The purpose of the study was to assess the impact of housing services on the bio-psycho-social functioning of homeless persons with HIV/AIDS. Ideally, taking a homeless person with HIV/AIDS and returning them to a healthy state would be a goal of any social service intervention.

“Missing Homes” examines three nineteenth-century authors whose experiences of displacement from home, professions and/or class influenced their literary innovations. Displacement is not a new theme to scholars of nineteenth-century literature, who have established it as a defining experience of an era characterized by financial crises, industrial development, migration and empire. However, scholarship on displacement has often focused on how novels train readers to manage the experience of displacement and has depicted the emotions like nostalgia that arise from it as potentially compensatory or reconciliatory to the dynamics of capitalism. “Missing Homes” departs from these narratives to explore authors who found displacement anything but manageable or liberating and whose works illustrate a more unstable spectrum of emotional responses to displacement and its dire long-term consequences. Attention to these authors, I argue, offers a parallel theory of nostalgia in which the unsettled longing for a place to call home registers political discontent with the relationship between the individual and the collective rather than reconciles the individual to displacement. Departing from critics who have focused primarily on the work performed by metaphors and figures of the domestic, “Missing Homes” engages in biographical readings of the lives, economic circumstances and fiction of Edgar Allan Poe, Charlotte Brontë and Charles Dickens to show how they pursued fantasies of securing homes that could remove them from undesirable personal, economic and political conditions. The failures of these fantasies reveal how conventional narratives describing how individuals might attain security often fail in the face of collective economic conditions in which attaining objects like a home is both economically challenging and often emotionally unfulfilling. Although the variables of their lives were different, I suggest that these authors’ stories of displacement fail to perform therapeutic or intervening work, because the problem of displacement is rooted in material conditions that narrative innovation alone cannot resolve. Instead, readers should derive from these texts and their failures the need for more collective forms of security.

MPM / Oliver Tambo Institute of Governance and Policy Studies

This cross-sectional study looks at the health profiles of street children both in institutions and on the street between May and November 1989. The former group had a clinical examination, with blood and urine investigations done where possible; the latter group were only interviewed. 159 street children were interviewed of whom 47 were interviewed on the street. 73 children had clinical examinations; 64 of these had blood and urine investigations. The age range was 8 years to 19.8 years. 18.2% were females and 28.3% were black. 59,6% of those interviewed on the street had not been in an institution or shelter for street children. 27, 2% of the total group had been on the street for more 3 years. 3 7, 1 % perceived colds and chest complaints as their main physical health problem. This was confirmed by the fact that 69,2% had a history of respiratory problems. 44,7% said that they would go to a hospital if they injured themselves or were ill; however, 36,5% said they would not use or get any medication for problems such as a headache or a bad cold. 37·, 7% of children used a hospital while they were on street but 59, 7% had not used any facility while on the street. Most street children (72,8%) washed themselves at least occasionally and 61% washed their clothes. 47,2% had suffered trauma significant enough to seek hospital attention. 56% had skin problems (including lice and scabies) while on the street. 15,7% complained of visual problems and 10,7% complained of reduced hearing. Dental problems appeared to be of major concern with 37,7% complaining of either toothache or dental caries (23,3% had obvious caries on examination). 73,4% admitted to solvent abuse, 49,9% had never taken alcohol and 12,7% had never smoked. 43% had tried dagga, 10,8% white pipe (mixture of dagga and "Mandrax" which is smoked) and only 7,6% "Mandrax" alone. 10, 9% of boys and 10, 0% of girls indicated that they had been sexually exploited. Of the 67 examined 32,8% were below 90% of expected height for age, 44,8% were below 80% of expected weight for age and 8,6% had a circumference of head below 95% of standard. There is a 9,4% Hepatitis Bs ag carrier rate. No HIV (human immunodeficiency virus) antibodies were detected in 64 sera tested. On the basis of these results, the following are recommended: 1) Improving accessibility of health care resources. 2) Improving the availability of health care resources. 3)· Initiating contacts with street children by employing field health workers. 4) Drawing up a health care policy for street children institutions and field care workers. 5) Limit venereal disease management to single dose treatment where possible. 6) Further studies need to be undertaken in the following areas: - solvent abuse - utilisation of health care resources utilisation institutions of street children shelters and Further breakdown of habits, physical problems and results of examinations are presented.

Guided and influenced by a famous follow-up study in criminology focused on desistance from crime, this dissertation studies desistance from crime, homelessness, and substance abuse. In the early 1990s, The New Orleans Homeless Substance Abusers Project (NOHSAP) was founded as an experiment funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) to uncover optimal treatment strategies for homeless alcoholics and drug addicts. The program ran for three years (1991-1993) and in those years, 670 homeless New Orleans men and women were admitted into treatment. Some of the original clients were followed for as long as 18 months, but none of them had been re-contacted since the mid-1990s. This dissertation involves finding these individuals and re-interviewing them, to discover what life trajectories they have taken some 17-19 years later. Guided by social bonding theory, this project shows what baseline factors and conditions explain variability in life outcomes. The methodology for this study consists of three main parts: 1) a quantitative analysis of mortality data; 2) a historical analysis of criminal histories and 3) in-depth interviews. Nested logistic regression models explained differences among those who have died (n = 91) and those still living. The same method was used to explain differences among those currently incarcerated (n = 56). Follow-up interviews were conducted with 32 individuals in a variety of settings including at their homes and in prisons. Findings from the quantitative results show that social bonding theory seems to be a weak explanation scheme among this population. Results from the qualitative data, however, are contrary and show social bonds to be crucial in the desistance process. Like Laub and Sampson’s study, marriage and employment were strong predictors of desistance. Individuals iv interviewed tended to be sober, but disaffiliated with twelve-step meetings. Other themes from the interviews involve presentation of self, the importance of religion, and a process of aging out of crime. Policy implications from these results focus on the importance of choosing a good life partner, the reduction of alcohol and drug use among abusers, and emphasizing stable employment.

This study explores the demand and supply oriented factors that may contribute to the size of nonprofit organizations in the U.S. communities. This research tests demand theory, which indicated that nonprofit organizations grow more in communities where large service demand exists and when there is a service gap between community demand and government service supply. On the other hand, supply theories contend that nonprofit organizations are prevalent where a community carries the supply of human capital and financial resources and these supply of human and economic capital will mobilize nonprofit organizations to fulfill civic duties. For the scientific test of demand and supply theories, this study employs hierarchical linear model (HLM) and develops a longitudinal data set from multiple sources such as Department of Housing and Urban Development and National Charitable Center for Statistics, and Census. The proposed model analyzes how demand and supply indicators explain homeless serving nonprofit organizations size. The size of homeless service nonprofit was measured by three indicators: number of nonprofits, revenue of nonprofits and number of shelter beds. The findings of HLM analyses confirmed some of demand and supply factors that contribute homeless service nonprofit size. The communities with higher level of chronic homeless population have more nonprofit organizations when we control community size. Also, we found the communities with a greater number of educated individuals are more likely to invest in nonprofit organizations. And it was noteworthy that the higher education institution was a positive supply factor for the nonprofit size in our communities.

Homelessness is an increasing social challenge both locally and globally. Social problems associated with street homelessness and services provided to homeless people by social workers are well documented in South Africa. Little is known though concerning the collaborative role of social workers and homeless people in addressing street homelessness. This study explored the role of social workers in promoting social justice through a collaborative purpose amongst the homeless people in addressing street homelessness. A qualitative, explorative, descriptive, and contextual study was undertaken with 14 homeless participants aged 21 to 63, and eight social work participants aged 25 to 38. This study was informed by an amalgamation of two theories, indicating the collaboration theory and the structural theory. Data were collected through semi-structured interviews, analysed by following Tesch’s eight steps (Creswell, 2009:186). The data was collected and verified, employing the Lincoln and Guba’s model of trustworthiness. The ethical considerations adhered throughout this study are informed consent, confidentiality and anonymity, management of information and debriefing. The major findings identified first, poverty and unemployment as major homelessness causes. Second, deprived, or non-existing family support, family or marital breakdown, substance use, migration of individuals from rural or foreign countries to city centres, as major contributing factors towards homelessness. Third, homeless people are more vulnerable to personal harm than the housed population. Fourth, the society and derogatory labels, such as crazy, nyaopes, and criminals are often used to describe these individuals. Finally, homelessness places homeless people at substantial risk of elevated mental health conditions. Implications for social work and recommendations for future research are presented. / Social Work / M.A. (Social Work)

The purpose of this study was to identify risk factors associated with homelessness, assess the relationship between housing status and consumption of costly publicly funded resources, to identify characteristics associated with service retention, and to evaluate whether length of treatment is associated with better outcomes. The target population was homeless and formerly homeless adults with SMI enrolled in community mental health services at the Downtown Emergency Service Center SAGE mental health program located in Seattle. The sample consisted of 380 SAGE patients who had continuous enrollment in 2005. These patients formed the cohort for the study. Agency records for these patients were reviewed for a 3-year period (2005-2007). The study utilized a non-experimental retrospective cohort study design. Multiple logistic regression, hierarchical multiple regression, two-way repeated measures ANOVA, and Cochran's Q test were used to analyze the data. Homelessness was associated with African American race, substance use, lower income, and younger age. Patients who were homeless spent more time in jail and required more mental health staff time compared with patients with stable housing. Patients with schizophrenia were more likely to retain services and African American patients were less likely to retain services. Overall, patients who remained enrolled in services from Year 1 to Year 3 had improved housing stability, fewer days of incarceration, and required less staff support. The overrepresentation of African Americans among patients who experienced homelessness suggests that racism could be a factor contributing to homelessness for this racial group. Further research is needed to assess the relationship between race and homelessness.

Thesis (MA)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: The escalation in the growing upsurge of informal settlements seems to create a few problems for local municipalities in the Cape Metropolitan Area (CMA). At the beginning of 1998 the capacity of the City Of Cape Town Municipality (CCT) was fully tested with the coming into being of a new informal settlement in the Tafelsig, Mitchell's Plain area. During the Easter weekend of that year homeless people started to invade a piece of vacant land, which belongs to this municipality, illegally. With the establishing of Freedom Park many of the homeless felt that the time was ripe for this municipality to address their problems and grievances. However up till now this has not materialised, as this municipality is refusing to make any service delivery and infrastructure available to them. Despite this, the people are still reluctant to submit to the demand of the municipality to evacuate the piece of land. Hitherto many had asked questions about the settlement and its people. With the asking of these questions, people had shown their ignorance about the Freedom Park issue. This ignorance led people to make certain assumptions, which are clearly far from the truth. The aim of this study is thus to present more clear-cut answers to the most common questions people had asked and still are asking. / AFRIKAANSE OPSOMMING: Die groeiende toename in informele nedersettings in die Kaapse Metropolitaanse Gebied blyk toenemend om 'n probleem vir plaaslike owerhede te wees. Aan die begin van 1998 was die kapasiteit van die Kaapse Munisipaliteit om sulke situasies te hanteer ten volle getoets. In hierdie tydperk het haweloses van die Tafelsig, Mitchell's Plain, area die reg in eie hande geneem deur 'n stuk grond wat aan hierdie munisipaliteit behoort onwettig te beset. Met die vestiging van Freedom Park het baie van hierdie mense gedink dat hulle frustrasies en probleme deur hierdie munisipaliteit aangehoor sou word. Dit het egter tot op hede nog nie 'n werklikheid geword, deurdat dié munisipaliteit huiwer om tydelike en korttermyn infrastrukture aan hierdie mense beskikbaar te stel. Ten spyte hiervan is die inwoners van hierdie nedersetting egter vasbeslote om nie in te gee aan die versoek van die munisipaliteit om die grond te ontruim nie. Tot op hede was daar baie vra gevra rondom hierdie nedersetting en sy inwoners. Met hierdie vrae het sulkes hulonkunde om die Freedom Park kwessie suksesvol te hanteer en te verstaan bewys. Dit is dus in hierdie lig dat hierdie studie onderneem was. Die sentrale doelwit van dié studie is dus om meer duidelikheid te werp op vrae soos: Wie is hierdie mense? Waarvandaan kom hulle? Hoekom het hulle tot so 'n drastiese stap oorgegaan?

Com este trabalho buscamos descrever situações de violências sofridas e perpetradas por mulheres usuárias de substâncias psicoativas que se encontram em situação de rua na região central de São Paulo e identificar a percepção destas mulheres em relação à violência que sofrem. Utilizamos uma metodologia qualitativa de pesquisa baseada em entrevistas com um roteiro semiestruturado, organizadas através do Programa NVivo11-Starter e analisadas pelo conteúdo produzido. Os principais temas trazidos nestes encontros foram: infância, chegada na cena de uso de substância psicoativa da região central, vivência com outros atores do local (profissionais da saúde, forças de segurança, parceiros sexuais e afetivos, agentes do tráfico de drogas), avaliação sobre a especificidade da presença feminina naquele ambiente e expectativas. Todas as mulheres que entrevistamos foram e/ou são expostas à violência de parceiro íntimo, das forças policiais, da segurança do tráfico, dos homens usuários de drogas que coexistem na cena aberta de uso na região da Luz e não acessam serviços e ferramentas de proteção disponíveis contra violência de gênero disponíveis na cidade / This study sought to describe situations of violence suffered and perpetrated by homeless women users of psychoactive substances in downtown area of São Paulo and identify the perception of these women in relation to violence suffering. For this purpose used a qualitative research methodology based on interviews with a semi-structured guide, organized by NVivo11-Starter program and analyzed the content of reasoning produced. The main themes brought these meetings were childhood arrival in drug use scene, experience with other local actors (health professionals, security forces, sexual and affective partners, drug trafficking agents), evaluation of the specificity female\'s presence in the social environment and their expectations. All the women we interviewed were and / or are a victim of intimate partner violence, police, traffic safety, drug users men who coexist in the drugs open site of Luz district and do not access services and security tools available against gender violence in the city. The wealth of the stories brought by the women, with the challenges they face and the impact they may have on the health care offered to this women\'s group of women, indicate the need to analyze important aspects this study from a research base that is statistically 5 relevant to extend the knowledge and the ability to act for the improvement of the care offered