Differences in housing transitions and changes in health and self-determination between formerly homeless individuals.
Journal
European journal of public health
ISSN: 1464-360X
Titre abrégé: Eur J Public Health
Pays: England
ID NLM: 9204966
Informations de publication
Date de publication:
01 10 2020
01 10 2020
Historique:
pubmed:
20
4
2020
medline:
25
6
2021
entrez:
20
4
2020
Statut:
ppublish
Résumé
To reduce homelessness, it is important to gain a better understanding of the differences between homeless people who remain in institutions and those who gain and can sustain independent housing. This longitudinal study explores differences in housing transitions and differences in changes in health and self-determination between formerly homeless people still living in institutions 2.5 years later and those now living in independent housing in the Netherlands. This study mapped the housing transitions of 263 participants from when they entered the social relief system (SRS) to 2.5 years later when they were in independent housing or institutions. These individuals were compared at the 2.5-year mark in terms of gender, age and retrospectively in terms of duration of homelessness. They were also compared with regard to changes in psychological distress, perceived health, substance use and self-determination. Two and a half years after entering the SRS, 81% of participants were independently housed and 19% still lived in institutions. People in institutions had a longer lifetime duration of homelessness, were more often men, and their number of days of alcohol use had decreased significantly more, whereas independently housed people had shown a significant increase in their sense of autonomy and relatedness. Formerly homeless people living in independent housing and in institutions show few health-related differences 2.5 years after entering the SRS, but changes in autonomy and relatedness are distinctly more prevalent, after the same period of time, in those who are independently housed.
Sections du résumé
BACKGROUND
To reduce homelessness, it is important to gain a better understanding of the differences between homeless people who remain in institutions and those who gain and can sustain independent housing. This longitudinal study explores differences in housing transitions and differences in changes in health and self-determination between formerly homeless people still living in institutions 2.5 years later and those now living in independent housing in the Netherlands.
METHODS
This study mapped the housing transitions of 263 participants from when they entered the social relief system (SRS) to 2.5 years later when they were in independent housing or institutions. These individuals were compared at the 2.5-year mark in terms of gender, age and retrospectively in terms of duration of homelessness. They were also compared with regard to changes in psychological distress, perceived health, substance use and self-determination.
RESULTS
Two and a half years after entering the SRS, 81% of participants were independently housed and 19% still lived in institutions. People in institutions had a longer lifetime duration of homelessness, were more often men, and their number of days of alcohol use had decreased significantly more, whereas independently housed people had shown a significant increase in their sense of autonomy and relatedness.
CONCLUSION
Formerly homeless people living in independent housing and in institutions show few health-related differences 2.5 years after entering the SRS, but changes in autonomy and relatedness are distinctly more prevalent, after the same period of time, in those who are independently housed.
Identifiants
pubmed: 32306030
pii: 5822560
doi: 10.1093/eurpub/ckaa054
pmc: PMC7536254
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
900-905Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association.
Références
Health Soc Care Community. 2019 May;27(3):546-564
pubmed: 30027684
J Urban Health. 2011 Aug;88(4):767-78
pubmed: 21494896
Health Soc Care Community. 2017 Mar;25(2):710-722
pubmed: 27189388
Soc Psychiatry Psychiatr Epidemiol. 2010 Nov;45(11):1055-62
pubmed: 19816646
Eval Program Plann. 2008 Nov;31(4):436-44
pubmed: 18554717
Am J Public Health. 2013 Oct;103(10):e13-26
pubmed: 23947309
Trends Neurosci. 2007 May;30(5):220-7
pubmed: 17400299
Psychiatr Serv. 1997 Apr;48(4):528-30
pubmed: 9090739
Health Qual Life Outcomes. 2012 Aug 15;10:93
pubmed: 22894551
Soc Psychiatry Psychiatr Epidemiol. 2001 Aug;36(8):391-8
pubmed: 11766969
J Prim Prev. 2007 Jul;28(3-4):295-312
pubmed: 17541827
J Subst Abuse Treat. 2005;28 Suppl 1:S23-39
pubmed: 15797636
Psychiatr Serv. 2015 Jun;66(6):592-7
pubmed: 25686813
Am J Community Psychol. 2012 Mar;49(1-2):142-55
pubmed: 21557093
Community Ment Health J. 2012 Jun;48(3):255-63
pubmed: 21274623
PLoS One. 2010 Jul 21;5(7):e11697
pubmed: 20657732
Am J Community Psychol. 1998 Apr;26(2):207-32
pubmed: 9693690
Adm Policy Ment Health. 2017 Jan;44(1):67-80
pubmed: 26573154
Health Soc Care Community. 2017 May;25(3):1265-1275
pubmed: 28122408
J Urban Health. 2009 Nov;86(6):965-89
pubmed: 19760155
Eur J Public Health. 2016 Feb;26(1):111-6
pubmed: 26253268
Psychiatr Serv. 2017 Feb 1;68(2):203-206
pubmed: 27745532
Adm Policy Ment Health. 2007 Mar;34(2):89-100
pubmed: 16865313
Am J Public Health. 2004 Apr;94(4):651-6
pubmed: 15054020
Lancet. 2014 Oct 25;384(9953):1529-40
pubmed: 25390578