A part of something: The importance of transitional living programs within a Housing First framework for youth experiencing homelessness

Holtschneider, Casey

doi:10.1016/j.childyouth.2016.04.009

Cited by 30 publications

(20 citation statements)

References 14 publications

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“…[56] Others recognized the importance of rules and structure as essential elements for personal development. [67]…”

Section: Resultsmentioning

confidence: 99%

“…Stable housing and service programs created a sense of safety, security and stability for individuals with lived experience of homelessness, who often faced hardships in securing safe places for personal belongings and activities [26,56,63,67,68,72,73,76,79,85], “where you don’t have to watch your back all the time” [75]. Women, in particular, found that women-specific programs created safe spaces to engage with one another in an environment free from violence and trauma.…”

Section: Resultsmentioning

confidence: 99%

“…[55,56,58,60,72,80,86] Youth expressed interest in congregate housing models, as these promoted companionship and a sense of community and surrogate family with others in similar circumstances. [67,86] Women prioritized the safety of their children and expressed concerns regarding the safety of the neighbourhoods in which they lived. [72,82] Many women communicated a preference for integrated services within housing programs.…”

Section: Resultsmentioning

confidence: 99%

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Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

Magwood¹,

Leki²,

Kpadé³

et al. 2019

PLoS ONE

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BackgroundPersons experiencing homelessness and vulnerable housing or those with lived experience of homelessness have worse health outcomes than individuals who are stably housed. Structural violence can dramatically affect their acceptance of interventions. We carried out a systematic review to understand the factors that influence the acceptability of social and health interventions among persons with lived experience of homelessness.MethodsWe searched through eight bibliographic databases and selected grey literature sources for articles that were published between 1994 and 2019. We selected primary studies that reported on the experiences of homeless populations interacting with practitioners and service providers working in permanent supportive housing, case management, interventions for substance use, income assistance, and women- and youth-specific interventions. Each study was independently assessed for its methodological quality. We used a framework analysis to identify key findings and used the GRADE-CERQual approach to assess confidence in the key findings.FindingsOur search identified 11,017 citations of which 35 primary studies met our inclusion criteria. Our synthesis highlighted that individuals were marginalized, dehumanized and excluded by their lived homelessness experience. As a result, trust and personal safety were highly valued within human interactions. Lived experience of homelessness influenced attitudes toward health and social service professionals and sometimes led to reluctance to accept interventions. Physical and structural violence intersected with low self-esteem, depression and homeless-related stigma. Positive self-identity facilitated links to long-term and integrated services, peer support, and patient-centred engagement.ConclusionsIndividuals with lived experience of homelessness face considerable marginalization, dehumanization and structural violence. Practitioners and social service providers should consider anti-oppressive approaches and provide, refer to, or advocate for health and structural interventions using the principles of trauma-informed care. Accepting and respecting others as they are, without judgment, may help practitioners navigate barriers to inclusiveness, equitability, and effectiveness for primary care that targets this marginalized population.

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“…[56] Others recognized the importance of rules and structure as essential elements for personal development. [67]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

Magwood¹,

Leki²,

Kpadé³

et al. 2019

PLoS ONE

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“…A third noteworthy finding is that a sizable proportion (6%) of veterans were in the transitional housing use profile, meaning that they were able to exit homelessness through transitional housing, which suggests that the Housing First model of permanent supportive housing may not be necessary for all veterans. This may be important to consider in resource allocation and program development because there have been some broad shifts away from transitional housing in the era of Housing First, although many have pointed to the value of a residential continuum of options (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First

Tsai¹,

Byrne²

2019

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Objective: Although Housing First is the primary service model for housing chronically homeless adults, the Department of Veterans Affairs (VA) serves a heterogeneous population of homeless veterans and operates a continuum of models. This study examined longitudinally how various VA homelessness programs are used by type, timing, and sequence to identify utilization patterns and associated client characteristics. Methods: Nationally linked administrative data from seven VA homelessness programs for 15,260 veterans who newly entered any VA homelessness program in 2015 and were followed for 2 years were analyzed with an innovative sequence and cluster analytic approach. Results: The analysis found five main profiles: brief program use (59% of total sample), permanent supported housing plus (21%), heavy multiple program use (3%), transitional housing use (6%), and rapid rehousing program use (10%). The transitional housing use profile had the lowest proportion of women, and the brief use profile had the highest proportion of white veterans. Veterans in the supported housing plus profile used the most VA general medical and mental health services and were most likely to be in permanent housing by the end of the study period, although, notably, over 40% of veterans in the other profiles, except for the heavy multiple-use profile, were also in permanent housing by the end of the study. Conclusions: Findings suggest that the VA's continuum of housing models is providing veterans who have diverse needs with an array of pathways for recovery. However, additional attention and research are needed for veterans in the heavy multiple program use profile.

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“…A few scholars have documented that having access to social support is associated with fewer negative mental health symptoms among homeless youth and can reduce the frequency of suicidality and other maladaptive behaviors (Castro et al 2014;Fulginiti et al 2016;Irwin et al 2008;Moskowitz et al 2013;Unger et al 1998). Social support from personal networks can also offer critical instrumental coping assistance in finding employment and being successful in finding housing (Barman-Adhikari and Rice 2014;Holtschneider 2016). The literature also hints that ties to supportive professionals may be particularly influential in increasing the likelihood that RHY access services when available (Tyler et al 2012;Wright and Connoley 2002).…”

Section: The Support Network Of Rhymentioning

confidence: 99%

Social Support Networks and the Mental Health of Runaway and Homeless Youth

2017

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Abstract:In response to growing concerns about the rising number of runaway and homeless youth (RHY) in the U.S., researchers have sought to improve the scientific understanding of health and mental health needs, as well as the social resources available to these youths. In this paper, we examine the relationship between personal support network resources and the mental health status of a sample of RHY (N = 693) surveyed in metro-Atlanta, Georgia. The results suggest that having more supportive network ties reduces the risk of youth experiencing significant symptoms of a severe mental illness. We also find that older youth and youth who have been homeless for six months or longer have fewer personal support network resources. We conclude with a discussion of the implications of our findings for future research and services for this exceptionally vulnerable population.

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A part of something: The importance of transitional living programs within a Housing First framework for youth experiencing homelessness

Cited by 30 publications

References 14 publications

Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First

Social Support Networks and the Mental Health of Runaway and Homeless Youth

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