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Institute of Medicine,Committee on Health Care for Homeless People
Author : Institute of Medicine,Committee on Health Care for Homeless People Publisher : National Academies Press Page : 257 pages File Size : 52,6 Mb Release : 1988-02-01 Category : Medical ISBN : 9780309038324
Homelessness, Health, and Human Needs by Institute of Medicine,Committee on Health Care for Homeless People Pdf
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Homelessness & Health in Canada by Manal Guirguis-Younger,Stephen W. Hwang,Ryan McNeil Pdf
"Brings together leading and emerging researchers to advance understanding of the complex relationships between homelessness and health. Covering a wide range of topics from youth homelessness to end-of-life care, contributors outline policy and practice recommendations to respond to this public health crisis."--Back cover.
Homelessness, Housing, and Harm Reduction by Deborah Kraus,Michael Goldberg,Canada Mortgage and Housing Corporation,Luba Serge Pdf
The purpose of this study was to investigate the effectiveness of innovative housing programs for persons who are homeless or at risk of homelessness and who use substances (e.g. drugs, alcohol or other substances). The research specifically examined which housing interventions and factors that incorporate a harm reduction approach best help this population access and maintain stable housing. Three research questions were addressed: 1. How effective are innovative or alternative residential housing programs for homeless people with substance use issues, especially those that incorporate high-tolerance or harm reduction into a supported living environment? 2. To what degree is secure and stable housing crucial to successful substance use treatment models? 3. Do harm reduction strategies, as part of supportive housing, enhance the stability and longevity of housing tenure for homeless people with substance use issues?
Housing the Homeless by Jon Erickson,Charles Wilhelm Pdf
Homelessness has become a lasting issue of vital social concern. As the number of the homeless has grown, the complexity of the issue has become increasingly clear to researchers and private and public service providers. The plight of the homeless raises many ethical, anthropological, political, sociological, and public health questions. The most serious and perplexing of these questions is what steps private, charitable, and public organizations can take to alleviate and eventually solve the problem. The concept of homelessness is difficult to define and measure. Generally, persons are thought to be homeless if they have no permanent residence and seek security, rest, and protection from the elements. The homeless typically live in areas that are not designed to be shelters (e.g., parks, bus terminals, under bridges, in cars), occupy structures without permission (e.g., squatters), or are provided emergency shelter by a public or private agency. Some definitions of homelessness include persons living on a short-term basis in single-room-occupancy hotels or motels, or temporarily residing in social or health-service facilities without a permanent address. Housing the Homeless is a collection of case studies that bring together a variety of perspectives to help develop a clear understanding of the homelessness problem. The editors include information on the background and politics of the problem and descriptions of the current homeless population. The book concludes with a resource section, which highlights governmental policies and programs established to deal with the problem of homelessness.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals Publisher : National Academies Press Page : 227 pages File Size : 41,7 Mb Release : 2018-07-11 Category : Social Science ISBN : 9780309477079
Permanent Supportive Housing by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Policy and Global Affairs,Science and Technology for Sustainability Program,Committee on an Evaluation of Permanent Supportive Housing Programs for Homeless Individuals Pdf
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
Documentation of Best Practices Addressing Homelessness by Canada Mortgage and Housing Corporation. Research Division Pdf
This report describes ten projects selected from a cross section of agencies involved with homelessness. The projects were selected to illustrate best practices or innovative approaches, transferable to other organizations, which have resulted in concrete, sustainable improvements in the lives of homeless persons in Canada. Selection criteria for choosing effective practices included: involvement & empowerment of homeless persons; provision of a safe & secure environment; and provision of a variety of services. The projects represents the various types of initiatives addressing homelessness (such as prevention, street outreach, shelter, rehabilitation, and supportive housing), different geographical regions, and different kinds of homeless served (women with children, youth, single men). Six of the projects are fully documented and include an executive summary, fact sheet, project history, client profile, management & financial information, and description of project philosophy & approach. The other four projects are documented in a more concise form.
The causes of homelessness are disputed by both Right and Left. But, few would argue that life on the streets is anything other than dangerous and debilitating. Unemployment, deinstitutionalisation, abuse in the home are among the stories the homeless tell. Voluntary organisations point to the failure of emergency shelters and food banks, the cut-backs in social programmes and the severe shortage of affordable housing. On the international scale, the changing global system has placed new demands on the economies of Europe and north America which have impacted on resources, employment and even political will. This book is the first comprehensive international study of homelessness. The author argues that the category of the homeless must itself be broadened, to encompass those chronically without shelter to those in immediate risk of dispossession, if homelessness is to be tackled effectively (before and after it happens) by public policy, voluntary organisations and the individuals themselves.
This impassioned account of life on the mean streets of Vancouver's Downtown Eastside chronicles the grim spirals of poverty, marginalization, and despair that propel people from their homes, onto the streets, and into the ambit of emergency shelters like Triage.
The homelessness legislation has prompted a vast amount of litigation; its many discretionary terms are encrusted with a substantial growth of case law. This work examines the extent to which such case law affects the way in which the act is implemented by local authorities. Do government administrators take any notice of administrative law? Do courts control the behavior of local authorities? The author suggests the answer to both questions is "no", a situation which has serious implications for both the legality and legitimacy of the government process.
International Perspectives on Homelessness by Valerie Polakow,Cindy Guillean Pdf
Homelessness strikes in all types of nations, from wealthy western nations to poor undeveloped countries. Each government and culture attends to this worldwide problem differently. This work collects eleven case studies of selected countries from around the world in order to offer a wide perspective on the dilemma of homelessness. Students can use this ready reference to compare and contrast homelessness populations, analyze the ways in which various countries approach this issue, and to evaluate what is precluding and encouraging this reaching issue. The problem of homelessness is clearly defined here from a global perspective. In addition, the history and resulting conflicts that have risen from homelessness are outlined. This ready reference analyzes the metamorphosis of the homelessness, what solutions have been suggested, and how effective these solutions have been. Students will learn to think critically about homelessness and what the future holds for each country as it battles with this seemingly unavoidable occurence.
Housing First by Deborah Padgett M.P.H,Benjamin Henwood Ph.D.,Sam Tsemberis Ph.D. Pdf
This book is the first to chronicle the story of Housing First (HF), a paradigm-shifting evidence-based approach to ending homelessness that began in New York City in 1992 and rapidly spread to other cities nationally and internationally. The authors report on the rise of a 'homeless industry' of shelters and transitional housing programs that the HF approach directly challenged by rejecting the usual demands of treatment, sobriety and housing readiness. Based upon principles of consumer choice, harm reduction and immediate access to permanent independent housing in the community, HF was initially greeted with skepticism and resistance from the 'industry'. However, rigorous experiments testing HF against 'usual care' produced consistent findings that the approach produced greater housing stability, lower use of drugs, and alcohol and cost savings. This evidence base, in conjunction with media accounts of HF's success, led to widespread adoption in the U.S., Canada, Western Europe, and Australia. The book traces the history of homelessness and the rapid growth of the publically funded homeless industry, an amalgam of religious and philanthropic organizations, advocacy groups, and non-profits that were insufficient to stem the tide of homelessness resulting from dramatic reductions in affordable housing in the 1980s and continuing to the present day. The authors summarize research findings on HF and include a chapter of personal stories of individuals who have experienced HF. Unique to this book is the participation of the founder of HF (Tsemberis) and well-known research on HF by the co-authors (Padgett and Henwood). Also unique is the deployment of theories-organizational, institutional and implementation-to conceptually frame the rise of HF and its wide adoption as well as the resistance that arose in some places. Highly readable yet informative and scholarly, this book addresses wider issues of innovation and systems change in social and human services.
A Report on a Feasibility Study for a Pilot Information System for Canadian Shelters for Homeless Individuals and Families by Canada Mortgage and Housing Corporation,SPR Associates Inc Pdf
The long-term goal of a Canadian information system on the homeless is to collect standard information from each person entering a shelter for homeless persons & families in each of Canada's urban areas. Such a system would enable provision of statistical & analytical reports on shelter utilization & case management, and could assist with program planning, requests for funding, & other issues. This report presents a study of the feasibility of implementing such a system, based on a survey of shelters across Canada regarding their views about a pilot information system for homeless shelters. Issues examined in the study include shelter's computer resources, information storage & processing, data access, confidentiality, privacy, benefits & costs, and use of the information collected. Strategies for implementation of a pilot system and guidelines on system specifications are also proposed. The appendix includes a report describing options for what an information system could include.
In the Midst of Plenty by Marybeth Shinn,Jill Khadduri Pdf
Foreword by Nan Roman, President and CEO of the National Alliance to End Homelessness This book explains how to end the U.S. homelessness crisis by bringing together the best scholarship on the subject and sharing solutions that both local communities and national policy-makers can apply now. In the Midst of Plenty shifts understanding of homelessness away from individual disability to larger contexts of poverty, income inequality, housing affordability, and social exclusion. Homelessness experts Shinn and Khadduri provide guidance on how to end homelessness for people who experience it and how to prevent so many people from reaching the point where they have no alternative to sleeping on the street or in emergency shelters. The authors show that we know how to end homelessness—if we devote the necessary resources to doing so. In the Midst of Plenty: Homelessness and What to Do About It is an excellent resource for policy-makers, professionals in the homeless services system, and anyone else who wants to end homelessness. It also can serve as a text in undergraduate or masters courses in public policy, sociology, psychology, social work, urban studies, or housing policy. "The knowledgeable and thoughtful authors of this book—two brilliant women who know as much as anyone in the country about the nature of homelessness and its solutions—have done a great service by taking us on a journey through the history of homelessness, how our responses have changed, and how we can end it." —Nan Roman, President and CEO National Alliance to End Homelessness. "Shinn and Khadduri's new book is a thorough yet concise examination of what we know about the nature and causes of homelessness, and the crucial lessons learned. This critically important work provides a roadmap to restoring basic housing and income security as viable policy options, in the face of our daunting inequality divide that otherwise threatens millions with destitution and homelessness." —Dennis Culhane, Dana and Andrew Stone Professor of Social Policy, University of Pennsylvania "Marybeth Shinn and Jill Khadduri have combined their significant expertise to create an essential guide about the history of modern homelessness and to offer a clear path forward to end this American tragedy. Their policy recommendations on ending homelessness are culled from the best about what we know works." —Barbara Poppe, Executive Director US Interagency Council on Homeless, 2009-2014