142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

298125
Life on the streets: A phenomenological exploration of unsheltered homelessness

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 10:30 AM - 10:50 AM

James Petrovich, PhD, MSSW , Department of Social Work, Texas Christian University, Fort Worth, TX
Courtney Cronley, PhD , Social Work, The University of Texas at Arlington, Arlington, TX
Unsheltered homelessness continues to represent a significant social problem in the United States. Increasing approximately 2% between 2009 and 2012, 40% of all people who are homeless sleep in places not meant for human habitation.While studies of this population exist, they often rely on agency-based samples, which likely excludes individuals who avoid or minimally use assistance services. Noting this limitation, the current study explores the experiences of 20 unsheltered homeless individuals recruited from naturalistic, community settings. Rooted in a phenomenological approach, semi-structured, one-on-one interviews were used to understand participant experiences becoming homeless, experiences while homeless, and reasons for remaining homeless. Data were coded using open and axial coding through an iterative comparative process. Results revealed three consistent themes: the heterogeneity of individuals and experiences, the inherent dignity of individuals living on the street, and a desire for services. All participants described the shelters as dangerous and dirty locations. The majority expressed pride in their resiliency and differentiated themselves from individuals living near or in shelters. Finally, many reported that they wanted to exit from homelessness but could not due to inability to find a job or lack of outreach from service providers. The findings suggest a need for more intensive outreach efforts to individuals who traditionally are not service engaged as well as a need to reinforce the use of housing models, case management approaches, and other services that respect individual dignity, experience, and choice.

Learning Areas:

Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences

Learning Objectives:
Describe the pathways into homelessness for individuals living on the street. Describe the heterogeneous experiences of individuals living on the street. Explain reasons why individuals living on the street remain homeless. Evaluate current intervention approaches (especially Housing First) as to their applicability to individuals living on the street.

Keyword(s): Homelessness

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-investigator on 8 community-based research projects investigating homelessness in Fort Worth. Two studies informed the writing of municipal 10-year plans to end homeless and the evaluation of municipally funded homeless assistance programs (housing and street outreach). Three studies involved the use of qualitative methods with the unsheltered homeless. One study was an assessment of service use by homeless veterans funded by the Department of Veterans’ Affairs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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