Childhood adversity,adult homelessness and the intergenerational transmission of risk: a population‐representative study of individuals in households with children

This study tested for associations between childhood adversity, adult homelessness and contexts of developmental risk in households with children. Data were drawn from the 2010 Washington State Behavioral Risk Factor Surveillance System, representative of the population of Washington State residents. Considering adults in households with children, those who experienced higher levels of childhood adversity were more likely to have experienced homelessness in adulthood. Meanwhile, a 10‐factor index of cumulative developmental risk was independently associated with childhood adversity and with adult homelessness. Adult homelessness appears to represent a circumstance through which past childhood adversities are brought forward and associated with contexts of developmental risk for subsequent generations of children.     

The Political Role of Social Work: Grasping the Momentum of Working Through Interorganizational Networks in Belgium

ABSTRACT

This article explores how social workers deal with the ambiguity that arises from their ability to transform the private needs of individuals into issues of public concern. It is argued that the current shift towards joined-up working, which is epitomized by the creation of interorganizational networks, could encourage new opportunities for social work. These horizontal and nonhierarchical forms of cooperation serve as platforms for debate to ensure regular discussions about the causes of and potential solutions to complex societal problems. This article relies on a case-study of bottom-up networks in two Belgian cities where social workers from various policy fields voluntarily joined forces to look after hard-to-reach groups of homeless people. The primary data were obtained from document analysis, semi-structured interviews with network participants, and direct observations of network meetings. These data were analyzed by conducting a directed content analysis. The examination shows that the joint creation of welfare services leads to substantial debates among social workers about the criteria which homeless people must meet in order to be provided with welfare services and primary care. The paper shows that despite being aware of differing viewpoints by their engagement in such debates, social workers are reluctant to challenge the dominant conceptualizations underlying their own day-to-day practices, and that this impacts on the potential to induce local policymakers to take further action with regard to reducing homelessness.     

‘The domino effect’: pathways in and out of homelessness for autistic adults

Autistic adults may be at increased risk of homelessness due to the association between autism spectrum disorders and poor socio-economic outcomes. In particular, social vulnerability, unemployment, and difficulty interacting with services can be catalysts for homelessness, compounded by lack of diagnosis and appropriate support. This article presents the narratives of two autistic adults, known as ‘Max’ and ‘Peter’, who had experienced homelessness. They explain the factors which led them to become homeless and those that aided their rehabilitation. The article argues that whilst Max and Peter were susceptible to the socio-economic disadvantages which affect adults with autism in various ways, the resilience and determination displayed in their narratives countered traditional stereotypes of resistance to change. Furthermore, it is suggested that homelessness is not an outcome of autism, but of the disabling barriers autistic adults face throughout their lives.     

Women and homelessness,a complex multidimensional issue: findings from a scoping review

Homelessness is an increasingly prevalent issue worldwide. Women represent the fastest growing segment of the homeless population and have differing needs to men. These differences need to be considered by service providers and other stakeholders working with homeless women. A scoping review was conducted to address the question “What is known about issues relating to homeless women in the existing literature?” PubMed, PsycInfo, Embase, CINAHL, Scopus and Web of Science were searched up until March 2018 with no date limits. The final sample of articles included in this scoping study was 232 from which six themes were extracted: (1) pathways into homelessness, (2) trauma, victimization and adverse childhood experiences, (3) mental and physical health issues, (4) barriers to accessing treatment and experiences with service providers, (5) social support and life satisfaction and (6) strengths, hopes and leaving homelessness. This review suggests a strengths-based approach to addressing women’s homelessness. This approach emphasizes people’s self-determination and strengths and views clients as resilient to problems they encounter in their lives. Future research and service provision should take into account the complexities in the lives of homeless women and recognize the autonomy of women to move out of homelessness.     

HIV/AIDS and homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease. Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels of physical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

Recovering from Homelessness: Determining the “Quality of Sobriety” in a Transitional Housing Program

Recent years have seen fundamental shifts in the objectives and delivery of assistance to the homeless. An early emphasis on emergency shelter and monetary housing assistance has been replaced by a focus on programs designed to blend shelter with an array of social services. In most instances, however, programs combining shelter and social services are designed as transitional; that is, they are intended to help homeless individuals and families move from a position of dependence to one where they can live independently. The emphasis in transitional housing programs is on making homeless people housing ready. This paper concerns the process of assessing housing readiness as observed during eighteen months of fieldwork in a federally supported transitional housing program for formerly homeless single adults. The detailed case study that follows supports three important findings. First, there was virtual unanimity among staff and residents that substance abuse was the cause of their homelessness and the key to its solution. Second, success within the program was defined and operationalized along very specific but well understood normative dimensions that have little to do with the material circumstances in which residents find themselves and everything to do with recovery. Third, recovery—the key to housing readiness in this environment—was measured not by objective measures, i.e., number of months sober, but rather by what was widely referred to as one's quality of sobriety, a subjective and consequently often hotly debated measure of attitude and outlook only loosely related to demonstrable abstinence from alcohol. This last finding, that ultimately housing readiness is a subjective judgment, both increases the discretion of shelter staff and generates a systematic disattention to the individual economic issues that are fundamental to an exit from homelessness.     

Homeless Affiliation, Location, and Sender Address in Return of Lost Letters

A field study used 1008 lost letters to test the hypotheses that the differences in returned responses would be attributable to the addressee (i.e., ending homelessness-control or preventing it among youth, veterans, and lesbians) and especially to a socially deviant addressee, that cultural differences between distribution locations might influence returned responses of lost letters, and that sender address (i.e., urban, rural, control) would also influence returned responses. Both addressees' affiliations and distribution location were associated with returned responses, with the lowest rates being for the Prevent Lesbian Homelessness Program affiliate overall and for the city of Pensacola, respectively. Antigay prejudice toward a deviant group may still be strong even when a helping act can be performed without intimate contact involving members of deviant group. Neither distribution location nor the sender or return address conditions were associated with different returned responses. Further testing of the lost letter technique, as a measure of public response, may be warranted.     

Implicit and Self-Attributed Dependency Needs in Homeless Men and Women

Recent metaanalyses indicate that women consistently obtain higher scores than men do on self-report dependency measures, but not on projective dependency tests (R. F. Bornstein, 1995, 1996). To explore this issue in a heretofore unexamined population, we analyzed archival data from 85 homeless participants (40 women and 45 men) enrolled in a vocational rehabilitation program, using the MMPI Dependency (Dy) Scale (L. Navran, 1954) and the Rorschach Oral Dependency (ROD) Scale (J. M. Masling, L. Rabie, & S. H. Blondheim, 1967). Consistent with earlier results, there were no gender differences in projective dependency scores, but contrary to earlier results, there were also no gender differences in self-reports of dependency. These findings suggest that stressful conditions like homelessness may mitigate the impact of gender on self-reported dependency.     

Everyday territories: homelessness,outreach work and city space

This article develops a situational approach to understanding urban public life and, in particular, the production of urban territories. Our aim is to examine the ways in which city space might be understood as comprising multiple, shifting, mobile and rhythmed territories. We argue that such territories are best understood through attending to their everyday production and negotiation, rather than handling territory as an a priori construct. We develop this argument from the particular case of the street‐level politics of homelessness and street care. The experience of street homelessness and the provision of care in the public spaces of the city is characterised by precarious territorial claims made and lost. We describe some of the ways in which care work with rough sleepers is itself precarious; ‘homeless’, in lacking a distinct setting in which it might get done. Indeed, outreach work takes place within and affirms homeless territories. The affirmation of territory is shown to be central to the relationship developed between the workers and their rough sleeping clients. We also show, however, the ways in which outreach workers operate on territory not their own, twice over. Outreach work is precarious in that it is practised within, and can run counter to, other territorial productions in which the experience of urban need and the work and politics of care are entangled. In sum, this article aims to move beyond static and binary understandings by developing a mobile and situational approach to city space which recognises the intensive yet overlooked work of territorial production.