Perceptions of Service Use Among Currently and Formerly Homeless Adults with Mental Health Problems

Kerman, Nick; Gran-Ruaz, Sophia; Lawrence, Madalynne; Sylvestre, John

doi:10.1007/s10597-019-00382-z

Cited by 37 publications

(31 citation statements)

References 25 publications

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“…Extending past research on the negative aspects of service delivery for people experiencing mental illness and homelessness (Kerman, Gran-Ruaz, et al, 2019;Voronka et al, 2014), limited choice and control when seeking help was perceived to impede recovery. These findings are consistent with those of other studies that have highlighted the inflexible rules and requirements of homeless sector services, which can be a barrier to accessing adequate support (Ogden & Avades, 2011;Wusinich et al, 2019).…”

Section: Discussionmentioning

confidence: 91%

“…In addition, services may also hinder recovery when people have negative experiences or their needs are not met. People experiencing homelessness commonly encounter a range of barriers to accessing and receiving adequate health care (e.g., lacking identification, feeling stigmatized, being neglected or overlooked; Hwang, 2001; Kerman, Gran-Ruaz, et al, 2019; Martins, 2008; Wise & Phillips, 2013). Negative service experiences and access barriers may further limit the available treatment and care options, thereby impeding recovery.…”

Section: Introductionmentioning

confidence: 99%

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Service use and recovery among currently and formerly homeless adults with mental illness

Kerman

Sylvestre

2020

Int J Soc Psychiatry

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Background: A range of health and social services exist to address the many life adversities experienced by people with mental illness. However, the effects of services on their recovery in the context of ongoing homelessness and poverty have been minimally examined. Aims: This qualitative study sought to better understand the role of health and social services in the recovery processes of people with mental illness and histories of homelessness. Similarities and differences in the perceived impacts of services on recovery between currently and formerly homeless participants were also explored. Method: In-depth interviews were conducted with 52 currently and formerly homeless people with mental illness. Informed by a recovery framework, qualitative data were analyzed using two cycles of coding. Results: Services were perceived to affect recovery by (1) finding ways to cope and get by, (2) feeling less alone, (3) giving back, (4) being dehumanized or seen as someone and (5) encountering restrictions when getting help. Experiences of discrimination, fewer opportunities to give back and limited service options were heightened among participants experiencing homelessness compared to the housed group. Conclusion: Health and social services can promote and hinder recovery among currently and formerly homeless people with mental illness. Despite several differences between the two groups, the relationship between recovery and service use was similar for currently and formerly homeless participants, suggesting that both groups access services to address needs related to social connection, health and functioning and meaningful activities.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Service use and recovery among currently and formerly homeless adults with mental illness

Kerman

Sylvestre

2020

Int J Soc Psychiatry

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“…Many health and social service systems are complex and minimally integrated, making them challenging to navigate for people experiencing homelessness [ 97 ]. As pets can be an additional barrier to accessing needed supports, service providers can assist this group by being informed of the community services that accept pets and offer pet-related supports (e.g., pet food, veterinary services), and their eligibility criteria.…”

Section: Multilevel Intervention Frameworkmentioning

confidence: 99%

A Multilevel Intervention Framework for Supporting People Experiencing Homelessness with Pets

Kerman

Lem

Witte

et al. 2020

Animals

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Approximately one in 10 people experiencing homelessness have pets. Despite the psychosocial benefits derived from pet ownership, systemic and structural barriers can prevent this group from meeting their basic needs and exiting homelessness. A multilevel framework is proposed for improving the health and well-being of pet owners experiencing homelessness. Informed by a One Health approach, the framework identifies interventions at the policy, public, and direct service delivery levels. Policy interventions are proposed to increase the supply of pet-friendly emergency shelters, access to market rental housing and veterinary medicine, and the use of a Housing First approach. At the public level, educational interventions are needed to improve knowledge and reduce stigma about the relationship between homelessness and pet ownership. Direct service providers can support pet owners experiencing homelessness by recognizing their strengths, connecting them to community services, being aware of the risks associated with pet loss, providing harm reduction strategies, documenting animals as emotional support animals, and engaging in advocacy. By targeting policies and service approaches that exacerbate the hardships faced by pet owners experiencing homelessness, the framework is a set of deliberate actions to better support a group that is often overlooked or unaccommodated in efforts to end homelessness.

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“…Further, poor quality care and discrimination are common, which can decrease the likelihood that persons experiencing homelessness access treatment in the future and leave them with limited care options. [8][9][10] Most persons experiencing homelessness have access to technology, including mobile phones, computers, and the internet. Although estimates vary between studies, 11 new research suggests that the digital divide between people who are homeless and the general population is narrowing.…”

Section: Introductionmentioning

confidence: 99%

The use of eHealth interventions among persons experiencing homelessness: A systematic review

et al. 2021

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Objective eHealth interventions are being developed to meet the needs of diverse populations. Despite these advancements, little is known about how these interventions are used to improve the health of persons experiencing homelessness. The aim of this systematic review was to examine the feasibility, effectiveness, and experience of eHealth interventions for the homeless population. Methods Following PRISMA guidelines, a systematic search of PsycINFO, PubMed, Web of Science, and Google Scholar was conducted along with forward and backward citation searching to identify relevant articles. Results Eight articles met eligibility criteria. All articles were pilot or feasibility studies that used modalities, including short message service, mobile apps, computers, email, and websites, to deliver the interventions. The accessibility, flexibility, and convenience of the interventions were valued by participants. However, phone retention, limited adaptability, a high level of human involvement, and preference for in-person communication may pose future implementation challenges. Conclusions eHealth interventions are promising digital tools that have the potential to improve access to care and service delivery. eHealth interventions are feasible and usable for persons experiencing homelessness. These interventions may have health benefits by augmenting existing services and if implementation challenges are addressed. Further evaluation of the effectiveness of eHealth interventions is needed before widespread implementation. Those with lived experience should also be engaged in developing and evaluating these interventions.

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Perceptions of Service Use Among Currently and Formerly Homeless Adults with Mental Health Problems

Cited by 37 publications

References 25 publications

Service use and recovery among currently and formerly homeless adults with mental illness

Service use and recovery among currently and formerly homeless adults with mental illness

A Multilevel Intervention Framework for Supporting People Experiencing Homelessness with Pets

The use of eHealth interventions among persons experiencing homelessness: A systematic review

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