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).

Three Australian community choirs : ageing, singing and well-being

The promotion of social engagement amongst older Australians is a national priority. Music is a powerful social mechanism that allows individuals and communities to affirm identity, gain a sense of belonging, and share history and culture. Community choir membership offers older people opportunities to connect with others and share a sense of purpose that can enhance their sense of well-being and potentially reduce their experience of social isolation. This paper explores the understandings of well-being, positive ageing and community music making held by members of three choirs in Victoria; Australia. The choirs selected for this discussion are the Coro Furlan, the Skylarkers and the Bosnian Behar Choir. Data have been collected via semi-structured interview with members of the three choirs and analyzed using interpretative Phenomenological Analysis which employs a phenomenological approach that explores personal experience in the participant's life-world. analysis of the combined data identified two broad common themes: First is the personal impact that choir membership has for the individual which includes the building of friendships and opportunities to learn and share music. The second theme concerns the contribution that the choir can make to others in their local community. Thus older singers are provided with a way to be both engaged, validated and appreciated by their contemporary society. Choir participation is an effective way for individuals to express themselves, engage with each other, improve their quality of life, transmit cultural heritage, and build community.

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.

Class Action: Homeless in high school, Jessica Boyle fought to make Colby a place where students from all backgrounds can thrive

Once a homeless teen, Jessica Boyle ’12 worked to make Colby a place where students like her can thrive.

Onset of Conduct Disorder, Use of Delinquent Subsistence Strategies, and Street Victimization among Homeless and Runaway Adolescents in the Midwest

This study examines the effects of childhood-onset conduct disorder on later antisocial behavior and street victimization among a group of homeless and runaway adolescents. Four hundred twenty-eight homeless and runaway youth were interviewed directly on the streets and in shelters from four Midwestern states. Key findings include the following. First, compared with those who exhibit adolescent-onset conduct disorder, youth with childhood onset are more likely to engage in a series of antisocial behaviors such as use of sexual and nonsexual survival strategies. Second, youth with childhood-onset conduct disorder are more likely to experience violent victimization; this association, however, is mostly through an intervening process such as engagement in deviant survival strategies.