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.     

Community Case Management Intervention for Hard-to-Place Homeless Families Leaving Emergency Shelter

Abstract

The Community Case Management Intervention was designed to fill a gap in services for hard to place homeless families who leave emergency shelters. There were 51 adults and 78 children who participated in the research. Families who met the criteria and volunteered for the study were randomly assigned to an intervention or comparison condition. Intensive case management was provided to families in the intervention condition upon their exit from the shelter. Services included referral, advocacy, support, and assistance with family problem-solving and decision-making. Comparison families did not receive similar services. Results of the study are encouraging and show that families in the intervention felt greater levels of social support and greater family unity.     

Fickle Families and the Kindness of Strangers: Social Capital in the Lives of Low-Income Single Mothers

This article is a qualitative study that examines the social capital in the lives of 20 formerly homeless and nearly homeless single mothers with children in their care. The findings for this study indicate that the mothers' close social ties simultaneously served as a resource and a hindrance to their progress into sustainable work or education. Findings also show that nearly all of the women in this study benefited from “weak” ties by receiving information or other kinds of resources from strangers or friends of friends. Implications for policy and practice are also discussed.     

Social support among homeless and housed mothers: an integrative review

Homelessness has been associated with levels of stress beyond the normal strain of living in poverty. For mothers who are homeless, support from their social networks may provide a buffer from some of the stresses associated with being homeless. To better understand the relationship between social support and female-headed homeless families, an integrative review was conducted of 12 research articles that compare social support among low-income housed mothers and homeless mothers, using guidelines set forth by Ganong. The included studies revealed four significant attributes of social support among housed and homeless mothers: size of the social support network; composition of the social support network; contacts with members of the social support network; and perceived support from members of the social support network. Nurses who work with homeless families are in a position to help develop ways for these families to cultivate and maintain their social support networks while homeless. Nurses can be available to offer support, including the necessary mental health services or referrals.     

Predictors of Change in Self-Reported Social Networks among Homeless Young People

This research investigates changes in social network size and composition of 351 homeless adolescents over three years. Findings show that network size decreases over time. Homeless youth with a conduct disorder begin street life with small networks that remain small over time. Caregiver abuse is associated with smaller emotional networks due to fewer home ties, especially to parents, and a more rapid loss of emotional home ties over time. Homeless youth with major depression start out with small networks, but are more likely to maintain network ties. Youth with substance abuse problems are more likely to maintain instrumental home ties. Finally, homeless adolescents tend to reconnect with their parents for instrumental aid and form romantic relationship that provide emotional support.     

The Social Relationships and Social Support of Aging Mothers Whose Adult Daughters Are Mentally Ill

Guided by a conceptual framework highlighting multiple facets of social relationships and social support, this study examined the extent to which aging mothers of adult daughters with a serious mental illness were socially integrated with members of their network. It further examined the relational content of these mothers’ social ties as tangible or intangible support and the nature of their supportive exchanges with network members, particularly their adult daughters with mental illness. A structured face-to-face interview was conducted with 22 aging mothers of these adult daughters. Two methods of analysis were used to analyze data: counting and content analysis. Findings showed aging mothers of daughters with mental illness were socially integrated with relatives and nonrelatives, evidenced relational content of tangible and intangible support in their social ties and engaged in bidirectional and asymmetrical support exchanges with network members, including their daughters with mental illness. These findings suggest that social resources in the form of social relationships and support are embedded in the networks of aging mothers who have adult daughters with serious mental illness. Practitioners should assess support contributions to the aging mothers of adult daughters with serious mental illness from a wide range of social relationships including their daughters.     

Social Support Networks of Single Young Mothers

This study explored the nature of social support networks of young, unmarried mothers. Interviews were conducted with 18 young, female African American residents at an agency for homeless, unmarried mothers in a Midwest city. Quantitative results indicated the mean number of people in the participants’ networks was 19; analysis found a moderately strong correlation between the size of the support network and perceived level of support. Themes that emerged from coding the transcribed, qualitative interviews included the tension between needing support and wanting independence, the motivation generated for young mothers through relationship with their own children, the mixed nature of support from the young mothers’ families, the affect of presence or absence of support from the child’s father, the role of the young mother’s own mother in her support system, the lack of supportive relationships among young mothers in the program, and impressions the young mothers had of formal agency services. The authors discuss implications for case management and agencies working with teen mothers.     

HOMELESSNESS AND AFFILIATION

Sociological theory portrays affiliation as an important source of personal power. Accordingly, some students of homelessness suggest that the extreme poverty and powerlessness of homeless individuals can be traced to a lack of social ties. Using data from a quota sample of 150 homeless persons in Birmingham, Alabama, this study examines (1) whether the homeless are disaffiliated and (2) the relationship between affiliation and power-related life experiences (personal efficacy). A 26-item scale measures affiliation; subscales assess expressive ties, instrumental supports, and acquaintances. Personal efficacy outcomes studied are depressive symptoms, anomie, mastery, physical and mental health, service knowledge, environmental satisfaction, and monthly income. Evidence suggests that many homeless persons have a network of confidants, friends, relatives, and acquaintances. However, these networks differ from those described in past research on general populations. Additionally, multiple regression results assign networks, at best, only modest effects on personal efficacy among the homeless.     

The relationship between mothers' social networks and severe domestic violence: a test of the social isolation hypothesis

To understand the relationship between characteristics of mothers' social networks and domestic violence, battered mothers who were severely assaulted were compared to battered mothers who were not severely assaulted and mothers who were not assaulted. The results showed that all three groups of mothers had several family members in their social networks with whom they had frequent contact during the past month. No differences were found between the groups on the number of family members who gave emotional support. However, the mothers who were severely assaulted had fewer friends, fewer contacts with their friends, fewer long-term friendships, and fewer friends who really listened to them than did the nonbattered mothers and the battered mothers who were not severely assaulted. Batterers may be more successful in disrupting friendship ties than family ties.     

“Please Ask Me How I Am”: Experiences of Family Homelessness in the Context of Single Mothers' Lives

An increasing number of studies in recent years have examined the issue of family homelessness. The majority of this research has taken a quantitative approach, focusing primarily upon the demographics and characteristics of homeless mothers and children and the conditions of shelter facilities. The goal of this study was to examine the experience of family homelessness from an alternative perspective through interviews with formerly homeless mothers about their lives before and after leaving the shelter system. In-depth interviews with 24 formerly homeless single mothers in New York City were conducted and subsequently analyzed employing a qualitative-narrative approach. Major themes that emerged from the women's life stories are elucidated: poverty, neglect, abuse, troubled interpersonal relationships, and mental health concerns. Surprisingly, a majority of women spoke of their experience in the shelter system in positive terms. This and other findings are discussed in the context of the women's life experiences and support services provided by the New York City shelter system. Social policy issues and recommendations for future research and program development are presented.     

Racial Differences Regarding Shelter and Housing in a Sample of Urban Elderly Homeless

A sample of elderly homeless persons in Detroit is discussed with an emphasis on distinctions between black and white racial strata. The analyses, based on a field survey conducted in 1988, reveal that several variables distinguish racial groups, including social relationships and kinship, frequency and duration of homelessness, and previous insitutional experiences. Economic differences were not found between black and white elderly homeless men who are the subjects of many urban sociological studies of skid row, while the black elderly homeless are presented as a newly emerged subset of homelessness.     

A qualitative analysis of suicide risk factors,preferred means,and means restriction feasibility within a homeless shelter environment

Suicide completion rates among homeless individuals are approximately nine times higher than the general population. The purpose of this study was to capture the state of social support among homeless individuals, understand how homeless community members support peers in crisis, examine the awareness of suicidal ideation, identify common methods for suicide, and generate strategies for means restriction within a shelter. Twenty individuals residing at an emergency shelter were interviewed. Participants were of diverse cultural identities overrepresented in the sample relative to the general population. Interviews revealed that 40% of participants lacked social support. However, the majority indicated that if they encountered someone at risk for suicide, they would provide support and encouragement to the at-risk individual. Almost half of participants reported knowing of an individual in the shelter who had previously attempted suicide and/or was currently or previously feeling suicidal. Overdose was identified as a primary method for suicide; however, the majority of participants were unable to generate strategies for means restriction. The present study offers a glimpse into the experience of homeless individuals and provides valuable information regarding risk factors for suicide within this highly marginalized and underserved population.     

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.     

Integrated Program Development: A Model for Meeting the Complex Needs of Homeless Persons

Homelessness is caused both by structural and personal factors. Thus, comprehensive services are required to meet the complex needs of homeless persons. This article reviews case management and group work practice with homeless persons and argues that effective social work practice must incorporate both intervention methods. Integrated Program Development (IPD), a program framework for shelter services, is presented. A pilot project at the Salvation Army Family Haven in St. Louis, Missouri illustrates the costs and benefits of empowerment-oriented group work with homeless persons. Three approaches for establishing group work for homeless people are suggested. Each approach requires that group workers, with community organizing skills, be employed by social service administrators.     

Factors preventing the social reintegration of homeless persons: A comparison between residents of long-stay hostels and individuals living on the street

Homelessness is a major social issue in all Western countries. In France, many homeless persons do not have access to the accommodation and help with social reintegration provided in long-stay hostels, and remain on the streets or in other forms of emergency shelter. The objective of the present study is to identify the variables preventing access to these hostels and, more generally, to a process of social reintegration. We compared a group of 10 individuals housed in long-stay hostels with a group of 16 who were still living in the streets. All participants were assessed on the Hospital Anxiety and Depression Scale and underwent a semi-structured interview. Results showed that individuals who had not been admitted to a hostel were characterized by high levels of depression and anxiety, the attribution of responsibility to external factors, a vagrant lifestyle, a lack of social support, a negative approach to reintegration, and an inability to look to the future. This study highlights various factors explaining the reintegration difficulties encountered by a proportion of the homeless population. It suggests new ways of improving support for the homeless.     

Who Is Supporting Homeless Youth? Predictors of Support in Personal Networks

Homeless youth lack the traditional support networks of their housed peers, which increases their risk for poor health outcomes. Using a multilevel dyadic analytic approach, this study identified characteristics of social contacts, relationships, and social networks associated with the provision of tangible and emotional support to homeless youth (N = 419, M age = 20.09, SD = 2.80). Support providers were likely to be family members, sex partners, or non–street‐based contacts. The provision of support was also associated with contacts' employment and homelessness status, frequency of contact, shared risk behaviors, and the number of network members that were homeless and employed. The results provide insights into how homeless youth could be assisted to develop more supportive social networks.     

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless

One hundred, thirty-four undergraduate students participated in afield experiment designed to examine the effects of extended, prosocial communication with homeless persons, upon attitudes toward the homeless problem, of behavioral intentions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in attitudes and behavioral intentions toward the homeless and homelessness and result in greater attributions of external causes to explain homelessness. Nineteen experimental participants worked 15 hours at a local homeless shelter. Their responses to a posttestquestionnaire that measured a range of attitudinal and behavioral orientations toward the homeless were compared with control participants who did not work at the shelter. Subsequent analyses furnished strong evidence of positive changes in attitudes and intentions toward homelessness among the shelter workers. These participants evaluated homeless people as less blameworthy and more socially attractive than did control participants; moreover, shelter workers indicated more personal responsibility and behavioral commitment to helping the homeless than control participants. They also perceived the homeless problem to be more serious and were more likely to attribute homelessness to bad luck than control participants. However, the two groups were equally likely to attribute homelessness to various external causes such as the economy, housing costs, and governmental policies. The results are interpreted as having policy implications for volunteer service.     

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless

One hundred, thirty-four undergraduate students participated in a field experiment designed to examine the effects of extended, prosocial communication with homeless persons, upon attitudes toward the homeless problem, of behavioral intentions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in attitudes and behavioral intentions toward the homeless and homelessness and result in greater attributions of external causes to explain homelessness. Nineteen experimental participants worked 15 hours at a local homeless shelter. Their responses to a posttest questionnaire that measured a range of attitudinal and behavioral orientations toward the homeless were compared with control participants who did not work at the shelter. Subsequent analyses furnished strong evidence of positive changes in attitudes and intentions toward homelessness among the shelter workers. These participants evaluated homeless people as less blameworthy and more socially attractive than did control participants; moreover, shelter workers indicated more personal responsibility and behavioral commitment to helping the homeless than control participants. They also perceived the homeless problem to be more serious and were more likely to attribute homelessness to bad luck than control participants. However, the two groups were equally likely to attribute homelessness to various external causes such as the economy, housing costs, and governmental policies. The results are interpreted as having policy implications for volunteer service.     

The variation in family background amongst young homeless shelter users in Denmark

This article analyses variation in the family background of young homeless people in a cohort of young Danes. The study is based on administrative data for individuals who were 18 years old in 2007 and their parents. Homelessness is measured by shelter use over a five-year period. Data also cover education, employment, mental illness, substance abuse problems and placement outside home in childhood for the young persons, and education, employment, civil status, mental illness and substance abuse problems for their parents. A cluster analysis identifies two groups, each comprising half of the young shelter users. In the first group, social marginalisation is transmitted between generations, as most parents have low education and mental illness or substance abuse problems, and are unemployed. In contrast, the young people in the second group come from wider socioeconomic backgrounds, with few of their parents having mental illness or substance abuse problems. These young people develop psychosocial problems and become homeless without strong predictors from their family background. Amongst the young shelter users from families with severe social problems a higher share are in the Not in Education, Employment or Training group. They also have more shelter stays, compared to young shelter users from families with fewer social problems.     

No Place Like Home: A Study of Two Homeless Shelters

Homelessness is one of the most pressing social problems today. Society has responded to the problem with the creation of homeless shelters. yet, the nature of the operation of the shelter is not defined. This study explored the operations of two single adult homeless shelters to understand how they operate in addressing the problem of homelessness. The study identified two different types of services, one called "house" and the other ((home." House services provided basic food, shelter, and linkage to social services, which fulfilled the basic definition of the problem of homelessness as defined by the Institute of Medicine. Home services provided the basic services of house but also went one step beyond by providing these services within the context of a supportive environment, thus creating informal social supports. The study discusses the implications of each of these modalities in addressing the problems associated with people who are homeless as well as the differences in policies and structures which contribute to one shelter providing house and the other home services.