Trauma-Informed Care in Homelessness Service Settings: Challenges and Opportunities

Bransford, Cassandra L.; Cole, Jennifer

doi:10.1007/978-3-030-03727-7_13

Cited by 21 publications

(11 citation statements)

References 86 publications

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“…Service providers should be aware of the importance that persons experiencing homelessness attribute to the services that they provide, a finding emphasized by participants in previous research (C. A. Marshall et al, 2022 ). Acknowledging the trauma histories that persons with histories of homelessness have experienced and integrating this knowledge in the delivery of care is a key approach for improving the effectiveness of services (Bransford & Cole, 2019 ; Hopper et al, 2010 ). A relational approach in which services are delivered to account for the trauma and attachment histories of persons who have experienced homelessness as a way of building trusting and authentic relationships has been emphasized by the participants in this study and has been promoted by existing practice frameworks (C. Marshall et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“I can’t remember the last time I was comfortable about being home”: lived experience perspectives on thriving following homelessness

Marshall

Phillips

Holmes

et al. 2023

International Journal of Qualitative Studies on Health and Well

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Purpose Strategies for preventing and ending homelessness are frequently measured by their effectiveness on indices of tenancy sustainment. To shift this narrative, we conducted research to identify what is needed to “thrive” following homelessness from the perspectives of persons with lived experience in Ontario, Canada. Methods Conducted in the context of a community-based participatory research study aimed at informing the development of intervention strategies, we interviewed 46 persons living with mental illness and/or substance use disorder [ n = 25 (54.3%) unhoused; n = 21 (45.7%) housed following homelessness] using qualitative interviews. A subsample of 14 participants agreed to engage in photovoice interviews. We analysed these data abductively using thematic analysis informed by health equity and social justice. Results Participants described experiences of “living in a state of lack” following homelessness. This essence was expressed through four themes: 1) housing as part one of the journey to home; 2) finding and keeping “my people”; 3) meaningful activity as critical for thriving following homelessness; and 4) struggling to access mental health supports in the context of challenging circumstances. Conclusions Individuals struggle to thrive following homelessness in the context of insufficient resources. There is a need to build on existing interventions to address outcomes beyond tenancy sustainment.

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Section: Discussionmentioning

confidence: 99%

“I can’t remember the last time I was comfortable about being home”: lived experience perspectives on thriving following homelessness

Marshall

Phillips

Holmes

et al. 2023

International Journal of Qualitative Studies on Health and Well

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“…There was always a looming awareness that the sites would close, and while considerable advocacy efforts by the Coalition to maintain them, residents were all too aware that it was only a matter of time before they would be permanently closed. The impact of residents’ awareness of this reality cannot be overstated; significant trauma, fear, and anxiety was (and is) produced by continually creating uncertain futures for PDH (see Bransford & Cole, 2019 ; Hopper et al, 2010 ). Although there were some positive aspects to the WISH program identified by some residents, the program became yet another THP, and one with a particularly short timeline.…”

Section: Discussionmentioning

confidence: 99%

A WISH to be Housed: Exploring the Winter Interim Solution to Homelessness (WISH) Temporary Accommodation Model in London, Canada

Smith-Carrier

Hall

Belanger

et al. 2022

Community Ment Health J

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Temporary housing programs (THPs) aim to serve the homeless population. This article explores the impacts of a THP, the Winter Interim Solution to Homelessness (WISH) in London, Canada, which applied a barrier-free, harm reduction model. Adopting an intersectional lens and interpretive description methodology, we analyzed data collected from WISH residents, utilizing a thematic analytic approach. Identified themes included: (1) “(It’s) kinda like a real home” (WISH is unlike other shelters); (2) “It’s like a buddy system” (A sense of community was fostered); (3) “It’s the same size as a jail cell” (Problems with infrastructure); (4) “To keep us on focus” (Un/supportive staff/volunteers); (5) “I’m not sure what I’m going to do after” (The dearth of permanent housing creates trauma); and (6) “Too much bloody money in too little hands” (Distrust of housing providers). Although WISH was helpful to some residents, the temporary nature of the program limited its long-term impact.

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“…Applied scientific research should be conducted about the use of a gender perspective in social services, making it possible to transfer academic knowledge to professional practice (see Andermann et al, 2021). Also, research budgets should have specific allocations for studying homelessness in Spain with the aim of understanding the effect of trauma on social exclusion and breaking the cycle of marginalization (see also Bransford & Cole, 2019).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Nature of Violence Against Women Experiencing Homelessness: A Quantitative Study

Calvo

Watts

Panadero

et al. 2021

Violence Against Women

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Individuals experiencing homelessness—an extreme form of social exclusion—have considerably higher risk of being victims of violence than the general population. We analyze the episodes of violence suffered by 504 individuals experiencing homelessness in Spain, as well as the differences between men and women. The results indicate high levels of violence and suggest that gender (specifically, being a woman) is the primary factor driving exposure to violence among this group. Highlighting the reality of women experiencing homelessness can help social, mental health, and addiction services adjust responses to better address the needs of this group and offer comprehensive care.

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Trauma-Informed Care in Homelessness Service Settings: Challenges and Opportunities

Cited by 21 publications

References 86 publications

“I can’t remember the last time I was comfortable about being home”: lived experience perspectives on thriving following homelessness

“I can’t remember the last time I was comfortable about being home”: lived experience perspectives on thriving following homelessness

A WISH to be Housed: Exploring the Winter Interim Solution to Homelessness (WISH) Temporary Accommodation Model in London, Canada

The Prevalence and Nature of Violence Against Women Experiencing Homelessness: A Quantitative Study

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