The physical and mental health status of homeless adults

Abstract

This paper reviews recent research on the physical and mental health status of homeless single adults and briefly summarizes definitional, sampling, and measurement problems. It presents findings from research examining the physical health status of homeless adults; the data suggest that homelessness places people at greater risk for specific health problems and also complicates treatment. The authors then review findings on the mental health status of homeless adults from several methodologically rigorous studies that carefully define and measure mental illness among the homeless population. The final section discusses what is known about the short‐ and long‐term service needs of the physically and mentally disabled homeless population.

The studies reviewed suggest that individuals with chronic physical or severe mental illnesses are more vulnerable than others to homelessness. Homelessness exacerbates physical and/or mental conditions and complicates their treatment. Despite myths to the contrary, research and demonstration programs have shown that most homeless individuals are willing to receive assistance. By linking health and mental health services to appropriate housing, such individuals can be treated and cared for in community settings. However, local communities often do not have the necessary resources to meet the long‐term needs of severely mentally ill or physically disabled homeless people.     

Parenting education: Primary prevention in a rural community

SUMMARY

The present paper describes the educational background and current role of a community psychologist conducting tobacco control studies at a research institute affiliated with a university medical school. This includes how the author originally became interested in community psychology as an undergraduate, chose a graduate training program and postdoctoral fellowship, and how this training was instrumental in obtaining the current position.     

Democracy or democrazy? Local experiences of democratization in Timor-Leste

Since gaining independence from Indonesia in 1999, Timor-Leste has been pursuing an agenda of democratization. However, in the villages of Timor-Leste traditional ideas of socio-political legitimacy continue to be strong. The purpose of this article is to examine how the new democratic ideals are being incorporated into local politics, where traditional law, or lisan, continues to guide the daily lives of the villagers. This article argues that democratization in this context should not be seen as integrating one ‘type’ of governance (liberal democracy) into a social structure that is informed by another ‘type’ of governance that is qualitatively different and in opposition to the first. Rather, evidence shows that communities are engaging within both spheres of governance simultaneously, as part of the everyday politics of village life. This article critically examines the areas where traditional and democratic institutional spheres come together, resulting in structured systems of mutual recognition, as well as the areas where the spheres have been in conflict. The author concludes that the fundamental areas of tension that have emerged between the spheres tend to be where notions of ‘respect-in-community’ as the basis for human security are threatened.     

Providing Interdisciplinary Services to At‐Risk Families to Prevent the Placement of Children In Foster Care

Grandparents need support to take on the responsibility of children whose parents cannot care for them due to drug addiction, mental health issues, HIV illness, or other health problems. Without support and assistance, these families and children are likely to end up enmeshed in the already overburdened child abuse and neglect system. The University of Maryland has created a model program providing social work and legal services to at‐risk grandparent families to help avoid the unnecessary placement of these children in foster care. In this new program, student attorneys and student social workers worked with the grandparent client to help stabilize the family, providing representation or advice on housing, public benefits, custody, and school‐related issues. Joint education of student attorneys and student social workers in a clinical experience enhances their understanding of their roles and those of the other profession and prepares them for a more thoughtful and informed approach to family law, child welfare cases, and at‐risk children.     

Explaining the Reversed Gender Gap in Political Consumerism: Personality Traits as Significant Mediators

Research on political consumerism documents a persistent reversed gender gap, as women boycott and buycott products more often than men. Previous efforts to explain the reversed gender gap rely on classical theoretical models developed to illuminate gender differences in political participation in general. Accounting for socio‐economic and situational factors as well as socialization leaves a significant amount of the reversed gender gap unexplained, though. Adhering to recent empirical evidence of personality as an important factor influencing political behavior, we argue that gender differences in personality traits could provide an alternative explanation to account for gender disparities in political consumerism. We use original survey data specially designed to measure political consumerism in Switzerland, which also include the Big Five model of personality. We find empirical evidence that gender differences in personality traits, in particular agreeableness, explain a significant portion of the reversed gender gap in political consumerism.