Recent critical scholarship regarding the right to the city suggests that the concept inadequately addresses the function of rights within urban socio-legal processes. This paper draws from various ...rights literatures to bring rights to the forefront of urban analyses. Empirically, the paper details the political struggles of Right 2 Dream Too (R2DT), a self-governed houseless encampment in Portland, Oregon, drawing from interviews with encampment residents and government officials as well as from analysis of media, government, and legal documents. The paper articulates how R2DT organized around a foundational set of moral claims for rights to a place of its own. While the paper admonishes that rights are ever contingent, and thus always unsettled, R2DT's struggle over rights more broadly reflects how marginalized groups struggling over a right to exist within contemporary cities may be realized.
Full text
Available for:
BFBNIB, NUK, PILJ, SAZU, UL, UM, UPUK
Homelessness is a global issue that is often associated with substance use. Research on this relationship in low- to middle-income countries (LMIC) is limited. We aimed to explore which factors are ...associated with substance use through secondary data analysis of a sample of 472 adults who attended services for homeless individuals in Cape Town, South Africa. Logistic regression was utilized to investigate if length of homelessness was associated with current alcohol and drug use respectively, after accounting for other factors. Current drug use (44.9%) was higher than current alcohol use (22.7%) and the most prevalent lifetime drug was methamphetamine (32.6%). After adjusting for lifetime substance use, and source of income, length of homelessness was not significantly associated with current alcohol use (less than on year: OR = 2.60; 95% CI: 0.78-8.66; one or more years: OR = 0.90; 95% CI: 0.32-2.57) or current drug use (less than one year: OR = 0.78; 95% CI: 0.41-1.47; one year or more: OR = 1.04; 95% CI: 0.56-1.93). These results highlight the need to further investigate other factors that may influence current alcohol or drug use among populations at risk of being homeless, and to utilize validated measures of substance and other mental health conditions.
To understand existing care practices and policies, and potential enhancements, to improve the effectiveness of the US Department of Veterans Affairs (VA) Supportive Services for Veteran Families ...(SSVF) Health Care Navigators (HCN) in linking Veterans experiencing housing instability in rural areas with health care services.
We used primary data collected during semistructured interviews with HCNs (n = 21) serving rural areas across the United States during Spring 2022.
We applied the Consolidated Framework for Implementation Research (CFIR) 2009 and the Social Ecological Model (SEM) to the collection and analysis of qualitative data to understand how HCNs administer services within SSVF and the larger community.
We used rapid qualitative methods to summarize and analyze data. Templated matrix summaries identified facilitators and barriers to linking Veterans with health care services and policy and practice implications.
Using CFIR 2009, we identified contextual factors affecting successful implementation of HCN services within SSVF; we offer a crosswalk between CFIR 2009 and the version updated in 2022. Framing facilitators and barriers within the SEM provided insight into whether implementation strategies should be addressed at a community, interpersonal, or intrapersonal level within the SEM. Facilitators included sufficient knowledge, training, and mentorship opportunities for HCNs and their capacity to collaborate within their organization and with other community-based organizations. Barriers included lack of local technology and housing resources, inadequate understanding of Veterans' service eligibilities and pathways to access those services, and deficient collaboration with the VA.
Understanding facilitators and barriers experienced by HCN when linking unstably housed Veterans in rural areas with health care services can inform future strategies, including policy changes such as increased training to support HCNs' understanding of eligibility, benefits, and entitlements as well as improving communication and collaboration between VA and community partners.
Full text
Available for:
BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK
Trauma involving violation of trust, or betrayal trauma, plays a significant role in the lifetime trajectories of homeless adults. This study investigates this type of trauma and posttraumatic stress ...disorder (PTSD) symptom severity in the chronically homeless population. The sample consisted of 77 adults with a history of trauma and chronic homelessness in Melbourne, Australia. Using the Composite International Diagnostic Interview Traumatic Events Questionnaire, participants nominated their worst traumatic event and self-reported if their trust was violated as a result of that trauma. PTSD symptom severity was assessed by the 6-item PTSD Checklist. Forty percent of the sample reported violation of trust occurred in their worst trauma. Within this group, 80.6% screened positive for PTSD, compared to 50.0% of those whose worst trauma had not involved a trust violation (p = .006). The violation of trust group presented with significantly more severe PTSD symptoms, in comparison to the group without violation of trust during their worst trauma, controlling for gender, age of worst trauma, cumulative trauma, and psychological distress (p = .020). The findings highlight the importance of providing trauma-informed care and trauma-specific treatment for chronically homeless adults.
Trial registration:
Australian New Zealand Clinical Trials Registry identifier: ACTRN12616000162415.
Pathways to Success (Pathways) is a youth-driven intervention designed to prevent homelessness among youth with foster care experience as they approach early adulthood. This formative evaluation ...measures the feasibility of implementing this intervention and its potential for improving outcomes in several key areas. One hundred twenty-eight youth at risk of homelessness were provided Pathways, and outcomes were measured using pre- and post-survey data. Fidelity measures were established to ensure services were delivered as designed and rates of homelessness significantly decreased, from 37% at pretest to 10% following engagement with Pathways. This formative evaluation builds evidence for Pathways and lays the foundation for future research on homelessness prevention for youth with foster care experience.
Full text
Available for:
NUK, OILJ, SAZU, UKNU, UL, UM, UPUK
Prolonged school closures are one of the most disruptive forces in the COVID‐19 era. School closures have upended life for children and families, and educators have been forced to determine how to ...provide distance learning. Schools are also an essential source of nonacademic supports in the way of health and mental health services, food assistance, obesity prevention, and intervention in cases of homelessness and maltreatment. This article focuses on the physical and emotional toll resulting from school closures and the withdrawal of nonacademic supports that students rely on. The COVID‐19 pandemic is shining a spotlight on how important schools are for meeting children's nonacademic needs. We argue that when students return to school there will be a more acute and wider‐spread need for school‐based nonacademic services and supports. Further, we expect that COVID‐19 will serve as a focusing event opening a window of opportunity for programmatic and policy change that improves nonacademic services and supports in the future.
Full text
Available for:
FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK
In the United Kingdom, increases in premature mortality among the intersecting populations of people made homeless and people who inject drugs map onto the implementation and solidification of fiscal ...austerity policies over the past decade, rather than drug market fluctuations and trends as in North America. In this context, it is crucial to explore how poverty, multi-morbidity and care delay interplay in exacerbating vulnerability to mortality among an aging population of people who use illicit drugs. The mixed methods Care & Prevent study generated survey data with 455 PWID and in-depth qualitative interviews with a subsample (n = 36). Participants were recruited though drug treatment services and homeless hostels in London from October 2017–June 2019. This paper focuses on qualitative findings, analysed thematically and contextualised in relation to the broader survey sample. Survey participants report an extensive history of rough sleeping (78%); injecting-related bacterial infections (65%) and related hospitalisation (30%). Qualitative accounts emphasise engagement with the medical system as a ‘last resort’, with admission to hospital in a critical or a “near death” condition common. For many severe physical pain and debility were normalised, incorporated into the day to day. In a context of everyday violence and marginalisation, avoidance of medical care can have a protective impetus. Translation of cultural safety principles to care for people who inject drugs in hospital settings offers transformative potential to reduce serious health harms among this population.
•Without prompt care, injecting-related infections can progress to systemic illness.•People who inject drugs face multiple barriers to health care access.•Participants incorporated severe debility into their day-to-day lives.•In contexts of normalised violence medical care avoidance can be protective.•Cultural safety provides a framework to reduce injecting-related health harms.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
To evaluate trends and correlates of methamphetamine use in the United States.
Data are from 15 747 334 drug-related treatment admissions among persons aged 12 years or older in the 2008-2017 ...Treatment Episode Data Set. We analyzed trends and used multivariable logistic regression.
Methamphetamine-related admissions increased from 15.1% of drug-related treatment admissions in 2008 to 23.6% in 2017. Increases occurred among nearly all demographic groups. Methamphetamine injection increased from 17.5% of admissions in 2008 to 28.4% in 2017. Among methamphetamine-related admissions, heroin use increased from 5.3% of admissions in 2008 to 23.6% in 2017. Characteristics associated with increased odds of reporting methamphetamine use at admission included female sex; admissions aged 35 to 44 years; admissions in the Midwest, South, and West; unemployment; not in labor force; living dependent; living homeless; and having a referral from criminal justice, a health care provider, or other community treatment source.
Treatment admissions involving methamphetamine use increased significantly over the past decade and appear to be linked to the ongoing opioid crisis in the United States. Efforts to mobilize public health prevention, treatment, and response strategies to address rising methamphetamine use and overdose are needed.
Full text
Available for:
CEKLJ, DOBA, FSPLJ, IZUM, KILJ, NUK, ODKLJ, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
You have reached the maximum number of search results that are displayed.
For better performance, the search offers a maximum of 1,000 results per query (or 50 pages if the option 10/page is selected).
Consider using result filters or changing the sort order to explore your results further.
PDF
