The incorporation of meaningful activity or occupation in supporting those transitioning from homelessness to being housed has been promoted by researchers; however, there is little evidence to support the promotion of initiatives encouraging its use in support models.
Purpose.
This manuscript aims to advocate for further research into the role of occupation in supporting persons transitioning from homelessness to permanent housing. Key Issues. The transition from homelessness to becoming housed can be facilitated through use of occupation as a way of promoting the security of meaningful roles and a “housed identity” among persons experiencing homelessness.
Implications.
By promoting an emphasis on occupation, persons experiencing homelessness may undergo a positive change in identity. This change may improve housing tenure and the likelihood of a more permanent transition away from homelessness. More research is required to identify the relationship between occupation and the transition from homelessness.
Canadian Institute for Health Information. (2007). Improving the health of Canadians: Mental health and homelessness. Ottawa, ON: Author.
2.
CauceA.ParadiseM.GinzlerJ.EmbryL.MorganC.LohrY.TheofelisJ. (2000). The characteristics and mental health of homeless adolescents: Age and gender differences. Journal of Emotional & Behavioral Disorders, 8, 230–239. doi:10.1177/106342660000800403
3.
CauceA. M.WhitbeckL. B.JohnsonK. D.HoytD. R. (2004). Mental disorder and comorbidity among runaway and homeless adolescents. Journal of Adolescent Health, 35, 132–140. doi:10.1016/j.jadohealth.2003.08.011
4.
ChapleauA. (2010). Voices from the street: How structural and individual factors influence homelessness. Occupational Therapy in Mental Health, 26, 387–400. doi:10.1080/0164212X.2010.518310
5.
CornejoC. (2008). Intersubjectivity as co-phenomenology: From the holism of meaning to being in the world with others. Integrative Psychological and Behavioural Science, 42, 171–178. doi:10.1007/s12124-007-9043-6
6.
CorvinelliA. (2012). Boredom in recovery for adult substance users with HIV/AIDS attending an urban day treatment program. Occupational Therapy in Mental Health, 28, 201–319. doi:10.1080/01642121003735780
7.
CoumansM.SpreenM. (2003). Drug use and the role of homelessness in the process of marginalization. Substance Use and Misuse, 38(3–6), 311–338. doi:10.1081/JA-120017376
8.
CzikszentmihalyiM. (2000). Beyond boredom and anxiety: Experiencing flow in work and play. San Francisco, CA: Jossey-Bass.
9.
DeJongI. (2012, November). Housing First. Presentation at the Ontario Non-Profit Housing Association Conference, Toronto, ON, Canada.
10.
EakmanA.EklundM. (2012). The relative impact of personality traits, meaningful occupation and occupational value on meaning in life and life satisfaction. Journal of Occupational Science, 19, 165–177. doi:10.1080/14427591.2012.671762
EklundM. (2011). Occupation and wellness. In BrownC.StoffelV. (Eds.), Occupational therapy in mental health: A vision for participation (pp. 649–658). Philadelphia, PA: F. A. Davis.
13.
FischerB.RudzinskiK.IvsinsA.GallupeO.PatraJ.KrajdenM. (2010). Social, health and drug use characteristics of primary crack users in three mid-size communities in British Columbia, Canada. Drugs: Education, Prevention, and Policy, 17, 333–353. doi:10.3109/09687630903357700
14.
FleetwoodM. (2010). Housing services in the US: Looking back, looking forward: An open letter to policy makers, advocates, and providers. Open Health Services and Policy Journal, 3, 27–29. doi:10.2174/1874924001003010027
15.
GaetzS. (2010). The struggle to end homelessness in Canada: How we created the crisis, and how we can end it [Editorial]. Open Health Services and Policy Journal, 3, 21–26. doi:10.2174/1874924001003010021
16.
GaetzS. (2012a, November). Making research matter: Creating impact for housing and homelessness research. Presentation at the Ontario Non-Profit Housing Association Conference, Toronto, ON, Canada.
17.
GaetzS. (2012b). The real cost of homelessness: Can we save money by doing the right thing?Toronto, ON: Canadian Homelessness Research Network Press.
18.
GaetzS.DonaldsonJ.RichterT.GulliverT. (2013). The state of homelessness in Canada, 2013. Toronto, ON: Canadian Homelessness Research Network Press.
19.
GillisL.DickersonG.HansonJ. (2010). Recovery and homeless services: New directions for the field. Open Health Services and Policy Journal, 3, 71–79.
20.
GlissonG.ThyerB.FischerR. (2001). Serving the homeless: Evaluating the effectiveness of homeless shelter services. Journal of Sociology and Social Welfare, 28(4), 89–97.
21.
GoldbergB.BrintnellE. S.GoldbergJ. (2002). The relationship between engagement in meaningful activities and quality of life in persons disabled by mental illness. Occupational Therapy in Mental Health, 19(2), 17–44. doi:10.1300/J004v18n02_03
22.
GoodmanL. A.SaxeL.HarveyM. (1991). Homelessness as psychological trauma: Broadening perspectives. American Psychologist, 46, 1219–1225. doi:10.1037/0003-066X.46.11.1219
23.
HarmerB.OrrellM. (2008). What is meaningful activity for people with dementia living in care homes? A comparison of the views of older people with dementia, staff, and family carers. Aging in Mental Health, 12, 548–558. doi:10.1080/13607860802343019
24.
HeiskalaR. (2011). The meaning of meaning in sociology: The achievements and shortcomings of Alfred Schutz's phenomenological sociology. Journal for the Theory of Social Behaviour, 41, 231–246. doi:10.1111/j.1468-5914.2011.00461.x
25.
HeuchemerB.JosephssonS. (2006). Leaving homelessness and addiction: Narratives of an occupational transition. Scandinavian Journal of Occupational Therapy, 13, 160–169. doi:10.1080/11038120500360648
26.
HudsonA. L.NandyK. (2012). Comparisons of substance abuse, high-risk sexual behavior and depressive symptoms among homeless youth with and without a history of foster care placement. Contemporary Nurse, 42, 178–186. doi:10.5172/conu.2012.42.2.178
27.
IllmanS.SpenceS.O’CampoB.KirshB. (2013). Exploring the occupations of homeless adults living with mental illnesses in Toronto. Canadian Journal of Occupational Therapy, 80, 215–223. doi:10.1177/0008417413506555
28.
KeeshinB.CampbellK. (2011). Screening homeless youth for histories of abuse: Prevalence, enduring effects, and interest in treatment. Child Abuse and Neglect, 35, 401–407. doi:10.1016/j.chiabu.2011.01.015
29.
KelletP.MooreJ. (2003). Routes to home: Homelessness and home-making in contrasting societies. Habitat International, 27, 123–141. doi:10.1016/S0197-3975(02)00039-5
LeeS.deCastellaA.FriedinJ.KennedyA.KroschelJ. (2010). Mental health care on the streets: An integrated approach. Australian & New Zealand Journal of Psychiatry, 44, 505–512. doi:10.3109/00048670903555120
32.
LoweJ.GibsonS. (2011). Reflections of a homeless population’s lived experience of substance abuse. Journal of Community Health Nursing, 28, 92–104. doi:10.1080/07370016.2011.564066
MacKneeC.MervinJ. (2002). Critical incidents that facilitate homeless people’s transition off the streets. Journal of Social Distress and the Homeless, 11, 293–306. doi:10.1023/A:1016837231886
35.
MarshallC. (2011). Building community through leisure: The Joseph St. tenant engagement project. Kingston, ON: Home Base Housing.
36.
MarshallC.LysaghtR. (2014, May). Occupational engagement: Impact on lived experience of chronically homeless persons. Paper presented at the Canadian Association of Occupational Therapists Conference, Fredericton, NB, Canada.
37.
MeadG. (1934). Mind, self, and society. Chicago, IL: University of Chicago Press.
38.
MeeJ.SumisonT.CraikC. (2004). Mental health clients confirm the value of occupation in building competence and self-identity. British Journal of Occupational Therapy, 67, 225–233.
39.
MullenJ.LeginskiW. (2010). Building the capacity of the homeless service workforce. Open Health Services and Policy Journal, 3, 101–110. doi:10.2174/1874924001003010101
40.
PerronB.Alexander-EitzmanB.GillespieD.PollioD. (2008). Modeling the mental health effects of victimization among homeless persons. Social Science and Medicine, 67, 1475–1479. doi:10.1016/j.socscimed.2008.07.012
41.
PerssonD.ErlandssonL.EklundM.IwarssonS. (2001). Value dimensions, meaning, and complexity in human occupation: A tentative structure for analysis. Scandinavian Journal of Occupational Therapy, 8, 7–18. doi:10.1080/11038120119727
PolatajkoH.DavisJ.HobsonS.LandryJ.MandichA.StreetS.…YeeS. (2004). Meeting the responsibility that comes with the privilege: Introducing a taxonomic code for understanding occupation. Canadian Journal of Occupational Therapy, 71, 261–264. doi:10.1177/000841740407100503.
44.
PolatajkoH. J.DavisJ.StewartD.CantinN.AmorosoB.PurdieL.ZimmermanD. (2007). Specifying the domain of concern: Occupation as core. In TownsendE. A.PolatajkoH. J., Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation (pp. 13–36). Ottawa, ON: CAOT Publications ACE.
45.
TamT.ZlotnickC.RobertsonM. (2003). Longitudinal perspective: Adverse childhood events, substance use, and labour force participation among homeless adults. American Journal of Drug and Alcohol Abuse, 29, 829–846. doi:10.1081/ADA-120026263
46.
TeasdaleS. (2010). Models of social enterprise in the homelessness field. Social Enterprise Journal, 6(1), 23–34. doi:10.1108/17508611011043039
47.
TeesonM.HodderT.BuhrichN. (2004). Psychiatric disorders in homeless men and women in Sydney. Australian and New Zealand Journal of Psychiatry, 38, 162–168. doi:10.1080/j.1440-1614.2004.01322.x
VandemarkV. (2007). Promoting the sense of self, place, and belonging in displaced persons. The example of homelessness. Archives of Psychiatric Nursing, 21, 241–248. doi:10.1016/j.apnu.2007.06.003
50.
WatsonR.DuncanM. (2007, March). Chronic poverty, disability, and occupational deprivation. Paper presented at the “Living on the Margins” conference, Stellenbosch, South Africa.
51.
WhitefordG. (2000). Occupational deprivation: Global challenge in the new millennium. British Journal of Occupational Therapy, 63, 200–204.
52.
WhitefordM. (2010). Hot tea, dry toast, and the responsibilisation of homeless people. Social Policy and Society, 19, 193–205. doi:10.1017/S1474746409990340
53.
WidemanM. (2011). Evolution of a nursing case management model for a housing first population. Home Health Care Management and Practice, 23, 336–341. doi:10.1177/1084822310384922
54.
WilliamsS.StickleyT. (2011). Stories from the streets: People’s experiences of homelessness. Journal of Psychiatric and Mental Health Nursing, 18, 432–439. doi:10.1111/j.1365-2850.2010.01676.x
55.
WrightJ.DevineJ. (1995). Housing dynamics of the homeless: Implications for a count. American Journal of Orthopsychiatry, 65, 320–329. doi:10.1037/h0085062
56.
WrightN.TompkinsC.OldhamN.KayD. (2004). Homelessness and health: What can be done in general practice?Journal of the Royal Society of Medicine, 97, 170–173.
57.
YanosP.FeltonB.TsemberisS.FryeB. (2007). Exploring the role of housing type, neighbourhood characteristics, and lifestyle factors in the community integration of formerly homeless persons diagnosed with mental illness. Journal of Mental Health, 16, 703–717. doi:10.1080/09638230701496378
