Home About us Contact
|
Home About us Contact | ||
|
|
||
Homeless Populations (homeless + population)
Selected AbstractsThe Supervised Methadone and Resettlement Team nurse: an effective approach with opiate-dependent, homeless peopleINTERNATIONAL NURSING REVIEW, Issue 2 2001W. Mistral BSC. Abstract Homelessness and substance misuse have risen dramatically over the past 30 years in the UK. The role of the primary care nurse has been signalled as important in working with people who have drug and alcohol problems, and for improving the general health of homeless people. This article focuses on the role of the primary care nurse in a Supervised Methadone and Resettlement Team (SMART). The team works in central Bristol, in southwest England, with people who are homeless and using illegal opiates. The aim of this report is to provide descriptive information that demonstrates the value of the primary care nurse, working in a multiagency partnership, in dealing with the problems of this homeless population, many of whom have problems associated with illicit drug use. Client outcomes from a small sample of homeless persons are also described. [source] The Geography of Homelessness in American Communities: Concentration or Dispersion?CITY & COMMUNITY, Issue 1 2004Barrett A. Lee Few recent studies of homelessness have focused on the distribution of the phenomenon across different types of community contexts. Nevertheless, claims are often made about the decline of urban skid rows and the increasing spatial ubiquity of the homeless population. Motivated by these claims, our research analyzes 1990 Census S-night data at multiple geographic levels to determine whether homeless people remain locationally concentrated or have become more dispersed in the contemporary United States. Data from the 2000 Census, though limited in scope, are briefly examined as well. We find that the "visible" homeless are overrepresented in metropolitan and urban portions of the nation, in central cities of metropolitan areas, and in a minority of neighborhoods within these areas. Such an uneven distribution, which favors the concentration over the dispersion perspective, often takes a polynucleated form in large cities. Forces shaping the geography of homelessness are discussed, as are the policy implications and methodological caveats associated with our results. [source] Survey findings on characteristics and health status of clients treated by the federally funded (US) Health Care for the Homeless ProgramsHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2009Cheryl Zlotnick RN DrPH Abstract For almost two decades, the US Health Care for the Homeless (HCH) Program has funded clinics across the country for homeless populations. Between October and December 2003, for the first time ever, a nationally representative sample of the almost 200 HCH clinics with a response rate of approximately 71% (the HCH User Visit Survey) was created to examine the health status of its users (n = 1017). This study employed the HCH User Visit Survey's cross-sectional data set to evaluate health indicators of individuals using HCH Services with the US population, and compare individuals who reported they routinely used HCH clinics (,usual' HCH users) to those who did not (,non-usual' users). HCH users had poorer health status than the US population (44.0% versus 12.3%, respectively). Usual HCH users had similar healthcare status compared to non-usual users, but were more likely to be uninsured, non-English speakers, and walking or taking public transportation to their medical appointments. Usual versus non-usual HCH users were also more apt to have slept in cars, buses or on the streets in the week prior to the survey (14.8% versus 4.3%, respectively). This study shows that the HCH clinics are serving homeless individuals who have a variety of complex health and psychosocial needs, and its most frequent users are those who experience the most barriers accessing care. [source] Parenting, Parental Mental Health, and Child Functioning in Families Residing in Supportive HousingAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2009Abigail H. Gewirtz PhD Long-term homelessness is associated with other psychosocial risk factors (e.g., adult mental illness, substance abuse, and exposure to violence). All of these factors are associated with impairments in parenting effectiveness and child adjustment, but there are very limited data investigating parenting among families who are homeless and highly mobile. In particular, there is no literature examining the relationships among observed parenting, parental mental health, and child adjustment in a supportive housing sample. Data are reported from a multimethod study of 200 children in 127 families residing in supportive housing agencies in a large metro area. Observed parenting and parents' mental health symptoms directly affected children's adjustment. The influence of parenting self-efficacy on children's adjustment was mediated through its impact on observed parenting. However, observed parenting did not mediate the relationship between parental mental health and child adjustment. Implications for research and practice with homeless populations are offered. [source] Factors associated with violent victimisation among homeless adults in Sydney, AustraliaAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2009Sarah Larney Abstract Objective: To determine the prevalence and correlates of violent victimisation among homeless people in inner-Sydney. Method: Cross-sectional design. Clients of a shelter for homeless, substance-using adults were interviewed about their drug use, mental health and violent victimisation in the previous 12 months. Logistic regression was used to identify factors associated with victimisation. Results: Participants reported complex drug use histories and high levels of depression, post-traumatic stress disorder (PTSD) and schizophrenia or other psychotic disorders. Forty-eight per cent of participants reported past year victimisation. In univariate analyses, being female, schizophrenia/psychotic disorder, PTSD, depression and regular use of psychostimulants were associated with increased risk of victimisation. In multivariate analyses, regular use of psychostimulants (odds ratio [95% CI] 5.07 [1.53-16.84]), schizophrenia or other psychotic disorder (3.13 [1.24-7.9], and depression (2.65 [1.07-6.59]) were associated with increased risk of victimisation. Conclusions and implications: This sample of homeless, substance-using adults experienced high levels of violence. People with poor mental health and regular psychostimulant users were at greater risk of victimisation. A longitudinal study to determine whether victimisation prolongs homelessness is warranted. Clinical staff working with homeless populations need to be aware of the likelihood of past and future victimisation and its effects on mental health. Homeless persons may benefit from learning to identify risk situations for victimisation and how to de-escalate potentially violent situations. [source] | ||||||||||