The Politics of Prevention and Government Responses to Homelessness

International Journal on Homelessness, Journal Year: 2024, Volume and Issue: 4(1), P. 171 - 184

Published: Jan. 26, 2024

Recently, the logic of public health prevention has found a foothold in research and advocacy about homelessness. From commonsense perspective, social problem like homelessness is an objectively positive aim. However, realm policy, concept not simply common-sense word. It part wider set rationalities technologies governance which operate through institution health. Research demonstrates that state-driven interventions designed to advance population often pose problems for particular groups. Prevention efforts, their differential effects, thus have potential illuminate how state-interventions pursued with objective safe-guarding general may simultaneously exacerbate specific structural systemic forms inequality. In this article, we probe ethical, empirical, political dimensions responses coronavirus disease 2019 (COVID-19) crisis, surfacing some ways these posed people who are homeless experience intersecting socio-political disparities. vantage point, then look critically at moves frame as well government efforts prevent by drawing on rationalities. Although our focus prevention, constructed governments, analysis inspired critical scholarship challenges apparent impartiality central practices contexts.

Language: Английский

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Determinants of the Health-Promoting Behaviors Among Community-Dwelling Older Adults with Non-communicable Diseases During the Post-Covid-19 Era

Journal of Nursing and Midwifery Sciences, Journal Year: 2024, Volume and Issue: 11(1)

Published: March 10, 2024

Background: While research has explored the health-promoting behaviors (HPBs) of older adults on a global scale during first and second waves COVID-19, there is limited knowledge about factors that influence HPBs among with non-communicable diseases (NCDs) in "new normal" following COVID-19 era. Objectives: The aim this study was to identify affect community-dwelling NCDs. Methods: This cross-sectional involved surveying 250 NCDs both urban rural communities within Ubon Ratchathani province, northeast Thailand, between September 10 November 10, 2022, pandemic. Data collection conducted using self-administered questionnaire, which included Self-rated Abilities Scale for Health Practice, Literacy Scale, Access Preventive Material, Lubben Social Network Health-Promoting Behaviors Scale. analysis utilized descriptive statistics hierarchical regression analysis, setting significance level at P < 0.05 all analyses. Results: Among surveyed, 65.60% had hypertension. These individuals demonstrated good level, along high perceived self-efficacy, health literacy, adequate access preventive materials, greater social engagement. indicated self-efficacy (β = 0.343, 0.001), attitudes towards smoking 0.226, age 0.204, literacy 0.199, 0.016), materials 0.123, 0.026) were significant predictors Conclusions: results suggest improved enhanced increased contribute better Multidisciplinary healthcare teams should consider these their intervention strategies achieve deeper understanding outcomes. Future investigate causal relationships variables examine adults’ perceptions long-term care settings, particularly

Language: Английский

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Social isolation and loneliness among people living with experience of homelessness: a scoping review

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 16, 2024

Social isolation and loneliness (SIL) are public health challenges that disproportionally affect individuals who experience structural socio-economic exclusion. The social outcomes of SIL for people with experiences being unhoused have largely remained unexplored. Yet, there is limited synthesis literature focused on to appropriately inform policy targeted interventions homelessness experience. aim this scoping review synthesize evidence among lived explore how it negatively impacts their wellbeing. We carried out a comprehensive search from Medline, Embase, Cochrane Library, PsycINFO, CINAHL, Sociological Abstracts, Web Science's Sciences Citation Index Science peer-reviewed studies published between January 1st, 2000 3rd, 2023. Studies went through title, abstract full-text screening conducted independently by at least two reviewers. Included were then analyzed synthesized identify the conceptualizations SIL, measurement tools approaches, prevalence characterization, relationship outcomes. yielded 5,294 papers after removing duplicate records. Following screening, we retained 27 qualitative studies, 23 quantitative mixed method studies. was not primary objective most included articles. varied 25 90% across A range used measure making difficult compare results Though reported associations health, wellbeing, substance use, found substantial gaps in literature. Most cross-sectional, only one study administrative data ascertain More needed better understand population build actionable strategies policies address its impacts.

Language: Английский

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Supported Accommodations for People with Serious Mental Disorders: Staff’s Assessment of Work Challenges and Their Impact during COVID-19

Portuguese Journal of Public Health, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 15

Published: July 16, 2024

<b><i>Introduction:</i></b> Few studies analysed the impact of COVID-19 on supported accommodations (SAs) for people with serious mental disorders. This study aimed to analyse staff’s assessments work challenges in SAs during COVID-19, pandemic staff, their perception residents, and associated factors. <b><i>Methods:</i></b> To assess staff a questionnaire was administered SAs. Multilevel logistic regression analyses were conducted, involving sociodemographic characteristics, staff. <b><i>Results:</i></b> In total, 117 from 32 responded. A challenging environment felt by most participants (68.4%). There significant differences experienced namely, according profession years working health. negative reported 26.5% which feeling that residents no longer getting an acceptable service (OR = 7.04, 95% CI [1.43, 34.65], <i>p</i> 0.016) at risk infection 7.99, [1.39, 45.86], 0.020). Relapse deterioration residents’ health perceived 43.6% <b><i>Conclusions:</i></b> Several occurred had reportedly residents. Implications range organisational clinical levels may apply internationally similarly situations.

Language: Английский

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Spatiotemporal Characteristics of Coupling and Coordination of Cultural Tourism and Objective Well-Being in Western China

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 20(1), P. 650 - 650

Published: Dec. 30, 2022

A supply of high-quality cultural tourism products effectively promotes people’s happiness. This study takes the coupling and coordination relationship between (CT) objective well-being (OWB) in western China as research object constructs an index evaluation system for development levels welfare, which are divided into three stages dysfunctional, transitional, coordinated 10 levels, including coordination. The entropy weight method, coupled model, Thiel index, standard deviation, coefficient variation were used to calculate comprehensive degree CT OWB systems from 2007 2020, then their evolution characteristics analyzed perspectives time space. results show following: (1) capacity region shows a relatively consistent growth trend except overall welfare was high, low. (2) state transition high low coordination, stages: imbalanced stage (2007–2008), transitional (2009–2011), (2012–2020). has developed steadily moderate misalignment good over time, diversified obvious. (3) spatial equilibrium is obvious, difference getting smaller, but relative gap widening significantly. (4) should be enhanced, spiritual needs residents based on met, sustainable systems.

Language: Английский

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Providing Housing First services for an underserved population during the early wave of the COVID-19 pandemic: A qualitative study

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(12), P. e0278459 - e0278459

Published: Dec. 1, 2022

Objective We assessed the critical role of Housing First (HF) programs and frontline workers in responding to challenges faced during first wave COVID-19 pandemic. Method Semi-structured interviews were conducted with nine HF from three between May 2020 July 2020, Toronto, Canada. Information was collected on adjustments needed provide services clients (people experiencing homelessness mental disorders). applied Analytical Framework method thematic analysis our data. Results Inability in-person support socializing activities, barriers appropriate health assessments, limited virtual communication due clients’ lack access digital devices among most salient that reported Implementing services, provision urgent in-office or in-field support, distributing food aid, connecting online healthcare increasing harm reduction education referral, meeting housing needs some strategies implemented by complex their experienced workload burden, job insecurity problems (e.g. distress, worry, anxiety) as a consequence Conclusion Despite several work-, programming- structural-related when pandemic, they played communication, food, even it negatively affected well-being. A more coordinated, integrated, innovative, sustainable, effective well-funded response is required meet intersecting social, housing, financial underserved socio-economically excluded groups beyond emergencies.

Language: Английский

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Profiles of quality of life among residents in permanent supportive housing during the COVID-19 pandemic

Journal of Social Distress and the Homeless, Journal Year: 2023, Volume and Issue: 33(2), P. 511 - 521

Published: Oct. 19, 2023

ABSTRACTThis study identified profiles of quality life (QoL) deterioration among permanent supportive housing (PSH) residents during the COVID-19 pandemic, which hasn't been reported on yet. Between November 2020 and April 2022, 231 PSH from Quebec (Canada) were interviewed. Patient with Cluster Analysis based participants' sociodemographic clinical characteristics, service use compared (p < 0.05). Three QoL identified, 62% sample reporting deterioration. Profile 1 (26% sample) included middle-aged men living mostly in congregate since 5 + years, having high social support, few health problems, perceiving low their conditions QoL. 2 (44%) less than highly affected by serious mental disorders, COVID-19, 3 (30%) younger for 2–5 perceived The underlined importance sustaining care access a pandemic context individuals most unmet needs, more at risk deterioration.KEYWORDS: Quality deteriorationCOVID-19 pandemicPermanent housingProfilesCluster analysis AcknowledgementsAuthor contributions: MJF designed overall research project was responsible data collection. LA analytical plan article. produced quantitative analyses tables. LA, GG wrote All authors approved final version article.Disclosure statementNo potential conflict interest author(s).Data availabilityIn accordance applicable ethics regulations province Quebec, principal investigator is keeping confidential.Ethical approvalThis performed line principles Declaration Helsinki. multisite protocol board Douglas Mental Health Institute.Consent to participateAll participants signed consent form before doing interview told that responses would remain confidential.Additional informationFundingThis funded Social Sciences Humanities Research Council Canada (SSHRC), Project #8400900.Notes contributorsLia GentilLia Gentil postdoctoral researcher Hospital Centre.Guy GrenierGuy Grenier associate Centre.Marie-Josée FleuryMarie-Josée Fleury professor Department Psychiatry McGill University Centre.

Language: Английский

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Social isolation and loneliness among people living with experience of homelessness: A scoping review

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 19, 2024

Social isolation and loneliness (SIL) are public health challenges that disproportionally affect individuals who experience structural socio-economic exclusion. The social outcomes of SIL for people with experiences being unhoused have largely remained unexplored. Yet, there is limited synthesis literature focused on to appropriately inform policy facilitate targeted interventions homelessness experience. aim this scoping review synthesize evidence among lived explore how it negatively impacts their wellbeing. We carried out a comprehensive search from Medline, Embase, Cochrane Library, PsycINFO, CINAHL, Sociological Abstracts, Web Science's Sciences Citation Index Science peer-reviewed studies published between 2000 January 3rd, 2023. Studies went through title, abstract full-text screening conducted independently by at least two reviewers. Included were then analyzed synthesized identify the conceptualizations SIL, measurement tools approaches, prevalence characterization, relationship outcomes. yielded 5,294 papers after removing duplicate records. After screening, we retained 27 qualitative studies, 23 quantitative mixed method studies. was not primary objective most included articles. varied 25–90% across A range used measure making difficult compare results Though reported association health, wellbeing, substance, found substantial gaps in existing literature. Most cross-sectional, no study as main or secondary outcome. More needed better understand population build actionable strategies policies address its impacts.

Language: Английский

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Perceived Impact of COVID‐19 in an Underserved Community: A Natural Language Processing Approach

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 7, 2024

ABSTRACT Aim To utilise natural language processing (NLP) to analyse interviews about the impact of COVID‐19 in underserved communities and compare it traditional thematic analysis a small subset interviews. Design NLP were used together comprehensively examine interview data. Methods Fifty transcribed with purposively sampled adults living United States, conducted from June 2021 May 2022, analysed explore pandemic on social activities, mental emotional stress physical spiritual well‐being. includes several stages: data extraction, preprocessing, using word embeddings topic modelling visualisation. This was compared random sample 10 Results Six themes emerged analysis: The New Normal, Juxtaposition Emotions, Ripple Effects Health, Brutal yet Elusive Reality, Evolving Connections Journey Spirituality Self‐Realisation. With NLP, four clusters similar context words for each approach visually numerically. frequency‐based embedding most interpretable well aligned analysis. Conclusion results complemented offered new insights regarding passage time, interconnectedness impacts semantic connections among words. research highlights interdependence impacts, simultaneously positive negative effects deeply individual experiences communities. Implications iterative integration efficient effective, facilitating many transcripts expanding nursing methodology. Impact While provided richer, more detailed themes, captured elements combinations words, making promising tool qualitative Reporting Method Not applicable. Patient or Public Contribution No patient public contribution.

Language: Английский

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A Pragmatic Randomized Controlled Trial of Financial Incentives in Case Management for Homeless Adults With Mental Illness

Psychiatric Services, Journal Year: 2023, Volume and Issue: 74(8), P. 823 - 829

Published: Feb. 23, 2023

Financial incentives can facilitate behavior change and service engagement in health care settings, but research on their use with adults experiencing homelessness is limited. This study examined the effectiveness of financial improving outcomes among homeless mental illness Toronto.The authors this randomized controlled trial recruited 176 participants receiving brief multidisciplinary case management services for after hospital discharge. In a 1:1 randomization design, 87 received incentive CAN$20 every week they remained engaged up to 6 months. The remaining 89 treatment as usual. primary outcome was contact rates months follow-up. Secondary included self-reported status, symptoms, substance use, quality life, housing stability, acute working alliance. Negative binomial regression models, analyses covariance, generalized estimating equations Wilcoxon rank sum tests were used examine differences between treatment-as-usual groups across interest.No significant found or any secondary over 6-month period.In low-barrier, programs tailored needs homelessness, may not affect outcomes. Further needed identify effect other services, including housing-based interventions.

Language: Английский

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