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- Factors associated with providers’ work engagement and burnout in homeless services: A cross‐national studyPublication . Lenzi, Michela; Santinello, Massimo; Gaboardi, Marta; Disperati, Francesca; Vieno, Alessio; Calcagnì, Antonio; Greenwood, Ronni; Rogowska, Aleksandra; Wolf, Judith; Loubiere, Sandrine; Beijer, Ulla; Bernad, Roberto; Vargas-Moniz, Maria; Ornelas, José; Spinnewijn, Freek; Shinn, MarybethThe complexity of homeless service users' characteristics and the contextual challenges faced by services can make the experience of working with people in homelessness stressful and can put providers' well-being at risk. In the current study, we investigated the association between service characteristics (i.e., the availability of training and supervision and the capability-fostering approach) and social service providers' work engagement and burnout. The study involved 497 social service providers working in homeless services in eight different European countries (62% women; mean age = 40.73, SD = 10.45) and was part of the Horizon 2020 European study "Homelessness as Unfairness (HOME_EU)." Using hierarchical linear modeling (HLM), findings showed that the availability of training and supervision were positively associated with providers' work engagement and negatively associated with burnout. However, results varied based on the perceived usefulness of the training and supervision provided within the service and the specific outcome considered. The most consistent finding was the association between the degree to which a service promotes users' capabilities and all the aspects of providers' well-being analyzed. Results are discussed in relation to their implications for how configuration of homeless services can promote social service providers' well-being and high-quality care.
- Homeless adults’ recovery experiences in housing first and traditional services programs in seven european countriesPublication . Greenwood, Ronni Michelle; Manning, M; O' Shaughnessy, Branagh; Moniz, Maria João Vargas; Loubiere, Sandrine; Spinnewijn, Freek; Lenzi, Michela; Wolf, Walter; Bokszczanin, Anna; Bernad, Roberto; Källmen, Håkan; Ornelas, José; Monteiro, Maria Fátima Jorge; Almas, Inês; Duarte, Teresa; Disperati, Francesca; Gaboardi, Marta; Santinello, Massimo; Vieno, Alessio; Marques, Rita P.; Carmona, Maria; Nave, Américo; Rivero, Borja; Julián, Martin; Zmaczynska–Witek, Barbara; Katarzyna, Skałacka; Rogowska, Aleksandra; Schel, Sandra; Peters, Yvonne; Van Loenen, Tessa; Raben, Liselotte; Beijer, Ulla; Blid, Mats; Bispo, Teresa; Cruz, Tiago; Pereira, Carla; Auquier, Pascal; Petit, Leon; Tinland, AurelieAcross Europe, as governments turn to housing-led strategies in attempts to reverse rising rates of homelessness, increasing numbers of Housing First (HF) programs are being implemented. As HF programs become more widespread, it is important to understand how service users experience them compared to the more prevalent traditional treatment-first approach to addressing long-term homelessness. Although there is a large body of research on service users' experiences of Housing First compared to treatment-first in North American contexts, comparatively less is known about how these two categories of homeless services are experienced in the European context. In a correlational and cross-sectional study, part of a larger examination of homelessness in Europe, participants (n = 520) engaged with either HF (n = 245) or traditional services (TS; n = 275) programs in seven countries completed measures of their experiences of services (consumer choice, housing quality, and service satisfaction) and recovery (time in independent housing, psychiatric symptoms, and community integration). Across the seven countries, participants engaged with HF programs reported experiencing more consumer choice, better perceived housing quality, and more satisfaction with services than participants engaged in TS programs. Participants in HF programs also reported a greater proportion of time in independent accommodation, fewer psychiatric symptoms, and more community integration. Varying patterns of association between experiences of services and recovery outcomes were observed. Findings indicate HF consistently predicts greater recovery than TS across diverse sociopolitical and economic contexts. Implications of findings for configurations of homeless services and homeless services policy are discussed.
- Multiculturalism in dominant ethnic populations: A transnational profile analysisPublication . Rochira, Alessia; Verbena, Serena; Briozzo, Erica; De Simone, Evelyn; Esposito, Francesca; Garrido, Rocío; Ramirez Garcia, Manuel; Paloma, Virginia; Vargas-Moniz, M.; Mannarini, TerriFollowing a person-centered approach, the present study investigates support for multiculturalism of dominant ethnic members. Using Latent Profile Analysis, the current investigation aimed to identify subgroups of dominant ethnic participants and examine potential difference in their endorsement of multiculturalism towards subaltern ethnic groups. Based on the existing literature, subgroups of dominant members were identified along with the combination of multiple obstacles (i.e., national identity and intolerance) and resources (i.e., positive intergroup contact, psychological resilience and universalism) towards the endorsement of multiculturalism. Findings from a transnational sample of individuals (N. 636) across three Southern European Countries (i.e., Italy, Portugal and Spain) yielded five distinct profiles (i.e., Cosmopolitans, Glocals, Parochials, Resilient Intolerants and Disengaged). Also, they indicated that the identified subgroups differed on patterns of key psychosocial variables and degree of endorsement of multiculturalism. The majority of the sample (Cosmopolitans, Glocals and Disegnaged) show high level of multiculturalism, despite interesting differences characterized the distribution of the profiles across the three countries: the more intolerant profiles (Parochials and Resilient Intolerants) were prevalent in Italy. Contrarily to our expectations, national identity was not exclusionary per se, as has been reported elsewhere. Rather, depending on its combination with other key variables, it worked either as an obstacle or as a resource towards the support for multiculturalism of dominant ethnic members. Potential contributions of Latent Profile Analysis for an in depth understanding of multiculturalism and implications for interventions are discussed.
- Homelessness as UnfairnessPublication . Ornelas, José; Vargas-Moniz, M.; the HOME_EU consortium study GroupThe E-Book is one of the HOME_EU (GA/726997) deliverables and it is focused on information that was not comprehensively described in the sectorial studies integrated into each of the Work-packages. This E-Book provides the description of the overall research designs and methods selected to accomplish the overall project aims, as well as the implementation challenges of trans-national research efforts (many already included in procedural documents produced during the project). We also provide critical reflections the authors found to be relevant for the future. The other aim of this E-book is the presentation of the development of Housing First Programs within the European Partner Countries, bringing in the vision and challenge of partner organizations implementing programs in diverse communities in very different stages of development. Therefore, the content is composed of two main sections, one with a Research focus, and the other related to Housing First program development within partner countries.
- Working with people experiencing homelessness in EuropePublication . Gaboardi, Marta; Santinello, Massimo; Disperati, Francesca; Lenzi, Michela; Vieno, Alessio; loubiere, sandrine; João Vargas Moniz, Maria; Spinnewijn, Freek; Greenwood, Ronni Michelle; Wolf, Judith R.; Bokszczanin, Anna; Bernad, Roberto; Blid, Mats; Ornelas, José; Shinn, MarybethIn Europe, the widespread transition from the Traditional Staircase (TS) model to the Housing First (HF) model is transforming the way social service providers work with people experiencing homelessness. This study examined social service providers’ perspectives in both models regarding factors that facilitate or hinder their work. Data were collected through 17 photovoice projects involving 81 social service providers from eight European countries. The results show factors affecting social service providers’ work at three levels: systemic, organizational, and individual. Professionals in TS and HF identified similar topics; however, TS providers discussed more obstacles to work. Implications for practice are discussed.
- Psychometric properties of the measure of achieved capabilities in homeless servicesPublication . Greenwood, Ronni; O'Shaughnessy, Branagh R.; Manning, Rachel; Vargas-Moniz, Maria; Sacchetto, Beatrice; Ornelas, José; Jorge-Monteiro, Maria F.; Almas, Inês; Duarte, Teresa; Disperati, Francesca; Gaboardi, Marta; Lenzi, Michela; Santinello, Massimo; Vieno, Alessio; Marques, Rita P.; Carmona, Maria; Nave, Américo; Bernad, Roberto; Rivero, Borja; Julien, Martin; Bokszczanin, Anna; Kalinowska-Witek, Barbara; Katarzyna, Skałacka; Rogowska, Aleksandra; Schel, Sandra; Peters, Yvonne; vanLoenen, Tessa; Raben, Liselotte; Wolf, Judith R.; Beijer, Ulla; Blid, Mats; Källmen, Håkan; Bispo, Maria Teresa; Cruz, Tiago; Pereira, Carla; Auquier, Pascal; Petit, Pascal; Loubière, Sandrine; Tinland, AurélieBackground Purposeful participation in personally meaningful life tasks, enjoyment of positive reciprocal relationships, and opportunities to realize one’s potential are growth-related aspects of a meaningful life that should be considered important dimensions of recovery from homelessness. The extent to which homeless services support individuals to achieve the capabilities they need to become who they want to be and do what they want to do is, in turn, an important indicator of their efectiveness. In this study, we developed a measure of achieved capabilities (MACHS) for use in homeless services settings, and assessed its construct and concurrent validity. Methods We analysed data collected from homeless services users at two time points in eight European countries to assess the factor structure and psychometric properties of the new measure. Participants were adults engaged with either Housing First (n=245) or treatment as usual (n=320). Results Exploratory and confrmatory factor analyses yielded a four-factor structure of the capabilities measure: community integration, optimism, safety, and self-determination. We obtained evidence for construct validity through observed correlations between achieved capabilities and recovery, working alliance and satisfaction with services. Moreover, we obtained evidence of the measure’s concurrent validity from its positive association between HF and personal recovery, which was fully mediated by achieved capabilities. Conclusions Findings demonstrate that the MACHS is a valid and reliable measure that may be used to assess the extent to which homeless services support their clients to develop capabilities needed for growth-related recovery. Implications for practice and future research directions are discussed.
- European public perceptions of homelessness: A knowledge, attitudes and practices surveyPublication . Petit, Junie; Loubiere, Sandrine; Tinland, Aurlie; João Vargas Moniz, Maria; Spinnewijn, Freek; Manning, Rachel; Santinello, Massimo; Wolf, Judith; Bokszczanin, Anna; Bernad, Roberto; Källmen, Håkan; Ornelas, José; Auquier, PascalAddressing Citizen's perspectives on homelessness is crucial for the design of effective and durable policy responses, and available research in Europe is not yet substantive. We aim to explore citizens' opinions about homelessness and to explain the differences in attitudes within the general population of eight European countries: France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain, and Sweden.
- Distal supports, capabilities, and growth‐focused recovery: A comparison of Housing First and the staircase continuum of carePublication . Greenwood, Ronni Michelle; O'Shaughnessy, Branagh R.; Manning, Rachel; Hogan, Niamh; Vargas-Moniz, Maria; Ornelas, JoséAdults who have substantial histories of homelessness and complex support needs may feel ambivalent about integrating into their communities and find it difficult to do so. Being familiar to and recognized by others as a resident in a neighborhood or community are sources of “distal support” that provide individuals with feelings of belonging to their community and are important to recovery from homelessness. We hypothesized that individuals engaged with Housing First (HF) programs would report more distal support than individuals engaged with traditional homeless services (treatment as usual, TAU), and that distal support would predict more community integration, growth‐related recovery, and achieved capabilities. We analyzed data collected from homeless services users (n = 445) engaged with either HF or TAU in eight European countries. Measures included achieved capabilities, growth‐focused recovery, distal supports, and community integration. Serial mediation analyses confirmed our hypothesis that the effects of HF on growth‐related recovery and achieved capabilities are indirect, mediated by distal supports and community integration. Findings are discussed in relation to the importance of modeling the effects of HF on social and psychological outcomes as indirect and identifying important mediators that translate the effects of HF components on social and psychological outcomes. We also note the importance of case management activities that encourage clients to develop and sustain distal supports with others who live and work in their neighborhoods.
- Critical insights on social connections in the context of resettlement for refugees and asylum seekersPublication . Briozzo, Erica; Vargas-Moniz, M.; Ornelas, JoséResettlement ofers a “safe solution” for people who have experienced displacement. Nevertheless, refugees face additional challenges once resettled, including the erosion of their social fabric and the disruption of refugee communities. Therefore, social connections are crucial in resettlement. So far, the literature on social connections has focused on their functions (e.g., social support) and neglected this concept to the detriment of its meaning and related factors, so an in-depth exploration of social connections is necessary, especially in the problematic context of resettlement. To this end, 41 articles published between 2011 and 2022 and conducted with refugees and asylum seekers in resettlement contexts, were identifed through searches in MEDLINE, Scopus, Google Scholar, and PsycINFO. The aim of this scoping review is to identify potentially broad literature on social connections in resettlement to provide an understanding of how refugees engage in social connections during this process. Four main social connections in the resettlement context emerged: (a) connections within the immediate community, (b) transnational connections, (c) connections with the mainstream community, and (d) connections with services. The results confrm the need to better explore how social connections impact refugees’ experiences in resettlement and to grasp their political meaning in resettlement contexts.
- Europeans’ willingness to pay for ending homelessness: A contingent valuation studyPublication . Loubiere, Sandrine; Taylor, Owen; Tinland, Aurelie; Moniz, Maria João Vargas; O'Shaughnessy, Branagh R; Bokszczanin, Anna; Källmen, Håkan; Bernad, Roberto; Wolf, Judith R.; Santinello, Massimo; Loundou, Anderson; Ornelas, José.; Auquier, PascalThe purpose of this study is to assess the utility value European citizens put on an innovative social program aimed at reducing homelessness. The Housing First (HF) model involves access to regular, scattered, independent and integrated housing in the community with the support of a multidisciplinary team. Currently, HF is not implemented by most European countries or funded by healthcare or social plans, but randomised controlled trials have stressed significant results for improved housing stability, recovery and healthcare services use. The broader implementation of HF across Europe would benefit from a better understanding of citizens' preferences and "willingness to pay" (WTP) for medico-social interventions like HF. We conducted a representative telephone survey between March and December 2017 in eight European countries (France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain, and Sweden). Respondent's WTP for HF (N = 5631) was assessed through a contingent valuation method with a bidding algorithm. 42.3% of respondents were willing to pay more taxes to reduce homelessness through the HF model, and significant differences were found between countries (p < 0.001); 30.4% of respondents who did not value the HF model were protest zeros (either contested the payment vehicle-taxes- or the survey instrument). Respondents were willing to pay €28.2 (±11) through annual taxation for the HF model. Respondents with higher educational attainment, who paid national taxes, reported positive attitudes about homelessness, or reported practices to reduce homelessness (donations, volunteering) were more likely to value the HF model, with some countries' differences also related to factors at the environmental level. These findings inform key stakeholders that European citizens are aware of the issue of homelessness in their countries and that scaling up the HF model across Europe is both feasible and likely to have public support.