The experiences of adolescents and young adults residing with their families in emergency shelters in Canada

Emergency homeless shelters can be stressful environments for families. They can be associated with emotional distress and feelings of restriction for parents, and with behavioural, social, and developmental challenges for children. However, little is known about the experiences of accompanied youth residing in shelter with their families, as the literature about this age group's experiences of homelessness has mainly focused on unaccompanied youth. Findings from the current study are drawn from qualitative interviews with 16 adolescents and young adults (aged 16–21) who were homeless and living with their families in family homeless shelters in Ottawa, Ontario, Canada. Youth described family homeless shelters as stressful environments but also found that the shelters provided support to them and their families. Youth discussed the various strategies they used to cope in facing the challenges of shelter life. These findings add to our understanding of youth who are homeless and highlight the ways in which they adapt to the challenges of living in a family homeless shelter with their families. Recommendations are included for ways that shelter staff and policymakers can enact operational and systemic changes that could potentially improve the experiences of such youth and their families.     

The Compact of Free Association: An Impact Analysis for Hawaii

Abstract

Available evidence suggests that homelessness in Hawaii is a substantial problem. Among this population, migrants under the 1986 Compact for Free Association have been especially susceptible to homelessness. The three major objectives of this study were to (1) determine the characteristics of COFA migrants who utilize homeless shelter services in Hawaii (2) assess the impact of COFA on Hawaii (3) identify unique features of the COFA migrant population in Hawaii that lead to recommendations as to how better serve them.

This study targets homeless service providers and community stakeholders most burdened by the problem of COFA migrant homelessness in Hawaii. Drawn from the 2003 supplemental census, intake data at the Institute for Human Service and community meetings with stakeholders, general demographic characteristics of COFA shelter users were collected and analyzed. Further, qualitative data was collected through a series of interviews with shelter staff and clients through a series of open-ended interviews and participant observation.     

Applications of Machine Learning Methods to Predict Readmission and Length-of-Stay for Homeless Families: The Case of Win Shelters in New York City

ABSTRACT

New York City faces the challenge of an ever-increasing homeless population with almost 60,000 people currently living in city shelters. In 2015, approximately 25% of families stayed longer than nine months in a shelter, and 17% of families with children that exited a homeless shelter returned to the shelter system within 30 days of leaving. This suggests that “long-term” shelter residents and those that re-enter shelters contribute significantly to the rise of the homeless population living in city shelters and indicate systemic challenges to finding adequate permanent housing. This article focuses on our preliminary work with Win (Women-in-Need) shelters to understand the factors that predict readmission and length-of-stay of homeless families. We create a unified, comprehensive database of the homeless population being served by Win shelters, accounting for more than 6,000 homeless families. We apply logistic regression models and an unsupervised clustering algorithm to identify predictors of re-entry and long-term length-of-stay. Citizenship, age, medical conditions, employment, and history of foster care or shelter stays as a child are found to be significant predictors. The results of the K-means clustering identify three primary groups, consistent with previous typologies characterized by transitionally homeless, episodically homeless, and chronically homeless.     

Profaning the Past to Salvage the Present: The Symbolically Reconstructed Pasts of Homeless Shelter Residents

Homelessness presents challenges for maintaining a positive self-concept, and those seeking help from homeless shelters face a particular irony: establishing service-worthiness requires them to present themselves as homeless, not self-sufficient, and genuinely in need of help, yet also morally worthy of that help. How do shelter residents manage this tension and salvage the self within the institutional context of the shelter? A theoretical framework linking Mead, Goffman, and narrative helps clarify strategies of self-presentation and salvaging the self within the homeless shelter context. Drawing on interviews with 44 shelter residents, this paper demonstrates that residents construct narratives that symbolically reconstruct the past from the standpoint of the present, and draw on the stages of the shelter's moral career to present a temporally-divided self, allowing residents to strategically profane the past self while keeping the present self separate and sacred. Implications for research on other institutional selves are also discussed.     

A life course approach to understanding homelessness of shelter residents

ABSTRACT

Using in-depth interviews of 40 residents from a homeless shelter in El Paso, Texas in the United States, this study examines the etiology, processes, and patterns of homelessness by assessing those confronting homeless spells at different time points and for varying reasons. Our study is guided by the research questions: How did residents of homeless shelters experience transitions and turning points of homelessness? What were the coping resources that homeless people drew on to overcome life adversities? Overall, we found that risk accumulation as a result of different traumatic events, such as death of a family member, marital or relationship breakdown, victimization, unemployment, substance addiction, poor mental health, or discrimination confronted in varied contexts, could serve as precursors or consequences that exacerbated the housing crisis over the course of a life. We recommend that efforts geared toward remediating, alleviating, or preventing homelessness be life course driven. It is only through compassion and empathy rather than criminalizing and stigmatizing that we can help stop the triggers and spread of the downward spiral of homelessness.     

Birthday celebrations as a family homelessness intervention: a mixed-methods analysis

Families report that the experience of homelessness presents a significant barrier to family functioning and interrupts regular family routines. This study uses data from 22 homeless shelters in Massachusetts to examine the relationship between birthday parties for homeless children, family functioning, and parent well-being in homeless families. The study includes a sample of 255 residents across 20 homeless shelters in both urban and rural communities that received regular monthly birthday parties from a nonprofit agency. A small comparison sample of 25 residents came from two shelters that were not receiving birthday parties from the nonprofit agency. Data from 78 staff members working at all 22 shelters was collected on shelter environment and resident cohesion. Results indicated that residents in those shelters that received monthly birthday party celebrations for children had higher levels of happiness. Residents’ satisfaction with the birthday parties showed correlations between levels of hope, happiness, and parental empowerment. Shelter staff who reported higher levels of satisfaction with birthday parties also reported higher levels of resident cohesion. Results point toward the value of continuing regular family routines, such as annual birthday celebrations, to help mitigate the stressors and disruptions of homelessness on families.     

Barriers and facilitators to shelter utilization among homeless young adults

Rates of shelter use among homeless youth are low compared to use of other supportive services, yet research on barriers to shelter use has been conducted in limited regions, specifically in West Coast or Midwest cities. Additionally, while studies have generally focused on barriers to shelter use, studies on what might facilitate shelter use are lacking. This study explores barriers and facilitators to shelter use among homeless young adults from a large city in the Southwest region. Focus groups were conducted with a diverse sample of 49 homeless young adults ages 18–24. Drawing on models of health service use, findings were categorized into two domains – attitudinal and access. Themes related to attitudinal barriers include stigma/shame and self-reliance/pride. Attitudinal facilitators include the desire to extricate themselves from street life and turn their lives in a new direction. Access-related themes include barriers such as a lack of shelters and services available to meet the needs of youth, adverse shelter conditions, staff attitudes that are not acceptable to youth, restrictive shelter rules, restrictive definitions of homelessness, and a desire to differentiate themselves from older homeless individuals. Certain characteristics or circumstances (e.g., being pregnant), having supportive others, and shelters’ ability to connect them to other services emerged as access facilitators to shelter use. Implications for policymakers, service providers, and future research are discussed.     

Home for now: A mixed-methods evaluation of a short-term housing support program for homeless families

The use of short-term rental subsidy vouchers offers a new approach to addressing the housing needs of families facing homelessness. In Massachusetts, the Family Home pilot program placed homeless families in housing instead of shelter, providing two years of rental subsidy plus support services with the goal of enabling families to maintain market rate housing. This mixed-method case study complements staff and participant interview data with participant survey and administrative data to evaluate the implementation and short-term outcomes of Family Home in one region. Data point to improved family well-being in housing but also persistent barriers to achieving longer-term housing and economic stability. Of the families who had exited the program at the end of the study, one quarter were able to retain their housing at market rate, only 9% returned to shelter, and one in five moved in with families/friends. Lack of affordable housing in a high rental cost region and jobs that pay living wages were among the major reasons that families struggled to maintain housing. This research points to the need for integrating supportive services from the program's start, including targeted workforce development, to plan for the end of the short-term rental subsidy.     

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.     

Homeless mothers and depression: misdirected policy.

This paper is a critique of recent service-intensive shelter programs for homeless mothers and the policies that underlie these shelters. We first document the process by which mental health problems and family homelessness became so closely but mistakenly linked. We then demonstrate empirically that shelter programs for homeless families nonetheless presume that mental health problems are part of the causal nexus of family homelessness and indiscriminately deliver mental health services to homeless mothers. Simultaneously, shelter programs encourage the isolation of their residents from what they presume to be their "problematic" social networks. We show that, while mental health services had little impact on depression levels among homeless mothers, isolation from social networks did increase depression among homeless mothers. Our findings suggest that policy should put more emphasis on rapid reintegration into the community through providing housing, and it should put less emphasis on providing services.     

Patterns of Consumer Usage of Homeless Outreach Services

Abstract

Outreach programs are a vital part of the continuum of services for the homeless. To investigate the characteristics of consumers of such programs and the services they receive, a sample of 446 clients of a homeless outreach program in New York City was divided into those who visited only once, two to three times, and four or more times during a 1-month period. Chi-square analyses revealed that the groups differed significantly with regard to previous client status, clinical diagnosis, referrals provided, and service outcome. Correspondence analyses further specified relationships between visit frequency and select characteristics. Implications of the findings for service delivery are considered.     

“I’m not homeless,I’m houseless”: identifying as homeless and associations with service utilization among Los Angeles homeless young people

Little is known about homeless young people’s identification of being homeless and how that identity may or may not be associated with service utilization. This study of 444 homeless young people attending Los Angeles area drop-in centers explores the associations of demographic characteristics, homelessness characteristics, negative lifetime experiences, mental health symptoms, technology use, and past month service utilization with identifying as homeless. Fifty-two percent of the sample identified as being homeless. Being Black, a current traveler, and history of injection drug use were all significantly associated with a decreased likelihood in identifying as homeless. However, having fair/poor health, accessing shelter services, and reporting one’s own substance use as a reason for homelessness were all significantly associated with identifying as homeless. There are important service implications for reaching young people who are in need of services but may not identify with the target population label of homeless.     

Towards a More Sensitive Assessment of Homelessness: The Homelessness Severity Scale

Abstract

Properties of the Homelessness Severity Scale (HSS) are investigated relative to that of the Personal History Form (PHF), which is based on the McKinney Act definition and criteria for homelessness. The HSS is potentially more sensitive as it includes assessment of shelter quality. Participants (N=141) were drawn from a larger study of substance abuse interventions for the homeless. Other measures included drug abstinence, treatment attendance and employment, variables shown to be negatively related to homelessness. Data were gathered at baseline, 2, 6 and 12 months. Criterion validity was assessed by correlating the HSS to the PHF. Responsiveness of the HSS to change in the three other measures, treatment attendance, abstinence and employment, was compared with that of the PHF. Results showed that the HSS correlates strongly with the PHF. The HSS was slightly more responsive than the PHF except at 6 months. However, repeated longer-term administration of the HSS may offer better prediction of ultimate housing stability.     

Living Room Assessment

Abstract

Community living room programs, initially developed as part of the settlement house movement, strive to maintain a safe and welcoming atmosphere for clients with basic needs who can then be linked to concrete services. These rare programs do not generally include formal intake and termination criteria and are thus difficult to assess by quantitative means. In this project, the authors used the Community Oriented Programs Environment Scale (COPES) to perform a social climate assessment of a living room program at an urban homeless shelter. The agency board and staff were concerned that expanding numbers of clientele might deter potential and current members from participation and thus defeat the program's major purpose. This paper reports the social climate perceptions of staff and members and recommends agency program adjustments. This type of evaluation has implications for macro practice in determining whether nontraditional programs can be shown to meet certain human needs that complement those addressed by the broader social service system.     

Elusive reconciliations: ideological conflict in youth homeless shelters

This paper explores an important contradiction in the operation of youth homeless shelters: while employees may champion autonomy, stringent regulations constrict independence. Inherent in shelter life is a struggle between more symbolically powerful staff members, who exercise authority and judgment over residents in accordance with societal norms, and youth, who are compelled to feel at once independent and subject. Power differentials and the transmission of messages about worth, deservingness, and compliance should be scrutinized by shelter staff members and top leadership. Understanding how the most effective staff-resident collaboration can be initiated will require sincere consideration of the extent to which “necessary” limitations of personal liberty within an environment that pushes autonomy actually represent manifestations of symbolic processes of power.     

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.     

Sibling Roles in the Lives of Older Group Home Residents with Intellectual Disability: Working with Staff to Safeguard Wellbeing

Abstract

When parents die, siblings of older people with intellectual disability are likely to take responsibility for oversight of their wellbeing and negotiation with formal support services. This study explored the roles siblings played in the lives of older people with intellectual disability who live in group homes, and the relationships between residents’ siblings and group home staff. The siblings of 13 group home residents and the 17 supervisory staff associated with these services were interviewed, initially face-to-face and then intermittently by phone over a period of three years. Data were analysed using an inductive analytical approach. Siblings valued the relationship with their brother or sister with intellectual disability and played a significant role in safeguarding their wellbeing. Sibling–staff relationships fluctuated over time, sometimes becoming tense and difficult. Few protocols guided these relationships. A principle-based framework could facilitate negotiation between staff and siblings about expectations of communication and decision making.     

A Preliminary Analysis of Research on Recovery from Homelessness

Changing attitudes toward the poor are producing sweeping revisions in public welfare. The homeless population may be particularly affected by stricter guidelines for subsidies and service. This article reports findings from the first 2 years of an ongoing, qualitative, longitudinal study of nine formerly homeless families who received services at a transitional shelter in 1994. The purpose was to explore the extent to which these families were able to maintain self-sufficiency. One year after care, two families were on the verge of homelessness again, and all needed public assistance to meet basic needs. Two years after care, eight families were beginning to attain economic self-sufficiency. Recommendations address programmatic issues, including the need for comprehensive services during the shelter stay and family mentoring during the rehousing process.     

Prevalence of clinical autistic traits within a homeless population: barriers to accessing homeless services

ABSTRACT

Recent research suggests a high prevalence rate of Autism Spectrum Conditions (ASC) amongst the homeless population. Although, it is well-documented that autistic people experienced many barriers to accessing health services, little is known about their challenges in accessing homeless services. Thus, the present study aimed to measure prevalence of high levels of autistic traits, and to identify barriers that prevent autistic people accessing homeless services. Participants recruited from homeless services (n?=?65) completed the Autism Quotient-10 (AQ-10) alongside a questionnaire regarding perceived accessibility of homeless services. Results revealed that 18.5% of participants scored Above the Clinical Threshold of the AQ-10 (ACT-AQ). Moreover, the ACT-AQ group reported that encountering big groups in shared accommodation represent a significant barrier to engaging with homeless services. Further research is needed to identify the full degree of ASC representation and the factors that might prevent autistic homeless people accessing homeless services, and thus overcoming homelessness.