Abstract

BackgroundIt is increasingly acknowledged that homelessness is a more complex social and public health phenomenon than the absence of a place to live. This view signifies a paradigm shift, from the definition of homelessness in terms of the absence of permanent accommodation, with its focus on pathways out of homelessness through the acquisition and maintenance of permanent housing, to understanding the social context of homelessness and social interventions to prevent it.However, despite evidence of the association between homelessness and social factors, there is very little research that examines the wider social context within which homelessness occurs from the perspective of homeless people themselves. This study aims to examine the stories of homeless people to gain understanding of the social conditions under which homelessness occurs, in order to propose a theoretical explanation for it.MethodTwenty-six semi-structured interviews were conducted with homeless people in three centres for homeless people in Cheshire North West of England.ResultsThe analysis revealed that becoming homeless is a process characterised by a progressive waning of resilience capacity to cope with life challenges created by series of adverse incidents in one’s life. The data show that final stage in the process of becoming homeless is complete collapse of relationships with those close to them. Most prominent pattern of behaviours participants often describe as main causes of breakdown of their relationships are:engaging in maladaptive behavioural lifestyle including taking drugs and/or excessive alcohol drinkingBeing in trouble with people in authorities.ConclusionHomeless people describe the immediate behavioural causes of homelessness, however, the analysis revealed the social and economic conditions within which homelessness occurred. The participants’ descriptions of the social conditions in which were raised and their references to maladaptive behaviours which led to them becoming homeless, led us to conclude that they believe that their social condition affected their life chances: that these conditions were responsible for their low quality of social connections, poor educational attainment, insecure employment and other reduced life opportunities available to them.

Highlights

  • IntroductionIt is increasingly acknowledged that homelessness is a more complex social and public health phenomenon than the absence of a place to live

  • Homeless people describe the immediate behavioural causes of homelessness, the analysis revealed the social and economic conditions within which homelessness occurred

  • The participants’ descriptions of the social conditions in which were raised and their references to maladaptive behaviours which led to them becoming homeless, led us to conclude that they believe that their social condition affected their life chances: that these conditions were responsible for their low quality of social connections, poor educational attainment, insecure employment and other reduced life opportunities available to them

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Summary

Introduction

It is increasingly acknowledged that homelessness is a more complex social and public health phenomenon than the absence of a place to live. Of all forms, income deprivation has been reported as having the highest risk factors associated with homelessness [7, 12,13,14]: studies indicate that people from the most deprived backgrounds are disproportionately represented amongst the homeless [7, 13]. This population group experiences clusters of multiple adverse health, economic and social conditions such as alcohol and drug misuse, lack of affordable housing and crime [10, 12, 15]. Studies consistently show an association between risk of homelessness and clusters of poverty, low levels of education, unemployment or poor employment, and lack of social and community support [7, 10, 13, 16]

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