having DM among homeless veterans compared to non-homeless veterans. Bivariate and multi-variate analyses were then used to identify potential risk factors for DM among homeless veterans.

Results: The prevalence of DM in homeless veterans was 19%. Homeless veterans with DM, compared to those without it were older, more likely to have a BMI?>?40 and more likely to have DM-related co-morbidities.

Conclusions: There is a high prevalence of DM among homeless veterans in the VHA compared to previous reports for homeless adults (8%). Tailored approaches to improve access to DM screening, prevention, and treatment could benefit homeless veterans.     

Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing

As a result of efforts to end homelessness among U.S. veterans, more former service members are entering permanent supportive housing (PSH). While PSH has been successfully used to house homeless veterans, more research is needed about services beyond housing placement and retention. This study uses the Gelberg–Andersen behavioral model for vulnerable populations to determine associations between predisposing, enabling, and need characteristics and recent service use (i.e., services to satisfy basic needs, occupational development, financial, healthcare, mental health) among unaccompanied homeless veterans (N?=?126) entering PSH in Los Angeles. Among the significant findings, as indicated using univariable logistic regression models, were veterans who had incarceration histories were more likely to utilize basic needs services, compared to those without incarceration histories. Veterans who received an honorable discharge were more likely to utilize occupational development services, compared to veterans with other discharge statuses. Veterans who had a case manager were more likely to utilize mental health services than those without a case manager, while those who received social security were less likely to utilize mental health services compared to veterans who did not receive social security. Veterans who met criteria for a psychological disability and veterans who met criteria for probable PTSD were more likely to use basic needs services and mental health services than veterans who fell below these thresholds. Clinical implications for social workers including “equal access to services,” “enhancing economic stability,” “providing safe and affordable housing with trauma-informed services,” and “training service social workers to deliver well-informed linkages and services” are discussed.     

An Exploration of Family Violence Among the Homeless

Abstract

This research found a high incidence of family violence among homeless people. The most common form of violence was physical; the least common was sexual abuse. The data also reported a high percentage of violence among homeless people confronted with mental illness. The policy and practice implications for these findings are discussed.     

Homeless families in St. Louis: A report from the field

In May, June, and September of 1998, 169 residents of the largest homeless shelter in Missouri were surveyed in response to the Institute for Children and Poverty's February 1998 request to continue research on homeless families in other areas of the country. Our findings corroborate the New York City data of the Institute for Children and Poverty (ICP), with these notable differences: ” For the women in our study, the experience of childhood violence and abuse was significantly higher than that reported in the ICP study. ” The number of children in homeless single-parent families in which the parent is beyond childbearing years was higher than the ICP-reported average (2.7 children). ” Older respondents were more likely to have graduated from high school than younger respondents. ” Compared to the ICP´ is respondents, fewer of our survey's respondents had previously lived on their own and more had stayed with family and friends. ” Significantly more residents in our study had no medical insurance. In addition, ” We gathered information on how many non-high school graduates had earned their GED and how many had attended or graduated from college. ” Our respondents were asked in what career fields they wanted to work. ” We gathered data on nicotine, alcohol, and drug abuse among our residents. ” We asked respondents if their children had the same father. Based on this survey, we concluded that programs for homeless children aimed at keeping them in school, improving their education, and helping them to form and realize career goals—as well as services such as counseling and mentoring—are necessary to keep homeless children from becoming homeless adults.     

Domestic Violence, Criminal Justice Responses and Homelessness: Finding the Connection and Addressing the Problem

As more social scientists examine the female side of social issues a host of questions are answered and further inquiries form in the wings. Two fields where much detailed and valuable information on women have been provided, and many questions still remain, are social work and criminal justice. A meeting point for these disciplines lies in the area of homelessness and females. By most accounts, a sizable proportion of homeless women, many of whom are mothers, become homeless due to domestic abuse. Knowledge of ineffective criminal justice responses to domestic violence leaves one to ponder whether there exists a connection between lack of social control in domestic abuse calls and the onset of female homelessness. The present work addresses this knowledge gap and suggests future research necessary to delineate a proposed link between weak criminal justice responses and female homelessness. Policy initiatives to correct these flaws are provided as well.     

Domestic violence in veterans with posttraumatic stress disorder who seek couples therapy

Domestic violence rates among veterans with posttraumatic stress disorder (PTSD) are higher than those of the general population. Individuals who have been diagnosed with PTSD who seek couples therapy with their partners constitute an understudied population. Self-report measures of domestic violence, relationship satisfaction, and intimacy were administered at intake to 179 couples seeking relationship therapy at a Veterans Affairs clinic. Couples in which the veteran was diagnosed with combat-related PTSD were compared with two other groups based on the veteran's primary diagnosis (depression, adjustment disorder/V-code). Both the PTSD- and depression-diagnosed veterans perpetrated more violence than did those with adjustment/V-code diagnoses. Domestic violence rates among depressed and PTSD-diagnosed veterans were much higher than those found in previous research. Implications for assessment and treatment are discussed.     

Child abuse in the context of domestic violence: prevalence, explanations, and practice implications

This article addresses the following questions: (a) How common is child abuse among domestically violent families? (b) Are there specific patterns of child abuse among domestically violent families? (c) What may explain occurrences of child abuse in domestically violent families? (d) How might domestic violence affect treatment for child abuse? We review research on child abuse in the context of domestic violence. We discuss implications of this research for service-delivery programs for domestically violent families.     

Utilization of counseling and supportive services by female victims of domestic abuse

Increasing attention to the high prevalence of domestic violence (DV) and its impact on women's physical and mental health has resulted in expanded services for abused women. Abused women appear to underutilize the formal counseling services available in many communities, however, and further research is needed to identify factors related to service utilization. In the present study, 1,746 women assaulted by a male intimate partner were identified from a larger pool of women interviewed by Pretrial Services following the arrest of their spouse/partner on domestic abuse charges. The women were selected for the current study if they reported prior physical assaults perpetrated by the same spouse/partner listed in the instant offense. In addition to describing previous physical assaults and psychological abuse by their current spouse/partner, women were also asked whether they had ever sought "formal counseling/supportive services" to address the abuse. Consistent with the prior literature, only a minority of the victims reported prior use of these services (14.9%). Additional analyses indicated that the likelihood of having accessed services varied as a function of victim demographic factors (race, relationship to the offender, income), characteristics of the prior DV (prior injury by partner, forced sexual activity, prior psychological abuse), and whether the victim's children witnessed the fighting. Limitations of the study and implications for service providers and the courts are discussed.     

A Survey of Factors Contributing to Gay and Lesbian Domestic Violence

Gay and lesbian domestic violence is still a relatively new topic of study; work has been done in this area only since the early 1980s. Thus, little formal research has been published regarding this issue. This article presents a qualitative study of gay male and lesbian perpatrators of domestic violence. By using demographic profiles from 288 clients who had been referred for perpetrator treatment, the author sought to understand whether self-abusive behaviors, involving drugs, alcohol, food and sex are predominant among perpetrators, as well as to explore the prevalence of intergenerational abuse patterns. Analysis revealed a high incidence of personal histories of abuse experiences among gay/lesbian adult perpetrators, as well as a high incidence of secondary abusive behaviors within this sample.     

Problem‐Solving Courts: Theory and Practice

Problem‐solving courts (PSCs) are a popular and fast‐growing alternative to the usual way of handling criminal cases. In place of the adversarial process, they provide court‐supervised treatment to certain groups of offenders by addressing the underlying causes of criminal behavior. They take on a variety of forms including drug courts, mental health courts, domestic violence courts, veterans’ courts, and homeless courts. PSCs, as relatively new innovations in the criminal justice system, are still evolving in scope and in practice. This article then attempts to synthesize what we know about these specialty dockets. To do so, this article (1) explores the origins and developments of PSCs as well as highlights their defining characteristics; (2) examines the theoretical approaches and empirical findings of contemporary research on problem‐solving courts; (3) critically discusses whether this new approach to old problems compromises core judicial principles; and (4) suggests directions for further research to better understand the cautionary promise of problem‐solving justice.     

Child welfare involvement among children in homeless families

An analysis of 8251 homeless children in New York City found that 18% of them received child welfare services over the five-year period following their first shelter admission, and an additional 6% had a history of having received such services before their first shelter admission. Recurrent use of public shelters, exposure to domestic violence, older age at first episode of homelessness, and larger number of children in a household were associated with an increased risk of child welfare involvement. The high rate of crossover between homelessness and the child welfare system suggests the need for service coordination for children in homeless families.     

Complexity of domestic violence in a South Asian context in Hong Kong: cultural and structural impact

With the dearth of empirical research related to the experiences of domestic violence among South Asian communities in Hong Kong, this study engages with migrant South Asian women’s subjective understanding and experience of domestic violence. Presenting women’s narratives of their experiences with domestic violence allow for a better understanding of the complexities that inform and shape women’s experiences and decision-making in the face of partner violence. This empirical study investigated South Asian women’s experience of domestic violence in the context of Hong Kong through in-depth interviews with 14 South Asian women who had experienced abuse and 6 helping professionals from 4 social service agencies. Analysis of the data revealed that the nature and context of abuse posed as a barrier in their help seeking. The findings highlight the importance of understanding the influence of cultural and structural conditions and the difficulties and complexities women face that increases women’s vulnerability to abuse. This paper offers an analysis of how structures thereby come to impact on women’s distress and vulnerability. The study also highlights the need for inclusive service provision for minority ethnic women experiencing domestic violence.     

Statute Definitions of Elder Abuse

ABSTRACT

Older women victims of violence by a partner or family member are more often categorized as victims of elder abuse, not victims of family violence. Their needs are assessed, if at all, by social and health service agencies, often with little knowledge or understanding of domestic violence, while domestic violence policy initiatives, advocacy, and services focus on younger women and children. A survey of domestic violence services in British Columbia and the Yukon found that women over 60 years of age were a very small fraction, generally less than two percent, of women served, and those 50 to 59 years of age were also substantially under-represented. Only four percent of respondents had special services for older women. Comments from respondents confirm that abused older women face enormous difficulties in trying to establish a safe and secure future. It was also evident that better interaction is needed between those providing support and advocacy for abused women, and those who provide health and social services for older persons. A majority of the shelters provided community education to a wide range of agencies. Most have only partial accessibility to women with mobility handicaps.     

Meeting the needs of abused older women? A british columbia and yukon transition house survey

ABSTRACT Older women victims of violence by a partner or family member are more often categorized as victims of elder abuse, not victims of family violence. Their needs are assessed, if at all, by social and health service agencies, often with little knowledge or understanding of domestic violence, while domestic violence policy initiatives, advocacy, and services focus on younger women and children. A survey of domestic violence services in British Columbia and the Yukon found that women over 60 years of age were a very small fraction, generally less than two percent, of women served, and those 50 to 59 years of age were also substantially under-represented. Only four percent of respondents had special services for older women. Comments from respondents confirm that abused older women face enormous difficulties in trying to establish a safe and secure future. It was also evident that better interaction is needed between those providing support and advocacy for abused women, and those who provide health and social services for older persons. A majority of the shelters provided community education to a wide range of agencies. Most have only partial accessibility to women with mobility handicaps.     

Characteristics of urban male homeless veterans and non-veterans in Omaha,Nebraska

The current study examined differences between urban homeless veterans and non-veterans on sociodemographics, housing, clinical characteristics, and psychosocial factors. We recruited a sample of 196 homeless men (101 veterans, 95 non-veterans) from the Omaha, Nebraska metropolitan area. Structured interviews were conducted by research staff. The results showed that the two groups were similar in most respects, though there were several notable differences. Homeless veterans were found to be older and more educated than non-veterans, more likely to have married, and reported having fewer non-adult children. Multivariable models controlling for age further showed that veterans reported a higher number of medical problems and were more likely to report being diagnosed with major depression or PTSD than non-veterans. Comparison with previous studies suggests changes in certain characteristics of homeless veterans over the past few decades that may reflect the growing proportion of veterans from the all-volunteer force, initiated after the draft ended in 1975. Findings from this study were consistent with previous comparative studies suggesting limited changes in recent decades in the characteristics of homeless veterans as compared to non-veterans, although the high prevalence of major depression and PTSD merit special treatment for these disorders.     

The Life Course: A Sociological Introduction

Abstract

Recognition of the deleterious effects of domestic violence on women's mental health has highlighted the potential benefits for women of collaboration between mental health and domestic violence services. Yet the different histories, knowledge bases, and organisational cultures of the mental health and domestic violence sectors present formidable challenges to the development of effective collaborative work. This article draws on a large research enquiry, involving four separate but related studies, which explored aspects of collaboration between these two service sectors. It focuses particularly on data collected in interviews with practitioners from mental health and domestic violence services who were participants in an action research study (one of the four studies), which was aimed at discovering the factors that contributed to enhanced collaboration and the benefits of this for women who experience both domestic violence and mental health issues.     

Johnson's Differentiation Theory: Is It Really Empirically Supported?

Michael Johnson's differentiation of “types” of domestic violence has had a significant impact on courts and providers, in part because of its claim to an empirical basis. Unfortunately, the label “situational couple violence” has already been used by judges and evaluators to minimize abuse claims in custody cases. Johnson's repeated assertion that SCV is the most common form of domestic violence reinforces the marginalizing of domestic violence. But what do his data actually show? Here Professor Meier takes a close look at the research Johnson relies on and finds that it fails to prove his thesis. Rather, the data suggest that Johnson has it exactly backward: Control-based abuse is probably far more common than “situational” domestic violence.