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Davis S, Jester M, Yoder CM, Kaylor S, Tapp J, Finn-Romero D, Morgan PD, Hinds M, Ferraro A. Introducing the "Nursing Education Integrating Social Change for Health Equity (NISCHE)" framework for nursing education. Nurs Outlook 2024; 72:102263. [PMID: 39167995 DOI: 10.1016/j.outlook.2024.102263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 06/07/2024] [Accepted: 07/28/2024] [Indexed: 08/23/2024]
Abstract
BACKGROUND A need exists for a unified curriculum framework for nurse educators, recognizing racism as a central driver of health inequities. PURPOSE This paper provides nurse educators with a unifying curriculum framework that centers racism as a root cause of health inequity shaping SSDH. METHODS A critical examination of the social and structural determinants of health (SSDH) and Yob's (2018) Framework for a Curriculum in Social Change was conducted, to develop a curriculum framework tailored to the intersection of SSDH and social change within nursing education. DISCUSSION The "Nursing Education Integrating Social Change for Health Equity (NISCHE)" framework was developed as a comprehensive curriculum framework for SSDH and social change specifically tailored for nursing education. Practical examples of curricular activities across various settings are offered, thus illustrating implementation and potential impact. CONCLUSION By centering racism in the curriculum framework and emphasizing its role in perpetuating health inequities, this paper advances a crucial agenda in nursing education.
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Affiliation(s)
- Sandra Davis
- National League for Nursing (NLN)/Walden University College of Nursing, Institute for Social Determinants of Health and Social Change, Washington, DC
| | - Megan Jester
- Fran and Earl Ziegler College of Nursing, The University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | | | - Sara Kaylor
- Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL.
| | - Jannyse Tapp
- School of Nursing, Vanderbilt University, Nashville, TN
| | | | | | - Melissa Hinds
- Center for Practice Innovations, Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY
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McDaniel M, Sundaram S, Manjanatha D, Odes R, Lerman P, Handley MA, Coffin PO, Myers JJ, Goldman ML. "They made me feel like I mattered": a qualitative study of how mobile crisis teams can support people experiencing homelessness. BMC Public Health 2024; 24:2183. [PMID: 39135047 PMCID: PMC11320767 DOI: 10.1186/s12889-024-19596-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 07/25/2024] [Indexed: 08/15/2024] Open
Abstract
BACKGROUND Mobile crisis teams (MCTs) can be important alternatives to emergency medical services or law enforcement for low-acuity 911 calls. MCTs address crises by de-escalating non-violent situations related to mental health or substance use disorders and concurrent social needs, which are common among people experiencing homelessness (PEH). We sought to explore how an MCT in one city served the needs and supported the long- and short-term goals of PEH who had recently received MCT services. METHODS We conducted 20 semi-structured interviews with service recipients of the Street Crisis Response Team, a new 911-dispatched MCT implemented in San Francisco in November 2020. In the weeks after their encounter, we interviewed respondents about their overall MCT experience and comparisons to similar services, including perceived facilitators and barriers to the respondent's self-defined life goals. We analyzed interview transcripts with thematic analysis to capture salient themes emerging from the text and organized within a social-ecological model. RESULTS Nearly all respondents preferred the MCT model over traditional first responders, highlighting the team's person-centered approach. Respondents described the MCT model as effectively addressing their most immediate needs (e.g., food), short-term relief from the demands of homelessness, acute mental health or substance use symptoms, and immediate emotional support. However, systemwide resource constraints limited the ability of the team to effectively address longer-term factors that drive crises, such as solutions to inadequate quality and capacity of current housing and healthcare systems and social services navigation. CONCLUSIONS In this study, respondents perceived this MCT model as a desirable alternative to law enforcement and other first responders while satisfying immediate survival needs. To improve MCT's effectiveness for PEH, these teams could collaborate with follow-up providers capable of linking clients to resources and services that can meet their long-term needs. However, these teams may not be able to meaningfully impact the longstanding and complex issues that precipitate crises among PEH in the absence of structural changes to upstream drivers of homelessness and fragmentation of care systems.
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Affiliation(s)
- Megan McDaniel
- San Francisco Department of Public Health, 1380 Howard Street, San Francisco, CA, USA
- Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, 3811 O'Hara Street, Pittsburgh, PA, USA
| | - Siva Sundaram
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco (UCSF), 675 18th Street, San Francisco, CA, USA
| | - Deepa Manjanatha
- San Francisco Department of Public Health, 1380 Howard Street, San Francisco, CA, USA
- San Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego State University, University of California, San Diego, 6363 Alvarado Court, Suite 103, San Diego, CA, USA
| | - Rachel Odes
- National Clinician Scholars Program, University of California, San Francisco, San Francisco, CA, USA
- School of Nursing, University of Wisconsin-Madison, Madison, WI, USA
| | - Paige Lerman
- School of Public Health, UCSF - UC Berkeley Joint Medical Program (JMP), University of California, Berkeley, 2121 Berkeley Way, Berkeley, CA, USA
- School of Medicine, UCSF - UC Berkeley Joint Medical Program (JMP), University of California, San Francisco, 533 Parnassus Avenue, San Francisco, San Francisco, CA, USA
| | - Margaret A Handley
- Department of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, 2nd Floor, San Francisco, CA, USA
- Department of Medicine, University of California, San Francisco, 513 Parnassus Street, Room S-224, San Francisco, CA, USA
- UCSF Partnerships for Research in Implementation Science for Equity (PRISE) Center, 550 16th Street, 3rd Floor, San Francisco, CA, USA
| | - Phillip O Coffin
- San Francisco Department of Public Health, 1380 Howard Street, San Francisco, CA, USA
- Department of Medicine, University of California, San Francisco, 513 Parnassus Street, Room S-224, San Francisco, CA, USA
| | - Janet J Myers
- Department of Medicine, University of California, San Francisco, 513 Parnassus Street, Room S-224, San Francisco, CA, USA
- UCSF Partnerships for Research in Implementation Science for Equity (PRISE) Center, 550 16th Street, 3rd Floor, San Francisco, CA, USA
| | - Matthew L Goldman
- San Francisco Department of Public Health, 1380 Howard Street, San Francisco, CA, USA.
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco (UCSF), 675 18th Street, San Francisco, CA, USA.
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Scanlon F, Remch M, Scheidell JD, Brewer R, Dyer TV, Albis-Burdige B, Irvine N, Turpin R, Parker S, Cleland CM, Hucks-Ortiz C, Gaydos CA, Mayer KH, Khan MR. Posttraumatic Stress Disorder Symptoms and Incarceration: The Impact on Sexual Risk-Taking, Sexually Transmitted Infections, and Depression Among Black Sexual Minority Men in HIV Prevention Trials Network (HPTN) 061. PSYCHOLOGY OF MEN & MASCULINITY 2024; 25:44-56. [PMID: 38854997 PMCID: PMC11156418 DOI: 10.1037/men0000458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2024]
Abstract
Black men and people belonging to sexual minority groups are disproportionately impacted by criminal legal involvement and sexually transmitted infections (STIs). Traumatic experiences are often associated with later criminal legal involvement, depression symptoms, sexual risk behavior, and STIs. Research on the joint influence of trauma and incarceration on STI risk among racial and/or sexual minority people is limited. This study tested the association between post-traumatic stress disorder (PTSD) symptoms and incarceration on sexual risk behavior and STI among Black sexual minority men, a population that may be at higher risk for contracting STIs. Using data from the HIV Prevention Trials Network 061 Study, a longitudinal study of adult Black sexual minority men in six U.S. cities (N = 855), we tested associations between past six-month incarceration and subsequent sexual risk behavior, STI, and depression symptoms, for those with and without pre-incarceration PTSD symptoms. PTSD symptoms were elevated among participants who reported Hispanic ethnicity, having sex with both men and women, and previous incarceration. Although there were not significant differences between recent incarceration and sexual risk for those with and without PTSD, incarceration was linked to some sexual risk behaviors regardless of PTSD symptoms. Among people with PTSD symptoms, there was a higher prevalence of sexual risk and depression symptoms, regardless of incarceration. These findings suggest a potentially compounding influence of PTSD symptoms and incarceration on sexual risk and infection among Black sexual minority men.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Sharon Parker
- North Carolina Agricultural and Technical State University
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Nishith P, Huang J, Tsai J, Morse GA, Dell NA, Murphy A, Mueser KT. The Relationship Between Serious Mental Illness and Criminal Offending in Persons Experiencing Homelessness: The Role of Substance Use Disorder. Psychiatr Q 2023; 94:645-653. [PMID: 37750980 DOI: 10.1007/s11126-023-10054-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/17/2023] [Indexed: 09/27/2023]
Abstract
Individuals who live with mental illness are encumbered by related risk factors that increase the probability of legal involvement. The goal was to determine how homelessness and substance use disorder are intervening factors in the relationship between symptoms of serious mental illness (SMI) and criminal offending. A sample of 210 chronically homeless adults receiving SAMHSA-funded outreach and psychiatric rehabilitation services between 2014 and 2016 was recruited in a study of interventions to address housing in homeless persons with a SMI. Participants were interviewed and data collected were analyzed using structural equation modeling. Statistical analysis showed that homelessness severity mediated the relationship between SMI symptom severity and criminal offenses committed in the past 30 days in participants with a substance use disorder but not in those with no substance use diagnosis. Results show that homelessness and substance use are important to address to possibly alter trajectories for criminal justice involvement.
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Affiliation(s)
- Pallavi Nishith
- Places for People, Inc, 1001 Lynch Street, St. Louis, MO, 63118, USA.
| | - Jin Huang
- School of Social Work, Saint Louis University, St. Louis, United States
| | - Jack Tsai
- School of Public Health, UTHealth Science Center at Houston, Houston, USA
| | - Gary A Morse
- Places for People, Inc, 1001 Lynch Street, St. Louis, MO, 63118, USA
| | - Nathaniel A Dell
- Department of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, United States
| | - Allison Murphy
- Places for People, Inc, 1001 Lynch Street, St. Louis, MO, 63118, USA
| | - Kim T Mueser
- Department of Community Psychiatry Rehabilitation, Boston University, Boston, USA
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Vanjani R, Reddy N, Giron N, Bai E, Martino S, Smith M, Harrington-Steppen S, Trimbur MC. The Social Determinants of Health - Moving Beyond Screen-and-Refer to Intervention. N Engl J Med 2023; 389:569-573. [PMID: 37590456 DOI: 10.1056/nejmms2211450] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Affiliation(s)
- Rahul Vanjani
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Neha Reddy
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Nicole Giron
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Eric Bai
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Sarah Martino
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Megan Smith
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - Suzanne Harrington-Steppen
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
| | - M Catherine Trimbur
- From the Warren Alpert Medical School, Brown University (R.V., N.R., M.C.T.), Brown University School of Public Health (N.G.), and the Center for Health and Justice Transformation, Lifespan Health System (S.M.), Providence, the House of Hope Community Development Corporation, Warwick (R.V., M.S.), and the Roger Williams University School of Law, Bristol (S.H.-S.) - all in Rhode Island; and the Johns Hopkins University School of Medicine, Baltimore (E.B.)
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Foumakoye M, Britton MC, Ansari E, Saunders M, McCall T, Wang EA, Puglisi LB, Workman TE, Zeng-Treitler Q, Ying Y, Shavit S, Brandt CA, Wang KH. Personal Health Libraries for People Returning From Incarceration: Protocol for a Qualitative Study. JMIR Res Protoc 2023; 12:e44748. [PMID: 37133907 PMCID: PMC10193212 DOI: 10.2196/44748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 02/23/2023] [Accepted: 02/23/2023] [Indexed: 02/26/2023] Open
Abstract
BACKGROUND Individuals released from carceral facilities have high rates of hospitalization and death, especially in the weeks immediately after their return to community settings. During this transitional process, individuals leaving incarceration are expected to engage with multiple providers working in separate, complex systems, including health care clinics, social service agencies, community-based organizations, and probation and parole services. This navigation is often complicated by individuals' physical and mental health, literacy and fluency, and socioeconomic status. Personal health information technology, which can help people access and organize their health information, could improve the transition from carceral systems to the community and mitigate health risks upon release. Yet, personal health information technologies have not been designed to meet the needs and preferences of this population nor tested for acceptability or use. OBJECTIVE The objective of our study is to develop a mobile app to create personal health libraries for individuals returning from incarceration to help bridge the transition from carceral settings to community living. METHODS Participants were recruited through Transitions Clinic Network clinic encounters and professional networking with justice-involved organizations. We used qualitative research methods to assess the facilitators and barriers to developing and using personal health information technology for individuals returning from incarceration. We conducted individual interviews with people just released from carceral facilities (n=~20) and providers (n=~10) from the local community and carceral facilities involved with the transition for returning community members. We used rigorous rapid qualitative analysis to generate thematic output characterizing the unique circumstances impacting the development and use of personal health information technology for individuals returning from incarceration and to identify content and features for the mobile app based on the preferences and needs of our participants. RESULTS As of February 2023, we have completed 27 qualitative interviews with individuals recently released from carceral systems (n=20) and stakeholders (n=7) who support justice-involved individuals from various organizations in the community. CONCLUSIONS We anticipate that the study will characterize the experiences of people transitioning from prison and jails to community settings; describe the information, technology resources, and needs upon reentry to the community; and create potential pathways for fostering engagement with personal health information technology. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/44748.
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Affiliation(s)
- Marisol Foumakoye
- SEICHE Center for Health Justice, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - Meredith Campbell Britton
- Equity Research and Innovation Center, Yale School of Medicine, Yale University, New Haven, CT, United States
- Community Alliance for Research & Engagement, Yale School of Public Health, Yale University, New Haven, CT, United States
| | - Emile Ansari
- Equity Research and Innovation Center, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - Monya Saunders
- SEICHE Center for Health Justice, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - Terika McCall
- Division of Health Informatics, Department of Biostatistics, Yale School of Public Health, Yale University, New Haven, CT, United States
- Section of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, United States
- Center for Interdisciplinary Research on AIDS, Yale School of Public Health, Yale University, New Haven, CT, United States
| | - Emily A Wang
- SEICHE Center for Health Justice, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - Lisa B Puglisi
- SEICHE Center for Health Justice, Yale School of Medicine, Yale University, New Haven, CT, United States
| | - T Elizabeth Workman
- Center for Biomedical Informatics, George Washington University, Washington, DC, United States
- Department of Veterans Affairs, VA Healthcare Systems, West Haven, CT, United States
| | - Qing Zeng-Treitler
- Center for Biomedical Informatics, George Washington University, Washington, DC, United States
- Department of Veterans Affairs, VA Healthcare Systems, West Haven, CT, United States
| | - Yin Ying
- Center for Biomedical Informatics, George Washington University, Washington, DC, United States
| | - Shira Shavit
- Transitions Clinic Network, San Francisco, CA, United States
- Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, United States
| | - Cynthia A Brandt
- Division of Health Informatics, Department of Biostatistics, Yale School of Public Health, Yale University, New Haven, CT, United States
- Section of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, United States
- Department of Veterans Affairs, VA Healthcare Systems, West Haven, CT, United States
| | - Karen H Wang
- SEICHE Center for Health Justice, Yale School of Medicine, Yale University, New Haven, CT, United States
- Equity Research and Innovation Center, Yale School of Medicine, Yale University, New Haven, CT, United States
- Section of Biomedical Informatics and Data Science, Yale School of Medicine, Yale University, New Haven, CT, United States
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Prost SG, Zaller N, Williams B. Guest editorial. Int J Prison Health 2023; 19:1-3. [PMID: 38899612 DOI: 10.1108/ijph-03-2023-119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Affiliation(s)
- Stephanie Grace Prost
- Raymond A. Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA
| | - Nickolas Zaller
- University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Brie Williams
- School of Medicine, Center for Vulnerable Populations, UCSF, San Francisco, California, USA
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Park S, Kim C, Yoo JW. Letter to the Editor: Results from the HOPE HOME Study. J Gen Intern Med 2023; 38:244. [PMID: 36260245 PMCID: PMC9849601 DOI: 10.1007/s11606-022-07840-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 10/06/2022] [Indexed: 01/22/2023]
Affiliation(s)
- Seong Park
- Department of Criminal Justice, Greenspun College of Urban Affairs, University of Nevada, Las Vegas, NV, USA
| | - Changsun Kim
- Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea
- Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA
| | - Ji Won Yoo
- Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA.
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Augustine D, Kushel M. Community Supervision, Housing Insecurity, & Homelessness. THE ANNALS OF THE AMERICAN ACADEMY OF POLITICAL AND SOCIAL SCIENCE 2022; 701:152-171. [PMID: 36540854 PMCID: PMC9762769 DOI: 10.1177/00027162221113983] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
In recent decades, the United States has seen the simultaneous rise of mass incarceration and homelessness. The two crises interact with and worsen one another. Mass incarceration and homelessness are driven by the same structural factors and exacerbate one another in a feedback loop. People on community supervision face many barriers to housing, putting them at high risk of experiencing homelessness in the months following release. People experiencing homelessness are at heightened risk of criminal justice involvement, including violating the terms of their community supervision, for engaging in survival behaviors in public spaces. This paper presents evidence-based approaches to improving housing strategies for reentry populations, preventing homelessness among those in community supervision, and rehousing members of the reentry community experiencing homelessness. It concludes with recommendations for policymakers interested in improving housing outcomes and overall reentry success for people on community supervision.
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Affiliation(s)
- Dallas Augustine
- Benioff Homelessness and Housing Initiative at the University of California, San Francisco
| | - Margot Kushel
- Corresponding author. Benioff Homelessness and Housing Initiative, UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital and Trauma Center, Box 1339, 2789 25 Street, Ste. 350, San Francisco, CA 94110,
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