Schmidt Rose, Hrenchuk Charlotte, Bopp Judie, Poole Nancy
BC Centre of Excellence for Women's Health, Vancouver, BC, Canada;
Yukon Status of Women Council, Whitehorse, YT, Canada.
Int J Circumpolar Health. 2015 Dec 23;74:29778. doi: 10.3402/ijch.v74.29778. eCollection 2015.
Repairing the Holes in the Net was a 2-year, multilevel action research project designed to inform the development of culturally appropriate and gender-specific services for northern women who are homeless or marginally housed and who face mental health and substance use concerns. The study was designed to learn about the barriers and supports experienced by homeless women in the North when accessing mental health care, shelter, housing and other services; and to inform the work of northern service providers and policy advocates in a position to implement adjustments in their praxis.
This article describes the trajectories of women's service access and their ideas for service improvement from 61 qualitative, semi-structured interviews conducted with homeless women in Whitehorse, Yukon (YT), Yellowknife, Northwest Territories (NT), and Iqualit, Nunavut (NU).
Unresolved trauma, poverty and social exclusion, inability to find and maintain housing and ineffective services emerged as interconnected and multifaceted challenges related to women's service engagement. In the face of these challenges, women displayed significant resilience and resistance, and offered important ideas for service improvement.
The 4 interconnected systemic challenges identified in the research, coupled with specific ideas for change cited by the resilient homeless women interviewed, offer points of entry to improve service policy and delivery. Implementing trauma-informed approaches emerged as a key example of how access to, and quality of, services could be improved for homeless women in the North.
“修复网络漏洞”是一项为期两年的多层次行动研究项目,旨在为无家可归或住房条件差且面临心理健康和药物使用问题的北方女性开发适合其文化背景和性别的服务。该研究旨在了解北方无家可归女性在获得心理健康护理、庇护所、住房和其他服务时所遇到的障碍和支持;并为北方服务提供者和政策倡导者的工作提供参考,以便他们能够在实践中做出调整。
本文描述了对育空地区白马市、西北地区耶洛奈夫市和努纳武特地区伊魁特市的无家可归女性进行的61次定性半结构化访谈中,女性获得服务的轨迹以及她们对服务改进的想法。
未解决的创伤、贫困和社会排斥、无法找到并维持住房以及无效的服务,成为与女性参与服务相关的相互关联且多方面的挑战。面对这些挑战,女性展现出了显著的复原力和抵抗力,并提出了重要的服务改进想法。
研究中确定的4个相互关联的系统性挑战,以及受访的有复原力的无家可归女性提出的具体变革想法,为改进服务政策和服务提供提供了切入点。实施创伤知情方法成为一个关键示例,说明如何改善北方无家可归女性获得服务的机会和服务质量。