Supportive Housing Research Articles

Lifetime Experiences of Housing Insecurity among Gay Men Living with HIV at Midlife: An Exploratory Study Utilizing a Social Determinants of Health Perspective

Understanding the socioecological contexts of gay men living with HIV is critical to addressing the environmental conditions that influence their lifetime experiences of housing insecurity and homelessness. In line with the strategies of the US Center for Disease Control and Prevention to end the HIV epidemic, it is of utmost importance to recognize how the allocation of available resources impacts health inequities affecting gay men living with HIV who experience housing insecurity and homelessness. Drawing from the World Health Organization’s social determinants of health (SDoH) framework, we used an exploratory, community-based research (CBR) approach to examine the lifetime experiences and important sources of support of gay men living with HIV at midlife who have experienced housing insecurity in Southern Nevada. Thematic analysis of our semi-structured interviews with 12 gay men living with HIV at midlife revealed three overarching themes: (1) challenges to obtaining housing and related support, (2) informal support from friends, and (3) formal support from community-based sources employing diverse support strategies. In this article, we discuss the different sub-themes we identified under these overarching themes and the implications of our findings from an SDoH perspective. We conclude with a discussion on the dire need to (1) highlight the considerable value of both informal and formal sources of support for the housing insecure, and (2) generate recommendations for interventions to address housing insecurity and homelessness with greater consideration for the impacts of SDoH in the work dedicated to helping gay men living with HIV at midlife overcome housing insecurity as they age.

Problems of legal regulation and organization of rotational work in the northern regions

The object of the study is labor relations developing in the northern regions. The subject of the study is regulatory legal acts devoted to the legal regulation of labor of persons working and living in the northern regions, special legal literature devoted to the consideration of this issue. Particular attention is paid to the study of the regulation of labor relations under the rotation method of work. Today there is a need for an in-depth analysis of the impact of this method on social relations, the health of workers and their social adaptation, as well as legal regulation of issues of wages and working conditions. Based on the analysis, conclusions are drawn that the provision of human resources in the context of the development of the northern regions is an essential component of strategic planning that requires special attention, given the negative migration trends manifested by the outflow of population from these regions. The research methodology is based on the fact that the shift method, or rather the interest in it, expands beyond the technical and economic aspect, also covering the social, psychological and legal aspects of its application. As a result of the study, the following conclusions were formulated: it is important to pay attention to research and analysis aimed at identifying the main challenges and problems in the field of labor regulation in the north; establish a federal body that will deal with the registration and classification of rotation workers and Arctic base cities; provide housing and relocation support for all employees and create conditions to meet the leisure and sports needs of shift workers, ensuring comfortable living through the improvement of the urban environment. It is important to involve corporate structures in cooperation with municipalities to implement infrastructure development projects.

Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections for Emerging Adults in a Supportive Housing Program

Abstract: Background. For transition-aged youth experiencing homelessness (TAYEH) moving to transitional housing, a motivational network intervention (MNI) may help modify high-risk networks, thereby reducing substance use and strengthening prosocial connections. Methods. Thirty-six TAYEH received a four-session MNI integrated into usual housing case management or usual case management. Intervention acceptability, feasibility, and motivational interviewing fidelity were evaluated. Results. Nearly all participants would recommend the MNI to others, formed goals, and believed the program improved their lives. Case managers delivered the program with fidelity. However, sample size and number of sessions delivered fell short of targets due to COVID-19 disruptions and other factors and limited our ability to examine preliminary effects on substance use and network outcomes in a fully powered trial. Conclusion. Case managers can successfully deliver the MNI, but its use may not be feasible unless adaptations are made to accommodate the instability this population faces when they enter housing.

Health at Home: Investigating Low-Income Housing Quality on Colfax Avenue

Abstract: Addressing housing insecurity contributes to health care programs as stable housing has positive health benefits. Home environmental hazards may reduce these potential health benefits and could increase morbidity for conditions such as asthma. This study examined housing and indoor air quality among urban low-income households in Colorado to inform housing-insecurity interventions. We conducted a community-engaged study among residents of motels, mobile homes, apartments, and single-family homes that included a survey on the home environment, health, and sociodemographic factors, spirometry, and indoor air quality measurement. We enrolled 60 households: 50% single-family homes, 37% apartments, and 13% residential motels. Perceived stress and depression were higher among motel residents compared with other housing types. We did not find differences in lung function by housing type. Indoor fine particulate matter (PM2.5) and black carbon concentrations were higher in motels than in other housing types. The differential health impacts of housing type support housing programs that jointly address security and quality.

WellNest: A Medical Student-Run Housing Support Program.

Being unhoused and facing housing insecurity contribute to poor health outcomes. Medical school curricula may include social determinants of health (SDOH) topics. However, experiential learning opportunities allow students to better contextualize how SDOH impact patients. The WellNest Housing Support Program (WellNest) was conceived and developed by Duke University medical students to learn from and support community members with a history of housing insecurity. Under the supervision of community organizations providing housing assistance services, WellNest was created in April 2020. Medical student-volunteers (MSVs) call clients, who are referred to WellNest by the community organizations, to plan move-ins. Local experts provide trainings on topics relevant to health care for individuals experiencing loss of housing. MSVs source and move furniture and clients' belongings into the new homes. Following move-in, MSVs are paired with clients to provide longitudinal tenancy support for at least 1 year. Student-volunteers contemplate their experiences and learning takeaways through debriefing sessions and an optional online survey. From fall 2021 to spring 2023, 83 student-volunteers from across the university participated in WellNest. Student-volunteers were generally medical students (37, 45%), and 16 MSVs served on the leadership team. WellNest facilitated 29 move-ins, and 26 clients requested to be paired with MSVs for longitudinal tenancy support. Following participation in WellNest, student-volunteers reported increased comfort, awareness, knowledge, and motivation related to caring for, discussing, and advocating for individuals experiencing housing insecurity. As students from other programs are also interested in WellNest, there is potential for interprofessional education. Student-volunteers will be encouraged to participate in additional opportunities for reflection and advocacy activities. The impact of WellNest on clients will be explored through a questionnaire and narrative interviews. Long-term financial support was secured from community donations and partnering community organizations.

“Especially Being Homeless, They Just Think You’re Infected with COVID or Something”: A Qualitative Exploration of the COVID-19 Pandemic’s Impact on People Experiencing Homelessness With a History of Injection Drug Use in Baltimore, Maryland

People experiencing homelessness with a substance use disorder are a highly structurally vulnerable population, facing a unique burden of compounding stigma, discrimination, and adverse health outcomes. Evidence remains mixed on best practices for housing interventions designed to meet the needs of this population. Ten people with a history of injection drug use experiencing homelessness during the COVID-19 pandemic were interviewed between July 2021 and February 2022 in Baltimore, Maryland. Thematic analysis was used to characterize the pandemic’s impact on their resource access, housing, and substance use. Participants highlighted substantial challenges resulting from structural changes during the pandemic, including limits on income-generating opportunities and resource access, and increases in experiences of stigma and discrimination. However, several individuals reported decreased substance use in response to changes to their housing status, with those placed in secure housing attributing their decreased use to this change. These accounts can help guide housing and social support interventions best suited to meet the unique needs of people experiencing homelessness with substance use disorders.

A COMPARATIVE ANALYSIS OF INDIRA AWAS YOJANA AND PRADHAN MANTRI AWAS YOJANA IN DEVELOPING HOUSING IN INDIA

This paper compares two significant Indian housing development schemes. The first one is the Indira Awas Yojana (IAY) scheme and another one is the Pradhan Mantri Awas Yojana (PMAY) scheme. The present study has investigated both schemes' goals, implementation methods, effects on beneficiaries, and general efficacy using a multifaceted approach. The PMAY scheme was introduced in 2015 to provide urban poor people with affordable housing through the use of a comprehensive and progressive framework. On the other hand, the IAY scheme was implemented in 1985 with the aim of offering housing support to rural populations. The IAY scheme was subsequently merged into the PMAY scheme in 2016, Although both programmes have significantly improved India's housing scarcity. The targeted strategy of the IAY scheme had a significant impact on rural housing, whereas the inclusive and participatory model of the PMAY has demonstrated encouraging results in urban regions. The results imply that a hybrid approach that combines the best features of both programmes would be more successful in addressing India's many housing and housing development issues. The current study has made a small attempt to present a comparative picture of both schemes shows their reach, scale, and results for the beneficiaries in India purely based on secondary data. KEYWORDS: Indira Awas Yojana (IAY), Pradhan Mantri Awas Yojana (PMAY), Housing Development, Affordable Housing, Social Welfare, Rural Development, etc.

Fatigue life sensitivity research for electric driving system in driving load cases and random vibration load cases

In this paper, the fatigue characteristics of the electric drive system in driving load cases and random vibration load cases are analyzed numerically and experimentally. The fatigue life of the driving system under these two load cases is analyzed by using the time domain method and frequency domain method respectively. The results show that the damage of rotating parts (gear and bearing) mainly occurs in driving load cases, and the damage of gear and bearing in the driving load cases is 71.78% and 43.46% respectively. Fixed components (housing and suspension support) have certain damage in driving load cases and random vibration load cases, and the damage is greater in driving load cases. The damage of housing and suspension support in driving load cases is 10.6% and 0.167% respectively; the damage under random vibration load cases is 1.32 × 10−11 and 3.12 × 10−11 respectively. Based on the above conclusions, it is suggested that the driving load case tests for electric driving system are necessary, but it is not necessary to do random vibration tests only for electric driving system, or the number of random vibration tests can be reduced. This not only ensures the reliability of the components, but also helps to reduce the test cost.

The scope of supportive housing for adults with fetal alcohol spectrum disorder: a rapid review

Objectives Many individuals with fetal alcohol spectrum disorder (FASD) face challenges accessing suitable housing support, which increases the likelihood of adverse outcomes and daily living difficulties that can persist throughout adulthood. Our rapid review assesses the current scope of literature that reports on existing housing programs and supports for adults with FASD. Methods PubMed, Social Work, CINAHL, PsychINFO, Sociological s, and Social Services s were searched to identify published peer-reviewed articles. Grey literature was identified through a Google search strategy and a manual search through FASD-specific organizational websites in the US, Canada, Australia, and the UK. A total of 866 citations were screened in Covidence, nine of which met the inclusion criteria for analysis: five peer-reviewed articles and four grey literature sources. Results Adults with FASD face significant barriers when accessing supportive housing services. The findings underscore the need for FASD-informed approaches to foster interdependence among adults, their families, and support networks. Conclusions Supportive housing programs for adults with FASD are sparse, and existing programs often fall short of addressing the holistic needs of these individuals. Future research prioritizing the lived and living experiences of adults accessing support, focusing on the effectiveness of specific support strategies, is warranted.

Ending the HIV Epidemic in Metropolitan Atlanta: a mixed-methods study to support the local HIV/AIDS response.

Four counties within the Atlanta, Georgia 20-county eligible metropolitan area (EMA) are currently prioritized by the US "Ending the HIV Epidemic" (EHE) initiative which aims for a 90% reduction in HIV incidence by 2030. Disparities driving Atlanta's HIV epidemic warrant an examination of local service availability, unmet needs and organizational capacity to reach EHE targets. We conducted a mixed-methods evaluation of the Atlanta EMA to examine geographic HIV epidemiology and distribution of services, service needs and organization infrastructure for each pillar of the EHE initiative. We collected 2021 county-level data (during June 2022), from multiple sources including: AIDSVu (HIV prevalence and new diagnoses), the Centers for Disease Control and Prevention web-based tools (HIV testing and pre-exposure prophylaxis [PrEP] locations) and the Georgia Department of Public Health (HIV testing, PrEP screenings, viral suppression and partner service interviews). We additionally distributed an online survey to key local stakeholders working at major HIV care agencies across the EMA to assess the availability of services, unmet needs and organization infrastructure (June-December 2022). The Organizational Readiness for Implementing Change questionnaire assessed the organization climate for services in need of scale-up or implementation. We found racial/ethnic and geographic disparities in HIV disease burden and service availability across the EMA-particularly for HIV testing and PrEP in the EMA's southern counties. Five counties not currently prioritized by EHE (Clayton, Douglas, Henry, Newton and Rockdale) accounted for 16% of the EMA's new diagnoses, but <9% of its 177 testing sites and <7% of its 130 PrEP sites. Survey respondents (N = 48; 42% health agency managers/directors) reported high unmet need for HIV self-testing kits, mobile clinic testing, HIV case management, peer outreach and navigation, integrated care, housing support and transportation services. Respondents highlighted insufficient existing staffing and infrastructure to facilitate the necessary expansion of services, and the need to reduce inequities and address intersectional stigma. Service delivery across all EHE pillars must substantially expand to reach national goals and address HIV disparities in metro Atlanta. High-resolution geographic data on HIV epidemiology and service delivery with community input can provide targeted guidance to support local EHE efforts.

Low-barrier harm reduction and housing for older people in Vancouver’s opiate crisis: meeting people where they are

Drawing on recent case-study data, this article explores innovative practices around harm reduction and housing for older people who use drugs. Although right-wing groups call for further criminalisation of drug use, in light of extraordinarily high levels of deaths from opioid overdose in Vancouver, Canada, the provincial government has quietly permitted the development of safe supply, the testing of illegal drugs to avoid poisonings and the provision of low-barrier, inclusive and supportive social housing, including housing specifically for older people. Drawing on crisis theory, the article analyses the provision of low-barrier harm reduction services for this marginalised and highly vulnerable group of older people and reflects on what we can learn about providing supports that are needs based and strengths based and embody meeting people where they are.

MZ세대와 기성세대의 군 주거만족도 차이 분석

The survey was conducted on 842 professional soldiers working in the Army Capital Corps, and soldiers living in BOQ(Bachelor Officers Quarter) were divided into MZ-generation soldiers and older-generation soldiers. First, in terms of accessibility and community factors, the MZ generation tended to have fewer complaints than the older generation. This reflects the characteristics of the 'digital nomad' MZ generation. Second, the two-track policy that discriminates against married and unmarried executives should be improved. Third, it is necessary to promote a policy of customized support for military housing for the MZ generation. Due to the nature of the MZ generation, which likes to live alone in a space, it seems necessary to expand personal space and integrate common facilities such as washing machines and dryers. Fourth, total home care services are needed. For MZ-generation soldiers, it is necessary to support all accommodation cleaning, laundry etc. In the future, the MZ generation will become the main personnel of the military administration, and innovative military housing policies should be reflected in consideration of the characteristics of these MZ generations.

청년희망키움통장 사업 참여 경험이 있는 생계 급여 수급 근로 빈곤 청년의 정서적 자립과 경제적 자립 간의 관계 검증을 통한 자립 과정에 대한 탐구

The purpose of this study is to explore the relationship between emotional independence and economic independence among young adults receiving livelihood support in South Korea. Emotional independence is a concept composed of hope and barriers related to labor and employment, involving a process of increasing hope and overcoming obstacles. This research conceptualizes economic independence as transitioning from livelihood support to regular employment and examines the relationships between employment barriers, employment hope, labor in regular jobs, and the transition from livelihood support using structural equation modeling with a sample of 417 young adults receiving livelihood support. The results indicate that hope serves as a mediator between employment barriers and the transition from livelihood support. The findings highlight the importance of overcoming practical and psychological employment barriers and fostering employment-related hope, including recognizing one's own worth and abilities, being motivated by future prospects, setting goals related to work, and utilizing skills and resources to achieve these goals, for low-income young adults to achieve economic independence through the transition from livelihood support. The study's results extend the understanding of independence by revealing the importance of enhancing emotional capacities in the process of economic independence for low-income young adults. Furthermore, it is expected that these findings will stimulate related research and contribute to the development of a more multidimensional and integrated support system in South Korea's youth-related policies, moving beyond a focus on support for employment, housing, and education to support various aspects of young adults' lives, including entrepreneurship.

1인 가구 특성이 주택점유에 미치는 영향

Single-person households are closely associated with the social issue of housing poverty. The purpose of this study is to present policy alternatives for addressing the challenges faced by single-person households by examining the influence of socio-economic and locational characteristics on occupancy patterns. The results of this study are as follows. The results of the binary logistic regression analysis are as follows. The results revealed that bereavement, increased management costs, residing in the Seoul metropolitan area, being employed in labor, sales, or service occupations, living in officetels or one-room apartments, and owning a car showed statistically significant associations with self-probability. Ragarding of regional characteristics, it was observed that the closer people reside to the metropolitan area, the higher the probability of leasing. Specifically, Gyeonggi-do Province has a higher likelihood of leasing than Seoul. This suggests that tenants may be moving to Gyeonggi Province due to the steep monthly rent increase in Seoul, which they cannot afford. Based on the results of this study, housing support measures and policy implications are presented. The younger generation requires priority housing support measures compared to other generations to address the low birth rate. During a period of continuous increase in housing prices and rents, it is essential to implement housing support measures to prevent involuntary displacement from current residences.

Staff perspectives on the successful families program model: Combining supportive housing with wraparound services for teen families

Providing support to address the systemic barriers that teen families face is a logical step toward improving their health and well-being. One area where teen families face multiple obstacles is accessing safe, secure, affordable housing. This paper describes a unique, innovative model of supportive housing developed in combination with wraparound supports, provided to teen parents in Edmonton, Canada. As part of a larger community-based participatory research and evaluation project, we draw on qualitative data to describe the supportive wraparound housing model that was developed. In particular, we conducted individual interviews and focus groups with a total of 27 staff members from the partner agencies, who provided information about the Successful Families program model. Analysis of interview data resulted in five broad categories that have resonated with our community and academic team as a way to conceptualize and share the work of the program. Categories, which are described in terms of associated subcategories, include: Community, Partnership, Program Principles and Values, Successful Families Program Structures, and Skill and Knowledge Development. Through this work, we aim to promote awareness of considerations for service providers seeking to implement similar services, and expand the limited knowledge base regarding methods for supporting the diverse needs of teen families.

Understanding the landscape of domestic violence transitional housing: services and housing for rural and non-rural clientele

Housing support is one of the most powerful and in-demand remedies to address domestic violence (DV), with almost 40,000 survivors served daily in U.S. based DV housing programmes. DV transitional housing (DVTH) provides a critical safety net of longer-term housing for survivors beyond emergency shelters. Despite its wide use, little research has documented who is using DVTH, their needs, and how programme environment and location impact service provision. Using five years of data from U.S. government funded DVTH programmes, this study examines client and programme characteristics with attention to rurality. Findings indicate demographic, service engagement, and length of stay differences among DVTH clients within rural and non-rural locations. Programme environments and service provision significantly varied between rural and non-rural programmes. Results highlight substantial heterogeneity in programme structure, client demographics, and services engagement across non-rural and rural programmes. The wide range of DVTH types and service use indicate the need for dynamic and flexible support and funding to address survivor-defined needs.

Resident Care in the “In-Between Time”: Cross-Sector Perspectives on Enhancing Synergy Between Palliative Care and Permanent Supportive Housing

Despite established disparities in serious illness prevalence among formerly homeless people living in permanent supportive housing, there is a dearth of research aimed at promoting and enhancing palliative care service delivery in this setting. This paper describes current practices, perceived barriers, and recommendations in permanent supportive housing for residents living with serious illness through a thematic analysis of interviews with cross-sector stakeholders ( n = 30) from the Research and Supportive Care at Later-life for Unhoused People (RASCAL-UP) study. Themes identified across resident care, program collaboration, and policy and environment areas included: (1) unique resident care needs; (2) on-site relationships; (3) adaptation of aging, disability, and healthcare services for residents; (4) internal implementation barriers; (5) preparing the environment for serious illness; and (6) missing levels of care. From these results, we put forth recommendations for future collaborative care intervention development, supportive housing policy, and capacity-building efforts for healthcare and housing providers alike.

“Let the Kids Go, I Die”: the Experiences of Older Adults Who Survived the Earthquakes in Türkiye Through Intersectional Perspective

This qualitative study explores the experiences of older adult earthquake survivors in Türkiye, focusing on the intersectional challenges they faced after the earthquake of 6 February 2023. Older adults often have multiple vulnerabilities, such as age-related physical limitations, socioeconomic status, health conditions, and social isolation, which exacerbate their risks and needs during disasters. Using semi-structured interviews with 22 participants from different affected regions, this qualitative descriptive study sheds light on their problems with mobility, access to basic needs, and psychological distress. Using an intersectional framework, it explores how factors such as independence in transport, housing conditions, and family structure influence their experiences. The research emphasizes the importance of tailoring emergency response systems to address these unique challenges, including housing, healthcare, and psychosocial support. The findings show that older adults face both immediate physical and psychological challenges as well as long-term adaptation difficulties, emphasizing the need for comprehensive, inclusive disaster preparedness and response strategies. This study contributes to the literature by detailing the intersectional experiences of older earthquake survivors and advocating for policies and practices that ensure equitable support and resource allocation and ultimately promote more resilient communities.

Youth homeless shelter staff perceptions of a mobile recreation program

ABSTRACT Youth homelessness is a complex social issue and accounts for the fastest growing demographic of individuals living without a home. Though it is well established that recreation can support youth socially, physically, and emotionally, the community partner perspective is rarely incorporated. The purpose of this study was to incorporate the perspectives of supportive housing staff about the importance of a mobile recreation program in the lives of youth experiencing homelessness. Five participants participated in a group interview and a reflexive thematic analysis approach was utilized. The findings indicate that RoW filled a necessary gap in supportive programming; that RoW provided a context to support youth to become more comfortable participating in recreation; and that RoW offered a break from everyday stressors through encouraged play and self-expression. Findings suggest that the recreation program offered various opportunities for the youth to feel connected and to engage in meaningful activities.

Structural disadvantage and HIV risk - comparing risk factors between trans women's partnerships with cis men and trans women sexual partners.

Little is known about differences in HIV risk for trans women by partner gender, particularly with respect to social determinants and partner-level circumstances that affect behavior. We examined differences in demographic, social determinants, and HIV-related risk behaviors for trans women with cis men and trans women sexual partners. Data are from a cross-sectional survey of trans women and their sexual partners conducted between April 2020 and January 2021. Interviews were held remotely during shelter-in-place due to Covid-19 via videoconference. Analysis characterizedassociations between HIV risk and protective behaviors comparing trans women with cisgender men partners to trans women with non-cisgender sexual partners. A total of 336 sexual partners were identified from 156 trans women. Trans women with cis men partners had significantly less education and employment and more incarceration and recidivism than trans women with trans women partners. Trans women and their cisgender men partners had shared experiences of unstable housing, incarceration, and HIV. Trans women with cisgender men partners reported significantly more sex exchange partners, receptive condomless sex, receptive or insertive condomless sex while using substances, and HIV infection compared to trans women with trans women partners. Trans women with cisgender men sexual partners faced higher HIV risk than trans women with trans women sexual partners. These risks may be related to the social and economic drivers that both trans women and their cis men partners faced, including barriers to education and employment, along with incarceration and recidivism. Interventions focused on economic stability, workforce development and post incarceration re-entry support for housing and employment for trans women with cis men partners and the cisgender men partners as well may have the most impact on reducing HIV risk and incidence.