IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i3p2546-d1052714.html
   My bibliography  Save this article

Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity

Author

Listed:
  • Coline van Everdingen

    (Department of Psychiatry and Neuropsychology, Maastricht University, 6200 MD Maastricht, The Netherlands
    Van Everdingen Health Care Consultancy, 6132 TP Sittard, The Netherlands)

  • Peter Bob Peerenboom

    (Tangram Health Care Consultancy, 7006 CP Doetinchem, The Netherlands)

  • Koos van der Velden

    (Department of Primary and Community Care, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands)

  • Philippe Delespaul

    (Department of Psychiatry and Neuropsychology, Maastricht University, 6200 MD Maastricht, The Netherlands
    Mondriaan Mental Health Trust, 6401 CX Heerlen, The Netherlands)

Abstract

Background: Healthcare and social services aim to ensure health equity for all users. Despite ongoing efforts, marginalized populations remain underserved. The Dutch HOP-TR study intends to expand knowledge on how to enable the recovery of homeless service users. Methods: A naturalistic meta-snowball sampling resulted in a representative sample of homeless services (N = 16) and users (N = 436). Interviews collected health and needs from user and professional perspectives in a comprehensive, rights-based ecosystem strategy. We calculated the responsiveness to needs in four domains (mental health, physical health, paid work, and administration). Results: Most service users were males (81%) with a migration background (52%). In addition to physical (78%) and mental health needs (95%), the low education level (89%) and functional illiteracy (57%) resulted in needs related to paid work and administration support. Most had vital needs in three or four domains (77%). The availability of matching care was extremely low. For users with needs in two domains, met needs ranged from 0.6–13.1%. Combined needs (>2 domains) were hardly met. Conclusions: Previous research demonstrated the interdependent character of health needs. This paper uncovers some causes of health inequity. The systematic failure of local services to meet integrating care needs demonstrates the urgency to expand recovery-oriented implementation strategies with health equity in mind.

Suggested Citation

  • Coline van Everdingen & Peter Bob Peerenboom & Koos van der Velden & Philippe Delespaul, 2023. "Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2546-:d:1052714
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/3/2546/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/3/2546/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Melissa Johnstone & Cameron Parsell & Jolanda Jetten & Genevieve Dingle & Zoe Walter, 2016. "Breaking the cycle of homelessness: Housing stability and social support as predictors of long-term well-being," Housing Studies, Taylor & Francis Journals, vol. 31(4), pages 410-426, June.
    2. Fabian Termorshuizen & Addi PL van Bergen & Ronald BJ Smit & Hugo M Smeets & Erik JC van Ameijden, 2014. "Mortality and psychiatric disorders among public mental health care clients in Utrecht: A register-based cohort study," International Journal of Social Psychiatry, , vol. 60(5), pages 426-435, August.
    3. Lars Benjaminsen & Stefan Bastholm Andrade, 2015. "Testing a Typology of Homelessness Across Welfare Regimes: Shelter Use in Denmark and the USA," Housing Studies, Taylor & Francis Journals, vol. 30(6), pages 858-876, September.
    4. Glen Bramley & Suzanne Fitzpatrick, 2018. "Homelessness in the UK: who is most at risk?," Housing Studies, Taylor & Francis Journals, vol. 33(1), pages 96-116, January.
    5. Olivia Magwood & Amanda Hanemaayer & Ammar Saad & Ginetta Salvalaggio & Gary Bloch & Aliza Moledina & Nicole Pinto & Layla Ziha & Michael Geurguis & Alexandra Aliferis & Victoire Kpade & Neil Arya & T, 2020. "Determinants of Implementation of a Clinical Practice Guideline for Homeless Health," IJERPH, MDPI, vol. 17(21), pages 1-18, October.
    6. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    7. Barbara Straaten & Gerda Rodenburg & Jorien Laan & Sandra N. Boersma & Judith R. L. M. Wolf & Dike Mheen, 2018. "Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 291-311, January.
    8. Lars Benjaminsen, 2018. "Housing First in Denmark: An Analysis of the Coverage Rate among Homeless People and Types of Shelter Users," Social Inclusion, Cogitatio Press, vol. 6(3), pages 327-336.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Xinhui Fei & Yanqin Zhang & Deyi Kong & Qitang Huang & Minhua Wang & Jianwen Dong, 2023. "Quantitative Model Study of the Psychological Recovery Benefit of Landscape Environment Based on Eye Movement Tracking Technology," Sustainability, MDPI, vol. 15(14), pages 1-19, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Martin Loosemore & Jemma Bridgeman & Hugh Russell & Suhair Zaid Alkilani, 2021. "Preventing Youth Homelessness through Social Procurement in Construction: A Capability Empowerment Approach," Sustainability, MDPI, vol. 13(6), pages 1-18, March.
    2. Chris O'Leary & Ligia Teixeira & Esther Coren & Zsolt Kiss & Anton Roberts & Harry Amitage, 2022. "PROTOCOL: The effectiveness of psychosocial interventions for reducing problematic substance use, improving mental health, and improving housing stability for adults experiencing homelessness: A syste," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(4), December.
    3. Keevers, Lynne & Rambaldini-Gooding, Delia, 2020. "Practices effective for assisting young people avoid or exit homelessness: Young service recipient's perspectives," Children and Youth Services Review, Elsevier, vol. 119(C).
    4. Chris O'Leary & Anton Roberts & Ligia Teixeira & Esther Coren, 2022. "PROTOCOL: The experiences of adults experiencing homelessness when accessing and using psychosocial interventions: A systematic review and qualitative evidence synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(4), December.
    5. Fran Calvo & Oriol Turró-Garriga & Carles Fàbregas & Rebeca Alfranca & Anna Calvet & Mercè Salvans & Cristina Giralt & Sandra Castillejos & Mercè Rived-Ocaña & Paula Calvo & Paz Castillo & Josep Garre, 2021. "Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    6. Duff, Cameron & Hill, Nicholas & Blunden, Hazel & valentine, kylie & Randall, Sean & Scutella, Rosanna & Johnson, Guy, 2021. "Leaving rehab: enhancing transitions into stable housing," SocArXiv vypsj, Center for Open Science.
    7. Kate Frazer & Thilo Kroll, 2022. "Understanding and Tackling the Complex Challenges of Homelessness and Health," IJERPH, MDPI, vol. 19(6), pages 1-3, March.
    8. Nessa Winston, 2021. "Sustainable community development: Integrating social and environmental sustainability for sustainable housing and communities," Working Papers 202106, Geary Institute, University College Dublin.
    9. Paul Batchelor & James Kingsland, 2020. "Improving the Health of the Homeless and How to Achieve It within the New NHS Architecture," IJERPH, MDPI, vol. 17(11), pages 1-7, June.
    10. Chris O'Leary & Rob Ralphs & Jennifer Stevenson & Andrew Smith & Jordan Harrison & Zsolt Kiss & Harry Armitage, 2024. "The effectiveness of abstinence‐based and harm reduction‐based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic re," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    11. James O'Donnell, 2020. "Estimating annual rates of homelessness," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(1), pages 1-34.
    12. Tobias Schiffler & Ali Kapan & Alina Gansterer & Thomas Pass & Lisa Lehner & Alejandro Gil-Salmeron & Daragh T. McDermott & Igor Grabovac, 2023. "Characteristics and Effectiveness of Co-Designed Mental Health Interventions in Primary Care for People Experiencing Homelessness: A Systematic Review," IJERPH, MDPI, vol. 20(1), pages 1-14, January.
    13. Derrien, Monika M. & Bratman, Gregory N. & Cerveny, Lee K. & Levy, Chaja & Blahna, Dale J. & Frank, Paulo & Serio, Naomi, 2024. "Public nature and health for homeless populations: Professionals’ perceptions of contingent human benefits and harms," Social Science & Medicine, Elsevier, vol. 347(C).
    14. Kritika Rana & Andrew Page & Jennifer L. Kent & Amit Arora, 2022. "Pathways Linking Housing Inequalities and Health Outcomes among Migrant and Refugee Populations in High-Income Countries: A Protocol for a Mixed-Methods Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    15. Gemma Crawford & Elizabeth Connor & Kahlia McCausland & Karina Reeves & Krysten Blackford, 2022. "Public Health Interventions to Address Housing and Mental Health amongst Migrants from Culturally and Linguistically Diverse Backgrounds Living in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-22, December.
    16. Barton Hamilton & Andrés Hincapié & Emma C. Kalish & Nicholas W. Papageorge, 2021. "Medical Innovation and Health Disparities," NBER Working Papers 28864, National Bureau of Economic Research, Inc.
    17. Nessa Winston, 2022. "Sustainable community development: Integrating social and environmental sustainability for sustainable housing and communities," Sustainable Development, John Wiley & Sons, Ltd., vol. 30(1), pages 191-202, February.
    18. Vanessa Heaslip & Stephen Richer & Bibha Simkhada & Huseyin Dogan & Sue Green, 2021. "Use of Technology to Promote Health and Wellbeing of People Who Are Homeless: A Systematic Review," IJERPH, MDPI, vol. 18(13), pages 1-18, June.
    19. Nessa Winston & Patricia Kennedy, 2019. "Severe housing deprivation: Addressing the social sustainability challenge in the EU," Working Papers 201903, Geary Institute, University College Dublin.
    20. Shannen Vallesi & Matthew Tuson & Andrew Davies & Lisa Wood, 2021. "Multimorbidity among People Experiencing Homelessness—Insights from Primary Care Data," IJERPH, MDPI, vol. 18(12), pages 1-16, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2546-:d:1052714. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.