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

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  • 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
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    References listed on IDEAS

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    1. 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.
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