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Men’s experiences of early life trauma and pathways into long-term homelessness
Institution:1. Department of Health, Aging, and Society, McMaster University, 2nd Floor Kenneth Taylor Hall, 1280 Main Street West, Hamilton, Ontario, L8S 4L8, Canada;2. Centre for Research on Urban Health Solutions, St. Michael’s Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada;3. Department of Sociology, Wilfrid Laurier University, 75 University Avenue West Waterloo, Ontario, N2L 3C5, Canada;4. Department of Medicine, McMaster University, 3rd Floor Michael Degroote Centre for Learning and Discovery, 1280 Main Street West, Hamilton, Ontario, L8S 4L8, Canada;5. Dalla Lana School of Public Health, University of Toronto, 150 College St. Toronto, Ontario, Canada;1. Department of Pediatrics, University of Arizona, Tucson, AZ, United States;2. Emergency Medicine, University of Arizona, Tucson, AZ, United States;3. University of Arizona, Tucson, AZ, United States;4. Banner University Medical Center Tucson, Tucson, AZ, United States;1. Department of Infectious Diseases, Alfred Health & Monash University, 85 Commercial Road, Melbourne, Victoria, 3004, Australia;2. Disease Elimination Program, Burnet Institute, 85 Commercial Road, Melbourne, Victoria, 3004, Melbourne, Australia;3. Star Health, 341 Coventry St, South Melbourne, Victoria, 3205, Australia;4. Launch Housing, 52 Haig St, Southbank, Victoria, 3205, Australia;1. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California;2. King''s Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King''s College London, London, United Kingdom;1. University of Houston Graduate College of Social Work, 3511 Cullen Blvd., Houston, TX 77204-4013, United States;2. University of Houston Graduate College of Social Work, Center for Child and Innovation Research, 3511 Cullen Blvd., Houston, TX 77204-4013, United States;1. Jean-Talon Hospital, 1385 rue Jean-Talon Est, Montreal, QC, H2E 1S6, Canada;2. Centre Recherche du Centre hospitalier de l’Université de Montreal (CRCHUM), 900 rue St-Denis, Montréal, QC, H2X0A9, Canada;3. Department of psychiatry, Université de Montréal; Centre de recherche du Centre hospitalier de l’Université de Montreal, 1000 rue St-Denis, Montréal, QC, H2X 0C1, Canada;4. Université de Montréal, Department of psychiatry, Canada
Abstract:Previous studies that have explored the association between childhood trauma and homelessness indicate that traumatic events can lead to survivor distrust of interpersonal relationships and institutions, prolonged homelessness and poor health and social outcomes. The majority of this literature relies on quantitative data and fails to investigate the personal experiences of childhood trauma that are found to impact housing status later in life. Semi-structured, qualitative interviews were conducted with 25 men living in an urban area in Ontario who had spent more than 30 consecutive nights in an emergency shelter over the course of their housing histories. During data analysis, it was observed that all of the men had experienced some form of trauma or neglect in childhood which contributed to their entries into homelessness. Using a case study approach, three entry pathways into long term homelessness are described: 1) youth; 2) emerging or early adulthood; and 3) middle adulthood. Participants are classified into the pathways by the developmental period at which they first entered homelessness. These findings have implications for policy makers and service providers, as key intervention points are identified. Establishing effective interventions that address crises experienced at these points could assist with homelessness prevention across the life course.
Keywords:Childhood trauma  Complex psychological trauma  Homelessness  Men  Pathways
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