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Monk J, Black J, Carter RZ, Hassan E. Bereavement in the context of homelessness: A rapid review. DEATH STUDIES 2023; 48:561-570. [PMID: 37561057 DOI: 10.1080/07481187.2023.2246134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
It is common for the bereaved who are experiencing homelessness to be unrecognized grievers, who are then not adequately supported in their bereavement. This rapid review gathered published information from 17 references on how bereavement is experienced within the context of homelessness (from 509 references imported for screening). Four themes identified for understanding the bereavement experience were bereavement as a risk factor for homelessness, anticipatory grief, increased frequency of death, and ways of processing grief. Current practices used for support were themed into memorials, advocacy, and trauma-informed care. Themes for gaps and barriers to support were bereavement being systematically overlooked and environmental features present. The summary of findings is intended to help inform future research, policy, legislation, and cultural responses to grief and bereavement with the hope it may reduce people's grief from being disenfranchized.
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Affiliation(s)
- Jody Monk
- BC Centre for Palliative Care, New Westminster, Canada
| | - Joshua Black
- BC Centre for Palliative Care, New Westminster, Canada
| | - Rachel Z Carter
- BC Centre for Palliative Care, New Westminster, Canada
- Division of Palliative Care, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Eman Hassan
- BC Centre for Palliative Care, New Westminster, Canada
- Division of Palliative Care, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada
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Adams EA, Parker J, Jablonski T, Kennedy J, Tasker F, Hunter D, Denham K, Smiles C, Muir C, O’Donnell A, Widnall E, Dotsikas K, Kaner E, Ramsay SE. A Qualitative Study Exploring Access to Mental Health and Substance Use Support among Individuals Experiencing Homelessness during COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063459. [PMID: 35329147 PMCID: PMC8950841 DOI: 10.3390/ijerph19063459] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/11/2022] [Accepted: 03/12/2022] [Indexed: 11/16/2022]
Abstract
People experiencing homelessness have higher rates of mental ill-health and substance use and lower access to health services compared to the general population. The COVID-19 pandemic led to changes in service delivery across health and social care services, with many adopting virtual or telephone support for service users. This paper explores the experiences of access to community-based mental health and substance use support for people experiencing homelessness during the COVID-19 pandemic. Qualitative telephone interviews were conducted with 10 women and 16 men (ages 25 to 71) who self-identified as experiencing homelessness in North East England between February and May 2021. With five individuals with lived experience, results were analysed using inductive reflexive thematic analysis. Reactive changes to support provision often led to inadvertent exclusion. Barriers to access included: physical locations, repetition of recovery stories, individual readiness, and limited availability. Participants suggested creating services reflective of need and opportunities for choice and empowerment. Community mental health and substance use support for people experiencing homelessness should ensure the support is personalised, responsive to need, inclusive, and trauma-informed. The findings of this research have important implications for mental health and substance use policy and practice for individuals who experience homelessness during a public health crisis.
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Affiliation(s)
- Emma A. Adams
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
- Correspondence:
| | - Jeff Parker
- HeathNow, Crisis, City House 1 City Road, Newcastle upon Tyne NE1 2AF, UK
- Pathway, 4th Floor East, 250 Euston Road, London NW1 2PG, UK
- Crisis Pie Team, 66 Commercial Street, London E1 6LT, UK
| | - Tony Jablonski
- HeathNow, Crisis, City House 1 City Road, Newcastle upon Tyne NE1 2AF, UK
- Pathway, 4th Floor East, 250 Euston Road, London NW1 2PG, UK
- Crisis Pie Team, 66 Commercial Street, London E1 6LT, UK
| | - Joanne Kennedy
- Expert by Experience Network, Fulfilling Lives Newcastle Gateshead, Gateshead NE8 4DY, UK
| | - Fiona Tasker
- Expert by Experience Network, Fulfilling Lives Newcastle Gateshead, Gateshead NE8 4DY, UK
| | - Desmond Hunter
- HeathNow, Crisis, City House 1 City Road, Newcastle upon Tyne NE1 2AF, UK
- Expert by Experience Network, Fulfilling Lives Newcastle Gateshead, Gateshead NE8 4DY, UK
| | - Katy Denham
- Newcastle University Medical School, Newcastle University, Newcastle upon Tyne NE2 4HH, UK;
| | - Claire Smiles
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
| | - Cassey Muir
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
| | - Amy O’Donnell
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
| | - Emily Widnall
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK;
| | | | - Eileen Kaner
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
| | - Sheena E. Ramsay
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE3 4ES, UK; (C.S.); (C.M.); (A.O.); (E.K.); (S.E.R.)
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Joyes EC, McGowan LJ, Adams EA, Paisi M, Burrows M, Shabaninejad H, Beyer F, Haddow K, Coyte A, Landes D, Moffatt S, Watt RG, Sniehotta FF, Bambra C, Craig D, Kaner E, Ramsay SE. Exploring Interventions to Improve the Oral Health and Related Health Behaviours of Adults Experiencing Severe and Multiple Disadvantage: Protocol for a Qualitative Study with Stakeholders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211755. [PMID: 34831509 PMCID: PMC8624319 DOI: 10.3390/ijerph182211755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 10/28/2021] [Accepted: 11/04/2021] [Indexed: 11/27/2022]
Abstract
The number of individuals in England experiencing homelessness, substance use, and involvement with the criminal justice system is increasing. These issues, referred to as severe and multiple disadvantage (SMD), are often interlinked and co-occur. Health inequalities, particularly poor oral health, persist for those facing these inter-related issues and are closely linked with high levels of substance use, smoking, and poor diet. However, evidence for interventions that can improve these health outcomes for those experiencing these issues is limited. This paper outlines the design of a qualitative study which aims to explore the perspectives of stakeholders to understand what interventions can help to support SMD groups with their oral health and related health behaviours (i.e., substance use, smoking, diet). Interviews and focus groups will be undertaken with stakeholders comprising two groups: (1) individuals with experience of SMD, and (2) service providers (staff and volunteers), policy makers, and commissioners who support such individuals. Public involvement and engagement is central to the project. For example, stakeholders and research partners in policy and practice and people with lived experience of SMD will provide input at all stages of this study. Findings from the study will inform an ‘evidence for practice’ briefing outlining recommendations for policy. Dissemination will occur through presentations to a range of practice, policy and academic beneficiaries, and through peer-reviewed publications.
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Affiliation(s)
- Emma C. Joyes
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Laura J. McGowan
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
- Correspondence:
| | - Emma A. Adams
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Martha Paisi
- Peninsula Dental School, University of Plymouth, Plymouth PL4 8AA, UK;
| | | | - Hosein Shabaninejad
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Fiona Beyer
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Kate Haddow
- Fulfilling Lives Newcastle/Gateshead, Gateshead NE8 4DY, UK;
| | - Aishah Coyte
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - David Landes
- Public Health England, Newcastle Upon Tyne NE15 8NY, UK;
| | - Suzanne Moffatt
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Richard G. Watt
- Department of Epidemiology and Public Health, University College London, London WC1E 7HB, UK;
| | - Falko F. Sniehotta
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Clare Bambra
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Dawn Craig
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Eileen Kaner
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Sheena E. Ramsay
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (H.S.); (F.B.); (A.C.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
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