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Understanding service navigation pathways and service experiences among homeless populations.
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- Author(s): Lee, Eunwoo; Lee, Wonhyung; Duncan, Stephanie
- Source:
Qualitative Social Work; Sep2023, Vol. 22 Issue 5, p1031-1047, 17p- Subject Terms:
LENGTH of stay in hospitals; WELL-being; HEALTH services accessibility; RESEARCH methodology; PATIENT-centered care; INTERVIEWING; QUANTITATIVE research; PATIENTS' attitudes; EXPERIENCE; MEDICAL care use; COMPARATIVE studies; QUALITATIVE research; HEALTH attitudes; MEDICAL referrals; DESCRIPTIVE statistics; DECISION making; INTERPERSONAL relations; RESEARCH funding; THEMATIC analysis; MANAGEMENT; HOMELESSNESS; LONG-term health care; CORPORATE culture - Source:
- Additional Information
- Subject Terms:
- Abstract: Previous homelessness research examined common pathways into homelessness, yet not much is known about how people navigate through services while experiencing homelessness. This study explored the service pathways of homeless individuals in the U.S. context, which show their connection with multiple organizations and their lived experiences of using services over time. We conducted 12 semi-structured in-depth interviews to grasp the history of service pathways, including the number of organizations, time gaps between services, and referral patterns. We also conducted participant observation shadowing with a subset of the study participants to understand how they interact with caseworkers. The length of service pathways varied, from less than five years to more than two decades. On average, participants went through at least three and up to eight organizations. Regarding service experiences, systemic- and individual-level themes were drawn for negative or positive experiences, such as strict organizational policies and the caseworker's demeaning attitudes (negative), or supportive organizational culture and strong employee competencies (positive). The findings of this study provide deeper insights into homeless populations' service trajectories and their experiences throughout the service-navigating process. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Qualitative Social Work is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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