Regions

Homelessness is a global challenge.

The United Nations Human Settlements Program estimates that 1.1 billion people live in inadequate housing, and the best data available suggest that more than 100 million people have no housing at all.

Search for country-specific resources

Morbidity and Mortality in Homeless Individuals, Prisoners, Sex Workers, and Individuals with Substance Use Disorders in High-Income Countries: A Systematic Review and Meta-Analysis

Inclusion health focuses on people in extremely poor health due to poverty, marginalisation, and multimorbidity. The study aimed to review morbidity and mortality data on four overlapping populations who experience considerable social exclusion: homeless populations, individuals with substance use disorders, sex workers, and imprisoned individuals. The study shows that homeless populations, individuals with substance use...

A no-camp policy: Interrogating informal settlements in Lebanon

LucasOesch

Analyses of refugee camps have criticised Agamben's conceptualisation of exception, understood as the juridical production of ‘bare life’ by the sovereign. They have emphasised the multiplicity of actors and exclusionary dynamics involved in the production of exception, as well as the politicisation of space. This scholarship has however stayed framed around an ‘exclusionary paradigm’. This article proposes a complementary...

Research Planning for Global Poverty and Homelessness Policies and Services: A Case Study of a Joint Canadian-South Africa Initiative

S. Richter

K. Kovacs Burns

A.D.H. Botha

Global poverty, homelessness and health-related issues require both international and country-specific research to explore best collaborative approaches, determine relevant global health services and policy research questions, and explore how collaborative partnerships and research can be applied in practice with people who are homeless. A workshop was organized in South Africa with Canadian and South African researchers, non...

The Perpetual Homelessness of College Experiences: Tensions between Home and Campus for African American Women

Rachelle Winkle-Wagner

There is an ongoing debate about whether African American students need to sever ties with their families to be successful in college. Adding nuance to this debate, this ethnographic study examines African American women’s experiences of navigating family relationships in a predominantly White institution. The women described multiple pressures from their families and on campus, often resulting in a sense of “homelessness,”...

Working Therapeutically with Mothers Who Experience the Trauma of Homelessness: An Opportunity for Growth

Victoria Tischler

Vicki Edwards

Panos Vostanis

Homelessness is recognised to be a traumatic event in itself and is often preceded by the experience of violence. More recent research has indicated that homelessness can function to enact growth and resilience in women with dependent children. This review paper draws together findings from a series of studies involving women with dependent children who experience homelessness. It identifies key psychosocial and health...

Enabling Older Homeless Minority Women to Overcome Homelessness by Using a Life Management Enhancement Group Intervention

Jacquelyn Y. Taylor

David P. Moxle

Olivia G. M. Washington

This paper describes the importance of a life management enhancement (LME) group intervention for older minority women in developing personal control and self-confidence in social relationships as they overcome homelessness. Women in the treatment group showed significantly greater personal control and higher levels of self-confidence following the six-week intervention than women in the control group. Increasing personal...

Becoming Homeless, Being Homeless, and Resolving Homelessness Among Women

Deborah Finfgeld-Connett

PhD

The purpose of this investigation was to more comprehensively articulate the experiences of homeless women and make evidence-based inferences regarding optimal social services. This study was conducted using qualitative meta-synthesis methods. As youth, homeless women experience challenging circumstances that leave them ill-prepared to prevent and resolve homelessness in adulthood. Resolution of homelessness occurs in...

Quality of Life After Housing First For Adults With Serious Mental Illness Who Have Experienced Chronic Homelessness

This 1-year longitudinal study of adults who have recently transitioned from homelessness to Permanent Supportive Housing (PSH) focuses on quality of life as a primary outcome of interest. Eighty of 103 new tenants participated in structured interviews at the time of entry into their new home and at 12-months post-housing. t-tests assessed differences in community participation and quality of life measures at the 2 time...

Early Implementation Evaluation of A Multi-Site Housing First Intervention For Homeless People With Mental Illness: A Mixed Methods Approach

This research sought to determine whether the implementation of Housing First in a large-scale, multi-site Canadian project for homeless participants with mental illness shows high fidelity to the Pathways Housing First model, and what factors help or hinder implementation. Fidelity ratings for 10 Housing First programs in five cities were made by an external quality assurance team along five key dimensions of Housing First...

Engagement as An Ethical Imperative in Harm Reduction Involving At-Risk Youth

Barbara L. Paterson

Ciro Paness

The focus of the article is the engagement of at-risk youth in harm reduction interventions for illicit drug use. Literature in the fields of education, recreation, health education, and community development suggest that engaging young people in the planning, implementation and evaluation of harm reduction interventions will not only benefit those who participate, but will contribute to the sustainability and effectiveness...

Studies of “Supported” and “Supportive” Housing: A Comprehensive Review of Model Descriptions and Measurement

Charity Tabol

Charles Drebing

Robert Rosenheck

Supported housing is a service model that couples provision of independent housing with provision of community-based supports for individuals with psychiatric disabilities at risk of homelessness. Despite its promise as an alternative to traditional sequential residential rehabilitation programs, supported housing has not been evaluated to an extent that supports firm conclusions concerning the efficacy of specific program...

A Qualitative Analysis of Case Managers' Use of Harm Reduction in Practice

The harm reduction approach has become a viable framework within the field of addictions, yet there is limited understanding about how this approach is implemented in practice. For people who are homeless and have co-occurring psychiatric and substance use disorders, the Housing First model has shown promising results in employing such an approach. This qualitative study utilizes ethnographic methods to explore case managers...

Visualizing Harm Reduction: Methodological and Ethical Considerations

The use of visual methods is becoming increasingly common and accepted in health research. This paper explores the opportunities and constraints of using photo-based methods in the context of a community-based participatory research study on how to engage people living with HIV in conversations about a hospital's recently introduced harm reduction policy. Using a blended approach of photovoice and photo-elicited interviews,...

An Intervention to Enhance Psychological Capital in Homeless Females: Preliminary Findings

Homeless young women ages 18-23 years are the most vulnerable of unstably-housed youth. They are prone to sexually transmitted infections, unplanned pregnancies, and substance use/abuse. The study aim was to determine feasibility and preliminary efficacy of a 4-session intervention delivered at a drop-in site. We wanted to explore differences in indicators of psychological capital between participants in the intervention and...

Housing and Harm Reduction: What is The Role of Harm Reduction In Addressing Homelessness?

Bernadette (Bernie) Pauly

Dan Reist

Lynne Belle-Islea

Chuck Schactman

Homelessness and drug use often overlap and the harms of substance use are exacerbated by homelessness. Responding to the twin problems of homelessness and substance use is an important aspect of strategies to end homelessness. The introduction and development of ten year plans to end homelessness in North America heralds a new era of systemic responses to homelessness. Central to many of these plans is the adoption of ‘...

Exposure To Project-Based Housing First Is Associated With Reduced Jail Time And Bookings

Seema L. Clifasefi

Daniel K.Malone

Susan E.Collins

Project-based Housing First (HF) programs provide immediate, permanent, low-barrier, nonabstinence-based supportive housing to chronically homeless people within a single housing project. Previous studies have shown project-based HF is associated with 6-month reductions in jail time, and that people with criminal histories are able to maintain their housing in supportive housing, such as project-based HF. This study aimed to...

Service Use Before And After The Provision Of Scatter-Site Housing First For Chronically Homeless Individuals With Severe Alcohol Use Disorders

Scatter-site Housing First was used for adults with severe alcohol use disorders. Significant reductions in public behavioral health service use were found. Similar service use reductions were found for adults with and without alcohol use disorders.

Racial Disparity In Hospital Inpatient Cost: Homeless Versus Non-Homeless Patients

Wong H

Karaca Z

There is no study empirically comparing the racial disparity in hospital inpatient cost between homeless and non-homeless patients. This paper compares hospital inpatient costs between homeless and non-homeless patients across race groups. This paper further provides comprehensive descriptive information on patient characteristics, insurance coverage, disease prevalence, and severity of illness for homeless patients and non-...

Homelessness Is an Independent Risk Factor for Heart Failure Readmission

A substantial body of literature has shown disparities in incidence of disease, treatment, and hospital readmission for cardiovascular disease among racial minorities and socially disadvantaged patients, however there are no published reports on the impact of homelessness on the care of patients hospitalized for heart failure (HF). This report is to discuss the impact of homelessess heart disease and heart failure.

The Role of Charity Care and Primary Care Physician Assignment on ED Use in Homeless Patients

Compared with nonhomeless patients, homeless patients are a special population with more barriers to appropriate access to preventive health care services such as personal, bureaucratic, programmatic, and financial factors. As such, these patients tend to inappropriately use the emergency department (ED) more often than the general population. Inappropriate ED use is operationally defined as those patients who present with...

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Understanding Homelessness

IGH Framework

Strategy & Planning

Program Models

Evaluation

Using Data in Homelessness Work

About Us

The Institute of Global Homelessness

IGH Framework

Strategy & Planning

Program Models

Evaluation

Using Data in Homelessness Work

The Institute of Global Homelessness

Regions

Homelessness is a global challenge.

Search for country-specific resources