Who's Serving the Homeless?

Hagen, Jan L.; Hutchison, Elizabeth D.

doi:10.1177/104438948806900803

Cited by 23 publications

(17 citation statements)

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“…The measure involvement with clients with severe and persistent mental illness (SPMI) is based on Hagen and Hutchison's (1988) description of symptoms and behaviors related to having severe mental illness. This scale comprises eight items that reflect the workers' perception about the extent to which they work with clients who suffer from symptoms related to severe mental illness, and engage in socially unaccepted behaviors which are also related to mental illness.…”

Section: Methodsmentioning

confidence: 99%

The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers

Acker

2009

Community Ment Health J

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This study examined the relationship between social workers' experiences when interfacing with managed care organizations and burnout. A total of 591 social workers completed questionnaires that included several measures: Self-perceived competence in the context of managed care, professional involvement with clients with severe mental illness, and burnout. Results showed that self-perceived competence in the context of managed care had statistically significant correlations with burnout dimensions. The author discusses the role of social work schools in preparing students for the realistic aspects of mental health work, and recommends a partnership between managed care organizations and professionals for best care giving.

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Section: Methodsmentioning

confidence: 99%

The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers

Acker

2009

Community Ment Health J

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“…Nevertheless, surprisingly little attention has been given to the educational background, training, and support of those implementing programs for homeless persons. A large number of these staff members, who spend much of their time providing direct service to clients, are relatively inexperienced and have had minimal education or training ( Hagen & Hutchison, 1988), yet few resources are devoted to remedying the situation or providing them with support. All too often, staff members with limited onsite and community resources and little or no training, are called on to respond not only to families' need for housing and income assistance, but also to a wide range of health and psychosocial problems associated with homelessness.…”

Section: Staffng Patterns Training and Supportmentioning

confidence: 99%

“…Predictably, many programs describe stafiing problems that reflect these issues (Better Homes Foundations, 1990). In the only published survey describing shelter staff characteristics, Hagen and Hutchison (1988) found that 70% of the shelter-staff respondents had a bachelor's degree or less; 66% earned less than $15,000 per year; and almost half had less than one year's experience working with homeless people.…”

Section: Staffng Patterns Training and Supportmentioning

confidence: 99%

Homeless families: Program responses and public policies.

Buckner¹

1993

American Journal of Orthopsychiatry

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Numerous programs have been developed nationwide to address the needs of homeless families but many of their policies and practices raise serious questions about the adequacy of the nation's response. Significant problems in the current service delivery system are examined and recommendations are offered for a comprehensive program response that emphasizes service-enriched housing, specialized approaches to meet the needs of homeless mothers, and preventive interventions.

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“…Given the lack of proactive care for homeless people and their high morbidity, they stand out as frequent attenders when they do access healthcare services, which can create ambivalent staff attitudes to this needy underclass. Staff treating the homeless had a 25% prevalence of stress and burnout in a study in upstate New York, USA (Hagen & Hutchison 1988). In residential projects in London, UK, Hinton (1997) described the hopelessness expressed by health professionals and lay staff in relation to the intractable needs of their clients.…”

Section: Introductionmentioning

confidence: 99%

Can a health advocate for homeless families reduce workload for the primary healthcare team? A controlled trial

Reilly

Graham-Jones

Gaulton³

et al. 2004

Health Soc Care Community

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The objective of the present study was to determine whether provision of health advocacy for homeless patients would reduce the burden of care for a primary healthcare team. The impact of a health advocacy intervention was assessed in a quasi-experimental, three-armed controlled trial. Homeless patients registering at an inner-city health centre were allocated in alternating periods to health advocacy (with or without outreach registration) or 'usual care' over a total intake period of 3 years. The client group were homeless people in hostels or other temporary accommodation in the Liverpool 8 area of the UK. The majority of participants (n = 400) were women (76%) in their twenties (mean age = 26.6 years). Most (63%) were temporarily housed at either one of the women's refuges or Liverpool City Council family hostels, and all were registered with an inner-city health centre. Data on health service utilisation over a 3-month period was collected for all clients recruited to the study and direct health service costs were measured. Homeless adults who were proactively registered by the health advocate on outreach visits to hostels made significantly less use of health centre resources whilst having more contact with the health advocate than patients who registered at the health centre at a time of need. There was no reduction in health centre workload when the offer of health advocacy was made after registration at the health centre. The additional costs of providing health advocacy were offset by a reduction in demand for health-centre-based care. The results demonstrate that health advocacy can alter the pattern of help-seeking by temporarily homeless adults. The intervention was cost-neutral. The short-term health service workload associated with symptomatic homeless patients requiring medication was not reduced, but outreach health advocacy was used successfully to address psycho-social issues and reduce the workload for primary care staff.

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Who's Serving the Homeless?

Abstract: Although responses to homelessness have increased dramatically, little attention has been paid to the service providers who work with this population. The authors present descriptive data on the characteristics of service providers, their job functions and roles, and job satisfaction.

Cited by 23 publications

References 0 publications

The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers

The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers

Homeless families: Program responses and public policies.

Can a health advocate for homeless families reduce workload for the primary healthcare team? A controlled trial

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