What Street People Reported About Service Access and Drug Treatment

Freund, Paul D.; Hawkins, Daniel W

doi:10.1300/j045v18n03_05

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…Similar to research evidence participants in this study indicated that knowledge and training of frontline staff, including training regarding specific populations (Freund & Hawkins, 2004;Harris & Katz, 2009), were key to improved service delivery. They suggested that education and awareness of the homeless experience would produce more relevant programming: I think the ones who are high up in those buildings should actually go in and see the homeless.…”

Section: Agency Accountabilitysupporting

confidence: 76%

Community Voices: Insights on Social and Human services from People with Lived Experiences of Homelessness

Walsh

Lorenzetti

St-Denis

et al. 2016

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Community Voices is a participatory action research study conducted in collaboration with people with lived experiences of homelessness in Calgary, Alberta to gather insights into service provision. Following convenience and snowball recruitment strategies, seven focus groups with members of the homeless community were conducted by trained facilitators. Participants and other community members were invited as coresearchers to analyze focus group transcripts, highlight key issues, develop themes and recommendations, and share key findings with stakeholders. Study findings suggest that people who are homeless experience oppression at the personal, cultural and structural levels which make it less likely for them to exit homelessness. Our findings suggests that a housing first approach coupled with intensive personalized case management embedded within a human rights framework has the capacity to reduce homelessness and overcome the barriers that prevent individuals from exiting homelessness. Such interventions, however, require substantial investment to increase the stock of affordable housing units, improve current shelter facilities, and educate personnel in anti-oppressive practices and a political commitment to recognize housing as a human right.

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Section: Agency Accountabilitysupporting

confidence: 76%

Community Voices: Insights on Social and Human services from People with Lived Experiences of Homelessness

Walsh

Lorenzetti

St-Denis

et al. 2016

RSS

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“…Moreover, our finding that homeless and drug-bingeing participants were significantly more likely to encounter such barriers reveals that important disparities exist in which street youth are successfully able to navigate the system of addiction treatment services. Policymakers might carefully consider how to ensure that the services they make available to drug users are made equally accessible to homeless youth; they might consider, for example, the provision of housing during treatment for those who need it, as has been suggested previously (Freund and Hawkins, 2004). …”

Section: Discussionmentioning

confidence: 99%

Access to drug and alcohol treatment among a cohort of street-involved youth

Hadland¹,

Li²,

Montaner³

et al. 2009

Drug and Alcohol Dependence

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Background-A number of options for treatment are available to young drug users, but little is known about the youth who actually attempt to access such services. Here we identify characteristics of a cohort of street-involved youth and highlight commonly encountered barriers. . Among those who experienced difficulty accessing services, the most commonly identified barrier was excessively long waiting lists. In a subgroup analysis comparing those who tried to access services but were unsuccessful to those who were successful, risk factors positively associated with failure included drug bingeing (odds ratio ) and homelessness Methods-From ]).Conclusions-In light of accumulating evidence that drug use among street youth is associated with risky health-related behaviors, improving access to treatment and other addiction services should remain an important public health priority.

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“…The majority of these relate to administrative policy and the general quality of care provided by the clinicians and other staff. Abstinence requirements, medication requirements, extensive bureaucracy, religious requirements, and restrictive eligibility criteria are among the major administrative hurdles that homeless individuals face (Bhui et al, 2006; Freund & Hawkins, 2004; Tsemberis, Moran, Shinn, Asmussen, & Shern 2003). Additional programmatic barriers include long waiting times, not knowing where to go, language barriers, feeling stigmatized by staff, high staff turnover, and overall bad experiences with providers (Bhui et al, 2006; Flores, Abreu, Oltvar, & Kastner, 1998; Lewis, Andersen, & Gelberg, 2003; Swick, 2006; Wilde et al, 2004).…”

Section: Behavioral Model For Vulnerable Populationsmentioning

confidence: 99%