“They Just Asked Me Why I Became Homeless”: “Failure to Ask” as a Barrier to Homeless Women’s Ability to Access Services Post-Victimization

2014 ◽  
Vol 29 (6) ◽  
pp. 952-966 ◽  
Author(s):  
Laura Huey ◽  
Ryan Broll ◽  
Danielle Hryniewicz ◽  
Georgios Fthenos

As “access brokers” to resources for their clients, homeless shelter workers are often in a position to aid victimized homeless women in securing medical and psychological services post-victimization. Given high rates of victimization within this population, we would expect that a routine part of a shelter’s case management process would involve queries regarding victimization. Through in-depth qualitative interviews with 42 victimized homeless women in Chicago and Detroit, we sought to discover the extent to which such queries were pursued by staff at their current shelter. What we found is that women are seldom asked to provide a complete history that includes experiences of violent victimization and its effects. From these results, we make several recommendations aimed at improving homeless victims’ access to services.

2003 ◽  
Vol 14 (1) ◽  
pp. 34-51 ◽  
Author(s):  
Kevin C. Heslin ◽  
Ronald M. Andersen ◽  
Lillian Gelberg

2003 ◽  
Vol 14 (1) ◽  
pp. 34-51 ◽  
Author(s):  
Kevin C. Heslin ◽  
Ronald M. Andersen ◽  
Lillian Gelberg

2020 ◽  
Vol 38 (1) ◽  
pp. 12-18
Author(s):  
Jacob D. Hill ◽  
Allison M. Cuthel ◽  
Corita R. Grudzen

Objectives: The objective of this study is to identify contextual access factors to home and community health services for end-of-life support for older adults with serious life-limiting illness, as well as determine if access to home and community services is associated with health-care utilization. Design: This study includes an environmental scan, grey literature review, qualitative interviews, and health-care utilization analysis. This study is a subproject of the Grudzen et al. Primary Palliative Care for Emergency Medicine (PRIM-ER) study. Settings/Location: Analysis will include data collection from 17 health systems implementing the PRIM-ER intervention. Participants: For the qualitative interviews, one emergency medicine (EM) physician and one EM nurse will be interviewed from each of the 17 participating health systems. For the health-care utilization analysis, we will use the Senior Care Services Scale (SCSS), American Hospital Association Annual Survey of Hospitals (AHA-ASH), and Medicare claims for all emergency department (ED) visits for serious illness who present at each participating health system. Outcome Measures: The contextual analysis will obtain data on home and community services, such as hospice, home health services, assisted living, integrative medicine services, etc., available around each health system’s highest volume ED, federal and state regulations influencing access to services, as well as EM provider perspectives on access to services. The health-care utilization analysis will determine if SCSS scores, which measure service availability, are associated with health-care usage. High or low SCSS scores are determined by comparing health system service availability on the AHA-ASH to the national median SCSS value.


2005 ◽  
Vol 10 (5) ◽  
pp. 234???239 ◽  
Author(s):  
Regina A. Henry ◽  
Marietta P. Stanton

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Geneva L. Fleming

The term navigation has become the new “buzz” word for assisting individuals in their shift from one situation in life, to another. The process and service delivery of navigation is useful for helping individuals, families and communities achieve their goals. Navigation service is especially beneficial in helping persons manage their health and biopsychosocial needs, including mental health. Whether it is helping a person transition from mental illness to mental health, or assisting a student in their career development, having someone with the proper knowledge and skills to help navigate that process can be advantageous. This article will identify and describe the five essential components of effective case management and its application to the navigation process. It will also state some important interviewing skills that can enhance the practitioner-client relationship during the navigation case management process.


Author(s):  
Carolyn Burns ◽  
Marla Buchanan

Police officers face many competing pressures and demands. Exposure to potentially traumatic incidents and significant job-related stressors can place many at higher risk of developing physical and mental health problems. The police culture exerts a pronounced influence on officers, preventing some from asking for or receiving assistance. The stigma of being perceived as weak or incompetent, concerns about being labelled unfit for duty, and worry that accessing psychological support will impact future career advancement can affect the decision to seek help. The Enhanced Critical Incident Technique was utilized to investigate the following research question: What helps or hinders the decision to access psychological services in a police population? Qualitative interviews were conducted with 20 serving Royal Canadian Mounted Police officers in the lower mainland of British Columbia, Canada. The findings encompass five main themes: the importance of systemic factors, access to information and education, quality and influence of relationships, individual characteristics, and organizational processes that will increase the likelihood of accessing mental health services. The results contribute to the empirical literature by enhancing what is known about elements that influence an officers’ decision to seek psychological services, and factors that can enable officers to overcome barriers.


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