Hodges' Model: Welcome to the QUAD: homeless

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label homeless. Show all posts
Showing posts with label homeless. Show all posts

Tuesday, January 30, 2024

"Maslow's hierarchy of needs hides housing horror" c/o Gary Backler in FTWeekend

"John Burn-Murdoch sets out graphically the intergenerational horror story of housing in Britain since 1980 (Opinion, January 13). ...
Abraham Maslow, the American psychologist, placed the need for "shelter" at the very bottom of his famous hierarchy of needs. 
We used to know this. I have a photo of my newly married parents' first rentbook for the council house into which they moved in 1953. It is clear on the cover that after the "accountant to the council", the next most responsible officer is the "medical officer of health". ...
Individual
   |
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :   POLITICAL 
|
Group

mental health

emotional needs

physical health

shelter/physical security

social needs - belonging

social care

society
Rentbook for council house in 1953 © Gary Backler


Backler, Gary, Maslow's hierarchy of needs hides housing horror, Letters. FT Weekend, 20-21 January 2024, p.8.
Ack. Financial Times. https://www.ft.com/content/3b8719f6-d8e9-4997-b9b5-7dd7ba96fc08

Previously: Maslow.

Wednesday, March 29, 2023

'Health' is a Many-Splendoured Thing c/o BBC Radio 4

BBC Radio 4 - Money Box Live: Rental Health Special


 INDIVIDUAL
|

 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
Mental health, Well-being
Quality of Life
Lived experience
Anxiety, Stress, Distress
Debt fear
Individual vulnerability

Life in Cities
Built environment - Urbanisation
Human Geographies
(Social) Housing
Air Pollution, Repair, Damp, Mould, Noise
Access to Green S pac es

Land-
Social Housing
Community - Family, Social cohesion
Social inclusion - Social justice
Group - Population vulnerability
Socio-Economic - Determinants of Health
Social poverty
'Living' Wage
Good/Bad Tenants/Landlords?
-Lords

"Felicity Hannah and Winifred Robinson take questions on the legal rights of renters with experts Jasmine Basran from the housing and homelessness charity Crisis and Tessa Shepperson founder of the The Landlord Law Services she advises landlords of their legal rights and responsibilities.

The number of people renting across England, Wales and Scotland has more than doubled in the last decade.

The picture in Northern Ireland is similar with the numbers of people renting is up by nearly 2 thirds in the last 20 years."


See also: Rental Health

Read in FT Weekend - hopefully the link will work for you:
Lessons from Vienna: a housing success story 100 years in the making

Previous posts: 'Homeless'

Sunday, October 02, 2022

Patient navigation model - Paper: mapped to h2cm


On twitter I learned of an EU project @CANCERLESS_EU and an initial paper:

 Exploring the application of the navigation model with people experiencing homelessness: a scoping review, Journal of Social Distress and Homelessness, DOI: 10.1080/10530789.2021.2021363

Phrases like 'navigation', 'architecture', 'maps' are a trigger so after some tweets, I was kindly directed to the above paper.

Here, I'm mapping patient navigation and related concepts I have added, to Hodges' model.


"Patient navigation is a community-based and person-centered intervention, whereby a named worker – the navigator – supports and guides individuals to overcome the barriers they face in accessing healthcare services and works to facilitate timely and appropriate access to care for the individual as well as their relatives, and caregivers, when needed (Freeman, 2012; Wang et al., 2015)."

 INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
psycho-
depression, anxiety,
distress, trauma (psyche)
serious mental health
substance misuse
dual diagnosis

vulnerability
isolated

difficult to engage, missing appointments, no designated point of access - Address

Personally reliant on welfare/benefits for finance - phone contact sporadic.

providing emotional support, phone, transport
Hit by energy costs/rent (pre-payment)
if finding a place.
hopelessness, lack of trust - let down many times? Stigmatized attitudes towards treatment?
tailored health education

asocial (due to lived experience, trauma..?)

-geography
low-income areas, or areas with a high proportion of ethnic minorities or migrants
USA - other nations - terminology?

method: scoping review, literature search,
inc. exc criteria
interventions tailored to age and gender

respiratory conditions,
trauma (physical)
excess winter mortality

"homeless population having an average age at death of just 47, 30 years lower than that for the general population"

exposure to activities known to
increase risk of cancer
HIV patients
data - inc. no-show rates
in-person / phone

Timeliness of screening, intervention

Navigators - lay persons,
or clinical professionals

Lived experience, "near peer" family

Training for Navigators

organizing and attending appointments and facilitating self-care/self-management

clinical and community settings, parks, pavements, and homeless encampments,
home visits, walking and support groups

*
risk of stigmatization and
experienced discrimination

navigation less successful with certain groups?


Underserved, marginalized people
Homelessness
High-risk of poor health-related outcomes
reported barriers

access to appropriate healthcare for this population are also often compounded by lack of insurance, legal problems*...

...the PN model has been associated with a reduction in hospital costs, and even in some cases, increased revenue

histories of offending and/or care
women in rural areas
non-specific vulnerable populations

reduce incarceration, vocational and volunteering activities, access to housing


Christina Carmichael, Lee Smith, Edelweiss Aldasoro, Alejandro Gil Salmerón, Tamara Alhambra-Borrás, Ascensión Doñate-Martínez, Radhika Seiler-Ramadas & Igor Grabovac (2022) Exploring the application of the navigation model with people experiencing homelessness: a scoping review, Journal of Social Distress and Homelessness, DOI: 10.1080/10530789.2021.2021363

Friday, July 30, 2021

Review: iv Fundamentals of Person-Centred Healthcare Practice

Chapter 15 on 'Being sympathetically present' is a timely review of empathy, sympathy and compassion. As students learn and are exposed to experiences in practice and socialised (or not) in how these are practised this is very useful allied with exposure to the 6Cs. Mentioned in post iii: chapter 19 on Person-Centred Rehabilitation would benefit from the addition of reablement and resettlement. Given resort to a single chapter [22] on mental health it is understandable that the extreme form of trauma - physical and psychological experienced (but not necessarily wholly remembered) for people sexually assaulted points to forensic and Criminal Justice Liaison and Diversion Services. The authors here are to be congratulated on a feat of explanatory gymnastics. This just hints at the PSYCHO-dynamic* world that is mental illness, health and well-being (*physical and political).

Perusal of W2tQ reveals how readily Hodges' model can encompass the sciences and the arts (humanities). This is by design (the model's structure). The book stresses art with some (very well-balanced and executed) illustrations and prose. Once again (sorry) though, I thought of veterans, homeless, veterans, prisoners and newly released offenders and their circumstances. Being person-centred is very much attitudinal but this is physical not just cognitive and how we apply knowledge. Where this person is in space that is the centre of gravity. How best to approach, a person living with dementia and impaired senses, a homeless person lying under a bridge - even before we speak. 

 

I'm sure I read 'touch' in here, but it is not indexed. Post-COVID and in nursing as part of person-centredness this is an important part of communications skills, safeguarding and being safe. 

For the newly released prisoner, how prepared are they to be the person they can be, even before we are 'person-centred'?

"For the first time in 25 years the one-off payment given to adult prison leavers in England and Wales is to be raised. The Prison Discharge Grant will increase from £46 to £76, but what difference will that make?"

https://www.bbc.co.uk/sounds/play/m000y5sq

 

The book identifies different interventions and models relevant to the respective practice area, i.e. rehabilitation. Chapter 33 presents a personal challenge in (being a lifelong learner) whether you have a fixed or growth mindset, which of four archetypes of self-awareness applies to you (pp.322-323)? It's worth reading for heutagogy (p.327). I was prompted to consider the ongoing journey here. If anyone would like to test the reflexive credentials of Hodges' model (p.328) please get in touch. Salience is a key concept in Hodges' model. What is important to the patient - person? What is now? Are we only person-centred dealing with conscious persons? Again, perhaps a missed opportunity - care of the unconscious patient? I enjoyed chapter 30 on critical thinking. I was reminded of (verbal) accounts of people applying the Tidal model in forensic care. This proved not exactly straight forward, whereas, once learned Hodges' model can function as an aide-mémoire. If shared then collaboration may be enhanced since as the latter sections of this book show specific concepts need to be identified, articulated, agreed and applied.

The final chapter's title made me laugh a little: A call to action. Sometimes you can't win on the periphery of academia (a privileged position nonetheless?). KISS (Keep it simple stupid) applies to Hodges' model, but whether simple, or deemed complex the model fails to be recognised as a vital tool for all health and social care practitioners. Especially learners taking their seats (in-situ or online) on course 101. I take heart in believing that Hodges' model has a very long tail in relevance and global potential.

Once again model/framework envy creeps in, as I have no evidence (yet). 

Paradoxically (or not) this book will have me try to take note of instances when an interaction calls for a suspension of person-centredness: for me, the patient, client, carer - for us simultaneously.

This is the 'take-away' for me from this book which I also heartily recommend.

I will refer to 'healthful' in another book review.

SPIRITUAL
 
individual - PERSON - patient
|
INTERPERSONAL : SCIENCES
SPIRITUAL  humanistic ---------------------------- mechanistic  SPIRITUAL
SOCIOLOGY : POLITICAL
|
family - group - population
 
SPIRITUAL
Mindset :: Parity -
attitude aptitude
(My choices*)


Hodges' model - disassembly for care
- of esteem :: Touch
aptitude attitude



Hodges' model assembly of care
Culture
Child - Parent - Guardian
FAMILY- Social network

Be the 'person' the
Social Determinants of Health
predict/dictate?


prisoner release


grants and welfare

*(Are you joking - without attending to the politics of health and social care? Diet, green spaces, identity, community (facilities), housing ...)

Many thanks to the publisher Wiley-Blackwell for the review copy.

Review i

Review ii 

Review iii

Fundamentals of Person-Centred Healthcare Practice,  McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.


Tuesday, March 23, 2021

TEDxNHS #1 – Why teaching a man how to fish won’t solve food poverty

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group


Friedrich
1845
Engels

 “social murder ...

 
 
... meeting too early a death."

My source:

https://www.tedxnhs.com/tedxnhs-unlocked/

Wednesday, August 21, 2019

"Bleak House" - not just a book: Family Homelessness

individual - home?
|
INTERPERSONAL : SCIENCES
humanistic - HOME? ----------------------------------------------- mechanistic - HOME?
SOCIOLOGY : POLITICAL
|
home? - population






"Bleak House"
- a work of fiction ...

Charles Dickens - Bleak House


"Bleak Houses"
- a work of Government ...

Bleak Houses - Report



See also:
The Stranger in the Mirror in Bleak House

Book cover - Waterstones

My source
Radio 4 and BBC 2 - Newsnight

Thursday, October 11, 2018

FROM: Cell TO: Street

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

cell *

cell

street

CELL


Prison Leavers, Prison Reform Trust

Advice for prisoners and ex-offenders, Shelter


*Monastic cell

 

Saturday, April 22, 2017

Refugees: one word or two?

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group



Now here



Nowhere



'Welcome'
Origin
Old English wilcuma ‘a person whose coming is pleasing’, wilcumian (verb), from wil- ‘desire, pleasure’ + cuman ‘come’. The first element was later changed to wel- ‘well’, influenced by Old French bien venu or Old Norse velkominn.
https://en.oxforddictionaries.com/definition/welcome