Cargando…

“The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers

People with intellectual and developmental disabilities (IDD) experience elevated risk for poor health and social outcomes in adulthood and are at risk for experiencing homelessness and housing instability. Although the exact prevalence of IDD among homeless populations is unknown, a small body of l...

Descripción completa

Detalles Bibliográficos
Autores principales: Thurman, Whitney, Heitkemper, Elizabeth, Hutson, Tara, Preston, Angela, Hecht, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494477/
https://www.ncbi.nlm.nih.gov/pubmed/37550990
http://dx.doi.org/10.1177/10497323231186880
_version_ 1785104701702799360
author Thurman, Whitney
Heitkemper, Elizabeth
Hutson, Tara
Preston, Angela
Hecht, Jonathan
author_facet Thurman, Whitney
Heitkemper, Elizabeth
Hutson, Tara
Preston, Angela
Hecht, Jonathan
author_sort Thurman, Whitney
collection PubMed
description People with intellectual and developmental disabilities (IDD) experience elevated risk for poor health and social outcomes in adulthood and are at risk for experiencing homelessness and housing instability. Although the exact prevalence of IDD among homeless populations is unknown, a small body of literature related to the intersection of IDD and homelessness suggests differential health needs and service use patterns, with a need for targeted health and social services. In this study, we explore the perceptions and experiences of 18 homeless or disability service providers about (a) their clients at the intersection of IDD and homelessness and (b) their role and the services provided at the intersection of IDD and homelessness. Participants struggled to provide appropriate, accessible services for this population, owing to lack of training and awareness of specific needs, fragmented systems, and inadequately funded healthcare and housing support. Our findings also reveal that clients at this intersection have high contact with public systems, which places them at risk for losing their right to self-determination. Recommendations center on systems transformation to facilitate the ability of providers to collaborate and to make data-driven decisions to deliver person-centered care.
format Online
Article
Text
id pubmed-10494477
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-104944772023-09-12 “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers Thurman, Whitney Heitkemper, Elizabeth Hutson, Tara Preston, Angela Hecht, Jonathan Qual Health Res Research Articles People with intellectual and developmental disabilities (IDD) experience elevated risk for poor health and social outcomes in adulthood and are at risk for experiencing homelessness and housing instability. Although the exact prevalence of IDD among homeless populations is unknown, a small body of literature related to the intersection of IDD and homelessness suggests differential health needs and service use patterns, with a need for targeted health and social services. In this study, we explore the perceptions and experiences of 18 homeless or disability service providers about (a) their clients at the intersection of IDD and homelessness and (b) their role and the services provided at the intersection of IDD and homelessness. Participants struggled to provide appropriate, accessible services for this population, owing to lack of training and awareness of specific needs, fragmented systems, and inadequately funded healthcare and housing support. Our findings also reveal that clients at this intersection have high contact with public systems, which places them at risk for losing their right to self-determination. Recommendations center on systems transformation to facilitate the ability of providers to collaborate and to make data-driven decisions to deliver person-centered care. SAGE Publications 2023-08-07 2023-09 /pmc/articles/PMC10494477/ /pubmed/37550990 http://dx.doi.org/10.1177/10497323231186880 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Articles
Thurman, Whitney
Heitkemper, Elizabeth
Hutson, Tara
Preston, Angela
Hecht, Jonathan
“The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title_full “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title_fullStr “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title_full_unstemmed “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title_short “The System Tends to Scoop You Up and Spit You Out and They’re Done With You”: The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers
title_sort “the system tends to scoop you up and spit you out and they’re done with you”: the intersection of intellectual/developmental disability and homelessness from the perspectives of service providers
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494477/
https://www.ncbi.nlm.nih.gov/pubmed/37550990
http://dx.doi.org/10.1177/10497323231186880
work_keys_str_mv AT thurmanwhitney thesystemtendstoscoopyouupandspityououtandtheyredonewithyoutheintersectionofintellectualdevelopmentaldisabilityandhomelessnessfromtheperspectivesofserviceproviders
AT heitkemperelizabeth thesystemtendstoscoopyouupandspityououtandtheyredonewithyoutheintersectionofintellectualdevelopmentaldisabilityandhomelessnessfromtheperspectivesofserviceproviders
AT hutsontara thesystemtendstoscoopyouupandspityououtandtheyredonewithyoutheintersectionofintellectualdevelopmentaldisabilityandhomelessnessfromtheperspectivesofserviceproviders
AT prestonangela thesystemtendstoscoopyouupandspityououtandtheyredonewithyoutheintersectionofintellectualdevelopmentaldisabilityandhomelessnessfromtheperspectivesofserviceproviders
AT hechtjonathan thesystemtendstoscoopyouupandspityououtandtheyredonewithyoutheintersectionofintellectualdevelopmentaldisabilityandhomelessnessfromtheperspectivesofserviceproviders