RNQualitativeJournal of family nursing2017

In Their Own Words: Exploring Family Pathways to Housing Instability.

Laura Gultekin, Barbara L Brush

PMID 27881686

WHAT IT FOUND

Unstably housed mothers described trauma, fractured families, isolation, early caregiving, poor health, and system failures as pathways to housing instability.

They wanted mentoring and practical guidance through assistance programs. Routine intake forms often missed trauma.

Key findings

01Thirteen of sixteen participants described broken family relationships, and eleven described extreme trauma and violence across their lives.

02Only three participants had domestic violence noted on intake forms, while almost every participant reported repeated trauma and violence over their lifetimes.

03Participants most often said they would have benefited from mentoring and practical advice on navigating assistance programs.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included 16 women from one Detroit housing agency, so it may not represent families elsewhere or in other housing systems. It was qualitative and exploratory, so the themes describe what participants said about their lives but do not prove that trauma, health, or mentoring caused housing instability. The Brief PHQ was used once and is a screening tool, not a diagnostic test, so it cannot show whether depression or anxiety led to instability or resulted from it. Domestic violence was recorded for only three participants on intake forms, while almost every participant reported trauma. The sample was limited to English-speaking female heads of household eligible for ESG funding, so it says little about men, non-English-speaking families, or people outside that program.

Declared interests

The supplied text does not state a funder, and the authors declared no potential conflicts of interest.

The easy way to misread this

Do not read the trauma and mentoring findings as evidence that trauma-informed care or mentoring prevents homelessness. The study described 16 women's experiences and did not test any intervention.

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