Screening for chlamydia trachomatis : barriers for homeless young people

Objective: The study explored homeless young people's knowledge and attitudes of Chlamydia trachomatis (Chlamydia) and its screening.

Design: Semi-structured interviews using focus groups.

Setting: An inner city clinic for homeless young people.

Subjects: Homeless young people aged 16-26 years.

Outcomes: Perceptions of Chlamydia and its screening.

Results: 19 males and 6 females aged 16-26 years participated. Content analysis confirmed a lack of knowledge, prior education and misinformation about Chlamydia and barriers to being screened. Ideas for informing young people about Chlamydia included advertising on billboards, in free newspapers, and improved school sex education programs.

Conclusions: Homeless young people have poor knowledge of Chlamydia and its screening and barriers to the screening process. Culturally-specific education and health promotion programs and services are needed.

Use of the program explication method to explore the benefits of a service for homeless and marginalized young people

Maintaining the alignment between the dynamic development of health and social services and the rapidly advancing scientific evaluation literature is a central challenge facing service administrators. We describe “program explication,” a consulting method designed to assist services to identify and review implicit program logic assumptions against the evaluation literature. Program explication initially facilitates agency staff to identify and document service components and activities considered critical for improving client outcomes. Program assumptions regarding the relationship between service activities and client outcomes are then examined against available scientific evidence. We demonstrate the application of this method using an example of its use in reviewing a service for homeless young people operating in Melbourne, Australia, known as the Young People's Health Service (YPHS). The YPHS involved 21 activities organized within 4 components. The intended benefits of each of the activities were coherently articulated and logically consistent. Our literature search revealed moderate to strong evidence for around 1 quarter of the activities. The program explication method proved feasible for describing and appraising the YPHS service assumptions, thereby enhancing service evaluability.

I'm the slice of pie that's ostracised.... : Foucault's technologies, and personal agency, in the voice of women who are homeless, Adelaide, South Australia

In contrast to the international research (particularly in the United Kingdom and North America), much of the Australian literature regarding homelessness to date omits the perspective of people who are homeless. In contributing to the fledgling Australian literature in the field, the following article adopts a secondary approach to the data analysis of original research. When analysed, the voices of homeless women from an agency in Adelaide, South Australia exhibit elements of both Foucault’s technologies of domination and the self. While the results show that the women do have a powerful sense of the broader external issues exerted on them (reflecting both technologies of domination and the self), the analysis also reveals ambiguities in their responses. Apparent in the voice of homeless women is a sense of personal agency which appears to be absent in Foucault’s technologies. By considering the viewpoints of homeless women, various policy implications can also be drawn. Indeed, this is one of the motivations of the article, namely to inject into policy debate and development the voices of the people most adversely affected by it. The policy implications of the women’s voices centre around the desire to be included rather than remain on the margins, the need for supportive relationships, the necessity to take small steps to independent living, and the need for more affordable, independent housing.

Attempting to hear the excluded : the voice of homeless people and policy implications

Until recently, there have been very few systematic attempts to hear what people who are homeless say about their lives and situations. Yet there are a few exceptions particularly in the United States and the United Kingdom (for example, Snow & Anderson 1993; Hutson & Liddard 1994). The Inquiry which resulted in the Burdekin Report in Australia also held consultations in which people who were homeless submitted evidence (Human Rights and Equal Opportunity Commission 1989). Other Inquiries have done likewise and some reports have used the accounts of people who are homeless (for example Bartholomew 1999; Fopp 1989; MacKenzie & Chamberlain 2003).

A tale of two events? Media analysis of the Melbourne 2008 Homeless World Cup

In 2008, Melbourne became the first Australian city to host the Homeless World Cup (HWC), an annual international sporting event that aims to raise the profile of homelessness and social marginalisation. This article first examines relevant print media articles relating to the HWC by identifying key themes through thematic and content analysis. It then examines the polarised reporting of the HWC by two print media outlets, The Age and the Herald Sun, and argues that each outlet's coverage served to reinforce its own established position on the key political and social issues, in this instance homelessness, asylum seeking and immigration. The divergence in the discourses constructed in each paper provides a demonstrative example of the capacity of the media to use events of all sorts to consolidate their political and commercial positions.

Negotiating motherhood: the struggles of teenage mothers

Aims. This article presents the results of an ethnographic study exploring how teenagers negotiated motherhood. The main aims of the study were to explore how the young women negotiated motherhood and how they constructed their own identities and relationships through teenage parenting.

Background. Approximately 10% of all births occur to teenage mothers worldwide. This phenomenon is of concern because teenage mothers are reported to be disadvantaged financially, educationally, and cognitively in both the short and long term. Many teenage mothers find strength and fulfillment in their motherhood role but this does not come without cost to themselves or their children, as many teenagers are considered unsuitable to be parents and do not have adequate support.

Design. This interpretive study incorporated ethnographic practices and was guided by feminist principles. After ethical approval from the university, data was collected over a 12-month period from five homeless Australian sole-supporting teenage mothers. Methods used included observation, interviews, field notes, journalling, and discussions with key informants.

Findings. The five participants described stories of disrupted lives, unhappiness in childhood, turmoil during adolescence and a need to find love and connection in their lives. Analysis of the data revealed four major themes; transforming lives and opportunities for change, accommodating the challenges, tolerating the abandonment of supports and living publicly examined lives.

Conclusions. It was concluded that becoming a sole-supporting mother during the teenage years was a difficult struggle for the young women, because of their youth, their lack of preparation for motherhood and their reliance on welfare supports. In addition, they experienced negative public attitudes directed towards them wherever they went, and this included their visits to community child health centres. Recommendations are made for nurses to take a different approach when working with teenage mothers to help ameliorate the negative impact of poor parenting.