Barriers and facilitators to shelter utilization among homeless young adults
Barriers and facilitators to shelter utilization among homeless young adults
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DOI：
10.1016/j.evalprogplan.2015.07.001
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发表时间：
2015-12-01
影响因子：
1.6
通讯作者：
Bezette-Flores, Noel
中科院分区：
文献类型：
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作者：
Ha, Yoonsook;Narendorf, Sarah C.;Bezette-Flores, Noel
与使用其他支持性服务相比，无家可归青年使用庇护所的比例较低，但对庇护所使用障碍的研究仅在有限的地区进行，特别是在西海岸或中西部城市。此外，虽然研究一般侧重于使用住房的障碍，但缺乏关于可能促进住房使用的研究。本研究探讨了障碍和促进者，以住房使用无家可归的年轻人从西南地区的一个大城市。焦点小组进行了49个无家可归的年轻人年龄在18-24岁的不同样本。利用卫生服务使用的模型，调查结果分为两个领域-态度和访问。与态度障碍有关的主题包括耻辱/羞耻和自力更生/自豪。态度促进因素包括希望摆脱街头生活，改变生活方向。与无家可归有关的主题包括各种障碍，如缺乏可满足青年需要的住所和服务、住所条件恶劣、工作人员态度不为青年所接受、限制性的住所规则、限制性的无家可归定义以及希望将自己与无家可归的老年人区别开来。某些特征或情况（例如，怀孕妇女）、有支持性的他人以及庇护所将她们与其他服务联系起来的能力，成为利用庇护所的便利因素。政策制定者，服务提供商和未来的研究的影响进行了讨论。(C)2015爱思唯尔有限公司版权所有。
Rates of shelter use among homeless youth are low compared to use of other supportive services, yet research on barriers to shelter use has been conducted in limited regions, specifically in West Coast or Midwest cities. Additionally, while studies have generally focused on barriers to shelter use, studies on what might facilitate shelter use are lacking. This study explores barriers and facilitators to shelter use among homeless young adults from a large city in the Southwest region. Focus groups were conducted with a diverse sample of 49 homeless young adults ages 18-24. Drawing on models of health service use, findings were categorized into two domains - attitudinal and access. Themes related to attitudinal barriers include stigma/shame and self-reliance/pride. Attitudinal facilitators include the desire to extricate themselves from street life and turn their lives in a new direction. Access-related themes include barriers such as a lack of shelters and services available to meet the needs of youth, adverse shelter conditions, staff attitudes that are not acceptable to youth, restrictive shelter rules, restrictive definitions of homelessness, and a desire to differentiate themselves from older homeless individuals. Certain characteristics or circumstances (e.g., being pregnant), having supportive others, and shelters' ability to connect them to other services emerged as access facilitators to shelter use. Implications for policymakers, service providers, and future research are discussed. (C) 2015 Elsevier Ltd. All rights reserved.