Navigating and Negotiating Health and Social Services in the Context of Homelessness: Resistance and Resilience

Côté, Pascal

doi:10.5206/ijoh.2022.1.13647

Cited by 2 publications

(1 citation statement)

References 41 publications

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“…These policies, in turn, influence experiences of social exclusion, including the isolation from various political, social, economic, and cultural systems and marginalization from public spaces (Gaetz 2004;Rokach 2004;Peressini 2007;Taylor 2013). They also perpetuate neoliberal discourses that individualize homelessness and ignore systemic and structural elements in favor of existing practices (Ilyniak 2022;MacDonald and Cote 2022).…”

Section: Le and Homelessnessmentioning

confidence: 99%

Lived Expertise in Homelessness Policy and Governance

Kopec,

Smith

2024

Social Sciences

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Lived expertise (LE) is a valuable form of expertise that can lead to more effective policymaking. Existing research points to important mechanisms for where and how to include LE. It also offers lessons around the potential exclusionary effects such mechanisms may have. In this article, we bring the discussions together and ground them in the Canadian case of homelessness. Failures in Canadian homelessness governance and policy highlight the utility of LE where it has been included, but we also find that its prevalence is unknown. Recent mechanisms including LE are still limited and their influence is questioned. We insist that the inclusion of LE cannot be haphazard or merely a nod to its value. Rather, it requires careful and considerate inclusion that centers LE throughout the policy process, encourages its influence and innovation, and embeds mechanisms for its long-term involvement within governance structures.

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Section: Le and Homelessnessmentioning

confidence: 99%

Lived Expertise in Homelessness Policy and Governance

Kopec,

Smith

2024

Social Sciences

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Health status and self-perception of health among homeless people in Spain: a mixed-methods study

Bedmar,

Capitán-Moyano,

Bennasar-Veny

et al. 2024

Front. Public Health

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IntroductionHomelessness is a phenomenon of social exclusion and poverty that has increased alarmingly during recent years. Homeless people (HP) experience violations of several basic human rights or needs that impact their well-being. Therefore, the aim of this research was to assess the health status and self-perceived health of HP and examining the impact of homelessness on their health.MethodsWe used an explanatory sequential mixed-methods approach that integrated a quantitative cross-sectional study within critical social and ethno-sociological qualitative frameworks. Data were collected in Palma, Spain, from December 1, 2020, to January 1, 2023. A total of 198 HP were recruited from the streets and public areas. Basic human needs (Virginia Henderson model), medical diagnoses, substance abuse (DAST-10), diet quality (IASE), depression (PHQ-9), and social support (SSQ-6) were assessed. Then, 17 semi-structured interviews were conducted and were analyzed using thematic content and discourse analysis. Quantitative and qualitative data were integrated and jointly analyzed.ResultsThe 79.3% of the participants were men, mean age of 47.8 ± 12.2 years. The 76.4% were Spanish. The participants reported severe difficulties in accessing the labor market, and that this greatly affected their self-esteem and mental health. The 48.9% of the participants suffered from one or more chronic diseases, and 50.3% were diagnosed with a mental health disorder. The participants generally did not consider health problems as a central concern. The health needs that most affected the participants were related to food, safety, and social support. HP frequently felt unsafe, fearfully, and anxious.ConclusionHomelessness, unemployment, and social exclusion have significant negative impacts on the health and wellbeing of HP. Precarious work conditions and deficiencies in the welfare system contribute significantly to homelessness. These results highlight the need for systemic solutions that extend beyond short-term housing initiatives.

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Navigating and Negotiating Health and Social Services in the Context of Homelessness: Resistance and Resilience

Cited by 2 publications

References 41 publications

Lived Expertise in Homelessness Policy and Governance

Lived Expertise in Homelessness Policy and Governance

Health status and self-perception of health among homeless people in Spain: a mixed-methods study

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