Homelessness: measuring need to design more inclusive services
Abstract
Purpose
The purpose of this paper – the second of three – is to report the findings from a service user needs assessment in those who have contact with a local homelessness service in the North-West of England.
Design/methodology/approach
Data were collected using a semi-structured questionnaire that included a section exploring Adverse Childhood Experiences. Aggregated data from a total of 100 completed questionnaires were analysed to understand the nature and scope of those accessing the Homelessness and Vulnerable Adults Service (HVAS).
Findings
Homeless people accessing HVAS face a number of challenges, which reflect their upbringing and chaotic and complex lifestyles. Reports of multiple disadvantage, social isolation, physical and mental health problems were common among the cohort.
Research limitations/implications
This was a small cohort study, and the authors accept that this may potentially limit the scope of the findings. Themes identified are, however, reflected in wider research and official data collection sources. Future research may seek to widen the data collection methods to offer a more representative cohort.
Practical implications
The provision of co-ordinated multi-agency support is essential to tackle health inequalities experienced by those who are homeless.
Social implications
The complex issues often experienced by those who are homeless can further compound the impact of social exclusion on health and well-being. The reduction of statutory support and increased emphasis on self-reliance can further impact those people on the margins of society.
Originality/value
This study identifies how multiple deprivations and social isolation impacts upon health and well-being, further compounding a person’s ability and willingness to engage with services. It raises the question of the systems failure to respond effectively.
Keywords
Acknowledgements
The authors received no financial support for the research, authorship and/or publication of this article. The authors would like to acknowledge the contriibutions made to the knowledge base by those with lived experience who completed the survey. Thanks also to those who work and volunteer in wider support services in an effort to improve the lives of those who are homeless.
Citation
Woods, A., Lace, R., Dickinson, J. and Hughes, B. (2023), "Homelessness: measuring need to design more inclusive services", Mental Health and Social Inclusion, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHSI-06-2023-0065
Publisher
:Emerald Publishing Limited
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