The role of compassion and ‘Tough Love’ in caring for and supporting the homeless: experiences from ‘Catching Lives’ Canterbury, UK

Limebury, Jon; Shea, Sue

doi:10.1186/s40639-015-0016-1

Cited by 11 publications

(15 citation statements)

References 11 publications

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“…It highlights the specific nature of compassionate care in terms of the contribution it makes to a patient’s health. A focus on symptom relief/avoidance contributed to the delivery of ‘tough love’ (being stern with the aim of alleviating future health problems), an approach noted by other authors [ 39 ]. There was also a sense of professional compassion as something that was anticipated within a healthcare setting.…”

Section: Discussionmentioning

confidence: 99%

Enabling the flow of compassionate care: a grounded theory study

Tierney

Seers

Tutton

et al. 2017

BMC Health Serv Res

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BackgroundCompassion has become a topic of increasing interest within healthcare over recent years. Yet despite its raised profile, little research has investigated how compassionate care is enacted and what it means to healthcare professionals (HCPs). In a grounded theory study, we aimed to explore this topic from the perspective of people working with patients with type 2 diabetes – a long-term condition that involves repeated interactions with HCPs.MethodsSemi-structured interviews and focus groups were conducted between May and October 2015 with 36 participants, selected from a range of roles within healthcare. Data collection explored their understanding of compassionate care and experiences of it in practice. Analysis followed the constructivist approach of Charmaz, which recognises meaning as being created by the interaction of people working under specific sociocultural conditions. It moved from open to focused coding, and involved the development of memos and constant comparison.ResultsOur analysis revealed that wishing to provide compassionate care, on its own, was insufficient to ensure this transpired; HCPs needed to work in a setting that supported them to do this, which underpins our core concept - the compassionate care flow. Data suggested that to be sustained, this flow was energised via what participants described as ‘professional’ compassion, which was associated with the intention to improve patient health and participants’ role within healthcare. The compassionate care flow could be enhanced by defenders (e.g. supportive colleagues, seeing the patient as a person, drawing on their faith) or depleted by drainers (i.e. competing demands on time and resources), through their impact on professional compassion.ConclusionsThis paper presents a model of compassionate care based on the notion of flow. It looks at processes associated with this concept and how compassionate care is delivered within health settings. Our new understanding of this phenomenon will help those working in healthcare, including managers and policy makers, to consider and potentially offset disruption to the compassionate care flow.

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Section: Discussionmentioning

confidence: 99%

Enabling the flow of compassionate care: a grounded theory study

Tierney

Seers

Tutton

et al. 2017

BMC Health Serv Res

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“…Motivations for laws that criminalize homelessness vary. Consistent with “quality‐of‐life” policing, some assert that ordinances prohibiting and restricting activities of the homeless are necessary to push individuals into supportive services (e.g., Gregoire & Burke, ; Johnsen & Fitzpatrick, ; Limebury & Shea, ; Mead, ; Schram, ). This motivation has also been called “coercive care,” and it is associated with a tough love logic—that individuals need a specific impetus or motivation to move into shelters and receive services…”

Section: Punitive Approaches To Homelessnessmentioning

confidence: 99%

Understanding the Implications of a Punitive Approach to Homelessness: A Local Case Study

Wilking

Roll

Philhour

et al. 2018

Poverty & Public Policy

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Cities large and small are increasingly using public safety policies to address local concerns about homelessness. In 2013, Chico, California, followed suit by passing several ordinances, most notably, a “sit‐lie” ordinance that prohibits individuals from sitting or lying in commercial districts and other public spaces. Broadly, this article explores the implications of this punitive approach to homelessness. Specifically, relying primarily upon arrest data extending over six and a half years, we explore how enforcement of the sit‐lie ordinance affected arrest rates of homeless individuals, as well as the geographic location of those arrests. Our expectations are supported—arrests of homeless individuals increased significantly in the “post sit‐lie” period, and the location of arrests clearly shifted away from the downtown area. Finally, given economic motivations of the ordinances, we estimate the costs to city law enforcement of policing the homeless population and find that costs are nearly twice as large as police department estimates.

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“…Similarly, Amster (2003, p. 14) has interpreted these laws as part of an "extermination scenario" -cruel attacks on the right of homeless people to exist, as sleeping, sitting, and moving in public places are requirements of life for those who live without private homes (see also Mitchell 2003;Amman 2000;Bannister, Fyfe, and Kearns 2006;Barak and Bohm 1989;Fang 2009;Mitchell and Staeheli 2006;NLCHP 2014;Wright 1997). From a competing perspective, these same laws are commonly defended as necessary to enforce standards of civility in public areas (Berk and MacDonald 2010;Siegel 1992), foster economic growth (Caldwell 2014), reduce crime through "broken windows policing" (Kelling and Wilson 1982), and encourage homeless people to improve their lives through proper behavior (Johnsen, Fitzpatrick, and Watts 2014;Limebury and Shea 2015). Deverteuil (2006), for example, argued for a more nuanced interpretation of quality of life laws than is offered by the revanchism thesis.…”

Section: Framing Quality Of Life Campaigns: Coercive Care or Cruel Rementioning

confidence: 99%

No Right to Rest: Police Enforcement Patterns and Quality of Life Consequences of the Criminalization of Homelessness

Robinson

2017

Urban Affairs Review

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Laws restricting the behaviors of homeless people in public places are proliferating. Proponents argue that such “quality of life” laws will encourage homeless people to move off the streets and into services, and thereby improve their quality of life. Critics argue that these laws target vulnerable individuals and show little evidence of improving the lives of homeless people. To inform this debate, this article reports data from two separate surveys of Colorado homeless residents regarding their experiences with quality of life policing, supplemented by a review of police data regarding contacts, ticketing, and arrests of homeless people. The data reveal that the oft-stated goal of improving the quality of life of homeless residents through “tough love” policing campaigns has not been met. Instead, most homeless residents report their lives have become more challenging, more stressful, and less safe following expansion of quality of life policing.

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The role of compassion and ‘Tough Love’ in caring for and supporting the homeless: experiences from ‘Catching Lives’ Canterbury, UK

Cited by 11 publications

References 11 publications

Enabling the flow of compassionate care: a grounded theory study

Enabling the flow of compassionate care: a grounded theory study

Understanding the Implications of a Punitive Approach to Homelessness: A Local Case Study

No Right to Rest: Police Enforcement Patterns and Quality of Life Consequences of the Criminalization of Homelessness

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