Perceptions of Students about Younger and Older Men and Women who May Be Homeless

ABSTRACT

Future human service providers will interact with homeless persons in health, mental health, and social service practice contexts. This study investigated the perceptions of students enrolled in social work courses who are pursuing degrees in human service programs toward older and younger female and male homeless individuals. Respondents (N = 207) were given one of four vignettes in which a character was identified as an older male, a younger male, an older female, or a younger female who was frequently seen near an interstate highway, talking to him/herself and appearing unkempt, thin, and frail. Most respondents perceived the vignette character as mentally ill, neglectful of health, likely to have HIV, tuberculosis, hepatitis A and/or hepatitis B and/or hepatitis C, likely to experience suicidal thoughts/ideation, and to have head lice/scabies/body lice. Older men were more likely to be perceived as military veterans with a history of mental illness and substance abuse. Older women were least likely to be perceived as having a history of substance abuse or using a handout to purchase ethanol. Older women were perceived to be homeless because they could not afford other living accommodations. A general linear model revealed significant differences in 7 of 41 items that respondents answered based on the gender and age of the vignette characters. These perceptual differences between male and female homeless persons will require additional investigation.     

Chorus for Community Integration and Recovery for Men with Psychiatric Disabilities in a Supportive Housing Community

This study reports the findings from a mixed-methods evaluation of the effectiveness of a choral program for 34 homeless men with substance abuse and mental illnesses. The evaluation focused on the chorus experience as one way to promote community integration and recovery. Fifteen residents (44.1%) were chorus members (CMs), and their responses were compared with those of 19 nonmembers (NCMs). When examining the quantitative data only, significant differences were not found between CMs and NCMs. However, narrative data and participant observation revealed that the choral program may have helped CMs improve their subjective experience of community integration by enhancing psychosocial components.     

The Relationship Between Length and Number of Homeless Episodes and Engagement in Survival Sex

Survival sex is associated with many health problems, including increased substance use and HIV risk. Current research on survival sex among homeless individuals has given little attention to the unique effects of how length and number of homeless episodes influence engagement in survival sex. Using secondary data analysis from the Washington, DC, Metropolitan Area Drug Study (DC*MADS) (N = 783), the authors examined the relationship of days and number of times homeless to engagement in survival sex, while controlling for other sociodemographic and clinical characteristics. Results showed that length of homelessness and number of homeless episodes, as well as current age, previous drug use, depression, and institutionalization, increased the odds of engaging in survival sex. Results support current efforts on interventions to transition homeless individuals into housing as rapidly as possible. Service providers assisting the homeless can affect engagement in survival sex and its associated risks through creating referral networks for integrated treatment programs for co-occurring substance use and mental health problems while advocating for early housing interventions and increased housing retention. Further research is needed regarding the ways in which length of homeless episodes affects risky behaviors such as survival sex, with a particular focus on all age groups.     

Home Street Home: The Interpersonal Dimensions of Adolescent Homelessness

This paper draws on the available literature, as well as unpublished data, to reconstruct the often chaotic early childhood experiences of homeless adolescents and to describe the problematic ways of relating that may result from these troubled life histories. We also examine the processes by which homeless youth become separated from their families, and we make connections between socio-emotional problems on the street and early neglect and abuse at home. The risk-amplification model is offered as a theoretically compelling explanation of the adolescent homeless experience, high rates of victimization on the streets, and mental health problems that arise out of these circumstances. Finally, we present a promising approach for intervening with homeless youth, one that explicitly targets this cycle of ineffective interpersonal relationships.     

Are the Homeless Mentally Ill?

In Australia, it is widely believed that most homeless people have mental health issues and that mental illness is a primary cause of homelessness. This paper uses information from a study of 4,291 homeless people in Melbourne to investigate these propositions. The research found that 15 per cent of the homeless had mental health issues prior to becoming homeless. This challenges the community perception that mental illness is the primary cause of homelessness. The research also found that 16 per cent of the sample developed mental health issues after becoming homeless. Homelessness causes mental health issues for some people, particularly anxiety and depression. The claim that most homeless people are mentally ill sends the wrong message to policy makers about the services that are needed to assist homeless people.     

The HOPE Family Project: A Family-Based Group Intervention to Reduce the Impact of Homelessness on HIV/STI and Drug Risk Behaviors

The HOPE Family Project (HIV Prevention for Parents and Early Adolescents) is an eight- session, family-based group intervention modeled on three evidence-based curricula targeting HIV/AIDS and alcohol and drug abuse prevention. The design and implementation of the HOPE Family Project was carried out by an established community collaborative board. The project aims to educate and provide tailored support to families and their youth (ages 11–14), residing in homeless shelters, regarding HIV and alcohol abuse prevention. The group model proved successful in offering an informal social support network for families living in homeless shelters and improving family functioning and youth mental health outcomes.     

Contexts of Mother–Child Separations in Homeless Families

Families that contend with the losses, disruptions, and hardships occasioned by homelessness often experience dispersal of children as well. Although a federal initiative on homeless families identified family preservation as a focus of intervention development, there is little research to guide service efforts. This qualitative study of mother–child separations in homeless families with maternal mental health and/or substance use problems identifies precursors of separations (precarious housing, turbulent relationships, substance abuse by mothers and others, institutional confinement, and children's needs) and examines how mothers' responses to these events and conditions interact with social and institutional contexts to shape variations in the course and outcome of separations. Implications for research, services, and policies affecting homeless families are discussed.     

From Snapshots to Videotape: New Directions in Research on Gender Differences

This article identifies five answers to the question of whether there are sex differences in abilities and personality traits: the "sociobiology" argument, the "differently situated" argument, the "contingent" argument, the "no differences" argument, and the "disadvantage, not difference" argument. The multiplicity of arguments about sex differences derives from contrasting research paradigms in psychology. The individual differences model, stemming from the early days of scientific psychology, assumes a radical individualism in which mental abilities are made up of stable and unalterable individual characteristics that are not influenced by social factors; these characteristics are easily captured by quick, one-time, "snapshot" research methods. In contrast, the social psychological model considers the individual to be embedded in and influenced by the social situation. This article points out shortcomings of both models for the study of sex differences, and advocates instead a multi-level approach that considers both micro- and macro-level factors in shaping the behavior of both females and males. Videotape as a metaphor suggests new ways of thinking about research on women's lives.     

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.     

Reducing Alcohol Abuse in Gay Men: Clinical Recommendations From Conflicting Research

ABSTRACT

Gay men entering the health care system present with unique needs essential for health care providers to comprehend and address. While data indicate mental health and substance abuse disorders are more prevalent among gay men compared with their heterosexual counterparts, the literature assessing abuse of alcohol by gay men is conflicting. This article explores the conflicting research examining the use and abuse of alcohol by gay men, common findings and themes among studies addressing the issue, the theoretical concepts of internalized homophobia and heterosexism as they relate to alcohol abuse, and clinical strategies providers can implement when encountering this issue among their gay male patients. This comprehensive assessment of the literature will also provide direction for future critical inquiries and outline ways to improve the current methods of inquiry.     

Measuring Gay Populations and Antigay Hate Crime

Objectives . The study of crime directed at gay and lesbian targets is hampered by two measurement problems: Police agencies provide unreliable data on hate crime, and tract-level census data contain no direct information about gay or lesbian population density. This article attempts to gauge two quantities that cannot be measured directly or unambiguously: the size of the gay and lesbian populations and the number of hate crimes directed at gay and lesbian targets. Methods . Population data for New York City were gathered from market research lists and from a special tabulation of the 1990 Census. Hate crime data were obtained from the Anti-Violence Project and the New York Police Department. Confirmatory factor analysis was used to assess the reliability of each measure and the correlation between latent population density and hate crime. Results . Each of these measures offers a reliable means by which to assess cross-sectional differences in the population density and victimization of gay men. Census and police data prove to be inferior indicators of lesbian population density and antilesbian hate crime. For both men and women, population density is strongly correlated with the incidence of hate crime. Conclusions . Despite the fact that advocacy groups record many more antigay incidents than do the police, both sources of data are in agreement about where hate crimes occur. The strong correlation between population density and hate crime against gay men implies that Census data could be used to forecast the occurrence of hate crime in areas where no police records exist.     

Hoops Group: Group Work with Young "Street" Men

This paper presents the "hoops group," a basketball group for young "street" men. The purpose of this presentation is: (1) to further the discussion of services developed for group empowerment for homeless persons, (2) to present a case example of services to this population, and (3) to further the conceptualization using McGrath's (1991) construct of group functions. This article maintains that groups developed around activities in which individuals feel competence (in this case, playing basketball) are ideal in developing a collective identity and facilitating therapeutic gains.     

Opposition to the Legitimacy of Hate Crime Laws: The Role of Argument Acceptance, Knowledge, Individual Differences, and Peer Influence

Hate crime laws are a highly controversial legal approach in society's response to intergroup violence. Argument acceptance, knowledge, and individual differences were examined in relationship to attitudes about these laws. These variables were also considered in terms of efforts to influence a peer's beliefs about hate crime laws. One-hundred and sixty-seven participants completed a measure of knowledge of human rights laws, Gough's Pr scale, the Selznick and Steinberg anti-Semitism scale, and Cuellar's Machismo scale. Hate crime attitudes were measured on an affect rating scale and six statements reflecting arguments favoring and opposing hate crime laws. Peer influence was examined on Interpersonal Power Inventory (IPI). Results showed that while most participants endorsed positive attitudes about hate crime laws, men—and both women and men who endorsed machismo attitudes—were more likely to agree with media distortion and identity politics arguments opposing hate crime laws. The Pr and machismo scales predicted greater effort on the IPI to influence peer attitudes about hate crime laws, after controlling for demographic differences of the participants. These findings indicate that more explicitly biased individuals were more effortful in trying to change the attitudes of peers concerning the legitimacy of hate crime laws.     

Assessing Health Care Needs Among Street Homeless and Transitionally Housed Adults

ABSTRACT

This study examined the health services received and needed among homeless persons in Hillsborough County, FL (N = 823). Lifetime and current need and receipt of health services were assessed with a cross-sectional survey. Participants reported extensive lifetime and current needs for physical and behavioral health care services. Nearly a third of participants reported current unaddressed health problem(s); an inability to obtain needed health care; and feelings of unaddressed mental health issue(s) as well as substance abuse problem(s) in the past year. Future research on homelessness and health should focus on identifying different pathways to health and mental health services for this vulnerable population and the outcomes of these interventions.     

The Size of the Homeless Men Population of Sydney

An attempt is made to determine the size of the population which uses the facilities for homeless men in Sydney. The distribution in age groupings of homeless men in Sydney is shown to be quite different from that of the general male population of New South Wales, and the extreme mobility of members of this population is again noted.     

Young People and Organized Crime

The standard of living of the population in the Far East is tending to go downward, and it is lower than the average for the country. Mediated through sociopsychological, geographical, and other factors, the decline in the standard of living leads to an increase in crime. In addition, the region of the Far East is distinguished by its high level of criminalization of the population, by a percentage of convicted people who suffer from alcoholism and narcotics abuse, nervous and mental abnormalities, and so forth that is higher than any place else; this is also another factor that brings about further complication of the criminological situation.     

Using the Internet to Meet Sexual Partners: Research and Practice Implications

ABSTRACT

Recent research studies suggest increasingly widespread use of Internet sexual networking sites to initiate sexual relationships among men who have sex with men. Concerns are growing in regard to use of such sites in promoting participation in higher-risk sexual activities by providing easier access to partners who are willing to participate. One such activity surrounds substance abuse including using crystal methamphetamine and is commonly termed “party and play” (PNP) during sexual encounters, particularly unprotected anal sex. Current studies indicate conflicting results on PNP and the meeting of sexual partners from the Internet. A critical examination of these studies is presented along with recommendations designed to support future scholarly inquiry.     

Transcending the Effects of Sex Composition in Small Groups

A review of recent literature (1976 to 1982) on the topic of sex composition of small groups summarizes three theoretical explanations for male-female differences in same and mixed sex groups (including sex role differentiation; status characteristics/expectation states theory; and Kanter's structural/numerical proportions model); and five categories of empirical findings (including non-verbal effects; verbal interaction frequency and content; negative assessments of influential females; negative consequences of "token" or "solo" status for females; and contradictions in findings regarding all-female groups). Interventions for transcending group sex composition effects are identified for both women and men in mixed and same sex groups. Conclusions call for additional research, utilizing methods with high internal and external validity, on the effects of sex composition in treatment and "real-world" work groups.     

Ability of the Behavioral Model to Predict Utilization of Five Services by Individuals Suffering from Severe Mental Illness and Homelessness

Abstract

This study examined the ability of the behavioral model to predict utilization of five specific services in a sample of individuals who suffered from severe mental illness and who were homeless at baseline. Nearly 4000 individuals from 18 sites provided data at baseline and 12 months later for this study. Hierarchical logistic regression was used to analyze the data. The behavioral model did not explain much of the variance of utilization of medical services, housing services, and public support. The behavioral model did explain a moderate amount of the variance of utilization of psychiatric services and substance abuse services. Enabling variables explained more of the variance of psychiatric services than either predisposing or need variables. In contrast, predisposing and need variables explained more of the variance of utilization of substance abuse services than enabling variables. Social support from professionals and self-perceived need for service were the most consistent predictors of all of the service utilization variables.