Homelessness, Behavioral Health Disorders and Intimate Partner Violence: Barriers to Services for Women

Ponce, Allison N.; Staeheli, Martha; Rowe, Michael

doi:10.1007/s10597-014-9712-0

Cited by 25 publications

(20 citation statements)

References 35 publications

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“…Recent literature on southern homeless women also notes the impact of cycles of poverty, stress, loss of personal relationships and systemic subjection of women's experiences of homelessness ( 22 – 25 ). This literature also highlights the importance of histories of abuse and intimate partner violence in women's pathways to homelessness and as a barrier to seeking services ( 23 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

Trajectories of women's homelessness in Canada's 3 northern territories

Schmidt

Hrenchuk

Bopp

et al. 2015

International Journal of Circumpolar Health

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Background Repairing the Holes in the Net was a 2-year, multilevel action research project designed to inform the development of culturally appropriate and gender-specific services for northern women who are homeless or marginally housed and who face mental health and substance use concerns. The study was designed to learn about the barriers and supports experienced by homeless women in the North when accessing mental health care, shelter, housing and other services; and to inform the work of northern service providers and policy advocates in a position to implement adjustments in their praxis.MethodsThis article describes the trajectories of women's service access and their ideas for service improvement from 61 qualitative, semi-structured interviews conducted with homeless women in Whitehorse, Yukon (YT), Yellowknife, Northwest Territories (NT), and Iqualit, Nunavut (NU).ResultsUnresolved trauma, poverty and social exclusion, inability to find and maintain housing and ineffective services emerged as interconnected and multifaceted challenges related to women's service engagement. In the face of these challenges, women displayed significant resilience and resistance, and offered important ideas for service improvement.ConclusionsThe 4 interconnected systemic challenges identified in the research, coupled with specific ideas for change cited by the resilient homeless women interviewed, offer points of entry to improve service policy and delivery. Implementing trauma-informed approaches emerged as a key example of how access to, and quality of, services could be improved for homeless women in the North.

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Section: Discussionmentioning

confidence: 99%

Trajectories of women's homelessness in Canada's 3 northern territories

Schmidt

Hrenchuk

Bopp

et al. 2015

International Journal of Circumpolar Health

View full text Add to dashboard Cite

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“…8-10 Thus most studies addressing homeless women's SUD strongly indicate the need to consider the burden of past trauma, IPV, mental health, and health conditions to understand SUD. 11 …”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of substance use disorders among homeless women seeking primary care: An 11 site survey

Upshur

Jenkins²,

Weinreb

et al. 2017

American J Addict

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Background and objectives Homeless women have shown high rates of substance use disorders (SUD), but many studies are more than a decade old, limited in geographic location, or focus only on women living outdoors or in shelters. The purpose of this study was to obtain a more current and representative sample of homeless women and the prevalence and predictors of substance use disorders among women seeking primary care at Health Care for the Homeless clinics across the US. Methods Eleven Health Care for the Homeless (HCH) clinics in 9 states contributed proportionally to a sample of n=780 female patients who completed a self-administered survey including demographics, housing history, health, mental health, and drug and alcohol use. Results Compared to the general population of women, rates were 4 times higher for an alcohol use disorder, and 12 times higher for a drug use disorder. Discussion and Conclusions The findings indicate a significant need for SUD services, with an equally high need for mental health services. In addition, high rates of victimization and use of tobacco, and overall poor health status, indicate overall health disparities. Scientific Significance Addressing barriers to full integration of substance use and mental health services, such as improving screening, reimbursement, clinician training, and addressing biases about motivation of this population to engage in treatment, are necessary to improve the health of women seeking care in HCH settings.

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“…The intervention successfully decreased danger and was rated positively by 82% of the women. Peer mentors, those who have experienced IPV and homelessness in the past, have been used to give women an attainable goal for the future and a plan of action (Ponce, Lawless, & Rowe, ). No article could be found that mentioned budgeting, money management, or networking mentorship for women who have experienced IPV.…”

Section: Discussionmentioning

confidence: 99%

“Getting my Independence Back”: Economic solvency program ideas from residents of a women’s shelter

Gilroy

Nava

Ellis³

2019

Public Health Nursing

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Objective Intimate partner violence (IPV) is a serious public health issue that affects many women all over the world. One of the most consistent risk factors for IPV is poverty. On the other hand, IPV is also a risk factor for continued poverty, which puts many women in a cycle of violence and poverty that is difficult to escape. Interventions are needed to help women improve their economic solvency and decrease their poverty‐based risk for IPV. Design The current study is a qualitative study to examine how women who have experienced IPV would plan and execute an intervention to improve economic solvency. Sample The participants were 21 diverse women living in a women's shelter. Results The major themes that came from the women's suggestions were as follows: addressing mental health, accountability, financial management classes, job skills and education, and other resources. Conclusion Implications of this study include the need for more comprehensive programs, a general desire amongst the women for mentoring and accountability, and the need to address knowledge deficits about resources. This information can help resource providers to help build interventions to improve economic solvency in women who have experienced IPV and improve their overall safety.

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Homelessness, Behavioral Health Disorders and Intimate Partner Violence: Barriers to Services for Women

Cited by 25 publications

References 35 publications

Trajectories of women's homelessness in Canada's 3 northern territories

Trajectories of women's homelessness in Canada's 3 northern territories

Prevalence and predictors of substance use disorders among homeless women seeking primary care: An 11 site survey

“Getting my Independence Back”: Economic solvency program ideas from residents of a women’s shelter

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