IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0231758.html
   My bibliography  Save this article

Establishing need and population priorities to improve the health of homeless and vulnerably housed women, youth, and men: A Delphi consensus study

Author

Listed:
  • Esther S Shoemaker
  • Claire E Kendall
  • Christine Mathew
  • Sarah Crispo
  • Vivian Welch
  • Anne Andermann
  • Sebastian Mott
  • Christine Lalonde
  • Gary Bloch
  • Alain Mayhew
  • Tim Aubry
  • Peter Tugwell
  • Vicky Stergiopoulos
  • Kevin Pottie

Abstract

Background: Homelessness is one of the most disabling and precarious living conditions. The objective of this Delphi consensus study was to identify priority needs and at-risk population subgroups among homeless and vulnerably housed people to guide the development of a more responsive and person-centred clinical practice guideline. Methods: We used a literature review and expert working group to produce an initial list of needs and at-risk subgroups of homeless and vulnerably housed populations. We then followed a modified Delphi consensus method, asking expert health professionals, using electronic surveys, and persons with lived experience of homelessness, using oral surveys, to prioritize needs and at-risk sub-populations across Canada. Criteria for ranking included potential for impact, extent of inequities and burden of illness. We set ratings of ≥ 60% to determine consensus over three rounds of surveys. Findings: Eighty four health professionals and 76 persons with lived experience of homelessness participated from across Canada, achieving an overall 73% response rate. The participants identified priority needs including mental health and addiction care, facilitating access to permanent housing, facilitating access to income support and case management/care coordination. Participants also ranked specific homeless sub-populations in need of additional research including: Indigenous Peoples (First Nations, Métis, and Inuit); youth, women and families; people with acquired brain injury, intellectual or physical disabilities; and refugees and other migrants. Interpretation: The inclusion of the perspectives of both expert health professionals and people with lived experience of homelessness provided validity in identifying real-world needs to guide systematic reviews in four key areas according to priority needs, as well as launch a number of working groups to explore how to adapt interventions for specific at-risk populations, to create evidence-based guidelines.

Suggested Citation

  • Esther S Shoemaker & Claire E Kendall & Christine Mathew & Sarah Crispo & Vivian Welch & Anne Andermann & Sebastian Mott & Christine Lalonde & Gary Bloch & Alain Mayhew & Tim Aubry & Peter Tugwell & V, 2020. "Establishing need and population priorities to improve the health of homeless and vulnerably housed women, youth, and men: A Delphi consensus study," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-14, April.
    • Handle: RePEc:plo:pone00:0231758
    DOI: 10.1371/journal.pone.0231758
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231758
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0231758&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0231758?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Daphne Habibis, 2013. "Australian Housing Policy, Misrecognition and Indigenous Population Mobility," Housing Studies, Taylor & Francis Journals, vol. 28(5), pages 764-781, July.
    2. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    3. Jalene Tayler Anderson & Damian Collins, 2014. "Prevalence and Causes of Urban Homelessness Among Indigenous Peoples: A Three-Country Scoping Review," Housing Studies, Taylor & Francis Journals, vol. 29(7), pages 959-976, October.
    4. Collins, S.E. & Malone, D.K. & Clifasefi, S.L., 2013. "Housing retention in single-site Housing First for chronically homeless individuals with severe alcohol problems," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 269-274.
    Full references (including those not matched with items on IDEAS)

    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. Patricia M. Chen, 2019. "Housing First and Single-Site Housing," Social Sciences, MDPI, vol. 8(4), pages 1-10, April.
    2. 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.
    3. Charles Walsh & Anita M Hubley & Matthew J To & Monica Norena & Anne Gadermann & Susan Farrell & Stephen W Hwang & Anita Palepu, 2019. "The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    4. Montgomery, Ann Elizabeth & Cusack, Meagan & Szymkowiak, Dorota & Fargo, Jamison & O’Toole, Thomas, 2017. "Factors contributing to eviction from permanent supportive housing: Lessons from HUD-VASH," Evaluation and Program Planning, Elsevier, vol. 61(C), pages 55-63.
    5. Yerko Rojas, 2017. "Evictions and short-term all-cause mortality: a 3-year follow-up study of a middle-aged Swedish population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(3), pages 343-351, April.
    6. McDonald, Keisha & Palimaru, Alina I. & Garvey, Rick & D'Amico, Elizabeth J. & Tucker, Joan S., 2024. "Perceptions from emerging adults with a history of homelessness on their experiences with housing, health and other support services," Children and Youth Services Review, Elsevier, vol. 160(C).
    7. Alberton, Amy M. & Angell, G. Brent & Gorey, Kevin M. & Grenier, Stéphane, 2020. "Homelessness among Indigenous peoples in Canada: The impacts of child welfare involvement and educational achievement," Children and Youth Services Review, Elsevier, vol. 111(C).
    8. 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.
    9. Marta Gaboardi & Michela Lenzi & Francesca Disperati & Massimo Santinello & Alessio Vieno & Aurélie Tinland & Maria J. Vargas-Moniz & Freek Spinnewijn & Branagh R. O’Shaughnessy & Judith R. Wolf & Ann, 2019. "Goals and Principles of Providers Working with People Experiencing Homelessness: A Comparison Between Housing First and Traditional Staircase Services in Eight European Countries," IJERPH, MDPI, vol. 16(9), pages 1-17, May.
    10. Schelbe, Lisa, 2018. "Struggles, successes, and setbacks: Youth aging out of child welfare in a subsidized housing program," Children and Youth Services Review, Elsevier, vol. 89(C), pages 298-308.
    11. Bernet, Alice & Warren, Cristina & Adams, Susie, 2015. "Using a community-based participatory research approach to evaluate resident predictors of involuntary exit from permanent supportive housing," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 63-69.
    12. Semborski, Sara & Redline, Brian & Madden, Danielle & Granger, Theresa & Henwood, Benjamin, 2021. "Housing interventions for emerging adults experiencing homelessness: A scoping review," Children and Youth Services Review, Elsevier, vol. 127(C).
    13. Camille Le Gal & Michael J. Dale & Margaret Cargo & Mark Daniel, 2020. "Built Environments and Cardiometabolic Morbidity and Mortality in Remote Indigenous Communities in the Northern Territory, Australia," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    14. Myra Piat & Lauren Polvere & Maritt Kirst & Jijian Voronka & Denise Zabkiewicz & Marie-Carmen Plante & Corinne Isaak & Danielle Nolin & Geoffrey Nelson & Paula Goering, 2015. "Pathways into homelessness: Understanding how both individual and structural factors contribute to and sustain homelessness in Canada," Urban Studies, Urban Studies Journal Limited, vol. 52(13), pages 2366-2382, October.
    15. Nelson, Geoffrey & Stefancic, Ana & Rae, Jennifer & Townley, Greg & Tsemberis, Sam & Macnaughton, Eric & Aubry, Tim & Distasio, Jino & Hurtubise, Roch & Patterson, Michelle & Stergiopoulos, Vicky & Pi, 2014. "Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: A mixed methods approach," Evaluation and Program Planning, Elsevier, vol. 43(C), pages 16-26.
    16. Corinth, Kevin, 2017. "The impact of permanent supportive housing on homeless populations," Journal of Housing Economics, Elsevier, vol. 35(C), pages 69-84.
    17. 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.
    18. Filipa Maria Reinhardt Andrade & Ana Resende & Maria Clara Roquette-Viana & Amélia Simões Figueiredo, 2024. "Remote Parenting in Families Experiencing, or at Risk of, Homelessness: A Study Based on Grounded Theory," IJERPH, MDPI, vol. 21(9), pages 1-12, September.
    19. Alasdair Reid, 2023. "Closing the Affordable Housing Gap: Identifying the Barriers Hindering the Sustainable Design and Construction of Affordable Homes," Sustainability, MDPI, vol. 15(11), pages 1-27, May.
    20. Fleury, Marie-Josée & Grenier, Guy & Vallée, Catherine & Hurtubise, Roch & Lévesque, Paul-André, 2014. "The role of advocacy coalitions in a project implementation process: The example of the planning phase of the At Home/Chez Soi project dealing with homelessness in Montreal," Evaluation and Program Planning, Elsevier, vol. 45(C), pages 42-49.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0231758. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.