Housing, Care and SupportTable of Contents for Housing, Care and Support. List of articles from the current issue, including Just Accepted (EarlyCite)https://www.emerald.com/insight/publication/issn/1460-8790/vol/26/iss/3/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestHousing, Care and SupportEmerald Publishing LimitedHousing, Care and SupportHousing, Care and Supporthttps://www.emerald.com/insight/proxy/containerImg?link=/resource/publication/journal/9b7e709446447640e013a6091a9139e3/urn:emeraldgroup.com:asset:id:binary:hcs.cover.jpghttps://www.emerald.com/insight/publication/issn/1460-8790/vol/26/iss/3/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestA thematic analysis of homelessness practitioners’ perception of the impacts of welfare reforms in the UK: “Hard to maintain my own mental equilibrium”https://www.emerald.com/insight/content/doi/10.1108/HCS-10-2022-0027/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThis paper aims to explore the lived experiences of key stakeholders working with homeless people during the implementation of universal credit during the austerity years. The literature on austerity reveals welfare reforms’ impact on support services staff. Service providers’ perceptions of the impact of austerity-led policies and welfare reform via nine interviews with people working in homelessness organisations in Brighton and Hove in the UK. Service providers see the situation for their service users has gotten worse and that the policies make it more difficult to extricate themselves from their current situation. Three central themes relating to the impact of austerity-led welfare reforms were, namely, Universal Credit: the imposition of a precarious livelihood on welfare claimants; a double-edged sword: “If people are sanctioned: people can’t pay”; and “Hard to maintain my own mental equilibrium”. More precisely, this paper captures service providers’ perceptions and experiences of the impact of austerity-led policies on their services and how they believe this, in turn, impacts their clients and their own lives. The dimension cuts across service provision to vulnerable people and is intertwined with health and well-being outcomes. Austerity is detrimental to the health of service users and their clients. It is known that when it comes to the health and well-being of the most vulnerable, who have suffered most from the impacts of austerity policies. However, in times of open austerity, it falls also on those trying to ease their suffering. The data suggest that policies were developed and accentuated by austerity, which led to the stripping of welfare support from vulnerable people. This process has impacted the people who rely on welfare and service providers.A thematic analysis of homelessness practitioners’ perception of the impacts of welfare reforms in the UK: “Hard to maintain my own mental equilibrium”
Bruno De Oliveira
Housing, Care and Support, Vol. 26, No. 3/4, pp.65-83

This paper aims to explore the lived experiences of key stakeholders working with homeless people during the implementation of universal credit during the austerity years.

The literature on austerity reveals welfare reforms’ impact on support services staff. Service providers’ perceptions of the impact of austerity-led policies and welfare reform via nine interviews with people working in homelessness organisations in Brighton and Hove in the UK. Service providers see the situation for their service users has gotten worse and that the policies make it more difficult to extricate themselves from their current situation. Three central themes relating to the impact of austerity-led welfare reforms were, namely, Universal Credit: the imposition of a precarious livelihood on welfare claimants; a double-edged sword: “If people are sanctioned: people can’t pay”; and “Hard to maintain my own mental equilibrium”.

More precisely, this paper captures service providers’ perceptions and experiences of the impact of austerity-led policies on their services and how they believe this, in turn, impacts their clients and their own lives.

The dimension cuts across service provision to vulnerable people and is intertwined with health and well-being outcomes. Austerity is detrimental to the health of service users and their clients. It is known that when it comes to the health and well-being of the most vulnerable, who have suffered most from the impacts of austerity policies. However, in times of open austerity, it falls also on those trying to ease their suffering.

The data suggest that policies were developed and accentuated by austerity, which led to the stripping of welfare support from vulnerable people. This process has impacted the people who rely on welfare and service providers.

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A thematic analysis of homelessness practitioners’ perception of the impacts of welfare reforms in the UK: “Hard to maintain my own mental equilibrium”10.1108/HCS-10-2022-0027Housing, Care and Support2023-08-22© 2023 Emerald Publishing LimitedBruno De OliveiraHousing, Care and Support263/42023-08-2210.1108/HCS-10-2022-0027https://www.emerald.com/insight/content/doi/10.1108/HCS-10-2022-0027/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Advantages and challenges of extra care housing in the UK for people living with dementia: a scoping reviewhttps://www.emerald.com/insight/content/doi/10.1108/HCS-09-2022-0023/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access to suitable housing is a fundamental right for people living with dementia and can enable people to live as well as possible (Twyford and Porteus, 2021). Understanding the advantages and disadvantages of different models of housing with care has been identified as a research priority by people living with dementia (Barrett et al., 2016) but “there is no current consensus on the best model of specialist housing for people with dementia” (Twyford and Porteus, 2021, p. 29). This scoping review identifies the advantages and disadvantages of living in ECH for people with dementia. It is the preliminary stage of a study that seeks to develop knowledge about different models of ECH for people living with dementia (Atkinson et al., 2021). Advantages include the promotion of independence, flexible staffing, safety and security, social inclusion, physical design and integrated service provision. Disadvantages include barriers to entry, tensions between independence and support, managing advanced dementia, resourcing flexible care, managing social exclusion, loneliness and stigma and a disabling environment. The scoping review reinforces the need for further research into different models of ECH provision in the UK for people living with dementia. The review provides insight that is of benefit to all stakeholders involved in ECH and contributes to the development of evidence-based provision called for in the recent All Party Parliamentary Group inquiry (Twyford and Porteus, 2021). This scoping review summarises the current position for people living with dementia in ECH.Advantages and challenges of extra care housing in the UK for people living with dementia: a scoping review
Teresa June Atkinson, Rebecca Oatley, Simon Evans
Housing, Care and Support, Vol. 26, No. 3/4, pp.84-102

The purpose of this paper is to report on a scoping review of the advantages and challenges of extra care housing (ECH) provision in the UK for people living with dementia. Access to suitable housing is a fundamental right for people living with dementia and can enable people to live as well as possible (Twyford and Porteus, 2021). Understanding the advantages and disadvantages of different models of housing with care has been identified as a research priority by people living with dementia (Barrett et al., 2016) but “there is no current consensus on the best model of specialist housing for people with dementia” (Twyford and Porteus, 2021, p. 29).

This scoping review identifies the advantages and disadvantages of living in ECH for people with dementia. It is the preliminary stage of a study that seeks to develop knowledge about different models of ECH for people living with dementia (Atkinson et al., 2021).

Advantages include the promotion of independence, flexible staffing, safety and security, social inclusion, physical design and integrated service provision. Disadvantages include barriers to entry, tensions between independence and support, managing advanced dementia, resourcing flexible care, managing social exclusion, loneliness and stigma and a disabling environment.

The scoping review reinforces the need for further research into different models of ECH provision in the UK for people living with dementia. The review provides insight that is of benefit to all stakeholders involved in ECH and contributes to the development of evidence-based provision called for in the recent All Party Parliamentary Group inquiry (Twyford and Porteus, 2021).

This scoping review summarises the current position for people living with dementia in ECH.

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Advantages and challenges of extra care housing in the UK for people living with dementia: a scoping review10.1108/HCS-09-2022-0023Housing, Care and Support2023-10-17© 2023 Emerald Publishing LimitedTeresa June AtkinsonRebecca OatleySimon EvansHousing, Care and Support263/42023-10-1710.1108/HCS-09-2022-0023https://www.emerald.com/insight/content/doi/10.1108/HCS-09-2022-0023/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Filling in the gaps: examining the prevalence of Black homelessness in Canadahttps://www.emerald.com/insight/content/doi/10.1108/HCS-04-2023-0006/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestDue to ongoing inequities in the social determinants of health and systemic barriers, homelessness continues to be a significant concern that disproportionately impacts racialized communities. Despite constituting a small proportion of the population, Black individuals are over-represented among people experiencing homelessness in many Canadian cities. However, although Black homelessness in Canada is a pressing issue, it has received limited attention in the academic literature. The purpose of this paper is to examine the reported prevalence of Black homelessness across Canada. By consulting enumerations from 61 designated communities that participated in the 2018 Nationally Coordinated Point-in-Time Count and two regional repositories – one for homeless counts supported by the government of British Columbia and another from the Rural Development Network – this paper reports on the scale and scope of Black homelessness across Canada. Significantly, these reports demonstrate that Black people are over-represented among those experiencing homelessness compared to local and national populations. These enumerations also demonstrate significant gaps in the reporting of Black homelessness and inadequate nuance in data collection methods, which limit the ability of respondents to describe their identity beyond “Black.” This research provides an unprecedented examination of Black homelessness across Canada and concludes with recommendations to expand knowledge on this important and under-researched issue, provide suggestions for future iterations of homeless enumerations and facilitate the development of inclusive housing policy.Filling in the gaps: examining the prevalence of Black homelessness in Canada
Ashley Wilkinson, Khater Muhajir, Patricia Bailey-Brown, Alana Jones, Rebecca Schiff
Housing, Care and Support, Vol. 26, No. 3/4, pp.103-114

Due to ongoing inequities in the social determinants of health and systemic barriers, homelessness continues to be a significant concern that disproportionately impacts racialized communities. Despite constituting a small proportion of the population, Black individuals are over-represented among people experiencing homelessness in many Canadian cities. However, although Black homelessness in Canada is a pressing issue, it has received limited attention in the academic literature. The purpose of this paper is to examine the reported prevalence of Black homelessness across Canada.

By consulting enumerations from 61 designated communities that participated in the 2018 Nationally Coordinated Point-in-Time Count and two regional repositories – one for homeless counts supported by the government of British Columbia and another from the Rural Development Network – this paper reports on the scale and scope of Black homelessness across Canada.

Significantly, these reports demonstrate that Black people are over-represented among those experiencing homelessness compared to local and national populations. These enumerations also demonstrate significant gaps in the reporting of Black homelessness and inadequate nuance in data collection methods, which limit the ability of respondents to describe their identity beyond “Black.”

This research provides an unprecedented examination of Black homelessness across Canada and concludes with recommendations to expand knowledge on this important and under-researched issue, provide suggestions for future iterations of homeless enumerations and facilitate the development of inclusive housing policy.

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Filling in the gaps: examining the prevalence of Black homelessness in Canada10.1108/HCS-04-2023-0006Housing, Care and Support2023-10-19© 2023 Emerald Publishing LimitedAshley WilkinsonKhater MuhajirPatricia Bailey-BrownAlana JonesRebecca SchiffHousing, Care and Support263/42023-10-1910.1108/HCS-04-2023-0006https://www.emerald.com/insight/content/doi/10.1108/HCS-04-2023-0006/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Choosing invisibility? Exploring service (dis)engagement of women experiencing multiple disadvantagehttps://www.emerald.com/insight/content/doi/10.1108/HCS-01-2023-0002/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe shift in policy discourse towards individualism is affecting service provision and access, which has become increasingly conditioned on individual agency and the “deservingness” of the recipient. Gendered and intersectional experiences of homelessness and excluded populations less likely to be living on the streets remain overlooked and unaddressed. This study thus aims to uncover what drives “invisibility” in services for women experiencing multiple disadvantage and the gendered constraints the women are facing when exiting and navigating multiple disadvantage. The paper draws on in-depth interviews with women who face severe and multiple disadvantage and their support staff. Data is also gathered through survey data and observations with a wide range of frontline service providers, as well as support notes and numerical progress data recorded by one of the service providers. Contradicting the common assumption that people act as rational actors in their interaction with services, the author found that women’s decisions to (dis)engage may be blinded by forces of multiple disadvantage and mistrust. These are often developed as a result of systemic and gendered constraints that limit women’s capabilities and exercise of choice. Barriers in service access often amplified the personal barriers they were facing and reinforced women’s decisions to not engage with services. The author hopes that this paper sheds light on the particular set of barriers women with multiple disadvantage face, which will be vital to reach women who face severe disadvantage and provide more effective policies, care and support. This study gives voice to a particular hidden population: women with multiple disadvantage. It contributes to existing frameworks on agency and choice by understanding gendered barriers behind service engagement and how services themselves may be contributing to women’s invisibility.Choosing invisibility? Exploring service (dis)engagement of women experiencing multiple disadvantage
Carolin Hess
Housing, Care and Support, Vol. 26, No. 3/4, pp.115-133

The shift in policy discourse towards individualism is affecting service provision and access, which has become increasingly conditioned on individual agency and the “deservingness” of the recipient. Gendered and intersectional experiences of homelessness and excluded populations less likely to be living on the streets remain overlooked and unaddressed. This study thus aims to uncover what drives “invisibility” in services for women experiencing multiple disadvantage and the gendered constraints the women are facing when exiting and navigating multiple disadvantage.

The paper draws on in-depth interviews with women who face severe and multiple disadvantage and their support staff. Data is also gathered through survey data and observations with a wide range of frontline service providers, as well as support notes and numerical progress data recorded by one of the service providers.

Contradicting the common assumption that people act as rational actors in their interaction with services, the author found that women’s decisions to (dis)engage may be blinded by forces of multiple disadvantage and mistrust. These are often developed as a result of systemic and gendered constraints that limit women’s capabilities and exercise of choice. Barriers in service access often amplified the personal barriers they were facing and reinforced women’s decisions to not engage with services.

The author hopes that this paper sheds light on the particular set of barriers women with multiple disadvantage face, which will be vital to reach women who face severe disadvantage and provide more effective policies, care and support.

This study gives voice to a particular hidden population: women with multiple disadvantage. It contributes to existing frameworks on agency and choice by understanding gendered barriers behind service engagement and how services themselves may be contributing to women’s invisibility.

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Choosing invisibility? Exploring service (dis)engagement of women experiencing multiple disadvantage10.1108/HCS-01-2023-0002Housing, Care and Support2023-10-13© 2023 Emerald Publishing LimitedCarolin HessHousing, Care and Support263/42023-10-1310.1108/HCS-01-2023-0002https://www.emerald.com/insight/content/doi/10.1108/HCS-01-2023-0002/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Health care support systems for informal settlement rental housing during the COVID-19 season: landlord’s perspectivehttps://www.emerald.com/insight/content/doi/10.1108/HCS-02-2022-0007/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThis paper aims to examine landlords’ health support systems to tenants to control COVID-19 in selected informal settlement rental housing (ISRH) in Ghana, dwelling on landlords’ views. The paper used the concurrent imbedded mixed-methods approach and grounded the findings in the socio-ecological theory. The authors collected both qualitative and quantitative data from 242 landlords in 13 informal settlements across Ghana using quotas. The authors undertook semi-structured face-to-face and telephone interviews. The authors conducted content and thematic qualitative data analysis and used simple descriptive statistical data analysis. The paper discovered that tenants had limited knowledge on the transmission of the pandemic, forcing landlords to regulate their building services usage, ventilation and thermal control, entertainment, common areas and rent advancement for tenants to control the pandemic. Also, tenants found it difficult to comply with the rules on ventilation for fear of criminal attacks, while high social connection and interaction among renters and inadequate enforcement caused the non-adherence by renters to social gathering. Again, landlords had difficulty in contract-tracing visitors suspected to be infected with the virus. The use of concurrent and imbedded mixed methods to investigate landlords’ viewpoints on their support in health needs of their tenants to regulate COVID-19. The prescriptions from the study provide practical applications to formulate a mix of housing and health policies to formalize the support of landlords to their tenants in ISRH in Ghana.Health care support systems for informal settlement rental housing during the COVID-19 season: landlord’s perspective
Fauster Agbenyo, Miller Williams Appau, Eunice Yorgri
Housing, Care and Support, Vol. 26, No. 3/4, pp.134-151

This paper aims to examine landlords’ health support systems to tenants to control COVID-19 in selected informal settlement rental housing (ISRH) in Ghana, dwelling on landlords’ views.

The paper used the concurrent imbedded mixed-methods approach and grounded the findings in the socio-ecological theory. The authors collected both qualitative and quantitative data from 242 landlords in 13 informal settlements across Ghana using quotas. The authors undertook semi-structured face-to-face and telephone interviews. The authors conducted content and thematic qualitative data analysis and used simple descriptive statistical data analysis.

The paper discovered that tenants had limited knowledge on the transmission of the pandemic, forcing landlords to regulate their building services usage, ventilation and thermal control, entertainment, common areas and rent advancement for tenants to control the pandemic. Also, tenants found it difficult to comply with the rules on ventilation for fear of criminal attacks, while high social connection and interaction among renters and inadequate enforcement caused the non-adherence by renters to social gathering. Again, landlords had difficulty in contract-tracing visitors suspected to be infected with the virus.

The use of concurrent and imbedded mixed methods to investigate landlords’ viewpoints on their support in health needs of their tenants to regulate COVID-19. The prescriptions from the study provide practical applications to formulate a mix of housing and health policies to formalize the support of landlords to their tenants in ISRH in Ghana.

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Health care support systems for informal settlement rental housing during the COVID-19 season: landlord’s perspective10.1108/HCS-02-2022-0007Housing, Care and Support2023-11-24© 2023 Emerald Publishing LimitedFauster AgbenyoMiller Williams AppauEunice YorgriHousing, Care and Support263/42023-11-2410.1108/HCS-02-2022-0007https://www.emerald.com/insight/content/doi/10.1108/HCS-02-2022-0007/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Reviewing the affordability and adequacy of affordable housing in urban India: impact of the covid-19 pandemichttps://www.emerald.com/insight/content/doi/10.1108/HCS-12-2022-0032/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestHousing policies in India (last modified in 2017) define “affordable housing” on three main parameters – income of the target group, dwelling unit size and house price to income ratio. The Covid-19 pandemic has questioned the robustness of the defining parameters of affordable housing. This paper aims to study the impact of Covid-19 pandemic on housing affordability and adequacy for the urban poor and highlights how one pandemic has directly challenged the practicality of the affordable housing criteria in urban India. The study is based on a pilot test conducted through interviews with the consumer group. Furthermore, the affordable housing policies of urban India were studied in conjunction with the pandemic guidelines laid down by the World Health Organization. The consumer responses were analyzed in relation to the policies and guidelines to arrive at the inferences. The secondary case examples of the Dharavi slums in Mumbai and the Savda Ghevra slum resettlement colony in Delhi, along with the findings of the primary survey in the economically weaker section category, are used to formulate the conclusions. The pilot test conducted for the target consumer group clearly indicates that (i) the pandemic has severely affected the housing purchase capacity of the target consumer, thereby questioning the “affordability” of housing; (ii) proposed housing solutions are inadequate to enable livability, thereby questioning the “adequacy” of housing; and (iii) proposed housing solutions are inept to accommodate pandemic protocols. The Covid-19 pandemic and the conditions it imposed on the built environment clearly highlight the inadequacy of affordable housing parameters being followed in urban India. Further research may be conducted on global best practices in housing, which may advise the housing policies in India. The study suggests key areas that need intervention and modification to make the housing policies more robust and effective. The study explores the social sustainability aspects of housing, which are often considered secondary in policies. Because housing has a direct bearing on the physical, social and mental well-being of society, it is imperative to find housing solutions that are safe and resilient for a sustainable future. This paper is an original attempt by the author to question and highlight how the current affordable housing solutions adopted in urban India will continue to fail under any external adverse conditions unless modifications are considered in the existing housing parameters.Reviewing the affordability and adequacy of affordable housing in urban India: impact of the covid-19 pandemic
Shagun Agarwal, Tribhuvan Pratap Singh, Deepak Bajaj
Housing, Care and Support, Vol. 26, No. 3/4, pp.152-170

Housing policies in India (last modified in 2017) define “affordable housing” on three main parameters – income of the target group, dwelling unit size and house price to income ratio. The Covid-19 pandemic has questioned the robustness of the defining parameters of affordable housing. This paper aims to study the impact of Covid-19 pandemic on housing affordability and adequacy for the urban poor and highlights how one pandemic has directly challenged the practicality of the affordable housing criteria in urban India.

The study is based on a pilot test conducted through interviews with the consumer group. Furthermore, the affordable housing policies of urban India were studied in conjunction with the pandemic guidelines laid down by the World Health Organization. The consumer responses were analyzed in relation to the policies and guidelines to arrive at the inferences. The secondary case examples of the Dharavi slums in Mumbai and the Savda Ghevra slum resettlement colony in Delhi, along with the findings of the primary survey in the economically weaker section category, are used to formulate the conclusions.

The pilot test conducted for the target consumer group clearly indicates that (i) the pandemic has severely affected the housing purchase capacity of the target consumer, thereby questioning the “affordability” of housing; (ii) proposed housing solutions are inadequate to enable livability, thereby questioning the “adequacy” of housing; and (iii) proposed housing solutions are inept to accommodate pandemic protocols. The Covid-19 pandemic and the conditions it imposed on the built environment clearly highlight the inadequacy of affordable housing parameters being followed in urban India.

Further research may be conducted on global best practices in housing, which may advise the housing policies in India.

The study suggests key areas that need intervention and modification to make the housing policies more robust and effective.

The study explores the social sustainability aspects of housing, which are often considered secondary in policies.

Because housing has a direct bearing on the physical, social and mental well-being of society, it is imperative to find housing solutions that are safe and resilient for a sustainable future. This paper is an original attempt by the author to question and highlight how the current affordable housing solutions adopted in urban India will continue to fail under any external adverse conditions unless modifications are considered in the existing housing parameters.

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Reviewing the affordability and adequacy of affordable housing in urban India: impact of the covid-19 pandemic10.1108/HCS-12-2022-0032Housing, Care and Support2023-10-30© 2023 Emerald Publishing LimitedShagun AgarwalTribhuvan Pratap SinghDeepak BajajHousing, Care and Support263/42023-10-3010.1108/HCS-12-2022-0032https://www.emerald.com/insight/content/doi/10.1108/HCS-12-2022-0032/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
To stay or go? Understanding ambivalence toward moving on from supportive housing among supportive housing residents in a Moving On initiativehttps://www.emerald.com/insight/content/doi/10.1108/HCS-12-2021-0038/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestMoving On initiatives (MOIs) provide opportunities for permanent supportive housing (PSH) residents to exit PSH services for mainstream housing. This study aims to better understand the factors that influence residents’ decisions on whether to leave or stay in these services. This study examines ambivalence toward leaving PSH using interviews with 40 MOI participants. Data were analyzed using framework analysis. “Pull factors” for staying in PSH included secure benefits, partial autonomy and being comfortable enough. Participants viewed PSH as their cheapest option and a protective force. They also described PSH as “semi-independence” and expressed concern with a lack of privacy, free movement and unwanted supervision. To the best of the authors’ knowledge, this is the first study to consider residents’ motivations for staying in PSH when given the opportunity to leave. Implications for PSH service delivery and implementation of MOIs are discussed.To stay or go? Understanding ambivalence toward moving on from supportive housing among supportive housing residents in a Moving On initiative
Kimberly Livingstone, Emmy Tiderington
Housing, Care and Support, Vol. 26, No. 3/4, pp.171-181

Moving On initiatives (MOIs) provide opportunities for permanent supportive housing (PSH) residents to exit PSH services for mainstream housing. This study aims to better understand the factors that influence residents’ decisions on whether to leave or stay in these services.

This study examines ambivalence toward leaving PSH using interviews with 40 MOI participants. Data were analyzed using framework analysis.

“Pull factors” for staying in PSH included secure benefits, partial autonomy and being comfortable enough. Participants viewed PSH as their cheapest option and a protective force. They also described PSH as “semi-independence” and expressed concern with a lack of privacy, free movement and unwanted supervision.

To the best of the authors’ knowledge, this is the first study to consider residents’ motivations for staying in PSH when given the opportunity to leave. Implications for PSH service delivery and implementation of MOIs are discussed.

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To stay or go? Understanding ambivalence toward moving on from supportive housing among supportive housing residents in a Moving On initiative10.1108/HCS-12-2021-0038Housing, Care and Support2023-11-28© 2023 Emerald Publishing LimitedKimberly LivingstoneEmmy TideringtonHousing, Care and Support263/42023-11-2810.1108/HCS-12-2021-0038https://www.emerald.com/insight/content/doi/10.1108/HCS-12-2021-0038/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
Analysis of structured and unstructured stakeholders’ motivational support of Ghanaian slum communitieshttps://www.emerald.com/insight/content/doi/10.1108/HCS-04-2023-0007/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThis study aims to examine the motivations and supports of stakeholders in the slum communities, Ghana. Two-stage methodologies were used for data collection. Published Google News articles about the phenomenon as well as exploratory qualitative in-depth interviews with 15 participants. The evidence shows that structured and unstructured are the two main categories of stakeholders operating in the space of slums in Ghana. It shows that stakeholders are motivated by their objectives and ethical or moral obligations to provide support in the form of consumables, housing and finance to the slums. Because of the data collection regime used in this project, findings are specific to the Ghanaian context and not generalisable. However, the results could be beneficial in other contexts with similar slum phenomena. The conclusions drawn serve as a springboard for urban managers responsible for slum administration and management to develop policy packages to incentivise and enlist more non-slum stakeholders in the existing stakeholders. To the best of the authors’ knowledge, this study is one of the few that expands the frontiers of the stakeholder model within context to discover specific slum stakeholders, their motivations and support for the slums in a consolidated manner.Analysis of structured and unstructured stakeholders’ motivational support of Ghanaian slum communities
Anthony Nkrumah Agyabeng, Robertson Neequaye Kotey, Hannah E.A. Acquah, Joshua Ofori Essiam, Gifty Enyonam Ketemepi, Akorfa Wuttor, Kofi Hilla Avusuglo
Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.-

This study aims to examine the motivations and supports of stakeholders in the slum communities, Ghana.

Two-stage methodologies were used for data collection. Published Google News articles about the phenomenon as well as exploratory qualitative in-depth interviews with 15 participants.

The evidence shows that structured and unstructured are the two main categories of stakeholders operating in the space of slums in Ghana. It shows that stakeholders are motivated by their objectives and ethical or moral obligations to provide support in the form of consumables, housing and finance to the slums.

Because of the data collection regime used in this project, findings are specific to the Ghanaian context and not generalisable. However, the results could be beneficial in other contexts with similar slum phenomena.

The conclusions drawn serve as a springboard for urban managers responsible for slum administration and management to develop policy packages to incentivise and enlist more non-slum stakeholders in the existing stakeholders.

To the best of the authors’ knowledge, this study is one of the few that expands the frontiers of the stakeholder model within context to discover specific slum stakeholders, their motivations and support for the slums in a consolidated manner.

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Analysis of structured and unstructured stakeholders’ motivational support of Ghanaian slum communities10.1108/HCS-04-2023-0007Housing, Care and Support2024-01-08© 2023 Emerald Publishing LimitedAnthony Nkrumah AgyabengRobertson Neequaye KoteyHannah E.A. AcquahJoshua Ofori EssiamGifty Enyonam KetemepiAkorfa WuttorKofi Hilla AvusugloHousing, Care and Supportahead-of-printahead-of-print2024-01-0810.1108/HCS-04-2023-0007https://www.emerald.com/insight/content/doi/10.1108/HCS-04-2023-0007/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
A critical discourse analysis of older women’s representation in housing and homelessnesshttps://www.emerald.com/insight/content/doi/10.1108/HCS-05-2023-0009/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestDespite a significant evidence base illustrating the issue of housing insecurity and homelessness experienced by women over the age of 55 in Australia [Pawson et al., 2018; Australian Institute of Health and Welfare (AIHW), 2021b; Mission Australia 2022; Per Capita 2022], there continues to be a knowledge gap in the representation of older women in current Federal and New South Wales (NSW) State Government housing and homelessness policies and initiatives. This paper aims to identify the extent and ways in which older women were represented (or not represented) in the Federal and NSW State housing and homelessness policies in 2022. Of the total primary and supplementary Federal and NSW State policy and strategy documents, 16 were collected through a systematic review and then analysed using a Critical Discourse Analysis (CDA) framework and feminist lens to explore quotes, phrases, keywords and language choices which suggested prevalent themes, rhetorical devices and dominant discourses. Three significant themes were identified by the analysis (1) “relinquished responsibility”, (2) “inconsistent rhetoric” and (3) “homogenising and ideological cherry picking”. These themes presented the authors with three main discussion points to inform policy reform which we have addressed in relation to policy implications, evidence-based policy decision-making and impacts on older women. The combination of a systematic review with CDA provides a unique approach to exploring homelessness policy for older women.A critical discourse analysis of older women’s representation in housing and homelessness
Taylah Brown, Charlotte Smedley, Jacqui Cameron
Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.-

Despite a significant evidence base illustrating the issue of housing insecurity and homelessness experienced by women over the age of 55 in Australia [Pawson et al., 2018; Australian Institute of Health and Welfare (AIHW), 2021b; Mission Australia 2022; Per Capita 2022], there continues to be a knowledge gap in the representation of older women in current Federal and New South Wales (NSW) State Government housing and homelessness policies and initiatives. This paper aims to identify the extent and ways in which older women were represented (or not represented) in the Federal and NSW State housing and homelessness policies in 2022.

Of the total primary and supplementary Federal and NSW State policy and strategy documents, 16 were collected through a systematic review and then analysed using a Critical Discourse Analysis (CDA) framework and feminist lens to explore quotes, phrases, keywords and language choices which suggested prevalent themes, rhetorical devices and dominant discourses.

Three significant themes were identified by the analysis (1) “relinquished responsibility”, (2) “inconsistent rhetoric” and (3) “homogenising and ideological cherry picking”. These themes presented the authors with three main discussion points to inform policy reform which we have addressed in relation to policy implications, evidence-based policy decision-making and impacts on older women.

The combination of a systematic review with CDA provides a unique approach to exploring homelessness policy for older women.

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A critical discourse analysis of older women’s representation in housing and homelessness10.1108/HCS-05-2023-0009Housing, Care and Support2024-03-20© 2024 Emerald Publishing LimitedTaylah BrownCharlotte SmedleyJacqui CameronHousing, Care and Supportahead-of-printahead-of-print2024-03-2010.1108/HCS-05-2023-0009https://www.emerald.com/insight/content/doi/10.1108/HCS-05-2023-0009/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2024 Emerald Publishing Limited
Social housing development: a case study in Bac Ninh province, Vietnamhttps://www.emerald.com/insight/content/doi/10.1108/HCS-05-2023-0010/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThis paper aims to assess the overall social housing development, point out factors affecting it and propose some policy implications for social housing development. The research investigated investors, credit institutions and officials involved in social housing development. Bac Ninh province currently has 51 social housing projects that have been and are being implemented. The hypothetical regression model has seven latent variables and is tested by the criteria through the SPSS25.0 software. There are 29 factors belonging to seven groups affecting housing development. Their impact rates range from 3.47% to 30.25%. The study has only identified the factors affecting social housing development but has not undertaken an in-depth assessment of its development status and forecast for the future. Therefore, this gap needs to be further studied. The proposed research method could also be applied when researching social housing developments in other countries around the world. To develop social housing to meet the needs of the real estate market, it is necessary to improve the policies that have the strongest impact first. Then, it is necessary to improve the factors with a smaller impact. The study proposes policy implications for faster housing development for low-income people that improve their living standards. To the best of the authors’ knowledge, the paper has studied for the first time social housing development and the factors affecting it. The paper also shows the level of their impact so that priority policies can be applied to each factor.Social housing development: a case study in Bac Ninh province, Vietnam
Trung Nguyen Dinh, Nam Pham Phuong
Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.-

This paper aims to assess the overall social housing development, point out factors affecting it and propose some policy implications for social housing development.

The research investigated investors, credit institutions and officials involved in social housing development. Bac Ninh province currently has 51 social housing projects that have been and are being implemented. The hypothetical regression model has seven latent variables and is tested by the criteria through the SPSS25.0 software.

There are 29 factors belonging to seven groups affecting housing development. Their impact rates range from 3.47% to 30.25%.

The study has only identified the factors affecting social housing development but has not undertaken an in-depth assessment of its development status and forecast for the future. Therefore, this gap needs to be further studied. The proposed research method could also be applied when researching social housing developments in other countries around the world.

To develop social housing to meet the needs of the real estate market, it is necessary to improve the policies that have the strongest impact first. Then, it is necessary to improve the factors with a smaller impact.

The study proposes policy implications for faster housing development for low-income people that improve their living standards.

To the best of the authors’ knowledge, the paper has studied for the first time social housing development and the factors affecting it. The paper also shows the level of their impact so that priority policies can be applied to each factor.

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Social housing development: a case study in Bac Ninh province, Vietnam10.1108/HCS-05-2023-0010Housing, Care and Support2023-11-06© 2023 Emerald Publishing LimitedTrung Nguyen DinhNam Pham PhuongHousing, Care and Supportahead-of-printahead-of-print2023-11-0610.1108/HCS-05-2023-0010https://www.emerald.com/insight/content/doi/10.1108/HCS-05-2023-0010/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Emerald Publishing Limited
The Frailty, Health and Care Needs Assessment (FHCNA): development of the questionnaire and testing its feasibility in homeless hostel accommodationhttps://www.emerald.com/insight/content/doi/10.1108/HCS-06-2023-0012/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThis study aims to co-develop a Frailty, Health and Care Needs Assessment (FHCNA) questionnaire for people experiencing homelessness and explore the feasibility of its use by non-clinical staff in homeless hostels. The FHCNA, aimed at identifying frailty and other health and care priorities for people experiencing homelessness, was co-designed in workshops (online and in person) with homelessness and inclusion health staff. Its feasibility was tested by staff and their clients in two hostels, with pre- and post-study focus groups held with hostel staff to gain input and feedback. The FHCNA was co-developed and then used to collect 74 pairs of resident and key worker inputted data (62% of eligible hostel residents). The mean age of clients was 48 years (range 22–82 years). High levels of unmet need were identified. Over half (53%) were identified as frail. Common concerns included difficulty walking (46%), frequent falls (43%), chronic pain (36%), mental health issues (57%) and dental concerns (50%). In total, 59% of clients reported difficulty in performing at least one basic activity of daily living, while only 14% had undergone a Care Act Assessment. Hostel staff found using the FHCNA to be feasible, acceptable and potentially useful in facilitating explorations of met and unmet health and social care needs of hostel clients. By identifying unmet needs, the FHCNA has the potential to support staff to advocate for access to health and social care support. To the best of the authors’ knowledge, this is the first study to co-develop and feasibility test a questionnaire for use by non-clinically trained staff to identify frailty and other health and care needs of people experiencing homelessness in a hostel setting.The Frailty, Health and Care Needs Assessment (FHCNA): development of the questionnaire and testing its feasibility in homeless hostel accommodation
Caroline Shulman, Rafi Rogans-Watson, Natasha Palipane, Dan Lewer, Michelle Yeung, Briony F. Hudson
Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.-

This study aims to co-develop a Frailty, Health and Care Needs Assessment (FHCNA) questionnaire for people experiencing homelessness and explore the feasibility of its use by non-clinical staff in homeless hostels.

The FHCNA, aimed at identifying frailty and other health and care priorities for people experiencing homelessness, was co-designed in workshops (online and in person) with homelessness and inclusion health staff. Its feasibility was tested by staff and their clients in two hostels, with pre- and post-study focus groups held with hostel staff to gain input and feedback.

The FHCNA was co-developed and then used to collect 74 pairs of resident and key worker inputted data (62% of eligible hostel residents). The mean age of clients was 48 years (range 22–82 years). High levels of unmet need were identified. Over half (53%) were identified as frail. Common concerns included difficulty walking (46%), frequent falls (43%), chronic pain (36%), mental health issues (57%) and dental concerns (50%). In total, 59% of clients reported difficulty in performing at least one basic activity of daily living, while only 14% had undergone a Care Act Assessment. Hostel staff found using the FHCNA to be feasible, acceptable and potentially useful in facilitating explorations of met and unmet health and social care needs of hostel clients. By identifying unmet needs, the FHCNA has the potential to support staff to advocate for access to health and social care support.

To the best of the authors’ knowledge, this is the first study to co-develop and feasibility test a questionnaire for use by non-clinically trained staff to identify frailty and other health and care needs of people experiencing homelessness in a hostel setting.

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The Frailty, Health and Care Needs Assessment (FHCNA): development of the questionnaire and testing its feasibility in homeless hostel accommodation10.1108/HCS-06-2023-0012Housing, Care and Support2024-01-01© 2023 Caroline Shulman, Rafi Rogans-Watson, Natasha Palipane, Dan Lewer, Michelle Yeung and Briony F. Hudson.Caroline ShulmanRafi Rogans-WatsonNatasha PalipaneDan LewerMichelle YeungBriony F. HudsonHousing, Care and Supportahead-of-printahead-of-print2024-01-0110.1108/HCS-06-2023-0012https://www.emerald.com/insight/content/doi/10.1108/HCS-06-2023-0012/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2023 Caroline Shulman, Rafi Rogans-Watson, Natasha Palipane, Dan Lewer, Michelle Yeung and Briony F. Hudson.http://creativecommons.org/licences/by/4.0/legalcode
Homeless people’s experiences of the illicit drug supply during COVID-19https://www.emerald.com/insight/content/doi/10.1108/HCS-12-2022-0031/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe COVID-19 pandemic has affected many industries, and reports indicate that this includes the illicit drug market. Recent research suggests that the homeless are particularly vulnerable during the pandemic, and the UK Government has acted to house rough sleepers. Research is scarce regarding homeless people’s experiences of the illicit drug market. This study aims to explore homeless people’s experiences of the drug supply in the UK during COVID-19. Eight homeless people who use illicit drugs, residing in hostels for homeless people in Southampton, participated in semi-structured one-on-one telephone-based interviews. A thematic analysis revealed five themes: availability of drugs, presence of dealers, quality of drugs, finances and personal experiences. Participants reported varying experiences of the drug supply, with lockdown measures expressed as the main reason for reduced supplies, as users found it difficult to find dealers and generate income for purchasing drugs. The results may lack generalisability to the wider population, such as rough sleepers and drug dealers, suggesting a need for further research into people’s experiences of the drug supply during COVID-19. Research on this topic could be more in-depth through the use of research methods that are convenient for the homeless population. Services should invest in harm reduction services and encourage homeless people who use drugs to engage in substitution treatment. Homeless services should provide psychological support for homeless people who use drugs. The changes in homeless people’s behaviour following the pandemic may have implications for their interactions with the rest of society (e.g. begging in town centres may reduce). These changes in behaviour may also change the way society can best support homeless people. The results are partially consistent with other research findings about the illicit drug supply; however, they also suggest that some individuals experienced minimal change in the illicit drug supply.Homeless people’s experiences of the illicit drug supply during COVID-19
Susanna James, Nick Maguire
Housing, Care and Support, Vol. ahead-of-print, No. ahead-of-print, pp.-

The COVID-19 pandemic has affected many industries, and reports indicate that this includes the illicit drug market. Recent research suggests that the homeless are particularly vulnerable during the pandemic, and the UK Government has acted to house rough sleepers. Research is scarce regarding homeless people’s experiences of the illicit drug market. This study aims to explore homeless people’s experiences of the drug supply in the UK during COVID-19.

Eight homeless people who use illicit drugs, residing in hostels for homeless people in Southampton, participated in semi-structured one-on-one telephone-based interviews.

A thematic analysis revealed five themes: availability of drugs, presence of dealers, quality of drugs, finances and personal experiences. Participants reported varying experiences of the drug supply, with lockdown measures expressed as the main reason for reduced supplies, as users found it difficult to find dealers and generate income for purchasing drugs.

The results may lack generalisability to the wider population, such as rough sleepers and drug dealers, suggesting a need for further research into people’s experiences of the drug supply during COVID-19. Research on this topic could be more in-depth through the use of research methods that are convenient for the homeless population.

Services should invest in harm reduction services and encourage homeless people who use drugs to engage in substitution treatment. Homeless services should provide psychological support for homeless people who use drugs.

The changes in homeless people’s behaviour following the pandemic may have implications for their interactions with the rest of society (e.g. begging in town centres may reduce). These changes in behaviour may also change the way society can best support homeless people.

The results are partially consistent with other research findings about the illicit drug supply; however, they also suggest that some individuals experienced minimal change in the illicit drug supply.

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Homeless people’s experiences of the illicit drug supply during COVID-1910.1108/HCS-12-2022-0031Housing, Care and Support2024-03-26© 2024 Emerald Publishing LimitedSusanna JamesNick MaguireHousing, Care and Supportahead-of-printahead-of-print2024-03-2610.1108/HCS-12-2022-0031https://www.emerald.com/insight/content/doi/10.1108/HCS-12-2022-0031/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2024 Emerald Publishing Limited