Views on health activation and support services among formerly homeless adults living in Permanent Supportive Housing in the United States

2021 ◽  
Author(s):  
Monica Perez Jolles ◽  
Dean Rivera ◽  
Gabrielle Jacobs ◽  
Kathleen C. Thomas ◽  
Janet U. Schneiderman ◽  
...  
Keyword(s):  
United States ◽  
Support Services ◽  
The United States ◽  
Supportive Housing ◽  
Homeless Adults ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

scholarly journals Examining the health status of homeless adults entering permanent supportive housing

2017 ◽  
Vol 40 (2) ◽  
pp. 415-418 ◽  
Author(s):  
Benjamin F Henwood ◽  
John Lahey ◽  
Harmony Rhoades ◽  
Hailey Winetrobe ◽  
Suzanne L Wenzel
Keyword(s):  
Health Status ◽  
National Policy ◽  
Premature Mortality ◽  
The United States ◽  
Supportive Housing ◽  
Health Conditions ◽  
Chronic Homelessness ◽  
Homeless Adults ◽  
Permanent Supportive Housing ◽  
Fair Poor

Abstract Background Permanent supportive housing (PSH) has been recognized as an effective intervention and the national policy for addressing chronic homelessness in the United States. Due to an aging cohort of homeless adults and prioritizing those who are most vulnerable for housing, the health status of those entering PSH is likely worse than those previously reported in the literature. Methods This report examined the self-reported health and health conditions of a sample of 421 homeless adults entering PSH between 2014 and 2016. The average age of our sample was 54 years old. Results Overall, 90% reported two or more chronic conditions (either physical or mental), 68% reported at least two chronic physical health conditions and 56% indicated at least two chronic mental health conditions. Describing their health status, 57% reported fair, poor or very poor health. Conclusions These findings suggest that access to housing will not easily remedy the well-documented premature mortality among chronically homeless adults.

scholarly journals Investigating Sleep Disturbance and Its Correlates Among Formerly Homeless Adults in Permanent Supportive Housing

Medical Care ◽  
2021 ◽  
Vol 59 (Suppl 2) ◽  
pp. S206-S211
Author(s):  
Benjamin F. Henwood ◽  
Harmony Rhoades ◽  
Eldin Dzubur ◽  
Danielle R. Madden ◽  
Brian Redline ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Supportive Housing ◽  
Homeless Adults ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

Housing Matters, Services Might: Findings from the High Needs Families Program Evaluation

2021 ◽  
Vol 693 (1) ◽  
pp. 209-229
Author(s):  
Debra J. Rog ◽  
Kathryn A. Henderson ◽  
Clara A. Wagner ◽  
Emily L. Abbruzzi
Keyword(s):  
Support Services ◽  
Justice System ◽  
Subsidized Housing ◽  
Supportive Housing ◽  
Intensive Case Management ◽  
Access To Services ◽  
Supportive Services ◽  
Housing Stability ◽  
The Past ◽  
Permanent Supportive Housing

Permanent supportive housing for families experiencing homelessness—typically, subsidized housing that is not time limited and provides access to a range of support services—has substantially increased over the past 10 years, despite an absence of rigorous evidence of its effectiveness. We examine the benefits of subsidized housing with supportive services compared to subsidized housing alone. Our findings suggest that supportive housing offers more opportunities for access to services and benefits than subsidized housing alone, but it may not be beneficial to families’ housing stability or to family members’ employment or involvement with the criminal justice system. We argue that housing that is coupled with intensive case management, that is service rich, and that provides and adheres to harm reduction principles may help to strengthen supportive housing’s effectiveness.

scholarly journals Cognition, Health, and Social Support of Formerly Homeless Older Adults in Permanent Supportive Housing

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anita M Souza ◽  
Jenny Hsin-Chin Tsai ◽  
Kenneth C Pike ◽  
Francesca Martin ◽  
Susan M McCurry
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Global Mental Health ◽  
Case Managers ◽  
Supportive Housing ◽  
Homeless Population ◽  
Physical And Mental Health ◽  
Permanent Supportive Housing ◽  
Formerly Homeless

Abstract Background and Objectives Formerly homeless older adults residing in Permanent Supportive Housing (PSH) represent an invisible subsector of two distinct, yet related populations: the homeless population and the elderly population. Little research is focused on the complex health concerns facing this aging population within the homelessness response system. Of particular concern is the identification and support of individuals with cognitive impairment and co-occurring chronic conditions. We collaborated with a leading housing services provider to develop a systematic screening system for case managers to capture the cognitive, physical, and psychosocial health of older adults served within homeless housing programs. Research Design and Methods PSH residents aged ≥50 years in four sites screened as being without cognitive impairment on the Mini-Cog were enrolled. A brief demographic survey and selected PROMIS measures were used to characterize participants’ demographics, cognition, global physical and mental health, physical functioning, self-efficacy for social interactions, and instrumental support. PSH case managers were trained to recruit participants and collect data. PROMIS scales were scored using the Health Measures Scoring Service. Descriptive statistics, correlations, and one sample t-tests were performed. Results Fifty-three residents (mean age = 60.8 years, range 50–76 years) participated. The majority self-identified as male and were military veterans; 60% reported having a history of two or more episodes of homelessness. All PROMIS scores were significantly (p < .05) lower than reference U.S. population means, with global mental health and cognition having the lowest scores. Discussion and Implications Self-reported cognitive functioning and global mental health were residents’ greatest concerns. Strengthening housing case manager capacity to assess residents’ cognitive and health status could increase support for older adults in PSH. It is feasible to train PSH staff to conduct structured interviews to identify resident cognitive and health needs to help support this “invisible” population to successfully age in place.

scholarly journals Comparing the Characteristics of Homeless Adults in Poland and the United States

2014 ◽  
Vol 53 (1-2) ◽  
pp. 134-145 ◽  
Author(s):  
Paul A. Toro ◽  
Karen L. Hobden ◽  
Kathleen Wyszacki Durham ◽  
Marta Oko-Riebau ◽  
Anna Bokszczanin
Keyword(s):  
United States ◽  
The United States ◽  
Homeless Adults

scholarly journals Helpful tools for criminal prosecution in domestic violence cases: Some ideas from the United States of America

Temida ◽  
2003 ◽  
Vol 6 (2) ◽  
pp. 67-71
Author(s):  
Katie Zoglin
Keyword(s):  
United States ◽  
Domestic Violence ◽  
Law Enforcement ◽  
Support Services ◽  
Justice System ◽  
The United States ◽  
Criminal Prosecution ◽  
Restraining Orders ◽  
Care Workers ◽  
Victim Support

In this paper author presents three instruments that have been proven helpful in domestic violence prosecutions in the United States, particularly in California: (1) laws, (2) inter-agency protocols, and (3) victim support services. Prosecutors have found that certain laws have been helpful in domestic violence prosecutions. These include restraining orders, criminal penalties for violations of restraining orders, and evidence code provisions permitting certain kinds of testimony. Second, many jurisdictions in California have drafted inter-agency protocols. The purpose of these protocols is to help law enforcement, health care workers, and social workers in gathering evidence relating to domestic violence cases. Finally, most victims are not familiar with the criminal justice system many are nervous about going to court for domestic violence cases, for a variety of reasons. As a result, many jurisdictions have established victim support services.

Non-participation triggers

2020 ◽  
pp. 45-62
Author(s):  
Katrin Križ
Keyword(s):  
Mental Health ◽  
United States ◽  
Support Services ◽  
Child Protection ◽  
The United States ◽  
Mental Health Issue ◽  
Emotional Impact ◽  
Parenting Support ◽  
Study Participants ◽  
Imminent Risk

This chapter examines child protection caseworkers' views of the factors that lead to children's non-participation. It analyses the interview responses of 67 child protection caseworkers who were asked whether they thought there were situations when it would not be appropriate to involve children in child protection-related processes. Workers in both Norway and the United States perceived several reasons why children can or should not participate. These reasons, which can be called 'non-participation triggers', included: children's young age; children's severe disability or mental illness, such as speech problems or a severe mental health issue that incapacitated children; and the possibility of negative emotional impact of the involvement on children. Study participants also mentioned the possibility of retraumatizing the child if they faced an abuser in a meeting and any imminent risk to children's safety. A few workers in both countries mentioned the occurrence of a crime as a non-involvement trigger, a case focus on providing parenting support services, or the child's wish not to be involved.

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