Social Work Intervention on a New Housing Estate

Summary Families moving into a new housing estate were the subject ofa controlled experiment. Half received social work assistance,half did not. The two groups showed little difference in levelsof health or satisfaction with their environment. The problemsidentified tended to be communal problems of the estate, relatedto its design and management.     

Loneliness in senior housing communities

There are many studies on loneliness among community-dwelling older adults; however, there is limited research examining the extent and correlates of loneliness among older adults who reside in senior housing communities. This study examines the extent and correlates of loneliness in three public senior housing communities in the St. Louis area. Data for this project was collected with survey questionnaires with a total sample size of 148 respondents. Loneliness was measured using the Hughes 3-item loneliness scale. Additionally, the questionnaire contained measures on socio-demographics, health/mental health, social engagement, and social support. Missing data for the hierarchical multivariate regression models were imputed using multiple imputation methods. Results showed approximately 30.8% of the sample was not lonely, 42.7% was moderately lonely, and 26.6% was severely lonely. In the multivariate analyses, loneliness was primarily associated with depressive symptoms. Contrary to popular opinion, our study found the prevalence of loneliness was high in senior housing communities. Nevertheless, senior housing communities could be ideal locations for reducing loneliness among older adults. Interventions should focus on concomitantly addressing both an individual’s loneliness and mental health.     

“It's hard work,believe me!”: Active efforts to optimise housing by people who live with mental illness and access housing assistance

Secure and appropriate housing is critical for the well‐being of people living with mental illness (consumers). Yet it is often difficult to achieve. Housing assistance is available, but is often difficult for consumers to access and negotiate. While the need for support is well‐recognised, little is known about the active part consumers play in finding and keeping appropriate accommodation. This paper addresses the research question: How do consumers who use housing assistance actively manage their housing situations? In‐depth interviews were conducted with 18 consumers who had used housing assistance within the past five years. These were analysed using constant comparative analysis, based on a grounded theory approach. Participants engaged in a range of activities to address six major concerns: working toward my home; following the rules to keep what I have; managing and improving my accommodation; working with housing services; living within my current situation; and finding and using supports. All participants described times when their mental health negatively affected their ability to do these activities. The findings highlight the need for housing services and mental health services to collaborate to develop policies and protocols that place reasonable demands on consumers and support their abilities to actively manage their housing situations.     

Care leavers: A British affair

Individuals in and leaving care within the UK experience numerous dilemmas that include a lack of supportive housing and potential homelessness, lower educational attainment and occupational status, and greater likelihood of moving into poverty. These adverse situations—all of which are interrelated—shape their present and future health status. Models of these processes usually focus on individual behaviours/characteristics, the consolidation of positive identities through the development of supportive networks, and specific social policies germane to this group. Although informative, these models neglect many key contextual factors that shape these outcomes. In this paper, we present a model of care‐leaving that incorporates developments in the political economy of health literature to show how differing welfare state arrangements shape health by mediating the distribution of economic and social resources over the life course for populations in general and for those in and leaving care specifically. The key recommendation suggested by this model is to focus upon developing public policies to address the vulnerable situations care leavers experience associated with skewed income distributions, lack of housing affordability, weak employment standards, and lack of access to higher education typical of liberal welfare states such as the UK.     

Poverty, Housing Niches, and Health in the United States

Drawing on psychological, health, and social science literature, a housing niche model is developed that focuses on (a) housing markets and other societal processes that constrain residential choice, (b) effects of residential environments on health and access to human and social capital, and (c) family dynamic effects on health and the intergenerational consequences of particular housing niches for future health and housing choices. The model requires the examination of cumulative risks, mediating and moderating processes, and the use of multilevel statistical models. The health consequences of existing housing policies are explored and future directions for research and policy suggested .     

廉租住房住户：社会支持网现状分析与建构策略——来自贵州省贵阳市的实证研究

随着我国廉租住房保障制度的实施,廉租住房住户作为一个特定聚居群体逐渐形成,完善的社会支持网络是他们维持日常生活、应对危机的重要保证。廉租住房住户社会支持网主要由非正式支持构成,在经济困难解决、情感宣泄和社交支持三方面起着重要作用,但该群体社会支持网较脆弱,网络规模小、结构单一,部分住户甚至缺乏基本的社会支持。这样的社会支持网现状难以有效地化解日后生活过程中可能遭遇的生活危机与困难,这既无益于个体生活状况的安定,也无益于社会秩序的稳定。因此,本文尝试提出廉租住房住户社会支持网络的建构策略,即以社区为平台,以社区服务组织和社区工作者为依托,以赋权理念为指引,以廉租住房住户需求为基础来帮助他们建构多类型、多主体介入的社会支持网络。     

A family support service for homeless children and parents: user and staff perspectives

Children and their parents who become homeless constitute a group of families with a complex range of social care and health needs, including mental health difficulties. In response to this, a local authority housing department established a family support team (FST) that provides assessment and detection of a range of problems, support to parents and children, parenting interventions for child behavioural problems, liaison with other agencies, and referral to specialist services when appropriate. The aim of this study was to establish the perceptions of parents and staff on their experience of the service, and ways of improving it in the future. The study adopted a developmental evaluation approach and used multiple methods, including in‐depth interviews with families; diaries; reflective activities; participatory learning and action; and observation of the FST. The study mapped the innovative service and captured the range of skills in the team and the complexity of agencies the team interacted with. It also identified areas for further development in terms of the mental health needs of children and parents who have become homeless.     

The Smothering Embrace: Competition in the Implementation of Social Policy

One element of recent welfare state reform has been the introduction of market coordination in the implementation of social policy. The authors of this article have conducted a comparative study of social security, health care and housing policy implementation in the Netherlands, focusing on the conditions necessary for an effective mechanism of competition. The most important condition is that clients should be able to switch between providers without difficulty. Evidence shows that the providers in these fields of social policy engage in activities that undermine the potential for future competition. While this is not uncommon in itself, the new markets in social policy appear to be particularly vulnerable to such activities. This can be explained on the basis of two variables: (1) the institutional characteristics of the policy fields as they existed before the introduction of market coordination, and (2) the characteristics of the products that providers distribute. The combination of path dependency and product characteristics strengthens efforts to reduce competition.     

Residents and Residence: Factors Predicting the Health Disadvantage of Social Renters Compared to Owner-Occupiers

Numerous studies have found that owner-occupiers live longer and stay healthier than renters. Epidemiologists often view housing tenure as a proxy for economic circumstances rather than as having directly health-promoting or damaging effects. Housing researchers, on the other hand, have tended to study physical and psychosocial aspects of housing that might directly impact upon health. Linking these two literatures, we analyzed nearly 3,000 postal questionnaires from a stratified random sample of Scottish adults. In particular, we examined differences between owners and social renters that might explain observed tenure differences in health. Personal characteristics explained much of the difference between owners and social renters, but some dwelling and neighborhood characteristics also played a role.     

How do low-income older women experience living in congregate housing? A qualitative study of housing welfare intervention for older adults living alone in South Korea

The purpose of this study was to refine the understanding of the experiences of low-income older women living in congregate housing. Congregate housing refers to small-scale communal living arrangements for low-income older adults intended to reduce their social isolation and financial burden. Interviews with 12 older women and field notes were analysed using thematic analysis. Four themes were identified: (1) these older women chose congregate housing because they had no better option; (2) they gradually grew accustomed to communal living by being alert, mindful, and considerate; (3) their range of activities and interactions with the outside decreased as they aged; and (4) they came to require further care as senility progressed. Based on these findings, the meaning of housing welfare for older adults and the importance of providing additional supportive services are discussed. It is also asserted that housing welfare intervention should include protection of older adults’ housing rights.     

Double Indemnity or Double Delight? The Health Consequences of Shared Housing and "Doubling Up"

With "doubling up" and shared housing increasing in the United States, it is time to revisit and reconsider the research literature on the physical, psychological, social, and economic health consequences of these living conditions; and to consider how specific social and physical environmental factors of shared housing may foster or deter healthy living situations for various household arrangements. In this light, this article examines the existing research in order to identify critical constructs and factors, and to craft research questions that can best guide future investigations of homesharing in a direction that points towards viable and healthy housing solutions, particularly for those in transitional life stages .     

The roles of social support and family resilience in accessing healthcare and employment resources among families living in traditional public housing communities

This study relied on theories of family resilience to examine and differentiate the roles of community social support and family resilience in regards to access and utilization of healthcare and employment resources for public housing residents. The study assessed 234 public housing residents and used structured regressions to test the role of family resilience, internal and external community social support on outcomes associated with economic mobility. Results suggest that external community social support is associated with increased access to and use of health and employment resources. Additionally, residents with higher levels of resilience sought social support from outside of their communities to a greater degree, thereby increasing their access and use of resources. Increases in internal community support were associated with increases in external community support, but alone, limited access to and use of resources. Implications of the findings for policy, interventions, and future research are discussed.     

“It was like leaving your family”: Gentrification and the impacts of displacement on public housing tenants in inner‐Sydney

In March 2014, the minister responsible announced that all of the approximately 600 public housing tenants of Millers Point and the Sirius Building in inner Sydney are to be moved and the properties sold. Millers Point is probably the oldest public housing area in Australia. The Sirius Building was purpose built for public housing tenants in the late 1970s. The article briefly examines the gentrification process in the Millers Point area. However, the main focus, drawing on six in‐depth interviews with public housing tenants who are still residents in the area and 13 who have moved, is an examination of the impact of the government's removal announcement and the actual displacement of residents. What this article illustrates is that the place attachment of most of the interviewees was profound and the removal announcement and the actual move were devastating. Interviewees spoke of deep sadness and anxiety at the thought of leaving what they considered a unique and genuine community. Residents who had moved told of their isolation and melancholy at having lost their local social network. The research shows that the human cost of policies and not revenue should always be the central consideration.     

Question worth 20 million lives: Why federal housing assistance has not had its Obamacare

The equitable character of a policy determines its progressiveness, yet some domestic policies are more equitable than others. The question of how and why this is the case is addressed by studying federal housing and health policies in the United States, a critical case known for its rampant inequalities in both sectors. Although social equity is a fundamental aspect of welfare provision, explaining differences in coverage and government support among policy areas remains a weakness in the literature. This comparative historical analysis shows that both housing assistance and health care suffered from inequities almost as early as their inception. But a progressive reform took shape with the Affordable Care Act (ACA) and extended coverage to 20 million people formerly uninsured. This essay tackles an unsolved puzzle: Why has such grand policy reform never taken place in housing where more than 20 million people are eligible for assistance but do not receive help? We found that it is largely explained by housing assistance distinctiveness with regard to its weak constituency, racial connotation and low public concern. We conclude with the analytical payoffs of studying social equity, both for political scientists and observers of social affairs.     

Interconnections among Homelessness,Family Separation,and Mental Health: Implications for Multi-Sectoral Social Services

This qualitative study explored the interconnections among the phenomena of homelessness, family separation, and mental health and substance abuse issues within the social services, geographic, and infrastructure context of northern Ontario. In-depth semi-structured interviews were conducted with thirteen participants. Findings revealed the effects of colonization in the form of poor and overcrowded housing conditions in the northern First Nations, difficulties in obtaining affordable and suitable housing in northern towns and cities, reliance on the scarce social services for survival, and valiant attempts to cope with the cold climate of northern Ontario. All participants reported multiple and intergenerational experiences of separation from family due to involvement of child welfare system, placement in residential schools, death of family member(s), flooding, and epidemics. Participants described their lifelong struggles with mental health and substance abuse issues. All three phenomena were tied together in various configurations of causes and consequences. The implications include the need for critical examination of the historical policies and practices, early intervention for mental health and substance abuse issues, greater support for youth transitioning out of care, creation of a continuum of housing options, collaboration across multiple social services sectors, and incorporation of Indigenous worldview and practices in the mainstream services.     

Living on the margins: older homeless adults in Toronto

A handful of scholars have acknowledged that, along side the traditional homeless, there are now older people who become homeless for the first time in old age. Few researchers, however, have systematically compared the recent older homeless with the chronic or traditional homeless. In the research presented here, we compare recent older homeless with long-term older homeless adults in Toronto according to their health and wealth, their housing history, and their use of health and social services. Findings indicate that people who become homeless for the first time at older ages have needs that are different from the lifetime elderly homeless and require different approaches to intervention.     

由心至身:阶层影响身体的社会心理机制

本研究应用2010年中国综合社会调查(CGSS2010)数据分析身体健康与社会阶层的关系及其社会心理机制。在区分身体健康和心理健康的基础上,整合社会学和心理学相关理智资源,将在社会科学领域中越来越具有理论意义的身体研究延伸至经验研究层面。研究表明,个体身体的健康程度在某种程度上是社会阶层在个体身上印刻的结果,而这种印刻过程是通过阶层认同、群际伤害、习得性无助和情感支持等心理过程得以达成。     

Housing and Mental Health: A Review of the Evidence and a Methodological and Conceptual Critique

Despite the fact that people invest more financial, temporal, and psychological resources in their homes than in any other material entity, research on housing and mental health is remarkably underdeveloped. We critically review existing research on housing and mental health, considering housing type (e.g., single-family detached versus multiple dwelling), floor level, and housing quality (e.g., structural damage). We then discuss methodological and conceptual shortcomings of this literature and provide a theoretical framework for future research on housing quality and mental health .     

Help or hindrance? Social policy and the ‘social determinants of health’

In recent years, public health research has become increasingly focused on issues of social inequality and social disadvantage. This is because social issues, such as poor housing and unemployment, have been found to impact health significantly, and are now referred to as ‘the social determinants of health‘. As a result of this shift, public health is now principally concerned with what are historically considered to be social policy issues. This paper discusses the confluence of public health and social policy; it examines the opportunities and risks posed by this convergence for those working in social policy seeking to reduce poverty and inequality. We argue that, while much can be gained in the two fields by working more closely together, there remain fundamental differences in perspectives and approaches. In order to maximise benefits, these points of difference need to be thought through sooner rather than later.     

Leaving an Institution in Flanders (Belgium): A Road to Homelessness?

People living in an institution will leave this residential context one day and have to proceed to a stable independent way of living. This transition is not without difficulties as it turns out this socially vulnerable group runs an increased risk of becoming homeless. Research in Flanders (Belgium) has shown that a considerable share of the homeless population has previously stayed in an institutional setting, mostly in youth care (48.7%), psychiatric (34.4%) and penitentiary (33.1%) institutions. Moreover, the share of homeless people with a history in one of these institutions has increased in the past decades. Institution leavers, face at least three obstacles to a stable housing situation in Flanders: a lack of affordable housing, a lack of access to (non-residential) social assistance and personal difficulties in coping with living independently. Yet, there are several programs that support institution leavers and prepare them for the transition to an independent living situation and legal developments that strengthen their position in society and on the housing market. In this paper, we explore these initiatives and developments in three case studies (Antwerp, Ghent and Leuven). Based on in-depth interviews with “street-level bureaucrats” who work in these institutions (youth care, psychiatric and penitentiary settings), social support services and social housing organizations, we reconstruct the pathways of institution leavers to the housing market, the support they receive and the experienced difficulties.