Trauma and Adversity in the Lives of People Experiencing Homelessness

Duncan, Stephanie; Oby, Stephen; Larkin, Heather

doi:10.1007/978-3-030-03727-7_2

Cited by 7 publications

(11 citation statements)

References 42 publications

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“…1 Adults experiencing homelessness, particularly those living in congregate shelters, are at high risk of acquiring SARS-CoV-2 infection due to environmental conditions (i.e., crowded spaces, poor ventilation). 2 Conditions common in homeless populations (e.g., trauma, mental health disorders, cognitive impairment, intoxication) 3 , 4 can interfere with preventive behaviors (e.g., mask wearing, social distancing) that reduce the risk of SARS-CoV-2 transmission. 5 , 6 There have been multiple large outbreaks of COVID-19 in homeless shelters.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples

et al. 2021

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Background Homeless-experienced populations are at increased risk of exposure to SARS-CoV-2 due to their living environments and face an increased risk of severe COVID-19 disease due to underlying health conditions. Little is known about COVID-19 testing and vaccination acceptability among homeless-experienced populations. Objective To understand the facilitators and barriers to COVID-19 testing and vaccine acceptability among homeless-experienced adults. Design We conducted in-depth interviews with participants from July to October 2020. We purposively recruited participants from (1) a longitudinal cohort of homeless-experienced older adults in Oakland, CA ( n =37) and (2) a convenience sample of people ( n =57) during a mobile outreach COVID-19 testing event in San Francisco. Participants Adults with current or past experience of homelessness. Approach We asked participants about their experiences with and attitudes towards COVID-19 testing and their perceptions of COVID-19 vaccinations. We used participant observation techniques to document the interactions between testing teams and those approached for testing. We audio-recorded, transcribed, and content analyzed all interviews and identified major themes and subthemes. Key Results Participants found incentivized COVID-19 testing administered in unsheltered settings and supported by community health outreach workers (CHOWs) to be acceptable. The majority of participants expressed a positive inclination toward vaccine acceptability, citing a desire to return to routine life and civic responsibility. Those who expressed hesitancy cited a desire to see trial data, concerns that vaccines included infectious materials, and mistrust of the government. Conclusions Participants expressed positive evaluations of the incentivized, mobile COVID-19 testing supported by CHOWs in unsheltered settings. The majority of participants expressed a positive inclination toward vaccination. Vaccine hesitancy concerns must be addressed when designing vaccine delivery strategies that overcome access challenges. Based on the successful implementation of COVID-19 testing, we recommend mobile delivery of vaccines using trusted CHOWs to address concerns and facilitate wider access to and uptake of the COVID vaccine.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples

et al. 2021

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“…Homelessness is a serious social and public health concern that affects thousands of people in both low-income and high-income countries [1]. It is a traumatic event that negatively affects health and well-being [2][3][4][5][6]. Those experiencing homelessness are often exposed to stressful conditions (e.g., lack of safety or a private space, perceived powerlessness and loss of social networks) commonly associated with shelter environments [2].…”

Section: Introductionmentioning

confidence: 99%

Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study

Mejía-Lancheros

Woodhall-Melnik

Hwang

et al. 2021

Health Qual Life Outcomes

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Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness. Methods This study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes. Results The majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19–0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35–4.95). Conclusion In homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group. Trial registration At Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374.

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“…For example, ACE (Adverse Childhood Experiences) scores are one way that the fields of human services, social work, and others measure and quantify childhood trauma. High ACE's scores have a correlation to homelessness and medical issues in adulthood (Centers for Disease Control [CDC], 2019; Duncan et al, 2019). Bureaucratic neglect can hurt children with high ACE assessment scores and prevent children receiving the help they need (Yang & Ortega, 2016;CDC, 2019).…”

Section: Best Practices and Solutions To Native American Homelessnessmentioning

confidence: 99%

Native American Homelessness and Minneapolis’ Infamous Tent City: Dispelling Myths and Stereotypes to Uncover Solutions

Jackson

Fashant

2021

J. Public Nonprof Aff.

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In the summer of 2018, an affordable housing crisis in Minneapolis, Minnesota led to the erection of a homeless encampment infamously labeled, “Tent City.” Publicized by media as a camp for homeless Native Americans, pervasive myths and stereotypes filled the airwaves while public agencies and nonprofit organizations raced to find solutions to this community crisis before the cold winter months settled in. Written from the perspective of an Indigenous woman working in the social services sector of Minneapolis, along with her faculty advisor in a public and nonprofit graduate program, this article: 1) identifies issues of homelessness in Native American communities, 2) dispels myths and stereotypes about Native Americans that impede meaningful progress, 3) explores barriers to safe and secure housing for Native Americans and other marginalized communities, 4) identifies states and countries leading the way to solve homelessness, and 5) suggests best practices and solutions to the ongoing homelessness crisis.

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Trauma and Adversity in the Lives of People Experiencing Homelessness

Cited by 7 publications

References 42 publications

COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples

COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples

Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study

Native American Homelessness and Minneapolis’ Infamous Tent City: Dispelling Myths and Stereotypes to Uncover Solutions

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