Argeriou M, McCarty D, Mulvey K
Health and Addictions Research, Inc., Boston, MA, USA.
Public Health Rep. 1995 Nov-Dec;110(6):734-41.
Investigations of homelessness have been hampered by the lack of operational definitions sensitive enough to achieve subgroup differentiation and simple enough to permit replication. As a consequence, programming and policy development have often proceeded based on varying assessments of the composition, size, and needs of the homeless population. This paper describes the empirical use of duration of homelessness and dwelling place as elements of an operational definition of homelessness. The approach reflects a conceptualization of homelessness as a continuous variable that can be described by coordinates of time and place. A screening instrument that quantified the homeless experience was developed and evaluated in conjunction with a federally funded demonstration project for homeless substance-abusing men and women. Eight hundred and thirty-nine men and women from six public detoxification centers were screened over a two-year period that began in August 1988. Respondents were asked eight questions to assess duration (time) and location (place) of homelessness before they entered the detoxification center. A simple index was constructed retrospectively and found to differentiate the sample into homeless and near-homeless subgroups. Between-group differences were statistically significant in demographics, presenting problems, and probability for successful intervention. These data paralleled previously reported differences between homeless subgroups and support the concurrent validity of the index. Cronbach's alpha (.72) showed the index to be moderately reliable. Differentiation of homeless persons into meaningful subgroups appears possible and programmatically recommended. Homelessness is not a unitary phenomenon, and it is unlikely to respond to therapeutic interventions that fail to consider individual differences.
对无家可归现象的调查一直受到阻碍,因为缺乏足够敏感以实现亚组区分且足够简单以允许重复的操作性定义。因此,规划和政策制定往往基于对无家可归者群体的构成、规模和需求的不同评估而进行。本文描述了将无家可归的持续时间和居住场所作为无家可归操作性定义要素的实证应用。该方法反映了将无家可归概念化为一个连续变量,可用时间和地点坐标来描述。结合一个由联邦资助的针对无家可归的药物滥用男女的示范项目,开发并评估了一种量化无家可归经历的筛查工具。从1988年8月开始的两年时间里,对来自六个公共戒毒中心的839名男女进行了筛查。在受访者进入戒毒中心之前,询问他们八个问题以评估无家可归的持续时间(时间)和地点(场所)。回顾性构建了一个简单指数,发现该指数可将样本分为无家可归亚组和接近无家可归亚组。两组在人口统计学、呈现的问题以及成功干预的可能性方面的差异具有统计学意义。这些数据与先前报道的无家可归亚组之间的差异相符,并支持该指数的同时效度。克朗巴哈系数(0.72)表明该指数具有中等可靠性。将无家可归者区分为有意义的亚组似乎是可行的,并且在规划上是可取的。无家可归不是一种单一现象,对未能考虑个体差异的治疗干预措施不太可能有反应。