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Articles 2431 - 2460 of 2565

Full-Text Articles in Public Policy

Massachusetts At The Crossroads, Richard E. Ring Mar 1992

Massachusetts At The Crossroads, Richard E. Ring

New England Journal of Public Policy

Massachusetts is at a critical juncture in its care for homeless individuals. In the face of a charged political climate and with a governor bent on the "downsizing" and "privatization" of government services, decisions are being made that are of major importance to the welfare of homeless individuals in this state. Based on the choices of the state administration, Massachusetts can either solve its homelessness problem in the near future or relegate its homeless population to a lifetime spent on the streets or in shelters. In comparison to other states, Massachusetts has been relatively successful in caring for homeless people. …

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A Visit To The Vet Hospital, D. B. Mar 1992

A Visit To The Vet Hospital, D. B.

New England Journal of Public Policy

D.B. is a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. His poem first appeared in The Portland Coalition Advocate. Reprinted with permission.

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The Needs Of Hartford's Homeless Mentally Ill, Steven Kessler Mar 1992

The Needs Of Hartford's Homeless Mentally Ill, Steven Kessler

New England Journal of Public Policy

A state budget deficit in Connecticut threatens the closing of state mental hospitals and holds the potential of displacing chronically mentally ill patients into homelessness. This article explores the historical association between deinstitutionalization of patients from mental hospitals and subsequent homelessness. One third to two thirds of homeless individuals are mentally ill and require intensive, specific, and targeted responses by the community to end their homelessness. Trends in the care of the chronically mentally ill and the conditions of those who are homeless in Connecticut are explored. Model treatment programs are discussed to suggest possible actions, and recommendations that would …

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Aggressive Outreach To Homeless Mentally Ill People, Ellen Nasper, Melissa Curry, Elizabeth Omara-Otunnu Mar 1992

Aggressive Outreach To Homeless Mentally Ill People, Ellen Nasper, Melissa Curry, Elizabeth Omara-Otunnu

New England Journal of Public Policy

Historically, people with chronic mental illnesses have been particularly at risk for homelessness. In 1984, the Connecticut Department of Mental Health (DMH) articulated policy to insure housing for mentally ill persons. One facet of that policy is to increase mental health services to homeless people. The Greater Bridgeport Community Mental Health Center has addressed this need through the formation of the Homeless Outreach Team (HOT). This article describes the development, organization, clinical work, and future of HOT. The team is run jointly by the Mental Health Center (funded through DMH) and Family Service-Woodfield, a United Way-funded agency that provides case …

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In Search Of Safety: Double Jeopardy For Battered Women, Pamela H. Zappardino, Deborah Debare Mar 1992

In Search Of Safety: Double Jeopardy For Battered Women, Pamela H. Zappardino, Deborah Debare

New England Journal of Public Policy

Battering is the single most common cause of injury to U.S. women. Its myriad consequences affect every aspect of the lives of its victims and its children. In their search for safety, many battered women and their children find themselves homeless not because they do not have homes, but because their homes are unsafe. They are homeless because to go home would invite further injury or even death. This article discusses the unique issues and implications of double jeopardy for battered women, including the crisis components of their homelessness, the economic and emotional impacts, the child custody issues, the inadequacy …

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Streets Are For Nobody: Marybeth, Melissa Shook Mar 1992

Streets Are For Nobody: Marybeth, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, November 1988, Long Island Shelter. (No contact with Marybeth after she left the shelter.) Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak, "Boston Center for the Arts, 1991.

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Streets Are For Nobody: Pat Gomes, Melissa Shook Mar 1992

Streets Are For Nobody: Pat Gomes, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, July 2, 1990, Cambridge. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak," Boston Center for the Arts, 1991.

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Streets Are For Nobody: Awilda Cruz, Melissa Shook Mar 1992

Streets Are For Nobody: Awilda Cruz, Melissa Shook

New England Journal of Public Policy

From an interviewed by Melissa Shook, July 29, 1989, Shepherd House, Dorchester. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak, "Boston Center for the Arts, 1991.

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Streets Are For Nobody: Marie, Melissa Shook Mar 1992

Streets Are For Nobody: Marie, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, September 11, 1988, South End. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak," Boston Center for the Arts, 1991.

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Streets Are For Nobody: Mary, Melissa Shook Mar 1992

Streets Are For Nobody: Mary, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, June 24, 1990, Castle Island, South Boston. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak," Boston Center for the Arts, 1991.

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Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger Mar 1992

Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger

New England Journal of Public Policy

Emergency and specialized mental health shelters represent different service philosophies and are meant to appeal to different segments of the homeless and homeless mentally ill population. This article describes the different characteristics and needs of users of emergency and specialized mental health shelters for homeless persons in Boston. Service satisfaction is described in relation to these characteristics and needs as well as in terms of shelter type. Implications are identified for social and mental health service policies for the homeless.

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Streets Are For Nobody: Caroline, Melissa Shook Mar 1992

Streets Are For Nobody: Caroline, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, July 7, 1988, Boston. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak," Boston Center for the Arts, 1991.

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My Name Is Edward, I Am An Alcoholic, Edward Baros Mar 1992

My Name Is Edward, I Am An Alcoholic, Edward Baros

New England Journal of Public Policy

A personal story by Edward Baros, a resident of Fifty Washington Square, Newport, Rhode Island. His work has appeared in In the Heart of the City, a literary magazine produced by the residents of Fifty Washington Square.

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Triangulation In Monument Square, S. B. Mar 1992

Triangulation In Monument Square, S. B.

New England Journal of Public Policy

A personal story by S.B., a member of the Portland (Maine) Coalition for the Psychiatrically Disabled.

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Down And Out In Boston, Jack Thomas Mar 1992

Down And Out In Boston, Jack Thomas

New England Journal of Public Policy

Jack Thomas is a reporter for the Boston Globe, in which this article first appeared, on February 12, 1992. Reprinted with permission.

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Housing And Services For Homeless And At-Risk People: Newport's Experiment, Mary Ellen Hombs, David A. Mehl Mar 1992

Housing And Services For Homeless And At-Risk People: Newport's Experiment, Mary Ellen Hombs, David A. Mehl

New England Journal of Public Policy

Large and small communities alike have diverse groups of people in need of housing and services: mental health patients, single homeless adults, individuals with substance abuse problems, the elderly, the mentally retarded, the unemployed, and people with low or fixed incomes. Even with unlimited resources to create necessary solutions, most communities would subscribe to the conventional wisdom of segregating people according to their major needs and managing the resulting environment with a combination of behavioral regulation and casework. In Newport, Rhode Island, an ambitious nonprofit housing organization decided to break those rules and provide a continuum of secure housing choices …

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Homelessness: An Overview, Jim Tull Mar 1992

Homelessness: An Overview, Jim Tull

New England Journal of Public Policy

The homelessness crisis in the United States has reached epidemic proportions as the diversity of the homeless population expands to the point where it resembles the general population. The deepest and most long-standing cause of homelessness is poverty, but there are other forces as well, including the severe shortage of affordable housing (particularly due to urban renewal); deep funding cuts at the federal, state, and local level; the policy of deinstitutionalization; the Vietnam war; and unemployment. A new public policy approach to homelessness is needed, one which addresses these multiple forces and is grounded in the assumptions that housing and …

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Framing And Claiming The Homelessness Problem, David A. Rochefort, Roger W. Cobb Mar 1992

Framing And Claiming The Homelessness Problem, David A. Rochefort, Roger W. Cobb

New England Journal of Public Policy

Despite a recent upsurge of interest in the issue, homelessness is a problem of long standing in American society. This article traces how several forces catalyzed the problem's re-entrance onto the political agenda in the 1980s. It then reviews the ongoing debate over homelessness causes and cures as a struggle for problem ownership that has complicated the choices of public policymakers. The final section examines various descriptive attributes that figure into the dispute over how to define homelessness and influence the nature of the public policy response to it.

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Foreword, Raymond L. Flynn Mar 1992

Foreword, Raymond L. Flynn

New England Journal of Public Policy

Imagine a hypothetical disaster befalling America's cities. A bomb, perhaps; or a ferocious hurricane; or an earthquake. Two to 3 million Americans lose their homes. We know that, daily, the evening news and the major newspapers would feature stories on the number of people victimized by the disaster. Many Americans would volunteer to help their neighbors in need, and many community agencies and local governments would come to the rescue, but the public would rightly expect the federal government to play a leading role in repairing the human and physical damage. The president and Congress would act swiftly to declare …

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Question, Edward Baros Mar 1992

Question, Edward Baros

New England Journal of Public Policy

Poem by Edward Baros.

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The Housing Crisis Enters The 1990s, Peter Dreier, Richard Appelbaum Mar 1992

The Housing Crisis Enters The 1990s, Peter Dreier, Richard Appelbaum

New England Journal of Public Policy

Homelessness in the United States is a symptom of a much deeper economic and housing crisis — a widening gap between incomes and housing prices. With the end of the Cold War, the nation has the resources to solve these problems, but to do so it must mobilize the political will. This article examines the roots of crisis, the public policies and market forces that created it, and policy recommendations to solve the problem. Key to forging a solution is building the political coalition needed to create a broad public consensus.

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Twin Peaks, Vince Putnam Mar 1992

Twin Peaks, Vince Putnam

New England Journal of Public Policy

Poetry by Vince Putnam, a resident of Fifty Washington Square, Newport, Rhode Island. His work has appeared in In the Heart of the City, a literary magazine produced by the residents of Fifty Washington Square. He is pursuing an MSW degree at the University of Rhode Island.

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Untitled, Kathie Boulanger Mar 1992

Untitled, Kathie Boulanger

New England Journal of Public Policy

Poetry by Kathie Boulanger, who is a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. Her poem first appeared in Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

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Empowerment And The Transition To Housing For Homeless Mentally Ill People: An Anthropological Perspective, Norma C. Ware, Robert R. Desjarlais, Tara L. Avruskin, Joshua Breslau, Byron J. Good, Stephen M. Goldfinger Mar 1992

Empowerment And The Transition To Housing For Homeless Mentally Ill People: An Anthropological Perspective, Norma C. Ware, Robert R. Desjarlais, Tara L. Avruskin, Joshua Breslau, Byron J. Good, Stephen M. Goldfinger

New England Journal of Public Policy

Often lacking in scholarly and policy-oriented discussions of homelessness are contextualized understandings of the problems faced, and the values held, by homeless mentally ill people. This article, using an anthropological perspective, examines issues that arise for homeless mentally ill individuals in making the transition from shelter living to permanent residences. The transition occurs as part of a housing initiative driven by the philosophy of consumer empowerment. Project participants are placed in independent apartments or evolving consumer households (ECH) — shared, staffed residences designed to transform themselves into consumer-directed living situations over time. The effects of an empowerment paradigm on the …

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Program Design And Clinical Operation Of Two National Va Initiatives For Homeless Mentally Ill Veterans, Robert Rosenheck, Catherine A. Leda, Peggy Gallup Mar 1992

Program Design And Clinical Operation Of Two National Va Initiatives For Homeless Mentally Ill Veterans, Robert Rosenheck, Catherine A. Leda, Peggy Gallup

New England Journal of Public Policy

In 1987, in response to reports of large numbers of veterans among America's homeless, the Department of Veterans Affairs established two new national health care initiatives, which have seen over 40,000 homeless veterans since their inception. We present here evaluation and treatment data on a sample of 14,000 of them. Because of differences in their design, the two programs vary in the degree to which they emphasize community outreach, homelessness prevention, and the provision of aftercare services to patients discharged from other VA programs. In spite of these differences, veterans treated in the two programs have similar health care problems …

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Subgroups Of The Homeless: Street Kids, Bruce Clary, James Harrod, Rachel Olney Mar 1992

Subgroups Of The Homeless: Street Kids, Bruce Clary, James Harrod, Rachel Olney

New England Journal of Public Policy

Street kids are a feature of many cities, but only recently have they been included among the homeless. They were defined as runaways, throwaways, or youth in crisis. They had a place to live, even if it was a foster or group home or an institutional setting. However, many are without shelter at one time or another and face the same problems as the chronic homeless: the need for food and shelter, avoidance of victimization, and help for personal problems. In 1988, the National Institute of Mental Health funded three national demonstration projects on adolescent homelessness. We report findings from …

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Streets Are For Nobody: Margaret Mullins, Melissa Shook Mar 1992

Streets Are For Nobody: Margaret Mullins, Melissa Shook

New England Journal of Public Policy

From an interview by Melissa Shook, February 1989, Long Island Shelter. Reprinted, with permission, from "Streets Are for Nobody: Homeless Women Speak, "Boston Center for the Arts, 1991.

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Circle, Dean Hamlin Mar 1992

Circle, Dean Hamlin

New England Journal of Public Policy

Poetry by Dean Hamlin, a member of the Portland (Maine) Coalition for the Psychiatrically Disabled. His poem first appeared in Pile of Papers; Stack of Karma, a collection of poetry published by the Portland Coalition Press. Reprinted with permission.

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Homelessness In Massachusetts: Perception, Policy, And Progress, Milton Argeriou Mar 1992

Homelessness In Massachusetts: Perception, Policy, And Progress, Milton Argeriou

New England Journal of Public Policy

Homelessness is not a new phenomenon in Massachusetts, nor are the "new" homeless of the 1980s and 1990s that different from the "old" homeless of previous decades. What is new is the societal response to the burgeoning population of homeless men, women, and children. Massachusetts's response to the problem of homelessness in the 1980s, as outlined in the Massachusetts Comprehensive Policy Approach, is examined and found to reflect commitment and creativity. However, the problem of homelessness in Massachusetts remains, the community appears frustrated, and current budget cutbacks do not augur well for future services to the homeless.

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Policy Shifts In The Massachusetts Response To Family Homelessness, Margaret A. Leonard, Stacy Randell Mar 1992

Policy Shifts In The Massachusetts Response To Family Homelessness, Margaret A. Leonard, Stacy Randell

New England Journal of Public Policy

Massachusetts's response to the tragedy of family homelessness during a period of economic prosperity (1983-1987) is contrasted to a period of economic decline (1988-1992). The article describes the movement toward a structural response in the boom years and its dismantling with the emergence of a "blame the victim" response in the decline years. The roles of state government, advocacy groups, human service providers, private funding sources, academic institutions, and the media, as they influence these responses, are outlined. Interviews with key actors in these groups, group interviews with formerly homeless women, a review of the literature, and the authors' direct …

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