Older men in the homeless shelter: in-depth conversations lead to practice implications

This article reports on the themes generated by face-to-face interviews conducted with 10 men over the age of 50, currently homeless and residing in an overnight homeless shelter. In-depth interviews were conducted asking these men to tell their stories, talk about their lives in the shelter, and speak about their needs, hopes, and dreams. Based on an analysis of interviews, the following themes emerged and were presented: Talk of Work, Barriers to Housing are Overwhelming, Family Estrangement, and Coping Strategies. Discussion of these themes is presented and practice, administrative and research implications are suggested.     

Policeman or Friend? Dilemmas in Working with Homeless Young People in the United Kingdom

This qualitative, phenomenological study examined the relationships between residents and staff in hostels for homeless young people in the UK. Semi-structured interviews were conducted with 12 homeless youth (residents) and 10 hostel staff (keyworkers). The interviews focused on how participants perceived and experienced the keyworker relationship. Qualitative data analysis yielded three core themes, or dimensions, describing central features of the relationship: enforcement versus support, emotional involvement versus distance, and resident-centered versus staff-centered practice. The findings highlight some dilemmas and tensions experienced by both residents and staff, and point to effective ways of working with homeless youth. Issues arising in the relationship between keyworkers and homeless young people are considered in the context of other types of helping relationships .     

Parenting and child experiences in shelter: A qualitative study exploring the effect of homelessness on the parent–child relationship

Depending on the data source, between half a million and 2.48 million children in families experience homelessness each year in the United States. Recent data suggest that approximately half of all homeless children are under the age of 6. A considerable body of quantitative research has documented the occurrence of poor outcomes associated with childhood homelessness in the domains of social–emotional development, physical and behavioral health, academic achievement, and family stability. This qualitative study presents results from 19 interviewers with formerly homeless parents reflecting upon how the experience of being homeless affected their young children and their ability to parent. Findings are contextualized within an attachment perspective. Parental reported effects included confusion, sadness, anxiety or depression, withdrawal, lack of appetite, aggression, and disregard for authority. Parents also talked about the disempowering experience of parenting while in shelter. Unexpectedly, parents of infants said their children were not affected by homelessness, and few parents identified the need for mental health services for their children. The experiences of parents with whom we spoke provide invaluable insight into what shelter staff, social service agencies, philanthropy, policymakers, and researchers can do to support and respect the parent–child relationship in families who are experiencing homelessness.     

Sexual Health Services for Homeless Youth: A Qualitative Analysis of their Experiences

The sexual health problems experienced by homeless youth bring into question their use of available sexual health services. Using a qualitative typological analysis, this study aims to identify sexual health services utilization profiles for homeless youth, and to understand the role of the homeless experience on the utilization of sexual health services. Individual interviews were conducted with 33 homeless youth (17 men, 16 women) between 18 and 25?years of age. Typological analysis identified four profiles: (1) a targeted use of sexual health services to determine one’s serological status following a relational change during the homeless experience; (2) a limited use of sexual health services to manage sexual emergencies that arise during the homeless experience; (3) a regular use of sexual health services to avoid the risks associated with the homeless experience; (4) a frequent use of sexual health services to obtain support when engaging in prostitution during the homeless experience. This study shows that the precarious and unstable conditions within the homeless experience incite youth to utilize sexual health services in different ways. These findings point to the importance of rethinking sexual health services to better adapt them to the different utilization profiles of homeless youth.     

Understanding implementation of best practices for working with the older homeless through the lens of self-determination theory

Five in-depth, semistructured interviews on what constitutes best practices were conducted with key professionals experienced in serving the homeless population. A practice model emerged from the interviews wherein client self-determination was considered a keystone. Self-determination theory was then used as a framework for understanding the best practices that emerged, and the relationship between client self-determination and positive outcomes. Implications are discussed for the older homeless, highlighting that although general best practices are applicable for this subgroup, the unique factors of an aging homeless population must be incorporated into best practice discussions.     

Homelessness and the High Performance Cycle: A New Lens for Studying Exit Strategies

ABSTRACT

Although social work scholarship has recognized the presence and utility of goals and goal setting among the homeless, the literature remains underdeveloped. This study evaluates the extent to which the work motivation literature, mostly applied in formal business settings, can improve current understandings of how persons successfully escape homelessness. Specifically, this study focuses on the high performance cycle, a model in organizational behavior research that outlines the specific processes involved in setting and achieving goals and that provides a robust framework for analyzing goal setting among homeless persons. The article compares those who have successfully exited homelessness to those who remain chronically homeless using 40 in-depth, semistructured interviews with homeless center clients in a multicity area in the Intermountain West. Interviews addressed the employment and housing histories of research participants, their views about living unhoused, and their attempts to exit homelessness. The participants' narratives matched themes described in goal-setting research, which suggests the utility of adopting processes outlined by the high performance cycle when assisting clients in exiting homelessness. Social service professionals can benefit by incorporating the goal-setting scholarship in their work with homeless populations. Future research might use quantitative surveys and experiments to determine the generalizability of this exploratory analysis.     

Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands

Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homeless (PCH) programme to gain insight into clients' demographic characteristics, health problems and service use, and to develop an explanation for its success in increasing the latter. Our analyses are based on a combination of quantitative and qualitative data. The results of the study suggest that the success of the PCH programme can be explained by the providers' pragmatism and will to adapt their mode of care provision to the behavioural patterns and needs of their homeless clients.     

The potential role of social and familial networks in shaping the well-being of children in shelters for women survivors of intimate partner violence

Children living in households where severe intimate partner violence (IPV) exists sometimes move with their mothers to shelters for battered women. Although there is an increased interest in research exploring children's exposure to IPV, little is known about children's subjective experiences during their stay in shelters. The present study examines children's views of their disconnection from their social and familial networks during their stay in a shelter. Using qualitative methods, 32 children, ages 7–12 years, who resided in a shelter were interviewed. Thematic analysis was implemented to develop codes and themes. The following five themes emerged from the data analysis: (a) absence of grandparents, (b) worry about older siblings, (c) disconnection from the neighbourhood, (d) missing their house and (e) disconnection from previous school and classmates. Findings suggest that children's disconnection from previous formal and informal networks significantly affected their well-being. The findings are discussed and interpreted in light of selected key concepts of Bronfenbrenner's bioecological model. The limitations of this study are discussed, along with implications for future research, as well as highlights for future intervention.     

The Aftermath of Shelter: Abused Arab Women in Israel

Shelters for battered women play a major role in combating abuse against women. Extensive research has dealt with various aspects of shelters, including professional and ideological perceptions and the women’s experiences. However, scarce research exists on women’s coping following shelter-stay, especially research on the meaning of shelter-stay for women from collectivist societies. In the present study, we focused on how Arab women who had lived in a shelter coped after returning to the community to begin independent lives. In the Arab society in Israel, Arab women who live in shelters are perceived as violating a cultural norm. In-depth qualitative interviews were conducted with 12 Arab women aged between 25 and 42, who had stayed in a shelter for Arab women for at least six months.

The major themes that emerged from the interviews revealed changes in perception of self and of social environment, including a self-transformation from weakness to strength, from perceiving themselves as devoid of rights to the development of an identity of entitlement. Through their release from weakening cultural systems, they were transformed from familial and societal victims to empowered beings, and moved from negative gender self-awareness to an empowered gender self-perception. These changes helped the interviewees to cope with stresses and to live independently. The findings are conceptualized in the discussion using relational-cultural theory.     

Fathers' experiences with child welfare services

The lack of engagement of fathers by child welfare services is well‐documented in the literature as a serious problem. Towards addressing this problem, this paper reports the findings of interviews with 18 fathers about their involvement with child welfare services in Ontario, Canada. Qualitative analysis of the interviews yielded themes about what men saw as the positive and negative aspects of their involvement with child welfare. Positive aspects of service involvement for fathers included understanding and supportive workers, useful assistance from workers, being connected to useful resources and being given a ‘wake‐up call’. Negative aspects of service involvement included uncaring, unhelpful and unprofessional workers; prejudice against fathers; and experiencing the child welfare system as unresponsive, uncaring and rigid. Implications for practice are discussed with a view to improving the engagement of men in, and their experiences with, child welfare services.     

Parental experiences in cases of child sexual abuse: a qualitative study

This paper describes the themes which emerged from in-depth interviews with parents of a small number of Australian children who were believed to have been sexually abused. The parents' experiences in the wake of the abuse, including their involvement with three services - a hospital counselling service, the statutory child protection service, and the police - were explored in home interviews conducted 3 months following termination of the case by these services. The themes include: issues related to trust and authority in the casework relationship; expectations of counselling; contamination of normal sexuality in the family; the perception of the sexually abused child as'damaged'; and relationships within their family and social network. Some of the implications for practice are discussed.     

Dual experiences of teenage parenting and homelessness among Native Hawaiian youth: A critical interpretative phenomenological analysis

Teenage parenting is a challenging venture—particularly when parenting while homeless. The present study explores in‐depth through case‐based analysis the lived experiences of three young homeless and parenting teens (one mother and two fathers). It is the first known study of teenage parenting and homelessness among Native Hawaiian youth, a key affected population. Interpretative phenomenological analysis of participants' individual interviews revealed three themes that characterize the experience of parenting as a teen while homeless: (a) They never raised me up (childhood experiences); (b) becoming mommy and daddy (early experiences of teen pregnancy and parenting while homeless); and (c) finding our place (current experiences of teen parenting and perspectives on teen pregnancy and homelessness). Implications for direct practice, social policy, and future research are discussed in the context of this complex reality.     

Marginalized Mothers: Parenting Without a Home

The authors of this study used participatory and interpretive methods to capture the lived experience, strengths, and needs of homeless mothers. The interview data obtained challenge unfounded stereotypes and provide information about women's coping behaviors and resilience. The findings were developed in collaboration with shelter guests and staff and have important implications for public and university policy and shelter programs. For example, researchers need to become more aware of the limitations of current psychological theories and assessment tools designed to measure "effective coping" in disenfranchised individuals. To accomplish this goal, increased collaboration among researchers, activists, policy makers, and homeless families is recommended (e.g., by instituting roundtable discussions as a standard part of shelter programs). It is also suggested that professional staff who work with women living in poverty avoid using deficit-oriented, victim-based models of intervention, and that staff provide women with opportunities to participate in the development of the curriculum for parenting classes.     

Experiences of Stigma and Spirituality of Older Black Men Living with HIV

Abstract

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men is scant. This study aimed to investigate experiences of HIV stigma and the use of spirituality among older HIV positive Black men who sleep with men. In-depth interviews were conducted with a sample of ten men. Data were analyzed utilizing to the modified van Kaam data analysis method. Three major themes were identified that explores the participants lived experiences with HIV stigma and use of spirituality: experiences of stigma reinforcing the use of spirituality; defining spirituality as a functional concept; and self-empowerment through the use of spirituality. The findings could guide social workers and other helping professionals in developing informed assessments and interventions regarding HIV stigma and the use of spirituality. Future qualitative and quantitative research is needed to achieve generalizable knowledge about the relationship between stigma on the use of spirituality.     

'Don't Leave Me Hanging': Homeless Mothers' Perceptions of Service Providers

Few interventions have been developed for substance-abusing homeless mothers. Among those interventions, high dropout rates (up to 85%) are consistently reported. Understanding homeless mothers' experiences with service providers may be an important first step to understanding ways to increase treatment engagement. Therefore, the current study used qualitative methods to gain a better understanding of homeless mothers' perceptions of service providers. A total of 28 mothers who were currently residing at a homeless shelter in a Midwestern city participated in three focus groups. Overall, mothers held negative perceptions of service providers related to understanding, support, and fear. Based upon this study's findings, recommendations are offered to improve service delivery and guide future research.     

‘Growing Old’ in Shelters and ‘On the Street’: Experiences of Older Homeless People

Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless.     

Domestic abuse treatment perspective that builds client voice and skills in a court-ordered environment

Building client voice in men who abuse to reduce dropout and improve outcomes in domestic abuse treatment continues to challenge. This mixed-method study examined the implementation of the Outcome Rating Scale (ORS), a client feedback tool, as a component of an open-ended group domestic abuse program (N = 25). Additionally, the Social Empathy Index (SEI) was administered during pre- and posttreatment individual interviews. Further information about the treatment experience was gleaned from interviews of three treatment completers. More than three fourths of the participants (21 or 84%) completed the minimum of 18 weeks, more than one third (8 or 38%) of completers showed reliable or clinically significant change on the ORS, with a statistically significant increase on the SEI reflecting increases in empathy concurrent with their view of making progress in treatment. Building awareness of self and others’ points of view and applying relationship enhancement skills were key themes expressed during interviews.     

An Ecological Systems Comparison Between Homeless Sexual Minority Youths and Homeless Heterosexual Youths

ABSTRACT

This study examined risk and protective outcomes by comparing homeless sexual minority youths to heterosexual homeless youths regarding family, peer behaviors, school, mental health, stigma, discrimination, substance use, and sexual risk behaviors. Structured interviews (N = 147) were conducted with individuals aged 16 to 24 years old in Toronto. Bivariate analyses indicated statistically significant differences between homeless sexual minorities (n = 66) and their heterosexual counterparts (n = 81) regarding all variables: family, peer behaviors, stigma, discrimination, mental health, substance use, and sexual risk behaviors, with the exception of school belonging. Implications for future research are suggested.     

Recommendations for Hospice Care to Terminally Ill Cancer Patients: A Phenomenological Study of Oncologists' Experiences

The aim of this exploratory study was to better understand oncologists' experiences and their perceptions of hospice care as an end-of-life treatment choice for terminally ill cancer patients. To describe this experience, semi-structured qualitative interviews were conducted using phenomenological methods with nine oncologists. Four themes emerged from the data analysis: (a) feelings of discomfort and relief, (b) being different from others, (c) experience with nonhospice patients, and (d) factors influencing the decision to recommend hospice. Future research and a flexible interdisciplinary practice model are suggested to better assist with end-of-life care decision making and recommendations for hospice care with oncologists and their terminally ill cancer patients are presented.