The role of Medicaid in improving access to care for homeless people

Author(s):  
Martha R. Burt ◽  
Patrick Sharkey
2019 ◽  
Vol 39 (3/4) ◽  
pp. 250-263 ◽  
Author(s):  
Ian Mahoney

Purpose The purpose of this paper is to critique the role of homeless hostels in contemporary society, examining their role and legitimacy as sites of discipline and regulation of behaviors, ideas and aspirations. Design/methodology/approach The research draws upon in-depth qualitative interviews and supplementary observations undertaken in two homeless hostels in Stoke-on-Trent. Findings The research finds that even the most benign interventions enacted in homeless hostels are infused with disciplinary and regulatory techniques and suggests that the author needs to consider the legitimacy and efficacy of such approaches when seeking to understand the role of the hostel in assisting residents in (re)developing their autonomy. Research limitations/implications While there are legitimate reasons for the deployment of such techniques in some cases, legitimacy can be undermined where expectations go unmet or where developing residents’ and service user’s needs are not necessarily the main object of the interventions. Practical implications Hostel providers need to consider the ethicality and legitimacy of the interventions in place when seeking to help service users and residents to (re)develop their autonomy and ensure that efforts are focused in an effective and meaningful way. Social implications Homeless people are among the most vulnerable and excluded in society. The paper seeks to draw attention to the disciplinary and regulatory techniques to which they are subject in order to ensure that approaches employed to support homeless individuals have a clear, ethical and legitimate basis. Originality/value The research draws upon original data collected as part of a doctoral research project into wider experiences of unemployment.


2017 ◽  
Vol 80 (9) ◽  
pp. 533-538 ◽  
Author(s):  
Chris Lloyd ◽  
Joanne Hilder ◽  
Philip Lee Williams

Introduction This project had two aims: to gain an understanding of the profile and expressed needs of people seen by the Homeless Emergency Department Liaison Officer in the emergency department in comparison to general hospital presentations, and to explore the potential role for occupational therapy to respond to this population. Method The Emergency Department Information Systems database and Homeless Emergency Department Liaison Officer files were examined to gather data on all individuals who presented to the hospital emergency department over a 16-month period. The viability of a discipline-specific role to respond to this population was then considered by senior occupational therapists. Results The results revealed that the majority of homeless people seen were male and in the early middle age group, with more than half arriving at the emergency department by way of ambulance services. The most common reasons for presentation were medical, mental health and drug- and alcohol-related issues. Conclusion It was found that a large percentage of people seen in the emergency department were discharged back to the streets. Senior occupational therapists have the potential to provide brief assessments and interventions that could reduce the ongoing demand on emergency department resources by people who are homeless.


1970 ◽  
Vol 15 (1) ◽  
Author(s):  
Catherine Robinson

The felt—as both methodology and experiential terrain—remains under-explored and under-theorised in research on homelessness.  This experimental piece traces the multi-sensory engagement of ethnographic and biographic fieldwork undertaken for separate projects with homeless people in two capital cities on Australia’s east coast.  The epistemological contributions and emotional dimensions of seeing, tasting, touching, smelling and listening are explored.  Through a series of short ‘felt’ reflections, consideration of the critical role of corporeality in coming to know and inscribe the experiences of others is prompted.  The feeling, researching body is posited as central to new, productive and holistic intertwinings with felt-experience and the mixed trajectories of grief, humour, violence and trauma that often characterise persistent homelessness are made vivid. 


2015 ◽  
Vol 33 (2) ◽  
pp. 181-185 ◽  
Author(s):  
Alexander T. Janke ◽  
Aaron M. Brody ◽  
Daniel L. Overbeek ◽  
Justin C. Bedford ◽  
Robert D. Welch ◽  
...  

2019 ◽  
Vol 64 (3 (253)) ◽  
pp. 91-105
Author(s):  
Agnieszka Kowalska

This article is a reflection on the role of inclusive education in counteracting social inequalities and the presentation of a section of qualitative research conducted among homeless people who participated in active inclusion projects. The concept of inclusive lifelong learning indicates the need to create optimal conditions for lifelong education for every person. It is a key condition for improving individual quality of life and a tool for making individual success. The article refers to a fragment of narrative biographical research conducted among the homeless. Qualitative research is about subjective reality, revealing the unique aspects of active inclusion.


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