In Their Own Words: Exploring Family Pathways to Housing Instability

用他们自己的话说：探索家庭导致住房不稳定的途径

• 批准号: 8391920
• 负责人: Laura Ellen Gultekin
• 金额: $ 3.63万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8391920
• 关键词: Action Research; Address; Age; Characteristics; Child; Child Abuse and Neglect; Child health care; Client; Complex; Consent; Data; Data Analyses; Data Collection; Domestic Violence; Education; Emergency Situation; Emotional; Enrollment; Ethnic Origin; Event; Exhibits; Exposure to; Family; Feedback; Feeling; Female; Financial Support; Foundations; Friends; Future Generations; Head; Health; Homelessness; Household Heads; Housing; Individual; Intervention; Interview; Knowledge; Left; Life; Life Change Events; Life Cycle Stages; Life Experience; Mental Health; Methodology; Minority; Mothers; Parents; Participant; Pathway interactions; Poverty; Prevention; Prevention program; Preventive; Process; Program Effectiveness; Provider; Qualitative Research; Quality of life; Race; Recording of previous events; Recruitment Activity; Research; Research Design; Risk; Risk Factors; Sampling; Series; Services; Shelter facility; Site; Social Work; Social support; Stream; Substance abuse problem; Time; Trauma; U.S. Department of Housing and Urban Development; Unemployment; United States; Voice; Vulnerable Populations; Woman; Work; experience; health disparity; high risk; housing instability; improved; innovation; meetings; physical conditioning; prevent; programs; recidivism; social; statistics; theories; therapy design

DESCRIPTION (provided by applicant): The number of homeless families across the United States has nearly tripled over the past five years, and it is estimated that for every family experiencing homelessness, there are five families living in unstable housing, either doubled up with friends or family, or living in temporary hotel rooms. Families experiencing homelessness are disproportionately comprised of a single female head of household with multiple children, exhibiting multiple individual, social and structural risk factors for homelessness, including high rates of exposure to childhood maltreatment and domestic violence spanning throughout the life course. Data also reveal highly mobile and unstable residential histories among homeless families along with high rates of homelessness recidivism that manifest in numerous health issues in both parents and children. What is lesser known is the life course of families who experience housing instability prior to homelessness. To address this knowledge gap, this project aims to elicit the life experiences of 24 mothers facing imminent risk of homelessness to capture their explanations of the "how" and "why" of the trajectory leading them to housing instability. To meet this objective, the PI will engage 24 mothers at imminent risk of homelessness in Detroit in a series of one-on-one interviews. This qualitative process of data collection and analysis will provide the opportunity to: 1.) examine individual (age, education, race/ethnicity, relationship status, trauma history, mental and physical health); social (social supports, family history, current family situation, SES); and structural (labor and living conditions, social services) characteristics of mothers at risk for homelessness; 2.) explore the individual, social, and structural experiences of mothers at risk for homelessness; and, 3.) determine what chain of events mothers at risk for homelessness narrate as an explanation of the trajectory leading them to housing instability. This approach draws from feminist participatory action research to underscore the experiences of women and how participants' cognitively appraise their risks and protections and the influences of past events. The PI will collect participant data at two time points; the initial meeting will occur within the first month f a woman seeking emergency housing assistance from the study site, and will include obtaining consent, completion of a demographic profile and the brief-PHQ, and an initial interview intended to gather the narrative of the woman's life in her own words. A second interview will occur approximately two weeks later, with the purpose of revisiting the narrative so that the woman can clarify details and identify the causative or life changing events she feels contributed to her trajectory of housing instability. Data analysis will consist primarily of qualitative methodologies, although descriptive statistics will characterize the demographic data and brief PHQ findings. Findings from this study will provide the foundation for primary preventive efforts aimed at uncovering and addressing the underlying pathway to family housing instability and homelessness. PUBLIC HEALTH RELEVANCE: The aims of this qualitative study are to: 1) examine individual (age, education, race/ethnicity, relationship status, trauma history, mental and physical health); social (social supports, family history, current family situation, SES); and structural (labor and living conditions, social services) characteristics of mothers at risk for homelessness; 2) explore the individual, social, and structural experiences of mothers at risk for homelessness; and, 3) determine what chain of events mothers at risk for homelessness narrate as an explanation of the trajectory leading them to housing instability. A sample of 24 mothers receiving emergency assistance to prevent homelessness will be enrolled and interviewed. The findings will allow the PI and others to design interventions to prevent housing instability and improve physical and mental health in this vulnerable population.

在过去的五年里，美国无家可归的家庭数量几乎增加了两倍，据估计，对于每个无家可归的家庭，有五个家庭生活在不稳定的住房中，要么与朋友或家人一起翻倍，要么住在临时酒店房间里。无家可归的家庭由单身女性户主和多名子女组成的比例过高，表现出无家可归的多种个人、社会和结构性风险因素，包括高风险因素。 在整个生命过程中遭受童年虐待和家庭暴力的比例。数据还显示，无家可归的家庭中有高度移动的和不稳定的居住历史，沿着出现的无家可归累犯率很高，这表现在父母和子女的许多健康问题上。不太为人所知的是在无家可归之前经历住房不稳定的家庭的生命历程。为了弥补这一知识差距，该项目旨在了解24名面临无家可归迫在眉睫风险的母亲的生活经历，以了解她们对导致其住房不稳定的“如何”和“为什么”的解释。为了实现这一目标，PI将在底特律与24位面临无家可归风险的母亲进行一系列一对一的访谈。这种数据收集和分析的定性过程将提供机会：1。检查面临无家可归风险的母亲的个人（年龄，教育，种族/民族，关系状况，创伤史，精神和身体健康）;社会（社会支持，家族史，当前家庭状况，SES）;和结构（劳动和生活条件，社会服务）特征; 2.）探讨个人，社会和结构的经验，母亲在无家可归的风险;和，3。确定有无家可归风险的母亲叙述了哪些事件链，以解释导致她们住房不稳定的轨迹。这一方法借鉴了女权主义参与行动研究，强调妇女的经历以及参与者如何认知地评估其风险和保护以及过去事件的影响。PI将在两个时间点收集受试者数据;首次会议将在女性向研究中心寻求紧急住房援助的第一个月内进行，包括获得知情同意、完成人口统计学特征和EST-PHQ，以及首次访谈，旨在收集女性自己的生活叙述。第二次面谈将在大约两周后进行，目的是重新审视叙述，以便妇女能够澄清细节，并确定她认为导致她住房不稳定的原因或改变生活的事件。数据分析将主要包括定性方法，尽管描述性统计将描述人口统计数据和简要的PHQ结果。这项研究的结果将为旨在发现和解决家庭住房不稳定和无家可归的潜在途径的初级预防工作提供基础。 公共卫生相关性：本研究的目的是：1）调查有无家可归风险的母亲的个人（年龄、教育、种族/民族、关系状况、创伤史、精神和身体健康）、社会（社会支持、家族史、当前家庭状况、SES）和结构（劳动和生活条件、社会服务）特征; 2）探索 面临无家可归风险的母亲的个人、社会和结构性经历; 3）确定面临无家可归风险的母亲叙述的事件链是如何解释导致她们住房不稳定的轨迹的。将对24名接受紧急援助以防止无家可归的母亲进行抽样登记和面谈。调查结果将使PI和其他人能够设计干预措施，以防止住房不稳定并改善这一弱势群体的身心健康。