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The challenges facing military veterans who return to civilian life in the United States are persistent and well documented. But for all the political outcry and attempts to improve military members' readjustments, veterans of all service eras face formidable obstacles related to mental health, substance abuse, employment, and — most damningly — homelessness. Homelessness Among U.S. Veterans synthesizes the new glut of research on veteran homelessness — geographic trends, root causes, effective and ineffective interventions to mitigate it — in a format that provides a needed reference as this public health fight continues to be fought. Codifying the data and research from the U.S. Department of Veterans Affairs (VA) campaign to end veteran homelessness, psychologist Jack Tsai links disparate lines of research to produce an advanced and elegant resource on a defining social issue of our time.
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.
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.
Despite an extensive literature on homelessness there is surprisingly little work that investigates the roots of homelessness by tracking homeless people over time. In this fascinating and much-needed ethnographic study, Megan Ravenhill presents the results of ten years' research on the streets and in the hostels and day-centres of the UK, incorporating intensive interviews with 150 homeless and formerly homeless people as well as policy makers and professionals working with homeless people. Ravenhill discusses the biographical, structural and behavioural factors that lead to homelessness. Amongst the important and unique features of the study are: the use of life-route maps showing the circumstances and decisions that lead to homelessness, a systematic study of the timescales involved, and a survey of people's exit routes from homelessness. Ravenhill also identifies factors that predict those most vulnerable to homelessness and factors that prevent or considerably delay the onset of homelessness.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The Routledge Handbook of Homelessness brings together many of the world’s leading scholars in the field to provide a cutting-edge overview of classic and current research and future trends in the subject. Comprising 41 chapters and divided into four sections, the handbook includes A comprehensive introduction to homelessness, referring to history, culture, causation and definitions. Contemporary and historical debates around homelessness in different academic disciplines. Homelessness relating to gender, sexuality, youth, families, migration, rurality, veterans and health. A range of country-specific studies to illustrate the ways in which homelessness is researched and understood around the world. Methods of engagement and modes of analysis. With contributors from around the world and editors from the Centre of Housing Policy at the University of York, this handbook provides a groundbreaking and authoritative guide to theory, method and the primary interdisciplinary debates of today on homelessness. It will be essential reading for students, academics and professionals across the disciplines of sociology, human geography, public policy, housing policy, social policy, social work, economics and criminology.
Survival sex, commonly understood to be the exchange of sex for material support, is a practice that is associated with young homeless women. However, such a narrow definition of survival sex fails to recognise the multiple, complex, and coexisting motivations of young homeless women for engaging in intimate relationships in post-industrial capitalist society. In Youth Homelessness and Survival Sex, Watson’s insightful analysis of personal narratives reveals how young homeless women are exposed to situations in which survival can be impeded or assisted by playing out specific gender roles. Indeed, in identifying and contesting the dominant social discourses that young homeless women draw upon to frame their experiences of intimate affairs, Watson challenges the reader to understand how gendered subjectivities are produced and performed through heteronormative relationships. This enlightening book is vital in showing that homelessness is not a gender-neutral phenomenon and that there are gender-specific processes and practices involved in the navigation of poverty, violence, and social exclusion. Youth Homelessness and Survival Sex will appeal to undergraduate and postgraduate students, as well as postdoctoral researchers, interested in fields such as Homelessness, Youth Studies, Social Work, and Gender Studies.
While family life has conspicuously changed in the past fifty years, it would be a mistake to conclude that family routines and rituals have lost their meaning. In this book Barbara H. Fiese, a clinical and developmental psychologist, examines how the practices of diverse family routines and the meanings created through rituals have evolved to meet the demands of today’s busy families. She discusses and integrates various research literatures and draws on her own studies to show how family routines and rituals influence physical and mental health, translate cultural values, and may even be used therapeutically. Looking at a range of family activities from bedtime stories to special holiday meals, Fiese relates such occasions to significant issues including parenting competence, child adjustment, and relational well-being. She concludes by underscoring the importance of flexible approaches to family time to promote healthier families and communities.
Jesus Among the Homeless identifies the problem of homelessness and applies strategies based on scriptural principles as a solution. It contains testimonies of seasoned teachers, psychologists, and social workers describing effective strategies for outreaching to the addicted, abused, mentally ill, and homeless. This go-to manual written in simple and clear layman's terms is an invaluable asset for anyone ministering to the homeless.