Client Experiences With Shelter and Community Care Services in the Netherlands

Abstract

Purpose: To gain insight into client experiences with shelter or community care services for homeless people, homeless youth, and abused women and identify priority improvement areas. Methods: Seven hundred and forty-four clients rated their experiences and 116 clients rated the services' importance. Results: Clients had most positive experiences with the clientworker relationship and least positive experiences with the results of services. Abused women's service providers scored higher than homeless adults and youth service providers. Day and night shelters scored lowest, followed by crisis shelters, supported housing, and outreaching teams. The results of care have the highest need for quality improvement for homeless adults and youth. Discussion: Clients' experiences with shelter and community care services in the Netherlands are generally positive, with a strong client-worker relationship forming the basis of good quality care. Monitoring outcomes and increasing the focus on results are integrated in recent approaches aimed at improving the quality of shelter care.

Homeless persons' experiences of health‐ and social care: A systematic integrative review

“…Twenty-two studies relevant to our aim and research questions were included in the review, 11 quantitative (Asmoredjo, Beijersbergen, & Wolf, 2017;Baggett, O'Connell, Singer, & Rigotti, 2010;Hwang et al, 2010;Jenkins & Parylo, 2011;Kertesz et al, 2014;van Laere, de Wit, & Klazinga, 2009;Robbins, Wenger, Lorvick, Shiboski, & Kral, 2010;Uddin et al, 2009;Vuillermoz, Vandentorren, Brondeel, & Chauvin, 2017;Whelan et al, 2010;Zur & Jones, 2014), and 11 qualitative (Biederman, Gamble, Manson, & Taylor, 2014;Biederman, Nichols, & Lindsey, 2013;Bungay, 2013;Corrigan, Pickett, Kraus, Burks, & Schmidt, 2015;Gültekin, Brush, Baiardi, Kirk, & VanMaldeghem, 2014;Kryda & Compton, 2009;Martins, 2008;McLeod & Walsh, 2014;Nickasch & Marnocha, 2009;Rae & Rees, 2015;Voronka et al, 2014). We found no studies that described economic costs in conjunction with needs of health-and social care in persons experiencing homelessness.…”

“…See Appendix S1 for a presentation of research aims, population foci, methods, samples, key findings and SIGN scores in the included articles. To summarise, 11 studies were conducted in the United States (50%) (Baggett et al, 2010;Biederman et al, 2014Biederman et al, , 2013Corrigan et al, 2015;Gültekin et al, 2014;Kertesz et al, 2014;Kryda & Compton, 2009;Martins, 2008;Nickasch & Marnocha, 2009;Robbins et al, 2010;Zur & Jones, 2014), five in Canada (23%) (Bungay, 2013;Hwang et al, 2010;McLeod & Walsh, 2014;Voronka et al, 2014;Whelan et al, 2010), two in the Netherlands (9%) (Asmoredjo et al, 2017;van Laere et al, 2009), two in the United Kingdom (9%) (Jenkins & Parylo, 2011;Rae & Rees, 2015), one in Bangladesh (4.5%) (Uddin et al, 2009) and one in France (4.5%) (Vuillermoz et al, 2017). The population foci in 12 studies (55%) were persons experiencing homelessness in general (Asmoredjo et al, 2017;Baggett et al, 2010;Biederman et al, 2014;Hwang et al, 2010;Kertesz et al, 2014;Kryda & Compton, 2009;van Laere et al, 2009;Martins, 2008;Nickasch & Marnocha, 2009;Rae & Rees, 2015;Uddin et al, 2009;Voronka et al, 2014), whereas foci in three studies, respectively, were family homelessness (14%) (Gültekin et al, 2014;Jenkins & Parylo, 2011;…”

“…Unmet social needs Asmoredjo et al, 2017, Biederman et al, 2014, Corrigan et al, 2015, Gültekin et al, 2014, Kryda & Compton, 2009, McLeod & Walsh, 2014, van Laere et al, 2009.…”

“…Stigmatised and discriminated Bungay, 2013, Corrigan et al, 2015, Gültekin et al, 2014, Kryda & Compton, 2009, Martins, 2008, Nickasch & Marnocha, 2009, Rae & Rees, 2015, Voronka et al, 2014. Asmoredjo et al, 2017, Biederman et al, 2013, Jenkins & Parylo, 2011, McLeod & Walsh, 2014, Rae & Rees, 2015, Whelan et al, 2010, Voronka et al, 2014.…”

“…Structural and organisational barriers Asmoredjo et al, 2017, Bungay, 2013, Corrigan et al, 2015, Kertesz et al, 2014, Kryda & Compton, 2009, Martins, 2008, McLeod & Walsh, 2014, Nickasch & Marnocha, 2009, Rae & Rees, 2015, van Laere et al, 2009, Voronka et al, 2014.…”