Pathways into Multiple Exclusion Homelessness in Seven UK Cities
Pathways into Multiple Exclusion Homelessness in Seven UK Cities
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DOI：
10.1177/0042098012452329
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发表时间：
2013-01-01
期刊：
影响因子：
4.7
通讯作者：
Johnsen, Sarah
中科院分区：
文献类型：
--
作者：
Fitzpatrick, Suzanne;Bramley, Glen;Johnsen, Sarah
本文探讨了在英国多重排斥无家可归（MEH）的途径，并告知一个批判现实主义的理论框架，探讨这些途径的潜在因果过程。借鉴创新的多阶段定量调查，它确定了MEH人口内的五个经验集群，根据无家可归，药物滥用，机构护理，街头文化活动和不良生活事件的经验的程度和复杂性。它表明，最复杂的MEH形式与儿童创伤有关。它还表明，MEH相关经历的时间顺序非常一致，药物滥用和心理健康问题往往在个人途径的早期发生，而无家可归和一系列不良生活事件通常发生在较晚的时候。强有力的推论是，这些后来发生的事件在很大程度上是MEH的后果，而不是起源原因，这对深度排斥的概念化和政策反应具有重要意义。
This paper interrogates pathways into multiple exclusion homelessness (MEH) in the UK and, informed by a critical realist theoretical framework, explores the potential causal processes underlying these pathways. Drawing on an innovative multistage quantitative survey, it identifies five experiential clusters within the MEH population, based on the extent and complexity of experiences of homelessness, substance misuse, institutional care, street culture activities and adverse life events. It demonstrates that the most complex forms of MEH are associated with childhood trauma. It also reveals that the temporal sequencing of MEH-relevant experiences is remarkably consistent, with substance misuse and mental health problems tending to occur early in individual pathways, and homelessness and a range of adverse life events typically occurring later. The strong inference is that these later-occurring events are largely consequences rather than originating causes of MEH, which has important implications for the conceptualisation of, and policy responses to, deep exclusion.