“Not Homeless Yet. I'm Kind of Couch Surfing”: Finding Identities for People at a Homeless Shelter

2016 ◽  
Vol 31 (7) ◽  
pp. 688-699 ◽  
Author(s):  
Sachiko Terui ◽  
Elaine Hsieh
Keyword(s):  
Homeless Shelter ◽  
Couch Surfing

scholarly journals Follow-Up Rates at a Free Ophthalmology Clinic at a Homeless Shelter

2021 ◽  
Vol 13 (01) ◽  
pp. e51-e56
Author(s):  
Lauren Hennein ◽  
Kimberly A. Spaulding ◽  
Veronika Karlegan ◽  
Ogonna N. Nnamani Silva ◽  
Alejandra G. de Alba Campomanes
Keyword(s):  
High School ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Nonprofit Organization ◽  
County Hospital ◽  
Categorical Variables ◽  
Homeless Shelter ◽  
High School Diploma

Abstract Objective Eye health among the homeless community is important, as poor vision makes this population vulnerable and adds significantly to the social and health burden. There is limited knowledge on patient follow-up rates for their eye conditions and barriers to accessing care in this population. The purpose of this retrospective chart review study is to examine follow-up rates and barriers to care for patients referred from a free, medical-student run ophthalmology clinic at a homeless shelter. Methods All patients evaluated at a free ophthalmology clinic from September 2017 to September 2018 were included; no patients were excluded. If indicated, patients were referred for advanced ophthalmologic care at a local county hospital and free eyeglasses at a nonprofit organization. Primary outcomes were follow-up rates at the county hospital and nonprofit organization. Secondary outcomes included prespecified baseline variables hypothesized to be associated with follow-up rates. These categorical variables were compared with Chi-square testing to determine their association with follow-up rates. The hypothesis being tested was formulated before data collection. Results Of the 68 patients, 84% were males with a mean age of 50 years. Overall, 40 patients were referred for free eyeglasses and 17 to the county hospital. Of those referred, 14 patients presented for free eyeglasses and 7 presented to the county hospital. About 79% of patients with a pre-established primary care provider presented to their appointment compared with 20% of those without one (p = 0.03). The 44% of patients with a high school diploma presented while all patients without a high school diploma failed to present (p = 0.04). Vision-threatening conditions identified at the shelter clinic did not affect follow-up rates (p = 0.79). Conclusion Less than half of referred patients in our study presented to their appointments. Barriers to presentation included no primary care provider and lower educational status, with no improvement in follow-up rates among those referred for vision-threatening conditions. Interventions such as health coaching with particular attention to educating patients on the effects of vision-threatening conditions may be warranted, particularly for those not looped into the health care system and those of lower educational attainment.

scholarly journals Service Providers' Perception of Factors that Help or Hinder Homeless Families

1998 ◽  
Vol 79 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Elizabeth W. Lindsey
Keyword(s):  
Welfare Reform ◽  
Service Providers ◽  
Social Supports ◽  
Homeless Shelter ◽  
Homeless Families ◽  
Southern States ◽  
Reform Legislation ◽  
Significant Barrier

Homeless shelter directors in two southern states were surveyed to ascertain their perceptions of factors that help or hinder homeless, mother-headed families in emerging from homelessness. Respondents believed that mothers' attitudes and motivation were the most important factors in getting and keeping housing and that lack of social supports and relationship difficulties were the most significant problems families faced in their attempts to emerge from homelessness. Scarce housing was seen as the most significant barrier within the community. The findings are compared with findings from other studies, and explanations for differing results are presented. The author discusses the implications of the findings for service providers and communities in light of recent welfare-reform legislation.

scholarly journals Osoba bezdomna jako element społecznego otoczenia administracji publicznej

2018 ◽  
Vol 111 ◽  
pp. 13-27 ◽  
Author(s):  
Dominika Cendrowicz
Keyword(s):  
Social Environment ◽  
Social Assistance ◽  
Homeless People ◽  
Homeless Person ◽  
Homeless Shelter ◽  
Large Problem ◽  
Government Administration ◽  
Legal Consequence

HOMELESS PERSON AS PART OF SOCIAL ENVIRONMENT OF PUBLIC ADMINISTRATIONHomelessness is a large problem nowadays. People who are homeless are faced with many social disadvantages which are very difficult for them. They don’t have any place of permanent resi­dence, they lose relationships with their families and they don’t have jobs. For these reasons the aim of this article is to describe impact of homeless people on changes in the structure of local self-government administration responsible for providing them shelter in the light of provisions of the act of September 5, 2016 amending the Act of March 12, 2004 on Social Assistance. Any amendment in law which regulates the structure of entities responsible for providing homeless shelter or standards of their services, should take into consideration any legal and non-legal consequence which it can cause. However, it is hard to predict all consequences, especially these negative, which amendments in law can cause.

The Use of a Homeless Shelter as a Clinical Rotation for Nursing Students

1995 ◽  
Vol 34 (8) ◽  
pp. 375-377
Author(s):  
Grace Buttriss ◽  
RuthAnne Kuiper ◽  
Betty Newbold
Keyword(s):  
Nursing Students ◽  
Homeless Shelter ◽  
Clinical Rotation

scholarly journals Point-of-care molecular testing and antiviral treatment of influenza in residents of homeless shelters in Seattle, WA: study protocol for a stepped-wedge cluster-randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Kira L. Newman ◽  
◽  
Julia H. Rogers ◽  
Denise McCulloch ◽  
Naomi Wilcox ◽  
...  
Keyword(s):  
Point Of Care ◽  
Antiviral Treatment ◽  
Homeless Shelters ◽  
Molecular Testing ◽  
Symptom Duration ◽  
Homeless Shelter ◽  
Stepped Wedge ◽  
Site Testing ◽  
Cluster Randomized ◽  
The Impact

Abstract Introduction Influenza is an important public health problem, but data on the impact of influenza among homeless shelter residents are limited. The primary aim of this study is to evaluate whether on-site testing and antiviral treatment of influenza in residents of homeless shelters reduces influenza spread in these settings. Methods and analysis This study is a stepped-wedge cluster-randomized trial of on-site testing and antiviral treatment for influenza in nine homeless shelter sites within the Seattle metropolitan area. Participants with acute respiratory illness (ARI), defined as two or more respiratory symptoms or new or worsening cough with onset in the prior 7 days, are eligible to enroll. Approximately 3200 individuals are estimated to participate from October to May across two influenza seasons. All sites will start enrollment in the control arm at the beginning of each season, with routine surveillance for ARI. Sites will be randomized at different timepoints to enter the intervention arm, with implementation of a test-and-treat strategy for individuals with two or fewer days of symptoms. Eligible individuals will be tested on-site with a point-of-care influenza test. If the influenza test is positive and symptom onset is within 48 h, participants will be administered antiviral treatment with baloxavir or oseltamivir depending upon age and comorbidities. Participants will complete a questionnaire on demographics and symptom duration and severity. The primary endpoint is the incidence of influenza in the intervention period compared to the control period, after adjusting for time trends. Trial registration ClinicalTrials.gov NCT04141917. Registered 28 October 2019. Trial sponsor: University of Washington.

scholarly journals Initial Development of the Activity Card Sort-Advancing Inclusive Participation from a Homeless Population Perspective

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Quinn P. Tyminski ◽  
Ronald R. Drummond ◽  
Claire F. Heisey ◽  
Shelby K. Evans ◽  
Audra Hendrix ◽  
...  
Keyword(s):  
Construct Validity ◽  
Social Engagement ◽  
Homeless Population ◽  
Validity Study ◽  
Homeless Shelter ◽  
Full Time ◽  
Phase 2 ◽  
Convenience Sample ◽  
Card Sort ◽  
Initial Development

Importance. Nonsanctioned occupations are those deemed socially unacceptable, unhealthy, or illegal, yet they hold meaning for individuals. A gap in occupational therapy evaluation and intervention to address a broader perspective on occupations prompted the adaptation of the Activity Card Sort tool to explore participation in nonsanctioned occupations. Methods. Develop a new version of the Activity Card Sort-Advancing Inclusive Participation to include occupations experienced by the homeless population, including nonsanctioned occupations. This study occurred in two phases: (1) tool development (item selection, content expert review, line development drawing, and assessment of content validity) and (2) tool use to determine face validity. Participants were selected through a convenience sample at a local homeless shelter and academic institution. Participants experiencing homelessness (phase 1: N=13, phase 2: N=10) were required to be seeking services at the homeless shelter, while nonhomeless participants (phase 2: N=30) worked full-time, resided with a significant other, and had personal transportation. Results. An assessment of 76 occupations, corresponding line drawings, and follow-up questions was created. An initial construct validity study demonstrated differences between occupational participation of those who are homeless and nonhomeless in the areas of social engagement, nonsanctioned occupations, work and education, and home management. Both groups reported previous, current, or desired engagement in the occupations identified in the assessment. Conclusions and relevance. The purpose of this study was to create an inclusive assessment for use in the homeless population and complete a construct validity study of the assessment tool. Although the results indicated some differences in the frequency with which occupations were performed, the results demonstrated that all individuals participate in occupations that many not contribute to their health and wellness. This initial work supports the future development of a tool that is inclusive of all occupations to obtain a holistic picture of an individual’s participation.

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